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Q: Need help with FrontPage form using totals. ( Answered 5 out of 5 stars,   0 Comments )
Question  
Subject: Need help with FrontPage form using totals.
Category: Computers
Asked by: yelladog-ga
List Price: $25.00
Posted: 07 Aug 2004 07:28 PDT
Expires: 06 Sep 2004 07:28 PDT
Question ID: 384700
I need help with totaling money on a FrontPage webpage form.  I have
done them in the past where the user enters a number that indicates
the number of items a person wants.  This will total at the right and
grand total at the bottom.  On the form I'm creating now, I need to
let the user choose from a list of activities using a checkbox, which
will result in a number on the right and a grandtotal at the bottom. 
I started out using a copy of the form I've used before and tried to
alter it for this purpose, but I can't seem to make it work.  The html
follows:

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">

<html>
<head>
<meta http-equiv="Content-Language" content="en-us" />
<title>2004 Annual Meeting Registration Form</title>

<meta name="description" content="Amigos de las Américas (AMIGOS)
excels in creating opportunities for young people to volunteer and
take leadership roles in public health, education and community
development programs. High school/ college students live with a host
family and work alongside community members in Latin America, while
learning a new language and culture." />
<meta name="keywords" content="Amigos de las Americas intercultural
international Latin America community service health home improvement
projects intensive summer programs teenagers high school college
students service learning leaders youth education volunteers volunteer
opportunities overseas work work abroad non-profit NGO cross-cultural
Bolivia Brazil Costa Rica Dominican Republic Honduras Mexico Nicaragua
Paraguay Spanish Portuguese grassroots environments homestay
sustainable development short-term programs exchange CSIET
International Volunteer Programs Association IVPA National Association
of International Educators NAFSA" />

<SCRIPT LANGUAGE="JavaScript">
function popUp(url) {
sealWin=window.open(url,"win",'toolbar=0,location=0,directories=0,status=1,menubar=1,scrollbars=1,resizable=1,width=500,height=450');
self.name = "mainWin";
}
</SCRIPT>

<script language="JavaScript" type="text/javascript">
<!--
function MM_preloadImages() { //v3.0
var d=document; if(d.images){ if(!d.MM_p) d.MM_p=new Array();
var i,j=d.MM_p.length,a=MM_preloadImages.arguments; for(i=0; i<a.length; i++)
if (a[i].indexOf("#")!=0){ d.MM_p[j]=new Image; d.MM_p[j++].src=a[i];}}
}

function MM_swapImgRestore() { //v3.0
var i,x,a=document.MM_sr; for(i=0;a&&i<a.length&&(x=a[i])&&x.oSrc;i++)
x.src=x.oSrc;
}

function MM_findObj(n, d) { //v4.0
var p,i,x; if(!d) d=document; if((p=n.indexOf("?"))>0&&parent.frames.length) {
d=parent.frames[n.substring(p+1)].document; n=n.substring(0,p);}
if(!(x=d[n])&&d.all) x=d.all[n]; for (i=0;!x&&i<d.forms.length;i++)
x=d.forms[i][n];
for(i=0;!x&&d.layers&&i<d.layers.length;i++) x=MM_findObj(n,d.layers[i].document);
if(!x && document.getElementById) x=document.getElementById(n); return x;
}

function MM_swapImage() { //v3.0
var i,j=0,x,a=MM_swapImage.arguments; document.MM_sr=new Array;
for(i=0;i<(a.length-2);i+=3)
if ((x=MM_findObj(a[i]))!=null){document.MM_sr[j++]=x; if(!x.oSrc)
x.oSrc=x.src; x.src=a[i+2];}
}

var timeDelay = 4; // change delay time in seconds
var Pix = new Array
("images/sitetopleft1.jpg" 
,"images/sitetopleft2.jpg" 
,"images/sitetopleft3.jpg" 
,"images/sitetopleft4.jpg"
,"images/sitetopleft5.jpg"
,"images/sitetopleft6.jpg"
);
var howMany = Pix.length;
timeDelay *= 1000;
var PicCurrentNum = 0;
if (document.images) {
var PicCurrent = new Image();
PicCurrent.src = Pix[PicCurrentNum];
}

function startPix() {
if (document.images) {
setInterval("slideshow()", timeDelay);
}
}
function slideshow() {
PicCurrentNum++;
if (PicCurrentNum == howMany) {
PicCurrentNum = 0;
}
PicCurrent.src = Pix[PicCurrentNum];
document["sitetopleft"].src = PicCurrent.src;
}
//from JavascriptSource
function formatCurrency(number) {
number = number.toString().replace(/\$|\,/g,'');
number = Math.floor(number*100+0.50000000001);
cents = number%100;
number = Math.floor(number/100).toString();
if(cents<10) 
cents ="0" + cents;
for (var i =0; i < Math.floor((number.length-(1+i))/3); i++)
number = number.substring(0,number.length-(4*i+3))+','+
number.substring(number.length-(4*i+3));
return (number + '.' + cents);
}
function update(box, factor) {
var arrayOfBoxes = [box.form.AmtThurSingle, box.form.AmtFriSingle,
box.form.AmtSatSingle, box.form.AmtThurDouble, box.form.AmtFriDouble,
box.form.AmtSatDouble, box.form.AmtThursMtg, box.form.AmtFriMtg,
box.form.AmtSatMtg, box.form.AmtSunMtg, box.form.AmtSymposium,
box.form.AmtFiesta, box.form.AmtBanquet, box.form.AmtSymposiumGuest,
box.form.AmtFiestaGuest, box.form.AmtBanquetGuest];
var theName = box.name.substr(3);
if(box.value == '' || isNaN(box.value) || (box.name != "Donation" &&
Math.floor(box.value) != box.value)) {
alert("Please enter a number.");
box.focus();
}
else {
if(box.name != "Donation") {
var amtBox = eval("box.form.Amt" + theName);
amtBox.value = formatCurrency(box.value * factor);
}
if(box.name == "Donation")
box.value = formatCurrency(box.value);
var sum = 0;
for (var i = 0; i < arrayOfBoxes.length; i++)
{
var temp = arrayOfBoxes[i].value.replace(",", "")
sum+=temp * 1
}
box.form.ssl_amount.value = formatCurrency(sum);

}
}
function unEdit(aBox) {
alert("Please don't edit this field.");
aBox.blur();
}
//-->
</script>

<style type="text/css">
<!--
body {
font-size: 15px;
font-family: arial, sans-serif;
}
td {
font-size: 15px;
font-family: arial, sans-serif;
}
.smalltext {
font-size: 12px;
font-family: arial, sans-serif;
}
.normtext {
font-size: 15px;
font-family: arial, sans-serif;
}
.bigtext {
font-size: 18px;
font-family: arial, sans-serif;
}
a:hover {
color: #4c7511;
}
-->
</style>
</head>

<body bgcolor="#ffffff" text="#000000" link="#2f007c" vlink="#2f007c"
alink="#2f007c" leftmargin="0" topmargin="0" marginwidth="0"
marginheight="0" onLoad="MM_preloadImages('images/navabout2.gif','images/navinvolve2.gif','images/navprograms2.gif','images/navalumni2.gif','images/navcontact2.gif','images/navhome2.gif');
startPix();">

<!-- begin header table -->
<table cellpadding="0" cellspacing="0" border="0" width="780">
<tr>
<td valign="top">
	<table cellpadding="0" cellspacing="0" border="0" width="158">
	<tr>
	<td>
    <img src="../BOD/images/sitetopleft1.jpg" alt="" border="0"
name="sitetopleft" width="158" height="166"></td>
	</tr>
	<tr>
	<td>
    <img border="0" src="../BOD/images/sitearctip.jpg" width="158"
height="66"></td>
	</tr>
	</table>
</td>
<td valign="top">
	<table cellpadding="0" cellspacing="0" border="0" width="622" height="232">
	<tr>
	<td colspan="2" width="622" height="207">
    <map name="FPMap1">
    <area href="40thAnniversary/40th.htm" shape="rect" coords="455, 0, 608, 194">
    <area href="espanol/index.html" shape="rect" coords="40, 172, 131, 198">
    </map>
    <img border="0" src="../BOD/images/40thsitehd.jpg"
usemap="#FPMap1" width="622" height="205"></td>
	</tr>
	<tr>
	<td width="48" height="25">
    <img src="../BOD/images/spacer.gif" width="48" height="1" alt=""
border="0"></td>
	<td width="574" height="25">
    <img border="0" src="../BOD/images/40-hd.jpg" width="267" height="30"></td>
	</tr>
	</table>
</td>
</tr>
<tr>
<td colspan="2">
<p align="center"><map name="FPMap0">
<area coords="9, 2, 91, 16" shape="rect"
href="http://io.amigoslink.org/commerce/brushdance.html">
<area href="about/history.html" shape="rect" coords="102, 1, 143, 16">
<area href="jobs/jobs.html" shape="rect" coords="152, 1, 175, 16">
<area href="about/affiliate.html" shape="rect" coords="183, 0, 219, 16">
<area href="about/mission.html" shape="rect" coords="225, 1, 273, 16">
<area href="news/news.htm" shape="rect" coords="278, 2, 310, 15">
<area href="publications/publications.htm" shape="rect" coords="316, 0, 388, 16">
<area href="photogallery/photo-album-index.htm" shape="rect"
coords="393, 1, 439, 16">
<area href="http://io.amigoslink.org/commerce/mdse.html" shape="rect"
coords="444, 1, 500, 16">
<area href="involve/volunteer.html" shape="rect" coords="505, 0, 566, 16">
</map>
<img border="0" src="../BOD/images/headlinks.jpg" usemap="#FPMap0"
width="567" height="17"></td>
</tr>
<tr>
<td colspan="2">
<img src="../BOD/images/siteheadrule.gif" alt="" border="0"
width="780" height="7"></td>
</tr>
</table>
<!-- end header table -->
<!-- begin body table -->
<table cellpadding="0" cellspacing="0" border="0" width="596" height="831">
<tbody>
<tr>
<td valign="top" background="../BOD/images/navback.gif" height="1050" width="139">
<!-- begin nav bar -->
<table cellpadding="0" cellspacing="0" border="0" width="139" background="../none">
<tbody>
<tr><td><font face="Arial">
<img src="../BOD/images/navshimtop.gif" alt="" border="0" width="17"
height="33" /></font></td></tr>
<tr><td>
<font face="Arial">
<a onMouseOut="MM_swapImgRestore()"
onMouseOver="MM_swapImage('navabout','','images/navabout2.gif',1)"
href="http://www.amigoslink.org/about/about.html">
<img src="../BOD/images/navabout1.gif" alt="About Amigos" border="0"
name="navabout" width="139" height="18" /></a></font></td></tr>
<tr><td><font face="Arial">
<img src="../BOD/images/navshimmid.gif" alt="" border="0" width="139"
height="12" /></font></td></tr>
<tr><td>
<font face="Arial">
<a onMouseOut="MM_swapImgRestore()"
onMouseOver="MM_swapImage('navinvolve','','images/navinvolve2.gif',1)"
href="http://www.amigoslink.org/involve/involve.html">
<img src="../BOD/images/navinvolve1.gif" alt="Get Involved" border="0"
name="navinvolve" width="139" height="18" /></a></font></td></tr>
<tr><td><font face="Arial">
<img src="../BOD/images/navshimmid.gif" alt="" border="0" width="139"
height="12" /></font></td></tr>
<tr><td>
<font face="Arial">
<a onMouseOut="MM_swapImgRestore()"
onMouseOver="MM_swapImage('navdonate','','images/navdonate2.gif',1)"
href="http://www.amigoslink.org/donate/donate.html">
<img src="../BOD/images/navdonate1.gif" alt="Make a Donation"
border="0" name="navdonate" width="139" height="18"
/></a></font></td></tr>
<tr><td><font face="Arial">
<img src="../BOD/images/navshimmid.gif" alt="" border="0" width="139"
height="12" /></font></td></tr>
<tr><td>
<font face="Arial">
<a onMouseOut="MM_swapImgRestore()"
onMouseOver="MM_swapImage('navprograms','','images/navprograms2.gif',1)"
href="http://www.amigoslink.org/programs/2004projects/lapdhome.html">
<img src="../BOD/images/navprograms1.gif" alt="Our Programs"
border="0" name="navprograms" width="139" height="18"
/></a></font></td></tr>
<tr><td><font face="Arial">
<img src="../BOD/images/navshimmid.gif" alt="" border="0" width="139"
height="12" /></font></td></tr>
<tr><td>
<font face="Arial">
<a onMouseOut="MM_swapImgRestore()"
onMouseOver="MM_swapImage('navalumni','','images/navalumni2.gif',1)"
href="http://www.amigoslink.org/alumni/alumni.html">
<img src="../BOD/images/navalumni1.gif" alt="For our Alumni"
border="0" name="navalumni" width="139" height="18"
/></a></font></td></tr>
<tr><td><font face="Arial">
<img src="../BOD/images/navshimmid.gif" alt="" border="0" width="139"
height="12" /></font></td></tr>
<tr><td>
<font face="Arial">
<a onMouseOut="MM_swapImgRestore()"
onMouseOver="MM_swapImage('navcontact','','images/navcontact2.gif',1)"
href="http://www.amigoslink.org/contacts/contact.html">
<img src="../BOD/images/navcontact1.gif" alt="Contact Us" border="0"
name="navcontact" width="139" height="18" /></a></font></td></tr>
<tr><td><font face="Arial">
<img src="../BOD/images/navshimmid.gif" alt="" border="0" width="139"
height="12" /></font></td></tr>
<tr><td>
<font face="Arial">
<a onMouseOut="MM_swapImgRestore()"
onMouseOver="MM_swapImage('navhome','','images/navhome2.gif',1)"
href="http://www.amigoslink.org/default.htm">
<img src="../BOD/images/navhome1.gif" alt="Home" border="0"
name="navhome" width="139" height="18" /></a></font></td></tr>
<tr><td><font face="Arial">
<img src="../BOD/images/navshimbottom.gif" alt="" border="0"
width="17" height="21" /></font></td></tr>
</tbody>
</table>
<!-- end nav bar -->
</td>
<td rowspan="2" valign="top" height="831" width="599">
<!-- begin content area -->
<table cellpadding="0" cellspacing="0" border="0" width="620" height="17">
<tbody>
<tr>
<td width="214" valign="top" height="21">
<img src="../BOD/images/spacer.gif" border="0" width="63" height="15"></td>
<td width="475" valign="top" height="21">
<!-- begin content -->

<p class="normtext">

</p>

<table cellSpacing="0" cellPadding="0" width="478" border="0"
style="border-collapse: collapse" bordercolor="#111111" height="21">
<tbody>
<tr>
<td style="background-color: #FFFFFF" width="546" height="1">
<font size="4"><b><span style="font-family: Arial">2004 Annual
Meeting</span></b></font></td>
</tr>
</tbody>
</table>
<tbody>
<tr>
<td width="895" valign="top" height="17">
</td>
<td width="979" valign="top" height="17" colspan="3">
</td>
</tr>
<tr>
<td width="895" valign="top" height="26">
&nbsp;</td>
<td width="979" valign="top" height="26" colspan="3">
<font size="4" color="#800000"><b>Registration Form</b></font></td>
</tr>
<tr>
<td width="895" valign="top" height="242">
&nbsp;</td>
<td width="979" valign="top" height="242" colspan="3">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="581" height="666">
<tbody>

<!-- ViaKlix Info -->

<form action="https://www.viaklix.com/process.asp" method="POST"
name="FrontPage_Form1" onsubmit="return
FrontPage_Form1_Validator(this)" language="JavaScript">
		<input type="hidden" name ="ssl_merchant_id" value="401007">
  	  	<input type="hidden" name ="ssl_pin" value="1082">
  	  	<input type="hidden" name ="ssl_show_form" value="false">

