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<!-- Locale=en_US -->
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  <!-- BOF: ./personal-templates/simple/business/layout/l67.wait -->

 
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<HTML>

<HEAD>


<META NAME="description" CONTENT="Glenview Area Historical Society">
<META NAME="Keywords"    CONTENT="Glenview, Historical, history, Society, Hibbard, Hutchings, ">


<!-- business -->


<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=UTF-8">
<META NAME="Generator" content="">
<!-- BOF: ./personal-templates/simple/themes.show -->


<!-- EOF: ./personal-templates/simple/themes.show -->


<!--<BASE HREF="http://proteus.meccahosting.com/~a0004877/form.html">-->
<TITLE>Membership Form</TITLE></head>
<BODY  BGCOLOR="#FFFFFF"
 TEXT="#333333"

LEFTMARGIN="0" TOPMARGIN="0" RIGHTMARGIN="0" BOTTOMMARGIN="0"

 onLoad=""
 
 LINK="#6D1C8B"
 VLINK="#006605"
 ALINK="#99F79D"
>

  
      <!-- BOF: ./personal-templates/simple/business/layout/l67.layout --> 

<!-- html -->
<TABLE WIDTH="100%" height="100%" BORDER=0 CELLPADDING=0 CELLSPACING=0 valign="top" bgcolor="#7D9C83" background="widgets/gen_131.1.gif">
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      <td align="center" height="100%" valign="top">
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                         <TABLE width="100%" BORDER=0 CELLPADDING=0 CELLSPACING=0 valign="top">
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                             <td rowspan="2" bgcolor="#EFEEEE">
                             <TABLE width="100%" BORDER=0 CELLPADDING=0 CELLSPACING=0 valign="top">
                             <tr><td>
                             <img src="http://proteus.meccahosting.com/~a0004877/images/histhome2.jpg" border="0"></td></tr></table>
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                             <TD width="100%" valign="top"><img src="widgets/gen_136.1.gif" border=0 height=31 alt=""><br><img src="widgets/gen_33.1.gif" border=0 height=19 alt=""><br><img src="widgets/spacer.gif" height=5 width=3 alt=""></td></tr>
                          
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                   <td rowspan="4" width="3" bgcolor="#AF62BB"><img src="widgets/spacer.gif" height=1 width=3 alt=""></td>
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               <tr>
                   <td height="20" bgcolor="#3C6644" align="right">
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                            <td align="right" background="widgets/gen_135.1.gif"><img src="widgets/spacer.gif" height=1 width=20 alt=""></td>
                      </table>
                   </td>
               </tr>
               <tr>
                   <td valign="top" height="100%">
                        <TABLE width="760" height="100%" BORDER=0 CELLPADDING=0 CELLSPACING=0 valign="top" bgcolor="#FFFFFF">
                          <tr>
                            <td valign="top">
                                            <a href="index.html" onMouseOver="document.images['img6'].src='widgets/gen_139.1.gif'" onMouseOut="document.images['img6'].src='widgets/gen_138.1.gif'"><img src="widgets/gen_138.1.gif" alt="Welcome" name="img6" border="0"></a><br>
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                                            <a href="about2.html" onMouseOver="document.images['img25'].src='widgets/gen_143.1.gif'" onMouseOut="document.images['img25'].src='widgets/gen_142.1.gif'"><img src="widgets/gen_142.1.gif" alt="History of Glenview" name="img25" border="0"></a><br>
                                            <a href="news.html" onMouseOver="document.images['img73'].src='widgets/gen_157.1.gif'" onMouseOut="document.images['img73'].src='widgets/gen_156.1.gif'"><img src="widgets/gen_156.1.gif" alt="News" name="img73" border="0"></a><br>
                                            <a href="directions.html" onMouseOver="document.images['img26'].src='widgets/gen_145.1.gif'" onMouseOut="document.images['img26'].src='widgets/gen_144.1.gif'"><img src="widgets/gen_144.1.gif" alt="Directions" name="img26" border="0"></a><br>
                                            <a href="about1.html" onMouseOver="document.images['img23'].src='widgets/gen_147.1.gif'" onMouseOut="document.images['img23'].src='widgets/gen_146.1.gif'"><img src="widgets/gen_146.1.gif" alt="Membership" name="img23" border="0"></a><br>
                                            <a href="form.html" onMouseOver="document.images['img33'].src='widgets/gen_149.1.gif'" onMouseOut="document.images['img33'].src='widgets/gen_148.1.gif'"><img src="widgets/gen_148.1.gif" alt="Join Now" name="img33" border="0"></a><br>
                                            <a href="gpage.html" onMouseOver="document.images['img49'].src='widgets/gen_151.1.gif'" onMouseOut="document.images['img49'].src='widgets/gen_150.1.gif'"><img src="widgets/gen_150.1.gif" alt="Donate" name="img49" border="0"></a><br>
                                            <a href="gpage1.html" onMouseOver="document.images['img53'].src='widgets/gen_153.1.gif'" onMouseOut="document.images['img53'].src='widgets/gen_152.1.gif'"><img src="widgets/gen_152.1.gif" alt="Virtual Tour" name="img53" border="0"></a><br>
                                            <a href="custom2.html" onMouseOver="document.images['img12'].src='widgets/gen_155.1.gif'" onMouseOut="document.images['img12'].src='widgets/gen_154.1.gif'"><img src="widgets/gen_154.1.gif" alt="Links" name="img12" border="0"></a><br>
                                            
