form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=49 BGCOLOR="#000000" TEXT="#F7F7FF" bgproperties="fixed" background="61500341dvldtc.jpg"> <div> <B> </B><FONT SIZE="5" COLOR="#FFFFFF" FACE="Times New Roman" ><B>Lambert Corporation</B></FONT><B> <style type="text/css">  </style>                               </B><A HREF="http://www.lambertusa.com" TARGET="_top" TITLE="http://www.lambertusa.com"><B><IMG SRC="1853b150.png" border=0 width="59" height="21" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=135 BGCOLOR="#EEEEEE" TEXT="#080000" bgproperties="fixed" background="61187b72eesboc.jpg"> <div> <B><script Webstyle4 src="leftsidemenu.js"></script></B></div> <bR> </td> <td valign="top" height=431 width="100%" BGCOLOR="#EEEEEE" TEXT="#080000"> <div>  <style type="text/css"> input:focus { background-color: #FFFFCC } textarea:focus { background-color: #FFFFCC } </style>   <script type="text/javascript"> /*********************************************** * Disable "Enter" key in Form script- By Nurul Fadilah(nurul@REMOVETHISvolmedia.com) * This notice must stay intact for use * Visit http://www.dynamicdrive.com/ for full source code ***********************************************/ function handleEnter (field, event) { var keyCode = event.keyCode ? event.keyCode : event.which ? event.which : event.charCode; if (keyCode == 13) { var i; for (i = 0; i < field.form.elements.length; i++) if (field == field.form.elements[i]) break; i = (i + 1) % field.form.elements.length; field.form.elements[i].focus(); return false; } else return true; } </script>   <form action="/ufm2/mailit.php?cid=139" method="post" enctype="multipart/form-data" name="form1" onKeyUp="highlight(event)" onClick="highlight(event)"  </div> <div> <B>Thank you for visiting our website.</B></div> <bR> <div> <TABLE BORDER="1" CELLPADDING="4" CELLSPACING="0" WIDTH="563" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP COLSPAN=2 HEIGHT= 23 WIDTH="543"><div> <B>LAMBERT CONTACT FORM</B></div> </tD> </tR> <tR> <tD VALIGN=CENTER COLSPAN=2 BGCOLOR=#C0DCC0 HEIGHT= 66 ><NOBR><div> <B>NOTE TO LANDSCAPE CURBERS:  </B></div> <div> <FONT SIZE="2" COLOR="#000000" FACE="Verdana" ><IMG SRC="4e50a0b0.gif" border=0 width="10" height="11" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></FONT><B>  </B><A HREF="newcurb.php" TARGET="_top" TITLE="Lambert Corporation New Curber Applicat"><B>Use this form instead</B></A><B>  if </B><B>seeking information or an account with us</B></div> <div> <IMG SRC="4e50a0b0.gif" border=0 width="10" height="11" ALIGN="BOTTOM" HSPACE="0" VSPACE="0">  <FONT SIZE="2" COLOR="#990000" FACE="Arial" ><A HREF="xcontact2.htm" TARGET="_top" TITLE="_"><B>Use this form to submit an order</B></A></FONT></div> </NOBR></tD> </tR> <tR> <tD VALIGN=CENTER COLSPAN=2 BGCOLOR=#FFFF00 HEIGHT= 14 ><NOBR><div> <B><IMG SRC="79309090.gif" border=0 width="9" height="9" ALIGN="BOTTOM" HSPACE="0" VSPACE="0">   THESE ARE REQUIRED FIELDS.   This form will not process without them!</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=CENTER COLSPAN=2 HEIGHT= 33 WIDTH="543"><div> <I><B>Privacy Statement:  </B></I><I>Data you input is considered private and confidential.  We do sell or give information to any third party. Information is kept in our database only if needed for your account.</I></div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 30 WIDTH="195"><div> <B>Name:    </B><FONT SIZE="1" COLOR="#000000" FACE="Verdana" ><B><IMG SRC="79309090.gif" border=0 width="9" height="9" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></FONT></div> </tD> <tD VALIGN=CENTER WIDTH="348"><div> <FONT SIZE="2" COLOR="#000000" FACE="Arial" > <input name="name" type="text" id="name" size="20" maxlength="30" onkeypress="return handleEnter(this, event)">  </FONT><I><B>  </B></I><I><B> (REQUIRED)</B></I></div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 29 WIDTH="195"><div> <B>Company name:</B></div> </tD> <tD VALIGN=CENTER><NOBR><div>  <input name="company" type="text" id="company" size="40" maxlength="80" onkeypress="return handleEnter(this, event)">  </div> </NOBR></tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 29 WIDTH="195"><div> Franchise (or Branch): </div> </tD> <tD VALIGN=CENTER><NOBR><div>  <input name="branch" type="text" id="branch" size="20" maxlength="30" onkeypress="return