水中游泳的鱼 发表于 2007-6-20 18:28

“双鹏杯”首届金沙滩公开水域游泳比赛报名表

<P>&nbsp;</P><P align=center><SPAN style="FONT-SIZE: 18pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-bidi-font-family: Times New Roman"><STRONG><U>“双鹏杯”首届金沙滩公开水域游泳比赛报名表</U></STRONG></SPAN></P><DIV align=center><TABLE style="BORDER-RIGHT: medium none; BORDER-TOP: medium none; BORDER-LEFT: medium none; WIDTH: 654.35pt; BORDER-BOTTOM: medium none; BORDER-COLLAPSE: collapse; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt" cellSpacing=0 cellPadding=0 width=872 align=center border=1><TBODY><TR style="HEIGHT: 40.7pt"><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 0.5pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 0.5pt solid; WIDTH: 44.4pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 40.7pt; BACKGROUND-COLOR: transparent" width=59><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 14pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">序号</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN lang=EN-US style="FONT-SIZE: 14pt"><?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p></SPAN></B></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 0.5pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 70.2pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 40.7pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt" width=94><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: center" align=center><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 14pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">姓</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN lang=EN-US style="FONT-SIZE: 14pt"><SPAN style="mso-spacerun: yes">&nbsp; </SPAN></SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 14pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">名</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN lang=EN-US style="FONT-SIZE: 14pt"><o:p></o:p></SPAN></B></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 0.5pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 47.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 40.7pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt" width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: center" align=center><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">性</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt"> </SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">别</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN lang=EN-US style="FONT-SIZE: 12pt"><o:p></o:p></SPAN></B></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 0.5pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46.9pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 40.7pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt" width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: center" align=center><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">年</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt"> </SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">龄</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN lang=EN-US style="FONT-SIZE: 12pt"><o:p></o:p></SPAN></B></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 0.5pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 50.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 40.7pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt" width=67><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: center" align=center><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">会</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt"> </SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">员</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN lang=EN-US style="FONT-SIZE: 12pt"><o:p></o:p></SPAN></B></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 0.5pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 106.3pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 40.7pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt" width=142><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: center" align=center><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">证件及号码</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN lang=EN-US style="FONT-SIZE: 12pt"><o:p></o:p></SPAN></B></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 0.5pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 40.7pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt" width=61><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: center" align=center><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">缴</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt"> </SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">费</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN lang=EN-US style="FONT-SIZE: 12pt"><o:p></o:p></SPAN></B></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 0.5pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 188.6pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 40.7pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt" width=251><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-line-height-alt: 0pt"><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">适</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt"> </SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">应</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt"> </SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">比</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt"> </SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">赛</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt"> </SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">距</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt"> </SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">离</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN lang=EN-US style="FONT-SIZE: 12pt"><o:p></o:p></SPAN></B></P><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-line-height-alt: 0pt"><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">承</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt"> </SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">担</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt"> </SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">自</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt"> </SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">身</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt"> </SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">风</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt"> </SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">险</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN lang=EN-US style="FONT-SIZE: 12pt"><SPAN style="mso-spacerun: yes">&nbsp; </SPAN></SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman; mso-bidi-font-size: 10.5pt; mso-text-raise: 10.0pt">(签名)</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN lang=EN-US style="FONT-SIZE: 12pt"><o:p></o:p></SPAN></B></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 0.5pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 54.75pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 40.7pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt" width=73><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; TEXT-ALIGN: center" align=center><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">备</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt"> </SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 12pt; FONT-FAMILY: 宋体; mso-ascii-font-family: Times New Roman; mso-hansi-font-family: Times New Roman">注</SPAN></B><B style="mso-bidi-font-weight: normal"><SPAN lang=EN-US style="FONT-SIZE: 12pt"><o:p></o:p></SPAN></B></P></TD></TR><TR style="HEIGHT: 29.6pt"><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 0.5pt solid; WIDTH: 44.4pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=59><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 70.2pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=94><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 47.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46.9pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 50.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=67><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 106.3pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=142><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=61><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 188.6pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=251><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 54.75pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=73><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD></TR><TR style="HEIGHT: 29.6pt"><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 0.5pt solid; WIDTH: 44.4pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=59><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 70.2pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=94><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 47.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46.9pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 50.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=67><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 106.3pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=142><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=61><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 188.6pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=251><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 54.75pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=73><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD></TR><TR style="HEIGHT: 29.6pt"><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 0.5pt solid; WIDTH: 44.4pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=59><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 70.2pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=94><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 47.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46.9pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 50.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=67><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 106.3pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=142><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=61><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 188.6pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=251><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 54.75pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=73><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD></TR><TR style="HEIGHT: 29.6pt"><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 0.5pt solid; WIDTH: 44.4pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=59><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 70.2pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=94><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 47.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46.9pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 50.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=67><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 106.3pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=142><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=61><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 188.6pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=251><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 54.75pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=73><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD></TR><TR style="HEIGHT: 29.6pt"><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 0.5pt solid; WIDTH: 44.4pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=59><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 70.2pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=94><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 47.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46.9pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 50.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=67><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 106.3pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=142><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=61><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 188.6pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=251><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 54.75pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=73><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD></TR><TR style="HEIGHT: 29.6pt"><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 0.5pt solid; WIDTH: 44.4pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=59><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 70.2pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=94><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 47.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46.9pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 50.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=67><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 106.3pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=142><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=61><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 188.6pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=251><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 54.75pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=73><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD></TR><TR style="HEIGHT: 29.6pt"><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 0.5pt solid; WIDTH: 44.4pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=59><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 70.2pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=94><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 47.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46.9pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 50.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=67><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 106.3pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=142><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=61><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 188.6pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=251><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 54.75pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=73><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD></TR><TR style="HEIGHT: 29.6pt"><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 0.5pt solid; WIDTH: 44.4pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=59><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 70.2pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=94><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 47.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46.9pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 50.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=67><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 106.3pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=142><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=61><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 188.6pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=251><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 54.75pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=73><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD></TR><TR style="HEIGHT: 29.6pt"><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 0.5pt solid; WIDTH: 44.4pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=59><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 70.2pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=94><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 47.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46.9pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 50.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=67><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 106.3pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=142><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=61><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 188.6pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=251><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 54.75pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=73><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD></TR><TR style="HEIGHT: 29.6pt"><TD style="BORDER-RIGHT: windowtext 0.5pt solid; 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PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 47.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46.9pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 50.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=67><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 106.3pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=142><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=61><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 188.6pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=251><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 54.75pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=73><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD></TR><TR style="HEIGHT: 29.6pt"><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 0.5pt solid; WIDTH: 44.4pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=59><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 70.2pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=94><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 47.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46.9pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=63><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 50.1pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=67><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 106.3pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=142><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 46pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=61><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 188.6pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=251><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD><TD style="BORDER-RIGHT: windowtext 0.5pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 54.75pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 0.5pt solid; HEIGHT: 29.6pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt" vAlign=top width=73><P class=MsoNormal style="MARGIN: 0cm 0cm 0pt">&nbsp;<SPAN lang=EN-US style="FONT-SIZE: 16pt; mso-bidi-font-size: 12.0pt"><o:p></o:p></SPAN></P></TD></TR></TBODY></TABLE></DIV><P>&nbsp;</P><P align=center><FONT size=6>请按要求回帖填报</FONT></P>

