|
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/thewalshgroup/ |
Upload File : |
<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>
<table border="0" cellpadding="0" cellspacing="8" width="801" height="8">
<tr>
<td width="12" height="1" rowspan="2"></td>
<td valign="middle" width="335" nowrap height="1">
<p style="word-spacing: 0; line-height: 1; margin-top: 0; margin-bottom: 0"><font size="4" face="Arial">D</font><font size="4" face="Arial">rugFree
Workplace</font>
</p>
<p style="word-spacing: 0; line-height: 1; margin-top: 0; margin-bottom: 0"><font face="Times New Roman" color="#FF9933" size="6">Supervisor
Training</font>
</p>
</td>
<td valign="middle" width="370" height="1" rowspan="2">
<p style="line-height: 1; word-spacing: 0; margin-top: 0; margin-bottom: 0" align="center"><font size="2"><b>Special
Offer for Small Businesses participating in the</b></font></p>
<p style="word-spacing: 0; margin-top: 0; margin-bottom: 0" align="center"><i>Paul
D. Coverdell</i></p>
<p style="word-spacing: 0; margin-top: 0; margin-bottom: 0" align="center"><i> Drug Free Workplace Program</i></p>
<p style="word-spacing: 0; margin-top: 0; margin-bottom: 0" align="center"> </p>
<p style="line-height: 1; word-spacing: 0; margin-top: 0; margin-bottom: 0" align="center"> <i><b>only</b></i>
<font size="5" color="#FF0000">$49.95</font></p>
<p style="line-height: 1; word-spacing: 0; margin-top: 0; margin-bottom: 0" align="center">60-Day
Unlimited Training </p>
<p style="line-height: 1; word-spacing: 0; margin-top: 0; margin-bottom: 0" align="center">
</td>
<td width="33" height="1" rowspan="2"><img border="0" src="../CreditCard.gif" width="75" height="75"></td>
<td width="17" height="1" rowspan="2"></td>
</tr>
<tr>
<td valign="middle" width="335" nowrap height="19" bgcolor="#99CCFF">
<p style="word-spacing: 0; margin-top: 0; margin-bottom: 0"><font size="1">Developed
by: The Walsh Group </font></p>
<p style="word-spacing: 0; margin-top: 0; margin-bottom: 0"><font size="1"> 6701 Democracy Blvd.
- Suite 300 -
Bethesda, Maryland 20817</font></td>
</tr>
</table>
<p align="center" style="word-spacing: 0; margin-top: 0; margin-bottom: 0">
</p>
<p align="center" style="word-spacing: 0; margin-top: 0; margin-bottom: 0"><b><font color="#0000FF">Register on the web or get started
today by calling 1-301-571-9476</font></b>
</p>
<p align="center" style="word-spacing: 0; margin-top: 0; margin-bottom: 0">
</p>
<p style="word-spacing: 0; margin-top: 0; margin-bottom: 0">To obtain a password call the above number or
complete the form below. If you register on the web, your password will
be emailed to you within 24 hours (Monday-Friday). The password will be
valid for 60-days starting from the date indicated on the form.
</p>
<hr>
<!--webbot BOT="GeneratedScript" PREVIEW=" " startspan --><script Language="JavaScript" Type="text/javascript"><!--
function FrontPage_Form1_Validator(theForm)
{
if (theForm.CompanyName.value == "")
{
alert("Please enter a value for the \"CompanyName\" field.");
theForm.CompanyName.focus();
return (false);
}
if (theForm.CompanyName.value.length > 256)
{
alert("Please enter at most 256 characters in the \"CompanyName\" field.");
theForm.CompanyName.focus();
return (false);
}
if (theForm.Address.value == "")
{
alert("Please enter a value for the \"Address\" field.");
theForm.Address.focus();
return (false);
}
if (theForm.Address.value.length > 256)
{
alert("Please enter at most 256 characters in the \"Address\" field.");
theForm.Address.focus();
return (false);
}
if (theForm.CityStateZip.value == "")
{
alert("Please enter a value for the \"CityStateZip\" field.");
theForm.CityStateZip.focus();
return (false);
}
if (theForm.CityStateZip.value.length > 256)
{
alert("Please enter at most 256 characters in the \"CityStateZip\" field.");
theForm.CityStateZip.focus();
return (false);
}
if (theForm.Contact.value == "")
{
alert("Please enter a value for the \"Contact\" field.");
theForm.Contact.focus();
return (false);
}
if (theForm.Contact.value.length > 256)
{
alert("Please enter at most 256 characters in the \"Contact\" field.");
theForm.Contact.focus();
return (false);
}
if (theForm.Email.value == "")
{
alert("Please enter a value for the \"Email\" field.");
theForm.Email.focus();
return (false);
}
if (theForm.Email.value.length > 256)
{
alert("Please enter at most 256 characters in the \"Email\" field.");
theForm.Email.focus();
return (false);
}
if (theForm.Phone.value == "")
{
alert("Please enter a value for the \"Phone\" field.");
theForm.Phone.focus();
return (false);
}
if (theForm.Phone.value.length > 256)
{
alert("Please enter at most 256 characters in the \"Phone\" field.");
theForm.Phone.focus();
return (false);
}
if (theForm.StartDate.value == "")
{
alert("Please enter a value for the \"StartDate\" field.");
