ÿþ<?php require_once('./includes.php'); require_once('./layout.php'); ?> <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> <HTML><HEAD> <link rel="stylesheet" href="style.css" type="text/css" /> <META http-equiv=Content-Type content="text/html; charset=windows-1252"> <META content="MSHTML 6.00.2600.0" name=GENERATOR><title>IQLogo - The Intelligent Choice</title></HEAD> <BODY leftMargin=0 topMargin=0 marginheight="0" marginwidth="0"> <TABLE cellSpacing=0 cellPadding=0 width="100%" border=0> <TBODY> <TR> <TD width=760> <TABLE cellSpacing=0 cellPadding=0 width=760 border=0> <TBODY> <TR> <TD background=https://www.iqlogo.com/images/bg.gif colSpan=4 height="342"> <TABLE cellSpacing=0 cellPadding=0 width=760 border=0> <TBODY> <TR> <TD width="760" height="105" valign="top"><font size="2" face="Arial, Helvetica, sans-serif"><IMG height=105 alt="" src="https://www.iqlogo.com/images/logo.jpg" width=209><IMG height=105 alt="" src="https://www.iqlogo.com/images/h2.jpg" width=120><IMG height=105 alt="" src="https://www.iqlogo.com/images/h3_real.gif" width=429 usemap="#Map2" border="0"></font></TD> </TR> <TR> <TD height="237"> <TABLE height=237 cellSpacing=0 cellPadding=0 width=760 border=0> <TBODY> <TR> <TD width=32 rowSpan=2><font size="2" face="Arial, Helvetica, sans-serif"><IMG height=237 alt="" src="https://www.iqlogo.com/images/Site-Design_05.jpg" width=32 usemap="#Map3" border="0"></font></TD> <TD width=336 rowSpan=2> <TABLE cellSpacing=0 cellPadding=0 width=336 border=0> <TBODY> <TR> <TD width=336><font size="2" face="Arial, Helvetica, sans-serif"><IMG height=184 alt="" src="https://www.iqlogo.com/images/h4.jpg" width=336></font></TD> </TR> <TR> <TD><font size="2" face="Arial, Helvetica, sans-serif"><IMG height=53 alt="" src="https://www.iqlogo.com/images/h6.jpg" width=336></font></TD> </TR> </TBODY> </TABLE></TD> <TD width=122><font size="2" face="Arial, Helvetica, sans-serif"><img height=197 alt="" src="https://www.iqlogo.com/images/h5.jpg" width=122></font></TD> <TD width=270><font size="2" face="Arial, Helvetica, sans-serif"><IMG height=197 alt="" src="https://www.iqlogo.com/images/tabs.gif" width=269 usemap="#Map" border="0" href="#"></font></TD> </TR> <TR> <TD background=https://www.iqlogo.com/images/spacer1.gif colSpan=2><font size="2" face="Arial, Helvetica, sans-serif"><IMG height=40 alt="" src="https://www.iqlogo.com/headline%20text%20images/placeholder.jpg" width=384></font></TD> </TR> </TBODY> </TABLE></TD> </TR> </TBODY> </TABLE></TD> </TR> <TR> <TD height="10" width=11></TD> <TD width=730></TD> <TD width=11></TD> <TD width=8 background=https://www.iqlogo.com/images/spacer1.gif rowSpan=4>&nbsp;</TD> </TR> <TR> <TD height="665"></TD> <TD vAlign=top> <div align="center"> <p><font size="3" face="Arial, Helvetica, sans-serif"><strong>SECURE ORDER FORM</strong></font></p> <p> <form name="OrderForm" method="post" action="https://www.iqlogo.com/receive_order.php"> <table width="619" border="0" align="center"> <tr> <td align="left"> <p align="left"><font size="2" face="Arial, Helvetica, sans-serif"><strong><img src="images/keys.gif" width="15" height="8">PRIVACY: </strong>IQLogo takes your privacy very seriously. We will not share your data with any third party. The details that you complete on this secure and encrypted order form are confidential.</font><font color="" size="2" face="Arial, Helvetica, sans-serif"> </font></p> <p align="left"><font size="2" face="Arial, Helvetica, sans-serif"><strong><img src="/images/lock.gif" width="14" height="15">SECURITY: </strong></font><font color="" size="2" face="Arial, Helvetica, sans-serif">Our highly secure payment processors, <a href="http://www.paypal.com" target="_blank">PayPal.com</a> and <a href="http://www.2checkout.com" target="_blank">2checkout.com</a> use the latest 128 bit SSL encryption to secure your data. </font><font size="2" face="Arial, Helvetica, sans-serif">IQLogo never sees your credit card details as we leave that to our secure payment processors insuring that you have a completely safe buying experience.