<!-- End ViaKlix Info -->

<tr>
<td width="86" style="border-style: none; border-width: medium"
valign="middle" align="left" height="1">
</td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium"
valign="middle" align="left" height="1">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="1" valign="top" colspan="3">
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="1">
</td>
<td width="56" style="border-style: none; border-width: medium"
valign="top" align="left" height="1">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="18" valign="top" colspan="3">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="186%">
  <tr>
    <td width="100%" style="border-style: none; border-width: medium">
    &nbsp;</td>
  </tr>
  <tr>
    <td width="100%" style="border-style: none; border-width: medium">
    <font face="Arial" size="2">
    <input type="checkbox" name="NoRoom" value="No hotel room needed"
tabindex="1"><font color="#800000"><b>I
    will NOT need a hotel room.</b></font></font></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="18">
</td>
<td width="56" style="border-style: none; border-width: medium"
valign="top" align="left" height="18">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="31" valign="top" colspan="3">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="187%">
  <tr>
    <td width="100%" style="border-style: none; border-width: medium">&nbsp;</td>
  </tr>
  <tr>
    <td width="100%" style="border-style: none; border-width: medium"><b>
    <font size="2" color="#800000">SINGLE hotel room $96.00 
    per night</font></b></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="middle" align="right" height="31">
</td>
<td width="56" style="border-style: none; border-width: medium"
valign="middle" align="left" height="31">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="36" valign="top" colspan="3" rowspan="4">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="230%">
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="109%" style="border-style: none; border-width: medium">
    <b>
    <font face="Arial" size="2">I will need a SINGLE hotel room
for:</font></b></td>
  </tr>
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="109%" style="border-style: none; border-width: medium">
    <font face="Arial" size="2">
<input type="checkbox" name="SingleThur" value="1"
onBlur="update(this,96);"tabindex="2">Thursday night</font></td>
  </tr>
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="88%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
<input type="checkbox" name="SingleFri" value="SINGLE room FRIDAY"
onBlur="update(this,96);" tabindex="3">Friday
night</font></td>
  </tr>
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="88%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
<input type="checkbox" name="SingleSat" value="SINGLE room SATURDAY"
onBlur="update(this,96);" tabindex="4">Saturday
night</font></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="bottom" align="right" height="17">
</td>
<td width="56" style="border-style: none; border-width: medium"
valign="bottom" align="left" height="17">
</td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="bottom" align="right" height="16">
<font size="2" face="Arial">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
valign="bottom" align="left" height="16">
<input type="text" name="AmtThurSingle" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="bottom" align="right" height="1">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
valign="bottom" align="left" height="1">
<input type="text" name="AmtFriSingle" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="bottom" align="right" height="2">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
valign="bottom" align="left" height="2">
<input type="text" name="AmtSatSingle" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="49" valign="top" colspan="3" rowspan="4">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="187%" height="14">
  <tr>
    <td width="100%" style="border-style: none; border-width: medium"
height="1" colspan="2">
    <b><font size="2" color="#800000"> 
    DOUBLE hotel room $48.00 per night</font></b></td>
  </tr>
  <tr>
    <td width="4%" style="border-style: none; border-width: medium">
    &nbsp;</td>
    <td width="56%" style="border-style: none; border-width: medium">
    <b>
    <font face="Arial" size="2">I will need a DOUBLE hotel room
for:</font></b></td>
  </tr>
  <tr>
    <td width="4%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="56%" style="border-style: none; border-width: medium">
    <font face="Arial" size="2">
<input type="checkbox" name="DoubleThur" value="DOUBLE room THURSDAY"
onBlur="update(this,96);"tabindex="5">Thursday night</font></td>
  </tr>
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
<img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="45%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
<input type="checkbox" name="DoubleFri" value="DOUBLE room FRIDAY"
onBlur="update(this,96);" tabindex="6">Friday
night</font></td>
  </tr>
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
<img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="45%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
<input type="checkbox" name="DoubleSat" value="DOUBLE room SATURDAY"
onBlur="update(this,96);" tabindex="7">Saturday
night</font></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="13">
</td>
<td width="56" style="border-style: none; border-width: medium"
valign="top" align="left" height="13">
</td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="12">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
valign="top" align="left" height="12">
<input type="text" name="AmtThurDouble" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="12">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
valign="top" align="left" height="12">
<input type="text" name="AmtFriDouble" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="12">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
valign="top" align="left" height="12">
<input type="text" name="AmtSatDouble" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="20" valign="top" colspan="3">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="100%">
  <tr>
    <td width="18%" style="border-style: none; border-width: medium">
    <font size="2"><font color="#800000"><b>Roommate:</b>&nbsp; </font>
    </font></td>
    <td width="82%" style="border-style: none; border-width: medium">
    <font size="2">
    <input type="text" name="Roommate" size="26" tabindex="8"></font></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="20">
&nbsp;</td>
<td width="56" style="border-style: none; border-width: medium"
valign="top" align="left" height="20">
&nbsp;</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="15" valign="top" colspan="3">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="100%">
  <tr>
    <td width="14%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="86%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
<input type="checkbox" name="IORoommate" value="IO may select
roommate" tabindex="8">International
    office may select roommate for me.</font></td>
  </tr>
  <tr>
    <td width="14%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="86%" style="border-style: none; border-width: medium">
<font size="2" color="#4C7511"><i><b>Note: IO cannot guarantee a roommate 
will be available.</b></i></font></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="15">
</td>
<td width="56" style="border-style: none; border-width: medium"
valign="top" align="left" height="15">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="18" valign="top" colspan="3">
<b><font face="Arial" size="2" color="#800000">I will attend the following 
meetings:</font></b></td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="18">
</td>
<td width="56" style="border-style: none; border-width: medium"
valign="top" align="left" height="18">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="1" valign="top" colspan="3">
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="1">
</td>
<td width="56" style="border-style: none; border-width: medium"
valign="top" align="left" height="1">
</td>
</tr>
<tr>
<td width="497" style="border-style: none; border-width: medium"
height="1" valign="top" colspan="4"></td>
<td width="56" style="border-style: none; border-width: medium"
valign="top" align="left" height="1">
</td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="1"></td>
<td width="332" style="border-style: none; border-width: medium"
height="1" valign="top"></td>
<td width="99" style="border-style: none; border-width: medium"
valign="top" height="1">
</td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="1" valign="top"></td>
<td width="56" style="border-style: none; border-width: medium"
align="right" height="1" valign="top"></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="mtrThur" value="I will attend Thursday
meeting" tabindex="9">Thursday
evening Chapter Presidents' Meeting</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
align="left" height="18" valign="bottom">
<p align="left">
<input type="text" name="AmtThursMtg" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="mtg" value="I will attend Friday meeting"
tabindex="10">Friday
meetings</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
align="left" height="18" valign="top">
<input type="text" name="AmtFriMtg" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="mtgsat" value="I will attend Saturday
meeting" tabindex="11">Saturday
meetings</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
align="left" height="18" valign="top">
<input type="text" name="AmtSatMtg" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="bfastsun" value="I will attend Sunday
meeting" tabindex="12">Sunday
morning break-out meeting</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
align="left" height="18" valign="top">
<input type="text" name="AmtSunMtg" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2"></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
</td>
<td width="56" style="border-style: none; border-width: medium"
align="right" height="18" valign="top">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="18" colspan="3">
<b><font size="2" color="#800000">I will attend the following
events:</font></b></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
</td>
<td width="56" style="border-style: none; border-width: medium"
align="right" height="18" valign="top">
</td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="Symposium" value="I will attend the
Symposium" tabindex="13">Friday
afternoon/evening Symposium at Baker Center</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
align="left" height="18" valign="bottom">
<p align="left">
<input type="text" name="AmtSymposium" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="Fiesta" value="I will attend the Fiesta"
tabindex="14">Friday
evening Fiesta at International Office</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
align="left" height="18" valign="top">
<input type="text" name="AmtFiesta" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="guestbanquet" value="I will attend the
banquet" tabindex="15">Saturday
evening Banquet at hotel</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
align="left" height="18" valign="top">
<input type="text" name="AmtBanquet" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2"></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
</td>
<td width="56" style="border-style: none; border-width: medium"
align="left" height="18" valign="top">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="18" colspan="3">
<b><font size="2" color="#800000">I will bring a guest:</font></b></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
</td>
<td width="56" style="border-style: none; border-width: medium"
align="right" height="18" valign="top">
</td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="guestsympos" value="I will bring a guest
to the Symposium" tabindex="16">Friday
afternoon/evening Symposium at Baker Center</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
align="left" height="18" valign="bottom">
<p align="left">
<input type="text" name="AmtSymposiumGuest" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="guestfiesta" value="I will bring a guest
to the Friday Fiesta" tabindex="17">Friday
evening Fiesta at International Office</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
align="left" height="18" valign="top">
<input type="text" name="AmtFiestaGuest" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="guestbanq" value="I will bring a guest to
the Banquet" tabindex="18">Saturday
evening Banquet at hotel</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
align="left" height="18" valign="top">
<input type="text" name="AmtBanquetGuest" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2"></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
</td>
<td width="56" style="border-style: none; border-width: medium"
align="left" height="18" valign="top">
</td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="20"></td>
<td width="332" style="border-style: none; border-width: medium" height="20"></td>
<td width="99" style="border-style: none; border-width: medium"
valign="middle" height="20" bgcolor="#C0C0C0">
<font color="#800000" size="3" face="Arial"><b>Total</b></font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" bgcolor="#C0C0C0" height="20">
<p>
<font face="Arial"><b><font size="2" color="#800000">$</font></b></font></p></td>
<td width="56" style="border-style: none; border-width: medium"
align="right" bgcolor="#C0C0C0" height="20" valign="top">
<p align="left">
<font face="Arial">
<!--webbot bot="Validation" b-value-required="TRUE" --><input
type="text" name="ssl_amount" value="0.00" onFocus="unEdit(this);"
size="6" style="color: #800000; font-size: 10pt; font-weight: bold;
background-color:#C0C0C0" /></font></p></td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td width="895" valign="top" height="17"></td>
<td width="979" valign="top" height="17" colspan="3"></td>
</tr>
<tr>
<font face="Arial" size="2">
<td width="307" valign="top" height="19">
&nbsp;</td>
<td width="194" valign="top" height="19">
<font face="Arial" color="#800000" size="3"><b>Billing
Address</b></font><b><font face="Arial">
</font></b></td>
</font>
<td width="470" valign="top" height="19">
<p align="right">
<font face="Arial" size="1">
<b><font color="#000080">Required Field</font></b> 
          <img height="11" src="../BOD/images/required.gif" width="11"
border="0" /></font></td>
<td width="315" valign="top" height="19">
&nbsp;</td>
</tr>
<tr>
<font face="Arial" size="2">
<td width="895" height="528" valign="top">
&nbsp;</td>
<td width="979" height="528" valign="top" colspan="3">
<table cellSpacing="0" cellPadding="2" width="592" border="0"
style="border-collapse: collapse" bordercolor="#111111" height="649">
<tbody>
<tr>
<td width="144" height="23"><b><font face="Arial" size="2">Full Name
</font></b></td>
<td width="335" colspan="2" height="23">
<b>
<font face="Arial">
<!--webbot bot="Validation" s-display-name="Full Name"
b-value-required="TRUE" i-maximum-length="20" --><input maxLength="20"
name="ssl_first_name" size="40" tabindex="19" />&#160;</font></b><font
face="Arial" size="1"><img height="11"
src="../BOD/images/required.gif" width="11" border="0"
/></font><b><font face="Arial">
</font></b></td>
</tr>
<tr>
<td width="144" height="22"><b><font face="Arial" size="2">Last
Name</font></b></td>
<td width="335" colspan="2" height="22">
<b>
<font face="Arial" size="2">
<!--webbot bot="Validation" s-display-name="Full Name"
b-value-required="TRUE" i-maximum-length="20" --><input maxLength="20"
name="ssl_last_name" size="40" tabindex="20" /></font></b><font
face="Arial" size="1"><img height="11"
src="../BOD/images/required.gif" width="11" border="0" /></font></td>
</tr>
<tr>
<td width="144" height="19"><b><font face="Arial" size="2">
Company </font></b></td>
<td width="335" colspan="2" height="19">
<b>
<font face="Arial">
<input maxLength="50" size="40" name="ssl_company" tabindex="21" />
</font> </b> </td>
</tr>
<tr>
<td width="144" height="23"><b><font face="Arial" size="2">
Address1 </font></b></td>
<td width="335" colspan="2" height="23">
<b>
<font face="Arial">
<!--webbot bot="Validation" s-display-name="Address"
b-value-required="TRUE" i-maximum-length="30" --><input maxLength="30"
size="30" name="ssl_avs_address" tabindex="22"
/>&#160;</font></b><font face="Arial" size="1"><img height="11"
src="../BOD/images/required.gif" width="11" border="0"
/></font><b><font face="Arial">
</font></b></td>
</tr>
<tr>
<td width="144" height="23"><b><font face="Arial" size="2">
Address2 </font></b></td>
<td width="335" colspan="2" height="23">
<b>
<font face="Arial">
<input maxLength="30" size="30" name="ssl_address2" tabindex="23" />
</font> </b> </td>
</tr>
<tr>
<td width="144" height="23"><b><font face="Arial" size="2">City
</font></b></td>
<td width="335" colspan="2" height="23">
<b>
<font face="Arial">
<!--webbot bot="Validation" s-display-name="City"
b-value-required="TRUE" i-maximum-length="30" --><input maxLength="30"
size="30" name="ssl_city" tabindex="24" />&#160;</font></b><font
face="Arial" size="1"><img height="11"
src="../BOD/images/required.gif" width="11" border="0"
/></font><b><font face="Arial">
</font></b></td>
</tr>
<tr>
<td width="144" height="23"><b><font face="Arial" size="2">State
</font></b></td>
<td width="335" colspan="2" height="23">
<b>
<font face="Arial">
<!--webbot bot="Validation" s-display-name="State"
b-value-required="TRUE" i-maximum-length="10" --><input maxLength="10"
size="10" name="ssl_state" tabindex="25" />&#160;</font></b><font
face="Arial" size="1"><img height="11"
src="../BOD/images/required.gif" width="11" border="0"
/></font><b><font face="Arial">
</font></b></td>
</tr>
<tr>
<td width="144" height="23"><b><font face="Arial" size="2">Zip 
Code </font></b></td>
<td width="335" colspan="2" height="23">
<b>
<font face="Arial">
<!--webbot bot="Validation" s-display-name="Zip Code"
b-value-required="TRUE" i-maximum-length="10" --><input maxLength="10"
size="10" name="ssl_avs_zip" tabindex="26" />&#160;</font></b><font
face="Arial" size="1"><img height="11"
src="../BOD/images/required.gif" width="11" border="0"
/></font><b><font face="Arial">
</font></b></td>
</tr>
<tr>
<td width="144" height="23"><b><font face="Arial" size="2">Email 
Address </font></b></td>
<td width="335" colspan="2" height="23">
<b>
<font face="Arial">
<!--webbot bot="Validation" s-display-name="Email"
b-value-required="TRUE" i-maximum-length="100" --><input
maxLength="100" size="40" name="ssl_email" tabindex="27"
/>&#160;</font></b><font face="Arial" size="1"><img height="11"
src="../BOD/images/required.gif" width="11" border="0"
/></font><b><font face="Arial">
</font></b></td>
</tr>
<tr>
<td width="144" height="22"><b><font face="Arial" size="2">Day 
Phone </font></b></td>
<td width="335" colspan="2" height="22"><font face="Arial">
<input maxLength="20" name="ssl_phone" size="20" tabindex="28" /> </font></td>
</tr>
<tr>
<td width="144" height="22"><b><font face="Arial" size="2">
Evening Phone</font><font face="Arial" size="2" color="#000080">
</font></b></td>
<td width="335" colspan="2" height="22"><font face="Arial">
<input maxLength="50" size="20" name="ssl_evephone" tabindex="29" /> </font></td>
</tr>
<tr>
<font face="Arial" size="2">
<td width="144" valign="top" height="84">
<font face="Arial" size="2"><b>Comments</b>:</font></td>
<td width="335" colspan="2" height="84">
<font face="Arial">
<textarea rows="5" name="comments" cols="39" style="color: #800000;
font-size: 10pt; font-weight: bold"
tabindex="30"></textarea></font></td>
</font>
</tr>
<tr>
<td width="89" height="24">
<p align="center">&nbsp;</td>
<td width="336" height="24">
<p align="center">
<font face="Arial" size="2">
<b><font face="Arial" size="1" color="#800000">These are unlimited
text boxes.&nbsp;
Just continue typing<br>
when you reach the bottom of the box and it will expand.</font></b></td>
<td width="234" height="24">
&nbsp;</td>
</tr>
<tr>
<td width="483" colspan="3" height="16"><b><font face="Arial"
size="2">Names and contact
information for your guests:</font></b></td>
</tr>
<tr>
<td width="483" colspan="3" height="84">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="94%">
  <tr>
    <td width="27%" style="border-style: none; border-width: medium">&nbsp;</td>
    <td width="83%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
<!--webbot bot="Validation" i-maximum-length="2000" --><textarea
rows="5" name="Guests" cols="39" style="color: #800000; font-size:
10pt; font-weight: bold" tabindex="31"></textarea></td>
  </tr>
</table>
</td>
</tr>
<tr>
<td width="483" colspan="3" height="17"><font face="Arial">&#160;</font></td>
</tr>
<tr>
<td width="483" colspan="3" height="19"><font face="Arial">
<b>
<font color="#800000" size="3">Credit Card 
Information</font></b></font><font face="Arial" size="2">
</font>
</td>
</tr>
<tr>
<td width="144" height="25"><b><font face="Arial" size="2">Credit 
Card Type</font></b></td>
<td width="309" height="25">
<font face="Arial">
<!--webbot bot="Validation" s-display-name="Credit Card Type"
b-value-required="TRUE" --><select size="1"
name="ssl_credit_card_type" tabindex="32">
<option>Select One</option>
<option>American Express</option>
<option>Discover</option>
<option>Master Card</option>
<option>Visa</option>
</select></font><font face="Arial" size="2"> </font>
          <font face="Arial" size="1">
          <img height="11" src="../BOD/images/required.gif" width="11"
border="0" /></font><font face="Arial" size="2">&#160; </font>
</td>
<td width="202" height="25">
<font face="Arial">
<img alt="credit cards" src="../BOD/images/credit_cards.gif"
border="0" width="170" height="25" /></font></td>
</tr>
<tr>
<td width="144" height="32"><b><font face="Arial" size="2">Credit 
Card Number</font></b></td>
<td width="335" colspan="2" height="32">
<font face="Arial">
<!--webbot bot="Validation" s-display-name="Credit Card Number"
b-value-required="TRUE" --><input type="text" name="ssl_card_number"
size="25" tabindex="33" /></font><font face="Arial" size="2"> </font>
          <font face="Arial" size="1">
          <img height="11" src="../BOD/images/required.gif" width="11"
border="0" /></font><font face="Arial" size="2"><b>
</b> </font>
<b><font face="Arial" size="1">(no 
spaces or dashes)</font></b></td>
</tr>
<tr>
<td width="144" height="22">
</font><p align="left"><font align="left" face="Arial" size="2"><b>
<font size="2">
Expiration Date </font></b></font></p></td><font face="Arial" size="2">
<td width="335" colspan="2" height="22">
<font face="Arial">
<!--webbot bot="Validation" s-display-name="Credit Card Expiration
Date" b-value-required="TRUE" --><input type="text"
name="ssl_exp_date" size="4" tabindex="34" /></font><font face="Arial"
size="2"> </font>
          <font face="Arial" size="1">
          <img height="11" src="../BOD/images/required.gif" width="11"
border="0" />&nbsp; </font>
<b><font face="Arial" size="1">
Format: &#160;</font><font align="left" face="Arial" size="1">(mmyy --
no slash)</font></b></td>
</font></tr><font face="Arial" size="2">
</font></tbody></table></td>
</tr>
</tbody>
</table>
<div align="center">
  <center>
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="106%" height="1">
<tbody>
<tr>
<td width="100%" style="border-style: none; border-width: medium"
height="15" colspan="3"></td>
<td width="1%" style="border-style: none; border-width: medium" height="15"></td>
</tr>
<tr>
<td width="100%" style="border-style: none; border-width: medium"
colspan="4" height="14">
<p align="center"><b>
<font size="2" face="Arial">
Please confirm that all information above is correct, 
then click the button below.</font></b></p></td>
</tr>
<tr>
<td width="100%" style="border-style: none; border-width: medium"
height="16" colspan="3"></td>
</tr>
<tr>
<td width="34%" style="border-style: none; border-width: medium" height="34">
<font face="Arial" size="2">
        <a target="_top"
href="javascript:popUp('https://digitalid.verisign.com/as2/80094c50efa39ca800302838265a4c2a')">
        <img alt="VeriSign: The Value of Trust?"
src="../BOD/images/logo_bottom.gif" border="0" width="160"
height="39"></a></td>
<td width="33%" style="border-style: none; border-width: medium"
height="34" valign="middle">
<font face="Arial" size="2">
<input type="submit" value="Submit" name="Submit" style="color:
#800000; font-size: 10pt; font-weight: bold" tabindex="35"
/></font></td>
<td width="33%" style="border-style: none; border-width: medium"
height="34" valign="middle">
<font face="Arial" size="2">
<input type="reset" value="Reset" name="Reset" style="color: #800000;
font-size: 10pt; font-weight: bold" tabindex="36" /></font></td>
</tr>
<tr>
<td width="100%" style="border-style: none; border-width: medium"
height="17" colspan="3">
</td>
</tr>
<tr>
<td width="100%" style="border-style: none; border-width: medium"
height="34" colspan="3">
<font face="Arial" size="2">
<b><font size="2">You may also print out this form after completion and either 
mail it or fax it.</font></b></font><p align="center">
<font face="Arial" size="2">
<b><font size="2">Jacque Fuller<br>
Amigos de las Américas<br>
5618 Star Lane<br>
Houston, TX&nbsp; 77057<br>
713-782-9267 - FAX</font></b></td>
</tr>
</tbody>
</table>
  </center>
</div>
</form>



