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<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html> <body> <form action="http://sanders.enews.senate.gov/mail/util.cfm?mailaction=profile" method="POST" onsubmit="return checkSubmit();" name="form1"> <div id="primary"> <h1>BERNIE BUZZ SUBSCRIPTION</h1> <object width="520" height="390"><param name="movie" value="http://www.youtube.com/v/0h-D2oAtrZA?version=3&hl=en_US"><param name="allowFullScreen" value="true"><param name="allowscriptaccess" value="always"><embed src="http://www.youtube.com/v/0h-D2oAtrZA?version=3&hl=en_US" type="application/x-shockwave-flash" width="520" height="390" allowscriptaccess="always" allowfullscreen="true"></object> <div id="contact-content"> Please fill out the following form and we will send you an email for confirmation. <br> <br> <p><strong>Subscribe To:</strong></p> <div> <input type="checkbox" id="447" class="checkbox" name="custom_attribs" value="447"> <label for="447">The Bernie Buzz</label>: Updates on issues facing our nation<br> </div> <div> <input type="checkbox" id="448" class="checkbox" name="custom_attribs" value="448"> <label for="448">The Vermont Bernie Buzz</label>: Updates on issues important to Vermonters<br> </div> <br> <p><strong> <label for="leg e-mail updates"> </label> </strong>Please check the issue updates below that you would like to receive.</p> <input type="hidden" id="listids" name="listids" value="430,15,449,274,431,450,272,432,433,26,434,435,28,30,436,451,437,438,439,269,441,442,447,448,443,444,445,452,446"> <div style="float:left; max-width:250px;"> <div> <input type="checkbox" id="272" class="checkbox" name="custom_attribs" value="272"> <label for="272">Deficit Reduction</label><br> </div> <div> <input type="checkbox" id="442" class="checkbox" name="custom_attribs" value="442"> <label for="442">The Economy and Jobs</label><br> </div> <div> <input type="checkbox" id="445" class="checkbox" name="custom_attribs" value="445"> <label for="445">Wall Street and the Financial Sector</label><br> </div> <div> <input type="checkbox" id="451" class="checkbox" name="custom_attribs" value="451"> <label for="451">Medicaid and Medicare</label><br> </div> <div> <input type="checkbox" id="433" class="checkbox" name="custom_attribs" value="433"> <label for="433">Environmental Concerns</label><br> </div> <div> <input type="checkbox" id="452" class="checkbox" name="custom_attribs" value="452"> <label for="452">Women's Issues</label><br> </div> <div> <input type="checkbox" id="431" class="checkbox" name="custom_attribs" value="431"> <label for="431">Civil Rights</label><br> </div> <div> <input type="checkbox" id="434" class="checkbox" name="custom_attribs" value="434"> <label for="434">GLBT Issues</label><br> </div> <div> <input type="checkbox" id="432" class="checkbox" name="custom_attribs" value="432"> <label for="432">Education</label><br> </div> <div> <input type="checkbox" id="450" class="checkbox" name="custom_attribs" value="450"> <label for="450">Defense and National Security</label><br> </div> <div> <input type="checkbox" id="436" class="checkbox" name="custom_attribs" value="436"> <label for="436">Media, Internet, and Telecommunications</label><br> </div> <div> <input type="checkbox" id="449" class="checkbox" name="custom_attribs" value="449"> <label for="449">Arts and Humanities</label><br> </div> <div> <input type="checkbox" id="437" class="checkbox" name="custom_attribs" value="437"> <label for="437">Pharmaceuticals, Nutrition and Food Safety</label><br> </div> <div> <input type="checkbox" id="30" class="checkbox" name="custom_attribs" value="30"> <label for="30">Housing</label><br> </div> </div> <div style="float:right;max-width:250px;"> <div> <input type="checkbox" id="269" class="checkbox" name="custom_attribs" value="269"> <label for="269">Social Security</label><br> </div> <div> <input type="checkbox" id="439" class="checkbox" name="custom_attribs" value="439"> <label for="439">Small Business</label><br> </div> <div> <input type="checkbox" id="28" class="checkbox" name="custom_attribs" value="28"> <label for="28">Health Care</label><br> </div> <div> <input