How to make a font using a png image?

Need help with FrontPage form using totals.

I need help with totaling money on a FrontPage webpage form. I have done them in the past where the user enters a number that indicates the number of items a person wants. This will total at the right and grand total at the bottom. On the form I'm creating now, I need to let the user choose from a list of activities using a checkbox, which will result in a number on the right and a grandtotal at the bottom. I started out using a copy of the form I've used before and tried to alter it for this purpose, but I can't seem to make it work. The html follows: <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> <html> <head> <meta http-equiv="Content-Language" content="en-us" /> <title>2004 Annual Meeting Registration Form</title> <meta name="description" content="Amigos de las Américas (AMIGOS) excels in creating opportunities for young people to volunteer and take leadership roles in public health, education and community development programs. High school/ college students live with a host family and work alongside community members in Latin America, while learning a new language and culture." /> <meta name="keywords" content="Amigos de las Americas intercultural international Latin America community service health home improvement projects intensive summer programs teenagers high school college students service learning leaders youth education volunteers volunteer opportunities overseas work work abroad non-profit NGO cross-cultural Bolivia Brazil Costa Rica Dominican Republic Honduras Mexico Nicaragua Paraguay Spanish Portuguese grassroots environments homestay sustainable development short-term programs exchange CSIET International Volunteer Programs Association IVPA National Association of International Educators NAFSA" /> <SCRIPT LANGUAGE="JavaScript"> function popUp(url) { sealWin=window.open(url,"win",'toolbar=0,location=0,directories=0,status=1,menubar=1,scrollbars=1,resizable=1,width=500,height=450'); self.name = "mainWin"; } </SCRIPT> <script language="JavaScript" type="text/javascript">  </script> <style type="text/css">  </style> </head> <body bgcolor="#ffffff" text="#000000" link="#2f007c" vlink="#2f007c" alink="#2f007c" leftmargin="0" topmargin="0" marginwidth="0" marginheight="0" onLoad="MM_preloadImages('images/navabout2.gif','images/navinvolve2.gif','images/navprograms2.gif','images/navalumni2.gif','images/navcontact2.gif','images/navhome2.gif'); startPix();">  <table cellpadding="0" cellspacing="0" border="0" width="780"> <tr> <td valign="top"> <table cellpadding="0" cellspacing="0" border="0" width="158"> <tr> <td> <img src="../BOD/images/sitetopleft1.jpg" alt="" border="0" name="sitetopleft" width="158" height="166"></td> </tr> <tr> <td> <img border="0" src="../BOD/images/sitearctip.jpg" width="158" height="66"></td> </tr> </table> </td> <td valign="top"> <table cellpadding="0" cellspacing="0" border="0" width="622" height="232"> <tr> <td colspan="2" width="622" height="207"> <map name="FPMap1"> <area href="40thAnniversary/40th.htm" shape="rect" coords="455, 0, 608, 194"> <area href="espanol/index.html" shape="rect" coords="40, 172, 131, 198"> </map> <img border="0" src="../BOD/images/40thsitehd.jpg" usemap="#FPMap1" width="622" height="205"></td> </tr> <tr> <td width="48" height="25"> <img src="../BOD/images/spacer.gif" width="48" height="1" alt="" border="0"></td> <td width="574" height="25"> <img border="0" src="../BOD/images/40-hd.jpg" width="267" height="30"></td> </tr> </table> </td> </tr> <tr> <td colspan="2"> <p align="center"><map name="FPMap0"> <area coords="9, 2, 91, 16" shape="rect" href="http://io.amigoslink.org/commerce/brushdance.html"> <area href="about/history.html" shape="rect" coords="102, 1, 143, 16"> <area href="jobs/jobs.html" shape="rect" coords="152, 1, 175, 16"> <area href="about/affiliate.html" shape="rect" coords="183, 0, 219, 16"> <area href="about/mission.html" shape="rect" coords="225, 1, 273, 16"> <area href="news/news.htm" shape="rect" coords="278, 2, 310, 15"> <area href="publications/publications.htm" shape="rect" coords="316, 0, 388, 16"> <area href="photogallery/photo-album-index.htm" shape="rect" coords="393, 1, 439, 16"> <area href="http://io.amigoslink.org/commerce/mdse.html" shape="rect" coords="444, 1, 500, 16"> <area href="involve/volunteer.html" shape="rect" coords="505, 0, 566, 16"> </map> <img border="0" src="../BOD/images/headlinks.jpg" usemap="#FPMap0" width="567" height="17"></td> </tr> <tr> <td colspan="2"> <img src="../BOD/images/siteheadrule.gif" alt="" border="0" width="780" height="7"></td> </tr> </table>   <table cellpadding="0" cellspacing="0" border="0" width="596" height="831"> <tbody> <tr> <td valign="top" background="../BOD/images/navback.gif" height="1050" width="139">  <table cellpadding="0" cellspacing="0" border="0" width="139" background="../none"> <tbody> <tr><td><font face="Arial"> <img src="../BOD/images/navshimtop.gif" alt="" border="0" width="17" height="33" /></font></td></tr> <tr><td> <font face="Arial"> <a onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('navabout','','images/navabout2.gif',1)" href="http://www.amigoslink.org/about/about.html"> <img src="../BOD/images/navabout1.gif" alt="About Amigos" border="0" name="navabout" width="139" height="18" /></a></font></td></tr> <tr><td><font face="Arial"> <img src="../BOD/images/navshimmid.gif" alt="" border="0" width="139" height="12" /></font></td></tr> <tr><td> <font face="Arial"> <a onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('navinvolve','','images/navinvolve2.gif',1)" href="http://www.amigoslink.org/involve/involve.html"> <img src="../BOD/images/navinvolve1.gif" alt="Get Involved" border="0" name="navinvolve" width="139" height="18" /></a></font></td></tr> <tr><td><font face="Arial"> <img src="../BOD/images/navshimmid.gif" alt="" border="0" width="139" height="12" /></font></td></tr> <tr><td> <font face="Arial"> <a onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('navdonate','','images/navdonate2.gif',1)" href="http://www.amigoslink.org/donate/donate.html"> <img src="../BOD/images/navdonate1.gif" alt="Make a Donation" border="0" name="navdonate" width="139" height="18" /></a></font></td></tr> <tr><td><font face="Arial"> <img src="../BOD/images/navshimmid.gif" alt="" border="0" width="139" height="12" /></font></td></tr> <tr><td> <font face="Arial"> <a onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('navprograms','','images/navprograms2.gif',1)" href="http://www.amigoslink.org/programs/2004projects/lapdhome.html"> <img src="../BOD/images/navprograms1.gif" alt="Our Programs" border="0" name="navprograms" width="139" height="18" /></a></font></td></tr> <tr><td><font face="Arial"> <img src="../BOD/images/navshimmid.gif" alt="" border="0" width="139" height="12" /></font></td></tr> <tr><td> <font face="Arial"> <a onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('navalumni','','images/navalumni2.gif',1)" href="http://www.amigoslink.org/alumni/alumni.html"> <img src="../BOD/images/navalumni1.gif" alt="For our Alumni" border="0" name="navalumni" width="139" height="18" /></a></font></td></tr> <tr><td><font face="Arial"> <img src="../BOD/images/navshimmid.gif" alt="" border="0" width="139" height="12" /></font></td></tr> <tr><td> <font face="Arial"> <a onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('navcontact','','images/navcontact2.gif',1)" href="http://www.amigoslink.org/contacts/contact.html"> <img src="../BOD/images/navcontact1.gif" alt="Contact Us" border="0" name="navcontact" width="139" height="18" /></a></font></td></tr> <tr><td><font face="Arial"> <img src="../BOD/images/navshimmid.gif" alt="" border="0" width="139" height="12" /></font></td></tr> <tr><td> <font face="Arial"> <a onMouseOut="MM_swapImgRestore()" onMouseOver="MM_swapImage('navhome','','images/navhome2.gif',1)" href="http://www.amigoslink.org/default.htm"> <img src="../BOD/images/navhome1.gif" alt="Home" border="0" name="navhome" width="139" height="18" /></a></font></td></tr> <tr><td><font face="Arial"> <img src="../BOD/images/navshimbottom.gif" alt="" border="0" width="17" height="21" /></font></td></tr> </tbody> </table>  </td> <td rowspan="2" valign="top" height="831" width="599">  <table cellpadding="0" cellspacing="0" border="0" width="620" height="17"> <tbody> <tr> <td width="214" valign="top" height="21"> <img src="../BOD/images/spacer.gif" border="0" width="63" height="15"></td> <td width="475" valign="top" height="21">  <p class="normtext"> </p> <table