Paul Goldsmith
<notextile>
<p><strong>Register with BTF</strong> and we’ll keep you informed of any <a href="http://betweentheflags.myshopify.com/blogs/news" target="_blank">news</a>, events or on-line promotions and discounts throughout the year.</p>
<p>If you are a Surf Club member, please enter your Club in the field provided. This way, both you and your Club get to benefit from shopping with Between The Flags.</p>
<form action="http://webtactics2.createsend.com/t/y/s/jthiiu/" method="post">
<table width="100%" border="0" cellpadding="4" cellspacing="0">
<tr valign="top">
<td width="35%" align="right"><label for="name">Name:</label></td>
<td width="65%"><input type="text" name="cm-name" id="name" size="50" /></td>
</tr>
<tr valign="top">
<td align="right"><label for="jthiiu-jthiiu">Email address:</label></td>
<td><input type="text" name="cm-jthiiu-jthiiu" id="jthiiu-jthiiu" size="50" /></td>
</tr>
<tr>
<td align="right" valign="top"><label for="Age">Age:</label></td>
<td><select name="cm-fo-mujil">
<option value="45400">Below 15 years old
<option value="45401">15 - 25 years
<option value="45402">25 - 35 years
<option value="45403">35 - 45 years
<option value="45404">45 - 55 years
<option value="45405">Above 55
</select></td>
</tr>
<tr>
<td align="right" valign="top"><label for="Sex">Sex:</label></td>
<td><select name="cm-fo-mujir">
<option value="43526">Female
<option value="43527">Male
</select></td>
</tr>
<tr>
<td align="right"><label for="Postcode">Postcode:</label></td>
<td><input type="text" name="cm-f-mujij" id="Postcode" size="20" /></td>
</tr>
<tr>
<td align="right" valign="top"><label for="Country or Continent">Country or Continent:</label></td>
<td><select name="cm-fo-ckrw">
<option value="45406">Australia
<option value="45407">New Zealand
<option value="45408">United States
<option value="45411">Canada
<option value="82164">South America
<option value="45409">Europe
<option value="65579">United Kingdom
<option value="65578">France
<option value="65581">Germany
<option value="82160">Russia
<option value="82162">Turkey
<option value="65584">Ireland
<option value="65594">Switzerland
<option value="45410">Africa
<option value="65588">South Africa
<option value="57557">Asia
<option value="65590">Hong Kong
<option value="65583">Japan
<option value="82161">Indonesia
<option value="82163">India
<option value="57558">Middle East
<option value="65598">Israel
</select></td>
</tr>
<tr>
<td align="right"><label for="Surf Club or Organisation">Surf Club or Organisation:</label></td>
<td><input type="text" name="cm-f-ckryu" id="SurfCluborOrganisation" size="50" /></td>
</tr>
<tr>
<td align="right"><label for="Membership #">Membership #:</label></td>
<td><input type="text" name="cm-f-ckrjl" id="Membership#" size="50" /></td>
</tr>
<tr valign="top">
<td></td>
<td><input type="submit" value="Subscribe" /></td>
</tr>
</table>
</form>
</notextile>
<p><strong>Register with BTF</strong> and we’ll keep you informed of any <a href="http://betweentheflags.myshopify.com/blogs/news" target="_blank">news</a>, events or on-line promotions and discounts throughout the year.</p>
<p>If you are a Surf Club member, please enter your Club in the field provided. This way, both you and your Club get to benefit from shopping with Between The Flags.</p>
<form action="http://webtactics2.createsend.com/t/y/s/jthiiu/" method="post">
<table width="100%" border="0" cellpadding="4" cellspacing="0">
<tr valign="top">
<td width="35%" align="right"><label for="name">Name:</label></td>
<td width="65%"><input type="text" name="cm-name" id="name" size="50" /></td>
</tr>
<tr valign="top">
<td align="right"><label for="jthiiu-jthiiu">Email address:</label></td>
<td><input type="text" name="cm-jthiiu-jthiiu" id="jthiiu-jthiiu" size="50" /></td>
</tr>
<tr>
<td align="right" valign="top"><label for="Age">Age:</label></td>
<td><select name="cm-fo-mujil">
<option value="45400">Below 15 years old
<option value="45401">15 - 25 years
<option value="45402">25 - 35 years
<option value="45403">35 - 45 years
<option value="45404">45 - 55 years
<option value="45405">Above 55
</select></td>
</tr>
<tr>
<td align="right" valign="top"><label for="Sex">Sex:</label></td>
<td><select name="cm-fo-mujir">
<option value="43526">Female
<option value="43527">Male
</select></td>
</tr>
<tr>
<td align="right"><label for="Postcode">Postcode:</label></td>
<td><input type="text" name="cm-f-mujij" id="Postcode" size="20" /></td>
</tr>
<tr>
<td align="right" valign="top"><label for="Country or Continent">Country or Continent:</label></td>
<td><select name="cm-fo-ckrw">
<option value="45406">Australia
<option value="45407">New Zealand
<option value="45408">United States
<option value="45411">Canada
<option value="82164">South America
<option value="45409">Europe
<option value="65579">United Kingdom
<option value="65578">France
<option value="65581">Germany
<option value="82160">Russia
<option value="82162">Turkey
<option value="65584">Ireland
<option value="65594">Switzerland
<option value="45410">Africa
<option value="65588">South Africa
<option value="57557">Asia
<option value="65590">Hong Kong
<option value="65583">Japan
<option value="82161">Indonesia
<option value="82163">India
<option value="57558">Middle East
<option value="65598">Israel
</select></td>
</tr>
<tr>
<td align="right"><label for="Surf Club or Organisation">Surf Club or Organisation:</label></td>
<td><input type="text" name="cm-f-ckryu" id="SurfCluborOrganisation" size="50" /></td>
</tr>
<tr>
<td align="right"><label for="Membership #">Membership #:</label></td>
<td><input type="text" name="cm-f-ckrjl" id="Membership#" size="50" /></td>
</tr>
<tr valign="top">
<td></td>
<td><input type="submit" value="Subscribe" /></td>
</tr>
</table>
</form>
2008-06-03T10:17:57+10:00
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2008-06-03T10:17:57+10:00
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