<!-- end content -->
</td>
<td width="4" height="1069"><font face="Arial">&nbsp;</font></td>
</tr>
</tbody>
</table> 
<!-- end content area -->
</td>
</tr>

<tr>
<td valign="bottom" background="../BOD/images/navback.gif" height="1">
<font face="Arial">&#160;</font></td>
</tr>

</tbody>

</table>
<!-- end body table -->
</body>
</html>

Thank you for your help.
Jacque Fuller
Answer  
Subject: Re: Need help with FrontPage form using totals.
Answered By: aditya2k-ga on 08 Aug 2004 04:17 PDT
Rated:5 out of 5 stars
 
Hi yelladog-ga,

Good day and thanks for your question. i've modified your code in a
number of places. Some of the checkboxes don't have a function
assigned to it yet. (The boxes after the hotel reservation boxes).

Here is the modified code:





<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">

<html>
<head>
<meta http-equiv="Content-Language" content="en-us" />
<title>2004 Annual Meeting Registration Form</title>

<meta name="description" content="Amigos de las Américas (AMIGOS)
excels in creating opportunities for young people to volunteer and
take leadership roles in public health, education and community
development programs. High school/ college students live with a host
family and work alongside community members in Latin America, while
learning a new language and culture." />
<meta name="keywords" content="Amigos de las Americas intercultural
international Latin America community service health home improvement
projects intensive summer programs teenagers high school college
students service learning leaders youth education volunteers volunteer
opportunities overseas work work abroad non-profit NGO cross-cultural
Bolivia Brazil Costa Rica Dominican Republic Honduras Mexico Nicaragua
Paraguay Spanish Portuguese grassroots environments homestay
sustainable development short-term programs exchange CSIET
International Volunteer Programs Association IVPA National Association
of International Educators NAFSA" />

<SCRIPT LANGUAGE="JavaScript">
function popUp(url) {
sealWin=window.open(url,"win",'toolbar=0,location=0,directories=0,status=1,menubar=1,scrollbars=1,resizable=1,width=500,height=450');
self.name = "mainWin";
}
</SCRIPT>

<script language="JavaScript" type="text/javascript">
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function MM_preloadImages() { //v3.0
var d=document; if(d.images){ if(!d.MM_p) d.MM_p=new Array();
var i,j=d.MM_p.length,a=MM_preloadImages.arguments; for(i=0; i<a.length; i++)
if (a[i].indexOf("#")!=0){ d.MM_p[j]=new Image; d.MM_p[j++].src=a[i];}}
}

function MM_swapImgRestore() { //v3.0
var i,x,a=document.MM_sr; for(i=0;a&&i<a.length&&(x=a[i])&&x.oSrc;i++)
x.src=x.oSrc;
}

function MM_findObj(n, d) { //v4.0
var p,i,x; if(!d) d=document; if((p=n.indexOf("?"))>0&&parent.frames.length) {
d=parent.frames[n.substring(p+1)].document; n=n.substring(0,p);}
if(!(x=d[n])&&d.all) x=d.all[n]; for (i=0;!x&&i<d.forms.length;i++)
x=d.forms[i][n];
for(i=0;!x&&d.layers&&i<d.layers.length;i++) x=MM_findObj(n,d.layers[i].document);
if(!x && document.getElementById) x=document.getElementById(n); return x;
}

function MM_swapImage() { //v3.0
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for(i=0;i<(a.length-2);i+=3)
if ((x=MM_findObj(a[i]))!=null){document.MM_sr[j++]=x; if(!x.oSrc)
x.oSrc=x.src; x.src=a[i+2];}
}

var timeDelay = 4; // change delay time in seconds
var Pix = new Array
("images/sitetopleft1.jpg" 
,"images/sitetopleft2.jpg" 
,"images/sitetopleft3.jpg" 
,"images/sitetopleft4.jpg"
,"images/sitetopleft5.jpg"
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function startPix() {
if (document.images) {
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function slideshow() {
PicCurrentNum++;
if (PicCurrentNum == howMany) {
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}
PicCurrent.src = Pix[PicCurrentNum];
document["sitetopleft"].src = PicCurrent.src;
}
//from JavascriptSource
function formatCurrency(number) {
number = number.toString().replace(/\$|\,/g,'');
number = Math.floor(number*100+0.50000000001);
cents = number%100;
number = Math.floor(number/100).toString();
if(cents<10) 
cents ="0" + cents;
for (var i =0; i < Math.floor((number.length-(1+i))/3); i++)
number = number.substring(0,number.length-(4*i+3))+','+
number.substring(number.length-(4*i+3));
return (number + '.' + cents);
}
function update(box, factor) {
var arrayOfBoxes = [box.form.AmtThurSingle, box.form.AmtFriSingle,
box.form.AmtSatSingle, box.form.AmtThurDouble, box.form.AmtFriDouble,
box.form.AmtSatDouble, box.form.AmtThursMtg, box.form.AmtFriMtg,
box.form.AmtSatMtg, box.form.AmtSunMtg, box.form.AmtSymposium,
box.form.AmtFiesta, box.form.AmtBanquet, box.form.AmtSymposiumGuest,
box.form.AmtFiestaGuest, box.form.AmtBanquetGuest];
if(box.name != "Donation") {
var amtBox = eval("box.form.Amt" + box.name);
amtBox.value = formatCurrency(box.value * factor);
}
if(box.name !="Donation" && !box.checked)
{
  var amtBox = eval("box.form.Amt" + box.name);
  amtBox.value = formatCurrency(0);
}
if(box.name == "Donation")
box.value = formatCurrency(box.value);
var sum = 0;
for (var i = 0; i < arrayOfBoxes.length; i++)
{
var temp = arrayOfBoxes[i].value.replace(",", "")
sum+=temp * 1
}
box.form.ssl_amount.value = formatCurrency(sum);

}
function unEdit(aBox) {
alert("Please don't edit this field.");
aBox.blur();
}
//-->
</script>

<style type="text/css">
<!--
body {
font-size: 15px;
font-family: arial, sans-serif;
}
td {
font-size: 15px;
font-family: arial, sans-serif;
}
.smalltext {
font-size: 12px;
font-family: arial, sans-serif;
}
.normtext {
font-size: 15px;
font-family: arial, sans-serif;
}
.bigtext {
font-size: 18px;
font-family: arial, sans-serif;
}
a:hover {
color: #4c7511;
}
-->
</style>
</head>

<body bgcolor="#ffffff" text="#000000" link="#2f007c" vlink="#2f007c"
alink="#2f007c" leftmargin="0" topmargin="0" marginwidth="0"
marginheight="0" onLoad="MM_preloadImages('images/navabout2.gif','images/navinvolve2.gif','images/navprograms2.gif','images/navalumni2.gif','images/navcontact2.gif','images/navhome2.gif');
startPix();">