cellSpacing="0" cellPadding="0" width="478" border="0" style="border-collapse: collapse" bordercolor="#111111" height="21"> <tbody> <tr> <td style="background-color: #FFFFFF" width="546" height="1"> <font size="4"><b><span style="font-family: Arial">2004 Annual Meeting</span></b></font></td> </tr> </tbody> </table> <tbody> <tr> <td width="895" valign="top" height="17"> </td> <td width="979" valign="top" height="17" colspan="3"> </td> </tr> <tr> <td width="895" valign="top" height="26">  </td> <td width="979" valign="top" height="26" colspan="3"> <font size="4" color="#800000"><b>Registration Form</b></font></td> </tr> <tr> <td width="895" valign="top" height="242">  </td> <td width="979" valign="top" height="242" colspan="3"> <table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse; border-width: 0" bordercolor="#111111" width="581" height="666"> <tbody>  <form action="https://www.viaklix.com/process.asp" method="POST" name="FrontPage_Form1" onsubmit="return FrontPage_Form1_Validator(this)" language="JavaScript"> <input type="hidden" name ="ssl_merchant_id" value="401007"> <input type="hidden" name ="ssl_pin" value="1082"> <input type="hidden" name ="ssl_show_form" value="false">  <tr> <td width="86" style="border-style: none; border-width: medium" valign="middle" align="left" height="1"> </td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" valign="middle" align="left" height="1"> </td> </tr> <tr> <td width="480" style="border-style: none; border-width: medium" height="1" valign="top" colspan="3"> </td> <td width="17" style="border-style: none; border-width: medium" valign="top" align="right" height="1"> </td> <td width="56" style="border-style: none; border-width: medium" valign="top" align="left" height="1"> </td> </tr> <tr> <td width="480" style="border-style: none; border-width: medium" height="18" valign="top" colspan="3"> <table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse; border-width: 0" bordercolor="#111111" width="186%"> <tr> <td width="100%" style="border-style: none; border-width: medium">  </td> </tr> <tr> <td width="100%" style="border-style: none; border-width: medium"> <font face="Arial" size="2"> <input type="checkbox" name="NoRoom" value="No hotel room needed" tabindex="1"><font color="#800000"><b>I will NOT need a hotel room.</b></font></font></td> </tr> </table> </td> <td width="17" style="border-style: none; border-width: medium" valign="top" align="right" height="18"> </td> <td width="56" style="border-style: none; border-width: medium" valign="top" align="left" height="18"> </td> </tr> <tr> <td width="480" style="border-style: none; border-width: medium" height="31" valign="top" colspan="3"> <table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse; border-width: 0" bordercolor="#111111" width="187%"> <tr> <td width="100%" style="border-style: none; border-width: medium"> </td> </tr> <tr> <td width="100%" style="border-style: none; border-width: medium"><b> <font size="2" color="#800000">SINGLE hotel room $96.00 per night</font></b></td> </tr> </table> </td> <td width="17" style="border-style: none; border-width: medium" valign="middle" align="right" height="31"> </td> <td width="56" style="border-style: none; border-width: medium" valign="middle" align="left" height="31"> </td> </tr> <tr> <td width="480" style="border-style: none; border-width: medium" height="36" valign="top" colspan="3" rowspan="4"> <table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse; border-width: 0" bordercolor="#111111" width="230%"> <tr> <td width="3%" style="border-style: none; border-width: medium"> <img border="0" src="../images/spacer.gif" width="63" height="15"></td> <td width="109%" style="border-style: none; border-width: medium"> <b> <font face="Arial" size="2">I will need a SINGLE hotel room for:</font></b></td> </tr> <tr> <td width="3%" style="border-style: none; border-width: medium"> <img border="0" src="../images/spacer.gif" width="63" height="15"></td> <td width="109%" style="border-style: none; border-width: medium"> <font face="Arial" size="2"> <input type="checkbox" name="SingleThur" value="1" onBlur="update(this,96);"tabindex="2">Thursday night</font></td> </tr> <tr> <td width="3%" style="border-style: none; border-width: medium"> <img border="0" src="../images/spacer.gif" width="63" height="15"></td> <td width="88%" style="border-style: none; border-width: medium"> <font face="Arial" size="2"> <input type="checkbox" name="SingleFri" value="SINGLE room FRIDAY" onBlur="update(this,96);" tabindex="3">Friday night</font></td> </tr> <tr> <td width="3%" style="border-style: none; border-width: medium"> <img border="0" src="../images/spacer.gif" width="63" height="15"></td> <td width="88%" style="border-style: none; border-width: medium"> <font face="Arial" size="2"> <input type="checkbox" name="SingleSat" value="SINGLE room SATURDAY" onBlur="update(this,96);" tabindex="4">Saturday night</font></td> </tr> </table> </td> <td width="17" style="border-style: none; border-width: medium" valign="bottom" align="right" height="17"> </td> <td width="56" style="border-style: none; border-width: medium" valign="bottom" align="left" height="17"> </td> </tr> <tr> <td width="17" style="border-style: none; border-width: medium" valign="bottom" align="right" height="16"> <font size="2" face="Arial">$</font></td> <td width="56" style="border-style: none; border-width: medium" valign="bottom" align="left" height="16"> <input type="text" name="AmtThurSingle" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="17" style="border-style: none; border-width: medium" valign="bottom" align="right" height="1"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" valign="bottom" align="left" height="1"> <input type="text" name="AmtFriSingle" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="17" style="border-style: none; border-width: medium" valign="bottom" align="right" height="2"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" valign="bottom" align="left" height="2"> <input type="text" name="AmtSatSingle" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="480" style="border-style: none; border-width: medium" height="49" valign="top" colspan="3" rowspan="4"> <table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse; border-width: 0" bordercolor="#111111" width="187%" height="14"> <tr> <td width="100%" style="border-style: none; border-width: medium" height="1" colspan="2"> <b><font size="2" color="#800000"> DOUBLE hotel room $48.00 per night</font></b></td> </tr> <tr> <td width="4%" style="border-style: none; border-width: medium">  </td> <td width="56%" style="border-style: none; border-width: medium"> <b> <font face="Arial" size="2">I will need a DOUBLE hotel room for:</font></b></td> </tr> <tr> <td width="4%" style="border-style: none; border-width: medium"> <img border="0" src="../images/spacer.gif" width="63" height="15"></td> <td width="56%" style="border-style: none; border-width: medium"> <font face="Arial" size="2"> <input type="checkbox" name="DoubleThur" value="DOUBLE room THURSDAY" onBlur="update(this,96);"tabindex="5">Thursday night</font></td> </tr> <tr> <td width="3%" style="border-style: none; border-width: medium"> <img border="0" src="../images/spacer.gif" width="63" height="15"></td> <td width="45%" style="border-style: none; border-width: medium"> <font face="Arial" size="2"> <input type="checkbox" name="DoubleFri" value="DOUBLE room FRIDAY" onBlur="update(this,96);" tabindex="6">Friday night</font></td> </tr> <tr> <td width="3%" style="border-style: none; border-width: medium"> <img border="0" src="../images/spacer.gif" width="63" height="15"></td> <td width="45%" style="border-style: none; border-width: medium"> <font face="Arial" size="2"> <input type="checkbox" name="DoubleSat" value="DOUBLE room SATURDAY" onBlur="update(this,96);" tabindex="7">Saturday night</font></td> </tr> </table> </td> <td width="17" style="border-style: none; border-width: medium" valign="top" align="right" height="13"> </td> <td width="56" style="border-style: none; border-width: medium" valign="top" align="left" height="13"> </td> </tr> <tr> <td width="17" style="border-style: none; border-width: medium" valign="top" align="right" height="12"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" valign="top" align="left" height="12"> <input type="text" name="AmtThurDouble" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="17" style="border-style: none; border-width: medium" valign="top" align="right" height="12"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" valign="top" align="left" height="12"> <input