<!-- BOF: ./personal-templates/show.body -->
<!-- BOF: ./personal-templates/simple/generic/show -->
<!-- BOF: ./personal-templates/simple/generic/functions -->
<!-- BOF: ./personal-templates/simple/generic/navbar --><!-- EOF: ./personal-templates/simple/generic/navbar -->


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    <!-- BOF: ./personal-templates/simple/businessnew/form/style_l32.images -->


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    <!-- BOF: ./personal-templates/simple/businessnew/form/style_l32.wait -->
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  <!-- BOF: ./personal-templates/simple/businessnew/layout/l32.wait -->


<!-- EOF: ./personal-templates/simple/businessnew/layout/l32.wait -->


<HTML>

<HEAD>


<META NAME="description" CONTENT="Web Pro Sites offers a free trial website for real estate agents and brokers.  Apply with this form.">
<META NAME="Keywords"    CONTENT="web, real, estate, sites, websites, website, pro, mortgage, hosting, broker, site, agent, real estate, pro sites, web hosting, web pro, estate agent, mortgage broker, and personal, and web, web site, web pro sites, real estate agent, mortgage broker business, free, free trial website ">


<!-- business -->


<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=UTF-8">
<META NAME="Generator" content="">
<!-- BOF: ./personal-templates/simple/themes.show -->


<!-- EOF: ./personal-templates/simple/themes.show -->


<!--<BASE HREF="http://petelotts.sc17.info/trialform.html">-->
<TITLE>Trial Real Estate or Mortgage Site </TITLE></head>
<BODY  BGCOLOR="#FFFFFF"
 TEXT="#000000"

LEFTMARGIN="0" TOPMARGIN="0" RIGHTMARGIN="0" BOTTOMMARGIN="0"

 onLoad=""
 
 LINK="#FFC700"
 VLINK="#000000"
 ALINK="#000000"
>

  
      <!-- BOF: ./personal-templates/simple/businessnew/layout/l32.layout --> 


<TABLE WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 BGCOLOR="#FFFFFF">
<!-- Begin Slogan -->
        <TR>
                <TD WIDTH=100% BGCOLOR="#FAF2D2" VALIGN="top">
                        <TABLE WIDTH=100% BORDER=0 CELLPADDING=0 CELLSPACING=0>
                                <TR>
                                        <TD WIDTH=517 HEIGHT=18 BGCOLOR="#FAF2D2">
                                                <IMG SRC="widgets/gen_702.1.gif" WIDTH=517 ALT=""></TD>
                                        <TD WIDTH=100% HEIGHT=18 background="widgets/gen_703.1.gif">
                                                <IMG SRC="widgets/gen_703.1.gif" WIDTH=258 HEIGHT=18 ALT=""></TD>
                                </TR>
                        </TABLE>

                </TD>
        </TR>
<!-- End Slogan -->
<!-- Begin Name -->
        <TR>
                <TD WIDTH=100% BGCOLOR="#FAF2D2" VALIGN="top">
                        <TABLE WIDTH=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
                                <TR>
                                        <TD WIDTH=25 VALIGN="top" BGCOLOR="#CB1009" background="widgets/gen_712.1.gif">
                                                <TABLE WIDTH=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top" BGCOLOR="#CB1009" background="widgets/gen_712.1.gif">
                                                        <TR>
                                                                <TD WIDTH=25 HEIGHT=58 VALIGN="top">
                                                                        <IMG SRC="widgets/gen_704.1.gif" WIDTH=25 HEIGHT=58 ALT=""></TD>
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                                                        <TR>
                                                                <TD WIDTH=25 HEIGHT=133 BGCOLOR="#CB1009" background="widgets/gen_712.1.gif">
                                                                        <IMG SRC="widgets/gen_919.1.gif" WIDTH=25 HEIGHT=133 ALT=""></TD>
                                                        </TR>
                                                </TABLE>
                                        </TD>   
                                        <TD><IMG SRC="widgets/gen_710.1.gif" ALT=""></TD>
                                        <TD WIDTH=100% VALIGN="top">
                                                <TABLE WIDTH=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
                                                        <TR>
                                                                <TD WIDTH=100% HEIGHT=58  BGCOLOR="#910B05" VALIGN="top" background="widgets/gen_707.1.gif">
                                                                        <IMG SRC="widgets/gen_707.1.gif" WIDTH=8 HEIGHT=58 ALT=""></TD>     
                                                        </TR>
                                                        <TR>
                                                                <TD WIDTH=100% HEIGHT=80 BGCOLOR="#FAF2D2">
                                                                        <IMG SRC="widgets/spacer.gif" WIDTH=7 HEIGHT=80></TD>
                                                        </TR>
                                                </TABLE>
                                        </TD>
                                                
