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        <form id="Contact Us" onsubmit="MM_validateForm('txtEmail','','RisEmail');return document.MM_returnValue" method="post" name="Contact Us" action="http://post.clphome.com/wcmpost.aspx">
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            <table style="border-collapse: collapse; font-family: Verdana; font-size: 12px;" align="center" border="0" cellpadding="0" cellspacing="0" width="800">
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                        <td style="padding-bottom: 15px;" colspan="2">&nbsp;<a href="http://www.garywelchhomeloans.com/" target="_blank"><img alt="GWHL logo" src="http://www.garywelchhomeloans.com/branding/images/LogoGreen_483.jpg" ??="" border="0"></a></td>
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                        <td style="padding-bottom: 15px;" colspan="2"><span style="font-size: 12pt;">
                        <p align="center"><strong><br>
                        Returning UPS Customer</strong></p>
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                        <td style="padding-bottom: 10px; padding-top: 10px;" colspan="2" valign="center"><font style="font-size: 8pt;">Thanks for allowing me the opportunity to serve you again!!<br>
                        &nbsp;<br>
                        Please fill out the form below to for a quote on a refinance or new purchase.&nbsp;If you have any questions, do&nbsp;not hesitate to&nbsp;contact me directly at 770.888.2232 or <a href="mailto:gary@garywelchhomeloans.com">gary@garywelchhomeloans.com</a>.</font></td>
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                        <td style="padding-bottom: 10px; padding-top: 10px;" colspan="2" valign="center">
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                                    <td><span style="text-decoration: underline;"><font style="font-size: 8pt;">Contact&nbsp;Information</font></span></td>
                                    <td><font style="font-size: 9pt;"><span style="text-decoration: underline;"></span></font><br>
                                    </td>
                                    <td><br>
                                    </td>
                                    <td><font style="font-size: 9pt;"><span style="text-decoration: underline;"></span></font><br>
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                                    <td align="left" valign="center"><font style="font-size: 8pt;">*First Name:</font></td>
                                    <td><input style="width: 175px;" name="txtFirstName" dpieagent_iecontroltype="2"><font style="font-size: 9pt;">&nbsp;</font></td>
                                    <td align="left" valign="center"><font style="font-size: 8pt;">*Email&nbsp;</font></td>
                                    <td><font style="font-size: 9pt;"><input style="width: 250px; height: 22px;" name="txtEmail" dpieagent_iecontroltype="2"></font></td>
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                                    <td><font style="font-size: 8pt;">*Last Name:</font></td>
                                    <td><input style="width: 175px;" name="txtLastName" dpieagent_iecontroltype="2"><font style="font-size: 9pt;"></font></td>
                                    <td><font style="font-size: 8pt;">*Phone</font></td>
                                    <td><font style="font-size: 9pt;"><input style="width: 175px; height: 22px;" name="txtPhone" dpieagent_iecontroltype="2"></font></td>
                                </tr>
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                                    <td><font style="font-size: 8pt;">Best Time to Contact:</font></td>
                                    <td><input style="width: 175px;" name="txtNote1" dpieagent_iecontroltype="2"><font style="font-size: 9pt;"></font></td>
                                    <td><font style="font-size: 8pt;">Contact Preference:</font></td>
                                    <td><font style="font-size: 8pt;">Phone <input value="Phone" name="txtNote2" type="radio">&nbsp;&nbsp;&nbsp; Email&nbsp;<input value="Email" name="txtNote2" type="radio">&nbsp;&nbsp;&nbsp; N/A <input value="N/A" name="txtNote2" type="radio"></font></td>
                                </tr>
                            </tbody>
                        </table>
                        <br>
                        <hr width="100%" size="1">
                        </td>
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                        <td style="padding-bottom: 10px; padding-top: 10px;" colspan="2" valign="center"><font style="font-size: 9pt;"><span style="text-decoration: underline;">High&nbsp;Level Loan&nbsp;Information (not an application)</span></font></td>
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                    <tr>
                        <td style="padding-bottom: 10px; padding-top: 10px;" colspan="2" valign="center">
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                                    <td><font style="font-size: 8pt;"><strong>Purchase</strong></font></td>
                                    <td><font style="font-size: 8pt;">&nbsp; or </font></td>
