HOPEFULLY... this will work now... SORRY again Imar..
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<HTML>
<HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=windows-1252">
<META HTTP-EQUIV="Content-Language" CONTENT="en-us">
<TITLE>IndividualRequetForm</TITLE>
<meta name="Microsoft Theme" content="none, default">
</HEAD>
<BODY><p style="line-height: 100%" align="center"><b> Prospect Research Request
Form </b></p>
<p style="line-height: 100%" align="center"><b>
(Individual)</b> </p>
<P align="center">
&n bsp;
Please fill in as much information as you can to better process your
request. </P>
<P align="center">
&n bsp;
Highlighted text are required fields.</P>
<FORM METHOD="POST" ACTION="Email1.asp" onsubmit="return FrontPage_Form1_Validator(this)" name="FrontPage_Form1" language="JavaScript">
<BLOCKQUOTE>
<TABLE height="82" width="647">
<TR>
<TD ALIGN="right" height="25" width="371">
<EM>Requestor's Name</EM></TD>
<TD height="25" bgcolor="#FFFFFF" width="365">
<p style="color: #00FFFF"><span style="background-color: #00CCFF"><!--webbot
bot="Validation" S-Display-Name="Requestor's Name" B-Value-Required="TRUE" -->
<INPUT NAME="Contact_FullName" SIZE=44>
</span></p>
</TD>
</TR>
<TR>
<TD ALIGN="right" height="25" width="371">
<em>Site</em></TD>
<TD height="25" bgcolor="#FFFFFF" width="365"><!--webbot bot="Validation"
S-Display-Name="Site" B-Value-Required="TRUE" I-Maximum-Length="25" -->
<INPUT NAME="Site" SIZE=44 MAXLENGTH=25>
</TD>
</TR>
<TR>
<TD ALIGN="right" height="26" width="371">
<EM>Requestor's E-mail</EM></TD>
<TD height="26" bgcolor="#FFFFFF" width="365"><!--webbot bot="Validation"
S-Display-Name="Requestor's Email" B-Value-Required="TRUE" --><input type="text" name="ReqEmail" size="26">@advocatehealth.com</TD>
</TR>
<TR>
<TD ALIGN="right" height="26" width="371"><p>
<em>Your VP's E-mail</em></p>
</TD>
<TD height="26" bgcolor="#FFFFFF" width="365">
<p>
<INPUT NAME="VPEmail" SIZE=26>@advocatehealth.com
</p>
</TD>
</TR>
<TR>
<TD ALIGN="right" height="26" width="371"> <i>Priority</i> </TD>
<TD height="26" bgcolor="#FFFFFF" width="365"><!--webbot bot="Validation"
S-Display-Name="Priority" B-Value-Required="TRUE" --><SELECT NAME="PriorityDD" size="1">
<OPTION SELECTED value="Low">Low
<OPTION value="Average">Average
<OPTION value="High">High</SELECT>
</TD>
</TR>
<TR>
<TD ALIGN="right" height="26" width="371"><i>Research Needed By</i></TD>
<TD height="26" bgcolor="#FFFFFF" width="365" bordercolor="#990033"><!--webbot
bot="Validation" S-Display-Name="Date Needed By" S-Data-Type="String"
B-Allow-Digits="TRUE" S-Allow-Other-Chars="/" B-Value-Required="TRUE"
I-Maximum-Length="10" --><INPUT NAME="DateNeededBy" SIZE=18 MAXLENGTH=10> <EM>-
mm/dd/yyyy</EM></TD>
</TR>
<TR>
<TD ALIGN="right" height="20" width="371"><i> </i>
<p><i> Prospect Name </i></p>
</TD>
<TD height="20" bgcolor="#FFFFFF" width="365" bordercolor="#990033">
<p><!--webbot bot="Validation" S-Display-Name="Prospect Name"
B-Value-Required="TRUE" --><INPUT NAME="ProspectName" SIZE=44></p>
</TD>
</TR>
<TR>
<TD ALIGN="right" height="26" width="371"><i>
Constituent ID (if in RE)</i></TD>
<TD height="26" bgcolor="#FFFFFF" width="365" bordercolor="#FFFFFF"><INPUT NAME="ConstituentID" SIZE=44>
</TD>
</TR>
<TR>
<TD ALIGN="right" height="26" width="371"><i>Address </i></TD>
<TD height="26" bgcolor="#FFFFFF" width="365" bordercolor="#FFFFFF"><INPUT NAME="Address" SIZE=44>
</TD>
</TR>
<TR>
<TD ALIGN="right" height="26" width="371"><i> Phone Number (with area code)</i></TD>
