Gecko [ v3.cesa.co.za ]

Name	Size	Permission	Date
SpryAssets	[ DIR ]	drwxr-sr-x	2015-01-21 09:24
images	[ DIR ]	drwxr-sr-x	2015-12-02 11:43
Booking_Form_Member.html	8.72 KB	-rw-r--r--	2015-12-02 12:53
Booking_Form_Non_Member.html	8.36 KB	-rw-r--r--	2015-12-02 12:53
Booking_Form_Thanks.html	1.59 KB	-rw-r--r--	2015-12-02 14:27
Email_Member.html	4.13 KB	-rw-r--r--	2015-12-03 08:40
Email_Non_Member.html	4.02 KB	-rw-r--r--	2015-12-03 08:40
Live_Email_Member.html	4.13 KB	-rw-r--r--	2015-12-03 08:40
Live_Email_Non_Member.html	4.02 KB	-rw-r--r--	2015-12-03 08:40
Live_Member.html	8.64 KB	-rw-r--r--	2015-12-03 08:40
Live_Non_Member.html	8.53 KB	-rw-r--r--	2015-12-03 08:41

Rename

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
<title>CESA Non Member Booking Form</title>
<style type="text/css">

body,td,th {
	font-family: Verdana, Geneva, sans-serif;
	font-size: 10px;
	color: #000;
}
body {
	background-color: #FFF;
}
a:link {
	color: #39F;
	text-decoration: none;
}
a:visited {
	text-decoration: none;
	color: #333;
}
a:hover {
	text-decoration: none;
	color: #69F;
}
a:active {
	text-decoration: none;
	color: #000;
}
h1 {
	font-size: 14px;
	color: #06F;
}
h2 {
	font-size: 11px;
	color: #333;
	line-height: 4px;
	margin-bottom: 5px;
	margin-top: 15px;
}
#fullform{
	background:url(images/new-bg.png);
	background-position:top;
	background-repeat:no-repeat;
	/*min-height:1476px;*/
	min-height:900px;
	}

</style>

<table width="600" border="0" align="center" cellpadding="0" cellspacing="0">
  <tr>
    
    <td colspan="3"><img src="images/Header_form.png" width="650" height="317" alt="CESA" /></td>
  </tr>
  <tr>
    <td width="24">&nbsp;</td>
    <td width="602"><h1>ADVERTISING BOOKING FORM:</h1></td>
    <td width="24">&nbsp;</td>
  </tr>
  <tr>
    <td valign="top">&nbsp;</td>
    <td valign="top"><table width="600" border="0" align="left" cellpadding="5" cellspacing="0">
  <tr>
    <td width="141" align="right">Company Name:</td>
    <td width="414">
      <span id="sprytextfield1">
        <label for="Name of Firm"></label>
        <input name="Name of Firm" type="text" id="Name of Firm" size="55" />
        <span class="textfieldRequiredMsg">This is required.</span>
       </span>
    </td>
    <td width="15">&nbsp;</td>
  </tr>
  <tr>
    <td align="right">Contact Person:</td>
    <td> <span id="sprytextfield2">
        <label for="Contact Person"></label>
        <input name="Contact Person" type="text" id="Contact Person" size="55" />
        <span class="textfieldRequiredMsg">This is required.</span>
        </span></td>
    <td>&nbsp;</td>
  </tr>
    <tr>
    <td align="right">Email Address:</td>
    <td><span id="sprytextfield3">
    <label for="Email Address"></label>
    <input name="Email Address" type="text" id="Email Address" size="55" />
    <span class="textfieldInvalidFormatMsg">Invalid format.</span>
 	<span class="textfieldRequiredMsg">This is required.</span>
    </span></td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td align="right">Designation:</td>
    <td> <span id="sprytextfield4">
        <label for="Designation"></label>
        <input name="Designation" type="text" id="Designation" size="55" />
        </span></td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td align="right">Order No:</td>
    <td> <span id="sprytextfield5">
        <label for="Order No"></label>
        <input name="Order No" type="text" id="Order No" size="55" />
        </span></td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td align="right">VAT Registration No:</td>
    <td> <span id="sprytextfield6">
        <label for="VAT Registration No"></label>
        <input name="VAT Registration No" type="text" id="VAT Registration No" size="55" />
        </span></td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td align="right">Physical Address:</td>
    <td><span id="sprytextarea1">
      <label for="Physical Address"></label>
      <textarea name="Physical Address" id="Physical Address" cols="40" rows="5"></textarea>
	</span></td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td align="right">Postal Address:</td>
    <td><span id="sprytextarea2">
      <label for="Postal Address"></label>
      <textarea name="Postal Address" id="Postal Address" cols="40" rows="5"></textarea>
	</span></td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td align="right">Telephone Number:</td>
    <td><span id="sprytextfield7">
      <label for="Telephone Number"></label>
      <input name="Telephone Number" type="text" id="Telephone Number" size="55" />
      <span class="textfieldRequiredMsg">This is required.</span>
	</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td align="right">Fax Number:</td>
    <td><span id="sprytextfield8">
      <label for="Fax Number"></label>
      <input name="Fax Number" type="text" id="Fax Number" size="55" />
	</span></td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td align="right">Cell Number:</td>
    <td><span id="sprytextfield9">
      <label for="Cell Number"></label>
      <input name="Cell Number" type="text" id="Cell Number" size="55" />
	      