                                </TR>
                        </TABLE>
                </TD>                                                                           
        </TR>
<!-- End Name -->
<!-- Begin Menu and Center -->
        <TR>
                <TD WIDTH=100% HEIGHT=100% VALIGN="top">
                        <TABLE WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
                                <TR>
                                        <TD WIDTH=25 HEIGHT=100% BGCOLOR="#FFFFFF" VALIGN="top" background="widgets/gen_911.1.gif">
                                                <IMG SRC="widgets/gen_711.1.gif" WIDTH=25 HEIGHT=241 ALT=""></TD>
                                        <TD BGCOLOR="#FFFFFF" VALIGN="top">
                                                
                                                                        <a href="Splash_Screen.html" onMouseOver="document.images['img6'].src='widgets/gen_923.1.gif'" onMouseOut="document.images['img6'].src='widgets/gen_922.1.gif'"><img src="widgets/gen_922.1.gif" alt="Home" name="img6" border="0"></a><br>
                                                                        <a href="about.html" onMouseOver="document.images['img7'].src='widgets/gen_939.1.gif'" onMouseOut="document.images['img7'].src='widgets/gen_718.1.gif'"><img src="widgets/gen_718.1.gif" alt="About Us" name="img7" border="0"></a><br>
                                                                        <a href="contact.html" onMouseOver="document.images['img8'].src='widgets/gen_920.1.gif'" onMouseOut="document.images['img8'].src='widgets/gen_720.1.gif'"><img src="widgets/gen_720.1.gif" alt="Contact Us" name="img8" border="0"></a><br>
                                                                        <a href="services.html" onMouseOver="document.images['img12'].src='widgets/gen_723.1.gif'" onMouseOut="document.images['img12'].src='widgets/gen_722.1.gif'"><img src="widgets/gen_722.1.gif" alt="Services" name="img12" border="0"></a><br>
                                                                        <a href="realsites.html" onMouseOver="document.images['img13'].src='widgets/gen_725.1.gif'" onMouseOut="document.images['img13'].src='widgets/gen_724.1.gif'"><img src="widgets/gen_724.1.gif" alt="Real Estate" name="img13" border="0"></a><br>
                                                                        <a href="mortsites.html" onMouseOver="document.images['img64'].src='widgets/gen_727.1.gif'" onMouseOut="document.images['img64'].src='widgets/gen_937.1.gif'"><img src="widgets/gen_937.1.gif" alt="Mortgage Broker" name="img64" border="0"></a><br>
                                                                        <a href="bussites.html" onMouseOver="document.images['img18'].src='widgets/gen_924.1.gif'" onMouseOut="document.images['img18'].src='widgets/gen_728.1.gif'"><img src="widgets/gen_728.1.gif" alt="Business Websites" name="img18" border="0"></a><br>
                                                                        <a href="persites.html" onMouseOver="document.images['img20'].src='widgets/gen_943.1.gif'" onMouseOut="document.images['img20'].src='widgets/gen_931.1.gif'"><img src="widgets/gen_931.1.gif" alt="Personal Websites" name="img20" border="0"></a><br>
                                                                        <a href="hosting.html" onMouseOver="document.images['img22'].src='widgets/gen_940.1.gif'" onMouseOut="document.images['img22'].src='widgets/gen_732.1.gif'"><img src="widgets/gen_732.1.gif" alt="Web Hosting" name="img22" border="0"></a><br>
                                                                        <a href="form.html" onMouseOver="document.images['img105'].src='widgets/gen_933.1.gif'" onMouseOut="document.images['img105'].src='widgets/gen_855.1.gif'"><img src="widgets/gen_855.1.gif" alt="My Website Info" name="img105" border="0"></a><br>
                                                                        <a href="trialform.html" onMouseOver="document.images['img41'].src='widgets/gen_867.1.gif'" onMouseOut="document.images['img41'].src='widgets/gen_866.1.gif'"><img src="widgets/gen_866.1.gif" alt="Trial-RE or Mort Site" name="img41" border="0"></a><br>
                                                                        <a href="form.html" onMouseOver="document.images['img32'].src='widgets/gen_737.1.gif'" onMouseOut="document.images['img32'].src='widgets/gen_736.1.gif'"><img src="widgets/gen_736.1.gif" alt="Comment or Questions?" name="img32" border="0"></a><br>
                                                                        <a href="sitemap.html" onMouseOver="document.images['img66'].src='widgets/gen_936.1.gif'" onMouseOut="document.images['img66'].src='widgets/gen_935.1.gif'"><img src="widgets/gen_935.1.gif" alt="Site Map" name="img66" border="0"></a><br>
                                                                        <a href="links.html" onMouseOver="document.images['img69'].src='widgets/gen_741.1.gif'" onMouseOut="document.images['img69'].src='widgets/gen_942.1.gif'"><img src="widgets/gen_942.1.gif" alt="Internet Links" name="img69" border="0"></a><br>
                                                                        
