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| <!DOCTYPE HTML PUBLIC "-//IETF//DTD HTML//EN"> | |
| <html> | |
| <head> | |
| <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"> | |
| <meta name="GENERATOR" content="Microsoft FrontPage 3.0"> | |
| <title>Guestbook</title> | |
| <meta name="Microsoft Theme" content="blends 011, default"><meta name="Microsoft Border" content="tl, default"></head> | |
| <body background="_themes/blends/blegtext.gif" bgcolor="#CCCCCC" text="#000000" link="#990000" vlink="#666666" alink="#CC9900"><!--msnavigation--><table border="0" cellpadding="0" cellspacing="0" width="100%"><tr><td><!--mstheme--><font face="trebuchet ms, arial, helvetica"> | |
| <p align="left"><strong><font face="Arial"><b>The Endometriosis Association, International | |
| Headquarters<br> | |
| </b><small>8585 N. 76th Place, Milwaukee, WI 53223 USA<br> | |
| Phone: (414) 355-2200</small></font></strong><img src="images/Endo_small.gif" alt="Endo_small.gif (10423 bytes)" align="right" WIDTH="231" HEIGHT="169"><strong><font face="Arial"><br> | |
| <small>Fax: (414) 355-6065</small><br> | |
| <small>Toll Free: (800) 992-3636 | |
| | |
| </small></font></strong></p> | |
| <p align="left"><strong><font color="#000000">Analognet wuz here.. Happy Holidays!</font></strong></p> | |
| <p align="left"><strong><font face="Arial"><a href="mailto:endo@endometriosisassn.org"><small>Member | |
| Inquiries</small></a><br> | |
| <a href="registration.htm"><small>Non-member Inquiries</small></a></font></strong></p> | |
| <!--mstheme--></font></td></tr><!--msnavigation--></table><!--msnavigation--><table border="0" cellpadding="0" cellspacing="0" width="100%"><tr><td valign="top" width="1%"><!--mstheme--><font face="trebuchet ms, arial, helvetica"> | |
| <p align="left"><font face="Arial"><small><nobr><a href="./">Home</a></nobr><br><nobr><a href="endo.html">What is Endometriosis?</a></nobr><br><nobr><a href="symptoms.html">Symptoms of Endometriosis</a></nobr><br><nobr><a href="causes.html">What Causes Endometriosis?</a></nobr><br><nobr><a href="treatment.html">Treatment Options</a></nobr><br><nobr><a href="help.html">How the EA can help</a></nobr><br><nobr><a href="press.htm">Research</a></nobr><br><nobr><a href="States.htm">Support Groups/Chapters</a></nobr><br><nobr><a href="gift.htm">Gift Memberships</a></nobr><br><nobr><a href="Benefits.htm">Benefits of Membership</a></nobr><br><nobr><a href="family.htm">Family/Teen Program</a></nobr><br><nobr><a href="books.htm">The Endometriosis Sourcebook</a></nobr><br><nobr><a href="ChatRooms.htm">EA Chat Room</a></nobr><br><nobr><a href="table.htm">Catalog</a></nobr><br><nobr><a href="brochures.htm">Free Brochures</a></nobr><br><nobr>Guestbook</nobr><br><nobr><a href="jobs.htm">Job Openings</a></nobr><br><nobr><a href="environment.htm">Endo and the Environment</a></nobr><br><nobr><a href="endonow.htm">End Endo Now Club</a></nobr><br><nobr><a href="index.htm">Home</a></nobr><br><nobr><a href="endowalk.htm">Endo Awareness Walk</a></nobr></small><img src="images/new2.gif" alt="new2.gif (304 bytes)" WIDTH="30" HEIGHT="15"><small><br> | |
| <a href="https://www2.security-one.com:2001/home/endo/MemForm.HTM">Membership & | |
| Donation Form</a><br> | |
| <a href="https://www2.security-one.com:2001/home/endo/Order.htm">Literature Order Form </a></small></font></p> | |
| <!--mstheme--></font></td><td valign="top" width="24"></td><!--msnavigation--><td valign="top"><!--mstheme--><font face="trebuchet ms, arial, helvetica"> | |
| <p><!--webbot bot="PurpleText" preview="Use this page to collect the reactions of visitors to your web site. All of the comments submitted by users will go thru, 'guest.m2u', to be mailed to separate email address @endometriosisassn.org. If you want to use a different email address, change 'guest.m2u', but still make sure the File attribute for the CGI component that handles the form input matches that name. Include component was removed from the default Guestbook template since it relies on accumulating comments in a "log" file; and we want to email them.." --> <br> | |
| </p> | |
| <blockquote> | |