</font><font color="" size="2" face="Arial, Helvetica, sans-serif"> </font></p> <p align="left"><font size="2" face="Arial, Helvetica, sans-serif"><strong><img src="images/payment.gif" width="15" height="14">PAYMENT:</strong> You will not be asked for any credit card information until you reach our secure payment processors website. We use two of the largest and most highly respected payment processors on the internet, 2checkout.com and Paypal to insure your buying experience is completely safe and secure.</font></p> <p align="center"><img src="https://www.iqlogo.com/images/paypal.jpg" width="245" height="42"></p> <p align="left"><font color="" size="2" face="Arial, Helvetica, sans-serif"> <strong><img src="images/project.gif" width="15" height="15">PROJECT INFORMATION:</strong> Please give us as much detail as possible. This will make the design process more effective. </font></p> <p align="left"><font size="2" face="Arial, Helvetica, sans-serif"><img src="images/files.gif" width="15" height="14"><strong>SUPPORTING FILES</strong></font><font color="" size="2" face="Arial, Helvetica, sans-serif"><strong>: </strong>Please </font><font size="2" face="Arial, Helvetica, sans-serif">email</font><font color="" size="2" face="Arial, Helvetica, sans-serif"> any supporting files you may have to <a href="mailto:info@iqlogo.com">info@iqlogo.com</a></font><font size="2" face="Arial, Helvetica, sans-serif">. You can also fax sketches or drawings etc to 001-718-923-0351.<br> </font></p> <p align="left"><font color="" size="2" face="Arial, Helvetica, sans-serif">Fields marked with a </font><font color="" face="Arial, Helvetica, sans-serif"><font color="#FF0000"><strong>*</strong></font></font><font color="" size="2" face="Arial, Helvetica, sans-serif"> are mandatory.</font></p> <P><font size="2" face="Arial, Helvetica, sans-serif"><STRONG><font color="">Contact Information:</font></STRONG></font></P> <table cellspacing="0" cellpadding="0"> <tr> <td width="170"><font color="#FF0000" size="2" face="Arial, Helvetica, sans-serif">*</font><font color="" size="2" face="Arial, Helvetica, sans-serif">First Name</font></td> <td><font color="" size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" size=40 name=firstname> </font></td> </tr> <tr> <td><font color="#FF0000" size="2" face="Arial, Helvetica, sans-serif">*</font><font color="" size="2" face="Arial, Helvetica, sans-serif">Last Name</font></td> <td><font color="" size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" size=40 name=lastname> </font></td> </tr> <tr> <td><font color="" size="2" face="Arial, Helvetica, sans-serif">Company Name</font></td> <td><font color="" size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" size=40 name=companyname> </font></td> </tr> <tr> <td><font color="" size="2" face="Arial, Helvetica, sans-serif">Job Title</font></td> <td><font color="" size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" size=40 name=jobname> </font></td> </tr> <tr> <td><font color="#FF0000" size="2" face="Arial, Helvetica, sans-serif">*</font><font color="" size="2" face="Arial, Helvetica, sans-serif">Phone</font></td> <td><font color="" size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" size=40 name=phonename> </font></td> </tr> <tr> <td><font color="#FF0000" size="2" face="Arial, Helvetica, sans-serif">*</font><font color="" size="2" face="Arial, Helvetica, sans-serif">E-mail<br> <br> </font></td> <td><font color="" size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" size=40 name=email> </font></td> </tr> <tr> <td><font size="2" face="Arial, Helvetica, sans-serif">Web site</font><font color="" size="2" face="Arial, Helvetica, sans-serif"> address</font></td> <td><font color="" size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" type="text" name="webname" value="http://" size="40"> </font></td> </tr> </table> <p><font color="" size="2" face="Arial, Helvetica, sans-serif">&nbsp;<br> <STRONG>Project Information:<br> &nbsp;<br> </STRONG>Briefly describe your company and what it does:<br> &nbsp;<br> <TEXTAREA style="background-color: #F0F8FF; border-style: groove" cols="60" rows="3" name="companydescribe"></textarea> <br> &nbsp;<br> &nbsp;<br> Briefly describe your target audience:<br> &nbsp;<br> <TEXTAREA style="background-color: #F0F8FF; border-style: groove" cols="60" rows="3" name="targetaudience"></textarea> <br> &nbsp;<br> &nbsp;<br> You want to have:<br> &nbsp;<br> <INPUT style="background-color: #F0F8FF; border-style: groove" type="radio" name="wantmake" value="newcompany"> logo