<?xml version="1.0" encoding="UTF-8"?>

<form url="agent_reg_form.php"
 window="_self"
 method="POST"
 fontname="MS Sans Serif"
 width="560"
 height="500"
 bkcolor="0xFFFFFF"
 outlinecolor="0x000000"
 fontcolor="0x000000"
 themecolor="0xFFFFFF"
 fontcolor2="#000000"
 bkcolor2="#FFFFFF"
 includeresults="false"
 emailuser="false"
 reqmessage="One or More Fields are Required"
 autoresponse="">

<hidden
 name="thankyoupage"
 value="http://www.mosdirect.com"
></hidden>

<hidden
 name="mailto"
 value="register@mosdirect.com"
></hidden>

<hidden
 name="subject"
 value="New Account Request - Real Estate Agent"
></hidden>

<textinput
 name="First Name"
 x="256"
 y="156"
 w="256"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<textinput
 name="Last Name"
 x="256"
 y="192"
 w="255"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<textinput
 name="Daytime Phone"
 x="256"
 y="228"
 w="255"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<textinput
 name="Real Estate Agency"
 x="256"
 y="260"
 w="253"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textinput
 name="Email"
 x="260"
 y="292"
 w="251"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 emailbox="true"
>
</textinput>

<textinput
 name="Requested Password"
 x="260"
 y="324"
 w="252"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<combobox
 name="Competitor "
 x="260"
 y="360"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 w="253"
 h="20">
  <item name="Select One..."></item>
  <item name="Staples and Quill"></item>
  <item name="Office Depot and Reliable"></item>
</combobox>

<label
 name="My Text 1"
 x="40"
 y="70"
 w="474"
 h="16"
 text="Please enter all information below and click the 'Submit' button.  "
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x0000FF"
  fontsize="13"
></label>

<label
 name="My Text 2"
 x="8"
 y="418"
 w="344"
 h="18"
 text="Your login will be emailed to you shortly:"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x0000FF"
  fontsize="16"
></label>

<label
 name="My Text 3"
 x="116"
 y="152"
 w="135"
 h="16"
 text="*Your First Name:"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 4"
 x="120"
 y="188"
 w="133"
 h="16"
 text="*Your Last Name:"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 5"
 x="124"
 y="226"
 w="128"
 h="16"
 text="*Daytime Phone:"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 6"
 x="156"
 y="286"
 w="96"
 h="16"
 text="*Your Email:"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 7"
 x="28"
 y="6"
 w="240"
 h="18"
 text="Martin's Office Supply, Inc."
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x0000FF"
  fontsize="16"
></label>

<label
 name="My Text 8"
 x="288"
 y="-2"
 w="259"
 h="29"
 text="www.mosdirect.com"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0xFF9900"
  fontsize="23"
></label>

<label
 name="My Text 9"
 x="116"
 y="470"
 w="418"
 h="13"
 text="Lost your login?  Please email a request to info@mosdirect.com"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0xFF0000"
  fontsize="11"
></label>

<label
 name="My Text 11"
 x="84"
 y="318"
 w="169"
 h="16"
 text="*Requested Password:"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 12"
 x="12"
 y="470"
 w="82"
 h="16"
 text="* required "
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 13"
 x="72"
 y="258"
 w="182"
 h="16"
 text="Agency where you work:"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 14"
 x="72"
 y="354"
 w="182"
 h="16"
 text="Competitor Comparison:"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 15"
 x="148"
 y="378"
 w="352"
 h="13"
 text="Choose the competitors you would like for us to beat."
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x000000"
  fontsize="11"
></label>

<label
 name="My Text 16"
 x="18"
 y="94"
 w="522"
 h="13"
 text="Note: Register the name of the person who will actually be ordering on our site,"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x000000"
  fontsize="11"
></label>

<label
 name="My Text 10"
 x="20"
 y="110"
 w="437"
 h="13"
 text="so that we may contact the proper party if we have any questions."
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x000000"
  fontsize="11"
></label>

<submitbutton
 name="Submit Button 1"
 x="356"
 y="424"
 w="100"
 h="20"
 label="Submit"
 fontname="Arial"
 fontcolor="0x000000"
 fontbold="bold"
  fontsize="12"
></submitbutton>

<label
 name="My Text 17"
 x="464"
 y="418"
 w="72"
 h="18"
 text="Thanks!"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x0000FF"
  fontsize="16"
></label>

<label
 name="My Text 18"
 x="96"
 y="38"
 w="368"
 h="18"
 text="Real Estate Agent Web Registration Form"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x0000FF"
  fontsize="16"
></label>

</form>
