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<form action="" method="post"><div id = "codeBox" style="width:600">
<BR> 
		Please enter the priority code mentioned in the Spirit of Auburn credit card ad or flyer:<BR><BR><input type="text" name="priority_code" 
									size="6" maxlength="6"><BR><BR>

									<INPUT TYPE=CHECKBOX NAME="code_option" VALUE="no_code">
									I do not have a code 
									<BR><H1></H1>Select the card you want to apply for:<BR><BR><INPUT TYPE=RADIO NAME="card_name" VALUE="V">
									<img src="images/VISA_logo.jpg" alt="Visa">  Visa 
									<BR><BR>
									<INPUT TYPE=RADIO NAME="card_name" VALUE="M">
									<img src="images/MC_logo.jpg" alt="MasterCard">  MasterCard
									<BR><BR>
									<INPUT TYPE=RADIO NAME="card_name" VALUE="A">
									<img src="images/AMEX_logo.jpg" alt="Amex">  Amex
									<BR><BR>
									<INPUT TYPE=RADIO NAME="card_name" VALUE="S">
									<img src="images/MC_logo.jpg" alt="Student MasterCard">  Student 
									MasterCard
									<BR><BR>
									</div><input type="submit" NAME="submit" VALUE="SUBMIT"/><input type="hidden" NAME="firstTryInput" VALUE="1"