Birthday Gadget

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" width=200 BGCOLOR="#FFFFFF" TEXT="#080000"> <bR> </td> <td valign="top" width="100%" BGCOLOR="#FFFFFF" TEXT="#080000" bgproperties="fixed" background="1bd78783.jpg"> <div> <FONT SIZE="5" COLOR="#000000" FACE="Arial" ><B>THE SATURDAY MORNING KIDS SHOW</B></FONT>    |     <A HREF="index.htm" TARGET="_top" TITLE="THE SATURDAY MORNING KIDS SHOW">home</A></div> <bR> <bR> <bR> <bR> <div> <I><B>Birthday  Gadget</B></I></div> <div> If you want to send birthdays to our birthday list, please send first & last name, city, </div> <div> state, birthdate, and age(if you really want us to know) using the form below: </div> <bR> <bR> <div>  <form action="http://csbmail.globalscape.com/cgi-bin/csbmail/csbmail.pl" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="First Name,Last Name,permission to use last name?,Birthdate,Age,City,State,Area Code,Phone,Email"><input type="hidden" name="tlx_FormIndex" value="1"><input type="hidden" name="tlx_OKMessage" value="Thanks for your Birthday information. Be sure to listen in when we announce your birthday!"><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A Birthday was submitted to SMKS"><input type="hidden" name="tlx_EmailTo" value="woody@smks.net"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">First Name only: <br> <input type="text" name="First Name" size="30" maxlength="30"> </td> </tr> <tr> <td align="left">Last Name only: <br> <input type="text" name="Last Name" size="30" maxlength="30"> </td> </tr> <tr> <td align="left">Do we have permission to use last name? (Yes or No): <br> <textarea name="permission to use last name?" rows="00" cols="04"></textarea> </td> </tr> <tr> <td align="left">Please enter your Birthdate mm/dd: <br> <input type="text" name="Birthdate" size="13" maxlength="12"> </td> </tr> <tr> <td align="left"> Age you will be on that date:: <br> <input type="text" name="Age" size="03" maxlength="03"> </td> </tr> <tr> <td align="left">City: <br> <input type="text" name="City" size="30" maxlength="40"> </td> </tr> <tr> <td align="left"> State: <br> <input type="text" name="State" size="02" maxlength="02"> </td> </tr> <tr> <td align="left">Area Code: <br> <input type="text" name="Area Code" size="03" maxlength="03"> </td> </tr> <tr> <td align="left">Phone Number: <br> <input type="text" name="Phone" size="14" maxlength="14"> </td> </tr> <tr> <td align="left">Email address: <br> <input type="text" name="Email" size="30" maxlength="40"> </td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> </td> </tr></table>  <script src="http://www.google-analytics.com/urchin.js" type="text/javascript"> </script> <script type="text/javascript"> _uacct = "UA-332957-13"; urchinTracker(); </script>  </body>