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shuzaicode = shuzaicode + '<tr><td align="right" valign="top"><span class="display">Which of the following prime-time shows would you most like to read stories about in future issues of SOAP OPERA WEEKLY? Please select all that apply.  </span></td>';
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shuzaicode = shuzaicode + '		<table border="0" cellpadding="0" cellspacing="0">';
		
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17371"  ></td>';
shuzaicode = shuzaicode + '			<td>24  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17372"  ></td>';
shuzaicode = shuzaicode + '			<td>Amazing Race  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17373"  ></td>';
shuzaicode = shuzaicode + '			<td>American Idol  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17374"  ></td>';
shuzaicode = shuzaicode + '			<td>Apprentice  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17375"  ></td>';
shuzaicode = shuzaicode + '			<td>Bachelor  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17376"  ></td>';
shuzaicode = shuzaicode + '			<td>Battlestar Galactica  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17377"  ></td>';
shuzaicode = shuzaicode + '			<td>Big Brother  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17378"  ></td>';
shuzaicode = shuzaicode + '			<td>Boston Legal  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17379"  ></td>';
shuzaicode = shuzaicode + '			<td>Cold Case  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17380"  ></td>';
shuzaicode = shuzaicode + '			<td>Commander In Chief  </td>';
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shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17381"  ></td>';
shuzaicode = shuzaicode + '			<td>Criminal Minds  </td>';
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shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17382"  ></td>';
shuzaicode = shuzaicode + '			<td>CSI/CSI: Miami/CSI: New York  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17383"  ></td>';
shuzaicode = shuzaicode + '			<td>Dancing With The Stars  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17384"  ></td>';
shuzaicode = shuzaicode + '			<td>Desperate Housewives  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17385"  ></td>';
shuzaicode = shuzaicode + '			<td>ER  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17386"  ></td>';
shuzaicode = shuzaicode + '			<td>Everwood  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17387"  ></td>';
shuzaicode = shuzaicode + '			<td>Extreme Makeover: Home Edition  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17388"  ></td>';
shuzaicode = shuzaicode + '			<td>Ghost Whisperer  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17389"  ></td>';
shuzaicode = shuzaicode + '			<td>Gilmore Girls  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17390"  ></td>';
shuzaicode = shuzaicode + '			<td>Grey&#39;s Anatomy  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17391"  ></td>';
shuzaicode = shuzaicode + '			<td>House  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17392"  ></td>';
shuzaicode = shuzaicode + '			<td>Invasion  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17393"  ></td>';
shuzaicode = shuzaicode + '			<td>Las Vegas  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17394"  ></td>';
shuzaicode = shuzaicode + '			<td>Law &amp; Order/Law &amp; Order: SVU/Law &amp; Order: CI  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17395"  ></td>';
shuzaicode = shuzaicode + '			<td>Lost  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17396"  ></td>';
shuzaicode = shuzaicode + '			<td>NCIS  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17397"  ></td>';
shuzaicode = shuzaicode + '			<td>O.C.  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17398"  ></td>';
shuzaicode = shuzaicode + '			<td>Prison Break  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17399"  ></td>';
shuzaicode = shuzaicode + '			<td>Rescue Me  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17400"  ></td>';
shuzaicode = shuzaicode + '			<td>Smallville  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17401"  ></td>';
shuzaicode = shuzaicode + '			<td>Sopranos  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17402"  ></td>';
shuzaicode = shuzaicode + '			<td>Supernatural  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17403"  ></td>';
shuzaicode = shuzaicode + '			<td>Survivor  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17404"  ></td>';
shuzaicode = shuzaicode + '			<td>Veronica Mars  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17405"  ></td>';
shuzaicode = shuzaicode + '			<td>Without a Trace  </td>';
shuzaicode = shuzaicode + '		</tr>';
		
shuzaicode = shuzaicode + '		<tr><td><input type="checkbox" name="data_3360" value="option_id_17406"  ></td>';
shuzaicode = shuzaicode + '			<td>none of the above  </td>';
shuzaicode = shuzaicode + '		</tr>';
		

shuzaicode = shuzaicode + '		</table>';
shuzaicode = shuzaicode + '	</td>';
shuzaicode = shuzaicode + '</tr>';
shuzaicode = shuzaicode + '<tr><td align="right"><span class="display">First Name:</span></td>';
shuzaicode = shuzaicode + '	<td><input type="text" size="20" name="data_3353_1" value="';
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shuzaicode = shuzaicode + '" maxlength="40"></td>';
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shuzaicode = shuzaicode + '	<td><input type="text" size="20" name="data_3353_2" value="';
shuzaicode = shuzaicode + "";
shuzaicode = shuzaicode + '" maxlength="40"></td>';
shuzaicode = shuzaicode + '</tr>';
shuzaicode = shuzaicode + '<tr><td align="right"><span class="display">Middle Initial:</span></td>';
shuzaicode = shuzaicode + '	<td><input type="text" size="1" name="data_3353_3" value="';
shuzaicode = shuzaicode + "";
shuzaicode = shuzaicode + '" maxlength="1"></td>';
shuzaicode = shuzaicode + '</tr>';
shuzaicode = shuzaicode + '<tr><td align="right"><span class="display">E-mail  </span></td>';
shuzaicode = shuzaicode + '	<td><input type="text" size="20" name="data_3351" value="';
shuzaicode = shuzaicode + "";
shuzaicode = shuzaicode + '" maxlength="40"></td>';
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