Welcome to PowerMonth!
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<form name=promo method=POST action="signup.php?rid=">
<table border="0" align="center"><tr><td align=center><input type=image name=Promo src=images/promo.jpg border=0></td></tr>
<tr><td align=center><strong>CODE:</strong><input name=pc type=text size=4></td></tr>
</table>
</form>
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Here's an affiliate link: http://www.yourdomain.com/?rid=