type="text" name="AmtFriDouble" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="17" style="border-style: none; border-width: medium" valign="top" align="right" height="12"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" valign="top" align="left" height="12"> <input type="text" name="AmtSatDouble" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="480" style="border-style: none; border-width: medium" height="20" valign="top" colspan="3"> <table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse; border-width: 0" bordercolor="#111111" width="100%"> <tr> <td width="18%" style="border-style: none; border-width: medium"> <font size="2"><font color="#800000"><b>Roommate:</b>  </font> </font></td> <td width="82%" style="border-style: none; border-width: medium"> <font size="2"> <input type="text" name="Roommate" size="26" tabindex="8"></font></td> </tr> </table> </td> <td width="17" style="border-style: none; border-width: medium" valign="top" align="right" height="20">  </td> <td width="56" style="border-style: none; border-width: medium" valign="top" align="left" height="20">  </td> </tr> <tr> <td width="480" style="border-style: none; border-width: medium" height="15" valign="top" colspan="3"> <table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse; border-width: 0" bordercolor="#111111" width="100%"> <tr> <td width="14%" style="border-style: none; border-width: medium"> <img border="0" src="../images/spacer.gif" width="63" height="15"></td> <td width="86%" style="border-style: none; border-width: medium"> <font face="Arial" size="2"> <input type="checkbox" name="IORoommate" value="IO may select roommate" tabindex="8">International office may select roommate for me.</font></td> </tr> <tr> <td width="14%" style="border-style: none; border-width: medium"> <img border="0" src="../images/spacer.gif" width="63" height="15"></td> <td width="86%" style="border-style: none; border-width: medium"> <font size="2" color="#4C7511"><i><b>Note: IO cannot guarantee a roommate will be available.</b></i></font></td> </tr> </table> </td> <td width="17" style="border-style: none; border-width: medium" valign="top" align="right" height="15"> </td> <td width="56" style="border-style: none; border-width: medium" valign="top" align="left" height="15"> </td> </tr> <tr> <td width="480" style="border-style: none; border-width: medium" height="18" valign="top" colspan="3"> <b><font face="Arial" size="2" color="#800000">I will attend the following meetings:</font></b></td> <td width="17" style="border-style: none; border-width: medium" valign="top" align="right" height="18"> </td> <td width="56" style="border-style: none; border-width: medium" valign="top" align="left" height="18"> </td> </tr> <tr> <td width="480" style="border-style: none; border-width: medium" height="1" valign="top" colspan="3"> </td> <td width="17" style="border-style: none; border-width: medium" valign="top" align="right" height="1"> </td> <td width="56" style="border-style: none; border-width: medium" valign="top" align="left" height="1"> </td> </tr> <tr> <td width="497" style="border-style: none; border-width: medium" height="1" valign="top" colspan="4"></td> <td width="56" style="border-style: none; border-width: medium" valign="top" align="left" height="1"> </td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="1"></td> <td width="332" style="border-style: none; border-width: medium" height="1" valign="top"></td> <td width="99" style="border-style: none; border-width: medium" valign="top" height="1"> </td> <td width="17" style="border-style: none; border-width: medium" align="right" height="1" valign="top"></td> <td width="56" style="border-style: none; border-width: medium" align="right" height="1" valign="top"></td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"> <font face="Arial" size="2"> <input type="checkbox" name="mtrThur" value="I will attend Thursday meeting" tabindex="9">Thursday evening Chapter Presidents' Meeting</font></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="bottom"> <p align="left"> <input type="text" name="AmtThursMtg" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"> <font face="Arial" size="2"> <input type="checkbox" name="mtg" value="I will attend Friday meeting" tabindex="10">Friday meetings</font></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="top"> <input type="text" name="AmtFriMtg" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"> <font face="Arial" size="2"> <input type="checkbox" name="mtgsat" value="I will attend Saturday meeting" tabindex="11">Saturday meetings</font></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="top"> <input type="text" name="AmtSatMtg" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"> <font face="Arial" size="2"> <input type="checkbox" name="bfastsun" value="I will attend Sunday meeting" tabindex="12">Sunday morning break-out meeting</font></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="top"> <input type="text" name="AmtSunMtg" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> </td> <td width="56" style="border-style: none; border-width: medium" align="right" height="18" valign="top"> </td> </tr> <tr> <td width="480" style="border-style: none; border-width: medium" height="18" colspan="3"> <b><font size="2" color="#800000">I will attend the following events:</font></b></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> </td> <td width="56" style="border-style: none; border-width: medium" align="right" height="18" valign="top"> </td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"> <font face="Arial" size="2"> <input type="checkbox" name="Symposium" value="I will attend the Symposium" tabindex="13">Friday afternoon/evening Symposium at Baker Center</font></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="bottom"> <p align="left"> <input type="text" name="AmtSymposium" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"> <font face="Arial" size="2"> <input type="checkbox" name="Fiesta" value="I will attend the Fiesta" tabindex="14">Friday evening Fiesta at International Office</font></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="top"> <input type="text" name="AmtFiesta" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"> <font face="Arial" size="2"> <input type="checkbox" name="guestbanquet" value="I will attend the banquet" tabindex="15">Saturday evening Banquet at hotel</font></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="top"> <input type="text" name="AmtBanquet" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> </td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="top"> </td> </tr> <tr> <td width="480" style="border-style: none; border-width: medium" height="18" colspan="3"> <b><font size="2" color="#800000">I will bring a guest:</font></b></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> </td> <td width="56" style="border-style: none; border-width: medium" align="right" height="18" valign="top"> </td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"> <font face="Arial" size="2"> <input type="checkbox" name="guestsympos" value="I will bring a guest to the Symposium" tabindex="16">Friday afternoon/evening Symposium at Baker Center</font></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="bottom"> <p align="left"> <input type="text" name="AmtSymposiumGuest" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"> <font face="Arial" size="2"> <input type="checkbox" name="guestfiesta" value="I will bring a guest to the Friday Fiesta" tabindex="17">Friday evening Fiesta at International Office</font></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="top"> <input type="text" name="AmtFiestaGuest" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"> <font face="Arial" size="2"> <input type="checkbox" name="guestbanq" value="I will bring a guest to the Banquet" tabindex="18">Saturday evening Banquet at hotel</font></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="top"> <input type="text" name="AmtBanquetGuest" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> </td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="top"> </td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="20"></td> <td width="332" style="border-style: none; border-width: medium" height="20"></td> <td width="99" style="border-style: none; border-width: medium" valign="middle" height="20" bgcolor="#C0C0C0"> <font color="#800000" size="3" face="Arial"><b>Total</b></font></td> <td width="17" style="border-style: none; border-width: medium" align="right" bgcolor="#C0C0C0" height="20"> <p> <font face="Arial"><b><font