theForm.StartDate.focus();
return (false);
}
if (theForm.StartDate.value.length > 256)
{
alert("Please enter at most 256 characters in the \"StartDate\" field.");
theForm.StartDate.focus();
return (false);
}
var radioSelected = false;
for (i = 0; i < theForm.Card.length; i++)
{
if (theForm.Card[i].checked)
radioSelected = true;
}
if (!radioSelected)
{
alert("Please select one of the \"Visa=0\" options.");
return (false);
}
if (theForm.CardNumber.value == "")
{
alert("Please enter a value for the \"CardNumber\" field.");
theForm.CardNumber.focus();
return (false);
}
if (theForm.CardNumber.value.length > 256)
{
alert("Please enter at most 256 characters in the \"CardNumber\" field.");
theForm.CardNumber.focus();
return (false);
}
if (theForm.ExpirationDate.value == "")
{
alert("Please enter a value for the \"ExpirationDate\" field.");
theForm.ExpirationDate.focus();
return (false);
}
if (theForm.ExpirationDate.value.length > 256)
{
alert("Please enter at most 256 characters in the \"ExpirationDate\" field.");
theForm.ExpirationDate.focus();
return (false);
}
if (theForm.NameOnCard.value == "")
{
alert("Please enter a value for the \"NameOnCard\" field.");
theForm.NameOnCard.focus();
return (false);
}
if (theForm.NameOnCard.value.length > 256)
{
alert("Please enter at most 256 characters in the \"NameOnCard\" field.");
theForm.NameOnCard.focus();
return (false);
}
return (true);
}
//--></script><!--webbot BOT="GeneratedScript" endspan --><form action="_vti_bin/shtml.dll/_SBA_Register.htm" method="POST" onsubmit="return FrontPage_Form1_Validator(this)" name="FrontPage_Form1" webbot-action="--WEBBOT-SELF--" language="JavaScript">
<!--webbot bot="SaveResults" startspan U-File="formrslt.htm"
S-Format="TEXT/TSV" S-Label-Fields="TRUE" B-Reverse-Chronology="FALSE"
S-Email-Format="TEXT/PRE" B-Email-Label-Fields="TRUE"
B-Email-Subject-From-Field="FALSE" S-Email-Subject="Password Request"
S-Date-Format="%d %b %Y" S-Time-Format="%H:%M:%S"
S-Builtin-Fields="REMOTE_NAME REMOTE_USER HTTP_USER_AGENT Date Time"
S-Email-Address="[email protected]" --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><!--webbot
bot="SaveResults" endspan i-checksum="43374" -->
<p align="center"> <b> Supervisor Training Registration Form</b></p>
<dl>
<dd>
<table width="482">
<tr>
<td width="213">Company Name
<td width="255"><!--webbot bot="Validation" B-Value-Required="TRUE"
I-Maximum-Length="256" --><input type="text" size="35" maxlength="256" name="CompanyName">
</tr>
<tr>
<td width="213">Address
<td width="255"><!--webbot bot="Validation" B-Value-Required="TRUE"
I-Maximum-Length="256" --><input type="text" size="35" maxlength="256" name="Address">
</tr>
<tr>
<td width="213">City, State, Zip
<td width="255"><!--webbot bot="Validation" B-Value-Required="TRUE"
I-Maximum-Length="256" --><input type="text" size="35" maxlength="256" name="CityStateZip">
</tr>
<tr>
<td width="213">Contact Person
<td width="255"><!--webbot bot="Validation" B-Value-Required="TRUE"
I-Maximum-Length="256" --><input type="text" size="35" maxlength="256" name="Contact">
</tr>
</table>
</dd>
<dd>
<table width="481">
<tr>
<td width="212">E-mail
<td width="255"><!--webbot bot="Validation" B-Value-Required="TRUE"
I-Maximum-Length="256" --><input type="text" size="35" maxlength="256" name="Email">
</tr>
<tr>
<td width="212">Phone Number
<td width="255"><!--webbot bot="Validation" B-Value-Required="TRUE"
I-Maximum-Length="256" --><input type="text" size="35" maxlength="256" name="Phone">
</tr>
<tr>
<td width="212">When would you like your 60-day period to start?
<td width="255"><!--webbot bot="Validation" B-Value-Required="TRUE"
I-Maximum-Length="256" --><input type="text" size="35" maxlength="256" name="StartDate">
</tr>
</table>
</dd>
<dd> </dd>
<dd><strong>Charge my: </strong>
<!--webbot bot="Validation" S-Display-Name="Visa=0"
B-Value-Required="TRUE" -->
<input type="radio" name="Card" value="Visa" checked>Visa
<input type="radio" name="Card" value="MasterCard">Master
Card </dd>
<table width="371">
<tr>
<td width="102">Card Number
<td width="255"><!--webbot bot="Validation" B-Value-Required="TRUE"
I-Maximum-Length="256" --><input type="text" size="35" maxlength="256" name="CardNumber">
</tr>
<tr>
<td width="102">Expiration Date
<td width="255"><!--webbot bot="Validation" B-Value-Required="TRUE"
I-Maximum-Length="256" --><input type="text" size="35" maxlength="256" name="ExpirationDate">
</tr>
<tr>
<td width="102">Name on Card
<td width="255"><!--webbot bot="Validation" B-Value-Required="TRUE"
I-Maximum-Length="256" --><input type="text" size="35" maxlength="256" name="NameOnCard">
</tr>
</table>
<dd> </dd>
</dl>
<p><a href="mailto:[email protected]"><input type="submit" value="Submit"> </a> <input type="reset" value="Clear Form"></p>
</form>
<hr>
</body>
</html>