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<div align="center" style="font-family: Tahoma, Verdana, Arial, Helvetica, sans-serif; font-size: 10pt;"><form action="http://quizzes.blogquiz.net/fun-quizzes/LiveJournal-Memes/Your-Livejournal-Funeral-livejournal-meme-quiz_aWQ9MjkyOA.html" method="post" name="quiz2928"><table border="1" cellspacing="0" cellpadding="0"><tr><td><table style="font-family: Tahoma, Verdana, Arial, Helvetica, sans-serif; font-size: 10pt;" border="0" cellspacing="0" cellpadding="3"><tr bgcolor="#003366"><td colspan="2" align="center" valign="middle"><div align="center" style="color: #FFFFFF; font-weight: bold;"><a href="http://quizzes.blogquiz.net/fun-quizzes/LiveJournal-Memes/Your-Livejournal-Funeral-livejournal-meme-quiz_aWQ9MjkyOA.html" style="color: #FFFFFF; text-decoration: none;">Your Livejournal Funeral</a></div></td></tr><tr bgcolor="#6699CC"><td align="left" valign="middle" style="color: #FFFFFF;">LiveJournal Username</td><td align="left" valign="middle"><input type="textbox" name="ljusername" value="" size="20" maxlength="64"></td></tr><tr bgcolor="#6699CC"><td align="left" valign="middle" style="color: #FFFFFF;">Age at Death</td><td align="left" valign="middle"><input type="textbox" name="input:0" value="" size="20" maxlength="64"></td></tr><tr bgcolor="#6699CC"><td align="left" valign="middle" style="color: #FFFFFF;">Flowers</td><td align="left" valign="middle"><select name="input:1"><option value="0" selected>Lilies</option><option value="1" >Roses</option><option value="2" >Tulips</option><option value="3" >Violets</option><option value="4" >MAN-EATING PLANTS</option><option value="5" >Daffodils</option></select></td></tr><tr bgcolor="#6699CC"><td align="left" valign="middle" style="color: #FFFFFF;">What\\\'d you leave to your flist?</td><td align="left" valign="middle"><select name="input:2"><option value="0" selected>Everything! My books, my property...</option><option value="1" >Oh, a few things for each person.</option><option value="2" >Ummm... a book apiece?</option><option value="3" >The crumbs from the dinner that killed me.</option><option value="4" >NOTHING! NOTHING! Losers.</option></select></td></tr><tr bgcolor="#003366" height="5"><td colspan="2"></td></tr><tr bgcolor="#003366"><td colspan="2" align="center" valign="middle"><div align="center"><input type="submit" name="submit" value="Fill in your answers and click here!" style="font-size: 9pt;"></div></td></tr><tr bgcolor="#003366"><td colspan="2" align="center" valign="middle"><div style="color: #FFFFFF;" align="center">This <a href="http://www.blogquiz.net/" style="color: #FFFFFF;">Fun Quiz</a> created by <a href="http://www.blogquiz.net/users/crowskyler" style="color: #FFFFFF;">Crow</a> at <strong>BlogQuiz.Net</strong><img src="http://70.84.102.91/x/blogquiz.net-blog/26" border="0" width="1" height="1"></div></td></tr></table></td></tr></table><a href="http://weightlosstips.tv/weight-loss-tips/">Weight Loss Tips</a> at WeightLossTips.TV</form><br></div>
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