ÿþ<html><head><script src="http://SuccessPub.com/pb/steelblue.js"></script></head><BODY BGCOLOR="#7AA9CB" TEXT="#000000" LINK="#b0160c" ALINK="#b0160c" VLINK="#b0160c" background="bg3.jpg" MARGINWIDTH="0" MARGINHEIGHT="0" LEFTMARGIN="0" TOPMARGIN="0"><table border=0 width=100% cellspacing=0 cellpadding=10><tr><td><left><font face="Times New Roman" size="6" color="#b0160c"><u><b>Info Page</u></b></font></left><BR><BR><BR><BR><FORM METHOD="POST"ACTION="http://www.comfortfuture.co.nz/cgi-bin/cgiemail/info_template.txt"><table border=0 width=100% cellspacing=0 cellpadding=0> <tr> <td> Your email address: </td> <td> <INPUT NAME="email" size=40> </td> </tr> <tr> <td> <br> </td> </tr> <tr> <td> First Name: </td> <td> <INPUT NAME="firstname" size=20> </td> </tr> <tr> <td> Last Name: </td> <td> <INPUT NAME="lastname" size=20> </td> </tr> <tr> <td> Address: </td> <td> <INPUT NAME="address1" size=30> </td> </tr> <tr> <td> </td> <td> <INPUT NAME="address2" size=30> </td> </tr> <tr> <td> </td> <td> <INPUT NAME="address3" size=30> </td> </tr> <tr> <td> Phone: </td> <td> <select name="areaCodePhone"> <option>03</option> <option>04</option> <option>05</option> <option>06</option> <option>07</option> <option>08</option> <option>09</option> <option>N/A</option> </select> <INPUT NAME="phone" size=20> </td> </tr> <tr> <td> Fax: </td> <td> <select name="areaCodeFax"> <option>03</option> <option>04</option> <option>05</option> <option>06</option> <option>07</option> <option>08</option> <option>09</option> <option>N/A</option> </select> <INPUT NAME="fax" size=20> </td> </tr> <tr> <td> <br> </td> </tr> <tr> <td COLSPAN=2> <input type="checkbox" name="can_call">I give Comfort Future permission to contact me by phone, fax or email </td> </tr></table><BR><BR>What is the subject of your query?<BR><BR><input type="radio" name="subject" value="Computer and Network Services"> Computer and Network Services<BR><input type="radio" name="subject" value="Backup and Digital Solutions"> Backup and Digital Solutions<BR><input type="radio" name="subject" value="Document Storage and Printing Services"> Document Storage and Printing Solutions<BR><input type="radio" name="subject" value="Computer and Data Removal"> Computer and Data Removal<BR><input type="radio" name="subject" value="Other"> Other<BR><BR>Please enter your message or comments here:<BR><TEXTAREA NAME="comments"COLS=55 ROWS=10></TEXTAREA> <BR><INPUT TYPE="submit" value="Send e-mail"> <BR> <BR></table><BR><BR><BR><BR><I>Comfort Future will not disclose any personal information to third parties</I><BR><CENTER><hr color="#2975AD"><center><font size=4>© Copyright 2005- 2008, Comfort Future Limited. All rights reserved.<br><br>Phone: 03 310 6084<br>Fax: 03 310 6054<br></font></center></CENTER></td></tr></table></body></html><BR><BR><BR><a href="http://www.tkqlhce.com/hb66dlurlt8AHGCAIA8A9CFECFI" target="_blank" onmouseover="window.status='http://www.netobjects.com';return true;" onmouseout="window.status=' ';return true;">New Release! NetObjects Fusion 10!</a> <img src="http://www.tqlkg.com/sf105h48x20MOVUQOWOMONQTSQTW" width="1" height="1" border="0"/></body></html><BR><BR>