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<code><form action="https://www.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8" method="POST">
<input type=hidden name="oid" value="00D36000000bpLP">
<input type=hidden name="retURL" value="https://www.strategicclubsolutions.com/thankyou">
<label for="first_name"><h6>First Name</label><input id="first_name" maxlength="40" name="first_name" size="20" type="text" /></h6><br>

<label for="last_name"><h6>Last Name</label><input id="last_name" maxlength="80" name="last_name" size="20" type="text" /></h6><br>

<label for="email"><h6>Email</label><input id="email" maxlength="80" name="email" size="20" type="text" /></h6><br>

<label for="company"><h6>Company</label><input id="company" maxlength="40" name="company" size="20" type="text" /></h6><br>

<label for="city"><h6>City</label><input id="city" maxlength="40" name="city" size="20" type="text" /></h6><br>

<label for="state"><h6>State/Province</label><input id="state" maxlength="20" name="state" size="20" type="text" /></h6><br>

<input type="submit" name="submit">

</form>
</code>