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

<form url="reg_form.php"
 window="_self"
 method="POST"
 fontname="MS Sans Serif"
 width="560"
 height="650"
 bkcolor="0xFFFFFF"
 transparent="t"
 fontcolor="0x000000"
 themecolor="0xFFFFFF"
 fontcolor2="#000000"
 bkcolor2="#FFFFFF"
 includeresults="false"
 emailuser="false"
 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/reg_form_exit.html"
></hidden>

<hidden
 name="subject"
 value="Web Ordering Registration"
></hidden>

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

<textinput
 name="Last Name"
 x="256"
 y="188"
 w="255"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

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

<textinput
 name="Company etc"
 x="258"
 y="260"
 w="253"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<textinput
 name="Email"
 x="256"
 y="292"
 w="253"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 emailbox="true"
 editable="true"
>
</textinput>

<textinput
 name="Requested Password"
 x="256"
 y="324"
 w="252"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<combobox
 name="Competitor"
 x="260"
 y="356"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 isemail="false"
 w="253"
 h="20">
  <item name="Select One..."></item>
  <item name="Staples"></item>
  <item name="Office Depot"></item>
  <item name="Quill"></item>
</combobox>

<textarea
 name="Comments"
 x="20"
 y="432"
 w="518"
 h="65"
 initvalue=""
 wordwrap="true"
 editable="true"
 bkcolor="0xFFFFFF"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></textarea>

<submitbutton
 name="Submit Button 1"
 x="0"
 y="500"
 w="100"
 h="22"
 label="Submit"
 fontname="Arial"
 fontcolor="0x000000"
 fontbold="bold"
  fontsize="12"
></submitbutton>

<label
 name="My Text 1"
 x="48"
 y="70"
 w="466"
 h="16"
 text="Please enter all information below and click the &apos;Submit&apos; button."
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x0000FF"
  fontsize="13"
></label>

<label
 name="My Text 2"
 x="120"
 y="516"
 w="429"
 h="16"
 text="Your login will be emailed to you within 24 hours.  Thanks!"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0x0000FF"
  fontsize="13"
></label>

<label
 name="My Text 3"
 x="116"
 y="158"
 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="190"
 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="230"
 w="128"
 h="16"
 text="*Daytime Phone:"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 6"
 x="156"
 y="294"
 w="96"
 h="16"
 text="*Your Email:"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 7"
 x="16"
 y="8"
 w="240"
 h="18"
 text="Martin&apos;s Office Supply, Inc."
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x0000FF"
  fontsize="16"
></label>

<label
 name="My Text 8"
 x="324"
 y="4"
 w="193"
 h="29"
 text="MosDirect.com"
 fontbold="bold"
  fontname="Georgia"
  fontcolor="0xFF9900"
  fontsize="23"
></label>

<label
 name="My Text 9"
 x="0"
 y="550"
 w="452"
 h="16"
 text="Lost your login?  Click the Order Online link on MosDirect.com."
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0xFF0000"
  fontsize="13"
></label>

<label
 name="My Text 11"
 x="80"
 y="322"
 w="169"
 h="16"
 text="*Requested Password:"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 12"
 x="425"
 y="575"
 w="113"
 h="16"
 text="* required field"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 13"
 x="20"
 y="258"
 w="236"
 h="16"
 text="*Company/School/Church, etc:"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 14"
 x="72"
 y="358"
 w="182"
 h="16"
 text="Competitor Comparison:"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 15"
 x="152"
 y="382"
 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="16"
 y="98"
 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="16"
 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>

<label
 name="My Text 18"
 x="148"
 y="42"
 w="252"
 h="23"
 text="Web Registration Form"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x0000FF"
  fontsize="19"
></label>

<label
 name="My Text 17"
 x="20"
 y="404"
 w="301"
 h="16"
 text="Enter any comments or questions below:"
 fontbold="bold"
  fontname="Verdana"
  fontcolor="0x000000"
  fontsize="13"
></label>

<checkbox
 name="subscribe"
 x="25"
 y="600"
 w="264"
 h="19"
 label="I would like to receive your monthly newsletter"
 labelPos="right"
 value="checked"
 checked="true"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

</form>