<!-- begin header table -->
<table cellpadding="0" cellspacing="0" border="0" width="780">
<tr>
<td valign="top">
	<table cellpadding="0" cellspacing="0" border="0" width="158">
	<tr>
	<td>
    <img src="../BOD/images/sitetopleft1.jpg" alt="" border="0"
name="sitetopleft" width="158" height="166"></td>
	</tr>
	<tr>
	<td>
    <img border="0" src="../BOD/images/sitearctip.jpg" width="158"
height="66"></td>
	</tr>
	</table>
</td>
<td valign="top">
	<table cellpadding="0" cellspacing="0" border="0" width="622" height="232">
	<tr>
	<td colspan="2" width="622" height="207">
    <map name="FPMap1">
    <area href="40thAnniversary/40th.htm" shape="rect" coords="455, 0, 608, 194">
    <area href="espanol/index.html" shape="rect" coords="40, 172, 131, 198">
    </map>
    <img border="0" src="../BOD/images/40thsitehd.jpg"
usemap="#FPMap1" width="622" height="205"></td>
	</tr>
	<tr>
	<td width="48" height="25">
    <img src="../BOD/images/spacer.gif" width="48" height="1" alt=""
border="0"></td>
	<td width="574" height="25">
    <img border="0" src="../BOD/images/40-hd.jpg" width="267" height="30"></td>
	</tr>
	</table>
</td>
</tr>
<tr>
<td colspan="2">
<p align="center"><map name="FPMap0">
<area coords="9, 2, 91, 16" shape="rect"
href="http://io.amigoslink.org/commerce/brushdance.html">
<area href="about/history.html" shape="rect" coords="102, 1, 143, 16">
<area href="jobs/jobs.html" shape="rect" coords="152, 1, 175, 16">
<area href="about/affiliate.html" shape="rect" coords="183, 0, 219, 16">
<area href="about/mission.html" shape="rect" coords="225, 1, 273, 16">
<area href="news/news.htm" shape="rect" coords="278, 2, 310, 15">
<area href="publications/publications.htm" shape="rect" coords="316, 0, 388, 16">
<area href="photogallery/photo-album-index.htm" shape="rect"
coords="393, 1, 439, 16">
<area href="http://io.amigoslink.org/commerce/mdse.html" shape="rect"
coords="444, 1, 500, 16">
<area href="involve/volunteer.html" shape="rect" coords="505, 0, 566, 16">
</map>
<img border="0" src="../BOD/images/headlinks.jpg" usemap="#FPMap0"
width="567" height="17"></td>
</tr>
<tr>
<td colspan="2">
<img src="../BOD/images/siteheadrule.gif" alt="" border="0"
width="780" height="7"></td>
</tr>
</table>
<!-- end header table -->
<!-- begin body table -->
<table cellpadding="0" cellspacing="0" border="0" width="596" height="831">
<tbody>
<tr>
<td valign="top" background="../BOD/images/navback.gif" height="1050" width="139">
<!-- begin nav bar -->
<table cellpadding="0" cellspacing="0" border="0" width="139" background="../none">
<tbody>
<tr><td><font face="Arial">
<img src="../BOD/images/navshimtop.gif" alt="" border="0" width="17"
height="33" /></font></td></tr>
<tr><td>
<font face="Arial">
<a onMouseOut="MM_swapImgRestore()"
onMouseOver="MM_swapImage('navabout','','images/navabout2.gif',1)"
href="http://www.amigoslink.org/about/about.html">
<img src="../BOD/images/navabout1.gif" alt="About Amigos" border="0"
name="navabout" width="139" height="18" /></a></font></td></tr>
<tr><td><font face="Arial">
<img src="../BOD/images/navshimmid.gif" alt="" border="0" width="139"
height="12" /></font></td></tr>
<tr><td>
<font face="Arial">
<a onMouseOut="MM_swapImgRestore()"
onMouseOver="MM_swapImage('navinvolve','','images/navinvolve2.gif',1)"
href="http://www.amigoslink.org/involve/involve.html">
<img src="../BOD/images/navinvolve1.gif" alt="Get Involved" border="0"
name="navinvolve" width="139" height="18" /></a></font></td></tr>
<tr><td><font face="Arial">
<img src="../BOD/images/navshimmid.gif" alt="" border="0" width="139"
height="12" /></font></td></tr>
<tr><td>
<font face="Arial">
<a onMouseOut="MM_swapImgRestore()"
onMouseOver="MM_swapImage('navdonate','','images/navdonate2.gif',1)"
href="http://www.amigoslink.org/donate/donate.html">
<img src="../BOD/images/navdonate1.gif" alt="Make a Donation"
border="0" name="navdonate" width="139" height="18"
/></a></font></td></tr>
<tr><td><font face="Arial">
<img src="../BOD/images/navshimmid.gif" alt="" border="0" width="139"
height="12" /></font></td></tr>
<tr><td>
<font face="Arial">
<a onMouseOut="MM_swapImgRestore()"
onMouseOver="MM_swapImage('navprograms','','images/navprograms2.gif',1)"
href="http://www.amigoslink.org/programs/2004projects/lapdhome.html">
<img src="../BOD/images/navprograms1.gif" alt="Our Programs"
border="0" name="navprograms" width="139" height="18"
/></a></font></td></tr>
<tr><td><font face="Arial">
<img src="../BOD/images/navshimmid.gif" alt="" border="0" width="139"
height="12" /></font></td></tr>
<tr><td>
<font face="Arial">
<a onMouseOut="MM_swapImgRestore()"
onMouseOver="MM_swapImage('navalumni','','images/navalumni2.gif',1)"
href="http://www.amigoslink.org/alumni/alumni.html">
<img src="../BOD/images/navalumni1.gif" alt="For our Alumni"
border="0" name="navalumni" width="139" height="18"
/></a></font></td></tr>
<tr><td><font face="Arial">
<img src="../BOD/images/navshimmid.gif" alt="" border="0" width="139"
height="12" /></font></td></tr>
<tr><td>
<font face="Arial">
<a onMouseOut="MM_swapImgRestore()"
onMouseOver="MM_swapImage('navcontact','','images/navcontact2.gif',1)"
href="http://www.amigoslink.org/contacts/contact.html">
<img src="../BOD/images/navcontact1.gif" alt="Contact Us" border="0"
name="navcontact" width="139" height="18" /></a></font></td></tr>
<tr><td><font face="Arial">
<img src="../BOD/images/navshimmid.gif" alt="" border="0" width="139"
height="12" /></font></td></tr>
<tr><td>
<font face="Arial">
<a onMouseOut="MM_swapImgRestore()"
onMouseOver="MM_swapImage('navhome','','images/navhome2.gif',1)"
href="http://www.amigoslink.org/default.htm">
<img src="../BOD/images/navhome1.gif" alt="Home" border="0"
name="navhome" width="139" height="18" /></a></font></td></tr>
<tr><td><font face="Arial">
<img src="../BOD/images/navshimbottom.gif" alt="" border="0"
width="17" height="21" /></font></td></tr>
</tbody>
</table>
<!-- end nav bar -->
</td>
<td rowspan="2" valign="top" height="831" width="599">
<!-- begin content area -->
<table cellpadding="0" cellspacing="0" border="0" width="620" height="17">
<tbody>
<tr>
<td width="214" valign="top" height="21">
<img src="../BOD/images/spacer.gif" border="0" width="63" height="15"></td>
<td width="475" valign="top" height="21">
<!-- begin content -->

<p class="normtext">

</p>

<table cellSpacing="0" cellPadding="0" width="478" border="0"
style="border-collapse: collapse" bordercolor="#111111" height="21">
<tbody>
<tr>
<td style="background-color: #FFFFFF" width="546" height="1">
<font size="4"><b><span style="font-family: Arial">2004 Annual
Meeting</span></b></font></td>
</tr>
</tbody>
</table>
<tbody>
<tr>
<td width="895" valign="top" height="17">
</td>
<td width="979" valign="top" height="17" colspan="3">
</td>
</tr>
<tr>
<td width="895" valign="top" height="26">
&nbsp;</td>
<td width="979" valign="top" height="26" colspan="3">
<font size="4" color="#800000"><b>Registration Form</b></font></td>
</tr>
<tr>
<td width="895" valign="top" height="242">
&nbsp;</td>
<td width="979" valign="top" height="242" colspan="3">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="581" height="666">
<tbody>

<!-- ViaKlix Info -->

<form action="https://www.viaklix.com/process.asp" method="POST"
name="FrontPage_Form1" onsubmit="return
FrontPage_Form1_Validator(this)" language="JavaScript">
		<input type="hidden" name ="ssl_merchant_id" value="401007">
  	  	<input type="hidden" name ="ssl_pin" value="1082">
  	  	<input type="hidden" name ="ssl_show_form" value="false">

<!-- End ViaKlix Info -->

<tr>
<td width="86" style="border-style: none; border-width: medium"
valign="middle" align="left" height="1">
</td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium"
valign="middle" align="left" height="1">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="1" valign="top" colspan="3">
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="1">
</td>
<td width="56" style="border-style: none; border-width: medium"
valign="top" align="left" height="1">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="18" valign="top" colspan="3">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="186%">
  <tr>
    <td width="100%" style="border-style: none; border-width: medium">
    &nbsp;</td>
  </tr>
  <tr>
    <td width="100%" style="border-style: none; border-width: medium">
    <font face="Arial" size="2">
    <input type="checkbox" name="NoRoom" value="No hotel room needed"
tabindex="1"><font color="#800000"><b>I
    will NOT need a hotel room.</b></font></font></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="18">
</td>
<td width="56" style="border-style: none; border-width: medium"
valign="top" align="left" height="18">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="31" valign="top" colspan="3">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="187%">
  <tr>
    <td width="100%" style="border-style: none; border-width: medium">&nbsp;</td>
  </tr>
  <tr>
    <td width="100%" style="border-style: none; border-width: medium"><b>
    <font size="2" color="#800000">SINGLE hotel room $96.00 
    per night</font></b></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="middle" align="right" height="31">
</td>
<td width="56" style="border-style: none; border-width: medium"
valign="middle" align="left" height="31">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="36" valign="top" colspan="3" rowspan="4">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="230%">
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="109%" style="border-style: none; border-width: medium">
    <b>
    <font face="Arial" size="2">I will need a SINGLE hotel room
for:</font></b></td>
  </tr>
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="109%" style="border-style: none; border-width: medium">
    <font face="Arial" size="2">
<input type="checkbox" name="ThurSingle" value="1"
onClick="update(this,96);"tabindex="2">Thursday night</font></td>
  </tr>
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="88%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
<input type="checkbox" name="FriSingle" value="1"
onClick="update(this,96);" tabindex="3">Friday
night</font></td>
  </tr>
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="88%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
<input type="checkbox" name="SatSingle" value="1"
onClick="update(this,96);" tabindex="4">Saturday
night</font></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="bottom" align="right" height="17">
</td>
<td width="56" style="border-style: none; border-width: medium"
valign="bottom" align="left" height="17">
</td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="bottom" align="right" height="16">
<font size="2" face="Arial">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
valign="bottom" align="left" height="16">
<input type="text" name="AmtThurSingle" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="bottom" align="right" height="1">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
valign="bottom" align="left" height="1">
<input type="text" name="AmtFriSingle" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="bottom" align="right" height="2">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
valign="bottom" align="left" height="2">
<input type="text" name="AmtSatSingle" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="49" valign="top" colspan="3" rowspan="4">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="187%" height="14">
  <tr>
    <td width="100%" style="border-style: none; border-width: medium"
height="1" colspan="2">
    <b><font size="2" color="#800000"> 
    DOUBLE hotel room $48.00 per night</font></b></td>
  </tr>
  <tr>
    <td width="4%" style="border-style: none; border-width: medium">
    &nbsp;</td>
    <td width="56%" style="border-style: none; border-width: medium">
    <b>
    <font face="Arial" size="2">I will need a DOUBLE hotel room
for:</font></b></td>
  </tr>
  <tr>
    <td width="4%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="56%" style="border-style: none; border-width: medium">
    <font face="Arial" size="2">
<input type="checkbox" name="ThurDouble" value="1"
onClick="update(this,48);"tabindex="5">Thursday night</font></td>
  </tr>
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
<img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="45%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
<input type="checkbox" name="FriDouble" value="1"
onClick="update(this,48);" tabindex="6">Friday
night</font></td>
  </tr>
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
<img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="45%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
<input type="checkbox" name="SatDouble" value="1"
onClick="update(this,48);" tabindex="7">Saturday
night</font></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="13">
</td>
<td width="56" style="border-style: none; border-width: medium"
valign="top" align="left" height="13">
</td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="12">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
valign="top" align="left" height="12">
<input type="text" name="AmtThurDouble" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="12">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
valign="top" align="left" height="12">
<input type="text" name="AmtFriDouble" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="12">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
valign="top" align="left" height="12">
<input type="text" name="AmtSatDouble" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="20" valign="top" colspan="3">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="100%">
  <tr>
    <td width="18%" style="border-style: none; border-width: medium">
    <font size="2"><font color="#800000"><b>Roommate:</b>&nbsp; </font>
    </font></td>
    <td width="82%" style="border-style: none; border-width: medium">
    <font size="2">
    <input type="text" name="Roommate" size="26" tabindex="8"></font></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="20">
&nbsp;</td>
<td width="56" style="border-style: none; border-width: medium"
valign="top" align="left" height="20">
&nbsp;</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="15" valign="top" colspan="3">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="100%">
  <tr>
    <td width="14%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="86%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
<input type="checkbox" name="IORoommate" value="IO may select
roommate" tabindex="8">International
    office may select roommate for me.</font></td>
  </tr>
  <tr>
    <td width="14%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="86%" style="border-style: none; border-width: medium">
<font size="2" color="#4C7511"><i><b>Note: IO cannot guarantee a roommate 
will be available.</b></i></font></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="15">
</td>
<td width="56" style="border-style: none; border-width: medium"
valign="top" align="left" height="15">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="18" valign="top" colspan="3">
<b><font face="Arial" size="2" color="#800000">I will attend the following 
meetings:</font></b></td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="18">
</td>
<td width="56" style="border-style: none; border-width: medium"
valign="top" align="left" height="18">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="1" valign="top" colspan="3">
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="1">
</td>
<td width="56" style="border-style: none; border-width: medium"
valign="top" align="left" height="1">
</td>
</tr>
<tr>
<td width="497" style="border-style: none; border-width: medium"
height="1" valign="top" colspan="4"></td>
<td width="56" style="border-style: none; border-width: medium"
valign="top" align="left" height="1">
</td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="1"></td>
<td width="332" style="border-style: none; border-width: medium"
height="1" valign="top"></td>
<td width="99" style="border-style: none; border-width: medium"
valign="top" height="1">
</td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="1" valign="top"></td>
<td width="56" style="border-style: none; border-width: medium"
align="right" height="1" valign="top"></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="ThursMtg" value="1" tabindex="9">Thursday
evening Chapter Presidents' Meeting</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
align="left" height="18" valign="bottom">
<p align="left">
<input type="text" name="AmtThursMtg" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="FriMtg" value="1"
tabindex="10">Friday
meetings</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
align="left" height="18" valign="top">
<input type="text" name="AmtFriMtg" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="SatMtg" value="1" tabindex="11">Saturday
meetings</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
align="left" height="18" valign="top">
<input type="text" name="AmtSatMtg" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="SunMtg" value="1" tabindex="12">Sunday
morning break-out meeting</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
align="left" height="18" valign="top">
<input type="text" name="AmtSunMtg" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2"></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
</td>
<td width="56" style="border-style: none; border-width: medium"
align="right" height="18" valign="top">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="18" colspan="3">
<b><font size="2" color="#800000">I will attend the following
events:</font></b></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
</td>
<td width="56" style="border-style: none; border-width: medium"
align="right" height="18" valign="top">
</td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="Symposium" value="1" tabindex="13">Friday
afternoon/evening Symposium at Baker Center</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
align="left" height="18" valign="bottom">
<p align="left">
<input type="text" name="AmtSymposium" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="Fiesta" value="1"
tabindex="14">Friday
evening Fiesta at International Office</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
align="left" height="18" valign="top">
<input type="text" name="AmtFiesta" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="Banquet" value="1" tabindex="15">Saturday
evening Banquet at hotel</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
align="left" height="18" valign="top">
<input type="text" name="AmtBanquet" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2"></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
</td>
<td width="56" style="border-style: none; border-width: medium"
align="left" height="18" valign="top">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="18" colspan="3">
<b><font size="2" color="#800000">I will bring a guest:</font></b></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
</td>
<td width="56" style="border-style: none; border-width: medium"
align="right" height="18" valign="top">
</td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="SymposiumGuest" value="1" tabindex="16">Friday
afternoon/evening Symposium at Baker Center</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
align="left" height="18" valign="bottom">
<p align="left">
<input type="text" name="AmtSymposiumGuest" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="FiestaGuest" value="1" tabindex="17">Friday
evening Fiesta at International Office</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="56" style="border-style: none; border-width: medium"
align="left" height="18" valign="top">
<input type="text" name="AmtFiestaGuest" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
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evening Banquet at hotel</font></td>
<td width="17" style="border-style: none; border-width: medium"
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<font face="Arial" size="2">$</font></td>
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<tr>
<td width="86" style="border-style: none; border-width: medium" height="20"></td>
<td width="332" style="border-style: none; border-width: medium" height="20"></td>
<td width="99" style="border-style: none; border-width: medium"
valign="middle" height="20" bgcolor="#C0C0C0">
<font color="#800000" size="3" face="Arial"><b>Total</b></font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" bgcolor="#C0C0C0" height="20">
<p>
<font face="Arial"><b><font size="2" color="#800000">$</font></b></font></p></td>
<td width="56" style="border-style: none; border-width: medium"
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<p align="left">
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<td width="307" valign="top" height="19">
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<font face="Arial" color="#800000" size="3"><b>Billing
Address</b></font><b><font face="Arial">
</font></b></td>
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<td width="470" valign="top" height="19">
<p align="right">
<font face="Arial" size="1">
<b><font color="#000080">Required Field</font></b> 
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<td width="315" valign="top" height="19">
&nbsp;</td>
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<tr>
<td width="144" height="23"><b><font face="Arial" size="2">Full Name
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<td width="335" colspan="2" height="23">
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<b>
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<font face="Arial">
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<td width="335" colspan="2" height="23">
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<font face="Arial">
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b-value-required="TRUE" i-maximum-length="100" --><input
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<td width="144" height="22"><b><font face="Arial" size="2">Day 
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<td width="335" colspan="2" height="22"><font face="Arial">
<input maxLength="20" name="ssl_phone" size="20" tabindex="28" /> </font></td>
</tr>
<tr>
<td width="144" height="22"><b><font face="Arial" size="2">
Evening Phone</font><font face="Arial" size="2" color="#000080">
</font></b></td>
<td width="335" colspan="2" height="22"><font face="Arial">
<input maxLength="50" size="20" name="ssl_evephone" tabindex="29" /> </font></td>
</tr>
<tr>
<font face="Arial" size="2">
<td width="144" valign="top" height="84">
<font face="Arial" size="2"><b>Comments</b>:</font></td>
<td width="335" colspan="2" height="84">
<font face="Arial">
<textarea rows="5" name="comments" cols="39" style="color: #800000;
font-size: 10pt; font-weight: bold"
tabindex="30"></textarea></font></td>
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<tr>
<td width="89" height="24">
<p align="center">&nbsp;</td>
<td width="336" height="24">
<p align="center">
<font face="Arial" size="2">
<b><font face="Arial" size="1" color="#800000">These are unlimited
text boxes.&nbsp;
Just continue typing<br>
when you reach the bottom of the box and it will expand.</font></b></td>
<td width="234" height="24">
&nbsp;</td>
</tr>
<tr>
<td width="483" colspan="3" height="16"><b><font face="Arial"
size="2">Names and contact
information for your guests:</font></b></td>
</tr>
<tr>
<td width="483" colspan="3" height="84">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="94%">
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<tr>
<td width="483" colspan="3" height="17"><font face="Arial">&#160;</font></td>
</tr>
<tr>
<td width="483" colspan="3" height="19"><font face="Arial">
<b>
<font color="#800000" size="3">Credit Card 
Information</font></b></font><font face="Arial" size="2">
</font>
</td>
</tr>
<tr>
<td width="144" height="25"><b><font face="Arial" size="2">Credit 
Card Type</font></b></td>
<td width="309" height="25">
<font face="Arial">
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b-value-required="TRUE" --><select size="1"
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<option>Select One</option>
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<option>Discover</option>
<option>Master Card</option>
<option>Visa</option>
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<tr>
<td width="144" height="22">
</font><p align="left"><font align="left" face="Arial" size="2"><b>
<font size="2">
Expiration Date </font></b></font></p></td><font face="Arial" size="2">
<td width="335" colspan="2" height="22">
<font face="Arial">
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border="0" />&nbsp; </font>
<b><font face="Arial" size="1">
Format: &#160;</font><font align="left" face="Arial" size="1">(mmyy --
no slash)</font></b></td>
</font></tr><font face="Arial" size="2">
</font></tbody></table></td>
</tr>
</tbody>
</table>
<div align="center">
  <center>
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="106%" height="1">
<tbody>
<tr>
<td width="100%" style="border-style: none; border-width: medium"
height="15" colspan="3"></td>
<td width="1%" style="border-style: none; border-width: medium" height="15"></td>
</tr>
<tr>
<td width="100%" style="border-style: none; border-width: medium"
colspan="4" height="14">
<p align="center"><b>
<font size="2" face="Arial">
Please confirm that all information above is correct, 
then click the button below.</font></b></p></td>
</tr>
<tr>
<td width="100%" style="border-style: none; border-width: medium"
height="16" colspan="3"></td>
</tr>
<tr>
<td width="34%" style="border-style: none; border-width: medium" height="34">
<font face="Arial" size="2">
        <a target="_top"
href="javascript:popUp('https://digitalid.verisign.com/as2/80094c50efa39ca800302838265a4c2a')">
        <img alt="VeriSign: The Value of Trust?"
src="../BOD/images/logo_bottom.gif" border="0" width="160"
height="39"></a></td>
<td width="33%" style="border-style: none; border-width: medium"
height="34" valign="middle">
<font face="Arial" size="2">
<input type="submit" value="Submit" name="Submit" style="color:
#800000; font-size: 10pt; font-weight: bold" tabindex="35"
/></font></td>
<td width="33%" style="border-style: none; border-width: medium"
height="34" valign="middle">
<font face="Arial" size="2">
<input type="reset" value="Reset" name="Reset" style="color: #800000;
font-size: 10pt; font-weight: bold" tabindex="36" /></font></td>
</tr>
<tr>
<td width="100%" style="border-style: none; border-width: medium"
height="17" colspan="3">
</td>
</tr>
<tr>
<td width="100%" style="border-style: none; border-width: medium"
height="34" colspan="3">
<font face="Arial" size="2">
<b><font size="2">You may also print out this form after completion and either 
mail it or fax it.</font></b></font><p align="center">
<font face="Arial" size="2">
<b><font size="2">Jacque Fuller<br>
Amigos de las Américas<br>
5618 Star Lane<br>
Houston, TX&nbsp; 77057<br>
713-782-9267 - FAX</font></b></td>
</tr>
</tbody>
</table>
  </center>
</div>
</form>



