File: D:/web/homefly/forms.html
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<TITLE>SafeFood</TITLE>
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<BODY TEXT="#FFFFFF" BGCOLOR="#000000" BACKGROUND="4_b.jpg">
<P><FORM ACTION="http://oak.he.net/cgi-bin/suid/~swoit/FormMail.cgi" METHOD=POST>
<CENTER><FONT SIZE="+4" FACE="Helvetica" COLOR="#FFFFFF"><B>Steve
Woit Photography<BR>
</B></FONT><FONT SIZE="+3" FACE="Helvetica" COLOR="#FFFFFF"><B>Minneapolis,
MN 612/822-8619 </B></FONT> </CENTER>
<BLOCKQUOTE><BLOCKQUOTE><CENTER><FONT SIZE="+2" FACE="Helvetica">If
you would like additional informtation please submit the
following. Thank you.</FONT><FONT FACE="Helvetica"><TABLE BORDER=0 CELLSPACING=0 CELLPADDING=0 WIDTH=271 HEIGHT=56>
<TR>
<TD WIDTH=86>
<CENTER><FONT FACE="Helvetica">Title:</FONT></CENTER>
</TD>
<TD WIDTH=224>
<P><FONT FACE="Helvetica"><INPUT TYPE=text NAME=titlename VALUE="" SIZE=30></FONT></P>
</TD>
</TR>
<TR>
<TD VALIGN=top WIDTH=86 HEIGHT=15>
<CENTER><FONT FACE="Helvetica">First
Name:</FONT></CENTER>
</TD>
<TD WIDTH=224 HEIGHT=15>
<P><FONT FACE="Helvetica"><INPUT TYPE=text NAME=1stname VALUE="" SIZE=30></FONT></P>
</TD>
</TR>
<TR>
<TD VALIGN=top WIDTH=86 HEIGHT=7>
<CENTER><FONT FACE="Helvetica">Last
Name:</FONT></CENTER>
</TD>
<TD WIDTH=224 HEIGHT=7>
<P><FONT FACE="Helvetica"><INPUT TYPE=text NAME=lsname VALUE="" SIZE=30></FONT></P>
</TD>
</TR>
<TR>
<TD WIDTH=86 HEIGHT=23>
<CENTER><FONT FACE="Helvetica">Address:</FONT></CENTER>
</TD>
<TD VALIGN=top WIDTH=224 HEIGHT=23>
<P><FONT FACE="Helvetica"><INPUT TYPE=text NAME=coname VALUE="" SIZE=30></FONT></P>
</TD>
</TR>
<TR>
<TD WIDTH=86>
<CENTER><FONT FACE="Helvetica">Address:</FONT></CENTER>
</TD>
<TD WIDTH=224>
<P><FONT FACE="Helvetica"><INPUT TYPE=text NAME=address1 VALUE="" SIZE=30></FONT></P>
</TD>
</TR>
<TR>
<TD WIDTH=86>
<CENTER><FONT FACE="Helvetica">City:</FONT></CENTER>
</TD>
<TD WIDTH=224>
<P><FONT FACE="Helvetica"><INPUT TYPE=text NAME=address2 VALUE="" SIZE=30></FONT></P>
</TD>
</TR>
<TR>
<TD WIDTH=86>
<CENTER><FONT FACE="Helvetica">State:</FONT></CENTER>
</TD>
<TD WIDTH=224>
<P><FONT FACE="Helvetica"><SELECT NAME=state>
<OPTION>AL
<OPTION>AK
<OPTION>AZ
<OPTION>AR
<OPTION>CA
<OPTION>CO
<OPTION>CT
<OPTION>DE
<OPTION>DC
<OPTION>FL
<OPTION>GA
<OPTION>HI
<OPTION>ID
<OPTION>IL
<OPTION>IN
<OPTION>IA
<OPTION>KS
<OPTION>KY
<OPTION>LA
<OPTION>ME
<OPTION>MD
<OPTION>MA
<OPTION>MI
<OPTION>MN
<OPTION>MS
<OPTION>MO
<OPTION>MT
<OPTION>NE
<OPTION>NV
<OPTION>NH
<OPTION>NJ
<OPTION>NM
<OPTION>NY
<OPTION>NC
<OPTION>ND
<OPTION>OH
<OPTION>OK
<OPTION>OR
<OPTION>PA
<OPTION>PR
<OPTION>RI
<OPTION>SC
<OPTION>SD
<OPTION>TN
<OPTION>TX
<OPTION>UT
<OPTION>VT
<OPTION>VA
<OPTION>WA
<OPTION>WV
<OPTION>WI
<OPTION>WY
</SELECT></FONT></P>
</TD>
</TR>
<TR>
<TD WIDTH=86>
<CENTER><FONT FACE="Helvetica">Zip:</FONT></CENTER>
</TD>
<TD WIDTH=224>
<P><FONT FACE="Helvetica"><INPUT TYPE=text NAME=zip VALUE="" SIZE=10>Country<INPUT TYPE=text NAME=country VALUE="" SIZE=12></FONT></P>
</TD>
</TR>
<TR>
<TD WIDTH=86>
<CENTER><FONT FACE="Helvetica">Voice
Phone:</FONT></CENTER>
</TD>
<TD WIDTH=224>
<P><FONT FACE="Helvetica"><INPUT TYPE=text NAME=phone VALUE="" SIZE=17></FONT></P>
</TD>
</TR>
<TR>
<TD WIDTH=86>
<CENTER><FONT FACE="Helvetica">email:</FONT></CENTER>
</TD>
<TD WIDTH=224>
<P><FONT FACE="Helvetica"><INPUT TYPE=text NAME=email VALUE="" SIZE=30></FONT></P>
</TD>
</TR>
</TABLE>
</FONT>
<P><FONT SIZE="+1" FACE="Helvetica"><B>Additional
Comments</B></FONT><TEXTAREA NAME=name ROWS=4 COLS=80 WRAP=virtual></TEXTAREA></P></CENTER></BLOCKQUOTE></BLOCKQUOTE>
<CENTER><FONT SIZE="+2"><INPUT TYPE=hidden NAME=recipient VALUE="billruff@mediaone.net"></FONT>
<P><INPUT TYPE=reset VALUE="Reset"><INPUT TYPE=submit NAME=Submit VALUE="Submit"></P>
<P><TABLE BORDER=0 WIDTH="74%">
<TR>
<TD WIDTH=483>
<P></P>
</TD>
</TR>
<TR>
<TD WIDTH=483>
<P></P>
</TD>
</TR>
<TR>
<TD WIDTH=483>
<CENTER>
<P></P></CENTER>
</TD>
</TR>
</TABLE>
</CENTER>
</FORM><p></P>
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