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Current File : /domains/enrgy/Confirming Job Posting Insertion Form.htm
<html>

<head>
<base href="http://www.retailenergy.com/new_conf_page.htm">
<meta name="GENERATOR" content="Microsoft FrontPage 6.0">
<meta name="ProgId" content="FrontPage.Editor.Document">
<meta http-equiv="Content-Type" content="text/html; charset=windows-1252">
<title>Confirming Job Posting Insertion Form</title>
<meta name="ROBOTS" content="NONE"></head>

<body background="http://www.powermarketers.com/images/pma-bg3.gif">

<font SIZE="2">
<table border="0" cellpadding="0" cellspacing="0" style="border-collapse: collapse" bordercolor="#111111" width="876" id="AutoNumber1">
  <tr>
    <td width="224" rowspan="2">&nbsp;<p>&nbsp;</p>
	<p>&nbsp;</p>
	<p>&nbsp;</td>
    <td width="475" bordercolor="#C0C0C0" bgcolor="#808080" align="center">
    <form method="POST" action="_vti_bin/shtml.dll/Confirming%20Job%20Posting%20Insertion%20Form.htm" onSubmit="" webbot-action="--WEBBOT-SELF--">
      <input TYPE="hidden" NAME="VTI-GROUP" VALUE="0">
		<font SIZE="4" color="#003366">
		<div align="center">
			<p>&nbsp;</p>
      </div>
		<div align="center">
			<p><img src="images/EnergyCatalogueHeading.jpg" width="409" height="28"></p>
      </div>
</font>

      <p>&nbsp;</p>
    </form>
    </td>
    <td width="497" rowspan="2">&nbsp;</td>
  </tr>
  <tr>
    <td width="475" bordercolor="#C0C0C0">
    <font SIZE="2">
	<p><br>
&nbsp;</p>
	<form method="POST" action="_vti_bin/shtml.dll/Confirming%20Job%20Posting%20Insertion%20Form.htm" webbot-action="--WEBBOT-SELF--" onSubmit="">
		<input TYPE="hidden" NAME="VTI-GROUP" VALUE="1">
		<table border="0" width="468" id="table1">
        <tr>
          <td colspan="2" bgcolor="#C0C0C0" valign="middle"><b>
          <font size="2" face="Arial">CUSTOMER INFORMATION</font></b></td>
        </tr>
        <tr>
          <td width="150" height="25" valign="middle">
          <font size="2" face="Arial">First Name:</font></td>
          <td width="318"><font size="2">
			<input type="text" size="30" name="FirstName"><br>
          </font></td>
        </tr>
        <tr>
          <td width="150" height="25" valign="middle">
          <font size="2" face="Arial">Last Name:</font></td>
          <td width="318"><font size="2">
			<input type="text" size="30" name="LastName"><br>
          </font></td>
        </tr>
        <tr>
          <td width="150" height="25" valign="middle">
          <font size="2" face="Arial">Title:</font></td>
          <td width="318"><font size="2">
			<input type="text" size="30" name="Title"><br>
          </font></td>
        </tr>
        <tr>
          <td width="150" height="25" valign="middle">
          <font face="Arial" size="2">Organization:</font></td>
          <td width="318"><font size="2">
			<input type="text" size="30" name="Organization"><br>
          </font></td>
        </tr>
        <tr>
          <td width="150" height="25" valign="middle">
          <font face="Arial" size="2">Utility:</font></td>
          <td width="318"><font size="2">
			<input type="text" size="30" name="Utility"><br>
&nbsp;</font></td>
        </tr>
        <tr>
          <td width="150" height="25" valign="middle">
          Work P<font size="2" face="Arial">hone:</font></td>
          <td width="318"><font size="2">
			<input type="text" size="30" name="WorkPhone"><br>
          </font></td>
        </tr>
        <tr>
          <td width="150" height="25" valign="middle">
          <font size="2" face="Arial">Email:</font></td>
          <td width="318"><font size="2"><input type="text" size="30" name="Email"><br>
          </font></td>
        </tr>
        <tr>
          <td width="468" height="25" valign="middle" colspan="2">
          <p align="center"><font SIZE="2" face="Arial">Press the <b>Submit 
			Information</b> Button below <br>
			or you can also submit this form via&nbsp; E-Mail, Fax, call, or 
			mail
</font>

