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<TITLE>Accept Credit Carts today!</TITLE>
<body class="normaltext" style="font-size: 14px" >
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<FONT SIZE=5><B>Start Accepting Credit Cards Today!</B></FONT><BR><BR>
<IMG SRC = "http://www.coricainc.com/images/money.jpg"><BR>
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 Your business <B>MUST</B> be accepting Credit Cards from your customers!<BR><BR>

   Over <B>97%</B> of <U>all</U> sales on the Internet are done with Credit Cards.<BR><BR>
   Over <B>92%</B> of mail orders and telephone-orders are done with Credit Cards.<BR><BR>

 If you don't take Credit Cards, 9 out of every 10 potential customers can't do business with you!<BR><BR>

 We specialize in on-line businesses, mail order and telephone order businesses, start-ups, in-home businesses as well as retail locations.<BR>

<BR> * In other words, we specialize in YOUR business *<BR><BR>
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<table width="437" border="0">
  <tr>
    <td align=center>
      <div align="center">
        <font size="1" color="#000000" face="Arial, Helvetica, sans-serif"><strong>Simply
        fill out this short application and <br>
        a representative will contact you shortly.</strong></font><font size="4" color="#0000FF"><p>
        </font></font></div>

      <table align="left" width="436" cellpadding=1 cellspacing=0 border=1 bordercolor="#DDDDDD">
        <form method=post action="http://us.geocities.yahoo.com/forms?login=wamckloud">
	<input type="hidden" name="next-url" value="http://www.google.com">
          <tr bgcolor="#0000FF">
            <td align="center" valign="middle" colspan="2"><font face="arial" size="2"><b><font color="#FFFFFF">Applicant
              Information</font></b></font></td>
          </tr>
          <tr>
            <td align="left" bgcolor="#cccccc" width="" ><font face="arial" size="2">First Name:</font></td>
            <td align="left" bgcolor="#eeeeee" width=""><font face="arial" size="2">
              <input size=35 name="firstname">
              </font></td>
          </tr>
          <tr>
            <td align="left" bgcolor="#cccccc" width=""><font face="arial" size="2">Last Name:</font></td>
            <td align="left" bgcolor="#eeeeee" width=""><font face="arial" size="2">
              <input size=35 name="lastname">
              </font></td>
          </tr>
          <tr>
            <td align="left" valign="middle" width="" bgcolor="#cccccc"><font face="arial" size="2">Email
              Address:</font></td>
            <td align="left" valign="middle" width="" bgcolor="#eeeeee"><font face="arial" size="2">
              <input size=35 name="email">
              </font></td>
          </tr>
          <tr>
            <td align="left" valign="middle" width="" bgcolor="#cccccc"><font face="arial" size="2">Business
              Phone:</font></td>
            <td align="left" valign="middle" width="" bgcolor="#eeeeee"><font face="arial" size="2">
              <input size=15 name="busphone">
              </font></td>
          </tr>
          <tr>
            <td align="left" valign="middle" width="" bgcolor="#cccccc"><font face="arial" size="2">Home
              Phone:</font></td>
            <td align="left" valign="middle" width="" bgcolor="#eeeeee"><font face="arial" size="2">
              <input size=15 name="homephone">
              </font></td>
          </tr>
          <tr>
            <td align="left" valign="middle" bgcolor="#eeeeee" colspan=2><font face="arial" size="2">Please
              place comments here<br>
              <textarea name="textarea" rows=4 cols=40></textarea>
              </font>
              <input type=hidden name=refresh value="thanksapp.htm">
            </td>
          </tr>
          <tr bgcolor="#0000FF">
            <td align="left" valign="middle" colspan=2>
              <input type=submit  border=0 value="Submit" name="submit" onClick="alert('Thank You for applying For the your Pre Approved Merchant Account!\n\nPlease be patient as this form is processed, do not re-submit this information unless asked to, Thank you! \n\n\*Note Your IP and Host information has been logged!');">
              </td>
          </tr>
        </form>
      </table>
      <p>
    </td>
  </tr>
</table>
</body>
</html>

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