size="2" color="#800000">$</font></b></font></p></td> <td width="56" style="border-style: none; border-width: medium" align="right" bgcolor="#C0C0C0" height="20" valign="top"> <p align="left"> <font face="Arial"> <input type="text" name="ssl_amount" value="0.00" onFocus="unEdit(this);" size="6" style="color: #800000; font-size: 10pt; font-weight: bold; background-color:#C0C0C0" /></font></p></td> </tr> </tbody> </table> </td> </tr> <tr> <td width="895" valign="top" height="17"></td> <td width="979" valign="top" height="17" colspan="3"></td> </tr> <tr> <font face="Arial" size="2"> <td width="307" valign="top" height="19">  </td> <td width="194" valign="top" height="19"> <font face="Arial" color="#800000" size="3"><b>Billing Address</b></font><b><font face="Arial"> </font></b></td> </font> <td width="470" valign="top" height="19"> <p align="right"> <font face="Arial" size="1"> <b><font color="#000080">Required Field</font></b> <img height="11" src="../BOD/images/required.gif" width="11" border="0" /></font></td> <td width="315" valign="top" height="19">  </td> </tr> <tr> <font face="Arial" size="2"> <td width="895" height="528" valign="top">  </td> <td width="979" height="528" valign="top" colspan="3"> <table cellSpacing="0" cellPadding="2" width="592" border="0" style="border-collapse: collapse" bordercolor="#111111" height="649"> <tbody> <tr> <td width="144" height="23"><b><font face="Arial" size="2">Full Name </font></b></td> <td width="335" colspan="2" height="23"> <b> <font face="Arial"> <input maxLength="20" name="ssl_first_name" size="40" tabindex="19" /> </font></b><font face="Arial" size="1"><img height="11" src="../BOD/images/required.gif" width="11" border="0" /></font><b><font face="Arial"> </font></b></td> </tr> <tr> <td width="144" height="22"><b><font face="Arial" size="2">Last Name</font></b></td> <td width="335" colspan="2" height="22"> <b> <font face="Arial" size="2"> <input maxLength="20" name="ssl_last_name" size="40" tabindex="20" /></font></b><font face="Arial" size="1"><img height="11" src="../BOD/images/required.gif" width="11" border="0" /></font></td> </tr> <tr> <td width="144" height="19"><b><font face="Arial" size="2"> Company </font></b></td> <td width="335" colspan="2" height="19"> <b> <font face="Arial"> <input maxLength="50" size="40" name="ssl_company" tabindex="21" /> </font> </b> </td> </tr> <tr> <td width="144" height="23"><b><font face="Arial" size="2"> Address1 </font></b></td> <td width="335" colspan="2" height="23"> <b> <font face="Arial"> <input maxLength="30" size="30" name="ssl_avs_address" tabindex="22" /> </font></b><font face="Arial" size="1"><img height="11" src="../BOD/images/required.gif" width="11" border="0" /></font><b><font face="Arial"> </font></b></td> </tr> <tr> <td width="144" height="23"><b><font face="Arial" size="2"> Address2 </font></b></td> <td width="335" colspan="2" height="23"> <b> <font face="Arial"> <input maxLength="30" size="30" name="ssl_address2" tabindex="23" /> </font> </b> </td> </tr> <tr> <td width="144" height="23"><b><font face="Arial" size="2">City </font></b></td> <td width="335" colspan="2" height="23"> <b> <font face="Arial"> <input maxLength="30" size="30" name="ssl_city" tabindex="24" /> </font></b><font face="Arial" size="1"><img height="11" src="../BOD/images/required.gif" width="11" border="0" /></font><b><font face="Arial"> </font></b></td> </tr> <tr> <td width="144" height="23"><b><font face="Arial" size="2">State </font></b></td> <td width="335" colspan="2" height="23"> <b> <font face="Arial"> <input maxLength="10" size="10" name="ssl_state" tabindex="25" /> </font></b><font face="Arial" size="1"><img height="11" src="../BOD/images/required.gif" width="11" border="0" /></font><b><font face="Arial"> </font></b></td> </tr> <tr> <td width="144" height="23"><b><font face="Arial" size="2">Zip Code </font></b></td> <td width="335" colspan="2" height="23"> <b> <font face="Arial"> <input maxLength="10" size="10" name="ssl_avs_zip" tabindex="26" /> </font></b><font face="Arial" size="1"><img height="11" src="../BOD/images/required.gif" width="11" border="0" /></font><b><font face="Arial"> </font></b></td> </tr> <tr> <td width="144" height="23"><b><font face="Arial" size="2">Email Address </font></b></td> <td width="335" colspan="2" height="23"> <b> <font face="Arial"> <input maxLength="100" size="40" name="ssl_email" tabindex="27" /> </font></b><font face="Arial" size="1"><img height="11" src="../BOD/images/required.gif" width="11" border="0" /></font><b><font face="Arial"> </font></b></td> </tr> <tr> <td width="144" height="22"><b><font face="Arial" size="2">Day Phone </font></b></td> <td width="335" colspan="2" height="22"><font face="Arial"> <input maxLength="20" name="ssl_phone" size="20" tabindex="28" /> </font></td> </tr> <tr> <td width="144" height="22"><b><font face="Arial" size="2"> Evening Phone</font><font face="Arial" size="2" color="#000080"> </font></b></td> <td width="335" colspan="2" height="22"><font face="Arial"> <input maxLength="50" size="20" name="ssl_evephone" tabindex="29" /> </font></td> </tr> <tr> <font face="Arial" size="2"> <td width="144" valign="top" height="84"> <font face="Arial" size="2"><b>Comments</b>:</font></td> <td width="335" colspan="2" height="84"> <font face="Arial"> <textarea rows="5" name="comments" cols="39" style="color: #800000; font-size: 10pt; font-weight: bold" tabindex="30"></textarea></font></td> </font> </tr> <tr> <td width="89" height="24"> <p align="center"> </td> <td width="336" height="24"> <p align="center"> <font face="Arial" size="2"> <b><font face="Arial" size="1" color="#800000">These are unlimited text boxes.  Just continue typing<br> when you reach the bottom of the box and it will expand.</font></b></td> <td width="234" height="24">  </td> </tr> <tr> <td width="483" colspan="3" height="16"><b><font face="Arial" size="2">Names and contact information for your guests:</font></b></td> </tr> <tr> <td width="483" colspan="3" height="84"> <table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse; border-width: 0" bordercolor="#111111" width="94%"> <tr> <td width="27%" style="border-style: none; border-width: medium"> </td> <td width="83%" style="border-style: none; border-width: medium"> <font face="Arial" size="2"> <textarea rows="5" name="Guests" cols="39" style="color: #800000; font-size: 10pt; font-weight: bold" tabindex="31"></textarea></td> </tr> </table> </td> </tr> <tr> <td width="483" colspan="3" height="17"><font face="Arial"> </font></td> </tr> <tr> <td width="483" colspan="3" height="19"><font face="Arial"> <b> <font color="#800000" size="3">Credit Card Information</font></b></font><font face="Arial" size="2"> </font> </td> </tr> <tr> <td width="144" height="25"><b><font face="Arial" size="2">Credit Card Type</font></b></td> <td width="309" height="25"> <font face="Arial"> <select size="1" name="ssl_credit_card_type" tabindex="32"> <option>Select One</option> <option>American Express</option> <option>Discover</option> <option>Master Card</option> <option>Visa</option> </select></font><font face="Arial" size="2"> </font> <font face="Arial" size="1"> <img height="11" src="../BOD/images/required.gif" width="11" border="0" /></font><font face="Arial" size="2">  </font> </td> <td width="202" height="25"> <font face="Arial"> <img alt="credit cards" src="../BOD/images/credit_cards.gif" border="0" width="170" height="25" /></font></td> </tr> <tr> <td width="144" height="32"><b><font face="Arial" size="2">Credit Card Number</font></b></td> <td width="335" colspan="2" height="32"> <font face="Arial"> <input type="text" name="ssl_card_number" size="25" tabindex="33" /></font><font face="Arial" size="2"> </font> <font face="Arial" size="1"> <img height="11" src="../BOD/images/required.gif" width="11" border="0" /></font><font face="Arial" size="2"><b> </b> </font> <b><font face="Arial" size="1">(no spaces or dashes)</font></b></td> </tr> <tr> <td width="144" height="22"> </font><p align="left"><font align="left" face="Arial" size="2"><b> <font size="2"> Expiration Date </font></b></font></p></td><font face="Arial" size="2"> <td width="335" colspan="2" height="22"> <font face="Arial"> <input type="text" name="ssl_exp_date" size="4" tabindex="34" /></font><font face="Arial" size="2"> </font> <font face="Arial" size="1"> <img height="11" src="../BOD/images/required.gif" width="11" border="0" />  </font> <b><font face="Arial" size="1"> Format:  </font><font align="left" face="Arial" size="1">(mmyy -- no slash)</font></b></td> </font></tr><font face="Arial" size="2"> </font></tbody></table></td> </tr> </tbody> </table> <div align="center"> <center> <table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse; border-width: 0" bordercolor="#111111" width="106%" height="1"> <tbody> <tr> <td width="100%" style="border-style: none; border-width: medium" height="15" colspan="3"></td> <td width="1%" style="border-style: none; border-width: medium" height="15"></td> </tr> <tr> <td width="100%" style="border-style: none; border-width: medium" colspan="4" height="14"> <p align="center"><b> <font size="2" face="Arial"> Please confirm that all information above is correct, then click the button below.