rendered paste body<form action="http://www.sonybmgcrm.com/arch/Reply" method="post">
<input type="hidden" name="source_id" value="8073">
<input name="arch_thankyou" type="hidden" id="arch_thankyou" value="http://www.rcarecords.com/artists/chris_daughtry/daughtry_thanks.html" />
<table width="400" border="0" cellpadding="3" cellspacing="0">
<tr align="center">
<td colspan="2"> <span><b>Sign up here to receive news, tour dates,
and special contest promotions!</b><br><font size=2>* required fields</span> </td>
</tr>
<tr>
<td width="142" align="right"><b>*</b> First Name:</td>
<td>
<input name="firstname" type="text" id="firstname" size="15" maxlength="30">
</td>
</tr>
<tr>
<td align="right"><b>*</b> Last Name </td>
<td> <input name="lastname" type="text" id="lastname" size="15" maxlength="30"> </td>
</tr>
<tr>
<td align="right"><b>*</b> Email: </td>
<td> <input name="Email" type="text" id="Email" size="15" maxlength="30"> </td>
</tr>
<tr>
<td align="right"><b>*</b> Age:</td>
<td> <input name="age" type="text" id="age" size="2" maxlength="2"> </td>
</tr>
<tr>
<td></td>
<td align="left"> <p>
<input name="thirteen" type="checkbox" id="thirteen" value="Y">
<span> I am over 13 years old</span></p></td>
</tr>
<tr>
<td align="right"><b>*</b> Gender:</td>
<td> <select name="gender" size="1" id="gender">
<option value="Male">Male</option>
<option value="Female">Female</option>
</select> </td>
</tr>
<tr>
<td align="right"><b>*</b> Street Address:</td>
<td> <input name="address1" type="text" id="address1" size="15" maxlength="30"> </td>
</tr>
<tr>
<td align="right"> </td>
<td> <input name="ADDRESS2" type="text" id="ADDRESS2" size="15" maxlength="30"> </td>
</tr>
<tr>
<td align="right"><b>*</b>City: </td>
<td> <input name="city" type="text" id="city" size="15" maxlength="30"> </td>
</tr>
<tr>
<td align="right"><b>*</b> State / Province </td>
<td> <input name="state" type="text" id="state" size="15" maxlength="30"> </td>
</tr>
<tr>
<td align="right"><b>*</b> Zip Code </td>
<td> <input name="zip" type="text" id="zip" size="15" maxlength="15"> </td>
</tr>
<tr>
<td align="right"><b>*</b> Country: </td>
<td> <select size="1" name="country" VALUE="">
<option value="UnSel">Please select...</option>
<option value="US">United States</option>
<option value="CA">Canada</option>
<option value="UnSel"> -----</option>
<option value=AF>Afghanistan</option>
<option value=AL>Albania</option>
<option value=DZ>Algeria</option>
<option value=AS>American Samoa</option>
<option value=AD>Andorra</option>
<option value=AO>Angola</option>
<option value=AI>Anguilla</option>
<option value=AQ>Antarctica</option>
<option value=AG>Antigua and Barbuda</option>
<option value=AR>Argentina</option>
<option value=AM>Armenia</option>
<option value=AW>Aruba</option>
<option value=AU>Australia</option>
<option value=AT>Austria</option>
<option value=AZ>Azerbaijan</option>
<option value=BS>Bahamas</option>
<option value=BH>Bahrain</option>
<option value=BD>Bangladesh</option>
<option value=BB>Barbados</option>
<option value=BY>Belarus</option>
<option value=BE>Belgium</option>
<option value=BZ>Belize</option>
<option value=BJ>Benin</option>
<option value=BM>Bermuda</option>
<option value=BT>Bhutan</option>
<option value=BO>Bolivia</option>
<option value=BA>Bosnia and Herzegovina</option>
<option value=BW>Botswana</option>
<option value=BV>Bouvet Island</option>
<option value=BR>Brazil</option>
<option value=IO>British Indian Ocean Territory</option>
<option value=BN>Brunei Darussalam</option>
<option value=BG>Bulgaria</option>
<option value=BF>Burkina Faso</option>
<option value=BI>Burundi</option>
<option value=KH>Cambodia</option>
<option value=CM>Cameroon</option>
<option value=CA>Canada</option>
<option value=CV>Cape Verde</option>
<option value=KY>Cayman Islands</option>
<option value=CF>Central African Republic</option>
<option value=TD>Chad</option>
<option value=CL>Chile</option>
<option value=CN>China</option>
<option value=CX>Christmas Island</option>
<option value=CC>Cocos (Keeling) Islands</option>
<option value=CO>Colombia</option>
<option value=KM>Comoros</option>
<option value=CG>Congo</option>
<option value=CK>Cook Islands</option>
