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<font size=2><b>Daca ceva inca te impiedica sa iei decizia de a a-ti preda sau rededica viata lui Isus, ne-am bucura sa impartasesti cu noi acest lucru!</b> Te rugam sa ne scrii despre tine, sa ne pui intrebari sau sa ne trimiti un feedback folosind spatiul pentru comentarii de mai jos.</font>
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<tr><td><font size=2>Prenume </font></td>
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<tr><td valign=top><font size=2>Comenteaza </font></td>
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<OPTION value=C�te d`Ivoire>Coasta de Fildes</OPTION>
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<OPTION value=Guam>Guam</OPTION>
<OPTION value=Guatemala>Guatemala</OPTION>
<OPTION value=Guinea>Guineea</OPTION>
<OPTION value=Guinea-Bissau>Guineea-Bissau</OPTION>
<OPTION value=Equatorial Guinea>Guineea Ecuatoriala</OPTION>
<OPTION value=French Guyana>Guineea Franceza </OPTION>
<OPTION value=Guyana>Guyana</OPTION>
<OPTION value=Haiti>Haiti</OPTION>
<OPTION value=Honduras>Honduras</OPTION>
<OPTION value=Hong Kong>Hong Kong</OPTION>
<OPTION value=India>India</OPTION>
<OPTION value=Indonesia>Indonesia</OPTION>
<OPTION value=Bouvet Island>Insulele Bouvet</OPTION>
<OPTION value=Cayman Islands>Insulele Cayman</OPTION>
<OPTION value=Christmas Island>Insula Christmas</OPTION>
<OPTION value=Cocos (Keeling) Islands>Insulele Cocos (Keeling)</OPTION>
<OPTION value=Cook Islands>Insulele Cook</OPTION>
<OPTION value=Falkland Islands>Insulele Falkland </OPTION>
<OPTION value=Faroe Islands>Insulele Feroe</OPTION>
<OPTION value=S. Georgia and S. Sandwich Islands>Insulele Georgia de Sud si Sandwich de Sud</OPTION>
<OPTION value=Heard and Mc Donald Islands>Insulele Heard si McDonald</OPTION>
<OPTION value=Northern Mariana Islands>Insulele Marianei de Nord</OPTION>
<OPTION value=Marshall Islands>Insulele Marshall</OPTION>
<OPTION value=Norfolk Island>Insulele Norfolk</OPTION>
<OPTION value=Pitcairn Island>Insulele Pitcairn</OPTION>
<OPTION value=Solomon Islands>Insulele Solomon</OPTION>
<OPTION value=Svalbard and Jan Mayen Isl>Insulele Svalbard si Jan Mayen</OPTION>
<OPTION value=Turks and Caicos Islands>Insulele Turks si Caicos</OPTION>
<OPTION value=USA Minor Outlying Islands>Insulele USA Minor Outlying</OPTION>
<OPTION value=British Virgin Islands>Insulele Virgine Britanice</OPTION>
<OPTION value=Virgin Islands >Insulele Virgine</OPTION>
<OPTION value=Jordan>Iordania</OPTION>
<OPTION value=Iran>Iran</OPTION>
<OPTION value=Iraq>Irak</OPTION>
<OPTION value=Ireland>Irlanda</OPTION>
<OPTION value=Iceland>Islanda</OPTION>
<OPTION value=Israel>Israel</OPTION>
<OPTION value=Italy>Italia</OPTION>
<OPTION value=Yugoslavia>Iugoslavia</OPTION>
<OPTION value=Jamaica>Jamaica</OPTION>
<OPTION value=Japan>Japonia</OPTION>
<OPTION value=Kazakhstan>Kazakhstan</OPTION>
<OPTION value=Kenya>Kenia</OPTION>
<OPTION value=Kiribati>Kiribati</OPTION>
