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<html>
<head>
<meta name="GENERATOR" content="Microsoft FrontPage 4.0">
<style>
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a:hover{color:red;}
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<title>Real Estate Location Form</title>
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<body bgcolor="#FFCC00" vlink="#000000" topmargin="0" leftmargin="0" link="#000000" alink="#E30000">
<p align="center"><img src="images/new%20www/lovebar.gif" alt="Love's Country Stores" WIDTH="699" HEIGHT="59"></p>
<table border="0" cellspacing="0" cellpadding="3">
<tr>
<td rowspan="2" valign="top"><p align="center"><font face="Arial" color="#000000"><a href="default.htm"><big><strong>Home</strong></big></a></font></p>
<p align="center"><font face="Arial" color="#000000"><a href="aboutus.htm"><big><strong>About
Us</strong></big></a></font></p>
<p align="center"><font face="Arial" color="#000000"><a href="locations.htm"><big><strong>Locations</strong></big></a></font></p>
<p align="center"><font face="Arial" color="#000000"><a href="services.htm"><big><strong>Services</strong></big></a></font></p>
<p align="center"><font face="Arial" color="#000000"><a href="Careers/careers.htm"><big><strong>Careers</strong></big></a></font></p>
<p align="center"><font face="Arial" color="#000000"><a href="Giving%20Back.htm"><big><strong>Giving
Back</strong></big></a></font></p>
<p align="center"><font face="Arial" color="#000000"><a href="ContactUs.htm"><big><strong>Contact
Us</strong></big></a></font></p>
<p align="center"><img src="images/new%20www/small_hearts.gif" alt="small_hearts.gif (978 bytes)" WIDTH="23" HEIGHT="22"><font face="Arial" color="#E30000"><big><strong>Real
Estate</strong></big></font><img src="images/new%20www/small_hearts.gif" alt="small_hearts.gif (978 bytes)" WIDTH="23" HEIGHT="22"></p>
<p align="center"><img src="images/new%20www/35year_yellowbck.gif" alt="Love's 35th Anniversary" WIDTH="155" HEIGHT="161"></td>
<td rowspan="2" valign="top"></td>
<td bgcolor="#FFFFFF"><big><strong><font face="Arial">Love's Potential Site Form</font></strong></big></td>
<td bgcolor="#FFFFFF" width="25%"></td>
</tr>
<tr>
<td bgcolor="#FFFFFF">&nbsp;<hr>
<p><strong><font face="Arial">Do you have a suggestion for a potential Love's location?</font></strong></p>
<!--webbot BOT="GeneratedScript" PREVIEW=" " startspan --><script Language="JavaScript"><!--
function FrontPage_Form1_Validator(theForm)
{
if (theForm.PotentialState.value == "")
{
alert("Please enter a value for the \"State\" field.");
theForm.PotentialState.focus();
return (false);
}
if (theForm.PotentialHwy.value == "")
{
alert("Please enter a value for the \"Highway\" field.");
theForm.PotentialHwy.focus();
return (false);
}
if (theForm.Contact_FullName.value == "")
{
alert("Please enter a value for the \"Contact Name\" field.");
theForm.Contact_FullName.focus();
return (false);
}
if (theForm.Contact_StreetAddress.value == "")
{
alert("Please enter a value for the \"Contact Address\" field.");
theForm.Contact_StreetAddress.focus();
return (false);
}
if (theForm.Contact_City.value == "")
{
alert("Please enter a value for the \"Contact City\" field.");
theForm.Contact_City.focus();
return (false);
}
if (theForm.Contact_State.value == "")
{
alert("Please enter a value for the \"Contact State\" field.");
theForm.Contact_State.focus();
return (false);
}
if (theForm.Contact_ZipCode.value == "")
{
alert("Please enter a value for the \"Contact Zip\" field.");
theForm.Contact_ZipCode.focus();
return (false);
}
if (theForm.Contact_ZipCode.value.length > 12)
{
alert("Please enter at most 12 characters in the \"Contact Zip\" field.");
theForm.Contact_ZipCode.focus();
return (false);
}
return (true);
}
//--></script><!--webbot BOT="GeneratedScript" endspan --><form METHOD="POST" action="_vti_bin/shtml.dll/realestateform.htm" onsubmit="return FrontPage_Form1_Validator(this)" name="FrontPage_Form1" webbot-action="--WEBBOT-SELF--">
<!--webbot bot="SaveResults" S-Email-Format="TEXT/PRE" B-Email-Label-Fields="TRUE" S-Builtin-Fields U-Confirmation-Url="realestatelocationconf.htm" S-Email-Address="RealEstate@loves.com" startspan --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><!--webbot bot="SaveResults" endspan i-checksum="43374" --><p><strong><font face="Arial">Please provide the site
information:</font></strong></p>
<blockquote>
<table>
<tr>
<td ALIGN="right" bgcolor="#FFFFFF"><strong><font face="Arial">State</font></strong></td>
