Southern RI Baseball Club

SRI Mustang AAU/Travel Baseball
Mustang Baseball: Work Hard, Play Smart and Have Fun!!!<form method="post" action="http://www.emailmeform.com/fid.php?formid=40750" enctype="multipart/form-data" accept-charset="UTF-8">
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<font face="Verdana" size="2" color="#000000">SRI Mustangs Newsletter Request Form</font>
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 <td nowrap><font face="Verdana" size="2" color="#000000">Name</font></td>
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 <td nowrap><font face="Verdana" size="2" color="#000000">Email Address</font></td>
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 <td nowrap><font face="Verdana" size="2" color="#000000">Do you wish to receive the Mustang Newsletter?</font></td>
 <td><input type=radio name="FieldData2" value="yes " id="radio20"><font face="Verdana" size="2" color="#000000"><label for="radio20">yes </label></font><br><input type=radio name="FieldData2" value=" no" id="radio21"><font face="Verdana" size="2" color="#000000"><label for="radio21"> no</label></font><br> </td>
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 <td nowrap><font face="Verdana" size="2" color="#000000">Additional Information</font></td>
 <td><select name="FieldData3"><option value="None ">None </option><option value=" 12U Team "> 12U Team </option><option value=" 13U team "> 13U team </option><option value=" 14U team "> 14U team </option><option value=" 16U team "> 16U team </option><option value=" 18U Team "> 18U Team </option><option value=" clinics "> clinics </option><option value=" Other"> Other</option></select> </td>
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 <td nowrap><font face="Verdana" size="2" color="#000000">Please explain:</font></td>
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<td class="label" colspan="2"><font color="#FFFFFF" face="Verdana" size="2"><b>Image Verification</b></font></td>
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<td class="field" valign="top"><div><font color="#000000">Please enter the text from the image</font>:<br><input type="text" name="Turing" value="" maxlength="100" size="10">
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<input type="text" name="hida2" value="" maxlength="100" size="3" style="display : none;">
<input type="submit" class="btn" value="Send email" name="Submit">&nbsp; &nbsp; <input type="reset" class="btn" value="  Clear  " name="Clear"></td>
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