<HTML> <HEAD> <TITLE>CARET Event Registration Form</TITLE> <!-- Search on: The Events --> <!-- Looks like it works without these METAs as well. --> <META http-equiv=Content-Type content="text/html; charset=iso-8859-1"> <META content="MSHTML 5.50.4134.600" name=GENERATOR> <link rel="stylesheet" href="MyStyles.css" type="text/css"> <script language="JavaScript" type="text/javascript" src='PKJS-LIB.JS'> </script> <script language="JavaScript1.2" src="EventVal.js"> <!-- // Get all the needed functions, VALIDATE //document.OnMouseDown=click; //--> </script> <script language="JavaScript" type="text/javascript"> <!-- // Get all the needed functions, VALIDATE function Init() { document.CARETEvents.Name.focus(); // FormMail = realname } //--> </script> </HEAD> <BODY background="files/TEXTURE.GIF" onLoad="Init();"> <!-- ================================================================== --> <!-- POSTING the data from a fill-in FORM --> <!-- ================================================================== --> <FORM name='CARETEvents' onSubmit="return Validate();" action='http://cs.yrex.com/CaretReg/EventReg.php' method='post'> <!-- ================================================================== --> <!-- ================================================================== --> <!-- These lines are needed for the response-o-matic program --> <INPUT TYPE="hidden" NAME="SendToAddress" VALUE="ke3fl@yahoo.com, wx3f@juno.com"> <INPUT TYPE="hidden" NAME="CCECName" VALUE="Larry, WX3F"> <INPUT TYPE="hidden" NAME="Subject" VALUE="CARET Event Registration Form"> <INPUT TYPE="hidden" NAME="Events" VALUE="empty\n"> <!-- ================================================================== --> <!-- ================================================================== --> <P align=center>&nbsp;</P> <H2 align=center> <FONT color=#000000> CARROLL AMATEUR RADIO EMERGENCY TEAM <br/> Event Registration Form </FONT> </H2> <p align=center> <FONT color=#0000ff size=+1> (Last Update: <script language="JavaScript" type="text/javascript"> GetLastUpDate(); document.write(LastUpdate); // New way, 01/15/2003 </script> ) </FONT> </p> <P align=center> Plese complete this form and click on Submit when you are ready to register.<br/> <br/> </P> <TABLE cellSpacing=0 border=0> <TR> <TD> <A HREF="index.html"> <IMG alt=HOME src="files/HOME.GIF"> </A> </TD> <TD> &nbsp; &nbsp; Return to: <A HREF="index.html"> previous page </A> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; </TD> <TD> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; </TD> <TD> &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; </TD> </TR> </TABLE> <br/><br/> <P> <BLOCKQUOTE> <TABLE cellSpacing=0 border=0> <TBODY> <TR> <TD width=100> <font size='+1' face='arial'>Your name:</font> </TD> <TD> <!-- visitor_name, realname --> <INPUT size='30' name='Name' class='pkBlue' /> <!-- 0 --> </TD> <TD> &nbsp;&nbsp;&nbsp;&nbsp; </TD> <TD> <font size='+1' face='arial'>Call: <INPUT size='8' name='Call' /></font> (If you have one) <!-- 1 --> </TD> </TR> </TBODY> </TABLE> </P> <P> Home Phone: <INPUT name="Home_Phone" /> <!-- 2 --> &nbsp;&nbsp;&nbsp;&nbsp; Work Phone: <INPUT name="Work_Phone" /> <!-- 3 --> </P> <P> <font size='+1' face='arial'>Email address: <!-- visitor_email_address --> <INPUT size=50 name='Email' /></font> <!-- 4 --> <!-- email --> </P> <!-- ################################################################# --> <!-- Enter or delete events from the list below --> <!-- ################################################################# --> <P><B>Which Events can you help out with?</B> <br/> &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; <!-- font color='red'> <INPUT type=checkbox name='Event02' value="Sun April 29, March-of-Dimes">Sun, April 29 - March of Dimes WalkAmerica, 6:30AM <br/> &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; <INPUT type=checkbox name='Event03' value="Sat/Sun June 22/23, Field Day">Sat/Sun June 22/23, Field Day <br/> &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; </font --> <font face='arial' color='green'><b> <!-- The Events --> <!