<?xml version="1.0" encoding="UTF-8"?>

<form url="contact-form.php"
 window="_self"
 method="POST"
 fontname="MS Sans Serif"
 width="385"
 height="720"
 bkcolor="0xEAE0C7"
 transparent="f"
 fontcolor="0x000000"
 outlinecolor="0x000000"
 themecolor="0xFFFF99"
 fontcolor2="#000000"
 bkcolor2="#FFFFFF"
 includeresults="false"
 emailuser="true"
 bcc=""
 cc=""
 reqmessage="One or More Fields are Required"
 transition="0"
 autoresponseincluderesults="f"
 autoresponseaddtotop="f"
 usephp="true"
 disableclicktoactiveprompt="true"
 extensions="*.txt;*.gif;*.jpg;*.jpeg;*.zip;*.doc;*.png;*.pdf;*.rtf"
>

<hidden
 name="thankyoupage"
 value="http://www.sa1969.com"
></hidden>

<hidden
 name="subject"
 value="Request for General Info"
></hidden>

<textinput
 name="Name"
 x="16"
 y="60"
 w="277"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<textinput
 name="Last Name"
 x="16"
 y="104"
 w="276"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<textinput
 name="E-Mail"
 x="16"
 y="152"
 w="278"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 emailbox="true"
  restrict="email"
>
</textinput>

<textarea
 name="Mailing Address"
 x="16"
 y="200"
 w="279"
 h="24"
 initvalue=""
 wordwrap="true"
 required="true"
 bkcolor="0xFFFFFF"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></textarea>

<textinput
 name="City"
 x="16"
 y="248"
 w="279"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<combobox
 name="State"
 x="16"
 y="296"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 isemail="false"
 w="277"
 h="20">
  <item name="Select One:"></item>
  <item name="District of Columbia"></item>
  <item name="Alabama"></item>
  <item name="Alaska"></item>
  <item name="Arizona"></item>
  <item name="Arkansas"></item>
  <item name="California"></item>
  <item name="Colorado"></item>
  <item name="Connecticut"></item>
  <item name="Delaware"></item>
  <item name="Florida"></item>
  <item name="Georgia"></item>
  <item name="Hawaii"></item>
  <item name="Idaho"></item>
  <item name="Illinois"></item>
  <item name="Indiana"></item>
  <item name="Iowa"></item>
  <item name="Kansas"></item>
  <item name="Kentucky"></item>
  <item name="Louisiana"></item>
  <item name="Maine"></item>
  <item name="Maryland"></item>
  <item name="Massachusetts"></item>
  <item name="Michigan"></item>
  <item name="Minnesota"></item>
  <item name="Mississippi"></item>
  <item name="Missouri"></item>
  <item name="Montana"></item>
  <item name="Nebraska"></item>
  <item name="Nevada"></item>
  <item name="New Hampshire"></item>
  <item name="New Jersey"></item>
  <item name="New Mexico"></item>
  <item name="New York"></item>
  <item name="North Carolina"></item>
  <item name="North Dakota"></item>
  <item name="Ohio"></item>
  <item name="Oklahoma"></item>
  <item name="Oregon"></item>
  <item name="Pennsylvania"></item>
  <item name="Rhode Island"></item>
  <item name="South Carolina"></item>
  <item name="South Dakota"></item>
  <item name="Tennessee"></item>
  <item name="Texas"></item>
  <item name="Utah"></item>
  <item name="Vermont"></item>
  <item name="Virginia"></item>
  <item name="Washington"></item>
  <item name="West Virginia"></item>
  <item name="Wisconsin"></item>
  <item name="Wyoming"></item>
</combobox>

<textinput
 name="Zip Code"
 x="16"
 y="344"
 w="175"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<textinput
 name="Phone"
 x="16"
 y="388"
 w="175"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textinput
 name="Subject"
 x="16"
 y="432"
 w="279"
 h="22"
 initvalue="Request for General Information"
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textarea
 name="Question"
 x="12"
 y="476"
 w="360"
 h="138"
 initvalue=""
 wordwrap="true"
 required="true"
 bkcolor="0xFFFFFF"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></textarea>

<checkbox
 name="Add to Mailing List"
 x="12"
 y="636"
 w="318"
 h="24"
 label="Please add me to your mailing list"
 labelPos="right"
 value="checked"
 fontbold="bold"
 checked="true"
  fontsize="16"
  fontname="Georgia"
  fontcolor="0x800000"
></checkbox>

<submitbutton
 name="Submit Button"
 x="12"
 y="672"
 w="185"
 h="31"
 label="Send My Message"
 fontname="Georgia"
 fontcolor="0x800000"
 fontbold="bold"
  fontsize="16"
></submitbutton>

<label
 name="My Text 1"
 x="12"
 y="460"
 w="224"
 h="16"
 text="*Your Question or Comments:"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x800000"
  fontsize="13"
></label>

<label
 name="My Text 2"
 x="16"
 y="416"
 w="70"
 h="16"
 text="*Subject:"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x800000"
  fontsize="13"
></label>

<label
 name="My Text 3"
 x="16"
 y="136"
 w="124"
 h="16"
 text="*E-Mail Address:"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x800000"
  fontsize="13"
></label>

<label
 name="My Text 4"
 x="12"
 y="44"
 w="95"
 h="16"
 text="*First Name:"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x800000"
  fontsize="13"
></label>

<label
 name="My Text 5"
 x="16"
 y="8"
 w="111"
 h="23"
 text="Contact Us"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x633232"
  fontsize="19"
></label>

<label
 name="My Text 6"
 x="12"
 y="88"
 w="92"
 h="16"
 text="*Last Name:"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x800000"
  fontsize="13"
></label>

<label
 name="My Text 7"
 x="16"
 y="184"
 w="132"
 h="16"
 text="*Mailing Address:"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x800000"
  fontsize="13"
></label>

<label
 name="My Text 8"
 x="16"
 y="232"
 w="46"
 h="16"
 text="*City:"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x800000"
  fontsize="13"
></label>

<label
 name="My Text 9"
 x="16"
 y="280"
 w="52"
 h="16"
 text="*State:"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x800000"
  fontsize="13"
></label>

<label
 name="My Text 10"
 x="16"
 y="372"
 w="55"
 h="16"
 text="Phone:"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x800000"
  fontsize="13"
></label>

<label
 name="My Text 11"
 x="16"
 y="328"
 w="39"
 h="16"
 text="*Zip:"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x800000"
  fontsize="13"
></label>

</form>