From: <Saved by Windows Internet Explorer 7>
Subject: Broadcast Request Form
Date: Sun, 18 Mar 2007 20:58:09 -0400
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Content-Location: http://www.springfieldoaks.org/BroadcastForm.htm

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD><TITLE>Broadcast Request Form including Acorn newsletter</TITLE>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
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<SCRIPT language=3DJavaScript>
	function ManualSubmit(form)
	{
	if (form.txtEmail.value =3D=3D "" || form.txtEmail.value.indexOf('@') =
=3D=3D -1)
			alert('Please enter a valid e-mail address.');
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			form.submit();
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</SCRIPT>

<META content=3D"MSHTML 6.00.6000.16414" name=3DGENERATOR></HEAD>
<BODY bgColor=3D#e6e6cc>
<DIV align=3Dcenter>
<P class=3Dtext1><B><IMG height=3D90=20
src=3D"http://www.springfieldoaks.org/soha_logo2.gif" width=3D90> =
Broadcast Request=20
Form including Acorn newsletter</B></P>
<FORM action=3D/cgi-bin/BroadcastFormSendMail.asp method=3Dpost>
<TABLE cellSpacing=3D4 cellPadding=3D2 width=3D543 border=3D0>
  <TBODY>
  <TR>
    <TD class=3Dtext1 align=3Dleft colSpan=3D2></TD>
  <TR>
    <TD class=3Dtext1 align=3Dright><B>First Name:</B></TD>
    <TD class=3Dtext1 noWrap><INPUT size=3D25 name=3DtxtFirstName>=20
      &nbsp;&nbsp;&nbsp;=20
  <TR>
    <TD class=3Dtext1 align=3Dright><B>Last Name:</B></TD>
    <TD class=3Dtext1><INPUT size=3D25 name=3DtxtLastName> </TD></TR>
  <TR>
    <TD class=3Dtext1 align=3Dright><B>E-mail:</B></TD>
    <TD class=3Dtext1><INPUT size=3D40 name=3DtxtEmail> </TD></TR>
  <TR>
    <TD class=3Dtext1 align=3Dright><B>Address:</B></TD>
    <TD class=3Dtext1 noWrap><INPUT size=3D40 name=3DtxtAddress>=20
      &nbsp;&nbsp;&nbsp;=20
  <TR>
    <TD class=3Dtext1 align=3Dright><B>City:</B></TD>
    <TD class=3Dtext1><INPUT size=3D25 name=3DtxtCity> </TD></TR>
  <TR>
    <TD class=3Dtext1 align=3Dright><B>State:</B></TD>
    <TD class=3Dtext1>
          <select name=txtState>
            <option value="AL">Alabama</option>
            <option value="AK">Alaska</option>
            <option value="AR">Arkansas</option>
            <option value="AZ">Arizona</option>
            <option value="CA">California</option>
            <option value="CO">Colorado</option>
            <option value="CT">Connecticut</option>
            <option value="DC">District of Columbia</option>
            <option value="DE">Delaware</option>
            <option value="FL">Florida</option>
            <option value="GA">Georgia</option>
            <option value="HI">Hawaii</option>
            <option value="IA">Iowa</option>
            <option value="ID">Idaho</option>
            <option value="IL">Illinois</option>
            <option value="IN">Indiana</option>
            <option value="KS">Kansas</option>
            <option value="KY">Kentucky</option>
            <option value="LA">Louisiana</option>
            <option value="MA">Massachusetts</option>
            <option value="MD">Maryland</option>
            <option value="ME">Maine</option>
            <option value="MI">Michigan</option>
            <option value="MN">Minnesota</option>
            <option value="MO">Missouri</option>
            <option value="MS">Mississippi</option>
            <option value="MT">Montana</option>
            <option value="NC">North Carolina</option>
            <option value="ND">North Dakota</option>
            <option value="NE">Nebraska</option>
            <option value="NH">New Hampshire</option>
            <option value="NJ">New Jersey</option>
            <option value="NM">New Mexico</option>
            <option value="NV">Nevada</option>
            <option value="NY">New York</option>
            <option value="OH">Ohio</option>
            <option value="OK">Oklahoma</option>
            <option value="OR">Oregon</option>
            <option value="PA">Pennsylvania</option>
            <option value="RI">Rhode Island</option>
            <option value="SC">South Carolina</option>
            <option value="SD">South Dakota</option>
            <option value="TN">Tennessee</option>
            <option value="TX">Texas</option>
            <option value="UT">Utah</option>
            <option value="VA">Virginia</option>
            <option value="VT">Vermont</option>
            <option value="WA">Washington</option>
            <option value="WI">Wisconsin</option>
            <option value="WV">West Virginia</option>
            <option value="WY">Wyoming</option>
          </select>
</TD></TR>
  <TR>
    <TD class=3Dtext1 align=3Dright><B>Zip:</B></TD>
    <TD class=3Dtext1><INPUT size=3D25 name=3DtxtZip> </TD></TR>
  <TR>
    <TD class=3Dtext1>&nbsp;</TD>
    <TD class=3Dtext1>&nbsp;</TD></TR>
  <TR>
    <TD class=3Dtext1 align=3Dmiddle colSpan=3D2><INPUT =
onclick=3DManualSubmit(this.form); type=3Dbutton value=3D"Submit Form" =
name=3DbtnSend>=20
      &nbsp;&nbsp;&nbsp; <INPUT type=3Dreset value=3DReset name=3Dreset> =

</TD></TR></TBODY></TABLE></FORM></DIV></BODY></HTML>

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