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<!-- EOF: ./personal-templates/simple/business/layout/l72.wait -->


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<HTML>

<HEAD>


<META NAME="description" CONTENT="">
<META NAME="Keywords"    CONTENT="Knights of Columbus, Council 4556, Imlay City, Michigan, KofC, K of C, Keven Sands, Fred Mainville, Mark Simpson, Donna Simpson, Catholic, Men, ">


<!-- 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://205.209.104.233/form3.html">-->
<TITLE>New Email Account Sign Up Form</TITLE></head>
<BODY  BGCOLOR="#336699"
 TEXT="#333333"

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

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

  
      <!-- BOF: ./personal-templates/simple/business/layout/l72.layout -->
  <table DIR="LTR" width="100%" height="100%" border="0" cellspacing="0" cellpadding="0" align="center" valign="top" bgcolor="#336699">
   <tr>
    <td width="100%" height="100%" valign="top">
        <table width="95%" height="100%" border="0" cellspacing="0" cellpadding="0" align="center" valign="top">

    <tr>
       <td colspan="5"><img src="widgets/spacer.gif" height=20 width=1 alt=""></td>
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    <tr>
       <td width="18" height="13" align="right"><img src="widgets/spacer.gif" height=13 width=8 alt=""></td>
       <td colspan="3" width="100%" background="widgets/gen_1062.1.gif"><img src="widgets/spacer.gif" height=13 width=1 alt=""></td>
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             <tr>
                <td><img src="widgets/spacer.gif" height=1 width=10 alt=""></td>
                <td width="100%"><div style="border-bottom: 5px solid #6699CC">
                <table width="100%" border="0" cellspacing="0" cellpadding="0">
                <tr>
                                         <td><img src="http://205.209.104.233/images/kofc-1024.jpg" height="50" border="0">&nbsp;&nbsp;</td><td width="100%" valign="middle"><img src="widgets/gen_1674.1.gif" border=0 height=37 alt=""></td>
                <td align="right" valign="middle"><a href="mailto:webmaster@imlayknights.com" onMouseOver="document.images['img_email'].src='widgets/gen_1107.1.gif'" onMouseOut="document.images['img_email'].src='widgets/gen_1108.1.gif'"><img src="widgets/gen_1108.1.gif" alt="e-mail me" name="img_email" border="0"></a></td></tr></table></div>
                <div style="border-bottom: 1px solid #333333"><img src="widgets/spacer.gif" height=3 width=1 alt=""></div>
                <div style="margin-top:3px; background: #FFFFFF;text-align:center;"><img src="widgets/gen_1740.1.gif" border=0 height=15 alt=""></div>
                </td>
                <td><img src="widgets/spacer.gif" height=1 width=10 alt=""></td>
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             <tr>
                <td><img src="widgets/spacer.gif" height=1 width=10 alt=""></td>
                <td valign="top" height="100%">
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                <table cellspacing="0" cellpadding="0">
                  <tr><td style="border-top: 5px solid #000000;" valign="top" width="240">
                  <img src="widgets/gen_1109.1.gif" border=0 width=240 height=180 alt="">
                  <a href="index.html" onMouseOver="document.images['img6'].src='widgets/gen_1781.1.gif'" onMouseOut="document.images['img6'].src='widgets/gen_1780.1.gif'"><img src="widgets/gen_1780.1.gif" alt="Home Page" name="img6" border="0"></a><a href="about.html" onMouseOver="document.images['img7'].src='widgets/gen_1783.1.gif'" onMouseOut="document.images['img7'].src='widgets/gen_1782.1.gif'"><img src="widgets/gen_1782.1.gif" alt="Our Founder" name="img7" border="0"></a><a href="gpage.html" onMouseOver="document.images['img120'].src='widgets/gen_1102.1.gif'" onMouseOut="document.images['img120'].src='widgets/gen_1101.1.gif'"><img src="widgets/gen_1101.1.gif" alt="Council Officers" name="img120" border="0"></a><a href="FrontPorchProject.html" onMouseOver="document.images['img241'].src='widgets/gen_1842.1.gif'" onMouseOut="document.images['img241'].src='widgets/gen_1841.1.gif'"><img