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&lt;form action=&quot;http://www.gigmasters.com/gigrequest_resultsnew.asp&quot; id=form2 name=form2&gt;
&lt;input TYPE=&quot;hidden&quot; NAME=&quot;referral&quot; VALUE=&quot;Put Your Affiliate Name Here&quot;&gt;
&lt;table border=&quot;1&quot; width=&quot;150&quot; bgcolor=&quot;#CCCCCC&quot; cellspacing=&quot;0&quot; cellpadding=&quot;2&quot;&gt;
&lt;tr&gt;
&lt;td&gt;
&lt;img src=&quot;http://www.gigmasters.com/images/finder.GIF&quot; border=&quot;0&quot;&gt;
&lt;FONT COLOR=&quot;#65669A&quot; SIZE=&quot;-2&quot;	FACE=&quot;Arial&quot;&gt;
&lt;BR&gt;
I'm looking for a&lt;BR&gt;
&lt;select	name=&quot;instrument&quot;&gt;
&lt;option	value=&quot;7&quot;&gt;Band
&lt;option value=&quot;6&quot;&gt;DJ
&lt;option	value=&quot;33&quot; SELECTED&gt;String Quartet
&lt;option	value=&quot;7&quot;&gt;Jazz Combo
&lt;option	value=&quot;68&quot;&gt;Harpist
&lt;option	VALUE=&quot;26&quot;&gt;Pianist
&lt;/select&gt;
&lt;input TYPE=&quot;hidden&quot; NAME=&quot;gig&quot;	VALUE=&quot;5&quot;&gt;
&lt;BR&gt;&lt;BR&gt;
who specialize in&lt;BR&gt;
&lt;TABLE&gt;
&lt;TR&gt;
&lt;TD VALIGN=&quot;top&quot;&gt;
&lt;font size=&quot;-1&quot;&gt;
&lt;INPUT TYPE=&quot;checkbox&quot; NAME=&quot;genre&quot;	VALUE=&quot;10&quot;&gt;Blues												
&lt;INPUT TYPE=&quot;checkbox&quot; NAME=&quot;genre&quot;	VALUE=&quot;32&quot;&gt;Classical										
&lt;INPUT TYPE=&quot;checkbox&quot; NAME=&quot;genre&quot;	VALUE=&quot;15&quot;&gt;Country												 
&lt;INPUT TYPE=&quot;checkbox&quot; NAME=&quot;genre&quot;	VALUE=&quot;29&quot;&gt;Jazz
&lt;INPUT TYPE=&quot;checkbox&quot; NAME=&quot;genre&quot;	VALUE=&quot;83&quot;&gt;Swing
&lt;/font&gt;&lt;/TD&gt;
&lt;TD VALIGN=&quot;top&quot;&gt;
&lt;font size=&quot;-1&quot;&gt;&lt;INPUT TYPE=&quot;checkbox&quot; NAME=&quot;genre&quot;	VALUE=&quot;104&quot;&gt;Oldies												 
&lt;INPUT TYPE=&quot;checkbox&quot; NAME=&quot;genre&quot;	VALUE=&quot;23&quot;&gt;Pop													 
&lt;INPUT TYPE=&quot;checkbox&quot; NAME=&quot;genre&quot;	VALUE=&quot;61&quot;&gt;Reggae 
&lt;INPUT TYPE=&quot;checkbox&quot; NAME=&quot;genre&quot;	VALUE=&quot;96&quot;&gt;Rock	
&lt;INPUT TYPE=&quot;checkbox&quot; NAME=&quot;genre&quot;	VALUE=&quot;52&quot;&gt;Top 40&lt;/font&gt;&lt;/TD&gt;
&lt;/TR&gt;&lt;/TABLE&gt;	 
&lt;BR&gt;
My zip code is:&lt;BR&gt;
&lt;input TYPE=&quot;text&quot; NAME=&quot;zipcode&quot; SIZE=&quot;7&quot;&gt;
&lt;input type=&quot;submit&quot; value=&quot;go!&quot;	id=submit1 name=submit1&gt;
&lt;P&gt;&nbsp;&lt;b&gt;&lt;font color=&quot;#FF0000&quot;&gt;&lt;em&gt;powered by &lt;a href=&quot;http://www.gigmasters.com&quot;&gt;gigmasters.com&lt;/a&gt;&lt;/em&gt;&lt;/font&gt;
&lt;/font&gt;&lt;/td&gt;
&lt;/tr&gt;
&lt;/table&gt;
&lt;/form&gt;
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