type="checkbox" id="435" class="checkbox" name="custom_attribs" value="435"> <label for="435">Global Warming and Energy</label><br> </div> <div> <input type="checkbox" id="446" class="checkbox" name="custom_attribs" value="446"> <label for="446">Worker's Rights, Unions, and International Trade Issues</label><br> </div> <div> <input type="checkbox" id="430" class="checkbox" name="custom_attribs" value="430"> <label for="430">Agriculture</label><br> </div> <div> <input type="checkbox" id="274" class="checkbox" name="custom_attribs" value="274"> <label for="274">Citizens United, Campaign Finance and Electoral Reform</label><br> </div> <div> <input type="checkbox" id="444" class="checkbox" name="custom_attribs" value="444"> <label for="444">Veterans</label><br> </div> <div> <input type="checkbox" id="26" class="checkbox" name="custom_attribs" value="26"> <label for="26">Foreign Policy</label><br> </div> <div> <input type="checkbox" id="438" class="checkbox" name="custom_attribs" value="438"> <label for="438">Senior Issues</label><br> </div> <div> <input type="checkbox" id="441" class="checkbox" name="custom_attribs" value="441"> <label for="441">Sportsmen Issues</label><br> </div> <div> <input type="checkbox" id="443" class="checkbox" name="custom_attribs" value="443"> <label for="443">Transportation and Infrastructure</label><br> </div> <div> <input type="checkbox" id="15" class="checkbox" name="custom_attribs" value="15"> <label for="15">Animal Rights</label><br> </div> </div> <div style="clear:both"></div> </div> <div class="clear"><!-- --> </div> </div><!-- // primary --> <div id="secondary"> <div id="page-tools-top"> <div align="center"> <p> <!-- AddThis Button BEGIN --> <a href="http://www.addthis.com/bookmark.php?v=250" onmouseover="return addthis_open(this, '', '[URL]', '[TITLE]')" onmouseout="addthis_close()" onclick="return addthis_sendto()"><img src="http://s7.addthis.com/static/btn/lg-share-en.gif" width="125" height="16" alt="Bookmark and Share" style="border:0"></a></p> <p> <script type="text/javascript" src="http://s7.addthis.com/js/250/addthis_widget.js?pub=xa-4a1f0f7e457736c2"></script> <!-- AddThis Button END --> </p><p><a href="http://sanders.enews.senate.gov//common/mailings/"><img src="http://sanders.senate.gov/graphics/buzzbanner240.jpg" border="0"> <strong> READ PAST ISSUES</strong></a> </p> <p>To view the current issue of the Vermont edition of the BERNIE BUZZ, <strong><a href="http://sanders.senate.gov/vermont/">click here</a>.</strong></p><strong> <table border="0" align="center" cellpadding="0" cellspacing="0"> <tbody><tr> <td>First Name:</td> <td> <input type="text" id="FIRSTNAME" name="FIRSTNAME" value=""> </td> </tr> <tr> <td>Last Name:</td> <td> <input type="text" id="LASTNAME" name="LASTNAME" value=""> </td> </tr> <tr> <td>Address:</td> <td> <input type="text" id="RES_FULLADDRESS" name="RES_FULLADDRESS" value=""> </td> </tr> <tr> <td>City:</td> <td> <input type="text" id="RES_CITY" name="RES_CITY" value=""> </td> </tr> <tr> <td>State:</td> <td> <input type="text" id="RES_STATE" name="RES_STATE" value=""> </td> </tr> <tr> <td>Zip:</td> <td> <input type="text" id="RES_ZIP" name="RES_ZIP" value=""> </td> </tr> <tr> <td>Home Phone:</td> <td> <input type="text" id="HOMEPHONE" name="HOMEPHONE" value=""> </td> </tr> <tr> <td><p> </p> <p><font color="red">* </font>E-Mail Address:</p></td> <td> <label for="subscribe e-mail"> <input type="text" id="EMAIL" name="EMAIL" value=""> </label></td> </tr> <tr> <td colspan="2" align="right"> <input type="submit" name="submitprofile" value="Submit"> </td> </tr></tbody></table> </strong></div><strong> <div class="clear"><!-- --></div> </strong></div><strong> <!--<div class="feature-box no-top-margin"> <div class="title"> <h2>Mail Delay</h2> </div> <p> Please note that due to heightened security in the U.S. Capitol, mail service to my Washington, D.C. Senate office is significantly delayed. If you have any correspondence that is time sensitive, please use alternatives such as e-mail, phone, or fax. </p> </div> // feature-box --> </strong></div><!-- // secondary --><strong> <div class="clear"><!-- --></div> </strong></form> </body> </html>
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