<option value=CR>Costa Rica</option>
<option value=CI>Cote D'Ivoire (Ivory Coast)</option>
<option value=HR>Croatia (Hrvatska)</option>
<option value=CU>Cuba</option>
<option value=CY>Cyprus</option>
<option value=CZ>Czech Republic</option>
<option value=CS>Czechoslovakia (former)</option>
<option value=DK>Denmark</option>
<option value=DJ>Djibouti</option>
<option value=DM>Dominica</option>
<option value=DO>Dominican Republic</option>
<option value=TP>East Timor</option>
<option value=EC>Ecuador</option>
<option value=EG>Egypt</option>
<option value=SV>El Salvador</option>
<option value=GQ>Equatorial Guinea</option>
<option value=ER>Eritrea</option>
<option value=EE>Estonia</option>
<option value=ET>Ethiopia</option>
<option value=FK>Falkland Islands (Malvinas)</option>
<option value=FO>Faroe Islands</option>
<option value=FJ>Fiji</option>
<option value=FI>Finland</option>
<option value=FR>France</option>
<option value=GF>French Guiana</option>
<option value=PF>French Polynesia</option>
<option value=TF>French Southern Territories</option>
<option value=GA>Gabon</option>
<option value=GM>Gambia</option>
<option value=GE>Georgia</option>
<option value=DE>Germany</option>
<option value=GH>Ghana</option>
<option value=GI>Gibraltar</option>
<option value=GR>Greece</option>
<option value=GL>Greenland</option>
<option value=GD>Grenada</option>
<option value=GP>Guadeloupe</option>
<option value=GU>Guam</option>
<option value=GT>Guatemala</option>
<option value=GN>Guinea</option>
<option value=GW>Guinea-Bissau</option>
<option value=GY>Guyana</option>
<option value=HT>Haiti</option>
<option value=HM>Heard and McDonald Islands</option>
<option value=HN>Honduras</option>
<option value=HK>Hong Kong</option>
<option value=HU>Hungary</option>
<option value=IS>Iceland</option>
<option value=IN>India</option>
<option value=ID>Indonesia</option>
<option value=IR>Iran</option>
<option value=IQ>Iraq</option>
<option value=IE>Ireland</option>
<option value=IL>Israel</option>
<option value=IT>Italy</option>
<option value=JM>Jamaica</option>
<option value=JP>Japan</option>
<option value=JO>Jordan</option>
<option value=KZ>Kazakhstan</option>
<option value=KE>Kenya</option>
<option value=KI>Kiribati</option>
<option value=KP>Korea (North)</option>
<option value=KR>Korea (South)</option>
<option value=KW>Kuwait</option>
<option value=KG>Kyrgyzstan</option>
<option value=LA>Laos</option>
<option value=LV>Latvia</option>
<option value=LB>Lebanon</option>
<option value=LS>Lesotho</option>
<option value=LR>Liberia</option>
<option value=LY>Libya</option>
<option value=LI>Liechtenstein</option>
<option value=LT>Lithuania</option>
<option value=LU>Luxembourg</option>
<option value=MO>Macau</option>
<option value=MK>Macedonia</option>
<option value=MG>Madagascar</option>
<option value=MW>Malawi</option>
<option value=MY>Malaysia</option>
<option value=MV>Maldives</option>
<option value=ML>Mali</option>
<option value=MT>Malta</option>
<option value=MH>Marshall Islands</option>
<option value=MQ>Martinique</option>
<option value=MR>Mauritania</option>
<option value=MU>Mauritius</option>
<option value=YT>Mayotte</option>
<option value=MX>Mexico</option>
<option value=FM>Micronesia</option>
<option value=MD>Moldova</option>
<option value=MC>Monaco</option>
<option value=MN>Mongolia</option>
<option value=MS>Montserrat</option>
<option value=MA>Morocco</option>
<option value=MZ>Mozambique</option>
<option value=MM>Myanmar</option>
<option value=NA>Namibia</option>
<option value=NR>Nauru</option>
<option value=NP>Nepal</option>
<option value=NL>Netherlands</option>
<option value=AN>Netherlands Antilles</option>
<option value=NT>Neutral Zone</option>
<option value=NC>New Caledonia</option>
<option value=NZ>New Zealand (Aotearoa)</option>
<option value=NI>Nicaragua</option>
<option value=NE>Niger</option>
<option value=NG>Nigeria</option>
<option value=NU>Niue</option>
<option value=NF>Norfolk Island</option>
<option value=MP>Northern Mariana Islands</option>
<option value=NO>Norway</option>
<option value=OM>Oman</option>
<option value=PK>Pakistan</option>
<option value=PW>Palau</option>
