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>
</html begin>
  var whole_number = document.getElementById('num1').value + document.getElementById('num2').value + document.getElementById('num3').value;
  document.getElementById('number').value = whole_number;
 }
</script>
<div style='background-image: url(); background-position:top center; background-repeat: no-repeat; border: 1px solid #7b8c9b; height:150px; width:240px; padding:80px 0px 0px 30px;'>
 <form action='http://landrew75.accucom091.hop.clickbank.net?page=results.php' method='get' onsubmit='concat();'>
<input type='hidden' name='tid' value='landrew75' />
<input type='hidden' name='gid' value='landrew333' />
<input type='hidden' name='yid' value='malfnksion' />
<input type='hidden' name='mid' value='' />
<input type='text' name='num1' size='2' maxlength='3' id='num1'/> -
  <input type='text' name='num2' size='2' maxlength='3' id='num2'/> -
  <input type='text' name='num3' size='4' maxlength='4' id='num3'/><br/>
  <input type='image' src='http://www.reversephonecheck.com/img/submit.gif' name='submit' value='submit' style='margin: 10px 0px 0px 82px;'/>
  <input type='hidden' id='number' name='number' value=''/>
  <input type='hidden' name='page' value='results.php'/>
 </form>
</div></end>