Information Form

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border-top:1px solid #393939; clear:both; display:none; width:100%!important; position:relative; z-index:999999!important; height:90px!important"> <div class="adCenterClass" style="display:block!important; overflow:hidden; width:916px;"> <div id="footerAd_container" style="display:block!important; float:left; width:728px"> <iframe id="lycosFooterAdiFrame" style="border:0; display:block; float:left; height:96px; overflow:hidden; padding:0; width:750px"></iframe> </div> </div> </div> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" width=14% BGCOLOR="#BF0000" TEXT="#F7F7FF"> <div> <B>WHS '74 </b></div> <div> <A HREF="index.htm" TARGET="_top" TITLE="WHS 74"><U>Home</U></A></div> <div> <A HREF="id17.htm" TARGET="_top" TITLE="Reunion Attendees"><U>Reunion Attendees</U></A></div> <div> <A HREF="id18.htm" TARGET="_top" TITLE="25th Reunion Pictures"><U>25th Reunion Pictures</U></A></div> <div> <A HREF="id19.htm" TARGET="_top" TITLE="Email Addresses"><U>E-mail Addresses</U></A></div> <div> <A HREF="id54.htm" TARGET="_top" TITLE="30th Reunion Pictures "><U>30th Reunion Pictures </U></A></div> <div> <A HREF="id20.htm" TARGET="_top" TITLE="Missing Classmates"><U>Missing Classmates</U></A></div> <div> <A HREF="id21.htm" TARGET="_top" TITLE="Committee Members"><U>Committee Members</U></A></div> <div> <B>Information Form</b></div> <div> <A HREF="id23.htm" TARGET="_top" TITLE="Class History"><U>Class History</U></A></div> <div> <A HREF="id24.htm" TARGET="_top" TITLE="Class Will"><U>Class Will</U></A></div> <div> <A HREF="id50.htm" TARGET="_top" TITLE="Classmate Links"><U>Classmate Links</U></A></div> <div> <A HREF="id26.htm" TARGET="_top" TITLE="Guest book"><U>Guest book</U></A></div> <div> <A HREF="id51.htm" TARGET="_top" TITLE="WHS Behind The Scenes"><U>WHS Behind The Scenes</U></A></div> </td> <td valign="top" BGCOLOR="#00FFFF" TEXT="#080000" bgproperties="fixed" background="0418dfc3.jpg"> <bR> <div>  <form action="http://formmail.trellix.com/servlets/TlxMailer" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="FirstName,LastName,Email,Address1,Address2,City,State,Zip,Phone,Comments,Attend"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="The WHS Class of '74 Reunion Committee thanks you for your response."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A request form was submitted"><input type="hidden" name="tlx_EmailTo" value="brecer@netscape.net"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">First Name:<br> <input type="text" name="FirstName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Last Name:<br> <input type="text" name="LastName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Email:<br> <input type="text" name="Email" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address Line 1:<br> <input type="text" name="Address1" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address Line 2:<br> <input type="text" name="Address2" size="30" maxlength="100"></td> </tr> <tr> <td align="left">City:<br> <input type="text" name="City" size="30" maxlength="100"></td> </tr> <tr> <td align="left">State:<br> <input type="text" name="State" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Zip:<br> <input type="text" name="Zip" size="10" maxlength="10"></td> </tr> <tr> <td align="left">Phone Number:<br> <input type="text" name="Phone" size="14" maxlength="14"></td> </tr> <tr> <td align="left">Please enter comments, suggestions, ideas here::<br> <textarea name="Comments" rows="5" cols="30"></textarea></td> </tr> <tr> <td align="left">Do you plan to attend the 30th Reunion? (You have plenty of time to decide):<br> <input type="text" name="Attend" size="30" maxlength="100"></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> </td> </tr></table></body>