-- <INPUT type=checkbox name='Event01' value="Sun April 2, MS-Walk, 8AM" />Sun, April 2 - MS Walk-a-Thon, 8AM <br/> &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; <INPUT type=checkbox name='Event02' value="Fri, June 2, Easter shore bike-a-thon" />Fri, June 2, Easter shore bike-a-thon <br/> &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; <INPUT type=checkbox name='Event03' value="Sat, June 3, Easter shore bike-a-thon" />Sat, June 3, Easter shore bike-a-thon <br/> &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; <INPUT type=checkbox name='Event04' value="Sun June 4, Easter shore bike-a-thon" />Sun June 4, Easter shore bike-a-thon <br/> &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; <INPUT type=checkbox name='Event05' value="Sep 18 Winefest Bike Tour & Walk" />Sep 18 Winefest Bike Tour & Walk <br/> &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; <INPUT type=checkbox name='Event06' value="Sep 30 Carroll County Communications Test" />Sep 30 Carroll County Communications Test <br/> &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; <INPUT type=checkbox name='Event07' value="Oct 7 SET" />October 7th Simulated Emergency Test <br/> &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; <INPUT type=checkbox name='Event05' value="Sat Sep 15 Winefest Bike Tour & Walk" />Sep 15 Winefest Bike Tour & Walk <br/> <br/> &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; <INPUT type=checkbox name='Event07' value="Oct 6/7 SET" />October 6/7th Simulated Emergency Test <br/> <br/> &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; pk01 --> <br/> <INPUT type=checkbox name='Event07' value="Oct 6/7 Workshop" />A Whole Community Approach to Preparedness and Resilience Workshop, Oct 6/7 <br/> <br/> <!-- &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; --> </b> <!-- commented out until needed End of commented out section --> <!-- Don't put ANYTHING Below the CARET check box. pk 10/12/2001 --> <b><i> <INPUT type=checkbox name='Cinfo' value="Caret Info Request">CARET Information Request - or... <!--a href="CaretReg.htm">[Click to move to CARET Registration form]</a--> </i> <input type='button' value='Move to the CARET Registration form' class='pkBlue' onClick="javascript:window.open('CaretReg.htm', 'CReg');"> <br/> &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp; (Carroll Amateur Radio Emergency Team) </b> </font> <!-- Don't put ANYTHING Below the CARET check box. pk 10/12/2001 --> <!-- ################################################################# --> <!-- ################################################################# --> <br/><br/><B>Comments, Possible New Event?</B><br/> <!-- can't have spaces before a text area or inside you get a tab! --> <textarea name="Comments" rows="6" cols="60" wrap> </textarea> </P> <BLOCKQUOTE> <P> <INPUT type=submit value=Submit name=Submit OnMouseOver="window.status='Click to Volunteer';" OnMouseOut="window.status='';" class='pkGreen'> <INPUT type=reset value=Reset class='pkRed'> </P> </BLOCKQUOTE> <!-- ================================================================== --> <!-- The hidden inputs are last so they don't screw up the focus count --> <!-- These are the hidden fields needed by FormMail.pl --> <!-- ================================================================== --> <!-- <INPUT type=hidden value="yahoo.com" name=recipient> <INPUT type=hidden value="CARET Event Registration Form" name=subject> < !-- INPUT type=hidden value=Version_1.1 name=CARET_EventRegistrationForm -- > <INPUT type=hidden value=realname,email,Home_Phone name=required> <INPUT type=hidden value=REMOTE_HOST,REMOTE_ADDR,REMOTE_USER,REMOTE_IDENT,HTTP_REFERER,HTTP_USER_AGENT name=env_report> <INPUT type=hidden value=realname,email,subject name=print_config> <INPUT type=hidden value="Thanks for volunteering to help out!" name=title> <INPUT type=hidden value=#FFddFF name=bgcolor> <INPUT type=hidden value=#000000 name=text_color> <INPUT type=hidden value=#FF0000 name=link_color> <INPUT type=hidden value=#0000FF name=vlink_color> <INPUT type=hidden value=http://www.qsl.net/caret name=return_link_url> <INPUT type=hidden value="[Return to CARET Page]" name=return_link_title> --> <!-- ================================================================== --> <!-- ================================================================== --> </FORM> <P>&nbsp;</P> </BODY> </HTML>