|
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/enrgy/classified/ |
Upload File : |
<!DOCTYPE HTML PUBLIC "-//W3C//DTD W3 HTML//EN">
<html>
<head>
<meta content="front page; news" name="azindex">
<meta content="The Web site of The Power Marketing Association offering news, training and information for the new, competitive electric power industry." name="description">
<meta content="electric, electricity, power, energy, news, marketing, organization, power marketing, utilities, Daily Power Report, PMA, Power Marketing Association, natural gas, electric deregulation, KRT, Reuters, magazine, power marketers, power industry" name="keywords">
<meta content="Microsoft FrontPage 4.0" name="GENERATOR">
<meta content="text/html; charset=windows-1252" http-equiv="Content-Type">
<title>PMA OnLine Energy Classifieds Free Registration Form</title>
</head>
<body background="../pma/dprreg_files/linebg.gif" bgColor="#ffffff" link="#000099" style="font-family: Arial, Helvetica; font-size: 9pt" text="#000000" topMargin="1" vLink="#808080">
<table border="0" cellPadding="0" cellSpacing="0" width="620">
<tbody>
<tr>
<!--*************THIS ENDS THE LEFT SIDE BAR********-->
<!--********THIS STARTS THE GUTTER COLUMN**********-->
<td align="left" noWrap vAlign="top" width="108" bgcolor="#0000A0"></td>
<td align="left" vAlign="top" width="426"><form method="POST" action="../_vti_bin/shtml.dll/classified/clasform.htm" onSubmit="" webbot-action="--WEBBOT-SELF--">
<!--webbot bot="SaveResults" startspan
U-File="../_private/form_results.txt" S-Format="TEXT/CSV"
S-Label-Fields="TRUE" B-Reverse-Chronology="FALSE"
S-Email-Format="TEXT/PRE" S-Email-Address="[email protected]"
B-Email-Label-Fields="TRUE" B-Email-Subject-From-Field="FALSE"
S-Email-Subject="PMA OnLine Classifieds"
S-Builtin-Fields="REMOTE_USER HTTP_USER_AGENT"
U-Confirmation-Url="../pma/clscfrm.htm" --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><!--webbot
bot="SaveResults" endspan i-checksum="43374" --><div align="center"><center><p><font
size="2"><img src="http://www.powermarketers.com/images/clsfd2.gif" hspace="5" vspace="5"
width="393" height="98" alt="PowerMarketers.com Energy Classifieds"></font></p>
</center></div><div align="center"><center><table border="0" cellPadding="3" cellSpacing="0" width="472">
<tbody>
<tr>
<td width="436"><div align="left"><p align="center"><font size="4" color="#003366"><strong><b>PMA
CLASSIFIED INSERTION ORDER FORM</b> </strong></font></p>
</div><p><font size="2">The following advertising insertion contract is subject to the
PowerMarketers.com Classifieds <a href="http://www.powermarketers.com/classrate.htm">standard
classifieds rates, terms and condition</a></font></p>
<div align="left"><p><font size="2">(Please Complete all of the Fields)</font></p>
</div>
<div align="left">
<div align="center">
<table border="0" cellpadding="5" cellspacing="0" width="468">
<tr>
<td colspan="2" bgcolor="#C0C0C0" valign="middle"><font size="2"><b>CUSTOMER INFORMATION</b></font></td>
</tr>
<tr>
<td width="150" height="25" valign="middle"><font size="2">First Name:</font></td>
<td width="318"><font size="2"><input type="text" size="30" name="a. First Name"><br>
</font></td>
</tr>
<tr>
<td width="150" height="25" valign="middle"><font size="2">Last Name:</font></td>
<td width="318"><font size="2"><input type="text" size="30" name="b. Last Name"><br>
</font></td>
</tr>
<tr>
<td width="150" height="25" valign="middle"><font size="2">Title:</font></td>
<td width="318"><font size="2"><input type="text" size="30" name="c. Title"><br>
</font></td>
</tr>
<tr>
<td width="150" height="25" valign="middle"><font size="2">Agency:</font></td>
<td width="318"><font size="2"><input type="text" size="30" name="d. Agency"><br>
</font></td>
</tr>
<tr>
<td width="150" height="25" valign="middle"><font size="2">Company:</font></td>
<td width="318"><font size="2"><input type="text" size="30" name="e. Company"><br>
