/*--- Avanquest WebEasy Custom Script ---*/

<form method="post" name="myform" action="tipsheetproc.php">  
<p>* GET A FREE TIP SHEET *</p> 
<div class="attention">Gayle's 10 Secrets for Attracting Love</div><br> 
<p>Practical advice about what worked for Gayle to attract new love at age 50!</p> 
<p>Your Name: <input type="text" name="nameSubmitted" value="" maxlength="35" size="35"></p> 
<p>Your E-mail Address: <input type="text" name="emailSubmitted" value="" maxlength="35" size="35"></p> 
<center><input type="submit" value="Submit"  onmouseover="this.className='submitbuttonon'" onmouseout="this.className='submitbutton'" class="submitbutton"> 
</center> 
<input type="hidden" name="verify" value="trueblue"> 
</form>

/*--- EndOfFile ---*/