                                            <a href="mailto:berdaw@juno.com" onMouseOver="document.images['img_email'].src='widgets/gen_159.1.gif'" onMouseOut="document.images['img_email'].src='widgets/gen_158.1.gif'"><img src="widgets/gen_158.1.gif" alt="e-mail me" name="img_email" border="0"></a><br>
                            </td>
                            <td width="100%" height="100%" valign="top"><!-- BOF: ./personal-templates/simple/business/form/html -->
<!-- BOF: ./personal-templates/simple/personal/form/html -->


<center><table border=0>
<tr><td>


<font face='Arial' size='+1' color='#4D0F64'>

Membership Form

</font>


<br>
<SCRIPT LANGUAGE="JavaScript">
var BUILDER = '/servlet/psoft.masonry.Builder';
function validate(frm){
var i = 0;

if (frm.field_37.value=="") return error(frm.field_37);

if (frm.field_38.value=="") return error(frm.field_38);

if (frm.field_39.value=="") return error(frm.field_39);

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var url = document.URL;
if (url.indexOf(BUILDER) == -1 && url.charAt(url.length)!='/') {
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}
frm.domain.value=url;
return true;
}
function error(field){ alert('You did not fill all required fields!'); field.focus(); return false; }
</SCRIPT>
<form name="questionary" action="http://66.135.32.28:8080/servlet/psoft.customform.CustomForm" method="post">
<input type="hidden" name="domain" value="">
<input type="hidden" name="title" value="Membership Form">
<input type="hidden" name="esubj" value="Submitted Form Report">
<input type="hidden" name="name" value="=GghoWXsbVRbLl=b">
<input type="hidden" name="submit_url" value="onsubmit.html">
<input type="hidden" name="error_url"  value="onerror.html">
<input type="hidden" name="order" value="37 38 39 40 41 42 43 52 ">
<table border=0 cellpedding=5 cellspacing=5>

<input type="hidden" name="name_37" value="Full Name">
<tr><td>


<font face='Arial' size='2' color='#333333'>

Full Name

</font>


 <font color="red" size="-1">*</font></td><td>


<input type="text" name="field_37" size="">


</td></tr>

<input type="hidden" name="name_38" value="Address">
<tr><td>


<font face='Arial' size='2' color='#333333'>

Address

</font>


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<input type="text" name="field_38" size="">


</td></tr>

<input type="hidden" name="name_39" value="City">
<tr><td>


<font face='Arial' size='2' color='#333333'>

City

</font>


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<input type="text" name="field_39" size="">


</td></tr>

<input type="hidden" name="name_40" value="State">
<tr><td>


<font face='Arial' size='2' color='#333333'>

State

</font>


 <font color="red" size="-1">*</font></td><td>


<input type="text" name="field_40" size="">


</td></tr>

<input type="hidden" name="name_41" value="Zipcode">
<tr><td>


<font face='Arial' size='2' color='#333333'>

Zipcode

</font>


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<input type="text" name="field_41" size="">


</td></tr>

<input type="hidden" name="name_42" value="Email address">
<tr><td>


<font face='Arial' size='2' color='#333333'>

Email address

</font>


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<input type="text" name="field_42" size="">


</td></tr>

<input type="hidden" name="name_43" value="Telephone number">
<tr><td>


<font face='Arial' size='2' color='#333333'>

Telephone number

</font>


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<input type="text" name="field_43" size="">


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<input type="hidden" name="name_52" value="Comments?">
<tr><td>


<font face='Arial' size='2' color='#333333'>

Comments?

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<textarea name="field_52" rows="3" cols=""></textarea>

</td></tr>

<tr><td colspan=2 align=center>
    <input onClick="return validate(form)" type="submit" value="Submit">
    <input type="reset"  value="Reset">
    </td>
</tr>
</table>
</form>
</td></tr></table></center>
<!-- EOF: ./personal-templates/simple/personal/form/html -->

<!-- EOF: ./personal-templates/simple/business/form/html -->
</td>
                          </tr>
                        </TABLE>
                   </td>
               </tr>
               <tr>
                   <td height="50" valign="bottom" background="widgets/gen_134.1.gif">
<center><table border="0" cellpadding="0" cellspacing="3"><tr><td align="center">

<br><font face="helvetica,verdana, arial" size="1">&nbsp;</font>

</td></tr></table></center>


<br>
<FONT FACE="verdana, arial, helvetica" SIZE="1">
<center>
<nobr>|<a href="index.html">Welcome</A>|</nobr>

<nobr>|<a href="about.html">About</A>|</nobr>

<nobr>|<a href="about2.html">History of Glenview</A>|</nobr>

<nobr>|<a href="news.html">News</A>|</nobr>

<nobr>|<a href="directions.html">Directions</A>|</nobr>

<nobr>|<a href="about1.html">Membership</A>|</nobr>

<nobr>|Join Now|</nobr>

<nobr>|<a href="gpage.html">Donate</A>|</nobr>

<nobr>|<a href="gpage1.html">Virtual Tour</A>|</nobr>

<nobr>|<a href="custom2.html">Links</A>|</nobr>
</center>
</font>

<br></td>
               </tr>
            </TABLE>
      </td>
   </tr>
</TABLE>
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</body>
<!-- BOF: ./personal-templates/simple/themes.show.end -->


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</html>


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