</font></b></p></td> </tr> <tr> <td width="100%" style="border-style: none; border-width: medium" height="16" colspan="3"></td> </tr> <tr> <td width="34%" style="border-style: none; border-width: medium" height="34"> <font face="Arial" size="2"> <a target="_top" href="javascript:popUp('https://digitalid.verisign.com/as2/80094c50efa39ca800302838265a4c2a')"> <img alt="VeriSign: The Value of Trust?" src="../BOD/images/logo_bottom.gif" border="0" width="160" height="39"></a></td> <td width="33%" style="border-style: none; border-width: medium" height="34" valign="middle"> <font face="Arial" size="2"> <input type="submit" value="Submit" name="Submit" style="color: #800000; font-size: 10pt; font-weight: bold" tabindex="35" /></font></td> <td width="33%" style="border-style: none; border-width: medium" height="34" valign="middle"> <font face="Arial" size="2"> <input type="reset" value="Reset" name="Reset" style="color: #800000; font-size: 10pt; font-weight: bold" tabindex="36" /></font></td> </tr> <tr> <td width="100%" style="border-style: none; border-width: medium" height="17" colspan="3"> </td> </tr> <tr> <td width="100%" style="border-style: none; border-width: medium" height="34" colspan="3"> <font face="Arial" size="2"> <b><font size="2">You may also print out this form after completion and either mail it or fax it.</font></b></font><p align="center"> <font face="Arial" size="2"> <b><font size="2">Jacque Fuller<br> Amigos de las Américas<br> 5618 Star Lane<br> Houston, TX  77057<br> 713-782-9267 - FAX</font></b></td> </tr> </tbody> </table> </center> </div> </form>  </td> <td width="4" height="1069"><font face="Arial"> </font></td> </tr> </tbody> </table>  </td> </tr> <tr> <td valign="bottom" background="../BOD/images/navback.gif" height="1"> <font face="Arial"> </font></td> </tr> </tbody> </table>  </body> </html> Thank you for your help. Jacque Fuller
Answer:

Hi yelladog-ga, Good day and thanks for your question. i've modified your code in a number of places. Some of the checkboxes don't have a function assigned to it yet. (The boxes after the hotel reservation boxes). Here is the modified code: <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> <html> <head> <meta http-equiv="Content-Language" content="en-us" /> <title>2004 Annual Meeting Registration Form</title> <meta name="description" content="Amigos de las Américas (AMIGOS) excels in creating opportunities for young people to volunteer and take leadership roles in public health, education and community development programs. High school/ college students live with a host family and work alongside community members in Latin America, while learning a new language and culture." /> <meta name="keywords" content="Amigos de las Americas intercultural international Latin America community service health home improvement projects intensive summer programs teenagers high school college students service learning leaders youth education volunteers volunteer opportunities overseas work work abroad non-profit NGO cross-cultural Bolivia Brazil Costa Rica Dominican Republic Honduras Mexico Nicaragua Paraguay Spanish Portuguese grassroots environments homestay sustainable development short-term programs exchange CSIET International Volunteer Programs Association IVPA National Association of International Educators NAFSA" /> <SCRIPT LANGUAGE="JavaScript"> function popUp(url) { sealWin=window.open(url,"win",'toolbar=0,location=0,directories=0,status=1,menubar=1,scrollbars=1,resizable=1,width=500,height=450'); self.name = "mainWin"; } </SCRIPT> <script language="JavaScript" type="text/javascript">  </script> <style type="text/css">  </style> </head> <body bgcolor="#ffffff" text="#000000" link="#2f007c" vlink="#2f007c" alink="#2f007c" leftmargin="0" topmargin="0" marginwidth="0" marginheight="0" onLoad="MM_preloadImages('images/navabout2.gif','images/navinvolve2.gif','images/navprograms2.gif','images/navalumni2.gif','images/navcontact2.gif','images/navhome2.gif'); startPix();">  <table cellpadding="0" cellspacing="0" border="0" width="780"> <tr> <td valign="top"> <table cellpadding="0" cellspacing="0" border="0" width="158"> <tr> <td> <img src="../BOD/images/sitetopleft1.jpg" alt="" border="0" name="sitetopleft" width="158" height="166"></td> </tr> <tr> <td> <img border="0" src="../BOD/images/sitearctip.jpg" width="158" height="66"></td> </tr> </table> </td> <td valign="top"> <table cellpadding="0" cellspacing="0" border="0" width="622" height="232"> <tr> <td colspan="2" width="622" height="207"> <map 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alt="Home" border="0" name="navhome" width="139" height="18" /></a></font></td></tr> <tr><td><font face="Arial"> <img src="../BOD/images/navshimbottom.gif" alt="" border="0" width="17" height="21" /></font></td></tr> </tbody> </table>  </td> <td rowspan="2" valign="top" height="831" width="599">  <table cellpadding="0" cellspacing="0" border="0" width="620" height="17"> <tbody> <tr> <td width="214" valign="top" height="21"> <img src="../BOD/images/spacer.gif" border="0" width="63" height="15"></td> <td width="475" valign="top" height="21">  <p class="normtext"> </p> <table cellSpacing="0" cellPadding="0" width="478" border="0" style="border-collapse: collapse" bordercolor="#111111" height="21"> <tbody> <tr> <td style="background-color: #FFFFFF" width="546" height="1"> <font size="4"><b><span style="font-family: Arial">2004 Annual Meeting</span></b></font></td> </tr> </tbody> </table> <tbody> <tr> <td width="895" valign="top" height="17"> </td> <td width="979" valign="top" height="17" colspan="3"> </td> </tr> <tr> <td width="895" valign="top" height="26">  </td> <td width="979" valign="top" height="26" colspan="3"> <font size="4" color="#800000"><b>Registration Form</b></font></td> </tr> <tr> <td width="895" valign="top" height="242">  </td> <td width="979" valign="top" height="242" colspan="3"> <table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse; border-width: 0" bordercolor="#111111" width="581" height="666"> <tbody>  <form action="https://www.viaklix.com/process.asp" method="POST" name="FrontPage_Form1" onsubmit="return FrontPage_Form1_Validator(this)" language="JavaScript"> <input type="hidden" name ="ssl_merchant_id" value="401007"> <input type="hidden" name ="ssl_pin" value="1082"> <input type="hidden" name ="ssl_show_form" value="false">  <tr> <td width="86" style="border-style: none; border-width: medium" valign="middle" align="left" height="1"> </td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" valign="middle" align="left" height="1"> </td> </tr> <tr> <td width="480" style="border-style: none; border-width: medium" height="1" valign="top" colspan="3"> </td> <td width="17" style="border-style: none; border-width: medium" valign="top" align="right" height="1"> </td> <td width="56" style="border-style: none; border-width: medium" valign="top" align="left" height="1"> </td> </tr> <tr> <td width="480" style="border-style: none; border-width: medium" height="18" valign="top" colspan="3"> <table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse; border-width: 0" bordercolor="#111111" width="186%"> <tr> <td width="100%" style="border-style: none; border-width: medium">  </td> </tr> <tr> <td width="100%" style="border-style: none; border-width: medium"> <font face="Arial" size="2"> <input type="checkbox" name="NoRoom" value="No hotel room needed" tabindex="1"><font color="#800000"><b>I will NOT need a hotel room.