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</td>
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</table> 
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</tr>

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<font face="Arial">&#160;</font></td>
</tr>

</tbody>

</table>
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</body>
</html>





If you have any clarifications, please don't hesitate to ask.

Thank you for using this service and have a nice day.

With regards,
aditya2k-ga

Request for Answer Clarification by yelladog-ga on 08 Aug 2004 09:36 PDT
Thanks so much for your help, aditya2k-ga.  I think I have made all
the changes you gave me, but the form still doesn't work. 
Unfortunately, I cannot simply copy and paste into FrontPage because
it becomes corrupted.  Would you mind checking what I've done and
letting me know if you see a change I missed?  You can see the page at
http://io.amigoslink.org/commerce/2004-10-AnnMtg-reg.html
I have also included the code below
Thanks,again for your kind assistance.
Jacque

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">

<html>
<head>
<meta http-equiv="Content-Language" content="en-us" />
<title>2004 Annual Meeting Registration Form</title>

<meta name="description" content="Amigos de las Américas (AMIGOS)
excels in creating opportunities for young people to volunteer and
take leadership roles in public health, education and community
development programs. High school/ college students live with a host
family and work alongside community members in Latin America, while
learning a new language and culture." />
<meta name="keywords" content="Amigos de las Americas intercultural
international Latin America community service health home improvement
projects intensive summer programs teenagers high school college
students service learning leaders youth education volunteers volunteer
opportunities overseas work work abroad non-profit NGO cross-cultural
Bolivia Brazil Costa Rica Dominican Republic Honduras Mexico Nicaragua
Paraguay Spanish Portuguese grassroots environments homestay
sustainable development short-term programs exchange CSIET
International Volunteer Programs Association IVPA National Association
of International Educators NAFSA" />

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onMouseOver="MM_swapImage('navinvolve','','images/navinvolve2.gif',1)"
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<img src="../BOD/images/navinvolve1.gif" alt="Get Involved" border="0"
name="navinvolve" width="139" height="18" /></a></font></td></tr>
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<img src="../BOD/images/navshimmid.gif" alt="" border="0" width="139"
height="12" /></font></td></tr>
<tr><td>
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<a onMouseOut="MM_swapImgRestore()"
onMouseOver="MM_swapImage('navdonate','','images/navdonate2.gif',1)"
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<img src="../BOD/images/navdonate1.gif" alt="Make a Donation"
border="0" name="navdonate" width="139" height="18"
/></a></font></td></tr>
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<a onMouseOut="MM_swapImgRestore()"
onMouseOver="MM_swapImage('navprograms','','images/navprograms2.gif',1)"
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<img src="../BOD/images/navprograms1.gif" alt="Our Programs"
border="0" name="navprograms" width="139" height="18"
/></a></font></td></tr>
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border="0" name="navalumni" width="139" height="18"
/></a></font></td></tr>
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<img src="../BOD/images/navshimmid.gif" alt="" border="0" width="139"
height="12" /></font></td></tr>
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<a onMouseOut="MM_swapImgRestore()"
onMouseOver="MM_swapImage('navcontact','','images/navcontact2.gif',1)"
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<img src="../BOD/images/navcontact1.gif" alt="Contact Us" border="0"
name="navcontact" width="139" height="18" /></a></font></td></tr>
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<img src="../BOD/images/navshimmid.gif" alt="" border="0" width="139"
height="12" /></font></td></tr>
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<a onMouseOut="MM_swapImgRestore()"
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name="navhome" width="139" height="18" /></a></font></td></tr>
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<!-- begin content area -->
<table cellpadding="0" cellspacing="0" border="0" width="634" height="17">
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<tbody>
<tr>
<td width="895" valign="top" height="17">
</td>
<td width="953" valign="top" height="17" colspan="4">
</td>
</tr>
<tr>
<td width="895" valign="top" height="26">
&nbsp;</td>
<td width="697" valign="top" height="26" colspan="2">
<font size="4"><b><span style="font-family: Arial"><font
color="#800000">2004 Annual Meeting</font> </span></b></font>
<font size="4" color="#800000"><b>Registration Form</b></font><p>&nbsp;</td>
<td width="363" valign="top" height="26">
<p align="right"><font size="2" color="#800000"><b>
<a href="2004-10-reg-intro.html" style="text-decoration: none">Meeting 
information</a></b></font></td>
<td width="1" valign="top" height="26">
</td>
</tr>
<tr>
<td width="895" valign="top" height="242">
&nbsp;</td>
<td width="953" valign="top" height="242" colspan="4">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="582" height="603">
<tbody>

<!-- ViaKlix Info -->

<form action="https://www.viaklix.com/process.asp" method="POST"
name="FrontPage_Form1" onsubmit="return
FrontPage_Form1_Validator(this)" language="JavaScript">
		<input type="hidden" name ="ssl_merchant_id" value="401007">
  	  	<input type="hidden" name ="ssl_pin" value="1082">
  	  	<input type="hidden" name ="ssl_show_form" value="false">

