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<CENTER> <body style="background-color:#663300;"> <font color ="white"> <H1> Sign Up For a Consultation </H1> <HR> <FORM action=PUPSthanks.php method=post> First name? <INPUT type=text maxlength=30 name=first> <P> Last name? <INPUT type=text maxlength=30 name=last> <P> Email? <INPUT type=text maxlength=30 name=email> <p> Date?<BR> In Format of (mm/dd/yyyy) <INPUT type=text maxlength=30 name=date> <p> <INPUT type=submit value=Submit> <INPUT type=reset value=Reset> <HR> 1.Fill out basic contact info above.<p> 2.We will contact you within 24 hours, where additional info will be collected about your pet and pricing will occur.<p> 3. After you will be givin a login for our portal to schedule services.<p> <HR> <p> <A HREF = PUPShome.html> Back To PUPS Homepage</A> </FORM> </CENTER>