ÿþ<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> <HTML><HEAD> <META content="text/html; charset=unicode" http-equiv=Content-Type> <META name=GENERATOR content="MSHTML 8.00.7600.16490"></HEAD> <BODY> <TABLE border=2 cellSpacing=1 summary="" cellPadding=1 width=200 align=center> <TBODY> <TR> <TD bgColor=#ffff99 borderColor=#840000> <P align=center><IMG alt="lalakoi newsletter" src="http://www.lalakoi.com/mymailer/lalakoinewsletter640.jpg"></P> <P align=center><FONT color=#840000 face=Tahoma><STRONG>Welcome to the Lalakoi Newsletter Subscription Form</STRONG></FONT></P> <P align=center><STRONG><FONT color=#840000 size=2 face=Tahoma>Fields marked with (*) are required</FONT></STRONG></P><!-- Do not modify the NAME value of any of the INPUT fields the FORM action, or any of the hidden fields (eg. input type=hidden). These are all required for this form to function correctly. --> <STYLE type=text/css> .myForm td, input, select, textarea, checkbox { font-family: tahoma; font-size: 12px; } .required { color: red; }</STYLE> <FORM id=frmSS2 onsubmit="return CheckForm2(this);" method=post action=http://lalakoi.my-mailer.com/form.php?form=2> <TABLE class=myForm border=0 cellPadding=2> <TBODY> <TR> <TD><SPAN class=required>*</SPAN>&nbsp; <FONT color=#840000><STRONG>Your Email Address:</STRONG></FONT></TD> <TD><INPUT name=email></TD></TR> <TR> <TD>&nbsp;&nbsp;&nbsp;&nbsp;<FONT color=#840000><STRONG>Title:</STRONG></FONT></TD> <TD><SELECT id=CustomFields_1_2 name=CustomFields[1]> <OPTION selected value=""></OPTION> <OPTION value=Ms>Ms</OPTION> <OPTION value=Mrs>Mrs</OPTION> <OPTION value=Mr>Mr</OPTION> <OPTION value=Dr>Dr</OPTION> <OPTION value=Prof>Prof</OPTION></SELECT></TD></TR> <TR> <TD><SPAN class=required>*</SPAN>&nbsp; <FONT color=#840000><STRONG>First Name:</STRONG></FONT></TD> <TD><INPUT id=CustomFields_2_2 size=50 name=CustomFields[2]></TD></TR> <TR> <TD><SPAN class=required>*</SPAN>&nbsp; <FONT color=#840000><STRONG>Last Name:</STRONG></FONT></TD> <TD><INPUT id=CustomFields_3_2 size=50 name=CustomFields[3]></TD></TR> <TR> <TD>&nbsp;&nbsp;&nbsp;&nbsp;<FONT color=#840000><STRONG>City:</STRONG></FONT></TD> <TD><INPUT id=CustomFields_8_2 size=50 name=CustomFields[8]></TD></TR> <TR> <TD><SPAN class=required>*</SPAN>&nbsp; <FONT color=#840000><STRONG>Country:</STRONG></FONT></TD> <TD><INPUT id=CustomFields_17_2 name=CustomFields[17]></TD></TR> <TR> <TD><FONT color=#840000><STRONG></STRONG></FONT></TD> <TD> <SCRIPT type=text/javascript> // <![CDATA[ var SIDString = ''; function getRandomLetter() { return String.fromCharCode(getRandom(65, 90)); } function getRandom(lowerBound, upperBound) { return Math.floor((upperBound - lowerBound + 1) * Math.random() + lowerBound); } function SetSID() { if (SIDString.length > 0) { return SIDString; } sidc = 0; while (sidc < 32) { SIDString = SIDString + getRandomLetter(); sidc++; } return SIDString; } // ]]> </SCRIPT> <SCRIPT type=text/javascript> // <![CDATA[ var url = "http://lalakoi.my-mailer.com/admin/resources/form_designs/captcha/index.php?c=" + getRandom(1,1000)+ "&ss=" + SetSID(); document.write("<" + "img src='" + url + "' alt='img'/>"); // ]]> </SCRIPT> </TD></TR> <TR> <TD>&nbsp;</TD> <TD><INPUT value=Subscribe type=submit> <BR></TD></TR></TBODY></TABLE></FORM> <SCRIPT type=text/javascript> // <![CDATA[ function CheckMultiple2(frm, name) { for (var i=0; i < frm.length; i++) { fldObj = frm.elements[i]; fldId = fldObj.id; if (fldId) { var fieldnamecheck=fldObj.id.indexOf(name); if (fieldnamecheck != -1) { if (fldObj.checked) { return true; } } } } return false; } function CheckForm2(f) { var email_re = /[a-z0-9!#$%&'*+\/=?^_`{|}~-]+(?:\.[a-z0-9!#$%&'*+\/=?^_`{|}~-]+)*@(?:[a-z0-9](?:[a-z0-9-]*[a-z0-9])?\.)+[a-z0-9](?:[a-z0-9-]*[a-z0-9])?/i; if (!email_re.test(f.email.value)) { alert("Please enter your email address."); f.email.focus(); return false; } if (f.captcha.value == "") { alert("Please enter the security code shown"); f.captcha.focus(); return false; } var fname = "CustomFields_2_2"; var fld = document.getElementById(fname); if (fld.value == "") { alert("Please enter a value for field First Name"); fld.focus(); return false; } var fname = "CustomFields_3_2"; var fld = document.getElementById(fname); if (fld.value == "") { alert("Please enter a value for field Last Name"); fld.focus(); return false; } var fname = "CustomFields_17_2"; var fld = document.getElementById(fname); if (fld.value == "") { alert("Please enter a value for field Country"); fld.focus(); return false; } return true; } // ]]> </SCRIPT> <P align=center>&nbsp;</P> <P align=center>&nbsp;</P></TD></TR></TBODY></TABLE></BODY></HTML>