<!-- End ViaKlix Info -->

<tr>
<td width="86" style="border-style: none; border-width: medium"
valign="middle" align="left" height="1">
</td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium"
valign="middle" align="left" height="1">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="1" valign="top" colspan="3">
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="1">
</td>
<td width="53" style="border-style: none; border-width: medium"
valign="top" align="left" height="1" colspan="2">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="18" valign="top" colspan="3">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="186%">
  <tr>
    <td width="100%" style="border-style: none; border-width: medium">
    &nbsp;</td>
  </tr>
  <tr>
    <td width="100%" style="border-style: none; border-width: medium">
    <font face="Arial" color="#4C7511" size="3"><b>Accommodations</b></font></td>
  </tr>
  <tr>
    <td width="100%" style="border-style: none; border-width: medium">
    &nbsp;</td>
  </tr>
  <tr>
    <td width="100%" style="border-style: none; border-width: medium">
    <font face="Arial" size="2">
    <input type="checkbox" name="NoRoom" value="No hotel room needed"
tabindex="1"><font color="#800000"><b>I
    will NOT need a hotel room.</b></font></font></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="18">
</td>
<td width="53" style="border-style: none; border-width: medium"
valign="top" align="left" height="18" colspan="2">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="31" valign="top" colspan="3">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="187%">
  <tr>
    <td width="100%" style="border-style: none; border-width: medium">&nbsp;</td>
  </tr>
  <tr>
    <td width="100%" style="border-style: none; border-width: medium"><b>
    <font size="2" color="#800000">SINGLE hotel room $96.00 
    per night</font></b></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="middle" align="right" height="31">
</td>
<td width="53" style="border-style: none; border-width: medium"
valign="middle" align="left" height="31" colspan="2">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="1" valign="top" colspan="3" rowspan="4">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="230%">
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="109%" style="border-style: none; border-width: medium">
    <b>
    <font face="Arial" size="2">I will need a SINGLE hotel room
for:</font></b></td>
  </tr>
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="109%" style="border-style: none; border-width: medium">
    <font face="Arial" size="2">
<input type="checkbox" name="ThurSingle" value="1"
onClick="update(this,96),"tabindex="2">Thursday night</font></td>
  </tr>
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15">
    </td>
    <td width="88%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
<input type="checkbox" name="FriSingle" value="1"
onClick="update(this,96);" tabindex="3">Friday night</font></td>
  </tr>
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="88%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
<input type="checkbox" name="SatSingle" value="1"
onClick="update(this,96);" tabindex="4">Saturday night</font></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="bottom" align="right" height="10">
</td>
<td width="53" style="border-style: none; border-width: medium"
valign="bottom" align="left" height="10" colspan="2">
</td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="middle" align="right" height="1">
<font size="2" face="Arial">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
valign="middle" align="left" height="1" colspan="2">
<input type="text" name="AmtThurSingle" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="middle" align="right" height="1">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
valign="middle" align="left" height="1" colspan="2">
<input type="text" name="AmtFriSingle" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="middle" align="right" height="1">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
valign="middle" align="left" height="1" colspan="2">
<input type="text" name="AmtSatSingle" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="86" valign="top" colspan="3" rowspan="5">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="187%" height="14">
  <tr>
    <td width="100%" style="border-style: none; border-width: medium"
height="1" colspan="2">
    <b><font size="2" color="#800000"> 
    DOUBLE hotel room $48.00 per night</font></b></td>
  </tr>
  <tr>
    <td width="4%" style="border-style: none; border-width: medium">
    &nbsp;</td>
    <td width="56%" style="border-style: none; border-width: medium">
    <b>
    <font face="Arial" size="2">I will need a DOUBLE hotel room
for:</font></b></td>
  </tr>
  <tr>
    <td width="4%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="56%" style="border-style: none; border-width: medium">
    <font face="Arial" size="2">
<input type="checkbox" name="ThurDouble" value="1"
onClick="update(this,48);"tabindex="5">Thursday night</font></td>
  </tr>
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
<img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="45%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
<input type="checkbox" name="FriDouble" value="1"
onClick="update(this,48);" tabindex="6">Friday
night</font></td>
  </tr>
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
<img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="45%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
<input type="checkbox" name="SatDouble" value="1"
onClick="update(this,48);" tabindex="7">Saturday
night</font></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="13">
</td>
<td width="53" style="border-style: none; border-width: medium"
valign="top" align="left" height="13" colspan="2">
</td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="middle" align="right" height="19">
&nbsp;</td>
<td width="33" style="border-style: none; border-width: medium"
valign="middle" align="left" height="19">
&nbsp;</td>
<td width="21" style="border-style: none; border-width: medium"
valign="top" align="left" height="38" rowspan="2">
&nbsp;</td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="middle" align="right" height="19">
<font face="Arial" size="2">$</font></td>
<td width="33" style="border-style: none; border-width: medium"
valign="middle" align="left" height="19">
<input type="text" name="AmtThurDouble" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="middle" align="right" height="23">
<font face="Arial" size="2">$</font></td>
<td width="33" style="border-style: none; border-width: medium"
valign="middle" align="left" height="23">
<input type="text" name="AmtFriDouble" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
<td width="21" style="border-style: none; border-width: medium"
valign="top" align="left" height="23">
&nbsp;</td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="middle" align="right" height="12">
<font face="Arial" size="2">$</font></td>
<td width="33" style="border-style: none; border-width: medium"
valign="middle" align="left" height="12">
<input type="text" name="AmtSatDouble" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
<td width="21" style="border-style: none; border-width: medium"
valign="top" align="left" height="12">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="20" valign="top" colspan="3">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="100%">
  <tr>
    <td width="18%" style="border-style: none; border-width: medium">
    <font size="2"><font color="#800000"><b>Roommate:</b>&nbsp; </font>
    </font></td>
    <td width="82%" style="border-style: none; border-width: medium">
    <font size="2">
    <input type="text" name="Roommate" size="26" tabindex="8"></font></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="20">
&nbsp;</td>
<td width="53" style="border-style: none; border-width: medium"
valign="top" align="left" height="20" colspan="2">
&nbsp;</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="15" valign="top" colspan="3">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="100%">
  <tr>
    <td width="14%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="86%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
<input type="checkbox" name="IORoommate" value="IO may select
roommate" tabindex="8">International
    office may select roommate for me.</font></td>
  </tr>
  <tr>
    <td width="14%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="86%" style="border-style: none; border-width: medium">
<font size="2" color="#4C7511"><i><b>Note: IO cannot guarantee a roommate 
will be available.</b></i></font></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="15">
</td>
<td width="53" style="border-style: none; border-width: medium"
valign="top" align="left" height="15" colspan="2">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="18" valign="top" colspan="3">
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="18">
</td>
<td width="53" style="border-style: none; border-width: medium"
valign="top" align="left" height="18" colspan="2">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="18" valign="top" colspan="3">
<b><font face="Arial" color="#4C7511" size="3">Meetings/Events</font></b></td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="18">
</td>
<td width="53" style="border-style: none; border-width: medium"
valign="top" align="left" height="18" colspan="2">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="18" valign="top" colspan="3">
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="18">
</td>
<td width="53" style="border-style: none; border-width: medium"
valign="top" align="left" height="18" colspan="2">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="18" valign="top" colspan="3">
<b><font face="Arial" size="2" color="#800000">I will attend the following 
meetings:</font></b></td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="18">
</td>
<td width="53" style="border-style: none; border-width: medium"
valign="top" align="left" height="18" colspan="2">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="1" valign="top" colspan="3">
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="1">
</td>
<td width="53" style="border-style: none; border-width: medium"
valign="top" align="left" height="1" colspan="2">
</td>
</tr>
<tr>
<td width="497" style="border-style: none; border-width: medium"
height="1" valign="top" colspan="4"></td>
<td width="53" style="border-style: none; border-width: medium"
valign="top" align="left" height="1" colspan="2">
</td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="1"></td>
<td width="332" style="border-style: none; border-width: medium"
height="1" valign="top"></td>
<td width="99" style="border-style: none; border-width: medium"
valign="top" height="1">
</td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="1" valign="top"></td>
<td width="53" style="border-style: none; border-width: medium"
align="right" height="1" valign="top" colspan="2"></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="ThurMtg" value="1"
onClick="update(this,30);" tabindex="9">Thursday
evening Chapter Presidents' Meeting</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" colspan="2">
<p align="left">
<input type="text" name="AmtThurMtg" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="FriMtg" value="1"
onClick="update(this,45);" tabindex="10">Friday
meetings</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" colspan="2">
<input type="text" name="AmtFriMtg" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="SatMtg" value="1"
onClick="update(this,45);" tabindex="11">Saturday
meetings</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" colspan="2">
<input type="text" name="AmtSatMtg" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="SunMtg" value="1"
onClick="update(this,45);" tabindex="12">Sunday
morning break-out meeting</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" colspan="2">
<input type="text" name="AmtSunMtg" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2"></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
</td>
<td width="53" style="border-style: none; border-width: medium"
align="right" height="18" valign="top" colspan="2">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="18" colspan="3">
<b><font size="2" color="#800000">I will attend the following
events:</font></b></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
</td>
<td width="53" style="border-style: none; border-width: medium"
align="right" height="18" valign="top" colspan="2">
</td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="Symposium" value="1"
onClick="update(this,80);" tabindex="13">Friday
afternoon/evening Symposium at Baker Center</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" valign="bottom" colspan="2">
<p align="left">
<input type="text" name="AmtSymposium" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="Fiesta" value="1"
onClick="update(this,30);" tabindex="14">Friday
evening Fiesta at International Office</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" valign="top" colspan="2">
<input type="text" name="AmtFiesta" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="Banquet" value="1"
onClick="update(this,85);" tabindex="15">Saturday
evening Banquet at hotel</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" valign="top" colspan="2">
<input type="text" name="AmtBanquet" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2"></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
</td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" valign="top" colspan="2">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="18" colspan="3">
<b><font size="2" color="#800000">I will bring a guest:</font></b></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
</td>
<td width="53" style="border-style: none; border-width: medium"
align="right" height="18" valign="top" colspan="2">
</td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="SymposiumGuest" value="1"
onClick="update(this,80);" tabindex="16">Friday
afternoon/evening Symposium at Baker Center</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" valign="bottom" colspan="2">
<p align="left">
<input type="text" name="AmtSymposiumGuest" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="FiestaGuest" value="1"
onClick="update(this,30);" tabindex="17">Friday
evening Fiesta at International Office</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" valign="top" colspan="2">
<input type="text" name="AmtFiestaGuest" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="BanquetGuest" value="1"
onClick="update(this,85);" tabindex="18">Saturday
evening Banquet at hotel</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" valign="top" colspan="2">
<input type="text" name="AmtBanquetGuest" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2"></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
</td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" valign="top" colspan="2">
</td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="20"></td>
<td width="332" style="border-style: none; border-width: medium" height="20"></td>
<td width="99" style="border-style: none; border-width: medium"
valign="middle" height="20" bgcolor="#C0C0C0">
<font color="#800000" size="3" face="Arial"><b>Total</b></font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" bgcolor="#C0C0C0" height="20">
<p>
<font face="Arial"><b><font size="2" color="#800000">$</font></b></font></p></td>
<td width="53" style="border-style: none; border-width: medium"
align="right" bgcolor="#C0C0C0" height="20" valign="top" colspan="2">
<p align="left">
<font face="Arial">
&nbsp;<!--webbot bot="Validation" b-value-required="TRUE" --><input
type="text" name="ssl_amount" value="0.00" onFocus="unEdit(this);"
size="6" style="color: #800000; font-size: 10pt; font-weight: bold;
background-color:#C0C0C0" /></font></p></td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td width="895" valign="top" height="17"></td>
<td width="953" valign="top" height="17" colspan="4"></td>
</tr>
<tr>
<font face="Arial" size="2">
<td width="307" valign="top" height="19">
&nbsp;</td>
<td width="619" valign="top" height="19">
<b><font face="Arial" size="3" color="#4C7511">Contact
Information</font><font face="Arial">
</font></b></td>
</font>
<td width="343" valign="top" height="19" colspan="2">
<p align="right">
<font face="Arial" size="1">
<b><font color="#000080">Required Field</font></b> 
          <img height="11" src="../BOD/images/required.gif" width="11"
border="0" /></font></td>
<td width="31" valign="top" height="19">
&nbsp;</td>
</tr>
<tr>
<font face="Arial" size="2">
<td width="895" height="528" valign="top">
&nbsp;</td>
<td width="953" height="528" valign="top" colspan="4">
<table cellSpacing="0" cellPadding="2" width="578" border="0"
style="border-collapse: collapse" bordercolor="#111111" height="649">
<tbody>
<tr>
<td width="144" height="23"><b><font face="Arial" size="2">Full Name
</font></b></td>
<td width="272" colspan="2" height="23">
<b>
<font face="Arial">
<!--webbot bot="Validation" s-display-name="Full Name"
b-value-required="TRUE" i-maximum-length="20" --><input maxLength="20"
name="ssl_first_name" size="40" tabindex="19" />&#160;</font></b><font
face="Arial" size="1"><img height="11"
src="../BOD/images/required.gif" width="11" border="0"
/></font><b><font face="Arial">
</font></b></td>
</tr>
<tr>
<td width="144" height="22"><b><font face="Arial" size="2">Last
Name</font></b></td>
<td width="272" colspan="2" height="22">
<b>
<font face="Arial" size="2">
<!--webbot bot="Validation" s-display-name="Full Name"
b-value-required="TRUE" i-maximum-length="20" --><input maxLength="20"
name="ssl_last_name" size="40" tabindex="20" /></font></b><font
face="Arial" size="1"><img height="11"
src="../BOD/images/required.gif" width="11" border="0" /></font></td>
</tr>
<tr>
<td width="144" height="19"><b><font face="Arial" size="2">
Company </font></b></td>
<td width="272" colspan="2" height="19">
<b>
<font face="Arial">
<input maxLength="50" size="40" name="ssl_company" tabindex="21" />
</font> </b> </td>
</tr>
<tr>
<td width="144" height="23"><b><font face="Arial" size="2">
Address1 </font></b></td>
<td width="272" colspan="2" height="23">
<b>
<font face="Arial">
<!--webbot bot="Validation" s-display-name="Address"
b-value-required="TRUE" i-maximum-length="30" --><input maxLength="30"
size="30" name="ssl_avs_address" tabindex="22"
/>&#160;</font></b><font face="Arial" size="1"><img height="11"
src="../BOD/images/required.gif" width="11" border="0"
/></font><b><font face="Arial">
</font></b></td>
</tr>
<tr>
<td width="144" height="23"><b><font face="Arial" size="2">
Address2 </font></b></td>
<td width="272" colspan="2" height="23">
<b>
<font face="Arial">
<input maxLength="30" size="30" name="ssl_address2" tabindex="23" />
</font> </b> </td>
</tr>
<tr>
<td width="144" height="23"><b><font face="Arial" size="2">City
</font></b></td>
<td width="272" colspan="2" height="23">
<b>
<font face="Arial">
<!--webbot bot="Validation" s-display-name="City"
b-value-required="TRUE" i-maximum-length="30" --><input maxLength="30"
size="30" name="ssl_city" tabindex="24" />&#160;</font></b><font
face="Arial" size="1"><img height="11"
src="../BOD/images/required.gif" width="11" border="0"
/></font><b><font face="Arial">
</font></b></td>
</tr>
<tr>
<td width="144" height="23"><b><font face="Arial" size="2">State
</font></b></td>
<td width="272" colspan="2" height="23">
<b>
<font face="Arial">
<!--webbot bot="Validation" s-display-name="State"
b-value-required="TRUE" i-maximum-length="10" --><input maxLength="10"
size="10" name="ssl_state" tabindex="25" />&#160;</font></b><font
face="Arial" size="1"><img height="11"
src="../BOD/images/required.gif" width="11" border="0"
/></font><b><font face="Arial">
</font></b></td>
</tr>
<tr>
<td width="144" height="23"><b><font face="Arial" size="2">Zip 
Code </font></b></td>
<td width="272" colspan="2" height="23">
<b>
<font face="Arial">
<!--webbot bot="Validation" s-display-name="Zip Code"
b-value-required="TRUE" i-maximum-length="10" --><input maxLength="10"
size="10" name="ssl_avs_zip" tabindex="26" />&#160;</font></b><font
face="Arial" size="1"><img height="11"
src="../BOD/images/required.gif" width="11" border="0"
/></font><b><font face="Arial">
</font></b></td>
</tr>
<tr>
<td width="144" height="23"><b><font face="Arial" size="2">Email 
Address </font></b></td>
<td width="272" colspan="2" height="23">
<b>
<font face="Arial">
<!--webbot bot="Validation" s-display-name="Email"
b-value-required="TRUE" i-maximum-length="100" --><input
maxLength="100" size="40" name="ssl_email" tabindex="27"
/>&#160;</font></b><font face="Arial" size="1"><img height="11"
src="../BOD/images/required.gif" width="11" border="0"
/></font><b><font face="Arial">
</font></b></td>
</tr>
<tr>
<td width="144" height="22"><b><font face="Arial" size="2">Day 
Phone </font></b></td>
<td width="272" colspan="2" height="22"><font face="Arial">
<input maxLength="20" name="ssl_phone" size="20" tabindex="28" /> </font></td>
</tr>
<tr>
<td width="144" height="22"><b><font face="Arial" size="2">
Evening Phone</font><font face="Arial" size="2" color="#000080">
</font></b></td>
<td width="272" colspan="2" height="22"><font face="Arial">
<input maxLength="50" size="20" name="ssl_evephone" tabindex="29" /> </font></td>
</tr>
<tr>
<font face="Arial" size="2">
<td width="144" valign="top" height="84">
<font face="Arial" size="2"><b>Comments</b>:</font></td>
<td width="272" colspan="2" height="84">
<font face="Arial">
<textarea rows="5" name="comments" cols="39" style="color: #800000;
font-size: 10pt; font-weight: bold"
tabindex="30"></textarea></font></td>
</font>
</tr>
<tr>
<td width="89" height="24">
<p align="center">&nbsp;</td>
<td width="449" height="24">
<p align="center">
<font face="Arial" size="2">
<b><font face="Arial" size="1" color="#800000">These are unlimited
text boxes.&nbsp;
Just continue typing<br>
when you reach the bottom of the box and it will expand.</font></b></td>
<td width="164" height="24">
&nbsp;</td>
</tr>
<tr>
<td width="420" colspan="3" height="16"><b><font face="Arial"
size="2">Names and contact
information for your guests:</font></b></td>
</tr>
<tr>
<td width="420" colspan="3" height="84">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="114%">
  <tr>
    <td width="40%" style="border-style: none; border-width: medium">&nbsp;</td>
    <td width="90%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
<!--webbot bot="Validation" i-maximum-length="2000" --><textarea
rows="5" name="Guests" cols="39" style="color: #800000; font-size:
10pt; font-weight: bold" tabindex="31"></textarea></td>
  </tr>
</table>
</td>
</tr>
<tr>
<td width="420" colspan="3" height="17"></td>
</tr>
<tr>
<td width="420" colspan="3" height="17">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="133%">
  <tr>
    <td width="26%" style="border-style: none; border-width: medium">
<font face="Arial">
    <b><font face="Arial" color="#4C7511" size="3">Payment Options</font></b></td>
    <td width="34%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
    <!--webbot bot="Validation" s-display-name="Payment Option"
b-value-required="TRUE" b-disallow-first-item="TRUE" --><select
size="1" name="pmtoption" tabindex="32">
    <option selected>Select one</option>
    <option>Bill my chapter</option>
    <option>Check enclosed</option>
    <option>Credit card</option>
    </select></td>
    <td width="20%" style="border-style: none; border-width: medium">&nbsp;</td>
    <td width="20%" style="border-style: none; border-width: medium">&nbsp;</td>
  </tr>
</table>
</td>
</tr>
<tr>
<td width="420" colspan="3" height="17"><font face="Arial">&#160;</font></td>
</tr>
<tr>
<td width="420" colspan="3" height="19"><font face="Arial">
<b>
<font color="#4C7511" size="3">Credit Card 
Information</font></b></font><font face="Arial" size="2">
</font>
</td>
</tr>
<tr>
<td width="144" height="25"><b><font face="Arial" size="2">Credit 
Card Type</font></b></td>
<td width="554" height="25" colspan="2">
<font face="Arial">
<!--webbot bot="Validation" s-display-name="Credit Card Type"
b-value-required="TRUE" --><select size="1"
name="ssl_credit_card_type" tabindex="33">
<option>Select One</option>
<option>American Express</option>
<option>Discover</option>
<option>Master Card</option>
<option>Visa</option>
</select></font><font face="Arial" size="2"> </font>
          <font face="Arial" size="1">
          <img height="11" src="../BOD/images/required.gif" width="11"
border="0" /></font><font face="Arial" size="2">&#160;&nbsp;&nbsp;
<font face="Arial">
<img alt="credit cards" src="../BOD/images/credit_cards.gif"
border="0" width="170" height="25" /></font></font></td>
</tr>
<tr>
<td width="144" height="32"><b><font face="Arial" size="2">Credit 
Card Number</font></b></td>
<td width="272" colspan="2" height="32">
<font face="Arial">
<!--webbot bot="Validation" s-display-name="Credit Card Number"
b-value-required="TRUE" --><input type="text" name="ssl_card_number"
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Expiration Date </font></b></font></p></td><font face="Arial" size="2">
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<p align="center"><b>
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Please confirm that all information above is correct, 
then click the button below.</font></b></p></td>
</tr>
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<td width="100%" style="border-style: none; border-width: medium"
height="16" colspan="3"></td>
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<tr>
<td width="34%" style="border-style: none; border-width: medium" height="34">
<font face="Arial" size="2">
        <a target="_top"
href="javascript:popUp('https://digitalid.verisign.com/as2/80094c50efa39ca800302838265a4c2a')">
        <img alt="VeriSign: The Value of Trust?"
src="../BOD/images/logo_bottom.gif" border="0" width="160"
height="39"></a></td>
<td width="33%" style="border-style: none; border-width: medium"
height="34" valign="middle">
<font face="Arial" size="2">
<input type="submit" value="Submit" name="Submit" style="color:
#800000; font-size: 10pt; font-weight: bold" tabindex="36"
/></font></td>
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height="34" valign="middle">
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font-size: 10pt; font-weight: bold" tabindex="37" /></font></td>
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height="34" colspan="3">
<p align="center">
<font face="Arial" size="2">
<b><font size="2">You may also print out this form after completion and either 
mail it or fax it.</font></b></font></p>
<p align="center">
<font face="Arial" size="2">
<b><font size="2">Jacque Fuller<br>
Amigos de las Américas<br>
5618 Star Lane<br>
Houston, TX&nbsp; 77057<br>
713-782-9267 - FAX<br>
<a href="mailto:jfuller@amigoslink.org">jfuller@amigoslink.org</a></font></b><p
align="center">
&nbsp;</td>
</tr>
</tbody>
</table>
  </center>
</div>
</form>



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</html>

Clarification of Answer by aditya2k-ga on 08 Aug 2004 10:36 PDT
Hi again,

One of your JavaScript functions had a missing double-quotes, and one
of the field names got changed. Here is the modified code. You might
want to try copying & pasting using notepad or wordpad, since
FrontPage corrupts it for you.



