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<SCRIPT LANGUAGE="JavaScript">
function checkEntry(f){
if (f.temail1.value == '' )
{alert('Please Enter your e-mail address.');
return false;
}else
return true;}
</script>
<table border="0" cellspacing="1" width="100%" bgcolor="#FFFFFF" style="border: 1 solid #D5ECE9">
<tr>
<td width="100%">
<form method="POST" onsubmit="return checkEntry(this)" action="index.php?id=167<ot=547278">
<table border="0" cellspacing="0" width="100%">
<tr>
<td colspan="2" bgcolor="#89200b">
<p align="center"><font size="1" face="Verdana" color="#fffff"><b>
<img border="0" src="myadmin/icons/mailinglist.gif" align="absmiddle" width="25" height="25">
NEWSLETTER</b></font></td>
</tr>
<tr>
<td colspan="2">
<p align="center"><font size="1" face="Verdana">
Please complete the form below to subscribe to the newsletter
& tick the SPECIALS block
( Everything except email addres is optional, but would be nice to have )<br>
</font></td>
</tr>
<tr>
<td colspan="2"><font size="1" face="Verdana" color="#93CEC7"><b>Personal Detail</b>
</font></td>
</tr>
<tr>
<td align="left" width="250"><font size="1" face="Verdana">Name
: </font></td>
<td><font size="1" face="Verdana">
<input type="text" value="" name="tname1"
onKeypress="if (
(event.keyCode == 34) ||
(event.keyCode >= 42 && event.keyCode <= 43) ||
(event.keyCode >= 91 && event.keyCode <= 94)
) event.returnValue = false;"
size="26" style="font-family: Verdana; font-size: 8pt; border: 1 solid #D5ECE9"></font></td>
</tr>
<tr>
<td align="left" width="250"><font size="1" face="Verdana">Surname
: </font></td>
<td><font size="1" face="Verdana">
<input type="text" value="" name="tsurname1"
onKeypress="if (
(event.keyCode == 34) ||
(event.keyCode >= 42 && event.keyCode <= 43) ||
(event.keyCode >= 91 && event.keyCode <= 94)
) event.returnValue = false;"
size="26" style="font-family: Verdana; font-size: 8pt; border: 1 solid #D5ECE9"></font></td>
</tr>
<tr>
<td align="left" width="250"><font size="1" face="Verdana">E-mail : </font></td>
<td><font size="1" face="Verdana">
<input type="text" value="" name="temail1"
onKeypress="if (
(event.keyCode == 34) ||
(event.keyCode >= 42 && event.keyCode <= 43) ||
(event.keyCode >= 91 && event.keyCode <= 94)
) event.returnValue = false;"
size="26" style="font-family: Verdana; font-size: 8pt; border: 1 solid #D5ECE9"></font></td>
</tr>
<td align="left" width="250"><font size="1" face="Verdana"> </font></td>
<td><font size="1" face="Verdana"> </font></td>
</tr>
<tr>
<td align="left" width="250"><font size="1" face="Verdana">Additional eMail : </font></td>
<td><font size="1" face="Verdana">
<input type="text" name="value1"
onKeypress="if (
(event.keyCode == 34) ||
(event.keyCode >= 42 && event.keyCode <= 43) ||
(event.keyCode >= 91 && event.keyCode <= 94)
) event.returnValue = false;"
size="26" style="font-family: Verdana; font-size: 8pt; color: #000000; border: 1 solid #D5ECE9">
</font></td>
</tr
<tr>
<td align="left" width="250"><font size="1" face="Verdana">Province : </font></td>
<td><font size="1" face="Verdana">
<select size="1" style="font-family: Verdana; font-size: 8pt; color: #000080; border: 1 solid #D5ECE9" name="value2">
<option>Gauteng</option><option>Limpopo</option><option>Mpumalanga</option><option>North West</option><option>Free State</option><option>KZN</option><option>Cape-N</option><option>Cape-E</option><option>Cape-W</option> </select>
</font></td>
</tr
<tr>
<td align="left" width="250"><font size="1" face="Verdana">Type : </font></td>
<td><font size="1" face="Verdana">
<select size="1" style="font-family: Verdana; font-size: 8pt; color: #000080; border: 1 solid #D5ECE9" name="value3">
<option>End User</option><option>Reseller</option> </select>
</font></td>
</tr
<tr>
<td align="left" colspan="2"> </td>
</tr>
<tr>
<td align="left" colspan="2"><b><font size="1" face="Verdana" color="#93CEC7">
Subscribe to the NWT Newsletter</font></b></td>
</tr>
<tr>
<td align="left" colspan="2">
<p align="left">
<input type="checkbox" name="list1" value="x">
<font size="1" face="Verdana"> Specials</font></td>
</tr>
</table>
<p align="center">
<input type="hidden" value="multiple" name="selecttype">
<input type="hidden" value="addmailuser" name="actiontype">
<p><font size="1" face="Verdana">Please Retype Authorisation Code:<br>
</font>
<img border="0" src="modules/icons/vy.gif" width="16" height="16">
<img border="0" src="modules/icons/v.gif" width="16" height="16">
<img border="0" src="modules/icons/se.gif" width="16" height="16">
<img border="0" src="modules/icons/t.gif" width="16" height="16">
<img border="0" src="modules/icons/se.gif" width="16" height="16">
<img border="0" src="modules/icons/a.gif" width="16" height="16">
<br>
<input type="text" name="authed"
onKeypress="if (
(event.keyCode == 34) ||
(event.keyCode >= 42 && event.keyCode <= 43) ||
(event.keyCode >= 91 && event.keyCode <= 94)
) event.returnValue = false;"
size="20" style="font-family: Verdana; font-size: 8pt; border: 1 solid #D5ECE9"></p>
<input type="submit" value="Subscribe" name="B1" style="font-family: Verdana; font-size: 8pt; background-color: #FFFFFF; border-style: solid; border-width: 1"></p>
</form>
</td>
</tr>
</table>
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We specialise in... New & Used Computers, Notebooks, Virus Removal, PC Repairs / Upgrades & Data Recovery - Kempton Park Eastrand
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Copyright (C) 2004 - NWT
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