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For more information contact Hostedware Corporation, 16 Technology Dr Ste 116, Irvine, CA, 92618 USA. (800) 211-6967; (949) 585-1500.
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This software application, its components, and all information and materials on the Hostedware web sites are provided "as is" and without warranty of any kind. 
Hostedware Corporation is located on the World Wide Web at http://www.hostedware.com.
For more information contact Hostedware Corporation, 16 Technology Dr Ste 116, Irvine, CA, 92618 USA. (800) 211-6967; (949) 585-1500.
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<Script src="application/JS/TakeSurvey.js"></Script>
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<SCRIPT LANGUAGE="JavaScript">

function checkChoice(field, i) {
if (i == field.length-1) { 
if (field[field.length-1].checked == true) {
for (i = 0; i < field.length-1; i++)
field[i].checked = false;
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}
else  { 
if (field[i].checked == true) {
field[field.length-1].checked = false;
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}
</script>
	
<html>
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		<title>Hosted Survey</title>
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			<td valign="top">
	<font color="#669999"><font size=1><font face="Verdana,Arial,Helvetica,sans-serif"><b>USA State Primary Election Ballot (Democratic Party)</b></font></font></font>
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					<input type="hidden" name="a" value="502811">
		<font color="#000000"><font size=3><font face="Verdana,Arial,Helvetica,sans-serif"><b><table border="1" cellspacing="1" style="border-left-style: solid; border-left-width: 3; border-right-style: solid; border-right-width: 3; border-top-style: solid; border-top-width: 3; border-bottom-width: 3" width="100%" id="AutoNumber1" bordercolorlight="#598A90" bordercolordark="#598A90" height="32">
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    <p align="left"><font color="#598A90">Primary Election                                <b>OFFICIAL BALLOT</b><br>Orange County <br> March 02, 2004  </font></td>
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</table></b></font></font></font></td></tr>
			<tr><td bgcolor="#EEF1F1">&nbsp;</td></tr>
			
			<tr>
				<td width="100%" bgcolor="#EEF1F1">
					<input type="hidden" name="a" value="502812">
		<font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif"><b><table border="1" cellspacing="0" width="100%" style="border-collapse: collapse; border-style: solid; border-width: 1; padding-left: 4; padding-right: 4; padding-top: 1; padding-bottom: 1" id="AutoNumber1" bordercolor="#111111" cellpadding="0" height="1">
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</table>Instruction Note:<br>
</b>Please enter your choices on the following ballot. To vote for your choice in each contest, select the box provided to the left of your choice. To vote for type-in candidate, choose the box provided to the left of the words "Type-in" and write in the name of the candidate on the space provided.<table border="1" cellspacing="0" width="100%" style="border-collapse: collapse; border-style: solid; border-width: 1; padding-left: 4; padding-right: 4; padding-top: 1; padding-bottom: 1" id="AutoNumber1" bordercolor="#111111" cellpadding="0" height="1">
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</table></b></font></font></font></td></tr>
			<tr><td bgcolor="#EEF1F1">&nbsp;</td></tr>
			
