tag:blogger.com,1999:blog-56349173565327768952011-07-08T03:16:06.411-07:00Tango Competitionhttp://www.blogger.com/profile/07009266128549492494noreply@blogger.comBlogger11100tag:blogger.com,1999:blog-5634917356532776895.post-77687497326542430462009-12-17T10:12:00.001-08:002009-12-17T10:13:44.868-08:00<form method="post" action="http://www.emailmeform.com/fid.php?formid=516974" enctype="multipart/form-data" accept-charset="UTF-8"><table cellpadding="2" cellspacing="0" border="0" bgcolor="#000000"><tr><td><font face="Verdana" size="2" color="#FFFFFF">PLEASE ENTER THE NUMBER OF TICKETS YOU WOULD LIKE FOR EACH EVENT (each event is listed with its code)</font> <div style="" id="mainmsg"> </div></td></tr></table><br><table cellpadding="2" cellspacing="0" border="0" bgcolor="#000000"><tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#FFFFFF">Full Name</font></td> <td><input type="text" name="FieldData0" size="30"> </td></tr><tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#FFFFFF">Email Address</font></td> <td><input type="text" name="FieldData1" size="30"> </td></tr><tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#FFFFFF">Telephone</font></td> <td><input type="text" name="FieldData2" size="30"> </td></tr><tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#FFFFFF">Code 01</font></td> <td><input type="text" name="FieldData3" size="5"> </td></tr><tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#FFFFFF">Code 02</font></td> <td><input type="text" name="FieldData4" size="5"> </td></tr><tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#FFFFFF">Code 03</font></td> <td><input type="text" name="FieldData5" size="5"> </td></tr><tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#FFFFFF">Code 04</font></td> <td><input type="text" name="FieldData6" size="5"> </td></tr><tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#FFFFFF">Code 05</font></td> <td><input type="text" name="FieldData7" size="5"> </td></tr><tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#FFFFFF">Code 06</font></td> <td><input type="text" name="FieldData8" size="5"> </td></tr><tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#FFFFFF">Code W-I</font></td> <td><input type="text" name="FieldData9" size="5"> </td></tr><tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#FFFFFF">Code W-II</font></td> <td><input type="text" name="FieldData10" size="5"> </td></tr><tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#FFFFFF">Code W-III</font></td> <td><input type="text" name="FieldData11" size="5"> </td></tr><tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#FFFFFF">Code W-IV</font></td> <td><input type="text" name="FieldData12" size="5"> </td></tr><tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#FFFFFF">Code M-P</font></td> <td><input type="text" name="FieldData13" size="5"> </td></tr><tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#FFFFFF">Code W-P</font></td> <td><input type="text" name="FieldData14" size="5"> </td></tr><tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#FFFFFF">Code C-P</font></td> <td><input type="text" name="FieldData15" size="5"> </td></tr><tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#FFFFFF">Code V.I.P.</font></td> <td><input type="text" name="FieldData16" size="5"> </td></tr><tr valign="top"> <td nowrap><font face="Verdana" size="2" color="#FFFFFF">Are you a leader/s, follower/s or couple/s</font></td> <td><input type="text" name="FieldData17" size="30"> </td></tr><tr> <td colspan="2"><table cellpadding=5 cellspacing=0 bgcolor="#E4F8E4" width="100%"><tr bgcolor="#AAD6AA"><td class="label" colspan="2"><font color="#FFFFFF" face="Verdana" size="2"><b>Image Verification</b></font></td></tr><tr><td class="captcha" style="padding: 2px;" width="10"><img src="http://www.emailmeform.com/turing.php" id="captcha" alt="captcha"></td><td class="field" valign="top"><div><font color="#000000">Please enter the text from the image</font>:<br><input type="text" name="Turing" value="" maxlength="100" size="10"> [ <a href="#" onclick=" document.getElementById('captcha').src = document.getElementById('captcha').src + '?' + (new Date()).getMilliseconds()">Refresh Image</a> ] [ <a href="http://www.emailmeform.com/?v=turing&pt=popup" onClick="window.open('http://www.emailmeform.com/?v=turing&pt=popup','_blank','width=400, height=500, left=' + (screen.width-450) + ', top=100');return false;">What's This?</a> ]</div></td></tr></table></td></tr><tr> <td> </td> <td align="right"><input type="text" name="hida2" value="" maxlength="100" size="3" style="display : none;"><input type="submit" class="btn" value="Send bookings" name="Submit"> <input type="reset" class="btn" value=" Clear " name="Clear"></td></tr><tr><td colspan=2 align="center"><br></td></tr></table></form><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/5634917356532776895-7768749732654243046?l=tangocompetition-tickets.blogspot.com' alt='' /></div>Tango Competitionhttp://www.blogger.com/profile/07009266128549492494noreply@blogger.com0