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<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=windows-1252">
<meta http-equiv="Content-Language" content="en-us">
<meta name="GENERATOR" content="Microsoft FrontPage 4.0">
<meta name="ProgId" content="FrontPage.Editor.Document">
<title>Tell us what you think about our web site</title>
</head>
<body>
<p><!--webbot bot="PurpleText"
PREVIEW="Feedback Form - Customize the form below to collect the information you need. By default, the form data is saved to a text file on the web server using the FrontPage Save Results component. Edit the Form Properties to change this behavior."
-->
</p>
<hr>
<p>Tell us what you think about our web site, our products, our organization, or
anything else that comes to mind. We welcome all of your comments and
suggestions.</p>
<form action="_vti_bin/shtml.dll/form.htm" method="POST" webbot-action="--WEBBOT-SELF--" onSubmit="">
<!--webbot bot="SaveResults" U-File="guestlog.htm" S-Format="HTML/BR"
S-Label-Fields="TRUE" B-Reverse-Chronology="FALSE" S-Date-Format="%d %b %Y"
S-Time-Format="%H:%M:%S"
S-Builtin-Fields="REMOTE_NAME REMOTE_USER HTTP_USER_AGENT Date Time" startspan --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><!--webbot bot="SaveResults" endspan i-checksum="43374" -->
<p><strong>What about us do you want to comment on?</strong></p>
<dl>
<dd><select name="Subject" size="1">
<option selected>Web Site</option>
<option>Company</option>
<option>Products</option>
<option>Store</option>
<option>Employee</option>
<option>(Other)</option>
</select> Other: <input type="text" size="26" maxlength="256" name="SubjectOther"></dd>
</dl>
<p><strong>Enter your comments in the space provided below:</strong></p>
<dl>
<dd><textarea name="Comments" rows="5" cols="42"></textarea></dd>
</dl>
<p><strong>Tell us how to get in touch with you:</strong></p>
<dl>
<dd>
<table>
<tr>
<td>Name
<td><input type="text" size="35" maxlength="256" name="Username">
</tr>
<tr>
<td>E-mail
<td><input type="text" size="35" maxlength="256" name="UserEmail">
</tr>
<tr>
<td>Tel
<td><input type="text" size="35" maxlength="256" name="UserTel">
</tr>
<tr>
<td>FAX
<td><input type="text" size="35" maxlength="256" name="UserFAX">
</tr>
</table>
</dd>
</dl>
<dl>
<dd><input type="checkbox" name="ContactRequested" value="ContactRequested">
Please contact me as soon as possible regarding this matter.</dd>
</dl>
<p><input type="submit" value="Submit Comments"> <input type="reset" value="Clear Form"></p>
</form>
<hr>
<h5>Author information goes here.<br>
Copyright � 1999 [OrganizationName]. All rights reserved.<br>
Revised: <!--webbot bot="TimeStamp" S-Type="EDITED" S-Format="%B %d, %Y" startspan -->November 05, 2004<!--webbot bot="TimeStamp" endspan i-checksum="39588" -->
.</h5>
</body>
</html>