</font></td>
</tr>
<tr>
<td width="150" height="25" valign="middle"><font size="2">Department:</font></td>
<td width="318"><font size="2"><input type="text" size="30" name="f. Department"><br>
</font></td>
</tr>
<tr>
<td width="150" height="25" valign="middle"><font size="2">Street Address:</font></td>
<td width="318"><font size="2"><input type="text" size="30" name="g. Street Address"><br>
</font></td>
</tr>
<tr>
<td width="150" height="25" valign="middle"><font size="2">City:</font></td>
<td width="318"><font size="2"><input type="text" size="30" name="h. City"><br>
</font></td>
</tr>
<tr>
<td width="150" height="25" valign="middle"><font size="2">State:</font></td>
<td width="318"><font size="2"><input type="text" size="30" name="i. State"><br>
</font></td>
</tr>
<tr>
<td width="150" height="25" valign="middle"><font size="2">Zip / Postal Code:</font></td>
<td width="318"><font size="2"><input type="text" size="30" name="j. Zip - Postal Code"><br>
</font></td>
</tr>
<tr>
<td width="150" height="25" valign="middle"><font size="2">Country:</font></td>
<td width="318"><font size="2"><input type="text" size="30" name="k. Country"><br>
</font></td>
</tr>
<tr>
<td width="150" height="25" valign="middle"><font size="2">Phone:</font></td>
<td width="318"><font size="2"><input type="text" size="30" name="l. Phone"><br>
</font></td>
</tr>
<tr>
<td width="150" height="25" valign="middle"><font size="2">Fax:</font></td>
<td width="318"><font size="2"><input type="text" size="30" name="m. Fax"><br>
</font></td>
</tr>
<tr>
<td width="150" height="25" valign="middle"><font size="2">Email:</font></td>
<td width="318"><font size="2"><input type="text" size="30" name="n. Email"><br>
</font></td>
</tr>
<tr>
<td colspan="2" bgcolor="#C0C0C0" valign="middle" width="150"><font size="2"><b>AD
INFORMATION</b></font></td>
</tr>
<tr>
<td width="150" height="25" valign="middle"></td>
<td width="318"></td>
</tr>
<tr>
<td width="150" height="25" valign="middle"><font size="2">Ad Package (<i>required</i>):</font></td>
<td width="318"><font size="2"><select name="o. Ad Package" size="1">
<option selected>Click Arrow - Select From Pull-Down Menu</option>
<option value="Basic Contract">Basic Contract</option>
<option value="Contract A">Contract A</option>
<option value="Contract B">Contract B</option>
<option value="Contract C">Contract C</option>
<option value="Free 30 Day Trial (New Advertisers OnLy)">Free 30 Day Trial (New Advertisers OnLy)</option>
</select><br>
<a href="http://www.powermarketers.com/classrate.htm">Ad Rates/Specifications</a></font></td>
</tr>
<tr>
<td valign="middle" width="150"><font size="2">Contract Term:</font></td>
<td width="318"><font size="2"><select name="p. Contract Term" size="1">
<option selected>Select One:</option>
<option value="One Month">One Month</option>
<option value="Two Months">Two Months</option>
<option value="Three Months">Three Months</option>
<option value="Other">Other</option>
</select></font></td>
</tr>
<tr>
<td width="150" height="25" valign="middle"><font size="2">Promotion Start Date:</font></td>
<td width="318"><font size="2"><input type="text" size="30" name="q. Promotion Start Date"></font></td>
</tr>
<tr>
<td valign="middle" width="150" height="25"><font size="2">Alternative
Ad Delivery Method:</font></td>
<td width="318"><font size="2"><input type="radio" name="r. Delivery" value="E-Mail"><a
href="mailto:[email protected]">Email Attachment</a><br>
</font></td>
</tr>
<tr>
<td valign="middle" width="468" colspan="2"><font size="2">Insert
Classified Ad Copy In This Box:</font></td>
</tr>
<tr>
<td width="468" height="25" valign="middle" colspan="2"><font size="2"><textarea name="s. Comments_Box"
rows="6" cols="50" wrap="physical"></textarea></font></td>
</tr>
</table>
</div>
</div></td>
</tr>
<tr>
<td height="25" valign="middle" width="480"><font size="2"><input