			<tr>
				<td width="100%" bgcolor="#EEF1F1">
					<input type="hidden" name="a" value="502813">
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						<font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif"><b>PRESIDENT OF THE UNITED STATES<br>
Democratic Party<br>
Vote for One</b></font></font></font>
	<tr>
	  <td width="100%"bgcolor="#EEF1F1">
	<table><tr><td><input type="radio" name="rad502813" value="1066741" ><input type="hidden" name="q1code-502813-1066741" value="1"><input type="hidden" name="q1desc-502813-1066741" value="Wesley Clark"><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif">Wesley Clark</font></font></font>&nbsp;&nbsp;</td><td><input type="radio" name="rad502813" value="1066742" ><input type="hidden" name="q1code-502813-1066742" value="2"><input type="hidden" name="q1desc-502813-1066742" value="Howard Dean"><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif">Howard Dean</font></font></font>&nbsp;&nbsp;</td></tr><tr><td><input type="radio" name="rad502813" value="1066772" ><input type="hidden" name="q1code-502813-1066772" value="3"><input type="hidden" name="q1desc-502813-1066772" value="John Edwards"><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif">John Edwards</font></font></font>&nbsp;&nbsp;</td><td><input type="radio" name="rad502813" value="1066773" ><input type="hidden" name="q1code-502813-1066773" value="4"><input type="hidden" name="q1desc-502813-1066773" value="Dick Gephardt"><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif">Dick Gephardt</font></font></font>&nbsp;&nbsp;</td></tr><tr><td><input type="radio" name="rad502813" value="1066774" ><input type="hidden" name="q1code-502813-1066774" value="5"><input type="hidden" name="q1desc-502813-1066774" value="John F. Kerry"><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif">John F. Kerry</font></font></font>&nbsp;&nbsp;</td><td><input type="radio" name="rad502813" value="1066775" ><input type="hidden" name="q1code-502813-1066775" value="6"><input type="hidden" name="q1desc-502813-1066775" value="Dennis J. Kucinich"><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif">Dennis J. Kucinich</font></font></font>&nbsp;&nbsp;</td></tr><tr><td><input type="radio" name="rad502813" value="1066776" ><input type="hidden" name="q1code-502813-1066776" value="7"><input type="hidden" name="q1desc-502813-1066776" value="Lyndon Larouche"><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif">Lyndon Larouche</font></font></font>&nbsp;&nbsp;</td><td><input type="radio" name="rad502813" value="1066777" ><input type="hidden" name="q1code-502813-1066777" value="8"><input type="hidden" name="q1desc-502813-1066777" value="Joe Lieberman"><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif">Joe Lieberman</font></font></font>&nbsp;&nbsp;</td></tr><tr><td><input type="radio" name="rad502813" value="1066778" ><input type="hidden" name="q1code-502813-1066778" value="9"><input type="hidden" name="q1desc-502813-1066778" value="Carol Moseley Braun"><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif">Carol Moseley Braun</font></font></font>&nbsp;&nbsp;</td><td><input type="radio" name="rad502813" value="1066779" ><input type="hidden" name="q1code-502813-1066779" value="10"><input type="hidden" name="q1desc-502813-1066779" value="Al Sharpton"><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif">Al Sharpton</font></font></font>&nbsp;&nbsp;</td></tr><tr><td><input type="radio" name="rad502813" value="1066780" ><input type="hidden" name="q1code-502813-1066780" value="11"><input type="hidden" name="q1desc-502813-1066780" value="Type-in"><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif">Type-in</font></font></font>&nbsp;&nbsp;</td></tr></table></td></tr>
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			<tr>
				<td width="100%" bgcolor="#EEF1F1">
					<input type="hidden" name="a" value="502814">
		<input type="hidden" name="q11" value="502814">
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						<font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif"><b></b></font></font></font><p><p><table border=0 cellpadding=2><tr><td><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif"><b>If you chose type-in above, please enter your selected candidate.</b></font></font></font></td><td>
					<input type="hidden" name="a" value="502815">
					<input type="hidden" name="q3" value="502815">
					<input type="hidden" name="required-502815" value="False">
					<input type="text" name="txt502815" size="20" maxlength="30" value="" align="right">
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			<tr><td bgcolor="#EEF1F1">&nbsp;</td></tr>
			
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					<input type="hidden" name="a" value="502816">
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    <td width="100%" height=".5" bgcolor="#598A90"></td>
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</table></b></font></font></font></td></tr>
			<tr><td bgcolor="#EEF1F1">&nbsp;</td></tr>
			
			<tr>
				<td width="100%" bgcolor="#EEF1F1">
					<input type="hidden" name="a" value="502817">
		<input type="hidden" name="q1" value="502817">
						<input type="hidden" name="required-502817" value="False">
						<font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif"><b>UNITED STATES SENATOR<br>
Democratic Party<br>
Vote for One</b></font></font></font>
	<tr>
	  <td width="100%"bgcolor="#EEF1F1">
	<table><tr><td><input type="radio" name="rad502817" value="1066752" ><input type="hidden" name="q1code-502817-1066752" value="1"><input type="hidden" name="q1desc-502817-1066752" value="Barbara Boxer<br>   &nbsp;&nbsp;U.S. Senator"><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif">Barbara Boxer<br>   &nbsp;&nbsp;U.S. Senator</font></font></font>&nbsp;&nbsp;</td></tr><tr><td><input type="radio" name="rad502817" value="1066753" ><input type="hidden" name="q1code-502817-1066753" value="2"><input type="hidden" name="q1desc-502817-1066753" value="Type-in"><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif">Type-in</font></font></font>&nbsp;&nbsp;</td></tr></table></td></tr>
			<tr><td bgcolor="#EEF1F1">&nbsp;</td></tr>
			
			<tr>
				<td width="100%" bgcolor="#EEF1F1">
					<input type="hidden" name="a" value="502818">
		<input type="hidden" name="q11" value="502818">
						<input type="hidden" name="required-502818" value="False">
						<font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif"><b></b></font></font></font><p><p><table border=0 cellpadding=2><tr><td><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif"><b>If you chose type-in above, please enter your selected candidate.</b></font></font></font></td><td>
					<input type="hidden" name="a" value="502819">
					<input type="hidden" name="q3" value="502819">
					<input type="hidden" name="required-502819" value="False">
					<input type="text" name="txt502819" size="20" maxlength="30" value="" align="right">
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			<tr><td bgcolor="#EEF1F1">&nbsp;</td></tr>
			
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				<td width="100%" bgcolor="#EEF1F1">
					<input type="hidden" name="a" value="502820">
		<font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif"><b><table border="1" cellspacing="0" width="100%" style="border-collapse: collapse; border-style: solid; border-width: 1; padding-left: 4; padding-right: 4; padding-top: 1; padding-bottom: 1" id="AutoNumber1" bordercolor="#111111" cellpadding="0" height="1">
  <tr>
    <td width="100%" height=".5" bgcolor="#598A90"></td>
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</table></b></font></font></font></td></tr>
			<tr><td bgcolor="#EEF1F1">&nbsp;</td></tr>
			
