<HTML> <HEAD><TITLE>Wedding Stars Online - Information Request Form</TITLE>
<script language="JavaScript">
<!--
function MM_findObj(n, d) { //v4.0
  var p,i,x;  if(!d) d=document; if((p=n.indexOf("?"))>0&&parent.frames.length) {
    d=parent.frames[n.substring(p+1)].document; n=n.substring(0,p);}
  if(!(x=d[n])&&d.all) x=d.all[n]; for (i=0;!x&&i<d.forms.length;i++) x=d.forms[i][n];
  for(i=0;!x&&d.layers&&i<d.layers.length;i++) x=MM_findObj(n,d.layers[i].document);
  if(!x && document.getElementById) x=document.getElementById(n); return x;
}

function MM_validateForm() { //v4.0
  var i,p,q,nm,test,num,min,max,errors='',args=MM_validateForm.arguments;
  for (i=0; i<(args.length-2); i+=3) { test=args[i+2]; val=MM_findObj(args[i]);
    if (val) { nm=val.name; if ((val=val.value)!="") {
      if (test.indexOf('isEmail')!=-1) { p=val.indexOf('@');
        if (p<1 || p==(val.length-1)) errors+='- '+nm+' must contain an e-mail address.\n';
      } else if (test!='R') {
        if (isNaN(val)) errors+='- '+nm+' must contain a number.\n';
        if (test.indexOf('inRange') != -1) { p=test.indexOf(':');
          min=test.substring(8,p); max=test.substring(p+1);
          if (val<min || max<val) errors+='- '+nm+' must contain a number between '+min+' and '+max+'.\n';
    } } } else if (test.charAt(0) == 'R') errors += '- '+nm+' is required.\n'; }
  } if (errors) alert('The following error(s) occurred:\n'+errors);
  document.MM_returnValue = (errors == '');
}
//-->
</script>
</HEAD> 
<BODY BGCOLOR="WHITE"><CENTER><img src="../buttons/star.gif" width=44 height=41 alt="A Wedding Star" border=0 hspace=15><font face="Times New Roman" size="+3" color="Blue">Freeds of Las Vegas</font><br><font face="Times New Roman" size="+2" color="Navy">&nbsp;&nbsp;&nbsp;&nbsp;Request for more information</font>
</CENTER><P>

<P><FONT SIZE="+1">To provide you with the most current information, please take a moment to complete the information below: (<I>If your browser does not support FORMS please send an Email to</i>
<A HREF="mailto:freeds@wedstar.com">Freeds@wedstar.com</a></font>
<BR>
<FORM ACTION="../cgi-bin/formmail/eform.pl" METHOD="POST">
<INPUT TYPE="hidden" NAME="recipient" VALUE="Freeds@wedstar.com"> 
<INPUT TYPE="hidden" NAME="redirect" VALUE="http://www.wedstar.com/freeds/index.html">  
<INPUT TYPE="hidden" NAME="subject" VALUE="Information Request From Wedding Stars For Freeds Of Las Vegas"> 
<INPUT TYPE="HIDDEN" NAME="sort" VALUE="order:Name,Address1,Address2,City,State,Zip,Country,DaytimePhone,email,Date,Guests,Request,FoundUs"> 
<table border=0>
<tr>
<td colspan=3>Name:</td>
</tr>
<tr>
<td colspan=3><INPUT TYPE="text" NAME="Name" SIZE=65></td>
</tr>
<tr>
<td colspan=3>Address:</td>
</tr>
<tr>
<td colspan=3><INPUT TYPE="text" NAME="Address1" SIZE=65><BR></td>
</tr>
<tr>
<td colspan=3><INPUT TYPE="text" NAME="Address2" SIZE=65></td>
</tr>
<tr>
<td>City:</td>
<td>State:</td>
<td>Zip Code:</td>
</tr>
<tr>
<td><INPUT TYPE="text" NAME="City" SIZE=40></td>
<td><INPUT TYPE="text" NAME="State" SIZE=20></td>
<td><INPUT TYPE="text" NAME="Zip" SIZE=11></td>
</tr>
<tr>
<td>Country:</td>
<td></td>
<td></td>
</tr>
<tr>
<td><INPUT TYPE="text" NAME="Country" SIZE=30></td>
<td></td>
<td></td>
</tr>
<tr>
<td>Daytime Phone #:</td>
<td>E-Mail Address:</td>
<td></td>
</tr>
<tr>
<td><INPUT TYPE="text" NAME="DaytimePhone" SIZE=30></td>
<td colspan=2>
        <INPUT TYPE="text" NAME="email" SIZE=35 onBlur="MM_validateForm('email','','NisEmail');return document.MM_returnValue">
      </td>
<td></td>
</tr>
</table><BR>Date of Wedding:<BR>
<INPUT TYPE="text" NAME="Date" SIZE=15>
<BR>Number of Guests:<BR>
<INPUT TYPE="text" NAME="Guests" SIZE=15>

<BR>Please let us how we may help you with additional information:
<BR><TEXTAREA NAME="Request" ROWS=8 COLS=75></TEXTAREA>
<br>
<BR>How did you hear about Freeds of Las Vegas?:
<BR><TEXTAREA NAME="FoundUs" ROWS=4 COLS=75></TEXTAREA>

<BR><BR><BR>
<I><font size="+1" color="Blue">Thank you for your interest in Freeds Of Las Vegas.</font></I>
<BR><BR>
<INPUT TYPE="submit" NAME="Submit" VALUE="Submit">
<INPUT TYPE="reset" VALUE="Reset" name="Reset"></FORM>


<P><CENTER>
    <B><font size="1" face="Arial, Helvetica, sans-serif">Copyright &copy;1998 
    - 2004 Wedding Stars Online. All rights reserved.</font></B> 
  </CENTER></BODY></HTML>