<option value=PA>Panama</option>
<option value=PG>Papua New Guinea</option>
<option value=PY>Paraguay</option>
<option value=PE>Peru</option>
<option value=PH>Philippines</option>
<option value=PN>Pitcairn</option>
<option value=PL>Poland</option>
<option value=PT>Portugal</option>
<option value=PR>Puerto Rico</option>
<option value=QA>Qatar</option>
<option value=RE>Reunion</option>
<option value=RO>Romania</option>
<option value=RU>Russian Federation</option>
<option value=RW>Rwanda</option>
<option value=GS>S. Georgia and S. Sandwich Isls.</option>
<option value=KN>Saint Kitts and Nevis</option>
<option value=LC>Saint Lucia</option>
<option value=VC>Saint Vincent and the Grenadines</option>
<option value=WS>Samoa</option>
<option value=SM>San Marino</option>
<option value=ST>Sao Tome and Principe</option>
<option value=SA>Saudi Arabia</option>
<option value=SN>Senegal</option>
<option value=SC>Seychelles</option>
<option value=SL>Sierra Leone</option>
<option value=SG>Singapore</option>
<option value=SK>Slovak Republic</option>
<option value=SI>Slovenia</option>
<option value=Sb>Solomon Islands</option>
<option value=SO>Somalia</option>
<option value=ZA>South Africa</option>
<option value=ES>Spain</option>
<option value=LK>Sri Lanka</option>
<option value=SH>St. Helena</option>
<option value=PM>St. Pierre and Miquelon</option>
<option value=SD>Sudan</option>
<option value=SR>Suriname</option>
<option value=SJ>Svalbard and Jan Mayen Islands</option>
<option value=SZ>Swaziland</option>
<option value=SE>Sweden</option>
<option value=CH>Switzerland</option>
<option value=SY>Syria</option>
<option value=TW>Taiwan</option>
<option value=TJ>Tajikistan</option>
<option value=TZ>Tanzania</option>
<option value=TH>Thailand</option>
<option value=TG>Togo</option>
<option value=TK>Tokelau</option>
<option value=TO>Tonga</option>
<option value=TT>Trinidad and Tobago</option>
<option value=TN>Tunisia</option>
<option value=TR>Turkey</option>
<option value=TM>Turkmenistan</option>
<option value=TC>Turks and Caicos Islands</option>
<option value=TV>Tuvalu</option>
<option value=UG>Uganda</option>
<option value=UA>Ukraine</option>
<option value=AE>United Arab Emirates</option>
<option value=UK>United Kingdom</option>
<option value=US>United States</option>
<option value=UY>Uruguay</option>
<option value=UM>US Minor Outlying Islands</option>
<option value=SU>USSR (former)</option>
<option value=UZ>Uzbekistan</option>
<option value=VU>Vanuatu</option>
<option value=VA>Vatican City State (Holy See)</option>
<option value=VE>Venezuela</option>
<option value=VN>Viet Nam</option>
<option value=VG>Virgin Islands (British)</option>
<option value=VI>Virgin Islands (U.S.)</option>
<option value=WF>Wallis and Futuna Islands</option>
<option value=EH>Western Sahara</option>
<option value=YE>Yemen</option>
<option value=YU>Yugoslavia</option>
<option value=ZR>Zaire</option>
<option value=ZM>Zambia</option>
<option value=ZW>Zimbabwe</option>
<option>Other</option>
</select> </td>
</tr>
<tr>
<td></td>
<td align="left">
<input name="daughtry_optin" type="checkbox" value="Y" checked>
Yes, I want to receive the latest news & updates on Daughtry.</td>
</tr>
<tr>
<td></td>
<td align="left">
<input name="rca_optin" type="checkbox" value="Y" checked>
Yes, I want to receive the latest news & updates on other RCA
artists.<br>
<br>
</td>
</tr>
<tr>
<td colspan="2" valign="top">
<b>SIGN ME UP FOR THE DAUGHTRY MOBILE LIST!</b></span><BR>
If you would also like to have SMS (text messages) about <b>DAUGHTRY</b> sent to your cell phone, please fill out the information below. The following information is not required to join the email list. There can be costs associated with receiving SMS (text) messages depending on your wireless carrier and plan.<br>
</td>
</tr>
<tr>
<td valign="top">Cell Phone Number:<br>
(including area code)</td>
<td valign="top">
<input type="text" name="mobile_phone" maxlength="20" size="10">
<BR />
Please do NOT include a "1" in front of the area code.
<br> </td>
</tr>
<tr>
<td colspan="2"> <div align="left">
<input name="arch_submit" type="submit" id="submit" value="Join">
</div></td>
</tr>
</table>
</form>