<TD height="26" bgcolor="#FFFFFF" width="365" bordercolor="#FFFFFF"><INPUT NAME="PhoneNumber" SIZE=44>
</TD>
</TR>
<TR>
<TD ALIGN="right" height="26" width="371">
<p><i>Past Giving to Advocate?</i></p>
</TD>
<TD height="26" bgcolor="#FFFFFF" width="365" bordercolor="#FFFFFF">(i.e. (999)
999-9999)
<p><select size="1" name="PastGiving">
<option value="Yes">Yes</option>
<option value="No">No</option>
</select></p>
</TD>
</TR>
<TR>
<TD ALIGN="right" height="26" width="371"><i>(Advocate) Contact Name</i></TD>
<TD height="26" bgcolor="#FFFFFF" width="365" bordercolor="#FFFFFF"><input type="text" name="AdvocateContactName" size="44"></TD>
</TR>
<TR>
<TD ALIGN="right" height="26" width="371"><i>Contact Title</i></TD>
<TD height="26" bgcolor="#FFFFFF" width="365" bordercolor="#FFFFFF"><input type="text" name="ContactTitle" size="44"></TD>
</TR>
<TR>
<TD ALIGN="right" height="26" width="371"><i>Contact Phone Number (with area
code)</i></TD>
<TD height="26" bgcolor="#FFFFFF" width="365" bordercolor="#FFFFFF"><input type="text" name="ContactPhone" size="44"></TD>
</TR>
<TR>
<TD ALIGN="right" height="26" width="371">
<p><i>Advocate Relationship (Board
Member, etc.)</i></p>
</TD>
<TD height="26" bgcolor="#FFFFFF" width="365" bordercolor="#FFFFFF">(i.e. (999)
999-9999)
<p><input type="text" name="AdvocateRelationship" size="44"></p>
</TD>
</TR>
<TR>
<TD ALIGN="right" height="26" width="371"><i>Research Needed For</i></TD>
<TD height="26" bgcolor="#FFFFFF" width="365" bordercolor="#FFFFFF"><!--webbot
bot="Validation" S-Display-Name="Research Needed For" B-Value-Required="TRUE"
--><select size="1" name="ResearchNeededFor">
<option>Preliminary Evaluation</option>
<option>Discovery Call</option>
<option>Contact Call</option>
<option>Cultivation</option>
<option>Solicitation</option>
<option>Strategy</option>
</select></TD>
</TR>
<TR>
<TD ALIGN="right" height="26" width="371"><i>Prospect's Moves Management Status</i></TD>
<TD height="26" bgcolor="#FFFFFF" width="365" bordercolor="#FFFFFF"><select size="1" name="MMStatus">
<option>Identification</option>
<option>Qualification</option>
<option>Cultivation</option>
<option>Solicitation</option>
<option>Stewardship</option>
</select></TD>
</TR>
</TABLE>
</BLOCKQUOTE>
<P>
<i>   ; & nbsp;
What information are you looking for? What questions do you want answered?</i></P>
<BLOCKQUOTE>
<P>
<!--webbot bot="Validation" S-Display-Name="Information/Questions"
B-Value-Required="TRUE" -->
<TEXTAREA NAME="Questions" ROWS=4 COLS=71></TEXTAREA>
</P>
<P>
&n bsp; <i>
Other relevant background and/or additional information:</i>
</P>
<P>
<textarea rows="4" name="OtherInfo" cols="71"></textarea>
</P>
<P>
<i>   ; Include suggested people or resources to consult about this research request:</i>
</P>
<P>
<textarea rows="4" name="SuggestedResources" cols="71"></textarea>
</P>
<P>
</P>
<P>
Please recheck the information that you have just entered.
</P>
<P>
Click "Reset" to start over, and "Submit" to submit
finalized request.
</P>
</BLOCKQUOTE>
<BLOCKQUOTE>
<P>
</P>
</BLOCKQUOTE>
&n bsp; &nbs p; &n bsp; &nbs p;
<a href="mailto:
[email protected]">
<INPUT TYPE=SUBMIT VALUE="Submit Form">
</a>
<INPUT TYPE=RESET VALUE="Reset Form">
<p> </p>
</FORM>
<H5><a href="mailto:
[email protected]">Ste
[email protected]</a><br>Copyright ©
2002 [Advocate Charitable Foundation]. All rights reserved. <BR>
</H5>
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</p>
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