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

<form url="login_request.php"
 window="_self"
 method="POST"
 fontname="MS Sans Serif"
 width="450"
 height="500"
 bkcolor="0xFFFFFF"
 outlinecolor="0xFFFFFF"
 fontcolor="0x000000"
 themecolor="0xFFFF99"
 fontcolor2="#000000"
 bkcolor2="#FFFFFF"
 includeresults="false"
 emailuser="false"
 reqmessage="One or More Fields are Required"
 autoresponse="">

<hidden
 name="thankyoumessage"
 value="Click the back button on your browser to
return to www.mosdirect.com/schooltools."
></hidden>

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

<hidden
 name="subject"
 value="Schooltools  Access Request"
></hidden>

<textinput
 name="First_Name"
 x="95"
 y="60"
 w="305"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<textinput
 name="Last_Name"
 x="96"
 y="88"
 w="303"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<textinput
 name="School"
 x="172"
 y="120"
 w="226"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<textinput
 name="Campus"
 x="96"
 y="152"
 w="302"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textinput
 name="Phone"
 x="95"
 y="184"
 w="303"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<textinput
 name="Email"
 x="96"
 y="212"
 w="302"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 emailbox="true"
>
</textinput>

<submitbutton
 name="Submit Button 1"
 x="312"
 y="456"
 w="100"
 h="20"
 label="Submit"
 fontname="Arial"
 fontcolor="0x000000"
  fontsize="12"
></submitbutton>

<label
 name="My Text 1"
 x="108"
 y="28"
 w="258"
 h="19"
 text="www.mosdirect.com/schooltools "
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x0000FF"
  fontsize="16"
></label>

<label
 name="My Text 3"
 x="8"
 y="56"
 w="81"
 h="16"
 text="*First Name:"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 4"
 x="8"
 y="90"
 w="80"
 h="16"
 text="*Last Name:"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 5"
 x="4"
 y="122"
 w="162"
 h="16"
 text="*School Name or District:"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 6"
 x="28"
 y="154"
 w="59"
 h="16"
 text="Campus:"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 7"
 x="48"
 y="462"
 w="67"
 h="16"
 text="*Required"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 8"
 x="36"
 y="214"
 w="49"
 h="16"
 text="*Email:"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 9"
 x="64"
 y="244"
 w="324"
 h="14"
 text="Please verify that your email address is entered correctly!"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0xFF0000"
  fontsize="11"
></label>

<label
 name="My Text 10"
 x="32"
 y="182"
 w="54"
 h="16"
 text="*Phone:"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<combobox
 name="access_type"
 x="184"
 y="304"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 w="208"
 h="20">
  <item name="Select One..."></item>
  <item name="Price Check Only"></item>
  <item name="Ordering Account"></item>
</combobox>

<label
 name="My Text 2"
 x="60"
 y="276"
 w="359"
 h="16"
 text="Please select the type access you are requesting below."
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 11"
 x="32"
 y="296"
 w="8"
 h="16"
 text=""
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 12"
 x="164"
 y="4"
 w="116"
 h="19"
 text="Login Request"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="16"
></label>

<label
 name="My Text 13"
 x="36"
 y="338"
 w="321"
 h="16"
 text="If requesting an Ordering Account, please enter a "
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 14"
 x="36"
 y="362"
 w="162"
 h="16"
 text="password request below."
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<textinput
 name="Password Request"
 x="160"
 y="392"
 w="271"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<label
 name="My Text 15"
 x="24"
 y="394"
 w="124"
 h="16"
 text="Password Request:"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

</form>
