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<html>
<head>
<title>Request More Information</title>
</head>
<body bgcolor="beige">
<font color="scarlet" face="garamond" size="12">
<p align="center">Alabama's<br>
Pleasant Surprise</font> </p>
<p>We hope that you found everything you wanted to know about Pell City, Alabama's
Pleasant Surprise. Although we have included everything we can think of about Pell City in
this site, we are only human and may have left out something of interest to you. If you
have any further questions regarding Pell City you can call the Chamber of Commerce at
(205) 338-3377 or write us at 1610 Cogswell Avenue, Pell City, Alabama 35125. Or, if you
want you can also fill out the following form and we will answer your question or
questions as soon as we can. We look forward to seeing you on main street or on the lake
real soon. </p>
<hr>
<table>
<form method="post" action="mailto:pellcitychamer@pell.net">
<tr><td>Name:</td><td><input type="text" name="name" size="20"> </td></tr>
<tr><td>Address:</td><td><input type="text" name="mail" size="80"> </td></tr>
<td>City:</td><td><input type="text" name="city" size="20"></td></tr>
<td>State:</td><td><select name="state" size="1">
<option>Alabama </option>
<option>Alaska </option>
<option>Arizona </option>
<option>Arkansas </option>
<option>California </option>
<option>Colorado </option>
<option>Connecticut </option>
<option>Delaware </option>
<option>Florida </option>
<option>Georgia </option>
<option>Hawaii </option>
<option>Idaho </option>
<option>Illinois </option>
<option>Indiana </option>
<option>Iowa </option>
<option>Kansas </option>
<option>Kentucky </option>
<option>Louisiana </option>
<option>Maine </option>
<option>Maryland </option>
<option>Massachusetts </option>
<option>Michigan </option>
<option>Minnesota </option>
<option>Mississippi </option>
<option>Missouri </option>
<option>Montana </option>
<option>Nebraska </option>
<option>Nevada </option>
<option>New Hampshire </option>
<option>New Jersey </option>
<option>New Mexico </option>
<option>New York </option>
<option>North Carolina </option>
<option>North Dakota </option>
<option>Ohio </option>
<option>Oklahoma </option>
<option>Oregon </option>
<option>Pennsylvania </option>
<option>Rhode Island </option>
<option>South Carolina </option>
<option>South Dakota </option>
<option>Tennessee </option>
<option>Texas </option>
<option>Utah </option>
<option>Vermont </option>
<option>Virginia </option>
<option>Washington </option>
<option>Washington, D.C. </option>
<option>West Virginia </option>
<option>Wisconsin </option>
<option>Wyoming </option>
</select> </td></tr>
<tr><td>Zip Code:</td><td><input type="text" name="zip" size="20"> </td></tr>
<tr><td>E-mail Address:</td><td><input type="text" name="email" size="20"> </td></tr>
<tr><td VALIGN="TOP">Are you:</td><td>
<input type="radio" name="I_am" value="A resident of Pell City">A resident of Pell City<br>
<input type="radio" name="I_am" value="A former resident of Pell City">A former resident
of Pell City<br>
<input type="radio" name="I_am" value="Looking to move to Pell City">Looking to move to
Pell City<br>
<input type="radio" name="I_am" value="Just curious">Just curious </td></tr>
</TABLE>
<p>What else did you want to know about Pell City?</p>
<p><textarea name="question" rows="15" cols="80"></textarea> </p>
<p><input type="submit" value="Submit"> <input type="reset" value="Clear Form"> </p>
</form>
<hr>
<table>
<tr align="center">
<td width="33%"><a href="education.html"><img src="images/previous.jpg" WIDTH="38" HEIGHT="38"><br>
Previous</a></td>
<td width="33%"><a href="home.html"><img src="images/home.gif" WIDTH="46" HEIGHT="70"><br>
Home</a></td>
<td width="33%"><a href="chamber.html"><img src="images/chamber.gif" WIDTH="95" HEIGHT="99"><br>
Chamber of Commerce</a></td>
</tr>
</table>
</body>
</html>