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<span class="heading"> WE CAN SPEAK AT YOUR ORGANIZATION!</span><hr> <script language="javascript"> function requestCard() { var nl = "%0A"; var tab = "%09"; var sSubject = "Speaker Presentation Request"; var sBody = "I'm interested in a speaker presenting to my organization." + nl + nl; sBody += "Name (first mi, last) : " + nl; sBody += tab + getVal("txtFName"); if (getVal("txtMIName").trim() != "") sBody += " " + getVal("txtMIName"); sBody += " " + getVal("txtLName") + nl + nl; sBody += "Email : " + nl; sBody += tab + getVal("txtEmail") + nl + nl; sBody += "Club / Org. Name : " + nl; sBody += tab + getVal("txtOrgName") + nl + nl; sBody += "Meeting Address : " + nl; sBody += tab + getVal("txtAddr1") + nl; if (getVal("txtAddr2").trim() != "") sBody += tab + getVal("txtAddr2") + nl; sBody += tab + getVal("txtCity") + ", " + getVal("txtState") + " " + getVal("txtZip") + nl + nl; sBody += "Meeting Dates : " + nl; sBody += tab + getVal("txtDates") + nl + nl; sBody += "Speaker Topic : " + nl; //alert(document.getElementById("cboTopic").options[document.getElementById("cboTopic").selectedIndex].text); sBody += tab + document.getElementById("cboTopic").options[document.getElementById("cboTopic").selectedIndex].text + nl + nl; //alert(sBody); parent.location.href="mailto:matt@motorcyclelawgroup.com?subject=" + sSubject + "&body=" + sBody } function getVal(name) { return document.getElementById(name).value; } String.prototype.trim = function() { return this.replace(/^\s+|\s+$/g,""); } </script> Would you like to have a member of Tom McGrath s Motorcycle Law Group come and speak to your club or organization? Please fill out a few questions below and we'll contact you to discuss what we can do. <br/><br/> <form id="form1"> <table> <tr> <td class="heading">Name : &nbsp; </td> <td><input type="text" id="txtFName" style="width:250px;"/><br/><span class="heading" style="font-size:9pt;">First</span></td> <td><input type="text" id="txtMIName" style="width:30px;"/><br/><span class="heading" style="font-size:9pt;">M.I.</span></td> <td><input type="text" id="txtLName" style="width:250px;"/><br/><span class="heading" style="font-size:9pt;">Last</span></td> </tr> <tr><td>&nbsp;</td></tr> <tr> <td class="heading">Email Address : &nbsp; </td> <td colspan="3"><input type="text" id="txtEmail" style="width:450px;"/></td> </tr> <tr><td>&nbsp;</td></tr> <tr> <td class="heading">Club / Org. Name : &nbsp; </td> <td colspan="3"><input type="text" id="txtOrgName" style="width:450px;"/></td> </tr> <tr><td>&nbsp;</td></tr> <tr> <td class="heading">Meeting Address : &nbsp; </td> <td colspan="3"><input type="text" id="txtAddr1" style="width:450px;"/></td> </tr> <tr> <td class="heading"> &nbsp; </td> <td colspan="3"><input type="text" id="txtAddr2" style="width:450px;"/></td> </tr> <tr> <td class="heading"> &nbsp; </td> <td><input type="text" id="txtCity" style="width:250px;"/><br/><span class="heading" style="font-size:9pt;">City</span></td> <td><input type="text" id="txtState" style="width:30px;"/><br/><span class="heading" style="font-size:9pt;">State</span></td> <td><input type="text" id="txtZip" style="width:100px;"/><br/><span class="heading" style="font-size:9pt;">Zip Code</span></td> </tr> <tr><td>&nbsp;</td></tr> <tr> <td class="heading">Dates And Times You Meet : &nbsp; </td> <td colspan="3"><input type="text" id="txtDates" style="width:450px;"/><br/><span class="heading" style="font-size:9pt;">Example : First Sunday of every month at 8pm</span></td> </tr> <tr><td>&nbsp;</td></tr> <tr> <td class="heading">Topic : &nbsp; </td> <td colspan="3"> <select id="cboTopic"> <option value="VALaws">Protect yourself and your family by knowing Virginia insurance laws</option> <option value="MCLaws">General motorcycle laws</option> <option value="VCOM">The Virginia Coalition of Motorcyclists</option> <option value="TrafficStopRights">Your rights at a traffic stop</option> <option value="All">All of the above</option> </select> </td> </tr> <tr><td>&nbsp;</td></tr> <tr> <td class="heading"> &nbsp; </td> <td colspan="3"><input type="button" id="btnSubmit" style="width:150px;" value="Submit request" onClick="javascript:requestCard();"/></td> </tr> </table> </form> <br/><br/> </td> <td class="bgV"></td> </tr> <tr> <td class="bg3"></td> <td class="bgH"></td> <td class="bg4"></td> </tr> </table> </td> </tr> </table> </td> <td id="rightEdge" class="rightEdgeC"/> </tr> <tr> <td id="menuBottom" class="menuBottomC"/> <td id="contentBottom" class="contentBottomC"/> <td id="contentCorner" class="contentCornerC"/> </tr> </table> </body> </html>