Information Update Form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=150 BGCOLOR="#555555" TEXT="#080000" bgproperties="fixed" background="01aa0a21diriop.jpg"> <div> <B> <style type="text/css">  </style>  The Class of '64</B></div> <div> <B>Wa</B><B>xahachie High School               </B><B>Waxahachie, Texas</B></div> <div> <A HREF="index.htm" TARGET="_top" TITLE="Our Home">Our Home</A>   ·   <A HREF="id17.htm" TARGET="_top" TITLE="The Beacon">The Beacon</A>   ·   <A HREF="who_s_who.htm" TARGET="_top" TITLE="Whos Who">Who's Who</A>   ·   <A HREF="id197.htm" TARGET="_top" TITLE="The Class">The Class</A>   ·   <A HREF="id20.htm" TARGET="_top" TITLE="The Past">The Past</A>   ·   <A HREF="id21.htm" TARGET="_top" TITLE=" Transition"> Transition</A>   ·   <A HREF="id22.htm" TARGET="_top" TITLE="Decades Past">Decades Past</A>   ·   <A HREF="id23.htm" TARGET="_top" TITLE="Links">Links</A></div> <bR> <div> </div> </td> </tr><tr> <td valign="top" height=330 BGCOLOR="#555555" TEXT="#080000" background="01aa0a03.jpg"> <bR> <bR> <div> <B>Please Help Us Keep Your Information Current</B></div> <div> <B>You Can Use The Following Form To Submitt Updated Information</B></div> <bR> <div> <B>Please Note!</B></div> <div> <B>Make sure you include your school name  and email address, if you have one, whenever you send updates. Otherwise the notification this form sends doe not indicate who the update is from or their return email addresss.</B></div> <bR> <div> <B> <TABLE BORDER="6" CELLPADDING="2" CELLSPACING="4" WIDTH="361" BORDERCOLORLIGHT="#111111" BORDERCOLORDARK="#111111" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP BGCOLOR=#FFFFFF HEIGHT= 158 WIDTH="335"><div> <B> <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 (Mandatory),SchoolLastName,Married Name,Spouses Name,Email,Address,City,State,Zip,Phone,Children's Names,MailingList,Occupation,Comments"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for keeping your information current. It makes tha web site much more accurate and fun for our fellow classmates."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="Class of '64 Student Information Submitted"><input type="hidden" name="tlx_EmailTo" value="whs64@marchman.biz"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">First Name (Mandatory):<br> <input type="text" name="FirstName (Mandatory)" size="30" maxlength="100"></td> </tr> <tr> <td align="left">School Last Name (Mandatory):<br> <input type="text" name="SchoolLastName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Married Name:<br> <input type="text" name="Married Name" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Spouse's Name:<br> <input type="text" name="Spouses Name" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Email (Mandatory):<br> <input type="text" name="Email" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address :<br> <input type="text" name="Address" 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">Children's Names:<br> <input type="text" name="Children's Names" size="50" maxlength="100"></td> </tr> <tr> <td> <input type="checkbox" name="MailingList" value="yes"> Add me to your mailing list</td> </tr> <tr> <td align="left">Occupation/Staus:<br> <input type="text" name="Occupation" 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>  </B></div> </tD> </tR> </TABLE></B></div> <div>  <script language="JavaScript">  </script>  </div> </td> </tr></table></body>