      	</td>
        </tr>
        <tr>
          <td width="150" height="25" valign="middle">
          &nbsp;</td>
          <td width="318">&nbsp;</td>
        </tr>
        <tr>
          <td style="font-weight: 700; font-family: Arial, sans-serif; color: windowtext; font-size: 10.0pt; font-style: normal; text-decoration: none; text-align: general; vertical-align: bottom; white-space: nowrap; border: medium none; padding-left: 1px; padding-right: 1px; padding-top: 1px">
			<p align="right">E-Mail:</td>
			<td style="color: blue; text-decoration: underline; text-underline-style: single; font-size: 10.0pt; font-weight: 400; font-style: normal; font-family: Arial; text-align: general; vertical-align: bottom; white-space: nowrap; border: medium none; padding-left: 1px; padding-right: 1px; padding-top: 1px">
			<a href="mailto:[email protected]">[email protected]</a></td>
        </tr>
        <tr>
          <td style="font-weight: 700; font-family: Arial, sans-serif; color: windowtext; font-size: 10.0pt; font-style: normal; text-decoration: none; text-align: general; vertical-align: bottom; white-space: nowrap; border: medium none; padding-left: 1px; padding-right: 1px; padding-top: 1px">&nbsp;</td>
			<td style="color: blue; text-decoration: underline; text-underline-style: single; font-size: 10.0pt; font-weight: 400; font-style: normal; font-family: Arial; text-align: general; vertical-align: bottom; white-space: nowrap; border: medium none; padding-left: 1px; padding-right: 1px; padding-top: 1px">&nbsp;</td>
        </tr>
        <tr>
          <td style="font-weight: 700; font-family: Arial, sans-serif; color: windowtext; font-size: 10.0pt; font-style: normal; text-decoration: none; text-align: general; vertical-align: bottom; white-space: nowrap; border: medium none; padding-left: 1px; padding-right: 1px; padding-top: 1px">
			Fax:</td>
			<td style="color: windowtext; font-size: 10.0pt; font-weight: 400; font-style: normal; text-decoration: none; font-family: Arial; text-align: general; vertical-align: bottom; white-space: nowrap; border: medium none; padding-left: 1px; padding-right: 1px; padding-top: 1px">
			732-518-5204</td>
        </tr>
        <tr>
          <td style="font-weight: 700; font-family: Arial, sans-serif; color: windowtext; font-size: 10.0pt; font-style: normal; text-decoration: none; text-align: general; vertical-align: bottom; white-space: nowrap; border: medium none; padding-left: 1px; padding-right: 1px; padding-top: 1px">
			Call:</td>
			<td style="color: windowtext; font-size: 10.0pt; font-weight: 400; font-style: normal; text-decoration: none; font-family: Arial; text-align: general; vertical-align: bottom; white-space: nowrap; border: medium none; padding-left: 1px; padding-right: 1px; padding-top: 1px">
			732-440-0032</td>
        </tr>
        <tr>
          <td style="font-weight: 700; font-family: Arial, sans-serif; color: windowtext; font-size: 10.0pt; font-style: normal; text-decoration: none; text-align: general; vertical-align: bottom; white-space: nowrap; border: medium none; padding-left: 1px; padding-right: 1px; padding-top: 1px">
			<font SIZE="2">Mail:</font></td>
			<td style="color: windowtext; font-size: 10.0pt; font-weight: 400; font-style: normal; text-decoration: none; font-family: Arial; text-align: general; vertical-align: bottom; white-space: nowrap; border: medium none; padding-left: 1px; padding-right: 1px; padding-top: 1px">
			Metromedia Energy</td>
        </tr>
        <tr>
          <td style="font-weight: 700; font-family: Arial, sans-serif; color: windowtext; font-size: 10.0pt; font-style: normal; text-decoration: none; text-align: general; vertical-align: bottom; white-space: nowrap; border: medium none; padding-left: 1px; padding-right: 1px; padding-top: 1px">&nbsp;</td>
			<td style="color: windowtext; font-size: 10.0pt; font-weight: 400; font-style: normal; text-decoration: none; font-family: Arial; text-align: general; vertical-align: bottom; white-space: nowrap; border: medium none; padding-left: 1px; padding-right: 1px; padding-top: 1px">
			6 Industrial Way</td>
        </tr>
        <tr>
          <td style="font-weight: 700; font-family: Arial, sans-serif; color: windowtext; font-size: 10.0pt; font-style: normal; text-decoration: none; text-align: general; vertical-align: bottom; white-space: nowrap; border: medium none; padding-left: 1px; padding-right: 1px; padding-top: 1px">&nbsp;</td>
			<td style="color: windowtext; font-size: 10.0pt; font-weight: 400; font-style: normal; text-decoration: none; font-family: Arial; text-align: general; vertical-align: bottom; white-space: nowrap; border: medium none; padding-left: 1px; padding-right: 1px; padding-top: 1px">
			Eatontown, NJ&nbsp; 07724</td>
        </tr>
        <tr>
          <td style="font-weight: 700; font-family: Arial, sans-serif; color: windowtext; font-size: 10.0pt; font-style: normal; text-decoration: none; text-align: general; vertical-align: bottom; white-space: nowrap; border: medium none; padding-left: 1px; padding-right: 1px; padding-top: 1px">&nbsp;</td>
			<td style="color: windowtext; font-size: 10.0pt; font-weight: 400; font-style: normal; text-decoration: none; font-family: Arial; text-align: general; vertical-align: bottom; white-space: nowrap; border: medium none; padding-left: 1px; padding-right: 1px; padding-top: 1px">
			<font SIZE="2">Att: George Lackett</font></td>
        </tr>
        </table>
      <p align="center">&nbsp;&nbsp;
		<input type="submit" value="Submit Information" name="B1"><input type="reset" value="Reset Information" name="B2"></p>
	</form>
	<p>&nbsp;</p>
</font>

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

</body>

</html>

Anon7 - 2021