KGRKJGETMRETU895U-589TY5MIGM5JGB5SDFESFREWTGR54TY
Server : Apache/2.4.62
System : FreeBSD fbsdweb2.web.rcn.net 14.1-RELEASE FreeBSD 14.1-RELEASE releng/14.1-n267679-10e31f0946d8 GENERIC amd64
User : www ( 80)
PHP Version : 8.3.8
Disable Function : NONE
Directory :  /domains/bburke/xInHouseWebPages/

Upload File :
current_dir [ Writeable ] document_root [ Writeable ]

 

Current File : /domains/bburke/xInHouseWebPages/ComputerSupportRequestMainPage.htm
<html>

<head>
<meta name="GENERATOR" content="Microsoft FrontPage 5.0">
<meta name="ProgId" content="FrontPage.Editor.Document">
<meta http-equiv="Content-Type" content="text/html; charset=windows-1252">
<meta http-equiv="Content-Language" content="en-us">
<title>Tell us what you think about our web site</title>
<meta name="Microsoft Theme" content="copy-of-blends 011, default">
</head>

<body background="../_themes/copy-of-blends/blegtext.gif" bgcolor="#CCCCCC" text="#000000" link="#0000FF" vlink="#CC3300" alink="#0000FF"><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">

<p align="center">
<b><font size="6" face="Verdana">Town of Needham </font></b>
</p>

<p align="center">
<font size="6" face="Verdana"><b>Computer / Hardware Support Request</b></font></p>
<!--msthemeseparator--><p align="center"><img src="../_themes/copy-of-blends/blesepa.gif" width="600" height="10"></p>
<p align="justify"><font face="Verdana">This web page has been created to allow the IT Center Staff 
to better organize and track employee requests for computer and peripheral 
hardware support.&nbsp; If in 
the future you are unable to access this form to submit a request for computer 
or peripheral hardware support because of an issue with your computer the IT Center Staff is always 
available by phone at 781-455-7516.</font></p>
<form method="POST" action="../_vti_bin/shtml.dll/xInHouseWebPages/ComputerSupportRequestMainPage.htm" webbot-action="--WEBBOT-SELF--" onSubmit="">
  <!--webbot bot="SaveResults" S-Email-Format="HTML/UL" S-Email-Address="[email protected]" B-Email-Label-Fields="TRUE" S-Date-Format="%d %b %Y" S-Time-Format="%H:%M:%S" S-Builtin-Fields="REMOTE_NAME REMOTE_USER Date Time" startspan --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><!--webbot bot="SaveResults" i-checksum="43374" endspan --><font face="Verdana">
  </font>
  <p><font face="Verdana"><strong>Enter your computer support request in the space provided below:</strong></font></p>
  <dl>
    <dd><font face="Verdana"><textarea name="Comments" rows="10" cols="95"></textarea></font></dd>
  </dl>
  <p><font face="Verdana"><strong>Tell us how to get in touch with you:</strong></font></p>
  <dl>
    <dd>
    <!--mstheme--></font><table>
      <tr>
        <td><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica"><font face="Verdana">Name </font><!--mstheme--></font></td>
        <td><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica"><font face="Verdana">
        <input type="text" size="35" maxlength="256" name="Username"></font><!--mstheme--></font></td>
      </tr>
      <tr>
        <td><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica"><font face="Verdana">E-mail&nbsp;&nbsp;&nbsp;&nbsp; </font><!--mstheme--></font></td>
        <td><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica"><font face="Verdana">
        <input type="text" size="35" maxlength="256" name="UserEmail"></font><!--mstheme--></font></td>
      </tr>
      <tr>
        <td><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica"><font face="Verdana">Phone</font><!--mstheme--></font></td>
        <td><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica"><font face="Verdana">
        <input type="text" size="35" maxlength="256" name="UserTel"></font><!--mstheme--></font></td>
      </tr>
    </table><!--mstheme--><font face="Trebuchet MS, Arial, Helvetica">
    </dd>
  </dl>
  <dl>
    <dd><font face="Verdana">&nbsp;</font></dd>
  </dl>
  <p align="center"><font face="Verdana">
  <input type="submit" value="Submit Request">
  <input type="reset" value="Clear Form"></font></p>
</form>
<!--msthemeseparator--><p align="center"><img src="../_themes/copy-of-blends/blesepa.gif" width="600" height="10"></p>
<h5><!--mstheme--><font color="#330099"><font color="#000000" face="Verdana"><br>
Copyright � 2004 [Town of Needham]. All rights reserved.<br>
Revised: <!--webbot bot="TimeStamp" s-type="EDITED" s-format="%m/%d/%y" startspan -->01/09/07<!--webbot bot="TimeStamp" i-checksum="13246" endspan -->.</font><!--mstheme--></font></h5>

<!--mstheme--></font></body>

</html>

Anon7 - 2021