<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">

<html>
<head>
<meta http-equiv="Content-Language" content="en-us" />
<title>2004 Annual Meeting Registration Form</title>

<meta name="description" content="Amigos de las Américas (AMIGOS)
excels in creating opportunities for young people to volunteer and
take leadership roles in public health, education and community
development programs. High school/ college students live with a host
family and work alongside community members in Latin America, while
learning a new language and culture." />
<meta name="keywords" content="Amigos de las Americas intercultural
international Latin America community service health home improvement
projects intensive summer programs teenagers high school college
students service learning leaders youth education volunteers volunteer
opportunities overseas work work abroad non-profit NGO cross-cultural
Bolivia Brazil Costa Rica Dominican Republic Honduras Mexico Nicaragua
Paraguay Spanish Portuguese grassroots environments homestay
sustainable development short-term programs exchange CSIET
International Volunteer Programs Association IVPA National Association
of International Educators NAFSA" />

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function popUp(url) {
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<td style="background-color: #FFFFFF" width="546" height="1">
<font size="4"><b><span style="font-family: Arial">2004 Annual
Meeting</span></b></font></td>
</tr>
</tbody>
</table>
<tbody>
<tr>
<td width="895" valign="top" height="17">
</td>
<td width="979" valign="top" height="17" colspan="3">
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<tr>
<td width="895" valign="top" height="26">
&nbsp;</td>
<td width="979" valign="top" height="26" colspan="3">
<font size="4" color="#800000"><b>Registration Form</b></font></td>
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<tr>
<td width="895" valign="top" height="242">
&nbsp;</td>
<td width="979" valign="top" height="242" colspan="3">
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<form action="https://www.viaklix.com/process.asp" method="POST"
name="FrontPage_Form1" onsubmit="return
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		<input type="hidden" name ="ssl_merchant_id" value="401007">
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<tr>
<td width="86" style="border-style: none; border-width: medium"
valign="middle" align="left" height="1">
</td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium"
valign="middle" align="left" height="1">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="1" valign="top" colspan="3">
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="1">
</td>
<td width="53" style="border-style: none; border-width: medium"
valign="top" align="left" height="1" colspan="2">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="18" valign="top" colspan="3">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="186%">
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    &nbsp;</td>
  </tr>
  <tr>
    <td width="100%" style="border-style: none; border-width: medium">
    <font face="Arial" color="#4C7511" size="3"><b>Accommodations</b></font></td>
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  <tr>
    <td width="100%" style="border-style: none; border-width: medium">
    &nbsp;</td>
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  <tr>
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    <font face="Arial" size="2">
    <input type="checkbox" name="NoRoom" value="No hotel room needed"
tabindex="1"><font color="#800000"><b>I
    will NOT need a hotel room.</b></font></font></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="18">
</td>
<td width="53" style="border-style: none; border-width: medium"
valign="top" align="left" height="18" colspan="2">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="31" valign="top" colspan="3">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="187%">
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    <td width="100%" style="border-style: none; border-width: medium">&nbsp;</td>
  </tr>
  <tr>
    <td width="100%" style="border-style: none; border-width: medium"><b>
    <font size="2" color="#800000">SINGLE hotel room $96.00 
    per night</font></b></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="middle" align="right" height="31">
</td>
<td width="53" style="border-style: none; border-width: medium"
valign="middle" align="left" height="31" colspan="2">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="1" valign="top" colspan="3" rowspan="4">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="230%">
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="109%" style="border-style: none; border-width: medium">
    <b>
    <font face="Arial" size="2">I will need a SINGLE hotel room
for:</font></b></td>
  </tr>
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="109%" style="border-style: none; border-width: medium">
    <font face="Arial" size="2">
<input type="checkbox" name="ThurSingle" value="1"
onClick="update(this,96);" tabindex="2">Thursday night</font></td>
  </tr>
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15">
    </td>
    <td width="88%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
<input type="checkbox" name="FriSingle" value="1"
onClick="update(this,96);" tabindex="3">Friday night</font></td>
  </tr>
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="88%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
<input type="checkbox" name="SatSingle" value="1"
onClick="update(this,96);" tabindex="4">Saturday night</font></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="bottom" align="right" height="10">
</td>
<td width="53" style="border-style: none; border-width: medium"
valign="bottom" align="left" height="10" colspan="2">
</td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="middle" align="right" height="1">
<font size="2" face="Arial">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
valign="middle" align="left" height="1" colspan="2">
<input type="text" name="AmtThurSingle" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="middle" align="right" height="1">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
valign="middle" align="left" height="1" colspan="2">
<input type="text" name="AmtFriSingle" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="middle" align="right" height="1">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
valign="middle" align="left" height="1" colspan="2">
<input type="text" name="AmtSatSingle" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="86" valign="top" colspan="3" rowspan="5">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="187%" height="14">
  <tr>
    <td width="100%" style="border-style: none; border-width: medium"
height="1" colspan="2">
    <b><font size="2" color="#800000"> 
    DOUBLE hotel room $48.00 per night</font></b></td>
  </tr>
  <tr>
    <td width="4%" style="border-style: none; border-width: medium">
    &nbsp;</td>
    <td width="56%" style="border-style: none; border-width: medium">
    <b>
    <font face="Arial" size="2">I will need a DOUBLE hotel room
for:</font></b></td>
  </tr>
  <tr>
    <td width="4%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="56%" style="border-style: none; border-width: medium">
    <font face="Arial" size="2">
<input type="checkbox" name="ThurDouble" value="1"
onClick="update(this,48);"tabindex="5">Thursday night</font></td>
  </tr>
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
<img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="45%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
<input type="checkbox" name="FriDouble" value="1"
onClick="update(this,48);" tabindex="6">Friday
night</font></td>
  </tr>
  <tr>
    <td width="3%" style="border-style: none; border-width: medium">
<img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="45%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
<input type="checkbox" name="SatDouble" value="1"
onClick="update(this,48);" tabindex="7">Saturday
night</font></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="13">
</td>
<td width="53" style="border-style: none; border-width: medium"
valign="top" align="left" height="13" colspan="2">
</td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="middle" align="right" height="19">
&nbsp;</td>
<td width="33" style="border-style: none; border-width: medium"
valign="middle" align="left" height="19">
&nbsp;</td>
<td width="21" style="border-style: none; border-width: medium"
valign="top" align="left" height="38" rowspan="2">
&nbsp;</td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="middle" align="right" height="19">
<font face="Arial" size="2">$</font></td>
<td width="33" style="border-style: none; border-width: medium"
valign="middle" align="left" height="19">
<input type="text" name="AmtThurDouble" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="middle" align="right" height="23">
<font face="Arial" size="2">$</font></td>
<td width="33" style="border-style: none; border-width: medium"
valign="middle" align="left" height="23">
<input type="text" name="AmtFriDouble" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
<td width="21" style="border-style: none; border-width: medium"
valign="top" align="left" height="23">
&nbsp;</td>
</tr>
<tr>
<td width="17" style="border-style: none; border-width: medium"
valign="middle" align="right" height="12">
<font face="Arial" size="2">$</font></td>
<td width="33" style="border-style: none; border-width: medium"
valign="middle" align="left" height="12">
<input type="text" name="AmtSatDouble" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
<td width="21" style="border-style: none; border-width: medium"
valign="top" align="left" height="12">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="20" valign="top" colspan="3">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="100%">
  <tr>
    <td width="18%" style="border-style: none; border-width: medium">
    <font size="2"><font color="#800000"><b>Roommate:</b>&nbsp; </font>
    </font></td>
    <td width="82%" style="border-style: none; border-width: medium">
    <font size="2">
    <input type="text" name="Roommate" size="26" tabindex="8"></font></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="20">
&nbsp;</td>
<td width="53" style="border-style: none; border-width: medium"
valign="top" align="left" height="20" colspan="2">
&nbsp;</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="15" valign="top" colspan="3">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="100%">
  <tr>
    <td width="14%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="86%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
<input type="checkbox" name="IORoommate" value="IO may select
roommate" tabindex="8">International
    office may select roommate for me.</font></td>
  </tr>
  <tr>
    <td width="14%" style="border-style: none; border-width: medium">
    <img border="0" src="../images/spacer.gif" width="63" height="15"></td>
    <td width="86%" style="border-style: none; border-width: medium">
<font size="2" color="#4C7511"><i><b>Note: IO cannot guarantee a roommate 
will be available.</b></i></font></td>
  </tr>
</table>
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="15">
</td>
<td width="53" style="border-style: none; border-width: medium"
valign="top" align="left" height="15" colspan="2">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="18" valign="top" colspan="3">
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="18">
</td>
<td width="53" style="border-style: none; border-width: medium"
valign="top" align="left" height="18" colspan="2">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="18" valign="top" colspan="3">
<b><font face="Arial" color="#4C7511" size="3">Meetings/Events</font></b></td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="18">
</td>
<td width="53" style="border-style: none; border-width: medium"
valign="top" align="left" height="18" colspan="2">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="18" valign="top" colspan="3">
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="18">
</td>
<td width="53" style="border-style: none; border-width: medium"
valign="top" align="left" height="18" colspan="2">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="18" valign="top" colspan="3">
<b><font face="Arial" size="2" color="#800000">I will attend the following 
meetings:</font></b></td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="18">
</td>
<td width="53" style="border-style: none; border-width: medium"
valign="top" align="left" height="18" colspan="2">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="1" valign="top" colspan="3">
</td>
<td width="17" style="border-style: none; border-width: medium"
valign="top" align="right" height="1">
</td>
<td width="53" style="border-style: none; border-width: medium"
valign="top" align="left" height="1" colspan="2">
</td>
</tr>
<tr>
<td width="497" style="border-style: none; border-width: medium"
height="1" valign="top" colspan="4"></td>
<td width="53" style="border-style: none; border-width: medium"
valign="top" align="left" height="1" colspan="2">
</td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="1"></td>
<td width="332" style="border-style: none; border-width: medium"
height="1" valign="top"></td>
<td width="99" style="border-style: none; border-width: medium"
valign="top" height="1">
</td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="1" valign="top"></td>
<td width="53" style="border-style: none; border-width: medium"
align="right" height="1" valign="top" colspan="2"></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="ThurMtg" value="1"
onClick="update(this,30);" tabindex="9">Thursday
evening Chapter Presidents' Meeting</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" colspan="2">
<p align="left">
<input type="text" name="AmtThurMtg" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="FriMtg" value="1"
onClick="update(this,45);" tabindex="10">Friday
meetings</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" colspan="2">
<input type="text" name="AmtFriMtg" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="SatMtg" value="1"
onClick="update(this,45);" tabindex="11">Saturday
meetings</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" colspan="2">
<input type="text" name="AmtSatMtg" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="SunMtg" value="1"
onClick="update(this,45);" tabindex="12">Sunday
morning break-out meeting</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" colspan="2">
<input type="text" name="AmtSunMtg" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2"></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
</td>
<td width="53" style="border-style: none; border-width: medium"
align="right" height="18" valign="top" colspan="2">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="18" colspan="3">
<b><font size="2" color="#800000">I will attend the following
events:</font></b></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
</td>
<td width="53" style="border-style: none; border-width: medium"
align="right" height="18" valign="top" colspan="2">
</td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="Symposium" value="1"
onClick="update(this,80);" tabindex="13">Friday
afternoon/evening Symposium at Baker Center</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" valign="bottom" colspan="2">
<p align="left">
<input type="text" name="AmtSymposium" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="Fiesta" value="1"
onClick="update(this,30);" tabindex="14">Friday
evening Fiesta at International Office</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" valign="top" colspan="2">
<input type="text" name="AmtFiesta" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="Banquet" value="1"
onClick="update(this,85);" tabindex="15">Saturday
evening Banquet at hotel</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" valign="top" colspan="2">
<input type="text" name="AmtBanquet" size="5" style="font-size: 10pt;
font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2"></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
</td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" valign="top" colspan="2">
</td>
</tr>
<tr>
<td width="480" style="border-style: none; border-width: medium"
height="18" colspan="3">
<b><font size="2" color="#800000">I will bring a guest:</font></b></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
</td>
