Title 51

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" width=200 BGCOLOR="#006633" TEXT="#F7F7FF" background="0910bdc2ddvuru.jpg"> <div> <B>0909 Intro</B></div> <bR> <bR> <div> <B>What we offer</B></div> <div> <B>Our Rules</B></div> <bR> <bR> <div> <B>Gay story lists</B></div> <div> <B>Ready made gay ads</B></div> <div> <B>Str8 story lists</B></div> <div> <B>Ready made str8 ads</B></div> <bR> <bR> <div> <B>Obligatory Notice</B></div> <bR> </td> <td valign="top" BGCOLOR="#FFFFFF" TEXT="#080000" bgproperties="fixed" background="052c6be3.jpg"> <div>     </div> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <html> <head> <title>Simple form</title> <link rel="stylesheet" type="text/css" href="/css/phpformmail.css"> </head> <body> <h1>Simple form</h1> <form action="http://www2.ups.edu/php/formmail.php" method="post" name="simpleform" id="simpleform"> <table border="0" cellspacing="4" cellpadding="4" width="640" summary="table for layout only"> <tr><td align="right" width="250">Your name:</td> <td><input type="text" name="realname"></td></tr> <tr> <td align="right" width="250">Email address: (required)</td> <td><input type="text" name="email" size="35"> </td> </tr> <tr> <td align="right" width="250">Please enter your brief thoughts (required): </td> <td> <input type="text" name="my_thoughts" size="60"> </td> </tr> <tr> <td align="right" width="250" valign="top">I prefer to: </td> <td> <input type="radio" name="prefer" value="work_a_lot">work as many hours as possible<br> <input type="radio" name="prefer" value="law_and_order">watch <strong>Law & Order</strong> reruns on TNT<br> <input type="radio" name="prefer" value="mariners_games">Go to Mariners games<br> <input type="radio" name="prefer" value="mariners_games_boo_hoo">Go to Mariners games and cry </td> </tr> <tr> <td align="right" width="250" valign="top">I confim: </td> <td> <input type="checkbox" name="radiostations[]" value="rules"> I have read and accept the rules<br> <input type="checkbox" name="radiostations[]" value="notban"> I have not been banned by ICSTIS / PhonePay Plus from operating PRS lines<br> <input type="checkbox" name="radiostations[]" value="cash"> I understand that payments of less than £50 are heldover until they total £50 or more<br> <input type="checkbox" name="radiostations[]" value="tax"> I understand it is MY responsibility to declare tax / vat / other taxes that may apply from my own income<br> </td> </tr> <tr> <td align="right" width="250" valign="top">My happiness quotient: </td> <td> <select name="happiness_quotient[]"> <option value="100%">100%</option> <option value="75%">75%</option> <option value="50%">50%</option> <option value="25%">25%</option> </select> <input type="hidden" name="recipient" value="exmark@lineisp.com"> <input type="hidden" name="subject" value="GlobalPrs fom form"> <input type="hidden" name="required" value="email,my_thoughts"> <input type="hidden" name="email_regex" value="^[A-Z0-9._%-]+@[A-Z0-9._%-]+\.[A-Z]{2,4}$"> <input type="hidden" name="return_link_url" value="/web/content/phpformmail.shtml"> <input type="hidden" name="return_link_title" value="Back to form article"> <input type="hidden" name="title" value="Simple form results"> <input type="hidden" name="css" value="/css/phpformmail.css"> <p><input type="submit" value="Submit Form" alt="submit form"></p> </td> </tr> </table> </form> </body> </html> <bR> </td> </tr></table></body>