                                                                        <a href="mailto:support@webprosites.com" onMouseOver="document.images['img_email'].src='widgets/gen_938.1.gif'" onMouseOut="document.images['img_email'].src='widgets/gen_742.1.gif'"><img src="widgets/gen_742.1.gif" alt="e-mail me" name="img_email" border="0"></a><br></TD>
                                        <TD WIDTH=50 HEIGHT=100% BGCOLOR="#FFFFFF" background="widgets/gen_714.1.gif">
                                                <IMG SRC="widgets/spacer.gif" WIDTH=51 HEIGHT=18></TD>
                                        <TD WIDTH=100% HEIGHT=100% VALIGN="top">
                                                
                                                        <!-- BOF: ./personal-templates/simple/businessnew/form/style_l32.html -->


<TABLE  WIDTH=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
        <TR>
                <TD COLSPAN="2" WIDTH=100% VALIGN="top" BGCOLOR="#FFFFFF" VALIGN="top">
                        <TABLE WIDTH=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top" >
                                <TR>
                                        <TD WIDTH=296 HEIGHT=24 VALIGN="top" BGCOLOR="#FFFFFF" >
                                                <IMG SRC="widgets/gen_701.1.gif" WIDTH=296 HEIGHT=24 ALT=""></TD>
                                        <TD WIDTH=100% HEIGHT=24 BGCOLOR="#C0BAA1" >
                                                <IMG SRC="widgets/spacer.gif" WIDTH=3 HEIGHT=24></TD>
                                        <TD WIDTH=279 HEIGHT=24 BGCOLOR="#FFFFFF"><IMG SRC="widgets/gen_863.1.gif" WIDTH=279 HEIGHT=24 border=0></TD>
                                </TR>
                        </TABLE>
                </TD>   
        </TR>
        <TR>
                <TD  COLSPAN="2" WIDTH=100% HEIGHT=9 valign="top" >
                        <IMG SRC="widgets/spacer.gif" WIDTH=9 HEIGHT=9></TD>
        </TR>

	<TR>
		<TD  WIDTH=90% VALIGN="top">
			<TABLE WIDTH=90% BORDER=0 CELLPADDING=5 CELLSPACING=0 VALIGN="top">
				

<SCRIPT LANGUAGE="JavaScript">
function validate(){
	var valid;
        valid=true;
    	var valueExists;


if (document.forms[0].field_45.value==""){ valid=false; };


if (document.forms[0].field_46.value==""){ valid=false; };


if (document.forms[0].field_48.value==""){ valid=false; };


if (document.forms[0].field_50.value==""){ valid=false; };


if (document.forms[0].field_51.value==""){ valid=false; };


if (document.forms[0].field_52.value==""){ valid=false; };


if (document.forms[0].field_53.value==""){ valid=false; };


if (document.forms[0].field_54.value==""){ valid=false; };


if (document.forms[0].field_57.value==""){ valid=false; };


if (document.forms[0].field_58.value==""){ valid=false; };


if (valid==false) { 
		alert('You did not fill all required fields!'); 
	    }

return valid;
}
</SCRIPT>

<form name="questionary" action="http://supremecenter15.com:8080/servlet/psoft.customform.CustomForm" method="post">
<input type="hidden" name="form_id" value="41">
<input type="hidden" name="user_id" value="12503">
<input type="hidden" name="title" value="Trial Real Estate or Mortgage Site ">

<input type="hidden" name="name" value="email2.html">


<input type="hidden" name="order" value="45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 ">
<input type="hidden" name="submit_url" value="http://petelotts.sc17.info/onsubmit2.html">
<input type="hidden" name="error_url" value="http://petelotts.sc17.info/onerror2.html">
			<TD>
				<TABLE border="0" cellpadding="5" cellspacing="5" width="95%">
					<TR>
						<TD colspan=2>&nbsp;</td>
					</TR>