山东龙 发表于 2007-6-20 20:02

报名,表后发!~

水中游泳的鱼 发表于 2007-6-20 20:46

<TABLE class=a2 cellSpacing=1 cellPadding=3 width="95%" border=0><TBODY><TR><TD vAlign=center align=middle width="12%" bgColor=#ffffff><A href="http://www.china-ws.org/bbs/Profile.asp?username=龙王"><FONT color=#154ba0>龙王</FONT></A>  </TD><TD width="50%" bgColor=#ffffff>外地的先在冬泳网上报名,比赛当天检录前正式报名;烟台的直接到俱乐部报名。 </TD></TR></TBODY></TABLE>

天地一沙鸥 发表于 2007-6-20 21:14

明白.

马刺 发表于 2007-6-20 20:09

<br><br>   网上报名?

陆游 发表于 2007-6-21 06:49

报名,观众!

乌托邦 发表于 2007-6-21 09:02

报名: 裁判!

山东龙 发表于 2007-6-21 09:10

哈哈,报名:裁判长!~

~蝴蝶~ 发表于 2007-6-21 09:34

报名:救生员!

水中游泳的鱼 发表于 2007-6-21 11:14

<P>原文由 烟台的蝴蝶 发表: 报名:救生员! </P><P>接受你的報名,不過你不參加比賽很可惜。高手啊。</P>

熊掌 发表于 2007-6-21 11:33

真的还是假的.

北极熊 发表于 2007-6-21 10:48

报名......当你们领导

蛟龙 发表于 2007-6-21 17:00

<P><FONT color=#2222dd size=7></FONT>&nbsp;</P><P><FONT color=#2222dd size=7>&nbsp;&nbsp; 报名</FONT></P>

三月 发表于 2007-6-21 17:57

<FONT color=#09f709 size=6>什么时间比赛?报名观战!</FONT>
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