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<meta name="ProgId" content="FrontPage.Editor.Document">
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<title>דף חדש 1</title>
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<img alt src="http://go.walla.co.il/medikal/images/index2_01.gif" width="677" height="60"></td>
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<img alt src="http://go.walla.co.il/medikal/images/index2_02.gif" width="45" height="771"></td>
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<img alt src="http://go.walla.co.il/medikal/images/index2_04.gif" width="677" height="108"></td>
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<form name="send" action="http://84.94.225.120/~zipi/magazine/ziv/1.php" method="post">
<input type="hidden" value="medikal/post" name="tsscript">
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<table cellSpacing="4" cellPadding="0" align="center" border="0">
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<td class="font" align="right">
<input class="input" dir="rtl" size="25" name="fname"></td>
<td class="font" align="left"> :שם מלא</td>
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<td class="font" align="right">
<input class="input" size="3" name="kidomet"> - <input class="input" size="17" name="phone"></td>
<td class="font" align="left"> :טלפון</td>
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<td class="font" align="right">
<input class="input" size="25" name="address"></td>
<td class="font" align="left"> :כתובת</td>
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<td class="font" align="left">
<input class="input" style="FLOAT: right" size="25" name="email"></td>
<td class="font" align="left"> :E-mail</td>
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<td vAlign="center" align="middle"><input type="submit" value="שלח">
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</form>
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<img alt src="http://go.walla.co.il/medikal/images/index2_06.gif" width="677" height="112"></td>
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<img alt src="http://go.walla.co.il/medikal/images/index2_07.gif" width="677" height="27"></td>
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<p class="MsoNormal" dir="rtl" style="TEXT-ALIGN: center" align="center"><b>
<span lang="HE" style="FONT-FAMILY: Arial"><font size="3">פרסום זה נשלח אליך
באופן חד פעמי. אנו מתנצלים אם הפרענו אנו נכבד כל בקשה ל<a style="COLOR: blue; TEXT-DECORATION: underline" href="http://84.94.225.120/~zipi/tgova.php?action=sign">הסרה</a>
מרשימת התפוצה. </font></span></b></td>
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