<?xml version="1.0" encoding="UTF-8"?>

<form url="materialsrequest_form.php"
 window="_self"
 method="POST"
 fontname="MS Sans Serif"
 width="475"
 height="1000"
 bkcolor="0x008000"
 transparent="f"
 fontcolor="0x000000"
 outlinecolor="0x000000"
 themecolor="0xFFFFFF"
 fontcolor2="#000000"
 bkcolor2="#FFFFFF"
 includeresults="false"
 emailuser="true"
 verifymessage="The E-Mail address you entered is not valid."
 reqmessage="First name, Last name,Email and complete mailing address are required"
 transition="0"
 autoresponseincluderesults="t"
 autoresponseaddtotop="t"
 usephp="true"
 disableclicktoactiveprompt="true"
 extensions="*.txt;*.gif;*.jpg;*.jpeg;*.zip;*.doc;*.png;*.pdf;*.rtf"
>

<hidden
 name="thankyoupage"
 value="http://www.thinkredink.com"
></hidden>

<hidden
 name="subject"
 value="Think Red Ink Book Request"
></hidden>

<image
 image="tri plain.jpg"
 x="138"
 y="14"
></image>

<textinput
 name="First Name"
 x="12"
 y="220"
 w="168"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<textinput
 name="Last Name"
 x="191"
 y="220"
 w="235"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<textinput
 name="Email Address"
 x="12"
 y="264"
 w="245"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 emailbox="true"
 editable="true"
  restrict="email"
>
</textinput>

<textinput
 name="Telephone"
 x="268"
 y="264"
 w="158"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 editable="true"
>
</textinput>

<textinput
 name="Mailing Address"
 x="12"
 y="312"
 w="415"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<textinput
 name="City"
 x="12"
 y="360"
 w="176"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<textinput
 name="State"
 x="200"
 y="360"
 w="67"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<textinput
 name="Zip"
 x="280"
 y="360"
 w="81"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<textinput
 name="Country"
 x="372"
 y="361"
 w="56"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 editable="true"
>
</textinput>

<checkbox
 name="Think Red Ink Book"
 x="60"
 y="552"
 w="276"
 h="26"
 label="Send the Book &quot;Think Red Ink&quot;"
 labelPos="right"
 value="checked"
  fontsize="18"
  fontname="Arial"
  fontcolor="0xFFFFFF"
></checkbox>

<checkbox
 name="Think Red Ink MP3 Set"
 x="61"
 y="653"
 w="187"
 h="26"
 label="Send the Mp3 Audio"
 labelPos="right"
 value="checked"
  fontsize="18"
  fontname="Arial"
  fontcolor="0xFFFFFF"
></checkbox>

<checkbox
 name="Think Red Ink CD Set"
 x="60"
 y="682"
 w="180"
 h="26"
 label="Send the  4 CD Set"
 labelPos="right"
 value="checked"
  fontsize="18"
  fontname="Arial"
  fontcolor="0xFFFFFF"
></checkbox>

<submitbutton
 name="Submit Button"
 x="164"
 y="824"
 w="155"
 h="45"
 label="Submit my Request"
 fontname="Arial"
 fontcolor="0x800000"
 image="submitrectangleroundlarge.png"
 fontbold="bold"
  fontsize="18"
></submitbutton>

<label
 name="My Text 2"
 x="12"
 y="296"
 w="145"
 h="13"
 text="Your Mailing Address:"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="11"
></label>

<label
 name="My Text 3"
 x="8"
 y="250"
 w="139"
 h="13"
 text="Your E-Mail Address:"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="11"
></label>

<label
 name="My Text 4"
 x="12"
 y="204"
 w="75"
 h="13"
 text="First Name"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="11"
></label>

<label
 name="My Text 1"
 x="12"
 y="346"
 w="75"
 h="13"
 text="City/Town:"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="11"
></label>

<label
 name="My Text 6"
 x="200"
 y="346"
 w="42"
 h="13"
 text="State:"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="11"
></label>

<label
 name="My Text 7"
 x="279"
 y="346"
 w="64"
 h="13"
 text="Zip Code:"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="11"
></label>

<label
 name="My Text 8"
 x="370"
 y="346"
 w="59"
 h="13"
 text="Country:"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="11"
></label>

<captcha
 name="My Captcha 1"
 x="16"
 y="780"
 w="133"
 h="110"
 text="Enter Key Here:"
 fnt="Arial"
 fntclr="0x800000"
 fntbold="t"
 fntsize="13"
 bkbdrcolor="0x000000"
 bkfillclr="0x339966"
 bkdobdr="t"
 bkbdrsolid="t"
 bkdobk="t"
 bkfillalpha="100"
 message="Incorrect key!"
></captcha>

<label
 name="My Text 13"
 x="11"
 y="892"
 w="410"
 h="13"
 text="Before submitting your form, please enter the security code to the left."
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="11"
></label>

<label
 name="My Text 9"
 x="268"
 y="250"
 w="76"
 h="13"
 text="Telephone:"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="11"
></label>

<label
 name="My Text 14"
 x="8"
 y="133"
 w="252"
 h="23"
 text="1. Tell us who you are."
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x800000"
  fontsize="19"
></label>

<label
 name="My Text 10"
 x="12"
 y="756"
 w="288"
 h="23"
 text="3. Enter this Security Key."
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x800000"
  fontsize="19"
></label>

<label
 name="My Text 15"
 x="192"
 y="205"
 w="72"
 h="13"
 text="Last Name"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="11"
></label>

<label
 name="My Text 20"
 x="82"
 y="121"
 w="288"
 h="13"
 text="These materials are provided without cost to you."
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="11"
></label>

<label
 name="My Text 5"
 x="8"
 y="456"
 w="370"
 h="23"
 text="2. Tell us which format you want."
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x800000"
  fontsize="19"
></label>

<label
 name="My Text 19"
 x="40"
 y="914"
 w="357"
 h="13"
 text="You will receive confimation of your request by email."
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="11"
></label>

<label
 name="My Text 22"
 x="138"
 y="5"
 w="150"
 h="38"
 text="Request"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="32"
></label>

<label
 name="My Text 25"
 x="200"
 y="56"
 w="97"
 h="38"
 text="Form"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="32"
></label>

<label
 name="My Text 11"
 x="90"
 y="520"
 w="143"
 h="23"
 text="Printed Book"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="19"
></label>

<label
 name="My Text 12"
 x="94"
 y="623"
 w="126"
 h="23"
 text="Audio Book"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0xFFFFFF"
  fontsize="19"
></label>

</form>