Unnamed

<input type="checkbox" name="inclusion_program[]" id="inclusion_program_960d" value="Inclusion Report"   /> <label for="inclusion_program_960d">Check here if you would like this program to be considered for inclusion to the Monthly HTA Report (maximum of three programs  per department per month)</label><br /><input type="checkbox" name="inclusion_program[]" id="inclusion_program_553d" value="Inclusion E-bulletint"   /> <label for="inclusion_program_553d">Check here if you would like this program to be considered for inclusion in HTA&acute;s monthly e-bulletin (maximum of one program per department per month)</label><br />