| <h1 align="center"><!--mstheme--><font color="#330099"><font face="Arial" size="3">Endometriosis Association - Guestbook</font><!--mstheme--></font></h1> | |
| </blockquote> | |
| <blockquote> | |
| <blockquote> | |
| <p><small><font face="Arial">We'd like to know what you think about our web site. Please | |
| leave your comments in our guestbook. <strong>Also feel free to leave any address, | |
| telephone, or name changes so we can update our database.</strong></font></small></p> | |
| </blockquote> | |
| </blockquote> | |
| <blockquote> | |
| <!--webbot BOT="GeneratedScript" PREVIEW=" " startspan --><script Language="JavaScript"><!-- | |
| function FrontPage_Form1_Validator(theForm) | |
| { | |
| if (theForm.Contact_First_Name_Last_Name.value == "") | |
| { | |
| alert("Please enter a value for the \"Contact_First_Name_Last_Name\" field."); | |
| theForm.Contact_First_Name_Last_Name.focus(); | |
| return (false); | |
| } | |
| if (theForm.Contact_StreetAddress_No1.value == "") | |
| { | |
| alert("Please enter a value for the \"Contact_StreetAddress_No1\" field."); | |
| theForm.Contact_StreetAddress_No1.focus(); | |
| return (false); | |
| } | |
| if (theForm.Contacts_City_Shipping_To.value == "") | |
| { | |
| alert("Please enter a value for the \"Contacts_City_Shipping_To\" field."); | |
| theForm.Contacts_City_Shipping_To.focus(); | |
| return (false); | |
| } | |
| if (theForm.Contact_State_Postal_Abrv.value == "") | |
| { | |
| alert("Please enter a value for the \"Contact_State_Postal_Abrv\" field."); | |
| theForm.Contact_State_Postal_Abrv.focus(); | |
| return (false); | |
| } | |
| if (theForm.Contacts_Postal_Zip_Code.value == "") | |
| { | |
| alert("Please enter a value for the \"Contacts_Postal_Zip_Code\" field."); | |
| theForm.Contacts_Postal_Zip_Code.focus(); | |
| return (false); | |
| } | |
| if (theForm.Contacts_Postal_Zip_Code.value.length > 12) | |
| { | |
| alert("Please enter at most 12 characters in the \"Contacts_Postal_Zip_Code\" field."); | |
| theForm.Contacts_Postal_Zip_Code.focus(); | |
| return (false); | |
| } | |
| if (theForm.Contact_Phone_and_Areacode.value == "") | |
| { | |
| alert("Please enter a value for the \"Contact_Phone_and_Areacode\" field."); | |
| theForm.Contact_Phone_and_Areacode.focus(); | |
| return (false); | |
| } | |
| if (theForm.Contact_Phone_and_Areacode.value.length > 25) | |
| { | |
| alert("Please enter at most 25 characters in the \"Contact_Phone_and_Areacode\" field."); | |
| theForm.Contact_Phone_and_Areacode.focus(); | |
| return (false); | |
| } | |
| return (true); | |
| } | |
| //--></script><!--webbot BOT="GeneratedScript" endspan --><form method="POST" action="_vti_bin/shtml.exe/guestboo.htm" onsubmit="return FrontPage_Form1_Validator(this)" name="FrontPage_Form1" webbot-action="--WEBBOT-SELF--"> | |
| <!--webbot bot="SaveResults" S-Email-Format="TEXT/PRE" S-Email-Address="endo@endometriosisassn.org" B-Email-Label-Fields="TRUE" S-Builtin-Fields U-Confirmation-Url="thanks.htm" startspan --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><!--webbot bot="SaveResults" endspan i-checksum="43374" --><div align="left"><!--mstheme--></font><table border="0"> | |
| <tr> | |
| <td align="right"><!--mstheme--><font face="trebuchet ms, arial, helvetica"><strong><small><font face="Arial"><em>Name</em></font></small></strong><!--mstheme--></font></td> | |
| <td><!--mstheme--><font face="trebuchet ms, arial, helvetica"><small><font face="Arial"><!--webbot bot="Validation" b-value-required="TRUE" --><input type="text" size="45" name="Contact_First_Name_Last_Name"> </font></small><!--mstheme--></font></td> | |
| </tr> | |
| <tr> | |
| <td align="right"><!--mstheme--><font face="trebuchet ms, arial, helvetica"><strong><small><font face="Arial"><em>Street address</em></font></small></strong><!--mstheme--></font></td> | |
| <td><!--mstheme--><font face="trebuchet ms, arial, helvetica"><small><font face="Arial"><!--webbot bot="Validation" b-value-required="TRUE" --><input type="text" size="45" name="Contact_StreetAddress_No1"> </font></small><!--mstheme--></font></td> | |
| </tr> | |
| <tr> | |
| <td align="right"><!--mstheme--><font face="trebuchet ms, arial, helvetica"><strong><small><font face="Arial"><em>Address (cont.)</em></font></small></strong><!--mstheme--></font></td> | |
