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| <!DOCTYPE HTML PUBLIC "-//IETF//DTD HTML//EN"> | |
| <html> | |
| <head> | |
| <meta name="GENERATOR" content="Microsoft FrontPage 3.0"> | |
| <title>Contact</title> | |
| <meta name="FORMATTER" content="Microsoft FrontPage 2.0"> | |
| </head> | |
| <body stylesrc="http://www.connix.co.za/bfncol/main.htm"> | |
| <div align="center"><center> | |
| <table border="0" width="100%" cellpadding="5"> | |
| <tr> | |
| <td width="50%" valign="top" align="center"><b><font | |
| face="Arial" size="2">HEAD OFFICE</font><p><font | |
| face="Arial" size="2">Street Address</b><br> | |
| Douglas Street<br> | |
| BLOEMFONTEIN<br> | |
| 9301</font></p> | |
| <p><font face="Arial" size="2"><b>Postal Address</b><br> | |
| Private Bag X20542<br> | |
| BLOEMFONTEIN<br> | |
| 9300</font></p> | |
| <p><font face="Arial" size="2"><b>Tel:</b> (051) 448 1525</font></p> | |
| <p><font face="Arial" size="2"><b>Fax: </b>(051) 447 0486</font></p> | |
| <p><font face="Arial" size="2"> <b>E-mail: </font></b><a | |
| href="mailto:info@bfncol.co.za"><small><font face="Arial">info@bfncol.co.za</font></small></a></p> | |
| </td> | |
| <td valign="top" align="center" width="50%"><small><font | |
| face="Arial">Please sign our guestbook:</font></small><form | |
| method="POST" action="_vti_bin/shtml.dll/contact.htm" | |
| webbot-action="--WEBBOT-SELF--"> | |
| <!--webbot bot="SaveResults" u-file="feedback.htm" | |
| s-format="HTML/BR" 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="Feedback from Bloemfontein College " | |
| s-builtin-fields="Date Time REMOTE_NAME REMOTE_USER" | |
| u-confirmation-url="main.htm" | |
| s-email-address="bfncol.rector@connix.co.za" | |
| startspan --><input type="hidden" name="VTI-GROUP" | |
| value="0"><!--webbot bot="SaveResults" endspan | |
| i-checksum="64022" --><div align="center"><center><table | |
| border="0" width="90%"> | |
| <tr> | |
| <td valign="top" align="right"><small><font | |
| face="Arial">Name:</font></small></td> | |
| <td><input type="text" name="Name" size="20"></td> | |
| </tr> | |
| <tr> | |
| <td valign="top" align="right"><small><font | |
| face="Arial">Surname:</font></small></td> | |
| <td><input type="text" name="Surname" | |
| size="20"></td> | |
| </tr> | |
| <tr> | |
| <td valign="top" align="right"><small><font | |
| face="Arial">E-mail Address:</font></small></td> | |
| <td><input type="text" name="Email" size="20"></td> | |
| </tr> | |
| <tr> | |
| <td valign="top" align="right"><small><font | |
| face="Arial">Business Occupation:</font></small></td> | |
| <td><input type="text" name="Occupation" | |
| size="20"></td> | |
| </tr> | |
| <tr> | |
| <td valign="top" align="right"><small><font | |
| face="Arial">Comments:</font></small></td> | |
| <td><textarea rows="4" name="Comments" | |
| cols="22"></textarea></td> | |
| </tr> | |
| <tr> | |
| <td valign="top" align="right"><small><font | |
| face="Arial">Response required:</font></small></td> | |
| <td><input type="radio" value="Yes" checked | |
| name="Reply"><small><font face="Arial">Yes</font></small><br> | |
| <input type="radio" name="Reply" value="No"><small><font | |
| face="Arial">No</font></small></td> | |
| </tr> | |
| <tr> | |
| <td valign="top" align="right"><small><font | |
| face="Arial"></font></small></td> | |
| <td><input type="submit" value="Send it" | |
| name="Send"><input type="reset" | |
| value="Forget it" name="Clear"></td> | |
| </tr> | |
| </table> | |
| </center></div> | |
| </form> | |
| <p> </p> | |
| </td> | |
| </tr> | |
| </table> | |
| </center></div> | |
| </body> | |
| </html> |