<html><head><title>College Bound Student: Order Form</title>

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<p align=center style="font-size:13pt;"><b><font color=white>Start Here</font></b></p>

<p><b>To get started, please select a package, fill in the basic student information, and complete the billing section.  Upon receipt of  your order, one of our representatives will contact you within 48 hours to review the details of your order and arrange pickup of your materials.</b>
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<form method=post action=https://www.awardwinningsales.com/SECURE/college-bound-students.com/ name=theForm>
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<tr valign=top><td style="font-size:11pt" colspan=2><b><font color=white>Package</font></b></td></tr>

<tr valign=top><td colspan=2><table border=0 cellpadding=0><tr><td><input type=radio name=package value=standard> <b><a href=javascript:packageInfo('standard')>Standard</a></b></td><td align=right><font size=-1 color=white><b>$395.00</b></font></td>
                                                        <td>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type=radio name=package value=standard_plus> <b><a href=javascript:packageInfo('standard_plus')>Standard Plus</a></b></td><td align=right><font size=-1 color=white><b>$595.00</b></font></td></tr>
                                                        <tr><td><input type=radio name=package value=advanced> <b><a href=javascript:packageInfo('advanced')>Advanced</a></b></td><td align=right><font size=-1 color=white><b>$895.00</b></font></td>
                                                        <td>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type=radio name=package value=advanced_plus> <b><a href=javascript:packageInfo('advanced_plus')>Advanced Plus</a></b></td><td align=right><font size=-1 color=white><b>$1,095.00</b></font></td></tr>
                                                        <tr><td><input type=radio name=package value=pinnacle> <b><a href=javascript:packageInfo('pinnacle')>Pinnacle</a></b></td><td align=right><font size=-1 color=white><b>$1,495.00</b></font></td>
                                                        <td>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<input type=radio name=package value=pinnacle_plus> <b><a href=javascript:packageInfo('pinnacle_plus')>Pinnacle Plus</a></b></td><td align=right><font size=-1 color=white><b>$1,695.00</b></font></td></tr>
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<td><td colspan=2>&nbsp;</td></tr>
<tr valign=top><td colspan=2 style="font-size:11pt"><b><font color=white>Student Information</font></b></td></tr>

<tr valign=top><td nowrap><b>Student Name</b></td><td width=100%><input type=text name=name size=40></td></tr>

<tr valign=top><td nowrap><b>Name of High School</b></td><td><input type=text name=school size=40></td></tr>

<tr valign=top><td nowrap><b>City and State</b></td><td><input type=text name=school_city_state size=40></td></tr>

<tr valign=bottom><td><b>Year of school which you are currently attending, or will be attending, next year</b></td><td><select name=year><option>Sophomore<option>Junior<option>Senior</select></td></tr>

<tr valign=top><td nowrap><b>Grade Point Average</b></td><td><input type=text name=gpa size=4></td></tr>

<tr valign=top><td nowrap><b>SAT test scores</b></td><td><b><input type=text name=sat_verbal size=3> Verbal &nbsp;&nbsp;&nbsp; <input type=text name=sat_math size=3> Math</b></td></tr>

<tr valign=top><td nowrap><b>Class Standing</b></td><td><b><input type=text name=class_standing size=3> out of a class of <input type=text name=total_class_size size=3></b></td></tr>

<tr valign=top><td nowrap><b>Advanced Placement<br>Courses</b></td><td><textarea name=advanced_placement_classes rows=4 cols=60></textarea></td></tr>

<tr valign=top><td nowrap><b>Foreign language(s)</b></td><td><b>1. <input type=text name=foreign_language_1 size=20> Years: <input type=text name=foreign_language_1_years size=1 maxlength=2><br>
                                    2. <input type=text name=foreign_language_2 size=20> Years: <input type=text name=foreign_language_2_years size=1 maxlength=2><br>
                                    3. <input type=text name=foreign_language_3 size=20> Years: <input type=text name=foreign_language_3_years size=1 maxlength=2><br>
                                    4. <input type=text name=foreign_language_4 size=20> Years: <input type=text name=foreign_language_4_years size=1 maxlength=2></b></td></tr>

<tr valign=top><td nowrap><b>Academic Awards<br>Received</b></td><td><textarea name=academic_rewards rows=4 cols=60></textarea></td></tr>

<tr valign=top><td nowrap><b>Student Government</b></td><td><textarea name=government rows=4 cols=60></textarea></td></tr>

<tr valign=top><td nowrap><b>Fine Arts</b></td><td><textarea name=fine_arts rows=4 cols=60></textarea></td></tr>

<tr valign=top><td nowrap><b>Athletics</b></td><td><textarea name=athletics rows=4 cols=60></textarea></td></tr>

<tr valign=top><td nowrap><b>Clubs</b></td><td><textarea name=clubs rows=4 cols=60></textarea></td></tr>

<tr valign=top><td nowrap><b>Outside Activities</b></td><td><textarea name=outside_activities rows=4 cols=60></textarea></td></tr>

<tr valign=top><td nowrap><b>Additional Information</b></td><td><textarea name=additional_info rows=4 cols=60></textarea></td></tr>

<tr valign=top><td style="font-size:11pt" colspan=2><b><font color=white>General Site Design and Layout Ideas</font></b></td></tr>

<tr valign=top><td nowrap><b>Color Choices</b></td><td><a href=javascript:colorPicker()>Open the Color Selector</a>
<p>
1 #<input type=text name=color_1 size=8 maxlength=6><br>
2 #<input type=text name=color_2 size=8 maxlength=6><br>
3 #<input type=text name=color_3 size=8 maxlength=6><br>
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<tr valign=top><td><b>Please indicate particulars which you wish to have
included in your site, such as "Flash Introduction",
similar to that seen at the beginning of our "Sample
Student Profile" of Justin Baldoni, or the scrolling
headline seen on the sample profile of Kevin McCarthy.
</b></td><td><textarea name=design_requests rows=8 cols=60></textarea></td></tr>
<tr valign=top><td><b>Extra Features</b></td><td><b>Flash Introduction $95.00 <input type=checkbox name=flash_intro><br>
Audio Clips <font style="font-size: 8pt">(taken from CD or Tape)</font> $50.00 each. Qty: <input type=text name=audio_clips_qty size=2 maxlength=2><br>
Additional Video Clips $150.00 each. Qty:<input type=text name=video_clips_qty size=2 maxlength=2>
</b></td></tr>
<tr><td colspan=2><br><b>All video must be supplied in one of the following formats:<br>
Mini DV, DV Cam, Digital 8, VHS or Beta SP.</b></td></tr>
<tr><td></td><td><br><br><input type=submit name=step_1 value="Continue to Step 2" style="font-weight:bold"></td></tr>
<tr valign=top><td colspan=2>&nbsp;</td></tr>
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