for a new company<br> <INPUT style="background-color: #F0F8FF; border-style: groove" type="radio" name="wantmake" value="newlogo"> new logo for an existing company<br> <INPUT style="background-color: #F0F8FF; border-style: groove" type="radio" name="wantmake" value="product"> product/service/event logo<br> <INPUT style="background-color: #F0F8FF; border-style: groove" type="radio" name="wantmake" value="other"> other (please describe below)<br> <br> <INPUT style="background-color: #F0F8FF; border-style: groove" type="text" name="wantmakeother" size="70"> <br> &nbsp;<br> &nbsp;<br> If you know a logo that you like, please provide the exact web address below:<br> &nbsp;<br> <INPUT style="background-color: #F0F8FF; border-style: groove" type="text" name="likelogoaddress" value="http://" size="70"> <br> &nbsp;<br> &nbsp;<br> You want your logo to include:<br> &nbsp;<br> <INPUT style="background-color: #F0F8FF; border-style: groove" type="radio" name="wantinclude" value="name"> name only<br> <INPUT style="background-color: #F0F8FF; border-style: groove" type="radio" name="wantinclude" value="namegraphics"> both name and graphics<br> <INPUT style="background-color: #F0F8FF; border-style: groove" type="radio" name="wantinclude" value="graphics"> graphics only - just a picture without a name<br> <INPUT style="background-color: #F0F8FF; border-style: groove" type="radio" name="wantinclude" value="dunno"> don't know<br> &nbsp;<br> &nbsp;<br> <font color="#FF0000">*</font>Exact name or abbreviation to be on the logo. (if just a graphic without company name type NONE)<br> &nbsp;<br> <INPUT style="background-color: #F0F8FF; border-style: groove" type="text" name="logotext" size="70"> <br> &nbsp;<br> &nbsp;<br> Please pick a style for your logo (check all that apply):</font></p> <table cellspacing="0" cellpadding="0"> <tr> <td><font color="" size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" type="checkbox" name="hitecstyle"> High Tech</font></td> <td><font color="" size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" type="checkbox" name="contemporarystyle"> Contemporary</font></td> <td><font color="" size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" type="checkbox" name="antiquestyle"> Antique</font></td> </tr> <tr> <td><font color="" size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" type="checkbox" name="formalstyle"> Formal/Corporate</font></td> <td><font color="" size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" type="checkbox" name="casualstyle"> Casual</font></td> <td><font color="" size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" type="checkbox" name="industrialstyle"> Industrial</font></td> </tr> <tr> <td><font color="" size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" type="checkbox" name="artsystyle"> Artsy</font></td> <td><font color="" size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" type="checkbox" name="medicalstyle"> Medical</font></td> <td><font color="" size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" type="checkbox" name="kidsstyle"> Kids</font></td> </tr> <tr> <td><font color="" size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" type="checkbox" name="dunnostyle"> I don't know</font></td> <td><font color="" size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" type="checkbox" name="otherstyle"> Other (please specify below)</font></td> <td></td> </tr> </table> <font color="" size="2" face="Arial, Helvetica, sans-serif"> <br> <INPUT style="background-color: #F0F8FF; border-style: groove" type="text" name="otherstyledescription" size="70"> <br> &nbsp;<br> &nbsp;<br> IMPORTANT: How many colors should the logo have? <br><br>Please pay particular attention to this question as there are cost implications for printing based on the choice you make. For 1, 2, 3 and 4 color logo design work we use Pantone spot color. For all illustrations we use unlimited CMYK process color (the unlimited color option below) which can be expensive to print. If you want an illustration style design and you also want stationery design you may find that the cost of printing the logo is very expensive for say envelopes. If we need to convert your design to 1, 2, 3 or 4 color spot color later on because you have not considered the printing implications there will be additional charges based on the design. If in doubt check with your local printer before ordering.