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<font size=2>Please tell us your story, ask us a question, or send us your feedback using the "comment field" below. Also, for telling us about yourself, we will send you a <b><u>free dual CD</u></b> set which contains helpful resources and the entire Bible on MP3 audio. Be sure and give us your correct street address if you want this gift. Your privacy is protected. We will never sell your information to any third party.</font>
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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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