<OPTION value=Kyrgyz Republic >Kirghizstan</OPTION>
<OPTION value=Kuwait>Kuweit</OPTION>
<OPTION value=Laos>Laos</OPTION>
<OPTION value=Latvia>Letonia</OPTION>
<OPTION value=Lesotho>Lesotho</OPTION>
<OPTION value=Lebanon>Liban</OPTION>
<OPTION value=Liberia>Liberia</OPTION>
<OPTION value=Libya>Libia</OPTION>
<OPTION value=Liechtenstein>Liechtenstein</OPTION>
<OPTION value=Lithuania>Lituania</OPTION>
<OPTION value=Luxembourg>Luxembourg</OPTION>
<OPTION value=Macau>Macao</OPTION>
<OPTION value=Macedonia>Macedonia</OPTION>
<OPTION value=Madagascar>Madagascar</OPTION>
<OPTION value=Malawi>Malawi</OPTION>
<OPTION value=Malaysia>Malayezia</OPTION>
<OPTION value=Maldives>Maldives</OPTION>
<OPTION value=Mali>Mali</OPTION>
<OPTION value=Malta>Malta</OPTION>
<OPTION value=United Kingdom>Marea Britanie </OPTION>
<OPTION value=Morocco>Maroc</OPTION>
<OPTION value=Martinique>Martinica </OPTION>
<OPTION value=Mauritania>Mauritania</OPTION>
<OPTION value=Mauritius>Mauritius</OPTION>
<OPTION value=Mayotte>Mayotte</OPTION>
<OPTION value=Mexico>Mexic</OPTION>
<OPTION value=Micronesia>Micronezia</OPTION>
<OPTION value=Monaco>Monaco</OPTION>
<OPTION value=Mongolia>Mongolia</OPTION>
<OPTION value=Montserrat>Montserrat</OPTION>
<OPTION value=Mozambique>Mozambic</OPTION>
<OPTION value=Myanmar>Myanmar</OPTION>
<OPTION value=Namibia>Namibia</OPTION>
<OPTION value=Nauru>Nauru</OPTION>
<OPTION value=Nepal>Nepal</OPTION>
<OPTION value=Nicaragua>Nicaragua</OPTION>
<OPTION value=Niger>Niger</OPTION>
<OPTION value=Nigeria>Nigeria</OPTION>
<OPTION value=Niue>Niue</OPTION>
<OPTION value=Norway>Norvegia</OPTION>
<OPTION value=New Caledonia>Noua Caledonie</OPTION>
<OPTION value=New Zealand>Noua Zeelanda</OPTION>
<OPTION value=Netherlands>Olanda</OPTION>
<OPTION value=Oman>Oman</OPTION>
<OPTION value=Pakistan>Pakistan</OPTION>
<OPTION value=Palau>Palau</OPTION>
<OPTION value=Panama>Panama</OPTION>
<OPTION value=Papua New Guinea>Papua Noua Guinee</OPTION>
<OPTION value=Paraguay>Paraguay</OPTION>
<OPTION value=Palestinian West Bank and Gaza>Partea de Vest a Palestinei si Fasia Gaza /OPTION>
<OPTION value=Peru>Peru</OPTION>
<OPTION value=French Polynesia >Polinezia Franceza</OPTION>
<OPTION value=Poland>Polonia</OPTION>
<OPTION value=Portugal>Portugalia</OPTION>
<OPTION value=Puerto Rico>Puerto Rico</OPTION>
<OPTION value=Qatar>Qatar</OPTION>
<OPTION value=Central African Republic>Republica Centrala Africana</OPTION>
<OPTION value=Czech Republic>Republica Ceha</OPTION>
<OPTION value=Democratic Republic of Congo>Republica Democrata Congo</OPTION>
<OPTION value=Dominican Republic>Republica Dominicana</OPTION>
<OPTION value=Slovak Republic>Republica Slovaca</OPTION>
<OPTION value=Reunion>Reunion</OPTION>
<OPTION value=Russian Federation>Rusia</OPTION>
<OPTION value=Rwanda>Rwanda</OPTION>
<OPTION value=Western Sahara>Sahara de Vest </OPTION>
<OPTION value=American Samoa>Samoa Americana</OPTION>
<OPTION value=San Marino>San Marino</OPTION>