<br> &nbsp;</font> <table cellspacing="0" cellpadding="0"> <tr> <td><font color="" size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" type="radio" name="colors" value="1"> Maximum of 1</font></td> <td><font color="" size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" type="radio" name="colors" value="2"> Maximum of 2</font></td> </tr> <tr> <td><font color="" size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" type="radio" name="colors" value="3"> Maximum of 3</font></td> <td><font color="" size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" type="radio" name="colors" value="4"> Maximum of 4</font></td> </tr> <tr> <td><font color="" size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" type="radio" name="colors" value="unlimited"> unlimited colors (used for illustrations)&nbsp;</font></td> </tr> </table> <p> <font color="" size="2" face="Arial, Helvetica, sans-serif"> &nbsp;<br> Company colors or desired colors:<br> &nbsp;<br> <INPUT style="background-color: #F0F8FF; border-style: groove" type="text" name="companycolors" size="70"> <br> &nbsp;<br> &nbsp;<br> Any special font requirements:<br> &nbsp;<br> <INPUT style="background-color: #F0F8FF; border-style: groove" type="text" name="fontrequirements" size="70"> <br> &nbsp;<br> &nbsp;<br> Would you like to include a tagline/slogan?<br> &nbsp;<br> <INPUT style="background-color: #F0F8FF; border-style: groove" type="radio" name="sloganinclude" value="yes"> yes<br> <INPUT style="background-color: #F0F8FF; border-style: groove" type="radio" name="sloganinclude" value="no"> no<br> <INPUT style="background-color: #F0F8FF; border-style: groove" type="radio" name="sloganinclude" value="maybe"> maybe<br> &nbsp;<br> &nbsp;<br> Tagline/slogan text:<br> &nbsp;<br> <INPUT style="background-color: #F0F8FF; border-style: groove" type="text" name="slogan" size="70"> <br> &nbsp;<br> &nbsp;<br> Where do you plan to use your logo?<br> &nbsp;<br> <INPUT style="background-color: #F0F8FF; border-style: groove" type="checkbox" name="internetuse"> internet usage<br> <INPUT style="background-color: #F0F8FF; border-style: groove" type="checkbox" name="printuse"> print usage<br> <INPUT style="background-color: #F0F8FF; border-style: groove" type="checkbox" name="otheruse"> both/other<br> &nbsp;<br> &nbsp;<br> Please state your creative strategy (pointers or ideas for the logo):<br> &nbsp;<br> <TEXTAREA style="background-color: #F0F8FF; border-style: groove" cols="53" rows="3" name="creativestrategy"></textarea> <br> &nbsp;&nbsp;<br> &nbsp;<br> Any other information:<br> &nbsp;<br> <TEXTAREA style="background-color: #F0F8FF; border-style: groove" cols="53" rows="3" name="otherinfo"></textarea> <br> &nbsp;</font> </tr> <tr> <td align="left" style="text-align: Justify" valign="top" class="offer"> <hr color="#72C872" size="1"> </td> </tr> <tr> <td align="left" style="text-align: Justify" valign="top" class="offer"> <div align="center"><font size="2" face="Arial, Helvetica, sans-serif"><b> <font color=""> <font color="#FF0000">***</font></font>Corporate Inclusive Plan Details<font color=""><font color="#000066"><font color="#FF0000">***</font></font> </font></b></font><b><font color=""> <hr color="#72C872" size="1"> </font></b></div></td> </tr> <tr> <td align="left" valign="top" style="text-align: Justify"> <p><font color="" size="2" face="Arial, Helvetica, sans-serif">Please select <strong>YES</strong> or <strong>NO </strong>if you have </font><font size="2" face="Arial, Helvetica, sans-serif">selected</font><font color="" size="2" face="Arial, Helvetica, sans-serif"> the Corpo</font><font size="2" face="Arial, Helvetica, sans-serif">rate Inclusive Plan</font><font color="" size="2" face="Arial, Helvetica, sans-serif"> (Logo </font><font size="2" face="Arial, Helvetica, sans-serif">+ Stationery Design)</font><font color="" size="2" face="Arial, Helvetica, sans-serif"><b><br> &nbsp; <br> <select style="background-color: #F0F8FF; border-style: groove" name="special"> <option value="Default is NO" selected>Default is NO</option> <option value="YES">YES</option> <option value="NO">NO</option> </select> <br> &nbsp;&nbsp; </b></font></p></td> </tr> <tr> <td