<input type="hidden" name="name_45" value="First Name">
					<TR>	
						<TD>


<font face='Arial' size='2' color='#000000'>

First Name

</font>


<font color="red" size="-1">*</font></td>
						<TD>
							
							
							<input type="text" name="field_45" size="35">
							
							
						</TD>
					</TR> 

<input type="hidden" name="name_46" value="Last Name">
					<TR>	
						<TD>


<font face='Arial' size='2' color='#000000'>

Last Name

</font>


<font color="red" size="-1">*</font></td>
						<TD>
							
							
							<input type="text" name="field_46" size="35">
							
							
						</TD>
					</TR> 

<input type="hidden" name="name_47" value="Company Name">
					<TR>	
						<TD>


<font face='Arial' size='2' color='#000000'>

Company Name

</font>


</td>
						<TD>
							
							
							<input type="text" name="field_47" size="35">
							
							
						</TD>
					</TR> 

<input type="hidden" name="name_48" value="Street Address">
					<TR>	
						<TD>


<font face='Arial' size='2' color='#000000'>

Street Address

</font>


<font color="red" size="-1">*</font></td>
						<TD>
							
							
							<input type="text" name="field_48" size="35">
							
							
						</TD>
					</TR> 

<input type="hidden" name="name_49" value="Street Address- Cont'd">
					<TR>	
						<TD>


<font face='Arial' size='2' color='#000000'>

Street Address- Cont'd

</font>


</td>
						<TD>
							
							
							<input type="text" name="field_49" size="35">
							
							
						</TD>
					</TR> 

<input type="hidden" name="name_50" value="City">
					<TR>	
						<TD>


<font face='Arial' size='2' color='#000000'>

City

</font>


<font color="red" size="-1">*</font></td>
						<TD>
							
							
							<input type="text" name="field_50" size="35">
							
							
						</TD>
					</TR> 

<input type="hidden" name="name_51" value="State/Province">
					<TR>	
						<TD>


<font face='Arial' size='2' color='#000000'>

State/Province

</font>


<font color="red" size="-1">*</font></td>
						<TD>
							
							
							<input type="text" name="field_51" size="35">
							
							
						</TD>
					</TR> 

<input type="hidden" name="name_52" value="Zip/Postal Code">
					<TR>	
						<TD>


<font face='Arial' size='2' color='#000000'>

Zip/Postal Code

</font>


<font color="red" size="-1">*</font></td>
						<TD>
							
							
							<input type="text" name="field_52" size="35">
							
							
						</TD>
					</TR> 

<input type="hidden" name="name_53" value="Country">
					<TR>	
						<TD>


<font face='Arial' size='2' color='#000000'>

Country

</font>


<font color="red" size="-1">*</font></td>
						<TD>
							
							
							<input type="text" name="field_53" size="35">
							
							
						</TD>
					</TR> 

<input type="hidden" name="name_54" value="Business Phone">
					<TR>	
						<TD>


<font face='Arial' size='2' color='#000000'>

Business Phone

</font>


<font color="red" size="-1">*</font></td>
						<TD>
							
							
							<input type="text" name="field_54" size="35">
							
							
						</TD>
					</TR> 

<input type="hidden" name="name_55" value="Cell Phone">
					<TR>	
						<TD>


<font face='Arial' size='2' color='#000000'>

Cell Phone

</font>


</td>
						<TD>
							
							
							<input type="text" name="field_55" size="35">
							
							
						</TD>
					</TR> 

<input type="hidden" name="name_56" value="FAX">
					<TR>	
						<TD>


<font face='Arial' size='2' color='#000000'>

FAX

</font>


</td>
						<TD>
							
							
							<input type="text" name="field_56" size="35">
							
							
						</TD>
					</TR> 

<input type="hidden" name="name_57" value="Email">
					<TR>	
						<TD>


<font face='Arial' size='2' color='#000000'>

Email

</font>


<font color="red" size="-1">*</font></td>
						<TD>
							
							
							<input type="text" name="field_57" size="35">
							
							
						</TD>
					</TR> 

<input type="hidden" name="name_58" value="Your Market Region">
					<TR>	
						<TD>