src="widgets/gen_1841.1.gif" alt="Front Porch Project" name="img241" border="0"></a><a href="form1.html" onMouseOver="document.images['img181'].src='widgets/gen_1766.1.gif'" onMouseOut="document.images['img181'].src='widgets/gen_1765.1.gif'"><img src="widgets/gen_1765.1.gif" alt="Become a member of 4556" name="img181" border="0"></a><a href="gpage3.html" onMouseOver="document.images['img233'].src='widgets/gen_1770.1.gif'" onMouseOut="document.images['img233'].src='widgets/gen_1769.1.gif'"><img src="widgets/gen_1769.1.gif" alt="Why Join The Knights" name="img233" border="0"></a><a href="NewsLetter.html" onMouseOver="document.images['img147'].src='widgets/gen_1084.1.gif'" onMouseOut="document.images['img147'].src='widgets/gen_1083.1.gif'"><img src="widgets/gen_1083.1.gif" alt="Monthly News Letter" name="img147" border="0"></a><a href="form.html" onMouseOver="document.images['img170'].src='widgets/gen_1681.1.gif'" onMouseOut="document.images['img170'].src='widgets/gen_1680.1.gif'"><img src="widgets/gen_1680.1.gif" alt="Newsletter Sign Me Up" name="img170" border="0"></a><a href="about1.html" onMouseOver="document.images['img8'].src='widgets/gen_1082.1.gif'" onMouseOut="document.images['img8'].src='widgets/gen_1081.1.gif'"><img src="widgets/gen_1081.1.gif" alt="Banquet Center" name="img8" border="0"></a><a href="form2.html" onMouseOver="document.images['img193'].src='widgets/gen_1679.1.gif'" onMouseOut="document.images['img193'].src='widgets/gen_1678.1.gif'"><img src="widgets/gen_1678.1.gif" alt="Booking Your Event" name="img193" border="0"></a><a href="gpage2.html" onMouseOver="document.images['img214'].src='widgets/gen_1750.1.gif'" onMouseOut="document.images['img214'].src='widgets/gen_1749.1.gif'"><img src="widgets/gen_1749.1.gif" alt="Rental Deposit" name="img214" border="0"></a><a href="photo_player_flash.html" onMouseOver="document.images['img91'].src='widgets/gen_1088.1.gif'" onMouseOut="document.images['img91'].src='widgets/gen_1087.1.gif'"><img src="widgets/gen_1087.1.gif" alt="Hall Photos" name="img91" border="0"></a><a href="gpage1.html" onMouseOver="document.images['img155'].src='widgets/gen_1683.1.gif'" onMouseOut="document.images['img155'].src='widgets/gen_1682.1.gif'"><img src="widgets/gen_1682.1.gif" alt="BINGO" name="img155" border="0"></a><a href="texasholdem.html" onMouseOver="document.images['img61'].src='widgets/gen_1092.1.gif'" onMouseOut="document.images['img61'].src='widgets/gen_1091.1.gif'"><img src="widgets/gen_1091.1.gif" alt="Texas Hold'em" name="img61" border="0"></a><a href="contact.html" onMouseOver="document.images['img9'].src='widgets/gen_1094.1.gif'" onMouseOut="document.images['img9'].src='widgets/gen_1093.1.gif'"><img src="widgets/gen_1093.1.gif" alt="Contact Us" name="img9" border="0"></a><a href="directions.html" onMouseOver="document.images['img16'].src='widgets/gen_1096.1.gif'" onMouseOut="document.images['img16'].src='widgets/gen_1095.1.gif'"><img src="widgets/gen_1095.1.gif" alt="Directions" name="img16" border="0"></a><a href="form3.html" onMouseOver="document.images['img221'].src='widgets/gen_1762.1.gif'" onMouseOut="document.images['img221'].src='widgets/gen_1761.1.gif'"><img src="widgets/gen_1761.1.gif" alt="Email Account Sign Up" name="img221" border="0"></a><a href="links.html" onMouseOver="document.images['img68'].src='widgets/gen_1098.1.gif'" onMouseOut="document.images['img68'].src='widgets/gen_1097.1.gif'"><img src="widgets/gen_1097.1.gif" alt="Internet Links" name="img68" border="0"></a><a href="external.html" onMouseOver="document.images['img208'].src='widgets/gen_1685.1.gif'" onMouseOut="document.images['img208'].src='widgets/gen_1684.1.gif'"><img src="widgets/gen_1684.1.gif" alt="WebMail Access" name="img208" border="0"></a></td>
                  <td style="border-top: 5px solid #000000;" valign="top" width="100%">
                  <div style="margin-left:10px;"><!-- BOF: ./personal-templates/simple/business/form/html -->
<!-- BOF: ./personal-templates/simple/personal/form/html -->