align="left" valign="top" style="text-align: Justify"><font color="" size="2" face="Arial, Helvetica, sans-serif">This section only needs to be completed if you said <b>YES</b> to the <font color="#FF0000"><b>Corporate Inclusive Plan</b></font></font> <font color="" size="2" face="Arial, Helvetica, sans-serif">above. This information will allow us to prepare your letterhead, envelope (size 10) and business card choices (You may provide details for </font><font size="2" face="Arial, Helvetica, sans-serif">5 business cards</font><font color="" size="2" face="Arial, Helvetica, sans-serif">). We will not share this information with any other company.<br> </font></td> </tr> <tr> <td align="left" valign="top" style="text-align: Justify"> <font size="2" face="Arial, Helvetica, sans-serif"> Address Line 1 </font><font color="" size="2" face="Arial, Helvetica, sans-serif"><b><br> &nbsp; <br> <input style="background-color: #F0F8FF; border-style: groove" type="text" name="Address1" size="60" maxlength="60"> <br> &nbsp; </b></font></td> </tr> <tr> <td align="left" valign="top" style="text-align: Justify"> <font color="" size="2" face="Arial, Helvetica, sans-serif"> Address Line 2 <b><br> &nbsp; <br> <input style="background-color: #F0F8FF; border-style: groove" type="text" name="Address2" size="60" maxlength="60"> <br> &nbsp; </b></font></td> </tr> <tr> <td align="left" valign="top" style="text-align: Justify"> <font color="" size="2" face="Arial, Helvetica, sans-serif"> Address Line 3 <b><br> &nbsp; <br> <input style="background-color: #F0F8FF; border-style: groove" type="text" name="Address3" size="60" maxlength="60"> <br> &nbsp; </b></font></td> </tr> <tr> <td align="left" valign="top" style="text-align: Justify"> <font color="" size="2" face="Arial, Helvetica, sans-serif"> Address Line 4 <b><br> &nbsp;<br> <input style="background-color: #F0F8FF; border-style: groove" type="text" name="Address4" size="60" maxlength="60"> <br> &nbsp; </b></font></td> </tr> <tr> <td align="left" valign="top" style="text-align: Justify"> <font color="" size="2" face="Arial, Helvetica, sans-serif"> Zip Code/Post Code <b><br> &nbsp; <br> <input style="background-color: #F0F8FF; border-style: groove" type="text" name="Zip" size="30" maxlength="60"> <br> &nbsp; </b></font></td> </tr> <tr> <td align="left" valign="top" style="text-align: Justify"> <font color="" size="2" face="Arial, Helvetica, sans-serif"> Telephone No <b><br> &nbsp; <br> <input style="background-color: #F0F8FF; border-style: groove" type="text" name="Telephone" size="40" maxlength="60"> <br> &nbsp; </b> </font></td> </tr> <tr> <td align="left" valign="top" style="text-align: Justify"> <font color="" size="2" face="Arial, Helvetica, sans-serif"> Fax No <b><br> &nbsp; <br> <input style="background-color: #F0F8FF; border-style: groove" type="text" name="Fax" size="40" maxlength="60"> <br> &nbsp; </b> </font></td> </tr> <tr> <td align="left" valign="top" style="text-align: Justify"><font color="" size="2" face="Arial, Helvetica, sans-serif">Name on Business Card (Leave blank if no name) i.e John Smith.<b> NOTE: </b>If more than 1 name then please use the &quot;Any Other Information:&quot; box above to list the card details.<b><br> &nbsp; <br> <input style="background-color: #F0F8FF; border-style: groove" type="text" name="Bcardname" size="45" maxlength="500"> <br> &nbsp; </b></font></td> </tr> <tr> <td align="left" valign="top" style="text-align: Justify"> <font color="" size="2" face="Arial, Helvetica, sans-serif"> Title on Business Card (Leave blank if no Title) i.e Owner. <b> NOTE: </b>If more than 1 name then please use the &quot;Any Other Information:&quot; box above to list the card details.<b><br> &nbsp; <br> <input style="background-color: #F0F8FF; border-style: groove" type="text" name="Bcardtitle" size="45" maxlength="60"> <br> &nbsp; </b></font></td> </tr> <tr> <td align="left" valign="top" style="text-align: Justify"> <font color="" size="2" face="Arial, Helvetica, sans-serif"> Email Address Used on Letterhead (Leave blank if not required)<b>. <br> &nbsp; <br> <input style="background-color: #F0F8FF; border-style: groove" type="text" name="emailletter" size="40" maxlength="60"> </b></font></td> </tr> <tr> <td align="left" valign="top" style="text-align: Justify"> <font color="" size="2" face="Arial, Helvetica, sans-serif"> Email Address on Business Card (Leave blank if not required)<b>. NOTE: </b>If more than 1 name then please use the &quot;Any Other Information:&quot; box above to list the card details.