<font face='Arial' size='2' color='#000000'>

Your Market Region

</font>


<font color="red" size="-1">*</font></td>
						<TD>
							
							
							<input type="text" name="field_58" size="35">
							
							
						</TD>
					</TR> 

<input type="hidden" name="name_59" value="Name of MLS">
					<TR>	
						<TD>


<font face='Arial' size='2' color='#000000'>

Name of MLS

</font>


</td>
						<TD>
							
							
							<input type="text" name="field_59" size="35">
							
							
						</TD>
					</TR> 

<input type="hidden" name="name_60" value="URL of MLS">
					<TR>	
						<TD>


<font face='Arial' size='2' color='#000000'>

URL of MLS

</font>


</td>
						<TD>
							
							
							<input type="text" name="field_60" size="35">
							
							
						</TD>
					</TR> 

<input type="hidden" name="name_61" value="Name of Additional MLS">
					<TR>	
						<TD>


<font face='Arial' size='2' color='#000000'>

Name of Additional MLS

</font>


</td>
						<TD>
							
							
							<input type="text" name="field_61" size="35">
							
							
						</TD>
					</TR> 

<input type="hidden" name="name_62" value="URL of Additional MLS">
					<TR>	
						<TD>


<font face='Arial' size='2' color='#000000'>

URL of Additional MLS

</font>


</td>
						<TD>
							
							
							<input type="text" name="field_62" size="35">
							
							
						</TD>
					</TR> 

<input type="hidden" name="name_63" value="Comments or Instructions">
					<TR>	
						<TD>


<font face='Arial' size='2' color='#000000'>

Comments or Instructions

</font>


</td>
						<TD>
							
							
							<textarea name="field_63" rows="5" cols="30"></textarea>
							
							
						</TD>
					</TR> 

					<TR>
						<TD COLSPAN="2">
						 
							<input type="submit" onClick="return validate()"><input type="reset">
						</TD>
					</TR>
				</TABLE>
</form> 
			</TABLE>
		</TD>
	</TR>
</TABLE>

<!-- EOF: ./personal-templates/simple/businessnew/form/style_l32.html -->

                                                
                                                <BR>
                                </TR>
                        </TABLE>

                </TD>
        </TR>
<!-- End Menu and Center -->
        <TR>
                <TD WIDTH=100% VALIGN="top" BGCOLOR="#FAF2D2" background="widgets/gen_912.1.gif">
                        <IMG SRC="widgets/spacer.gif" WIDTH=7 HEIGHT=18></TD>
        </TR>
        <TR>
                <TD WIDTH=100% VALIGN="top" BGCOLOR="#FAF2D2" >
                        

<br>
<FONT FACE="verdana, arial, helvetica" SIZE="1">
<center>
<nobr>|<a href="Splash_Screen.html">Home</A>|</nobr>

<nobr>|<a href="about.html">About Us</A>|</nobr>

<nobr>|<a href="contact.html">Contact Us</A>|</nobr>

<nobr>|<a href="services.html">Services</A>|</nobr>

<nobr>|<a href="realsites.html">Real Estate</A>|</nobr>

<nobr>|<a href="mortsites.html">Mortgage Broker</A>|</nobr>

<nobr>|<a href="bussites.html">Business Websites</A>|</nobr>

<nobr>|<a href="persites.html">Personal Websites</A>|</nobr>

<nobr>|<a href="hosting.html">Web Hosting</A>|</nobr>

<nobr>|<a href="form.html">My Website Info</A>|</nobr>

<nobr>|Trial-RE or Mort Site|</nobr>

<nobr>|<a href="form.html">Comment or Questions?</A>|</nobr>

<nobr>|<a href="sitemap.html">Site Map</A>|</nobr>

<nobr>|<a href="links.html">Internet Links</A>|</nobr>
</center>
</font>

<BR>
<center><table border="0" cellpadding="0" cellspacing="3"><tr><td align="center">

<br>
<font face="helvetica,verdana, arial" size="1">Copyright © 2005-2006 Web Pro Sites </font>

</td></tr></table></center>
</TD>
        </TR>
        
</TABLE>
<!-- EOF: ./personal-templates/simple/businessnew/layout/l32.layout -->

    
<!-- BOF: ./personal-templates/simple/themes.show.body -->


<!-- EOF: ./personal-templates/simple/themes.show.body -->

</body>
<!-- BOF: ./personal-templates/simple/themes.show.end -->


<!-- EOF: ./personal-templates/simple/themes.show.end -->


</html>


<!-- EOF: ./personal-templates/show.body -->