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dz.writeln("<title>SOURCE FILE</title>");
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dz.writeln("<form name=\"info\" method=\"get\" action=\"http://z1.adserver.com/w/cp.x;rid=221;tid=7;ev=2;ac=42;mid=6668;altclick=http://a.tribalfusion.com/h.click/PLBQNKNLULMJIWLOTWSKUMXKHLKNNRSMMOOKOKILONLMHKBAUQTLVOSOLOLGMIPIICHMNESRSL/;form=\" target=\"_blank\">");
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dz.writeln("<tr class=\"form_text\">");
dz.writeln("<td width=\"184\" align=right><div align=\"right\" class=\"style4 style1\">ZIP code where you park at night.</div></td>");
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dz.writeln("<td align=right bgcolor=\"#ffffff\"><span class=\"style4 style1\">Do you currently have auto insurance? </span></td>");
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dz.writeln("name=HasAutoInsurance>");
dz.writeln(" Yes ");
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dz.writeln("No </span></td>");
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dz.writeln("<td align=right bgcolor=\"#ffffff\"><span class=\"style4 style1\">Have you had a U.S driver's license for more than 3 years? </span></td>");
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dz.writeln("No </span></td>");
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dz.writeln("<td align=right><span class=\"style4 style1\">Has any driver in your household had 2 or more accidents or moving violations in the last 3 years?</span></td>");
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dz.writeln("value=N name=HasHouseHoldAccAndViol>");
dz.writeln("No </span></td>");
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