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<br><tt>Pt Soft is currently seeking for new members, so, if you want to
join just answer the following questions: </tt></p></center>
<center><p><font COLOR="#FFFFFF">(If you have any
questions email us at</font> <a href="mailto:ptsoft@escape.alce.pt">ptsoft@escape.alce.pt</a><font COLOR="#FFFFFF">)</font>
<form METHOD=GET ENCTYPE="multipart/form-data" ACTION="mailto:tiago.dias@escape.alce.pt?subject=Want to join Pt Soft&"></p></center>
<table>
<tr>
<td WIDTH=130>Name:</td>
<td WIDTH=460><input NAME="Name" VALUE="" MAXLENGTH="40" SIZE=50> </td>
</tr>
<tr>
<td WIDTH=130>Address:</td>
<td WIDTH=460><input NAME="Address" VALUE="" MAXLENGTH="500" SIZE=50> </td>
</tr>
<tr>
<td WIDTH=130>City/Postal Code:</td>
<td WIDTH=460> <input NAME="City/Postal Code" VALUE="" MAXLENGTH="50" SIZE=25></td>
</tr>
<tr>
<td WIDTH=130>Country:</td>
<td WIDTH=460> <input NAME="Country" VALUE="" MAXLENGTH="50" SIZE=25></td>
</tr>
<tr>
<td WIDTH=130>Phone (Voice):</td>
<td WIDTH=460><input NAME="Phone (Voice)" VALUE="" MAXLENGTH="50" SIZE=30>
</td>
</tr>
<tr>
<td WIDTH=130>Phone (Data):</td>
<td WIDTH=460> <input NAME="Phone (Data)" VALUE="" MAXLENGTH="50" SIZE=30></td>
</tr>
<tr>
<td WIDTH=130>Date of Birth:</td>
<td WIDTH=460><input NAME="Date of Birth" VALUE="dd/mm/yyyy" MAXLENGTH="25" SIZE=10>
</td>
</tr>
<tr>
<td WIDTH=130>Your Work (job):</td>
<td WIDTH=460> <input NAME="Work" VALUE="" MAXLENGTH="50" SIZE=20></td>
</tr>
<tr>
<td WIDTH=130>email:</td>
<td WIDTH=460><input NAME="e-mail" VALUE="" MAXLENGTH="50" SIZE=50> </td>
</tr>
</table>
<p>Affiliations (Groups you are part of):
<br><textarea NAME="Affiliations" ROWS=4 COLS=60>
</textarea></p>
<p>Little History (What you have been doing...):
<br><textarea NAME="Historial" ROWS=6 COLS=60></textarea>
<br>
<br>Reason(s) why you want to join us:
<br><textarea NAME="Reason" ROWS=5 COLS=60></textarea>
<br></p>
<center><p><input TYPE="SUBMIT" VALUE="Send Now" COLS=50 SIZE="300" </SAMP>
<INPUT TYPE="reset" VALUE="Start over">
</center></FORM></form></center>
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