<b><br> &nbsp; <br> <input style="background-color: #F0F8FF; border-style: groove" type="text" name="emailbcard" size="40" maxlength="60"> <br> &nbsp; </b></font></td> </tr> <tr> <td align="left" valign="top" style="text-align: Justify"> <font size="2" face="Arial, Helvetica, sans-serif"> Web site Address on Business Card (Leave blank if not required)</font><font color="" size="2" face="Arial, Helvetica, sans-serif"><b><br> &nbsp; <br> <input style="background-color: #F0F8FF; border-style: groove" type="text" name="web_bc" size="40" maxlength="60"> <br> &nbsp; </b></font></td> </tr> <tr> <td align="left" valign="top" style="text-align: Justify"> <font size="2" face="Arial, Helvetica, sans-serif">Web site</font><font color="" size="2" face="Arial, Helvetica, sans-serif"> Address on Letterhead (Leave blank if not required)<b><br> &nbsp; <br> <input style="background-color: #F0F8FF; border-style: groove" type="text" name="web_lh" size="40" maxlength="60"> <br> &nbsp; </b></font></td> </tr> <tr> <td align="left" valign="top" style="text-align: Justify"> <font color="" size="2" face="Arial, Helvetica, sans-serif"> Cell Phone Number on Business Card (Leave blank if not required)<b>. NOTE: </b>If more than 1 name then please use the &quot;Any Other Information:&quot; box above to list the card details.<b><br> &nbsp; <br> <input style="background-color: #F0F8FF; border-style: groove" type="text" name="Cell" size="40" maxlength="60"> <br> &nbsp; </b></font><font size="2" face="Arial, Helvetica, sans-serif">&nbsp; </font></td> </tr> <tr> <td align="left"> <hr color="#72C872" size="1"> <font size="2" face="Arial, Helvetica, sans-serif">Please proceed to the payment choices section by pressing the button below. </font> </tr> <tr> <td align="left">&nbsp; </tr> <tr> <td align="center"> <font size="2" face="Arial, Helvetica, sans-serif"> <INPUT style="background-color: #F0F8FF; border-style: groove" type="submit" value="Proceed to payment" name="submit"> &nbsp;&nbsp;&nbsp;&nbsp; <INPUT style="background-color: #F0F8FF; border-style: groove" type="reset" value="Reset form" name="reset"> </font> <hr color="#72C872" size="1"> </tr> <tr> <td align="left">&nbsp; </tr> </table> </form> <font size="2" face="Arial, Helvetica, sans-serif"></p> </font></div></TD> <TD></TD> </TR> <TR> <TD height="12"></TD> <TD></TD> <TD></TD> </TR> <TR> <TD colSpan=3 height="120"> <TABLE cellSpacing=0 cellPadding=0 width=752 border=0> <TBODY> <TR> <TD> <DIV align=center><font size="2" face="Arial, Helvetica, sans-serif"><IMG src="https://www.iqlogo.com/images/special_plan.gif" alt="" width=221 height=120 border="0" usemap="#Map4"></font></DIV></TD> <TD> <DIV align=center><font size="2" face="Arial, Helvetica, sans-serif"><IMG src="https://www.iqlogo.com/images/inclusive_plan.gif" alt="" width=220 height=120 border="0" usemap="#Map5"></font></DIV></TD> <TD> <DIV align=center><font size="2" face="Arial, Helvetica, sans-serif"><IMG src="https://www.iqlogo.com/images/hourly_plan.gif" alt="" width=220 height=119 border="0" usemap="#Map6"></font></DIV></TD> </TR> </TBODY> </TABLE></TD> </TR> <TR> <TD align=right colSpan=4 height="15"><font size="2" face="Arial, Helvetica, sans-serif"><IMG height=15 alt="" src="https://www.iqlogo.com/images/corner.jpg" width=21></font></TD> </TR> <TR> <TD colSpan=4 height="59"> <TABLE cellSpacing=0 cellPadding=0 width=760 border=0> <TBODY> <TR> <TD height="1" width="88"></TD> <TD width="574"></TD> <TD rowSpan=4 width="98"><font size="2" face="Arial, Helvetica, sans-serif"><IMG height=59 alt="" src="https://www.iqlogo.com/images/bottom_right.jpg" width=98></font></TD> </TR> <TR> <TD valign="top" rowSpan=3><font size="2" face="Arial, Helvetica, sans-serif"><IMG height=58 alt="" src="https://www.iqlogo.com/images/bottom_left.jpg" width=88></font></TD> <TD height="1"></TD> </TR> <TR> <TD height="37" valign="top"> <div align="center"> <font size="2" face="Arial, Helvetica, sans-serif"><b>&copy; 2003 IQLogo. 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