                                    <td><font style="font-size: 8pt;">&nbsp;<strong>Refinance</strong></font></td>
                                </tr>
                                <tr>
                                    <td><font style="font-size: 8pt;">Sales Price: <input style="width: 100px; height: 22px;" title="Enter a price range if still looking." name="txtNote3" dpieagent_iecontroltype="2"></font></td>
                                    <td><br>
                                    </td>
                                    <td><font style="font-size: 8pt;">&nbsp;Appraised/Est Value: <input style="width: 100px; height: 22px;" title="How much is home worth?" name="txtNote6" dpieagent_iecontroltype="2"></font></td>
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                                    <td><font style="font-size: 8pt;">Down Payment: <input style="width: 100px; height: 22px;" title="Amount you are willing to put down." name="txtNote4" dpieagent_iecontroltype="2"></font></td>
                                    <td><br>
                                    </td>
                                    <td><font style="font-size: 8pt;">&nbsp;Loan Balance: <input style="width: 100px; height: 22px;" title="How much do you owe? (1st, 2nd &amp; Equity lines)" name="txtNote7" dpieagent_iecontroltype="2"></font></td>
                                </tr>
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                                    <td><font style="font-size: 8pt;">Expected Time in Home: <input style="width: 100px; height: 22px;" title="How long will you be in home after purcase?" name="txtNote5" dpieagent_iecontroltype="2"></font></td>
                                    <td><br>
                                    </td>
                                    <td><font style="font-size: 8pt;"><font style="font-size: 8pt;">&nbsp;Years Owned:</font> </font><input style="width: 100px; height: 22px;" title="How long have you owned the home?" name="txtNote8" dpieagent_iecontroltype="2"></td>
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                                <tr>
                                    <td><br>
                                    </td>
                                    <td><br>
                                    </td>
                                    <td><font style="font-size: 8pt;">&nbsp;Expected Time in Home: </font><input style="width: 100px; height: 22px;" title="How long will you be in home after refinance?" name="txtNote9" dpieagent_iecontroltype="2"></td>
                                </tr>
                            </tbody>
                        </table>
                        </td>
                    </tr>
                    <tr>
                        <td style="padding-top: 5px;" valign="top" width="18%"><font style="font-size: 8pt;">*Message/Comments:</font></td>
                        <td style="padding-bottom: 5px; padding-top: 5px;" valign="top"><textarea style="width: 600px;" rows="8" cols="48" name="txtNote10"></textarea></td>
                    </tr>
                    <tr>
                        <td style="padding-top: 20px;" colspan="2">
                        <p align="center">&nbsp;&nbsp;<input style="width: 100px; height: 22px;" value="Best Time to Contact" name="txtNote1Title" type="hidden">&nbsp;<input style="width: 100px; height: 22px;" value="Contact Preference" name="txtNote2Title" type="hidden">&nbsp;<input style="width: 100px; height: 22px;" value="Purchase Sales Price" name="txtNote3Title" type="hidden">&nbsp;<input style="width: 100px; height: 22px;" value="Purchase Down Payment" name="txtNote4Title" type="hidden">&nbsp;<input style="width: 100px; height: 22px;" value="Purchase Expected Time in Home" name="txtNote5Title" type="hidden">&nbsp; <input style="width: 100px; height: 22px;" value="Refi Appraised/Est Value" name="txtNote6Title" type="hidden"> <input style="width: 100px; height: 22px;" value="Refi Loan Balance" name="txtNote7Title" type="hidden">&nbsp;<br>
                        &nbsp;<input style="width: 100px; height: 22px;" value="Refi Years Owned" name="txtNote8Title" type="hidden">&nbsp;&nbsp;<input style="width: 100px; height: 22px;" value="Refi Expected Time in Home" name="txtNote9Title" type="hidden"> <input style="width: 100px; height: 22px;" value="Message/Comments" name="txtNote10Title" type="hidden"> <input value="http://www.garywelchhomeloans.com/" name="RedirectURL" type="hidden"> <input id="Submit" value="Refer Now" name="Submit" type="submit"><input value="EHXSPUJKV89MMU5REHFFE9HRUTWN" name="LinkCode" type="hidden"> </p>
                        </td>
                    </tr>
                    <tr>
                        <td style="padding-top: 20px;" colspan="2"><font style="font-size: 8pt;"><a href="http://www.garywelchhomeloans.com/" target="_blank">Return to</a></font>&nbsp; <a href="http://www.garywelchhomeloans.com/" target="_blank"><img style="width: 170px; height: 21px;" alt="GWHL button" src="http://www.garywelchhomeloans.com/emailupdates/images/btnGaryWelch.jpg" ??="" align="absMiddle" border="0"></a></td>
                    </tr>
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