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

<form url="surnames.php"
 window="_self"
 method="POST"
 fontname="MS Sans Serif"
 width="570"
 height="750"
 bkcolor="0xAAD0D7"
 transparent="f"
 fontcolor="0x000000"
 outlinecolor="0x000000"
 themecolor="0xFF0000"
 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="1"
 autoresponseincluderesults="f"
 autoresponseaddtotop="f"
 usephp="true"
 disableclicktoactiveprompt="true"
 extensions="*.txt;*.gif;*.jpg;*.jpeg;*.zip;*.doc;*.png;*.pdf;*.rtf;*.html;*.docx;*.xslx"
>

<hidden
 name="thankyoupage"
 value="http://www.ctgs.org/"
></hidden>

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

<image
 image="logo3 - surname.jpg"
 x="250"
 y="100"
></image>

<textinput
 name="Name"
 x="150"
 y="250"
 w="325"
 h="22"
 initvalue=""
 maxchars="50"
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<textinput
 name="Email"
 x="150"
 y="300"
 w="325"
 h="22"
 initvalue=""
 maxchars="50"
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 emailbox="true"
 editable="true"
  restrict="email"
>
</textinput>

<textinput
 name="Surname"
 x="150"
 y="350"
 w="323"
 h="22"
 initvalue=""
 maxchars="25"
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 editable="true"
>
</textinput>

<textarea
 name="Notes"
 x="150"
 y="400"
 w="399"
 h="165"
 initvalue=""
 maxchars="600"
 wordwrap="true"
 editable="true"
 bkcolor="0xFFFFFF"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></textarea>

<captcha
 name="My Captcha 1"
 x="250"
 y="575"
 w="133"
 h="100"
 text="Enter Key Here:"
 fnt="Arial"
 fntclr="0x000000"
 fntsize="16"
 bkbdrcolor="0x000000"
 bkfillclr="0xFFFF99"
 bkdobdr="t"
 bkbdrsolid="t"
 bkdobk="t"
 bkfillalpha="100"
 message="Incorrect key!"
></captcha>

<submitbutton
 name="Submit Button"
 x="125"
 y="700"
 w="100"
 h="20"
 label="Submit"
 fontname="Arial"
 fontcolor="0x000000"
  fontsize="12"
></submitbutton>

<resetbutton
 name="Reset Button"
 x="275"
 y="700"
 w="100"
 h="20"
 label="Reset"
 fontname="Arial"
 fontcolor="0x000000"
  fontsize="12"
></resetbutton>

<printbutton
 name="Print Button"
 x="425"
 y="700"
 w="100"
 h="20"
 label="Print"
 fontname="Arial"
 fontcolor="0x000000"
  fontsize="12"
></printbutton>

<label
 name="My Text 1"
 x="225"
 y="200"
 w="157"
 h="22"
 text="Surname Request"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="19"
></label>

<label
 name="My Text 2"
 x="50"
 y="250"
 w="88"
 h="18"
 text="Your Name :"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="16"
></label>

<label
 name="My Text 3"
 x="50"
 y="300"
 w="86"
 h="18"
 text="Your Email :"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="16"
></label>

<label
 name="My Text 4"
 x="50"
 y="350"
 w="67"
 h="18"
 text="Surname"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="16"
></label>

<label
 name="My Text 5"
 x="25"
 y="400"
 w="103"
 h="18"
 text="Your Text Here"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="16"
></label>

<label
 name="My Text 6"
 x="100"
 y="25"
 w="414"
 h="22"
 text="Central Texas Genealogical Society, Inc. (CTGS)"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="19"
></label>

<label
 name="My Text 7"
 x="250"
 y="50"
 w="126"
 h="18"
 text="Established 1958"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="16"
></label>

</form>