type="checkbox" name="t. Contact me concerning other opportunities" value="Yes">Please
contact me concerning other advertising opportunities. </font></td>
</tr>
<tr>
<td width="436" bgcolor="#FFFFFF"><p><font size="2"><b><font color="#0000FF">Attention Advertisers:</font></b> </font></p>
<ul>
<li><font size="2">After clicking the "Submit Ad"
button below, please allow up to 60 seconds for your information to be
processed. </font></li>
<li><font size="2">A confirmation page will appear in your browser once
your order has been received. </font></li>
<li><font size="2">Orders for immediate posting will be posted within 24
hours of receipt.</font></li>
</ul>
</td>
</tr>
<tr>
<td width="436" bgcolor="#FFFFFF">
<div align="center"><center><table border="0" cellPadding="0" cellSpacing="0" width="472">
<tbody>
<tr>
<td bgcolor="#FFFFFF"><p><input name="Submit1" type="submit" value="Submit Ad"> <input name="Reset1" type="reset" value="Reset">
<p> </td>
</tr>
<tr>
<td bgcolor="#FFFFFF"><h1 align="center"><strong><font face="Tahoma"><font
color="#FF0000">PMA</font> OnLine</font><br>
<font face="Tahoma" size="2" color="#808080">www.powermarketers.com</font></strong></h1>
<div align="center"><table border="0" cellpadding="0" cellspacing="0" width="460">
<tr>
<td colspan="3" valign="bottom" width="460"><font size="1"><p align="center"></font><font
color="#001D62"><strong>Table of Contents</strong></font></td>
</tr>
<tr>
<td colspan="3" valign="bottom" width="460"></td>
</tr>
<tr>
<td width="153"><a href="http://www.powermarketers.com/power2.htm"><font size="1">PMA
Daily Power Report</font></a></td>
<td width="153"><a href="http://www.retailenergy.com/pmamag.htm"><font size="1">PMA OnLine
Magazine</font></a></td>
<td width="154"><a href="http://www.powermarketers.com/pmajobs.htm"><font size="1">PMA
Jobs Site</font></a></td>
</tr>
<tr>
<td width="153"><a href="http://www.powermarketers.com/member~1.html"><font size="1">About
Membership</font></a></td>
<td width="153"><a href="../directories/drectory.htm"><font size="1">Industry
Directories</font></a></td>
<td width="154"><a href="http://www.retailenergy.com/mailis~1.html"><font size="1">PMA
Mailing List</font></a></td>
</tr>
<tr>
<td width="153"><a href="http://www.powermarketers.com/pmacon.htm"><font size="1">Upcoming
Events</font></a></td>
<td width="153"><a href="http://www.powermarketers.com/links.html"><font size="1">Energy
Links</font></a></td>
<td width="154"><a href="http://www.powermarketers.com/adrates.html"><font size="1">Advertising/Exhibits</font></a></td>
</tr>
<tr>
<td width="153"><a href="http://www.powermarketers.com/conslt~1.html"><font size="1">Consulting
Services</font></a></td>
<td width="153"><a href="http://www.retailenergy.com/pma/hilites.html"><font size="1">Bulk
Power Highlights</font></a></td>
<td width="154"><a href="http://www.retailenergy.com/searchpma.htm"><font size="1">Search</font></a></td>
</tr>
<tr>
<td width="153"><a href="http://www.powermarketers.com/glossary.htm"><font size="1">Power
Glossary</font></a></td>
<td width="153"><a href="http://www.powermarketers.com/pmastaff.html"><font size="1">PMA
Officers & Staff</font></a></td>
<td width="154"><a href="mailto:[email protected]"><font size="1">Webmaster</font></a></td>
</tr>
<tr>
<td colspan="3" width="460"></td>
</tr>
</table>
</div><p align="center"><a href="#Top"><img align="middle" alt="Back to the Top"
border="0" src="http://www.powermarketers.com/images/backtop2.gif" width="27" height="23"><br>
<font size="1">Back to the Top</font></a></p>
<p align="center"><a href="http://www.powermarketers.com/main.htm" target="_parent"><font
size="1">PMA OnLine Home</font></a></p>
<p align="center"><font size="1"><a href="http://www.powermarketers.com/power2.htm">Power
Report Front Page</a></font> </td>
</tr>
</tbody>
</table>
</center></div></td>
</tr>
</tbody>
</table>
</center></div>
</form>
</td>
</tr>
</tbody>
</table>
</body>
</html>