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

<form url="product_info.php"
 window="_self"
 method="POST"
 fontname="MS Sans Serif"
 width="518"
 height="550"
 bkcolor="0xFFFFFF"
 transparent="t"
 fontcolor="0x000000"
 themecolor="0xFFFF00"
 fontcolor2="#000000"
 bkcolor2="#FFFFFF"
 includeresults="false"
 emailuser="true"
 verifymessage="The E-Mail address you entered does not match !"
 reqmessage="One or More Fields are Required"
 invalidemailmsg="does not appear to be a valid e-mail address. Would you like to change it?"
 transition="0"
 autoresponseincluderesults="t"
 autoresponseaddtotop="t"
 usephp="true"
disableclicktoactiveprompt="false"
 extensions=""
>

<hidden
 name="thankyoupage"
 value="http://www.hubtexas.com/mos/forms/form_exit_confirm.html"
></hidden>

<hidden
 name="subject"
 value="Information Request"
></hidden>

<textinput
 name="company"
 x="200"
 y="50"
 w="272"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<textinput
 name="first_name"
 x="200"
 y="75"
 w="272"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<textinput
 name="last_name"
 x="200"
 y="100"
 w="272"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<textinput
 name="work_phone"
 x="200"
 y="125"
 w="272"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<textinput
 name="cell_phone"
 x="200"
 y="150"
 w="272"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 editable="true"
>
</textinput>

<textinput
 name="email"
 x="200"
 y="175"
 w="272"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<textarea
 name="request"
 x="11"
 y="251"
 w="472"
 h="123"
 initvalue=""
 wordwrap="true"
 required="true"
 editable="true"
 bkcolor="0xFFFFFF"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></textarea>

<checkbox
 name="checkbox1"
 x="186"
 y="384"
 w="163"
 h="19"
 label="This is an urgent request !"
 labelPos="right"
 value="checked"
 fontbold="bold"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<submitbutton
 name="Submit Button 1"
 x="380"
 y="388"
 w="100"
 h="25"
 label="Submit"
 fontname="Arial"
 fontcolor="0x000000"
 fontbold="bold"
  fontsize="12"
></submitbutton>

<label
 name="My Text 1"
 x="250"
 y="450"
 w="231"
 h="16"
 text="MosDirect.com  HubTexas.com"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x000080"
  fontsize="13"
></label>

<label
 name="My Text 2"
 x="267"
 y="7"
 w="230"
 h="18"
 text="Martin&apos;s Office Supply, Inc."
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x000000"
  fontsize="16"
></label>

<label
 name="My Text 3"
 x="12"
 y="5"
 w="203"
 h="19"
 text="Information Request Form"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="16"
></label>

<label
 name="My Text 4"
 x="107"
 y="78"
 w="85"
 h="16"
 text="*First Name :"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 5"
 x="108"
 y="102"
 w="84"
 h="16"
 text="*Last Name :"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 6"
 x="97"
 y="127"
 w="95"
 h="16"
 text="*Work Phone :"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 7"
 x="109"
 y="152"
 w="82"
 h="16"
 text="Cell Phone :"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 8"
 x="136"
 y="177"
 w="53"
 h="16"
 text="*Email :"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 9"
 x="150"
 y="200"
 w="323"
 h="14"
 text="Please verify that your email address is entered correctly."
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000080"
  fontsize="11"
></label>

<label
 name="My Text 10"
 x="14"
 y="52"
 w="180"
 h="16"
 text="*Company or Organization :"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 11"
 x="16"
 y="232"
 w="343"
 h="16"
 text="*Please let us know the nature of your request below:"
 fontbold="bold"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 12"
 x="0"
 y="425"
 w="349"
 h="16"
 text="TexasSchoolWeb.com  MosOfficeFurniture.com"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x000080"
  fontsize="13"
></label>

</form>
