Ohio Cemetery Registration Form<center>
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 <td><font face="Verdana" size="2" color="#383838">Your Name: </font></td>
 <td><input type="text" name="FieldData0" size="50"> </td>
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 <td><font face="Verdana" size="2" color="#383838">Your Email Address: </font></td>
 <td><input type="text" name="FieldData1" size="50"> </td>
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 <td><font face="Verdana" size="2" color="#383838">State: </font></td>
 <td><input type=checkbox name="FieldData2-0" value="Ohio" id="check20"><font face="Verdana" size="2" color="#383838"><label for="check20">Ohio</label></font><br> </td>
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 <td><font face="Verdana" size="2" color="#383838">County Located In: </font></td>
 <td><input type="text" name="FieldData3" size="50"> </td>
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 <td><font face="Verdana" size="2" color="#383838">City, township or village Located In: </font></td>
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 <td><font face="Verdana" size="2" color="#383838">Cemetery name: </font></td>
 <td><input type="text" name="FieldData5" size="50"> </td>
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 <td><font face="Verdana" size="2" color="#383838">Additional information: </font></td>
 <td><textarea name="FieldData6" cols="60" rows="10"></textarea><br> </td>
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 <td><font face="Verdana" size="2" color="#383838">Please indicate whether you are: </font></td>
 <td><input type=checkbox name="FieldData7-0" value="offering a transcription" id="check70"><font face="Verdana" size="2" color="#383838"><label for="check70">offering a transcription</label></font><br><input type=checkbox name="FieldData7-1" value="offering to do a look up" id="check71"><font face="Verdana" size="2" color="#383838"><label for="check71">offering to do a look up</label></font><br><input type=checkbox name="FieldData7-2" value="offering corrections/updates" id="check72"><font face="Verdana" size="2" color="#383838"><label for="check72">offering corrections/updates</label></font><br><input type=checkbox name="FieldData7-3" value="need more information" id="check73"><font face="Verdana" size="2" color="#383838"><label for="check73">need more information</label></font><br> </td>
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