handleEnter(this, event)">   <I>(or Customer/Account Code)</I></div> </NOBR></tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 29 WIDTH="195"><div> Address: </div> </tD> <tD VALIGN=CENTER><NOBR><div>  <input name="address" type="text" id="address" size="40" maxlength="60" onkeypress="return handleEnter(this, event)">  </div> </NOBR></tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 29 WIDTH="195"><div> City:</div> </tD> <tD VALIGN=CENTER><NOBR><div>  <input name="city" type="text" id="city" size="40" maxlength="40" onkeypress="return handleEnter(this, event)">  </div> </NOBR></tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 27 ><NOBR><div> State for US/Province for Canada:</div> </NOBR></tD> <tD VALIGN=CENTER WIDTH="348"><div>  <SELECT NAME="state" SIZE=1> <option selected>Florida </option> <option value="Outside USA">Outside USA </option> <option value="AL">Alabama </option> <option value="AK">Alaska </option> <option value="AR">Arkansas</option> <option value="AZ">Arizona </option> <option value="CA">California </option> <option value="CO">Colorado </option> <option value="CT">Connecticut </option> <option value="DC">Washington D C </option> <option value="DE">Delaware </option> <option value="FL">Florida </option> <option value="GA">Georgia </option> <option value="HI">Hawaii </option> <option value="IA">Iowa </option> <option value="ID">Idaho </option> <option value="IL">Illinois </option> <option value="IN">Indiana </option> <option value="KS">Kansas </option> <option value="KY">Kentucky </option> <option value="LA">Louisiana </option> <option value="MA">Massachusetts </option> <option value="MD">Maryland </option> <option value="ME">Maine </option> <option value="MI">Michigan </option> <option value="MN">Minnesota </option> <option value="MO">Missouri </option> <option value="MS">Mississippi </option> <option value="MT">Montana </option> <option value="NC">North Carolina </option> <option value="ND">North Dakota </option> <option value="NE">Nebraska </option> <option value="NH">New Hampshire </option> <option value="NJ">New Jersey </option> <option value="NM">New Mexico </option> <option value="NV">Nevada </option> <option value="NY">New York </option> <option value="OH">Ohio </option> <option value="OK">Oklahoma </option> <option value="OR">Oregon </option> <option value="PA">Pennsylvania </option> <option value="RI">Rhode Island </option> <option value="SC">South Carolina </option> <option value="SD">South Dakota </option> <option value="TN">Tennessee </option> <option value="TX">Texas </option> <option value="UT">Utah </option> <option value="VA">Virginia </option> <option value="VT">Vermont </option> <option value="WA">Washington </option> <option value="WI">Wisconsin </option> <option value="WV">West Virginia </option> <option value="WY">Wyoming </option> <option value="Alberta">Alberta </option> <option value="British Columbia">British Columbia </option> <option value="Manitoba">Manitoba </option> <option value="New Brunswick">New Brunswick </option> <option value="Newfoundland">Newfoundland </option> <option value="NW Territories">Northwest Territories </option> <option value="Nova Scotia">Nova Scotia </option> <option value="Nunavut">Nunavut </option> <option value="Ontario">Ontario </option> <option value="Prince Edward Island">Prince Edward Island </option> <option value="Quebec">Quebec </option> <option value="Yukon">Yukon </option> </SELECT>  </div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 30 WIDTH="195"><div> Country:</div> </tD> <tD VALIGN=CENTER WIDTH="348"><div>  <SELECT NAME="country" SIZE=1> <option value=USA selected>United States </option> <option value="Anguilla">Anguilla </option> <option value="Antigua-Barbuda">Antigua-Barbuda </option> <option value="Antilles, Netherlands">Antilles, Netherlands </option> <option value="Aruba">Aruba </option> <option value="Bahamas">Bahamas </option> <option value="Barbados">Barbados </option> <option value="Canada">Canada </option> <option value="Cayman Islands">Cayman Islands </option> <option value="Dominica">Dominica </option> <option value="Grenada">Grenada </option> <option value="Guadeloupe">Guadeloupe </option> <option value="Haiti">Haiti </option> <option value="Jamaica">Jamaica </option> <option value="Martinique">Martinique </option> <option value="Mexico">Mexico </option> <option value="Monserrat">Monserrat </option> <option value="Puerto Rico">Puerto Rico </option> <option value="St Barthelemy">St Barthelemy </option> <option value="St Christopher">St Christopher </option> <option value="St Croix">St Croix </option> <option value="St Eustatius">St Eustatius </option> <option value="St John">St John </option> <option value="St Kitts and Nevis">St Kitts & Nevis </option> <option value="St Lucia">St Lucia </option> <option value="St Maarten">St Maarten </option> <option value="St Martin">St Martin </option> <option value="St Thomas">St Thomas </option> <option value="St Vincent and the Grenadines">St Vincent and the Grenadines </option> <option value=Trinidad and Tobago>Trinidad & Tobago </option> <option value=Turks and Caicos Islands>Turks & Caicos Islands </option> <option value=British Virgin Islands>Virgin Islands,British </option> <option value=US Virgin Islands>Virgin Islands,US </option> <option value=Other>Other site outside USA </option> </SELECT>  </div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 30 ><NOBR><div> Country (if not on list above):</div> </NOBR></tD> <tD VALIGN=CENTER WIDTH="348"><div>  <input name="countryother" type="text" id="countryother" size="20" maxlength="30" onkeypress="return handleEnter(this, event)">  </div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 30 WIDTH="195"><div> Zip or Postal Code:</div> </tD> <tD VALIGN=CENTER WIDTH="348"><div>  <input name="zip" type="text" id="zip" size="20" maxlength="20" onkeypress="return handleEnter(this, event)">  </div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 30 WIDTH="195"><div> Phone number:</div> </tD> <tD VALIGN=CENTER><NOBR><div>  <input name="phone" type="text" id="phone" size="20" maxlength="20" onkeypress="return handleEnter(this, event)">  <I>area code first: 407-123-1234</I></div> </NOBR></tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 30 WIDTH="195"><div> Extension:</div> </tD> <tD VALIGN=CENTER WIDTH="348"><div>  <input name="ext" type="text" id="ext" size="20" maxlength="20" onkeypress="return handleEnter(this, event)">  </div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 30 WIDTH="195"><div> Fax: </div> </tD> <tD VALIGN=CENTER WIDTH="348"><div>  <input name="fax" type="text" id="fax" size="20" maxlength="20" onkeypress="return handleEnter(this, event)">  </div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 29 WIDTH="195"><div> <B>E-MAIL:    </B><FONT SIZE="1" COLOR="#000000" FACE="Verdana" ><B><IMG SRC="79309090.gif" border=0 width="9" height="9" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></FONT></div> </tD> <tD VALIGN=CENTER><NOBR><div> <FONT SIZE="2" COLOR="#000000" FACE="Arial" > <input name="email" type="text" id="email" size="30" maxlength="60" onkeypress="return handleEnter(this, event)">  </FONT><I><B>  </B></I><I><B> (REQUIRED)</B></I></div> </NOBR></tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 30 WIDTH="195"><div> Best time to call you:</div> </tD> <tD VALIGN=CENTER WIDTH="348"><div>  <input name="timetocall" type="text" id="timetocall" size="20" maxlength="30" onkeypress="return handleEnter(this, event)">  </div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 28 ><NOBR><div> <B>Type of Business/Consumer:</B></div> </NOBR></tD> <tD VALIGN=CENTER><NOBR><div>  <SELECT NAME="business" SIZE=1> <option value="Choose One" >PLEASE CHOOSE A TYPE </option> <option value="Consumer-Homeowner-Non-Commercial">Consumer - Homeowner - Non-Commercial </option> <option value="Architect-Landscape">Architect-Landscape </option> <option value="Architect-Other">Architect-Other </option> <option value="Engineer-Civil or Structural">Engineer-Civil or Structural </option> <option value="Building Material Distributor">Building Material Distributor </option> <option value="Concrete Redi-Mix Producer">Concrete Redi-Mix Producer </option> <option value="Concrete Precaster">Concrete Precaster </option> <option value="Contractor-Curbing">Contractor-Curbing </option> <option value="Contractor-Concrete Finisher">Contractor-Concrete Finisher </option> <option value="Contractor-Other">Contractor-Other </option> <option value="Designer-Other">Designer-Other </option> <option value="Government">Government </option> <option value="Library">Library </option> <option value="Manufacturer">Manufacturer </option> <option value="Vendor">Vendor </option> <option value="Other Business">Other type of Business </option> </SELECT>  </div> </NOBR></tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 30 ><NOBR><div> Curbing Contractor: <FONT SIZE="1" COLOR="#000000" FACE="arial" >(for best response)</FONT></div> </NOBR></tD> <tD VALIGN=CENTER><NOBR><div>  <select name="curbing" size="1"> <option value="--">Describe your curbing business here </option> <option value="Kwik Kerb Business System Owner">Kwik Kerb Business System Owner </option> <option value="Edgemaster equipment Owner">Edgemaster equipment Owner </option> <option value="Lil Bubba Equip">Lil Bubba equipment/method </option> <option value="Other Curbing Style">Other Curbing method </option> </select>  </div> </NOBR></tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 28 WIDTH="195"><div> <B>Subject:</B></div> </tD> <tD VALIGN=CENTER><NOBR><div>  <select name="subject" size="1"> <option value="Choose One Please">PLEASE CHOOSE A SUBJECT </option> <option value="Locate a distributor in my area">Locate a distributor in my area </option> <option value="Fax SPEC Sheet">Fax - SPEC Sheet (specify product below) </option> <option value="Fax MSDS Sheet">Fax - MSDS Sheet (specify product below) </option> <option value="Mail Integral Color Chart">Mail - Integral Color Chart </option> <option value="Mail Surface Color Chart">Mail - Surface Color Chart </option> <option value="Mail Both Color Charts">Mail - Both Color Charts </option> <option value="Mail Product Brochure">Mail - Product Brochure </option> <option value="Mail Brochure & Color Charts">Mail - Brochure & Color Charts </option> <option value="Mail/Fax Other Literature">Mail/Fax - Other Literature (describe below) </option> <option value="Product Question">Product Question </option> <option value="Technical Question">Technical Question </option> <option value="URGENT - Please Contact Me">URGENT - Please Contact Me </option> <option value="Website - Found a Bad Link">Webmaster - Found a Bad Link on Website </option> <option value="Webmaster - General Website comments">Webmaster - General Website comments </option> <option value="General Comment / Other">General Comment/Other </option> </select>  </div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 HEIGHT= 267 ><NOBR><div> <B>Comment:</B></div> <DIV ALIGN="LEFT"></DIV> <div> <B> <textarea name="message" cols="65" rows="15" wrap="VIRTUAL"></textarea>  </B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 HEIGHT= 155 ><NOBR><bR> <div> <TABLE BORDER="0" CELLPADDING="2" CELLSPACING="1" WIDTH="579" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 24 ><NOBR><div> <B>Check YES to have a Sales Representative contact you:     </B></div> </NOBR></tD> <tD VALIGN=CENTER WIDTH="98"><div>  <input type="radio" Name=Salesrep value="y"><b> YES </b>  </div> </tD> <tD VALIGN=CENTER WIDTH="94"><div>  <input type="radio" Name=Salesrep value="n" checked><b> NO</b>  </div> </tD> </tR> </TABLE></div> <bR> <div> <B>Thank you for taking the time to send us a comment.</B></div> <bR> <bR> <div>  <input name="token" value="43837a49f6383cd9850055ea505233a4" type="hidden" /><input type="submit" name="Submit" value="Submit"> <INPUT TYPE="reset"> </form>  </div> </NOBR></tD> </tR> </TABLE></div> <bR> <bR> <bR> <div> <A HREF="http://www.lambertusa.com/id11.htm" TARGET="_top" TITLE="http://www.lambertusa.com/id11.htm">Product list by Type</A> | <A HREF="http://www.lambertusa.com/resource/id19.htm" TARGET="_top" TITLE="http://www.lambertusa.com/resource/id19.">F.A.Q</A> | <A HREF="http://www.lambertusa.com/id7.htm" TARGET="_top" TITLE="http://www.lambertusa.com/id7.htm">Contact Lambert</A> | <A HREF="http://www.lambertusa.com/resource/" TARGET="_top" TITLE="http://www.lambertusa.com/resource/">Resource Center</A> | <A HREF="http://www.lambertusa.com/prosoco.htm" TARGET="_top" TITLE="http://www.lambertusa.com/prosoco.htm">Prosoco Products</A> | <A HREF="http://www.lambertusa.com/id143.htm" TARGET="_top" TITLE="http://www.lambertusa.com/id143.htm">Curbing</A> | </div> <div> ©2001-2008 Lambert Corporation - All rights reserved<FONT SIZE="2" COLOR="#000000" FACE="Arial" > .</FONT></div> <bR> </td> </tr></table></body>