<td bgcolor="#FFFFFF"><strong><font face="Arial"><!--webbot bot="Validation" S-Display-Name="State" S-Data-Type="String" B-Value-Required="TRUE" --><input NAME="PotentialState" SIZE="35"> </font></strong></td>
</tr>
<tr>
<td ALIGN="right" bgcolor="#FFFFFF"><strong><font face="Arial">Highway</font></strong></td>
<td bgcolor="#FFFFFF"><strong><font face="Arial"><!--webbot bot="Validation" S-Display-Name="Highway" B-Value-Required="TRUE" --><input NAME="PotentialHwy" SIZE="35"> </font></strong></td>
</tr>
<tr>
<td ALIGN="right"><strong><font face="Arial">Highway Exit</font></strong></td>
<td><strong><font face="Arial"><input NAME="PotentialExit" SIZE="35"> </font></strong></td>
</tr>
<tr>
<td ALIGN="right"><strong><font face="Arial">Nearest City</font></strong></td>
<td><strong><font face="Arial"><input NAME="Potential_City" SIZE="35"> </font></strong></td>
</tr>
</table>
</blockquote>
<p><strong><font face="Arial">Please provide the following contact information:</font></strong></p>
<blockquote>
<table>
<tr>
<td ALIGN="right"><strong><font face="Arial">Name</font></strong></td>
<td><strong><font face="Arial"><!--webbot bot="Validation" S-Display-Name="Contact Name" S-Data-Type="String" B-Value-Required="TRUE" --><input NAME="Contact_FullName" SIZE="35"> </font></strong></td>
</tr>
<tr>
<td ALIGN="right"><strong><font face="Arial">Street address</font></strong></td>
<td><strong><font face="Arial"><!--webbot bot="Validation" S-Display-Name="Contact Address" B-Value-Required="TRUE" --><input TYPE="TEXT" NAME="Contact_StreetAddress" SIZE="35"> </font></strong></td>
</tr>
<tr>
<td ALIGN="right"><strong><font face="Arial">Address (cont.)</font></strong></td>
<td><strong><font face="Arial"><input TYPE="TEXT" NAME="Contact_Address2" SIZE="35"> </font></strong></td>
</tr>
<tr>
<td ALIGN="right"><strong><font face="Arial">City</font></strong></td>
<td><strong><font face="Arial"><!--webbot bot="Validation" S-Display-Name="Contact City" B-Value-Required="TRUE" --><input TYPE="TEXT" NAME="Contact_City" SIZE="35"> </font></strong></td>
</tr>
<tr>
<td ALIGN="right"><strong><font face="Arial">State/Province</font></strong></td>
<td><strong><font face="Arial"><!--webbot bot="Validation" S-Display-Name="Contact State" B-Value-Required="TRUE" --><input TYPE="TEXT" NAME="Contact_State" SIZE="35"> </font></strong></td>
</tr>
<tr>
<td ALIGN="right"><strong><font face="Arial">Zip/Postal code</font></strong></td>
<td><strong><font face="Arial"><!--webbot bot="Validation" S-Display-Name="Contact Zip" B-Value-Required="TRUE" I-Maximum-Length="12" --><input TYPE="TEXT" NAME="Contact_ZipCode" SIZE="12" MAXLENGTH="12"> </font></strong></td>
</tr>
<tr>
<td ALIGN="right"><strong><font face="Arial">Country</font></strong></td>
<td><strong><font face="Arial"><input TYPE="TEXT" NAME="Contact_Country" SIZE="25"> </font></strong></td>
</tr>
<tr>
<td ALIGN="right"><strong><font face="Arial">Work Phone</font></strong></td>
<td><strong><font face="Arial"><input TYPE="TEXT" NAME="Contact_WorkPhone" SIZE="25" MAXLENGTH="25"> </font></strong></td>
</tr>
<tr>
<td ALIGN="right"><strong><font face="Arial">Home Phone</font></strong></td>
<td><strong><font face="Arial"><input TYPE="TEXT" NAME="Contact_HomePhone" SIZE="25" MAXLENGTH="25"> </font></strong></td>
</tr>
<tr>
<td ALIGN="right"><strong><font face="Arial">E-mail</font></strong></td>
<td><strong><font face="Arial"><input TYPE="TEXT" NAME="Contact_Email" SIZE="25"> </font></strong></td>
</tr>
</table>
</blockquote>
<p><strong><font face="Arial">Comments</font></strong></p>
<blockquote>
<p><strong><font face="Arial"><textarea NAME="Comments" ROWS="5" COLS="35"></textarea> <br>
</font></strong></p>
</blockquote>
<p><strong><font face="Arial"><input TYPE="SUBMIT" VALUE="Submit Form"> <input TYPE="RESET" VALUE="Reset Form"> </font></strong></p>
</form>
<hr>
</td>
<td bgcolor="#FFFFFF" width="25%"></td>
</tr>
</table>
<table border="0" cellpadding="0" cellspacing="8" width="100%">
<tr>
<td><p align="center"><strong><font face="Arial" color="#000000"><a href="default.htm">Home</a>
&nbsp;&nbsp; <a href="aboutus.htm">About Us</a>&nbsp;&nbsp; <a href="locations.htm">Locations</a>&nbsp;&nbsp;
<a href="services.htm">Services</a>&nbsp;&nbsp; <a href="Careers/careers.htm">Careers</a>
&nbsp; <br>
<a href="Giving%20Back.htm">Giving Back</a>&nbsp;&nbsp; <a href="ContactUs.htm">Contact
Us&nbsp;</a>&nbsp; </font><font face="Arial" color="#E30000">Real Estate</font></strong></td>
</tr>
</table>
</body>
</html>