<OPTION value=Saint Tome and Principe>Sao Tome si Principe</OPTION>
<OPTION value=Senegal>Senegal</OPTION>
<OPTION value=Seychelles>Seychelles</OPTION>
<OPTION value=Saint Helena>Sfanta Elena</OPTION>
<OPTION value=Saint Kitts &amp; Nevis Anguilla>Sfantul Kitts si Nevis</OPTION>
<OPTION value=Saint Lucia>Sfanta Lucia</OPTION>
<OPTION value=Saint Pierre and Miquelon>Sfantul Pierre si Miquelon</OPTION>
<OPTION value=Saint Vincent and Grenadines>Sfantul Vincent si Grenadine</OPTION>
<OPTION value=Sierra Leone>Sierra Leone</OPTION>
<OPTION value=Singapore>Singapore</OPTION>
<OPTION value=Syria>Siria</OPTION>
<OPTION value=Slovenia>Slovenia</OPTION>
<OPTION value=Somalia>Somalia</OPTION>
<OPTION value=Spain>Spania</OPTION>
<OPTION value=Sri Lanka>Sri Lanka</OPTION>
<OPTION value=United States of America>Statele Unite ale Americii</OPTION>
<OPTION value=Independent State of Samoa>Statul Independent al Samoa</OPTION>
<OPTION value=Sudan>Sudan</OPTION>
<OPTION value=Suriname>Surinam</OPTION>
<OPTION value=Sweden>Suedia</OPTION>
<OPTION value=Swaziland>Swaziland</OPTION>
<OPTION value=Tadjikistan>Tadjikistan</OPTION>
<OPTION value=Taiwan>Taiwan</OPTION>
<OPTION value=Tanzania>Tanzania</OPTION>
<OPTION value=British Indian Ocean Territory>Teritoriul Britanic din Oceanul Indian</OPTION>
<OPTION value=French Southern Territories>Teritoriile Franceze de Sud</OPTION>
<OPTION value=Thailand>Thailanda</OPTION>
<OPTION value=Timor Lorosae>Timor Lorosae</OPTION>
<OPTION value=Togo>Togo</OPTION>
<OPTION value=Tokelau>Tokelau</OPTION>
<OPTION value=Tonga>Tonga</OPTION>
<OPTION value=Trinidad and Tobago>Trinidad si Tobago</OPTION>
<OPTION value=Tunisia>Tunisia</OPTION>
<OPTION value=Turkey>Turcia</OPTION>
<OPTION value=Turkmenistan>Turkmenistan</OPTION>
<OPTION value=Tuvalu>Tuvalu</OPTION>
<OPTION value=Ukraine>Ucraina</OPTION>
<OPTION value=Uganda>Uganda</OPTION>
<OPTION value=Hungary>Ungaria</OPTION>
<OPTION value=Uruguay>Uruguay</OPTION>
<OPTION value=Uzbekistan>Uzbekistan</OPTION>
<OPTION value=Wallis and Futuna>Wallis and Futuna</OPTION>
<OPTION value=Vanuatu>Vanuatu</OPTION>
<OPTION value=Vatican State>Vatican</OPTION>
<OPTION value=Venezuela>Venezuela</OPTION>
<OPTION value=Vietnam>Vietnam</OPTION>
<OPTION value=Yemen>Yemen</OPTION>
<OPTION value=Zambia>Zambia</OPTION>
<OPTION value=Zimbabwe>Zimbabwe</OPTION>
</SELECT>
</font></td>
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<tr><td><font size=2>Sex</font></td>
<td><SELECT class=field name=gender>
<OPTION value=Male selected>Barbat</OPTION>
<OPTION value=Female>Femeie</OPTION>
</SELECT>
</td></tr>
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<tr><td><font size=2>Varsta</font></td>
<td><SELECT class=field name=age>
<OPTION value=Under 18>Under 18</OPTION>
<OPTION value=18-25 selected>18-25</OPTION>
<OPTION value=26-35>26-35</OPTION>
<OPTION value=36-45>36-45</OPTION>
<OPTION value=46-60>46-60</OPTION>
<OPTION value=61+>61+</OPTION>
</SELECT>
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