<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>

NEWSLETTER

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 )
 

Personal Detail
Name : 
Surname : 
E-mail : 
   
Additional eMail : 
Province : 
Type : 
 
Subscribe to the NWT Newsletter

Specials

Please Retype Authorisation Code:

 

 
 
 

We specialise in... New & Used Computers,  Notebooks, Virus Removal, PC Repairs / Upgrades & Data Recovery - Kempton Park Eastrand

Copyright (C) 2004 - NWT