Listen & Win

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=90 BGCOLOR="#006699" TEXT="#080000" background="042fd5a3.jpg"> <div> <FONT SIZE="5" COLOR="#000000" FACE="Arial" ><B>  Brainles Radio</B></FONT><B>  </B></div> <div> </div> </td> </tr><tr> <td valign="top" height=390 BGCOLOR="#0099FF" TEXT="#F7F7FF"> <bR> <div> <TABLE BORDER="5" CELLPADDING="2" CELLSPACING="10" WIDTH="773" BORDERCOLORLIGHT="#FF0000" BORDERCOLORDARK="#FF0000" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" BGCOLOR=#FFFFCC > <tR> <tD VALIGN=CENTER HEIGHT= 383 WIDTH="737"><div> <B>To Play Just</B></div> <div> <B> Register</B></div> <div> <B> Listen</B></div> <div> <B> and be the</B></div> <div> <B> Correct Number Answer in the Chatroom</B></div> <div> <B>Sat. 9/2 & Sunday 9/3</B></div> <div> <B>@</B></div> <div> <B>12:00 noon</B></div> <div> <B>1:00 pm</B></div> <div> <B>7:00 pm</B></div> <div> <B>8:00 pm</B></div> <div> <B>CST</B></div> <div> <B>And You Win The Prize For That Hour</B></div> <div> <B>You'll find the chatroom on the radio page when you click the return button at the bottom of this page.</B></div> <div> <B> </B></div> <bR> <div> <B>Contest open to all registered listeners, no purchase or fees required,</B></div> <div> <B>all postage is paid by DrBrainles, Ink.</B></div> <div> <B>Taxes are the responsibility of winners.</B></div> <div> <B>Odds of winning depend on the number of listeners when the number is given out in the chatroom.</B></div> </tD> </tR> </TABLE></div> <div> <TABLE BORDER="5" CELLPADDING="2" CELLSPACING="10" WIDTH="773" BORDERCOLORLIGHT="#FF0000" BORDERCOLORDARK="#FF0000" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" BGCOLOR=#FFFFCC > <tR> <tD VALIGN=CENTER HEIGHT= 58 WIDTH="737"><div> <B>All personal information is kept in complete confidence and is not sold or shared with any third partys, No mailing lists and info is not added to any email database.</B></div> <div> <B>If you are already registered to win prizes @ DrBrainles.com you need not register again.</B></div> </tD> </tR> </TABLE></div> <bR> <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="Email,FirstName,LastName,Address1,Address2,City,State,Zip,Country"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for registering to win prizes."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="contest registration"><input type="hidden" name="tlx_EmailTo" value="radio@drbrainles.com"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">Email:<br> <input type="text" name="Email" size="30" maxlength="100"></td> </tr> <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">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="15" maxlength="20"></td> </tr> <tr> <td align="left">Country:<br> <input type="text" name="Country" size="20" maxlength="25"></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> <div> <TABLE BORDER="5" CELLPADDING="10" CELLSPACING="10" WIDTH="107" BORDERCOLORLIGHT="#FF0000" BORDERCOLORDARK="#FF0000" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" BGCOLOR=#FFFFCC > <tR> <tD VALIGN=CENTER HEIGHT= 20 ><NOBR><div> <A HREF="index.htm" TARGET="_top" TITLE=" Brainles Radio"><U><B>Return</B></U></A></div> </NOBR></tD> </tR> </TABLE></div> <bR> </td> </tr></table></body>