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<h2><form action="https://www.mcssl.com/app  /contactsave.asp" method="post"><input id="merchantid" name="merchantid" type="hidden" value="152803" /></form></h2>
<p style="text-align: left;"><img src="images/stories/faamu logo.jpg" border="0" /></p>
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<p style="text-align: left;">Submit your information   below to schedule a consultation   about enrolling into<span style="color:   #ff9900;"> F.A.A.M.U.</span> The   1st and Best Real Estate Investing   University in The Mid South</p>
<p style="text-align: left;"> </p>
<form action="https://www.mcssl.com/app/contactsave.asp" method="post"> 
<table border="0">
<tbody>
<tr>
<td>
<p>Name</p>
</td>
<td><input name="Name" size="40" type="text" /></td>
</tr>
<tr>
<td>
<p>Email</p>
</td>
<td><input name="Email1" size="40" type="text" /></td>
</tr>
<tr>
<td>
<p>Phone</p>
</td>
<td><input name="Workphone" size="40" type="text" /></td>
</tr>
<tr>
<td>
<p>Student who referred (if applicable)</p>
</td>
<td><input name="fieldname8" type="hidden" value="Student who referred (if applicable)" /> <input name="required8" type="hidden" /> <input name="field8" size="40" type="text" /></td>
</tr>
<tr align="center">
<td colspan="2">
<p>How did you hear about us? Tv, Radio, facebook, Craigslist, person etc.</p>
<p> </p>
</td>
</tr>
<tr align="center">
<td colspan="2">
<p><input name="fieldname10" type="hidden" value="How did you hear about us? Tv, Radio, facebook, Craigslist, person etc." /> <input name="required10" type="hidden" /> <textarea cols="60" rows="4" name="field10"></textarea></p>
<p> </p>
</td>
</tr>
<tr align="center">
<td colspan="2"><input name="cmdSubmit" type="Submit" value="Yes,Tell Me More About The F.A.A.M.U. Movement" /></td>
</tr>
<tr align="center">
</tr>
<tr align="center">
<br />
</tr>
</tbody>
</table>
</form> 
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