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     <p align=left><font face=arial><big><b>CurzTech Industries</b></big>
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      <small><a href="curzchem.shtml">CurzTech Chemicals</a>&nbsp;|&nbsp;<a href="curzavia-eng.shtml">CurzTech Aviation and Engineering</a>&nbsp;|&nbsp;<a href="curzconst.shtml">CurzTech Construction</a>&nbsp;|&nbsp;<a href="curzpharm.shtml">CurzTech Pharmecueticals</a>&nbsp;|&nbsp;<a href="curzauto.shtml">CurzTech Automotive</a></small>
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     <p>Home to Pizza on a Stick!  Now that great favorite meal you can get from the <a href="../entertainment/curzffc.htm">CurzTech Family Funn Center</a> is available at your neighborhood pharmacy!  No longer do you have to wait in long lines at the Funn Center and pay outrageous prices, you can now pay the outrageous prices at home!</p>
     <p>For more information, please fill out the form below and hit the send button and a representative will contact you shortly.  And no, they don't sneak into your house in the middle of the night anymore...</p>
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      <input type=hidden name="required" value="email,message">
      <input type=hidden name="recipient" value="feedback@curztech.com"
      <input type=hidden name="return_link_url" value="../">
      <input type=hidden name="return_link_title" value="Back to Main Page">
      <input type=hidden name="background" value="../images/zertxtr.gif">
      <input type=hidden name="bgcolor" value="#000000">
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      <TABLE>
       <TR>
        <TD VALIGN=TOP ALIGN=RIGHT width=25%>
         <FONT FACE="arial,helvetica" SIZE=2>
          <B>Name</B>
         </FONT>
        </TD>
        <TD VALIGN=TOP ALIGN=LEFT>
         <INPUT TYPE="TEXT" NAME="realname" SIZE=25 MAXLENGTH=25 VALUE="">
        </TD>
       </TR>
       <TR>
        <TD VALIGN=TOP ALIGN=RIGHT width=25%>
         <FONT FACE="arial,helvetica" SIZE=2>
          <B>E-mail</B>
         </FONT>
        </TD>
        <TD VALIGN=TOP ALIGN=LEFT>
         <INPUT TYPE="TEXT" NAME="email" SIZE=25 MAXLENGTH=25 VALUE="">
        </TD>
       </TR>
       <TR>
        <TD VALIGN=TOP ALIGN=RIGHT width=25%>
         <FONT FACE="arial,helvetica" SIZE=2>
          <B>Subject</B>
         </FONT>
        </TD>
        <TD VALIGN=TOP ALIGN=LEFT>
         <input type="hidden" name="subject" value="CurzTech Food Products">CurzTech Food Products
        </TD>
       </TR>
       <TR>
        <TD VALIGN=TOP ALIGN=RIGHT width=25%>
         <FONT FACE="arial,helvetica" SIZE=2>
          <B>Message</B>
         </FONT>
        </TD>
        <TD VALIGN=TOP ALIGN=LEFT>
         <textarea wrap=soft name="message" ROWS=10 COLS=40 ></textarea>
        </TD>
       </TR>
       <TR>
        <TD VALIGN=TOP ALIGN=RIGHT width=25%>
         
        </TD>
        <TD VALIGN=TOP ALIGN=left>
         <INPUT TYPE="submit" value="Send Mail!"> <input type="RESET" value="Reset Form">
        </TD>
       </TR>
      </TABLE>
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