<center><table border=0>
<tr><td>


<font face='Arial' size='+1' color='#0066AF'>

New Email Account Sign Up Form

</font>


<br>
<SCRIPT LANGUAGE="JavaScript">
var BUILDER = '/studio/servlet/psoft.masonry.Builder';
function validate(frm){
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function error(field){ alert('You did not fill all required fields!'); field.focus(); return false; }
</SCRIPT>
<form name="questionary" action="http://65.19.179.12/studio/servlet/psoft.customform.CustomForm" method="post">
<input type="hidden" name="domain" value="">
<input type="hidden" name="title" value="New Email Account Sign Up Form">
<input type="hidden" name="esubj" value="New Email Account Request">
<input type="hidden" name="name" value="=GCh0WG0bU1bal4b">
<input type="hidden" name="submit_url" value="onsubmit4.html">
<input type="hidden" name="error_url"  value="onerror4.html">
<input type="hidden" name="order" value="225 226 232 227 228 230 231 ">
<table border=0 cellpedding=5 cellspacing=5>

<input type="hidden" name="name_225" value="What is your First Name">
<tr><td>


<font face='Arial' size='2' color='#333333'>

What is your First Name

</font>


 <font color="red" size="-1">*</font></td><td>


<input type="text" name="field_225" size="15">


</td></tr>

<input type="hidden" name="name_226" value="What is your Last Name">
<tr><td>


<font face='Arial' size='2' color='#333333'>

What is your Last Name

</font>


 <font color="red" size="-1">*</font></td><td>


<input type="text" name="field_226" size="15">


</td></tr>

<input type="hidden" name="name_232" value="What is your phone number">
<tr><td>


<font face='Arial' size='2' color='#333333'>

What is your phone number

</font>


 </td><td>


<input type="text" name="field_232" size="12">


</td></tr>

<input type="hidden" name="name_227" value="Do you have an email address that you use already?">
<tr><td>


<font face='Arial' size='2' color='#333333'>

Do you have an email address that you use already?

</font>


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<input type="radio" name="field_227" id="field_2271" value="Yes"><label for="field_2271">


<font face='Arial' size='2' color='#333333'>

Yes

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</label> <input type="radio" name="field_227" id="field_2272" value="No"><label for="field_2272">


<font face='Arial' size='2' color='#333333'>

No

</font>


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</td></tr>

<input type="hidden" name="name_228" value="If you already have an email address what is it?">
<tr><td>


<font face='Arial' size='2' color='#333333'>

If you already have an email address what is it?

</font>


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<input type="text" name="field_228" size="30">


</td></tr>

<input type="hidden" name="name_230" value="Are you a member in good standing with council 4556?">
<tr><td>


<font face='Arial' size='2' color='#333333'>

Are you a member in good standing with council 4556?

</font>


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<input type="radio" name="field_230" id="field_2301" value="Yes"><label for="field_2301">


<font face='Arial' size='2' color='#333333'>

Yes

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<font face='Arial' size='2' color='#333333'>

No

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</label>


</td></tr>

<input type="hidden" name="name_231" value="What is your Member Number located on your Membership Card?">
<tr><td>


<font face='Arial' size='2' color='#333333'>

What is your Member Number located on your Membership Card?

</font>


 </td><td>


<input type="text" name="field_231" size="10">


</td></tr>

<tr><td colspan=2 align=center>
    <input onClick="return validate(form)" type="submit" value="Submit Form">
    <input type="reset"  value="Reset Form">
    </td>
</tr>
</table>
</form>
</td></tr></table></center>
<!-- EOF: ./personal-templates/simple/personal/form/html -->

<!-- EOF: ./personal-templates/simple/business/form/html -->
</div></td></tr></table></div></td>
                <td><img src="widgets/spacer.gif" height=1 width=10 alt=""></td>
             </tr>
             <tr>
                <td><img src="widgets/spacer.gif" height=1 width=10 alt=""></td>
                <td>
                <div style="border-top: 1px solid #333333"><img src="widgets/spacer.gif" height=3 width=1 alt=""></div>
                <div style="border-top: 5px solid #6699CC">
<center><table border="0" cellpadding="0" cellspacing="3"><tr><td align="center">

<a href="http://www.psoft.net" target="_blank"><img src="widgets/ss_button.gif" border="0"></a>

<br><font face="helvetica,verdana, arial" size="1">&nbsp;</font>

</td></tr></table></center>
<script language="javascript" src="widgets/noieactivate.js"></script>


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

<nobr>|<a href="about.html">Our Founder</A>|</nobr>

<nobr>|<a href="gpage.html">Council Officers</A>|</nobr>

<nobr>|<a href="FrontPorchProject.html">Front Porch Project</A>|</nobr>

<nobr>|<a href="form1.html">Become a member of 4556</A>|</nobr>

<nobr>|<a href="gpage3.html">Why Join The Knights</A>|</nobr>

<nobr>|<a href="NewsLetter.html">Monthly News Letter</A>|</nobr>

<nobr>|<a href="form.html">Newsletter Sign Me Up</A>|</nobr>

<nobr>|<a href="about1.html">Banquet Center</A>|</nobr>

<nobr>|<a href="form2.html">Booking Your Event</A>|</nobr>

<nobr>|<a href="gpage2.html">Rental Deposit</A>|</nobr>

<nobr>|<a href="photo_player_flash.html">Hall Photos</A>|</nobr>

<nobr>|<a href="gpage1.html">BINGO</A>|</nobr>

<nobr>|<a href="texasholdem.html">Texas Hold'em</A>|</nobr>

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

<nobr>|<a href="directions.html">Directions</A>|</nobr>

<nobr>|Email Account Sign Up|</nobr>

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

<nobr>|<a href="external.html">WebMail Access</A>|</nobr>
</center>
</font>

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                <td><img src="widgets/spacer.gif" height=1 width=10 alt=""></td>
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    <tr>
       <td colspan="5"><img src="widgets/spacer.gif" height=20 width=1 alt=""></td>
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   </td></tr></table>

<!-- EOF: ./personal-templates/simple/business/layout/l72.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 -->