</b></font></font></td> </tr> </table> </td> <td width="17" style="border-style: none; border-width: medium" valign="top" align="right" height="18"> </td> <td width="56" style="border-style: none; border-width: medium" valign="top" align="left" height="18"> </td> </tr> <tr> <td width="480" style="border-style: none; border-width: medium" height="31" valign="top" colspan="3"> <table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse; border-width: 0" bordercolor="#111111" width="187%"> <tr> <td width="100%" style="border-style: none; border-width: medium"> </td> </tr> <tr> <td width="100%" style="border-style: none; border-width: medium"><b> <font size="2" color="#800000">SINGLE hotel room $96.00 per night</font></b></td> </tr> </table> </td> <td width="17" style="border-style: none; border-width: medium" valign="middle" align="right" height="31"> </td> <td width="56" style="border-style: none; border-width: medium" valign="middle" align="left" height="31"> </td> </tr> <tr> <td width="480" style="border-style: none; border-width: medium" height="36" valign="top" colspan="3" rowspan="4"> <table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse; border-width: 0" bordercolor="#111111" width="230%"> <tr> <td width="3%" style="border-style: none; border-width: medium"> <img border="0" src="../images/spacer.gif" width="63" height="15"></td> <td width="109%" style="border-style: none; border-width: medium"> <b> <font face="Arial" size="2">I will need a SINGLE hotel room for:</font></b></td> </tr> <tr> <td width="3%" style="border-style: none; border-width: medium"> <img border="0" src="../images/spacer.gif" width="63" height="15"></td> <td width="109%" style="border-style: none; border-width: medium"> <font face="Arial" size="2"> <input type="checkbox" name="ThurSingle" value="1" onClick="update(this,96);"tabindex="2">Thursday night</font></td> </tr> <tr> <td width="3%" style="border-style: none; border-width: medium"> <img border="0" src="../images/spacer.gif" width="63" height="15"></td> <td width="88%" style="border-style: none; border-width: medium"> <font face="Arial" size="2"> <input type="checkbox" name="FriSingle" value="1" onClick="update(this,96);" tabindex="3">Friday night</font></td> </tr> <tr> <td width="3%" style="border-style: none; border-width: medium"> <img border="0" src="../images/spacer.gif" width="63" height="15"></td> <td width="88%" style="border-style: none; border-width: medium"> <font face="Arial" size="2"> <input type="checkbox" name="SatSingle" value="1" onClick="update(this,96);" tabindex="4">Saturday night</font></td> </tr> </table> </td> <td width="17" style="border-style: none; border-width: medium" valign="bottom" align="right" height="17"> </td> <td width="56" style="border-style: none; border-width: medium" valign="bottom" align="left" height="17"> </td> </tr> <tr> <td width="17" style="border-style: none; border-width: medium" valign="bottom" align="right" height="16"> <font size="2" face="Arial">$</font></td> <td width="56" style="border-style: none; border-width: medium" valign="bottom" align="left" height="16"> <input type="text" name="AmtThurSingle" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="17" style="border-style: none; border-width: medium" valign="bottom" align="right" height="1"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" valign="bottom" align="left" height="1"> <input type="text" name="AmtFriSingle" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="17" style="border-style: none; border-width: medium" valign="bottom" align="right" height="2"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" valign="bottom" align="left" height="2"> <input type="text" name="AmtSatSingle" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="480" style="border-style: none; border-width: medium" height="49" valign="top" colspan="3" rowspan="4"> <table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse; border-width: 0" bordercolor="#111111" width="187%" height="14"> <tr> <td width="100%" style="border-style: none; border-width: medium" height="1" colspan="2"> <b><font size="2" color="#800000"> DOUBLE hotel room $48.00 per night</font></b></td> </tr> <tr> <td width="4%" style="border-style: none; border-width: medium">  </td> <td width="56%" style="border-style: none; border-width: medium"> <b> <font face="Arial" size="2">I will need a DOUBLE hotel room for:</font></b></td> </tr> <tr> <td width="4%" style="border-style: none; border-width: medium"> <img border="0" src="../images/spacer.gif" width="63" height="15"></td> <td width="56%" style="border-style: none; border-width: medium"> <font face="Arial" size="2"> <input type="checkbox" name="ThurDouble" value="1" onClick="update(this,48);"tabindex="5">Thursday night</font></td> </tr> <tr> <td width="3%" style="border-style: none; border-width: medium"> <img border="0" src="../images/spacer.gif" width="63" height="15"></td> <td width="45%" style="border-style: none; border-width: medium"> <font face="Arial" size="2"> <input type="checkbox" name="FriDouble" value="1" onClick="update(this,48);" tabindex="6">Friday night</font></td> </tr> <tr> <td width="3%" style="border-style: none; border-width: medium"> <img border="0" src="../images/spacer.gif" width="63" height="15"></td> <td width="45%" style="border-style: none; border-width: medium"> <font face="Arial" size="2"> <input type="checkbox" name="SatDouble" value="1" onClick="update(this,48);" tabindex="7">Saturday night</font></td> </tr> </table> </td> <td width="17" style="border-style: none; border-width: medium" valign="top" align="right" height="13"> </td> <td width="56" style="border-style: none; border-width: medium" valign="top" align="left" height="13"> </td> </tr> <tr> <td width="17" style="border-style: none; border-width: medium" valign="top" align="right" height="12"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" valign="top" align="left" height="12"> <input type="text" name="AmtThurDouble" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="17" style="border-style: none; border-width: medium" valign="top" align="right" height="12"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" valign="top" align="left" height="12"> <input type="text" name="AmtFriDouble" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="17" style="border-style: none; border-width: medium" valign="top" align="right" height="12"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" valign="top" align="left" height="12"> <input type="text" name="AmtSatDouble" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="480" style="border-style: none; border-width: medium" height="20" valign="top" colspan="3"> <table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse; border-width: 0" bordercolor="#111111" width="100%"> <tr> <td width="18%" style="border-style: none; border-width: medium"> <font size="2"><font color="#800000"><b>Roommate:</b>  </font> </font></td> <td width="82%" style="border-style: none; border-width: medium"> <font size="2"> <input type="text" name="Roommate" size="26" tabindex="8"></font></td> </tr> </table> </td> <td width="17" style="border-style: none; border-width: medium" valign="top" align="right" height="20">  </td> <td width="56" style="border-style: none; border-width: medium" valign="top" align="left" height="20">  </td> </tr> <tr> <td width="480" style="border-style: none; border-width: medium" height="15" valign="top" colspan="3"> <table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse; border-width: 0" bordercolor="#111111" width="100%"> <tr> <td width="14%" style="border-style: none; border-width: medium"> <img border="0" src="../images/spacer.gif" width="63" height="15"></td> <td width="86%" style="border-style: none; border-width: medium"> <font face="Arial" size="2"> <input type="checkbox" name="IORoommate" value="IO may select roommate" tabindex="8">International office may select roommate for me.</font></td> </tr> <tr> <td width="14%" style="border-style: none; border-width: medium"> <img border="0" src="../images/spacer.gif" width="63" height="15"></td> <td width="86%" style="border-style: none; border-width: medium"> <font size="2" color="#4C7511"><i><b>Note: IO cannot guarantee a roommate will be available.