<form action="http://wp.bigyellow.com/adman;rld=12658376&amp;hntlbi=832&amp;hnt=7932&amp;tid=11240&amp;vid=info.bela&amp;sid=1&amp;" method="get" target="_blank"> <input type="hidden" value="http://wp.bigyellow.com/info.bela/kevdb" name="eto"><input type="hidden" value="/res/r1.html" name="OTMPL"><input type="hidden" value="N" name="QFM"><input type="hidden" value="8" name="QK"><input type="hidden" name="XNavigation"> <table cellSpacing="0" cellPadding="2" width="336" border="0"> <tbody> <tr> <td colSpan="2"><font face="Arial, Helvetica" size="2">Enter as much or as little information as you want.</font></td> </tr> <tr> <td noWrap><font face="Arial, Helvetica" size="2"><b>Last Name:</b></font></td> <td width="100%"><input maxLength="60" name="QN" size="20"></td> </tr> <tr> <td noWrap><font face="Arial, Helvetica" size="2"><b>First Name/Initial:</b></font></td> <td><input maxLength="60" name="QF" size="20"></td> </tr> <tr> <td><b><font face="Arial, Helvetica" size="2">City: </font></b><font face="Arial, Helvetica" size="1">(</font></font><font face="Arial, Helvetica" size="1">changeable</font><font face="comic sans ms, comic sans"><font face="Arial, Helvetica" size="1">)</font></td> <td><input maxLength="60" value="Kitchener" name="QC" size="20"></td> </tr> <tr vAlign="top"> <td vAlign="top" rowSpan="2"><font face="Arial, Helvetica" size="2"><b>State/Province:</b></font><br> <font face="Arial, Helvetica" size="1">If U.S. or Canada otherwise select&nbsp;<br> NO STATE</font></td> <td><!--inc_allstatesalpha.htm--> <select size="1" name="QS" cols="20"> <option>NO STATE</option> <option value="al">Alabama <option value="ak">Alaska <option value="ab">Alberta <option value="az">Arizona <option value="ar">Arkansas <option value="bc">British Columbia <option value="ca">California <option value="co">Colorado <option value="ct">Connecticut <option value="dc">D.C. <option value="de">Delaware <option value="fl">Florida <option value="ga">Georgia <option value="hi">Hawaii <option value="id">Idaho <option value="il">Illinois <option value="in">Indiana <option value="ia">Iowa <option value="ks">Kansas <option value="ky">Kentucky <option value="la">Louisiana <option value="me">Maine <option value="mb">Manitoba <option value="md">Maryland <option value="ma">Massachusetts <option value="mi">Michigan <option value="mn">Minnesota <option value="ms">Mississippi <option value="mo">Missouri <option value="mt">Montana <option value="ne">Nebraska <option value="nv">Nevada <option value="nb">New Brunswick <option value="nh">New Hampshire <option value="nj">New Jersey <option value="nm">New Mexico <option value="ny">New York <option value="nf">Newfoundland <option value="nc">North Carolina <option value="nd">North Dakota <option value="nt">Northwest Terr. <option value="ns">Nova Scotia <option value="oh">Ohio <option value="ok">Oklahoma <option value="on" selected>Ontario <option value="or">Oregon <option value="pa">Pennsylvania <option value="pe">Prince Edward Isl. <option value="qc">Quebec <option value="ri">Rhode Island <option value="sk">Saskatchewan <option value="sc">South Carolina <option value="sd">South Dakota <option value="tn">Tennessee <option value="tx">Texas <option value="ut">Utah <option value="vt">Vermont <option value="va">Virginia <option value="wa">Washington <option value="wv">West Virginia <option value="wi">Wisconsin <option value="wy">Wyoming <option value="yt">Yukon</option> </select></td> </tr> <tr> <td><input type="checkbox" value="1" name="QD"><font face="Arial, Helvetica" size="2">Including Surrounding Region <nobr>(U.S. only)</nobr></font></td> </tr> <tr> <td vAlign="top" noWrap><font face="Arial, Helvetica" size="2"><b>Country:</b></font></td> <td><select size="1" name="KCFG" cols="20"> <option value="us">United States <option value="ca" selected>Canada <option value="uk">United Kingdom <option value="at">Austria <option value="be">Belgium <option value="dk">Denmark <option value="fr">France <option value="de">Germany <option value="it">Italy <option value="lu">Luxembourg <option value="es">Spain</option> </select></td> </tr> <tr vAlign="center"> <td></td> <td><input type="submit" value="Find"> <input type="reset" value="Clear"></td> </tr> </FORM> </table>

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