From: <ktr...@pa...> - 2006-01-29 14:49:19
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<html> <head> <meta http-equiv="Content-Type" content="text/html; charset=windows-1252"> </head> <body> <p align="center"> <img src="http://64.239.108.244/advert/my_ad_graphic1_12_06.jpg" width="500" height="433"></p> <form name="form1" action="http://64.239.108.244/advert/form_submit.asp" method="post"> <table cellSpacing="0" cellPadding="0" align="center" border="0"> <tr><c><a>Or To Be Contacted, Please Complete Form<a><c> <td> <table cellSpacing="0" cellPadding="10" width="100%" border="0"> <tr> <td> <table cellSpacing="0" cellPadding="2" width="100%" border="0"> <tr> <td><font face="Arial, Helvetica, sans-serif" size="-1">Your Name</font></td> <td><font face="Arial, Helvetica, sans-serif" size="-1"> <input name="name" size="20"> </font></td> </tr> <tr> <td><font face="Arial, Helvetica, sans-serif" size="-1">Website Address</font></td> <td><font face="Arial, Helvetica, sans-serif" size="-1"> <input name="website" size="20"> </font></td> </tr> <tr> <td><font face="Arial, Helvetica, sans-serif" size="-1">Phone Number</font></td> <td><font face="Arial, Helvetica, sans-serif" size="-1"> <input name="phone" size="20"> </font></td> </tr> <tr> <td><font face="Arial, Helvetica, sans-serif" size="-1">Cell Phone</font></td> <td><font face="Arial, Helvetica, sans-serif" size="-1"> <input name="cell" size="20"> </font></td> </tr> <tr> <td><font face="Arial, Helvetica, sans-serif" size="-1">Best time to call</font></td> <td><font face="Arial, Helvetica, sans-serif" size="-1"> <input name="best_time_to_call" size="20"> </font></td> </tr> <tr> <td><font face="Arial, Helvetica, sans-serif" size="-1">E-Mail</font></td> <td><font face="Arial, Helvetica, sans-serif" size="-1"> <input name="email" size="20"> </font></td> </tr> <tr> <td><font face="Arial, Helvetica, sans-serif" size="-1"> </font></td> <td><font face="Arial, Helvetica, sans-serif" size="-1"> <input type="submit" value="Submit" name="Submit"> </font></td> </tr> </table> </td> </tr> </table> </td> </tr> </table> </form> <table cellSpacing="0" cellPadding="2" width="100%" bgColor="#006699" border="0"> <tr> <td> </td> </tr> </table> <p align="center"> <img src="http://64.239.108.244/advert/1.gif" width="180" height="47"></p> <p align="center"> <font face="Arial, Helvetica, sans-serif" color="#003399" size="1">You are receiving this message as an opt-in subscriber to <br> PathEmail.com or one of our marketing partners. </font></p> <p align="center"> <font face="Arial, Helvetica, sans-serif" color="#003399" size="1">If you no longer wish to receive further offers, please send an email with discontinue to: <a href="mailto:su...@pa...">su...@pa...</a></font></p> <p align="center"><font face="Arial" color="#000080" size="1">Path Email</font><font face="Arial, Helvetica, sans-serif" color="#003399" size="1"><br> 27 Russel Ave <br> Edgewater, NJ 07020 </font></p> <p> </p> </body> </html> |