Wedding Form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=156 BGCOLOR="#111111" TEXT="#F7F7FF" bgproperties="fixed" background="296009c0dyxtip.jpg"> <bR> <bR> <bR> <bR> <bR> <bR> <div> <B> <TABLE BORDER="0" CELLPADDING="0" CELLSPACING="0" WIDTH="1010" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 40 ><NOBR><div> <A HREF="index.htm" TARGET="_top" TITLE="STEVEN CHARLES ENTERTAINMENT"><U><B><IMG SRC="19e6f1f0.jpg" border=0 width="111" height="31" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></U></A><A HREF="about_us.htm" TARGET="_top" TITLE="About Us"><U><B><IMG SRC="19f6f1f0.jpg" border=0 width="111" height="31" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></U></A><A HREF="other_acts.htm" TARGET="_top" TITLE="Other Acts"><U><B><IMG SRC="1a06f1f0.jpg" border=0 width="111" height="31" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></U></A><A HREF="faqs.htm" TARGET="_top" TITLE="FAQs"><U><B><IMG SRC="1a16f1f0.jpg" border=0 width="111" height="31" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></U></A><A HREF="contact_us.htm" TARGET="_top" TITLE="Contact Us"><U><B><IMG SRC="1a26f1f0.jpg" border=0 width="111" height="31" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></U></A><B><IMG SRC="271a31f0.jpg" border=0 width="419" height="31" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> </NOBR></tD> </tR> </TABLE></B></div> <bR> <bR> <bR> <bR> <div> </div> </td> </tr><tr> <td valign="top" height=284 BGCOLOR="#CC99FF" TEXT="#080000" bgproperties="fixed" background="084c8183.jpg"> <bR> <div> <TABLE BORDER="1" CELLPADDING="2" CELLSPACING="1" WIDTH="904" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="COLS" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 249 ><NOBR><div> <A HREF="weddings.htm" TARGET="_top" TITLE="Weddings"><U><IMG SRC="0a573160.gif" border=0 width="115" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="mitzvahs.htm" TARGET="_top" TITLE="Mitzvahs"><U><IMG SRC="0a673160.gif" border=0 width="115" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="sweet_16s.htm" TARGET="_top" TITLE="Sweet 16s"><U><IMG SRC="0a773160.gif" border=0 width="115" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="corporate.htm" TARGET="_top" TITLE="Corporate"><U><IMG SRC="0a873160.gif" border=0 width="115" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="song_lists.htm" TARGET="_top" TITLE="Song Lists"><U><IMG SRC="0aa73160.gif" border=0 width="115" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="equipment.htm" TARGET="_top" TITLE="Equipment"><U><IMG SRC="0a973160.gif" border=0 width="115" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <bR> <bR> </NOBR></tD> <tD VALIGN=TOP WIDTH="590"><bR> <div> <B>Booking Inquiry</B></div> <div> If you are interested in using the services of Steven Charles Entertainment, please call </div> <div> 516-496-9333 or fill out the form below as completely as possible.  One of our representative will get back to you immediately regarding your inquiry.  Thank you!  </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="Name,Email,Company,Address1,City,State,Zip,Phone,Fax,EventInfo,EventDate,EventHours,EventTime,EventVenue,VenueCity,Budget,GuestEstimate,Refered,Comments"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for your request for information."><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="djcharles1@aol.com"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">Name:<br> <input type="text" name="Name" 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">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">Phone Number:<br> <input type="text" name="Phone" size="14" maxlength="14"></td> </tr> <tr> <td align="left">Fax Number:<br> <input type="text" name="Fax" size="14" maxlength="14"></td> </tr> <tr> <td align="left">Event Type (such as Wedding, Corporate Event, Birthday, Bar/Bat Mitzvah, Annual Gala/Awards Night, Sweet 16 or Quinceaneras, Holiday Party ...Etc):<br> <input type="text" name="EventInfo" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Event Date:<br> <input type="text" name="EventDate" size="30" maxlength="100"></td> </tr> <tr> <td align="left">How Many Hours is the Event?:<br> <input type="text" name="EventHours" size="30" maxlength="100"></td> </tr> <tr> <td align="left">What Time Does Your Event Start?:<br> <input type="text" name="EventTime" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Event Venue:<br> <input type="text" name="EventVenue" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Venue City:<br> <input type="text" name="VenueCity" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Budget Range:<br> <input type="text" name="Budget" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Estimate how many guests will be attending (such as 25-50, 51-100, 101-200, 201-300, 301-400, 401-500, 500+):<br> <input type="text" name="GuestEstimate" size="30" maxlength="100"></td> </tr> <tr> <td align="left">How did you hear about us?:<br> <input type="text" name="Refered" size="30" maxlength="100"></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> <div>  <script language=JavaScript>  </script>  </div> </tD> <tD VALIGN=TOP><NOBR><div> <B><IMG SRC="26496590.jpg" border=0 width="150" height="89" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="137"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="137" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="590"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="590" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="157"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="157" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></div> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <div> Wedding Form</div> <bR> <bR> <bR> </td> <td valign="top" rowspan="2" width=300 BGCOLOR="#111111" TEXT="#F7F7FF"> <bR> </td> </tr><tr> <td valign="top" height=40 BGCOLOR="#111111" TEXT="#F7F7FF" bgproperties="fixed" background="1a359281dyxtip.jpg"> <bR> </td> </tr></table></body>