</b></i></font></td> </tr> </table> </td> <td width="17" style="border-style: none; border-width: medium" valign="top" align="right" height="15"> </td> <td width="56" style="border-style: none; border-width: medium" valign="top" align="left" height="15"> </td> </tr> <tr> <td width="480" style="border-style: none; border-width: medium" height="18" valign="top" colspan="3"> <b><font face="Arial" size="2" color="#800000">I will attend the following meetings:</font></b></td> <td width="17" style="border-style: none; border-width: medium" valign="top" align="right" height="18"> </td> <td width="56" style="border-style: none; border-width: medium" valign="top" align="left" height="18"> </td> </tr> <tr> <td width="480" style="border-style: none; border-width: medium" height="1" valign="top" colspan="3"> </td> <td width="17" style="border-style: none; border-width: medium" valign="top" align="right" height="1"> </td> <td width="56" style="border-style: none; border-width: medium" valign="top" align="left" height="1"> </td> </tr> <tr> <td width="497" style="border-style: none; border-width: medium" height="1" valign="top" colspan="4"></td> <td width="56" style="border-style: none; border-width: medium" valign="top" align="left" height="1"> </td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="1"></td> <td width="332" style="border-style: none; border-width: medium" height="1" valign="top"></td> <td width="99" style="border-style: none; border-width: medium" valign="top" height="1"> </td> <td width="17" style="border-style: none; border-width: medium" align="right" height="1" valign="top"></td> <td width="56" style="border-style: none; border-width: medium" align="right" height="1" valign="top"></td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"> <font face="Arial" size="2"> <input type="checkbox" name="ThursMtg" value="1" tabindex="9">Thursday evening Chapter Presidents' Meeting</font></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="bottom"> <p align="left"> <input type="text" name="AmtThursMtg" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"> <font face="Arial" size="2"> <input type="checkbox" name="FriMtg" value="1" tabindex="10">Friday meetings</font></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="top"> <input type="text" name="AmtFriMtg" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"> <font face="Arial" size="2"> <input type="checkbox" name="SatMtg" value="1" tabindex="11">Saturday meetings</font></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="top"> <input type="text" name="AmtSatMtg" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"> <font face="Arial" size="2"> <input type="checkbox" name="SunMtg" value="1" tabindex="12">Sunday morning break-out meeting</font></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="top"> <input type="text" name="AmtSunMtg" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> </td> <td width="56" style="border-style: none; border-width: medium" align="right" height="18" valign="top"> </td> </tr> <tr> <td width="480" style="border-style: none; border-width: medium" height="18" colspan="3"> <b><font size="2" color="#800000">I will attend the following events:</font></b></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> </td> <td width="56" style="border-style: none; border-width: medium" align="right" height="18" valign="top"> </td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"> <font face="Arial" size="2"> <input type="checkbox" name="Symposium" value="1" tabindex="13">Friday afternoon/evening Symposium at Baker Center</font></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="bottom"> <p align="left"> <input type="text" name="AmtSymposium" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"> <font face="Arial" size="2"> <input type="checkbox" name="Fiesta" value="1" tabindex="14">Friday evening Fiesta at International Office</font></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="top"> <input type="text" name="AmtFiesta" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"> <font face="Arial" size="2"> <input type="checkbox" name="Banquet" value="1" tabindex="15">Saturday evening Banquet at hotel</font></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="top"> <input type="text" name="AmtBanquet" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> </td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="top"> </td> </tr> <tr> <td width="480" style="border-style: none; border-width: medium" height="18" colspan="3"> <b><font size="2" color="#800000">I will bring a guest:</font></b></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> </td> <td width="56" style="border-style: none; border-width: medium" align="right" height="18" valign="top"> </td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"> <font face="Arial" size="2"> <input type="checkbox" name="SymposiumGuest" value="1" tabindex="16">Friday afternoon/evening Symposium at Baker Center</font></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="bottom"> <p align="left"> <input type="text" name="AmtSymposiumGuest" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"> <font face="Arial" size="2"> <input type="checkbox" name="FiestaGuest" value="1" tabindex="17">Friday evening Fiesta at International Office</font></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="top"> <input type="text" name="AmtFiestaGuest" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"> <font face="Arial" size="2"> <input type="checkbox" name="BanquetGuest" value="1" tabindex="18">Saturday evening Banquet at hotel</font></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> <font face="Arial" size="2">$</font></td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="top"> <input type="text" name="AmtBanquetGuest" size="5" style="font-size: 10pt; font-family: Arial; border-style: solid; border-width: 0; " onFocus="unEdit(this);" value="0.00" /></td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="18"></td> <td width="394" style="border-style: none; border-width: medium" height="18" colspan="2"></td> <td width="17" style="border-style: none; border-width: medium" align="right" height="18"> </td> <td width="56" style="border-style: none; border-width: medium" align="left" height="18" valign="top"> </td> </tr> <tr> <td width="86" style="border-style: none; border-width: medium" height="20"></td> <td width="332" style="border-style: none; border-width: medium" height="20"></td> <td width="99" style="border-style: none; border-width: medium" valign="middle" height="20" bgcolor="#C0C0C0"> <font color="#800000" size="3" face="Arial"><b>Total</b></font></td> <td width="17" style="border-style: none; border-width: medium" align="right" bgcolor="#C0C0C0" height="20"> <p> <font face="Arial"><b><font size="2" color="#800000">$</font></b></font></p></td> <td width="56" style="border-style: none; border-width: medium" align="right" bgcolor="#C0C0C0" height="20" valign="top"> <p align="left"> <font face="Arial"> <input type="text" name="ssl_amount" value="0.00" onFocus="unEdit(this);" size="6" style="color: #800000; font-size: 10pt; font-weight: bold; background-color:#C0C0C0" /></font></p></td> </tr> </tbody> </table> </td> </tr> <tr> <td width="895" valign="top" height="17"></td> <td width="979" valign="top" height="17" colspan="3"></td> </tr> <tr> <font face="Arial" size="2"> <td width="307" valign="top" height="19">  </td> <td width="194" valign="top" height="19"> <font face="Arial" color="#800000" size="3"><b>Billing Address</b></font><b><font face="Arial"> </font></b></td> </font> <td width="470" valign="top" height="19"> <p align="right"> <font face="Arial" size="1"> <b><font color="#000080">Required Field</font></b> <img height="11" src="../BOD/images/required.gif" width="11" border="0" /></font></td> <td width="315" valign="top" height="19">  </td> </tr> <tr> <font face="Arial" size="2"> <td width="895" height="528" valign="top">  </td> <td width="979" height="528" valign="top" colspan="3"> <table cellSpacing="0" cellPadding="2" width="592" border="0" style="border-collapse: collapse" bordercolor="#111111" height="649"> <tbody> <tr> <td width="144" height="23"><b><font face="Arial" size="2">Full Name </font></b></td> <td width="335" colspan="2" height="23"> <b> <font face="Arial"> <input maxLength="20" name="ssl_first_name" size="40" tabindex="19" /> </font></b><font face="Arial" size="1"><img height="11" src="../BOD/images/required.gif" width="11" border="0" /></font><b><font face="Arial"> </font></b></td> </tr> <tr> <td width="144" height="22"><b><font face="Arial" size="2">Last Name</font></b></td> <td width="335" colspan="2" height="22"> <b> <font face="Arial" size="2"> <input maxLength="20" name="ssl_last_name" size="40" tabindex="20" /></font></b><font face="Arial" size="1"><img height="11" src="../BOD/images/required.gif" width="11" border="0" /></font></td> </tr> <tr> <td width="144" height="19"><b><font face="Arial" size="2"> Company </font></b></td> <td width="335" colspan="2" height="19"> <b> <font face="Arial"> <input maxLength="50" size="40" name="ssl_company" tabindex="21" /> </font> </b> </td> </tr> <tr> <td width="144" height="23"><b><font face="Arial" size="2"> Address1 </font></b></td> <td width="335" colspan="2" height="23"> <b> <font face="Arial"> <input maxLength="30" size="30" name="ssl_avs_address" tabindex="22" /> </font></b><font face="Arial" size="1"><img height="11" src="../BOD/images/required.gif" width="11" border="0" /></font><b><font