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<div class="lime2" align="center"><img src="http://YOUR IMAGE LINK"></div>
<div class="lime2" align="center"><form id="input" name="input" method="post" action="http://www.coolwap.org/sports/soccerkits/arsenal/process.php">
<b style=color:blue;>Name:</b> <input name="name" type="text" id="name" /><br/>
<div align="left"><b style=color:blue;>Number:</b> <select name="number" id="number">
<option value="1" selected="selected">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
<option value="5">5</option>
<option value="6">6</option>
<option value="7">7</option>
<option value="8">8</option>
<option value="9">9</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
<option value="32">32</option>
<option value="33">33</option>
<option value="34">34</option>
<option value="35">35</option>
<option value="36">36</option>
<option value="37">37</option>
<option value="38">38</option>
<option value="39">39</option>
<option value="40">40</option>
<option value="41">41</option>
<option value="42">42</option>
<option value="43">43</option>
<option value="44">44</option>
<option value="45">45</option>
<option value="46">46</option>
<option value="47">47</option>
</select></div><br/>
<input name="kit" type="radio" value="1"
checked="checked" />Home<br/><center><input type="submit" name="Submit" value="CREATE" /></center></div>
</form>

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# 2015-02-06 13:18 · Reply · (0)