Email-Signup

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<h1>Sign-up to stay informed about photo news and events!</h1>
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<form action="http://www.cardinalphoto.com/contact/subscriber/optIn.php" autocomplete="off" id="nvform" method="post" name="nvform" onsubmit="return formvalidation(this)" target="_self">
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<td><input name="idGroup" type="hidden" value="1" /> <input name="nvFormTracker" type="hidden" value="#nvFormTracker#" />
<div style="margin:6px"><label style="display:inline-block;width:150px;vertical-align:top">Email:</label> <input class="inputBox" name="email" onchange="emailvalidation(this,'Invalid Email');" type="email" value="" /></div>

<div style="margin:6px"><label style="display:inline-block;width:150px;vertical-align:top">FirstName:</label> <input class="inputBox" id="customSubField1" name="customSubField1" type="text" value="" /></div>

<div style="margin:6px"><label style="display:inline-block;width:150px;vertical-align:top">LastName:</label> <input class="inputBox" id="customSubField2" name="customSubField2" type="text" value="" /></div>

<p>Optional information:</p>

<div style="margin:6px"><label style="display:inline-block;width:150px;vertical-align:top">Street Address:</label> <input class="inputBox" id="customSubField3" name="customSubField3" type="text" value="" /></div>

<div style="margin:6px"><label style="display:inline-block;width:150px;vertical-align:top">City:</label> <input class="inputBox" id="customSubField4" name="customSubField4" type="text" value="" /></div>

<div style="margin:6px"><label style="display:inline-block;width:150px;vertical-align:top">State:</label> <input class="inputBox" id="customSubField5" name="customSubField5" type="text" value="" /></div>

<div style="margin:6px"><label style="display:inline-block;width:150px;vertical-align:top">Country:</label> <input class="inputBox" id="customSubField6" name="customSubField6" type="text" value="" /></div>

<div style="margin:6px"><label style="display:inline-block;width:150px;vertical-align:top">Zip Code:</label> <input class="inputBox" id="customSubField7" name="customSubField7" type="text" value="" /></div>

<div style="margin:6px"><label style="display:inline-block;width:150px;vertical-align:top">Work Phone:</label> <input class="inputBox" id="customSubField8" name="customSubField8" type="text" value="" /></div>

<div style="margin:6px"><label style="display:inline-block;width:150px;vertical-align:top">Home Phone:</label> <input class="inputBox" id="customSubField9" name="customSubField9" type="text" value="" /></div>

<div style="margin:6px"><label style="display:inline-block;width:150px;vertical-align:top">Mobile Phone:</label> <input class="inputBox" id="customSubField10" name="customSubField10" type="text" value="" /></div>

<div style="margin:6px"><label style="display:inline-block;width:150px;vertical-align:top">Cameras Used:</label> <input class="inputBox" id="customSubField11" name="customSubField11" type="text" value="" /></div>

<div style="margin:6px"><label style="display:inline-block;width:150px;vertical-align:top">Interests:</label> <input class="inputBox" id="customSubField12" name="customSubField12" type="text" value="" /></div>

<div style="margin:6px"><label style="display:inline-block;width:150px;vertical-align:top">Occupation:</label> <input class="inputBox" id="customSubField13" name="customSubField13" type="text" value="" /></div>

<div style="margin:6px"><label style="display:inline-block;width:150px;vertical-align:top">Company (if any):</label> <input class="inputBox" id="customSubField14" name="customSubField14" type="text" value="" /></div>

<div style="margin:6px"><label style="display:inline-block;width:150px;vertical-align:top">Job Title:</label> <input class="inputBox" id="customSubField15" name="customSubField15" type="text" value="" /></div>

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<h4>Keep me informed about:</h4>

<div style="float:left;margin:6px;padding-left:20px"><input id="idList" name="idList[]" type="checkbox" value="11" /> Cardinal Photo Events<br />
General information about our upcoming events<br />
<br />
<input id="idList" name="idList[]" type="checkbox" value="7" /> Bird Photo Interest<br />
Information on future bird photo workshops<br />
<br />
<input id="idList" name="idList[]" type="checkbox" value="6" /> Alaska Interest<br />
Information on our Alaska photo safaris<br />
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<input id="idList" name="idList[]" type="checkbox" value="5" /> Africa Interest<br />
Information on our African photo safaris<br />
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<input id="idList" name="idList[]" type="checkbox" value="4" /> Asia Interest<br />
Information about future Asian photo tours<br />
<br />
<input id="idList" name="idList[]" type="checkbox" value="3" /> DigitalPro Shooters Newsletter<br />
Our flagship newsletter<br />
<br />
<input id="idList" name="idList[]" type="checkbox" value="2" /> Cardinal Photo<br />
Focused on travel and nature photography news and events<br />
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<div style="margin:6px;"><label style="display:inline-block;width:150px;vertical-align:top">Optional password:</label> <input class="inputBox" name="subPassword" type="subPassword" value="" /></div>

<div style="margin:6px;"><a href="http://www.cardinalphoto.com/contact/subscriber/privacy.php" target="blank">Click here to read our privacy policy</a></div>

<div style="margin:6px;"><a href="http://www.cardinalphoto.com/contact/subscriber/subLogin.php" target="blank">Click here to manage your account</a></div>

<div style="display:inline-block;vertical-align:top;padding:7px 0;text-align: center">&nbsp;</div>

<div class="nvbutton"><input class="nv_submit" id="nv_submit" type="submit" value="Subscribe" /></div>
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