form

<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="#FFFFFF" TEXT="#080000" background="343b85a3.jpg"> <div> <A HREF="index.htm" TARGET="_top" TITLE=" SOMA"><B>home</B></A><B>     | </B><B> </B><B> </B><B>  </B><FONT SIZE="5" COLOR="#111111" FACE="Arial" ><B>        SOMA</B></FONT></div> <DIV ALIGN="LEFT"></DIV> <div> <A HREF="ourproducts.htm" TARGET="_top" TITLE="Our Product Range "><B>Our Product Range </B></A><B>   |   </B><A HREF="contact_.htm" TARGET="_top" TITLE="Contact Us"><B>Contact Us</B></A><B>   |   </B><A HREF="news.htm" TARGET="_top" TITLE="News"><B>News</B></A><B>   |   </B><A HREF="links.htm" TARGET="_top" TITLE="Links"><B>Links</B></A></div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFFFFF" TEXT="#080000" background="344d2b83.jpg"> <div> soma </div> </td> <td valign="top" height=390 width="100%" BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>form</I></div> <div>  <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,phone,mailingList,comments"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for your time. We will be in touch."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A request form was submitted"><input type="hidden" name="tlx_EmailTo" value="sales@somacork.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">Phone Number: <br> <input type="text" name="phone" size="14" maxlength="14"> </td> </tr> <tr> <td> <input type="checkbox" name="mailingList" value="yes"> Add me to your mailing list</td> </tr> <tr> <td align="left">Comments: <br> <textarea name="comments" rows="5" cols="30"></textarea> </td> </tr> <tr> <td align="right"> <input type="reset"> <input type="submit" value="Send" name="tlx_send"> </td> </tr> </table> </form>  </div> </td> </tr></table></body>