html_text_js = '\
      <p>Please select your preferred Location and Program Dates:</p>\
      <p>\
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      <p>&nbsp;</p>\
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      <h2>Sitges, Spain</h2>\
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      <p><strong>Leadership First Choice</strong><br>\
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        <select name="op5" id="op5" size="1">\
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          <option value="">You have not yet made a Retreat selection.</option>\
          <option value="">-----------------------------------------------------</option>\
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            <option value=" 1st choice: October  3, 2010 - October 08, 2010, January  9, 2011 - January 14, 2011, April 11, 2011 - April 15, 2011, June 27, 2011 - July 01, 2011 ">\
              Retreats starting in October 2010\
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            </option>\
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            <option value=" 1st choice: February  6, 2011 - February 11, 2011, May 15, 2011 - May 20, 2011, September  5, 2011 - September 09, 2011, November 28, 2011 - December 02, 2011 ">\
              Retreats starting in February 2011\
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            </option>\
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        </select>\
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      <p><strong>Leadership Second Choice</strong><br>\
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        <select name="op6" id="op6" size="1">\
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          <option value="">You have not yet made a Retreat selection.</option>\
          <option value="">-----------------------------------------------------</option>\
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            <option value=" 2nd choice: October  3, 2010 - October 08, 2010, January  9, 2011 - January 14, 2011, April 11, 2011 - April 15, 2011, June 27, 2011 - July 01, 2011 ">\
              Retreats starting in October 2010\
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            </option>\
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            <option value=" 2nd choice: February  6, 2011 - February 11, 2011, May 15, 2011 - May 20, 2011, September  5, 2011 - September 09, 2011, November 28, 2011 - December 02, 2011 ">\
              Retreats starting in February 2011\
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            </option>\
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        </select>\
<br /><br />\
        <input type="image" border="0" name="This completes leadership download Form" src="/images/button_addtocart.gif" value="Submit Form"></p>\
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      <p>&nbsp;</p>\
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      <h2>Northern California, USA</h2>\
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      <p><strong>Leadership First Choice</strong><br>\
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        <select name="op1" id="op1" size="1">\
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          <option value="">You have not yet made a Retreat selection.</option>\
          <option value="">-----------------------------------------------------</option>\
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            <option value=" 1st choice: October 12, 2010 - October 18, 2010, January 11, 2011 - January 16, 2011, April 13, 2011 - April 18, 2011, July 13, 2011 - July 18, 2011 ">\
              Retreats starting in October 2010\
 </option> \
            <option value=" 1st choice: February  8, 2011 - February 14, 2011, May 10, 2011 - May 15, 2011, August 24, 2011 - August 29, 2011, November  2, 2011 - November 07, 2011 ">\
              Retreats starting in February 2011\
 </option> \
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        </select>\
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      <p><strong>Leadership Second Choice</strong><br>\
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        <select name="op2" id="op2" size="1">\
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          <option value="">You have not yet made a Retreat selection.</option>\
          <option value="">-----------------------------------------------------</option>\
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            <option value=" 2nd choice: October 12, 2010 - October 18, 2010, January 11, 2011 - January 16, 2011, April 13, 2011 - April 18, 2011, July 13, 2011 - July 18, 2011 ">\
              Retreats starting in October 2010\
 </option> \
            <option value=" 2nd choice: February  8, 2011 - February 14, 2011, May 10, 2011 - May 15, 2011, August 24, 2011 - August 29, 2011, November  2, 2011 - November 07, 2011 ">\
              Retreats starting in February 2011\
 </option> \
        </select>\
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      <p>\
        <input type="image" border="0" name="This completes leadership download Form" src="/images/button_addtocart.gif" value="Submit Form" >\
      </p>\
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      <p>&nbsp;</p>\
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      <h2>East Coast, USA</h2>\
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      <p><strong>Leadership First Choice</strong><br>\
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        <select name="op3" id="op3" size="1">\
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          <option value="">You have not yet made a Retreat selection.</option>\
          <option value="">-----------------------------------------------------</option>\
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            <option value=" 1st choice: September 21, 2010 - September 26, 2010, December  7, 2010 - December 12, 2010, March 16, 2011 - March 20, 2011, June 15, 2011 - June 19, 2011 ">\
              Retreats starting in September 2010\
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            </option>\
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            <option value=" 1st choice: March  8, 2011 - March 13, 2011, May 31, 2011 - June 05, 2011, September  7, 2011 - September 11, 2011, November 30, 2011 - December 04, 2011 ">\
              Retreats starting in March 2011\
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            </option>\
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        </select>\
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      <p><strong>Leadership Second Choice</strong><br>\
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        <select name="op4" id="op4" size="1">\
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          <option value="">You have not yet made a Retreat selection.</option>\
          <option value="">-----------------------------------------------------</option>\
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            <option value=" 2nd choice: September 21, 2010 - September 26, 2010, December  7, 2010 - December 12, 2010, March 16, 2011 - March 20, 2011, June 15, 2011 - June 19, 2011 ">\
              Retreats starting in September 2010\
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            </option>\
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            <option value=" 2nd choice: March  8, 2011 - March 13, 2011, May 31, 2011 - June 05, 2011, September  7, 2011 - September 11, 2011, November 30, 2011 - December 04, 2011 ">\
              Retreats starting in March 2011\
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            </option>\
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        </select>\
';
document.write(html_text_js);