			<tr>
				<td width="100%" bgcolor="#EEF1F1">
					<input type="hidden" name="a" value="502821">
		<input type="hidden" name="q1" value="502821">
						<input type="hidden" name="required-502821" value="False">
						<font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif"><b>UNITED STATES REPRESENTATIVE<br>
48th District<br>
Democratic Party<br>
Vote for One</b></font></font></font>
	<tr>
	  <td width="100%"bgcolor="#EEF1F1">
	<table><tr><td><input type="radio" name="rad502821" value="1066754" ><input type="hidden" name="q1code-502821-1066754" value="1"><input type="hidden" name="q1desc-502821-1066754" value="JOHN GRAHAM<br>&nbsp;&nbsp;&nbsp;&nbsp;University Business Professor"><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif">JOHN GRAHAM<br>&nbsp;&nbsp;&nbsp;&nbsp;University Business Professor</font></font></font>&nbsp;&nbsp;</td></tr><tr><td><input type="radio" name="rad502821" value="1066755" ><input type="hidden" name="q1code-502821-1066755" value="2"><input type="hidden" name="q1desc-502821-1066755" value="Type-in"><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif">Type-in</font></font></font>&nbsp;&nbsp;</td></tr></table></td></tr>
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					<input type="hidden" name="a" value="502822">
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						<font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif"><b></b></font></font></font><p><p><table border=0 cellpadding=2><tr><td><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif"><b>If you chose type-in above, please enter your selected candidate.</b></font></font></font></td><td>
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					<input type="hidden" name="q3" value="502823">
					<input type="hidden" name="required-502823" value="False">
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						<font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif"><b>STATE SENATOR<br>
33rd District<br>
Democratic Party<br>
Vote for One</b></font></font></font>
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	<table><tr><td><input type="radio" name="rad502825" value="1066756" ><input type="hidden" name="q1code-502825-1066756" value="1"><input type="hidden" name="q1desc-502825-1066756" value="RANDALL DAUGHERTY<br>&nbsp;&nbsp;&nbsp;&nbsp;Computer Consultant"><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif">RANDALL DAUGHERTY<br>&nbsp;&nbsp;&nbsp;&nbsp;Computer Consultant</font></font></font>&nbsp;&nbsp;</td></tr><tr><td><input type="radio" name="rad502825" value="1066757" ><input type="hidden" name="q1code-502825-1066757" value="2"><input type="hidden" name="q1desc-502825-1066757" value="Type-in"><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif">Type-in</font></font></font>&nbsp;&nbsp;</td></tr></table></td></tr>
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						<font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif"><b></b></font></font></font><p><p><table border=0 cellpadding=2><tr><td><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif"><b>If you chose type-in above, please enter your selected candidate.</b></font></font></font></td><td>
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					<input type="hidden" name="a" value="502829">
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						<font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif"><b>MEMBER OF THE STATE ASSEMBLY<br>
73rd District<br>
Democratic Party<br>
Vote for One</b></font></font></font>
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	<table><tr><td><input type="radio" name="rad502829" value="1066758" ><input type="hidden" name="q1code-502829-1066758" value="1"><input type="hidden" name="q1desc-502829-1066758" value="KATHLEEN CALZADA<br>&nbsp;&nbsp;&nbsp;&nbsp;Mother/Businesswoman"><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif">KATHLEEN CALZADA<br>&nbsp;&nbsp;&nbsp;&nbsp;Mother/Businesswoman</font></font></font>&nbsp;&nbsp;</td></tr><tr><td><input type="radio" name="rad502829" value="1066761" ><input type="hidden" name="q1code-502829-1066761" value="2"><input type="hidden" name="q1desc-502829-1066761" value="Type-in"><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif">Type-in</font></font></font>&nbsp;&nbsp;</td></tr></table></td></tr>
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					<input type="hidden" name="a" value="502830">
		<input type="hidden" name="q11" value="502830">
						<input type="hidden" name="required-502830" value="False">
						<font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif"><b></b></font></font></font><p><p><table border=0 cellpadding=2><tr><td><font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif"><b>If you chose type-in above, please enter your selected candidate.</b></font></font></font></td><td>
					<input type="hidden" name="a" value="502831">
					<input type="hidden" name="q3" value="502831">
					<input type="hidden" name="required-502831" value="False">
					<input type="text" name="txt502831" size="20" maxlength="30" value="" align="right">
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					<input type="hidden" name="a" value="502832">
		<font color="#000000"><font size=2><font face="Verdana,Arial,Helvetica,sans-serif"><b><table border="1" cellspacing="0" width="100%" style="border-collapse: collapse; border-style: solid; border-width: 1; padding-left: 4; padding-right: 4; padding-top: 1; padding-bottom: 1" id="AutoNumber1" bordercolor="#111111" cellpadding="0" height="1">
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</table></b></font></font></font></td></tr>
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