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| <html> | |
| <head> | |
| <title>Feedback</title> | |
| </head> | |
| <body> | |
| <p align="center"><big><big>TASC Information Services Feedback Form</big></big></p> | |
| <p align="center"><big><big>This is intended for questions or problems concerning | |
| Information Services issues. Please be sure that you are in the correct website | |
| before posting your comments. If you are unsure, please direct your browser to the | |
| Department of Transportation's Webpage at <a href="http://www.dot.gov">www.dot.gov</a></big></big><br> | |
| <big><big>Thank you.</big></big></p> | |
| <!--webbot BOT="GeneratedScript" PREVIEW=" " startspan --><script Language="JavaScript"><!-- | |
| function FrontPage_Form1_Validator(theForm) | |
| { | |
| var checkOK = "ABCDEFGHIJKLMNOPQRSTUVWXYZabcdefghijklmnopqrstuvwxyzリ月囿棔タチツテトナニヌネノハヒフヘホマミムメモヤユヨリルレロワン゙゚珮粤蒟跚韜��ⅰ髙"; | |
| var checkStr = theForm.First_Name.value; | |
| var allValid = true; | |
| for (i = 0; i < checkStr.length; i++) | |
| { | |
| ch = checkStr.charAt(i); | |
| for (j = 0; j < checkOK.length; j++) | |
| if (ch == checkOK.charAt(j)) | |
| break; | |
| if (j == checkOK.length) | |
| { | |
| allValid = false; | |
| break; | |
| } | |
| } | |
| if (!allValid) | |
| { | |
| alert("Please enter only letter characters in the \"First_Name\" field."); | |
| theForm.First_Name.focus(); | |
| return (false); | |
| } | |
| var checkOK = "ABCDEFGHIJKLMNOPQRSTUVWXYZabcdefghijklmnopqrstuvwxyzリ月囿棔タチツテトナニヌネノハヒフヘホマミムメモヤユヨリルレロワン゙゚珮粤蒟跚韜��ⅰ髙"; | |
| var checkStr = theForm.Last_Name.value; | |
| var allValid = true; | |
| for (i = 0; i < checkStr.length; i++) | |
| { | |
| ch = checkStr.charAt(i); | |
| for (j = 0; j < checkOK.length; j++) | |
| if (ch == checkOK.charAt(j)) | |
| break; | |
| if (j == checkOK.length) | |
| { | |
| allValid = false; | |
| break; | |
| } | |
| } | |
| if (!allValid) | |
| { | |
| alert("Please enter only letter characters in the \"Last_Name\" field."); | |
| theForm.Last_Name.focus(); | |
| return (false); | |
| } | |
| return (true); | |
| } | |
| //--></script><!--webbot BOT="GeneratedScript" endspan --><form method="POST" action="_vti_bin/shtml.dll/Feedback.HTM" onsubmit="return FrontPage_Form1_Validator(this)" name="FrontPage_Form1" webbot-action="--WEBBOT-SELF--"> | |
| <!--webbot bot="SaveResults" U-File="_private/form_results.txt" S-Format="TEXT/CSV" S-Label-Fields="TRUE" B-Reverse-Chronology="FALSE" S-Builtin-Fields="Date REMOTE_NAME" startspan --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><!--webbot bot="SaveResults" endspan i-checksum="43374" --><p>First | |
| Name: <!--webbot bot="Validation" S-Data-Type="String" B-Allow-Letters="TRUE" --><input type="text" name="First_Name" size="13"> (optional) | |
| Last Name: <!--webbot bot="Validation" S-Data-Type="String" B-Allow-Letters="TRUE" --><input type="text" name="Last_Name" size="20">(optional)</p> | |
| <p> Email: <input type="text" name="email" size="25">(if you would like to be contacted)</p> | |
| <p> </p> | |
| <table border="1" width="103"> | |
| <tr> | |
| <td width="97" align="left"><input type="radio" value="Problem" checked name="Type">Problem</td> | |
| </tr> | |
| <tr> | |
| <td width="97" align="left"><input type="radio" name="Type" value="Complaint">Complaint</td> | |
| </tr> | |
| <tr> | |
| <td width="97" align="left"><input type="radio" name="Type" value="Request">Request</td> | |
| </tr> | |
| </table> | |
| <p> Please Add Comments Below:<br> | |
| <textarea rows="10" name="feedback" cols="56"></textarea></p> | |
| <p><input type="submit" value="Submit" name="B1"><input type="reset" value="Reset" name="B2"></p> | |
| </form> | |
| <p><!--webbot bot="ImageMap" rectangle="(3,0) (133,23) DEFAULT.HTM" src="images/home.gif" alt="home.gif (1483 bytes)" border="0" startspan --><MAP NAME="FrontPageMap"><AREA SHAPE="RECT" COORDS="3, 0, 133, 23" HREF="DEFAULT.HTM"></MAP><a href="_vti_bin/shtml.dll/Feedback.HTM/map"><img ismap usemap="#FrontPageMap" border="0" height="24" alt="home.gif (1483 bytes)" src="images/home.gif" width="134"></a><!--webbot bot="ImageMap" endspan i-checksum="56012" --><!--webbot bot="ImageMap" rectangle="(2,1) (133,23) SEARCH.HTM" src="images/search.gif" alt="search.gif (1563 bytes)" border="0" startspan --><MAP NAME="FrontPageMap1"><AREA SHAPE="RECT" COORDS="2, 1, 133, 23" HREF="SEARCH.HTM"></MAP><a href="_vti_bin/shtml.dll/Feedback.HTM/map1"><img ismap usemap="#FrontPageMap1" border="0" height="24" alt="search.gif (1563 bytes)" src="images/search.gif" width="134"></a><!--webbot bot="ImageMap" endspan i-checksum="10609" --></p> | |
| </body> | |
| </html> |