face="Arial"> </font></b></td> </tr> <tr> <td width="144" height="23"><b><font face="Arial" size="2"> Address2 </font></b></td> <td width="335" colspan="2" height="23"> <b> <font face="Arial"> <input maxLength="30" size="30" name="ssl_address2" tabindex="23" /> </font> </b> </td> </tr> <tr> <td width="144" height="23"><b><font face="Arial" size="2">City </font></b></td> <td width="335" colspan="2" height="23"> <b> <font face="Arial"> <input maxLength="30" size="30" name="ssl_city" tabindex="24" /> </font></b><font face="Arial" size="1"><img height="11" src="../BOD/images/required.gif" width="11" border="0" /></font><b><font face="Arial"> </font></b></td> </tr> <tr> <td width="144" height="23"><b><font face="Arial" size="2">State </font></b></td> <td width="335" colspan="2" height="23"> <b> <font face="Arial"> <input maxLength="10" size="10" name="ssl_state" tabindex="25" /> </font></b><font face="Arial" size="1"><img height="11" src="../BOD/images/required.gif" width="11" border="0" /></font><b><font face="Arial"> </font></b></td> </tr> <tr> <td width="144" height="23"><b><font face="Arial" size="2">Zip Code </font></b></td> <td width="335" colspan="2" height="23"> <b> <font face="Arial"> <input maxLength="10" size="10" name="ssl_avs_zip" tabindex="26" /> </font></b><font face="Arial" size="1"><img height="11" src="../BOD/images/required.gif" width="11" border="0" /></font><b><font face="Arial"> </font></b></td> </tr> <tr> <td width="144" height="23"><b><font face="Arial" size="2">Email Address </font></b></td> <td width="335" colspan="2" height="23"> <b> <font face="Arial"> <input maxLength="100" size="40" name="ssl_email" tabindex="27" /> </font></b><font face="Arial" size="1"><img height="11" src="../BOD/images/required.gif" width="11" border="0" /></font><b><font face="Arial"> </font></b></td> </tr> <tr> <td width="144" height="22"><b><font face="Arial" size="2">Day Phone </font></b></td> <td width="335" colspan="2" height="22"><font face="Arial"> <input maxLength="20" name="ssl_phone" size="20" tabindex="28" /> </font></td> </tr> <tr> <td width="144" height="22"><b><font face="Arial" size="2"> Evening Phone</font><font face="Arial" size="2" color="#000080"> </font></b></td> <td width="335" colspan="2" height="22"><font face="Arial"> <input maxLength="50" size="20" name="ssl_evephone" tabindex="29" /> </font></td> </tr> <tr> <font face="Arial" size="2"> <td width="144" valign="top" height="84"> <font face="Arial" size="2"><b>Comments</b>:</font></td> <td width="335" colspan="2" height="84"> <font face="Arial"> <textarea rows="5" name="comments" cols="39" style="color: #800000; font-size: 10pt; font-weight: bold" tabindex="30"></textarea></font></td> </font> </tr> <tr> <td width="89" height="24"> <p align="center"> </td> <td width="336" height="24"> <p align="center"> <font face="Arial" size="2"> <b><font face="Arial" size="1" color="#800000">These are unlimited text boxes.  Just continue typing<br> when you reach the bottom of the box and it will expand.</font></b></td> <td width="234" height="24">  </td> </tr> <tr> <td width="483" colspan="3" height="16"><b><font face="Arial" size="2">Names and contact information for your guests:</font></b></td> </tr> <tr> <td width="483" colspan="3" height="84"> <table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse; border-width: 0" bordercolor="#111111" width="94%"> <tr> <td width="27%" style="border-style: none; border-width: medium"> </td> <td width="83%" style="border-style: none; border-width: medium"> <font face="Arial" size="2"> <textarea rows="5" name="Guests" cols="39" style="color: #800000; font-size: 10pt; font-weight: bold" tabindex="31"></textarea></td> </tr> </table> </td> </tr> <tr> <td width="483" colspan="3" height="17"><font face="Arial"> </font></td> </tr> <tr> <td width="483" colspan="3" height="19"><font face="Arial"> <b> <font color="#800000" size="3">Credit Card Information</font></b></font><font face="Arial" size="2"> </font> </td> </tr> <tr> <td width="144" height="25"><b><font face="Arial" size="2">Credit Card Type</font></b></td> <td width="309" height="25"> <font face="Arial"> <select size="1" name="ssl_credit_card_type" tabindex="32"> <option>Select One</option> <option>American Express</option> <option>Discover</option> <option>Master Card</option> <option>Visa</option> </select></font><font face="Arial" size="2"> </font> <font face="Arial" size="1"> <img height="11" src="../BOD/images/required.gif" width="11" border="0" /></font><font face="Arial" size="2">  </font> </td> <td width="202" height="25"> <font face="Arial"> <img alt="credit cards" src="../BOD/images/credit_cards.gif" border="0" width="170" height="25" /></font></td> </tr> <tr> <td width="144" height="32"><b><font face="Arial" size="2">Credit Card Number</font></b></td> <td width="335" colspan="2" height="32"> <font face="Arial"> <input type="text" name="ssl_card_number" size="25" tabindex="33" /></font><font face="Arial" size="2"> </font> <font face="Arial" size="1"> <img height="11" src="../BOD/images/required.gif" width="11" border="0" /></font><font face="Arial" size="2"><b> </b> </font> <b><font face="Arial" size="1">(no spaces or dashes)</font></b></td> </tr> <tr> <td width="144" height="22"> </font><p align="left"><font align="left" face="Arial" size="2"><b> <font size="2"> Expiration Date </font></b></font></p></td><font face="Arial" size="2"> <td width="335" colspan="2" height="22"> <font face="Arial"> <input type="text" name="ssl_exp_date" size="4" tabindex="34" /></font><font face="Arial" size="2"> </font> <font face="Arial" size="1"> <img height="11" src="../BOD/images/required.gif" width="11" border="0" />  </font> <b><font face="Arial" size="1"> Format:  </font><font align="left" face="Arial" size="1">(mmyy -- no slash)</font></b></td> </font></tr><font face="Arial" size="2"> </font></tbody></table></td> </tr> </tbody> </table> <div align="center"> <center> <table border="1" cellpadding="0" cellspacing="0" style="border-collapse: collapse; border-width: 0" bordercolor="#111111" width="106%" height="1"> <tbody> <tr> <td width="100%" style="border-style: none; border-width: medium" height="15" colspan="3"></td> <td width="1%" style="border-style: none; border-width: medium" height="15"></td> </tr> <tr> <td width="100%" style="border-style: none; border-width: medium" colspan="4" height="14"> <p align="center"><b> <font size="2" face="Arial"> Please confirm that all information above is correct, then click the button below.</font></b></p></td> </tr> <tr> <td width="100%" style="border-style: none; border-width: medium" height="16" colspan="3"></td> </tr> <tr> <td width="34%" style="border-style: none; border-width: medium" height="34"> <font face="Arial" size="2"> <a target="_top" href="javascript:popUp('https://digitalid.verisign.com/as2/80094c50efa39ca800302838265a4c2a')"> <img alt="VeriSign: The Value of Trust?" src="../BOD/images/logo_bottom.gif" border="0" width="160" height="39"></a></td> <td width="33%" style="border-style: none; border-width: medium" height="34" valign="middle"> <font face="Arial" size="2"> <input type="submit" value="Submit" name="Submit" style="color: #800000; font-size: 10pt; font-weight: bold" tabindex="35" /></font></td> <td width="33%" style="border-style: none; border-width: medium" height="34" valign="middle"> <font face="Arial" size="2"> <input type="reset" value="Reset" name="Reset" style="color: #800000; font-size: 10pt; font-weight: bold" tabindex="36" /></font></td> </tr> <tr> <td width="100%" style="border-style: none; border-width: medium" height="17" colspan="3"> </td> </tr> <tr> <td width="100%" style="border-style: none; border-width: medium" height="34" colspan="3"> <font face="Arial" size="2"> <b><font size="2">You may also print out this form after completion and either mail it or fax it.</font></b></font><p align="center"> <font face="Arial" size="2"> <b><font size="2">Jacque Fuller<br> Amigos de las Américas<br> 5618 Star Lane<br> Houston, TX  77057<br> 713-782-9267 - FAX</font></b></td> </tr> </tbody> </table> </center> </div> </form>  </td> <td width="4" height="1069"><font face="Arial"> </font></td> </tr> </tbody> </table>  </td> </tr> <tr> <td valign="bottom" background="../BOD/images/navback.gif" height="1"> <font face="Arial"> </font></td> </tr> </tbody> </table>  </body> </html> If you have any clarifications, please don't hesitate to ask. Thank you for using this service and have a nice day. With regards, aditya2k-ga

yelladog-ga at Google Answers Visit the source

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