	</span></td>
    <td>&nbsp;</td>
  </tr>
   <tr>
    <td align="right" valign="top">Type of Advert:</td>
    <td valign="top"><span id="spryselect1">
      <label for="Advert Type"></label>
      <select name="Advert Type" size="1" id="Advert Type">
        <option selected="selected">Please Select an Advert Type</option>
        <option value="Quarter Page - R10 500.00">Quarter Page - R10 500.00</option>
        <option value="Half Page - R13 650.00">Half Page - R13 650.00</option>
        <option value="Full Page - R17850.00">Full Page - R17 850.00</option>
        <option value="Page 1 (Full page) - R28 350.00">Page 1 (Full page) - R28 350.00</option>
        <option value="Page 2 (Full page) - R28 350.00">Page 2 (Full page) - R28 350.00</option>
    	 <option value="Inside Cover (Front and Back) - R34 650.00">Inside Cover (Front and Back) - R34 650.00</option>
        <option value="Back Cover (Outside) - R42 000.00">Back Cover (Outside) - R42 000.00</option>
        
      </select>
		<span class="textfieldRequiredMsg">This is required.</span>
		</td> 
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td align="right">&nbsp;</td>
    <td colspan="2"><label for="Submit"></label>
      <input type="submit" name="Submit" id="Submit" value="Submit" /></td>
    </tr>
</table>
</td>
    <td>&nbsp;</td>
  </tr>
  <tr>
    <td valign="top">&nbsp;</td>
    <td valign="top"><p><br />
      All prices are exclusive of agency commission and VAT. A detailed invoice will be issued (VAT Reg no. 4170109013)
      upon receipt of this booking form.<br /><br />
      Payments to CESA trading as SAACE by cheque or direct transfer to:
  <br />
  <strong>Bank:</strong> Nedbank <br />
  <strong>Branch:</strong>Ferndale <br />
  <strong>Account No.</strong>: 1922 019 801<br />
  <strong>Branch Code</strong>: 1922 05<br />
  <strong>Reference:</strong> DIREC2016_your company name</p>
      <p>&nbsp;</p></td>
    <td>&nbsp;</td>
  </tr>
  <tr valign="top">
    
    <td colspan="3"><p><img src="images/Footer_Form.png" width="650" height="236" alt="Footer" /></p>
      <p>&nbsp;</p></td>
  </tr>
</table></form>

</body>
</html>