<table width="461" border="0" cellspacing="0" cellpadding="0"> <tr> <td><div align="center"><img border="0" src="Images/images_splash.jpg" width="138" height="137"></div></td> <td><div align="center"><img border="0" src="Images/images_mschlogo.gif" width="190" height="95"></div></td> </tr> <tr> <td colspan="2"> <p align="left" style="line-height: 100%; word-spacing: 0; margin-left: 0; margin-right: 10; margin-top: 0; margin-bottom: 0"> </p> <hr width="445" align="left"> <center> <marquee width="400" height="19"> <b>"Many are the plans in a man's heart, but it is the Lord's purpose that prevails." Proverbs 19:21</b> </marquee> <hr width="445" align="left"> </center> <h1 align="center" style="line-height: 100%; word-spacing: 0; margin-left: 0; margin-right: 10; margin-top: 0; margin-bottom: 0"><b><i><font color="#000055">Guestbook</font></i></b></h1> <p align="center" style="line-height: 100%; word-spacing: 0; margin-left: 0; margin-right: 10; margin-top: 0; margin-bottom: 0"> </p> <p align="center" style="line-height: 100%; word-spacing: 0; margin-left: 0; margin-right: 10; margin-top: 0; margin-bottom: 0"> </p> <p align="left" style="line-height: 100%; word-spacing: 0; margin-left: 0; margin-right: 10; margin-top: 0; margin-bottom: 0">The Mountain States Children's Home respects your privacy and will not disclose or sell any information you provide us to any outside companies.</p> <form method="POST" target="Main" name="Guest Book" action="sendEmail.asp"> <div align="left"> <table border="0" cellpadding="3" width="100%" cellspacing="3"> <tr> <td width="22%"><font size="2" color="#006A00"><b> <input name="FormType" type="hidden" id="FormType" value="Guestbook"> First Name:</b></font></td> <td width="78%"><input type="text" name="first_name" size="22"></td> </tr> <tr> <td width="22%"><font color="#006A00"><b><font size="2">Last Name:</font> </b></font></td> <td width="78%"><input type="text" name="last_name" size="22"></td> </tr> <tr> <td width="22%"><font color="#006A00"><b><font size="2">Email:</font> </b></font></td> <td width="78%"><input type="text" name="email" size="22"></td> </tr> <tr> <td width="22%"><font size="2" color="#006A00"><b>Telephone: </b> </font></td> <td width="78%"><input type="text" name="phone" size="22"></td> </tr> <tr> <td width="22%"><font color="#006A00"><b><font size="2">Address:</font> </b></font></td> <td width="78%"><input type="text" name="address" size="22"></td> </tr> <tr> <td width="22%"><font size="2" color="#006A00"><b>City:</b></font></td> <td width="78%"><input type="text" name="city" size="22"></td> </tr> <tr> <td width="22%"><font size="2" color="#006A00"><b>State:</b></font></td> <td width="78%"><input type="text" name="state" size="7"></td> </tr> <tr> <td width="22%"><font size="2" color="#006A00"><b>Zip:</b></font></td> <td width="78%"><input type="text" name="zip" size="12"></td> </tr> </table> </div> <p align="left" style="line-height: 100%; word-spacing: 0; margin-left: 0; margin-right: 10; margin-top: 0; margin-bottom: 0"> </p> <div align="left"> <table border="0" cellpadding="3" width="100%" cellspacing="3"> <tr> <td width="64%"><font size="2" color="#006A00"><b>I would like to receive your Quarterly Newsletter: </b></font></td> <td width="36%"><font size="2" color="#004200"><b> <input type="checkbox" name="newsletter" value="Yes"> </b></font></td> </tr> <tr> <td width="64%"><font size="2" color="#006A00"><b>I would like to receive "The Concern":</b></font></td> <td width="36%"><font size="2" color="#004200"><b> <input type="checkbox" name="concern" value="Yes"> </b></font></td> </tr> <tr> <td width="64%"><font size="2" color="#006A00"><b>I would like someone to contact me with additional information for the following subjects:</b></font></td> <td width="36%"><font size="2"><b><font size="2" color="#004200"> <input type="checkbox" name="volunteering" value="Yes"> Volunteering</font> </b></font></td> </tr> <tr> <td width="64%"></td> <td width="36%"><font size="2"><b><font size="2" color="#004200"> <input type="checkbox" name="donations" value="Yes"> Donations</font></b></font></td> </tr> <tr> <td width="64%"></td> <td width="36%"><font size="2"><b><font size="2" color="#004200"> <input type="checkbox" name="other" value="Yes"> Other</font></b></font></td> </tr> <tr> <td width="64%"></td> <td><strong><font color="#004100" size="2"> <input name="wills and estate planning" type="checkbox" id="wills and estate planning" value="yes"> wills and estate planning</font></strong></td> </tr> <tr> <td></td> <td><strong><font color="#004100" size="2"> <input name="child placement" type="checkbox" id="child placement" value="yes"> child placement</font></strong></td> </tr> <tr> <td></td> <td><strong><font color="#004100" size="2"> <input name="charitable giving" type="checkbox" id="charitable giving" value="yes"> charitable giving</font></strong></td> </tr> <tr> <td></td> <td> </td> </tr> </table> </div> <p align="left" style="line-height: 100%; word-spacing: 0; margin-left: 0; margin-right: 10; margin-top: 0; margin-bottom: 0"> </p> <p align="left" style="line-height: 100%; word-spacing: 0; margin-left: 0; margin-right: 10; margin-top: 0; margin-bottom: 0"><font size="2" color="#006A00"><b>Comments:</b></font></p> <p align="left" style="line-height: 100%; word-spacing: 0; margin-left: 0; margin-right: 10; margin-top: 0; margin-bottom: 0"> <textarea rows="3" name="comments" cols="52">
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