Boosters Join Up Page

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=101 BGCOLOR="#FFFFFF" TEXT="#080000" bgproperties="fixed" background="041f0f21egerdp.jpg"> <div> <B><IMG SRC="93a192f0.jpg" border=0 width="25" height="47" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B><FONT SIZE="6" COLOR="#66334C" FACE="Baskerville Old Face" ><B>Kewanna Schools</B></FONT><B>      |   </B><FONT SIZE="2" COLOR="#66334C" FACE="Baskerville BT" ><B> </B><A HREF="index.htm" TARGET="_top" TITLE="Kewanna Schools"><U><B>Home</B></U></A></FONT></div> <div> <A HREF="index.htm" TARGET="_top" TITLE="Kewanna Schools"><U>Kewanna Schools</U></A>   |   <A HREF="banquet_and_reunions.htm" TARGET="_top" TITLE="Alumni Banquet"><U>Alumni Banquet</U></A>   |   <A HREF="id381.htm" TARGET="_top" TITLE="Reunions"><U>Reunions</U></A>   |   <B>Boosters Join Up Page</B>   |   <A HREF="yearbooks_needed.htm" TARGET="_top" TITLE="Need Yearbooks"><U>Need Yearbooks</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=183 BGCOLOR="#FFFFFF" TEXT="#080000" bgproperties="fixed" background="040f2f02egerdp.jpg"> <div> <I><B><IMG SRC="0c8a86a0.jpg" border=0 width="168" height="106" ALT="KHS" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></I></div> <div> <I><B>   Kewanna High School</B></I></div> <div> <I><B>   Kewanna Indiana</B></I></div> <div> <I><B>   1900 - 1982</B></I></div> <bR> <bR> </td> <td valign="top" height=379 BGCOLOR="#FFFFFF" TEXT="#080000" bgproperties="fixed" background="120300c00egerdp.jpg"> <div> <I>Boosters Join Up Page</I></div> <div> Fill out the following form to join the KHS Booster Club. Your  E-mail address and City (only) will be listed on the Alumni page so others can contact you.</div> <div>  <form action="http://formmail.trellix.com/servlets/TlxMailer" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="FirstName,LastName,Class of,Email,MailingList,Address1,Address2,City,State,Zip,Phone,Comments"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for joining the KHS Booster Club."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A request form was submitted"><input type="hidden" name="tlx_EmailTo" value="ghilficke@tampabay.rr.com"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">First Name:<br> <input type="text" name="FirstName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Last Name:<br> <input type="text" name="LastName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Class of:<br> <input type="text" name="Class of" size="6" maxlength="6"></td> </tr> <tr> <td align="left">Email:<br> <input type="text" name="Email" size="30" maxlength="50"></td> </tr> <tr> <td> <input type="checkbox" name="MailingList" value="yes"> Add me to your mailing list</td> </tr> <tr> <td align="left">Address Line 1:<br> <input type="text" name="Address1" size="30" maxlength="40"></td> </tr> <tr> <td align="left">Address Line 2:<br> <input type="text" name="Address2" size="30" maxlength="40"></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="30" maxlength="40"></td> </tr> <tr> <td align="left">Zip:<br> <input type="text" name="Zip" size="10" maxlength="10"></td> </tr> <tr> <td align="left">Phone Number:<br> <input type="text" name="Phone" size="14" maxlength="14"></td> </tr> <tr> <td align="left">Comments:<br> <textarea name="Comments" rows="5" cols="50"></textarea></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> <DIV ALIGN="LEFT"></DIV> <div> <FONT SIZE="1" COLOR="#800080" FACE="Georgia" ><A HREF="http://www.globalscape.com" TARGET="_top" TITLE="http://www.globalscape.com"><U><IMG SRC="121054290.gif" border=0 width="84" height="41" ALT="CSB" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A>    Contact webmaster at </FONT><A HREF="mailto:wm@kewannahigh.com" TARGET="_top" TITLE="mailto:wm@kewannahigh.com"><U><U>wm@kewannahigh.com</U></U></A>     <A HREF="http://www.addr.com" TARGET="_top" TITLE="http://www.addr.com"><U><U><IMG SRC="107f581f0.gif" border=0 width="88" height="31" ALT="Powered by Addr.com" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></U></A></div> </td> </tr></table></body>