Nextel Repair

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#006699" TEXT="#080000" background="13cfd5a3.jpg"> <div> <B>GATEWAYPOWER COMMUNICATIONS</B></div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFCC66" TEXT="#080000" background="13dd2b03.jpg"> <bR> <div>  <a href="store_locations.htm" target="_top" csb-linktype="CSBPage"><img src="HTMLobj-2339/o.jpg" alt="store locations" border="0" align="bottom" csb-maintain-proportions="1" width="150" height="30" csb-button="Candy-Green" csb-font="" csb-font-bold="False" csb-font-italic="False" csb-font-strikethrough="False" csb-font-underline="False" csb-font-size="8" csb-font-color-o="0" csb-font-color-h="11468718" csb-font-color-p="4259584" csb-font-horiz="Center" csb-font-verti="Center" csb-font-left="0" csb-font-top="0" csb-img-hover="1" csb-img-press="1" csb-img-preload="0" csb-img-backcolor="16777215" 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csb-font-color-o="0" csb-font-color-h="11468718" csb-font-color-p="4259584" csb-font-horiz="Center" csb-font-verti="Center" csb-font-left="0" csb-font-top="0" csb-img-hover="1" csb-img-press="1" csb-img-preload="0" csb-img-backcolor="16777215" onmouseout="javascript:this.src='HTMLobj-2344/o.jpg'" onmouseover="javascript:this.src='HTMLobj-2344/h.jpg'" onmouseup="javascript:this.src='HTMLobj-2344/h.jpg'" onmousedown="javascript:this.src='HTMLobj-2344/p.jpg'"></a>  </div> <div>  <a href="contact_us.htm" target="_top" csb-linktype="CSBPage"><img src="HTMLobj-2345/o.jpg" alt="Contact Us" border="0" align="bottom" csb-maintain-proportions="1" width="150" height="30" csb-button="Candy-Green" csb-font="" csb-font-bold="False" csb-font-italic="False" csb-font-strikethrough="False" csb-font-underline="False" csb-font-size="8" csb-font-color-o="0" csb-font-color-h="11468718" csb-font-color-p="4259584" csb-font-horiz="Center" csb-font-verti="Center" csb-font-left="0" csb-font-top="0" 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</div> <div> <B> <a href="https://email.secureserver.net/login.php" target="_top" csb-linktype="URL"><img src="HTMLobj-2348/o.jpg" alt="Employee Email" border="0" align="bottom" csb-maintain-proportions="1" width="110" height="22" csb-button="Candyround-Yellow" csb-font="" csb-font-bold="False" csb-font-italic="False" csb-font-strikethrough="False" csb-font-underline="False" csb-font-size="8" csb-font-color-o="0" csb-font-color-h="0" csb-font-color-p="0" csb-font-horiz="Center" csb-font-verti="Center" csb-font-left="0" csb-font-top="0" csb-img-hover="1" csb-img-press="1" csb-img-preload="0" csb-img-backcolor="8160842" onmouseout="javascript:this.src='HTMLobj-2348/o.jpg'" onmouseover="javascript:this.src='HTMLobj-2348/h.jpg'" onmouseup="javascript:this.src='HTMLobj-2348/h.jpg'" onmousedown="javascript:this.src='HTMLobj-2348/p.jpg'"></a>  </B></div> </td> <td valign="top" height=390 width="100%" BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <U><IMG SRC="19581470.gif" border=0 width="129" height="71" ALIGN="LEFT" HSPACE="0" VSPACE="0">Nextel Repair</U></div> <bR> <bR> <bR> <div> <U> <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="firstName,lastName,email,company,address1,address2,city,state,zip,cell Phone Number,model phone,Other Model,Insurance on Phone,Insurance on Phone,Problem or Concerns"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank You! Your submission has been sent."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="Gatewaypower Repair Form"><input type="hidden" name="tlx_EmailTo" value="service@gatewaypower.com"> <table cellpadding="5" cellspacing="1" border="0" align="center"> <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">Email: <br> <input type="text" name="email" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Company: <br> <input type="text" name="company" 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="10" maxlength="10"> </td> </tr> <tr> <td align="left">cell Phone Number: <br> <input type="text" name="cell Phone Number" size="14" maxlength="14"> </td> </tr> <tr> <td align="left">model phone: <br> <select name="model phone"> <option value="[select model]">[select model]</option><option value="I58">I58</option><option value="I60">I60</option><option value="I90">I90</option><option value="I530">I530</option><option value="[ Other- type in model below ]">[ Other- type in model below ]</option> </select> </td> </tr> <tr> <td align="left">Other Model: <br> <input type="text" name="Other Model" size="10" maxlength="100"> </td> </tr> <tr> <td align="left">Insurance on Phone: <br> <input type="radio" value="Yes" name="Insurance on Phone">Yes<br></input><input type="radio" value="No" name="Insurance on Phone">No<br></input> </td> </tr> <tr> <td align="left">Problem or Concerns: <br> <textarea name="Problem or Concerns" rows="5" cols="50"></textarea> </td> </tr> <tr> <td align="right"> <input type="reset"> <input type="submit" value="Send" name="tlx_send"> </td> </tr> </table> </form>  </U></div> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <DIV ALIGN="LEFT"></DIV> <div> <I>Questions or problems regarding this web site should be directed to Gateway Power Communications.</I></div> <div> <I>Copyright © 2005 Gateway Power Communications. All rights reserved.</I></div> <bR> <bR> </td> </tr></table></body>