truck

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" width=200 BGCOLOR="#FFFFFF" TEXT="#080000"> <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="Name,phone,email,Type of work,1) starting address-area,Location of items,Flights of stair ?,Comments,2 - ending address,Flights of stairs?,comments"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thanks for your request, emails with phone number get priority response...."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="- new customer request"><input type="hidden" name="tlx_EmailTo" value="guywithatruck@comcast.net"> <table cellpadding="5" cellspacing="1" border="0" align="center"> <tr> <td align="left">Name: <br> <input type="text" name="Name" size="28" maxlength="99"> </td> </tr> <tr> <td align="left">Phone Number: <br> <input type="text" name="phone" size="14" maxlength="14"> </td> </tr> <tr> <td align="left">Email: <br> <input type="text" name="email" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Type of Work: <br> <select name="Type of work"> <option value="Choose One">Choose One</option><option value="General Question">General Question</option><option value="After Garage Sale Hauling">After Garage Sale Hauling</option><option value="Haul houshold items to dump">Haul houshold items to dump</option><option value="Furniture deliver retail store">Furniture deliver retail store</option><option value="Furniture deliver craigslist">Furniture deliver craigslist</option><option value="Storage locker to residence">Storage locker to residence</option><option value="Haul construction debris">Haul construction debris</option><option value="Moving Boxes & Supplies">Moving Boxes & Supplies</option><option value="Yard Waste">Yard Waste</option><option value="Furniture Assembly">Furniture Assembly</option><option value="Carpet removal">Carpet removal</option> </select> </td> </tr> <tr> <td align="left">1) starting address-area: <br> <input type="text" name="1) starting address-area" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Location of items: <br> <select name="Location of items"> <option value="Choose One">Choose One</option><option value="garage">garage</option><option value="loading dock">loading dock</option><option value="curbside">curbside</option><option value="backyard">backyard</option><option value="house">house</option><option value="apartment">apartment</option><option value="office">office</option><option value="storage locker">storage locker</option><option value="retail store">retail store</option><option value="office building">office building</option> </select> </td> </tr> <tr> <td align="left">Flights of stairs?: <br> <select name="Flights of stair ?"> <option value="None">None</option><option value="Ground floor">Ground floor</option><option value="elevator 2nd floor">elevator 2nd floor</option><option value="elevator 3rd floor">elevator 3rd floor</option><option value="elevator 4th floor">elevator 4th floor</option><option value="1 flight of stairs">1 flight of stairs</option><option value="2 flights of stairs">2 flights of stairs</option><option value="3 flights of stairs">3 flights of stairs</option><option value="basement">basement</option> </select> </td> </tr> <tr> <td align="left">Comments: <br> <textarea name="Comments" rows="5" cols="30"></textarea> </td> </tr> <tr> <td align="left">2- ending address: <br> <input type="text" name="2 - ending address" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Flights of Stairs?: <br> <select name="Flights of stairs?"> <option value="None">None</option><option value="basement" selected>basement</option><option value="elevator">elevator</option><option value="ground floor">ground floor</option><option value="1 flight of stairs">1 flight of stairs</option><option value="2 flights of stairs">2 flights of stairs</option><option value="3 flights of stairs">3 flights of stairs</option> </select> </td> </tr> <tr> <td align="left">Comments: <br> <textarea name="comments" rows="5" cols="25"></textarea> </td> </tr> <tr> <td align="right"> <input type="reset"> <input type="submit" value="Send" name="tlx_send"> </td> </tr> </table> </form>  </div> </td> <td valign="top" width="100%" BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <FONT SIZE="5" COLOR="#000000" FACE="Arial" ><B>Home - Guy With A Truck</B></FONT>    |     <A HREF="index.htm" TARGET="_top" TITLE="Home Guy With A Truck">home</A></div> <div>                                                   </div> <div> trucktruck<IMG SRC="75a80e00.jpg" border=0 width="640" height="480" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> <IMG SRC="75c80e00.jpg" border=0 width="640" height="480" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </td> </tr></table></body>