Olive Branch MS Chamber of Commerce (circa Oct 1999)
You can not select more than 25 topics Topics must start with a letter or number, can include dashes ('-') and can be up to 35 characters long.
This repo is archived. You can view files and clone it, but cannot push or open issues/pull-requests.

113 lines
4.9 KiB

  1. <html>
  2. <head>
  3. <title>Local Chamber Site</title>
  4. <link rel=stylesheet href=/styles/basic.css type=text/css>
  5. </head>
  6. <body>
  7. <table border=0>
  8. <TR>
  9. <TD valign="top" width="98%">
  10. <P align="center"><FONT face="Arial"><SMALL><BR></SMALL><EM><BIG>Request For More Information</BIG></EM></FONT></P>
  11. <FORM method="POST" action="_vti_bin/shtml.dll/req.htm" webbot-action="--WEBBOT-SELF--">
  12. <INPUT TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><DIV align="center">
  13. <CENTER>
  14. <TABLE border="0" width="80%">
  15. <TR>
  16. <TD colspan="3" valign="top">
  17. <SMALL><FONT face="Arial">I have looked at the Chamber's website but I need more information. I need more information on:</FONT></SMALL>
  18. </TD>
  19. </TR>
  20. <TR>
  21. <TD valign="top">
  22. <STRONG><FONT face="Arial"><SMALL><BR>Visiting or Moving to your area</SMALL><BR></FONT></STRONG>
  23. <P>
  24. <SMALL><FONT face="Arial">
  25. <INPUT type="checkbox" name="MovingArea" value="Need Printed Map">I need a printed map of the area.<BR>
  26. <INPUT type="checkbox" name="MovingArea" value="Need Newcomers Guide">I need a printed Newcomer's Guide for the area
  27. </FONT></SMALL>
  28. </TD>
  29. <TD valign="top"></TD>
  30. <TD valign="top">
  31. <STRONG><SMALL><FONT face="Arial">
  32. <BR>Starting a Business or Moving a Business to your area</FONT></SMALL></STRONG>
  33. <P><SMALL><FONT face="Arial">
  34. <INPUT type="checkbox" name="StartingBusiness" value="Need Site And Building Info">
  35. I need more information about sites and buildings.<BR>
  36. <INPUT type="checkbox" name="StartingBusiness" value="Need Personal Contact">
  37. I need someone to contact me for specific answers to my questions.
  38. </FONT></SMALL></STRONG>
  39. </TD>
  40. </TR>
  41. <TR>
  42. <TD valign="top"></TD>
  43. <TD valign="top"></TD>
  44. <TD valign="top"></TD>
  45. </TR>
  46. </TABLE>
  47. <TABLE border="0" width="80%">
  48. <TR>
  49. <TD align="right">
  50. <STRONG><SMALL><FONT face="Arial"><BR>Name</FONT></SMALL></STRONG>
  51. </TD>
  52. <TD>
  53. <SMALL><FONT face="Arial">
  54. <BR><INPUT type="text" name="Name" size="30">
  55. </FONT></SMALL>
  56. </TD>
  57. </TR>
  58. <TR>
  59. <TD align="right"><STRONG><SMALL><FONT face="Arial">Title</FONT></SMALL></STRONG></TD>
  60. <TD><SMALL><FONT face="Arial"><INPUT type="text" name="Title" size="30"></FONT></SMALL></TD>
  61. </TR>
  62. <TR>
  63. <TD align="right"><STRONG><SMALL><FONT face="Arial">Company</FONT></SMALL></STRONG></TD>
  64. <TD><SMALL><FONT face="Arial"><INPUT type="text" name="Company" size="30"></FONT></SMALL></TD>
  65. </TR>
  66. <TR>
  67. <TD align="right"><STRONG><SMALL><FONT face="Arial">Address</FONT></SMALL></STRONG></TD>
  68. <TD><SMALL><FONT face="Arial"><INPUT type="text" name="Address" size="30"></FONT></SMALL></TD>
  69. </TR>
  70. <TR>
  71. <TD align="right"><STRONG><SMALL><FONT face="Arial">City</FONT></SMALL></STRONG></TD>
  72. <TD><SMALL><FONT face="Arial"><INPUT type="text" name="City" size="20"></FONT></SMALL></TD>
  73. </TR>
  74. <TR>
  75. <TD align="right"><STRONG><SMALL><FONT face="Arial">State</FONT></SMALL></STRONG></TD>
  76. <TD><SMALL><FONT face="Arial"><INPUT type="text" name="State" size="20"></FONT></SMALL></TD>
  77. </TR>
  78. <TR>
  79. <TD align="right"><STRONG><SMALL><FONT face="Arial">Zip</FONT></SMALL></STRONG></TD>
  80. <TD><SMALL><FONT face="Arial"><INPUT type="text" name="Zip" size="15"></FONT></SMALL></TD>
  81. </TR>
  82. <TR>
  83. <TD align="right"><STRONG><SMALL><FONT face="Arial">Phone</FONT></SMALL></STRONG></TD>
  84. <TD><SMALL><FONT face="Arial"><INPUT type="text" name="Phone" size="15"></FONT></SMALL></TD>
  85. </TR>
  86. <TR>
  87. <TD align="right"><STRONG><SMALL><FONT face="Arial">Fax</FONT></SMALL></STRONG></TD>
  88. <TD><SMALL><FONT face="Arial"><INPUT type="text" name="Fax" size="15"></FONT></SMALL></TD>
  89. </TR>
  90. <TR>
  91. <TD align="right"><STRONG><SMALL><FONT face="Arial">Email Address</FONT></SMALL></STRONG></TD>
  92. <TD><SMALL><FONT face="Arial"><INPUT type="text" name="EmailAddress" size="20"></FONT></SMALL></TD>
  93. </TR>
  94. <TR>
  95. <TD align="right"></TD>
  96. <TD></TD>
  97. </TR>
  98. <TR>
  99. <TD valign="top" align="right"></TD>
  100. <TD valign="top">
  101. <SMALL><FONT face="Arial">
  102. <INPUT type="submit" value="Submit" name="B1"> <INPUT type="reset" value="Reset" name="B2"><BR><BR>
  103. </FONT></SMALL>
  104. </TD>
  105. </TR>
  106. </TABLE>
  107. </CENTER>
  108. </FORM>
  109. </td>
  110. </tr>
  111. </table>
  112. </body>
  113. </html>