TripPlanner

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" width=50 BGCOLOR="#6699CC" TEXT="#080000" background="0a632203.jpg"> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> </td> <td valign="top" width="100%" BGCOLOR="#FFFFFF" TEXT="#080000" background="041dcd83.jpg"> <div>    </div> <DIV ALIGN="LEFT"></DIV> <div> <IMG SRC="03dbc4b0.jpg" border=0 width="700" height="75" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> <A HREF="http://beautyonthebeach.net/index.html" TARGET="_top" TITLE="http://beautyonthebeach.net/index.html"><IMG SRC="11158230.jpg" border=0 width="88" height="35" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></A><A HREF="gallery.htm" TARGET="_top" TITLE="Gallery"><IMG SRC="12958230.jpg" border=0 width="88" height="35" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></A><A HREF="what_to_do.htm" TARGET="_top" TITLE="What To Do"><IMG SRC="12758230.jpg" border=0 width="88" height="35" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></A><A HREF="tripplanner12.htm" TARGET="_top" TITLE="TripPlanner"><IMG SRC="12b58230.jpg" border=0 width="88" height="35" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></A><A HREF="about_us.htm" TARGET="_top" TITLE="About Us"><IMG SRC="12d58230.jpg" border=0 width="88" height="35" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></A></div> <div> <B><U>trip planner / feedback form</U></B></div> <div> <IMG BORDER="0" SRC="Symb075c00b7011800000000.png" HEIGHT="19" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0"> Please feel free to fill out the form below and let us </div> <div> know what you would like to do during your visit.</div> <div> Hit the "Send" button and an email will be on it's way to us.</div> <div> <IMG BORDER="0" SRC="Symb075c00b7011800000000.png" HEIGHT="19" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">We'll get back to you within 24 hours to start planning your vacation!!</div> <div>  <form action="http://csbmail.globalscape.com/cgi-bin/csbmail/csbmail.pl" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="FirstName,LastName,Email,Company,Address1,Address2,City,State,Zip,Phone,Fax,MailingList,Plans,Comments"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for submitting a Trip Plan form. You will receive a response withi 24 hrs."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A Trip Plan form was submitted"><input type="hidden" name="tlx_EmailTo" value="lourdesc@bellsouth.net"> <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">Email: <br> <input type="text" name="Email" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Company: <br> <input type="text" name="Company" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Address Line 1: <br> <input type="text" name="Address1" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Address Line 2: <br> <input type="text" name="Address2" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">City: <br> <input type="text" name="City" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">State: <br> <input type="text" name="State" size="30" maxlength="100"> </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">Fax Number: <br> <input type="text" name="Fax" size="14" maxlength="14"> </td> </tr> <tr> <td> <input type="checkbox" name="MailingList" value="yes"> Add me to your mailing list</td> </tr> <tr> <td align="left">Your plans:: <br> <textarea name="Plans" rows="20" cols="50"></textarea> </td> </tr> <tr> <td align="left">Comments: <br> <input type="text" name="Comments" size="50" maxlength="200"> </td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> </td> <td valign="top" width=50 BGCOLOR="#6699CC" TEXT="#080000" bgproperties="fixed" background="0a632c00ezuaza.jpg"> <bR> <bR> <bR> <div> j</div> </td> </tr></table></body>