| <td><!--mstheme--><font face="trebuchet ms, arial, helvetica"><small><font face="Arial"><input type="text" size="45" name="Contact_OptionalAddress_2"> </font></small><!--mstheme--></font></td> | |
| </tr> | |
| <tr> | |
| <td align="right"><!--mstheme--><font face="trebuchet ms, arial, helvetica"><strong><small><font face="Arial"><em>City</em></font></small></strong><!--mstheme--></font></td> | |
| <td><!--mstheme--><font face="trebuchet ms, arial, helvetica"><small><font face="Arial"><!--webbot bot="Validation" b-value-required="TRUE" --><input type="text" size="45" name="Contacts_City_Shipping_To"> </font></small><!--mstheme--></font></td> | |
| </tr> | |
| <tr> | |
| <td align="right"><!--mstheme--><font face="trebuchet ms, arial, helvetica"><strong><small><font face="Arial"><em>State/Province</em></font></small></strong><!--mstheme--></font></td> | |
| <td><!--mstheme--><font face="trebuchet ms, arial, helvetica"><small><font face="Arial"><!--webbot bot="Validation" b-value-required="TRUE" --><input type="text" size="45" name="Contact_State_Postal_Abrv"> </font></small><!--mstheme--></font></td> | |
| </tr> | |
| <tr> | |
| <td align="right"><!--mstheme--><font face="trebuchet ms, arial, helvetica"><strong><small><font face="Arial"><em>Zip/Postal code</em></font></small></strong><!--mstheme--></font></td> | |
| <td><!--mstheme--><font face="trebuchet ms, arial, helvetica"><small><font face="Arial"><!--webbot bot="Validation" b-value-required="TRUE" i-maximum-length="12" --><input type="text" size="45" maxlength="12" name="Contacts_Postal_Zip_Code"> </font></small><!--mstheme--></font></td> | |
| </tr> | |
| <tr> | |
| <td align="right"><!--mstheme--><font face="trebuchet ms, arial, helvetica"><strong><small><font face="Arial"><em>Country</em></font></small></strong><!--mstheme--></font></td> | |
| <td><!--mstheme--><font face="trebuchet ms, arial, helvetica"><small><font face="Arial"><input type="text" size="45" name="Contact_Country_or_Abbrev"> </font></small><!--mstheme--></font></td> | |
| </tr> | |
| <tr> | |
| <td align="right"><!--mstheme--><font face="trebuchet ms, arial, helvetica"><strong><small><font face="Arial"><em>Phone</em></font></small></strong><!--mstheme--></font></td> | |
| <td><!--mstheme--><font face="trebuchet ms, arial, helvetica"><small><font face="Arial"><!--webbot bot="Validation" b-value-required="TRUE" i-maximum-length="25" --><input type="text" size="45" maxlength="25" name="Contact_Phone_and_Areacode"> </font></small><!--mstheme--></font></td> | |
| </tr> | |
| <tr> | |
| <td align="right"><!--mstheme--><font face="trebuchet ms, arial, helvetica"><strong><small><font face="Arial"><em>E-mail</em></font></small></strong><!--mstheme--></font></td> | |
| <td><!--mstheme--><font face="trebuchet ms, arial, helvetica"><small><font face="Arial"><input type="text" size="45" name="Contact_Email_InetAddress"> </font></small><!--mstheme--></font></td> | |
| </tr> | |
| <tr> | |
| <td><!--mstheme--><font face="trebuchet ms, arial, helvetica"><strong><small></small></strong><!--mstheme--></font></td> | |
| <td><!--mstheme--><font face="trebuchet ms, arial, helvetica"><small><font face="Arial"><input type="checkbox" name="Member" value="I am a member of the EA."><strong><em>EA Member</em> <input type="checkbox" name="Non-member" value="I am not a member of the EA."><em>Non-member</em></strong></font></small><!--mstheme--></font></td> | |
| </tr> | |
| </table><!--mstheme--><font face="trebuchet ms, arial, helvetica"> | |
| </div><h2><!--mstheme--><font color="#330099"><small><font face="Arial"><strong>Add Your Comments</strong></font></small><!--mstheme--></font></h2> | |
| <p><small><font face="Arial"><textarea name="Comments" rows="8" cols="52"></textarea></font></small></p> | |
| <p><small><font face="Arial"><input type="submit" value="Submit Comments"> <input type="reset" value="Clear Comments"><br> | |
| <br> | |
| </font></small></p> | |
| </form> | |
| </blockquote> | |
| <p align="center"><small> </small> | |
| <!--mstheme--></font><!--msnavigation--></td></tr><!--msnavigation--></table></body> | |
| </html> |