<td width="53" style="border-style: none; border-width: medium"
align="right" height="18" valign="top" colspan="2">
</td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="SymposiumGuest" value="1"
onClick="update(this,80);" tabindex="16">Friday
afternoon/evening Symposium at Baker Center</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" valign="bottom" colspan="2">
<p align="left">
<input type="text" name="AmtSymposiumGuest" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="FiestaGuest" value="1"
onClick="update(this,30);" tabindex="17">Friday
evening Fiesta at International Office</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" valign="top" colspan="2">
<input type="text" name="AmtFiestaGuest" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2">
<font face="Arial" size="2">
<input type="checkbox" name="BanquetGuest" value="1"
onClick="update(this,85);" tabindex="18">Saturday
evening Banquet at hotel</font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
<font face="Arial" size="2">$</font></td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" valign="top" colspan="2">
<input type="text" name="AmtBanquetGuest" size="5" style="font-size:
10pt; font-family: Arial; border-style: solid; border-width: 0; "
onFocus="unEdit(this);" value="0.00" /></td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="18"></td>
<td width="394" style="border-style: none; border-width: medium"
height="18" colspan="2"></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" height="18">
</td>
<td width="53" style="border-style: none; border-width: medium"
align="left" height="18" valign="top" colspan="2">
</td>
</tr>
<tr>
<td width="86" style="border-style: none; border-width: medium" height="20"></td>
<td width="332" style="border-style: none; border-width: medium" height="20"></td>
<td width="99" style="border-style: none; border-width: medium"
valign="middle" height="20" bgcolor="#C0C0C0">
<font color="#800000" size="3" face="Arial"><b>Total</b></font></td>
<td width="17" style="border-style: none; border-width: medium"
align="right" bgcolor="#C0C0C0" height="20">
<p>
<font face="Arial"><b><font size="2" color="#800000">$</font></b></font></p></td>
<td width="53" style="border-style: none; border-width: medium"
align="right" bgcolor="#C0C0C0" height="20" valign="top" colspan="2">
<p align="left">
<font face="Arial">
&nbsp;<!--webbot bot="Validation" b-value-required="TRUE" --><input
type="text" name="ssl_amount" value="0.00" onFocus="unEdit(this);"
size="6" style="color: #800000; font-size: 10pt; font-weight: bold;
background-color:#C0C0C0" /></font></p></td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td width="895" valign="top" height="17"></td>
<td width="953" valign="top" height="17" colspan="4"></td>
</tr>
<tr>
<font face="Arial" size="2">
<td width="307" valign="top" height="19">
&nbsp;</td>
<td width="619" valign="top" height="19">
<b><font face="Arial" size="3" color="#4C7511">Contact
Information</font><font face="Arial">
</font></b></td>
</font>
<td width="343" valign="top" height="19" colspan="2">
<p align="right">
<font face="Arial" size="1">
<b><font color="#000080">Required Field</font></b> 
          <img height="11" src="../BOD/images/required.gif" width="11"
border="0" /></font></td>
<td width="31" valign="top" height="19">
&nbsp;</td>
</tr>
<tr>
<font face="Arial" size="2">
<td width="895" height="528" valign="top">
&nbsp;</td>
<td width="953" height="528" valign="top" colspan="4">
<table cellSpacing="0" cellPadding="2" width="578" border="0"
style="border-collapse: collapse" bordercolor="#111111" height="649">
<tbody>
<tr>
<td width="144" height="23"><b><font face="Arial" size="2">Full Name
</font></b></td>
<td width="272" colspan="2" height="23">
<b>
<font face="Arial">
<!--webbot bot="Validation" s-display-name="Full Name"
b-value-required="TRUE" i-maximum-length="20" --><input maxLength="20"
name="ssl_first_name" size="40" tabindex="19" />&#160;</font></b><font
face="Arial" size="1"><img height="11"
src="../BOD/images/required.gif" width="11" border="0"
/></font><b><font face="Arial">
</font></b></td>
</tr>
<tr>
<td width="144" height="22"><b><font face="Arial" size="2">Last
Name</font></b></td>
<td width="272" colspan="2" height="22">
<b>
<font face="Arial" size="2">
<!--webbot bot="Validation" s-display-name="Full Name"
b-value-required="TRUE" i-maximum-length="20" --><input maxLength="20"
name="ssl_last_name" size="40" tabindex="20" /></font></b><font
face="Arial" size="1"><img height="11"
src="../BOD/images/required.gif" width="11" border="0" /></font></td>
</tr>
<tr>
<td width="144" height="19"><b><font face="Arial" size="2">
Company </font></b></td>
<td width="272" colspan="2" height="19">
<b>
<font face="Arial">
<input maxLength="50" size="40" name="ssl_company" tabindex="21" />
</font> </b> </td>
</tr>
<tr>
<td width="144" height="23"><b><font face="Arial" size="2">
Address1 </font></b></td>
<td width="272" colspan="2" height="23">
<b>
<font face="Arial">
<!--webbot bot="Validation" s-display-name="Address"
b-value-required="TRUE" i-maximum-length="30" --><input maxLength="30"
size="30" name="ssl_avs_address" tabindex="22"
/>&#160;</font></b><font face="Arial" size="1"><img height="11"
src="../BOD/images/required.gif" width="11" border="0"
/></font><b><font face="Arial">
</font></b></td>
</tr>
<tr>
<td width="144" height="23"><b><font face="Arial" size="2">
Address2 </font></b></td>
<td width="272" colspan="2" height="23">
<b>
<font face="Arial">
<input maxLength="30" size="30" name="ssl_address2" tabindex="23" />
</font> </b> </td>
</tr>
<tr>
<td width="144" height="23"><b><font face="Arial" size="2">City
</font></b></td>
<td width="272" colspan="2" height="23">
<b>
<font face="Arial">
<!--webbot bot="Validation" s-display-name="City"
b-value-required="TRUE" i-maximum-length="30" --><input maxLength="30"
size="30" name="ssl_city" tabindex="24" />&#160;</font></b><font
face="Arial" size="1"><img height="11"
src="../BOD/images/required.gif" width="11" border="0"
/></font><b><font face="Arial">
</font></b></td>
</tr>
<tr>
<td width="144" height="23"><b><font face="Arial" size="2">State
</font></b></td>
<td width="272" colspan="2" height="23">
<b>
<font face="Arial">
<!--webbot bot="Validation" s-display-name="State"
b-value-required="TRUE" i-maximum-length="10" --><input maxLength="10"
size="10" name="ssl_state" tabindex="25" />&#160;</font></b><font
face="Arial" size="1"><img height="11"
src="../BOD/images/required.gif" width="11" border="0"
/></font><b><font face="Arial">
</font></b></td>
</tr>
<tr>
<td width="144" height="23"><b><font face="Arial" size="2">Zip 
Code </font></b></td>
<td width="272" colspan="2" height="23">
<b>
<font face="Arial">
<!--webbot bot="Validation" s-display-name="Zip Code"
b-value-required="TRUE" i-maximum-length="10" --><input maxLength="10"
size="10" name="ssl_avs_zip" tabindex="26" />&#160;</font></b><font
face="Arial" size="1"><img height="11"
src="../BOD/images/required.gif" width="11" border="0"
/></font><b><font face="Arial">
</font></b></td>
</tr>
<tr>
<td width="144" height="23"><b><font face="Arial" size="2">Email 
Address </font></b></td>
<td width="272" colspan="2" height="23">
<b>
<font face="Arial">
<!--webbot bot="Validation" s-display-name="Email"
b-value-required="TRUE" i-maximum-length="100" --><input
maxLength="100" size="40" name="ssl_email" tabindex="27"
/>&#160;</font></b><font face="Arial" size="1"><img height="11"
src="../BOD/images/required.gif" width="11" border="0"
/></font><b><font face="Arial">
</font></b></td>
</tr>
<tr>
<td width="144" height="22"><b><font face="Arial" size="2">Day 
Phone </font></b></td>
<td width="272" colspan="2" height="22"><font face="Arial">
<input maxLength="20" name="ssl_phone" size="20" tabindex="28" /> </font></td>
</tr>
<tr>
<td width="144" height="22"><b><font face="Arial" size="2">
Evening Phone</font><font face="Arial" size="2" color="#000080">
</font></b></td>
<td width="272" colspan="2" height="22"><font face="Arial">
<input maxLength="50" size="20" name="ssl_evephone" tabindex="29" /> </font></td>
</tr>
<tr>
<font face="Arial" size="2">
<td width="144" valign="top" height="84">
<font face="Arial" size="2"><b>Comments</b>:</font></td>
<td width="272" colspan="2" height="84">
<font face="Arial">
<textarea rows="5" name="comments" cols="39" style="color: #800000;
font-size: 10pt; font-weight: bold"
tabindex="30"></textarea></font></td>
</font>
</tr>
<tr>
<td width="89" height="24">
<p align="center">&nbsp;</td>
<td width="449" height="24">
<p align="center">
<font face="Arial" size="2">
<b><font face="Arial" size="1" color="#800000">These are unlimited
text boxes.&nbsp;
Just continue typing<br>
when you reach the bottom of the box and it will expand.</font></b></td>
<td width="164" height="24">
&nbsp;</td>
</tr>
<tr>
<td width="420" colspan="3" height="16"><b><font face="Arial"
size="2">Names and contact
information for your guests:</font></b></td>
</tr>
<tr>
<td width="420" colspan="3" height="84">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="114%">
  <tr>
    <td width="40%" style="border-style: none; border-width: medium">&nbsp;</td>
    <td width="90%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
<!--webbot bot="Validation" i-maximum-length="2000" --><textarea
rows="5" name="Guests" cols="39" style="color: #800000; font-size:
10pt; font-weight: bold" tabindex="31"></textarea></td>
  </tr>
</table>
</td>
</tr>
<tr>
<td width="420" colspan="3" height="17"></td>
</tr>
<tr>
<td width="420" colspan="3" height="17">
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="133%">
  <tr>
    <td width="26%" style="border-style: none; border-width: medium">
<font face="Arial">
    <b><font face="Arial" color="#4C7511" size="3">Payment Options</font></b></td>
    <td width="34%" style="border-style: none; border-width: medium">
<font face="Arial" size="2">
    <!--webbot bot="Validation" s-display-name="Payment Option"
b-value-required="TRUE" b-disallow-first-item="TRUE" --><select
size="1" name="pmtoption" tabindex="32">
    <option selected>Select one</option>
    <option>Bill my chapter</option>
    <option>Check enclosed</option>
    <option>Credit card</option>
    </select></td>
    <td width="20%" style="border-style: none; border-width: medium">&nbsp;</td>
    <td width="20%" style="border-style: none; border-width: medium">&nbsp;</td>
  </tr>
</table>
</td>
</tr>
<tr>
<td width="420" colspan="3" height="17"><font face="Arial">&#160;</font></td>
</tr>
<tr>
<td width="420" colspan="3" height="19"><font face="Arial">
<b>
<font color="#4C7511" size="3">Credit Card 
Information</font></b></font><font face="Arial" size="2">
</font>
</td>
</tr>
<tr>
<td width="144" height="25"><b><font face="Arial" size="2">Credit 
Card Type</font></b></td>
<td width="554" height="25" colspan="2">
<font face="Arial">
<!--webbot bot="Validation" s-display-name="Credit Card Type"
b-value-required="TRUE" --><select size="1"
name="ssl_credit_card_type" tabindex="33">
<option>Select One</option>
<option>American Express</option>
<option>Discover</option>
<option>Master Card</option>
<option>Visa</option>
</select></font><font face="Arial" size="2"> </font>
          <font face="Arial" size="1">
          <img height="11" src="../BOD/images/required.gif" width="11"
border="0" /></font><font face="Arial" size="2">&#160;&nbsp;&nbsp;
<font face="Arial">
<img alt="credit cards" src="../BOD/images/credit_cards.gif"
border="0" width="170" height="25" /></font></font></td>
</tr>
<tr>
<td width="144" height="32"><b><font face="Arial" size="2">Credit 
Card Number</font></b></td>
<td width="272" colspan="2" height="32">
<font face="Arial">
<!--webbot bot="Validation" s-display-name="Credit Card Number"
b-value-required="TRUE" --><input type="text" name="ssl_card_number"
size="25" tabindex="34" /></font><font face="Arial" size="2"> </font>
          <font face="Arial" size="1">
          <img height="11" src="../BOD/images/required.gif" width="11"
border="0" /></font><font face="Arial" size="2"><b>
<br>
Format: &nbsp;</b></font><b><font face="Arial" size="1">(no 
spaces or dashes)</font></b></td>
</tr>
<tr>
<td width="144" height="22">
</font><p align="left"><font align="left" face="Arial" size="2"><b>
<font size="2">
Expiration Date </font></b></font></p></td><font face="Arial" size="2">
<td width="272" colspan="2" height="22">
<font face="Arial">
<!--webbot bot="Validation" s-display-name="Credit Card Expiration
Date" b-value-required="TRUE" --><input type="text"
name="ssl_exp_date" size="4" tabindex="35" /></font><font face="Arial"
size="2"> </font>
          <font face="Arial" size="1">
          <img height="11" src="../BOD/images/required.gif" width="11"
border="0" />&nbsp; </font>
<font face="Arial" size="1">
<b><br>
</b></font><font face="Arial" size="2"><b>Format:
&nbsp;</b></font><b><font align="left" face="Arial" size="1">(mmyy --
no slash
or dash)</font></b></td>
</font></tr><font face="Arial" size="2">
</font></tbody></table></td>
</tr>
</tbody>
</table>
<div align="center">
  <center>
<table border="1" cellpadding="0" cellspacing="0"
style="border-collapse: collapse; border-width: 0"
bordercolor="#111111" width="106%" height="1">
<tbody>
<tr>
<td width="100%" style="border-style: none; border-width: medium"
height="15" colspan="3"></td>
<td width="1%" style="border-style: none; border-width: medium" height="15"></td>
</tr>
<tr>
<td width="100%" style="border-style: none; border-width: medium"
colspan="4" height="14">
<p align="center"><b>
<font size="2" face="Arial">
Please confirm that all information above is correct, 
then click the button below.</font></b></p></td>
</tr>
<tr>
<td width="100%" style="border-style: none; border-width: medium"
height="16" colspan="3"></td>
</tr>
<tr>
<td width="34%" style="border-style: none; border-width: medium" height="34">
<font face="Arial" size="2">
        <a target="_top"
href="javascript:popUp('https://digitalid.verisign.com/as2/80094c50efa39ca800302838265a4c2a')">
        <img alt="VeriSign: The Value of Trust?"
src="../BOD/images/logo_bottom.gif" border="0" width="160"
height="39"></a></td>
<td width="33%" style="border-style: none; border-width: medium"
height="34" valign="middle">
<font face="Arial" size="2">
<input type="submit" value="Submit" name="Submit" style="color:
#800000; font-size: 10pt; font-weight: bold" tabindex="36"
/></font></td>
<td width="33%" style="border-style: none; border-width: medium"
height="34" valign="middle">
<font face="Arial" size="2">
<input type="reset" value="Reset" name="Reset" style="color: #800000;
font-size: 10pt; font-weight: bold" tabindex="37" /></font></td>
</tr>
<tr>
<td width="100%" style="border-style: none; border-width: medium"
height="17" colspan="3">
</td>
</tr>
<tr>
<td width="100%" style="border-style: none; border-width: medium"
height="34" colspan="3">
<p align="center">
<font face="Arial" size="2">
<b><font size="2">You may also print out this form after completion and either 
mail it or fax it.</font></b></font></p>
<p align="center">
<font face="Arial" size="2">
<b><font size="2">Jacque Fuller<br>
Amigos de las Américas<br>
5618 Star Lane<br>
Houston, TX&nbsp; 77057<br>
713-782-9267 - FAX<br>
<a href="mailto:jfuller@amigoslink.org">jfuller@amigoslink.org</a></font></b><p
align="center">
&nbsp;</td>
</tr>
</tbody>
</table>
  </center>
</div>
</form>



<!-- end content -->
</td>
<td width="4" height="1069"><font face="Arial">&nbsp;</font></td>
</tr>
</tbody>
</table> 
<!-- end content area -->
</td>
</tr>

<tr>
<td valign="bottom" background="../BOD/images/navback.gif" height="1">
<font face="Arial">&#160;</font></td>
</tr>

</tbody>

</table>
<!-- end body table -->
</body>
</html>




Regards,
aditya2k

Request for Answer Clarification by yelladog-ga on 08 Aug 2004 13:05 PDT
Thanks again.  I hate to be so dense, but I don't know how to make a
copy and past into Wordpad work in FrontPage. Do you?  Maybe if you
just show me where the double quote is missing and which field name
changed, I could just make those corrections.  I don't suppose you
have a way of highlighting or making the font a different color, do
you?
Thanks again for all your help.
Jacque

Request for Answer Clarification by yelladog-ga on 08 Aug 2004 13:39 PDT
Never mind!  I figured it out. I wasn't saving wordpad as .txt.  I
have it now and it works!

Thanks for all your help.

Clarification of Answer by aditya2k-ga on 08 Aug 2004 22:25 PDT
Thanks for your generous rating. I'm glad I helped.
yelladog-ga rated this answer:5 out of 5 stars
Thanks!

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