Order Form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" rowspan="3" width=150 BGCOLOR="#808080" TEXT="#080000"> <bR> <div> <B> <HTML> <HEAD> <TITLE>RayPal.com Home Page Menu Pole</TITLE> </HEAD> <BODY bgcolor="#666666" topmargin=0 leftmargin=0 marginheight=0 marginwidth=0>  <A HREF=http://RayPal.com/index.htm></A> <A HREF=http://RayPal.com/contact_info.htm></A> <A HREF=http://RayPal.com/links.htm></A> <A HREF=http://RayPal.com/about_ray.htm></A> <A HREF=http://RayPal.com/humor_demos.htm></A> <A HREF=http://RayPal.com/station_promos.htm></A> <A HREF=http://RayPal.com/jingle_link.htm></A> <A HREF=http://RayPal.com/vo_demos.htm></A> <A HREF=http://RayPal.com/raypal.htm></A>  <OBJECT classid="clsid:D27CDB6E-AE6D-11cf-96B8-444553540000" codebase="http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=5,0,0,0" WIDTH=115 HEIGHT=533> <PARAM NAME=movie VALUE="http://RayPal.com/Presentations/MenuPole-Order.swf"> <PARAM NAME=loop VALUE=false> <PARAM NAME=menu VALUE=false> <PARAM NAME=quality VALUE=high> <PARAM NAME=bgcolor VALUE=#666666> <EMBED src="http://RayPal.com/Presentations/MenuPole-Order.swf" loop=false menu=false quality=high bgcolor=#666666 WIDTH=115 HEIGHT=368 TYPE="application/x-shockwave-flash" PLUGINSPAGE="http://www.macromedia.com/shockwave/download/index.cgi?P1_Prod_Version=ShockwaveFlash"></EMBED> </OBJECT> </BODY> </HTML>  </B></div> <bR> </td> <td valign="top" colspan=2 height=115 BGCOLOR="#808080" TEXT="#080000"> <div>  </div> <div> <TABLE BORDER="0" CELLPADDING="0" CELLSPACING="0" WIDTH="628" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 71 ><NOBR><div> <IMG SRC="36f2f420.gif" border=0 width="303" height="66" ALT="INSONA Corporation Trademark Logo" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> <tD VALIGN=CENTER><NOBR><div> <IMG SRC="21f44380.jpg" border=0 width="324" height="56" ALT="Full Color Audio" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> </tR> </TABLE></div> <div> </div> </td> </tr><tr> <td valign="top" height=345 colspan=2 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>Order Form</I></div> <bR> <DIV ALIGN="LEFT"></DIV> <div> <TABLE BORDER="0" CELLPADDING="0" CELLSPACING="0" WIDTH="743" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" ALIGN="LEFT" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 60 ><NOBR><div> <A HREF="http://www.INSONA.com" TARGET="_top" TITLE="http://www.INSONA.com"><U><IMG SRC="37ce5370.jpg" border=0 width="229" height="55" ALT="INSONA Corporation Trademark Logo" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> </NOBR></tD> <tD VALIGN=CENTER><NOBR><div> <IMG SRC="37aef260.jpg" border=0 width="239" height="38" ALT="Full Color Audio Trademark Logo" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> <tD VALIGN=CENTER WIDTH="225"><div>   <table border="0" cellpadding="5" cellspacing="0" align="center"><tr><td align="center"><a href="https://www.paypal.com/affil/pal=Sales%40INSONA.com" target="_blank"><img src="http://images.paypal.com/images/lgo/logo3.gif" border="0" alt="Pay INSONA securely with your Visa, MasterCard, Discover, or American Express card through PayPal!"></a></td><td><IMG src="http://images.paypal.com/images/logo_cards_150x26.gif" border=0 alt="Visa ,MasterCard, Discover, and American Express"></td></tr></table>   </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 177 ><NOBR><bR> <bR> <div> Please complete all fields,</div> <div> Then Click the 'Send' button.</div> <div> You will be contacted</div> <div> as soon as possible.</div> <bR> <div> We respond to requests</div> <div> in the order received.</div> <bR> </NOBR></tD> <tD VALIGN=TOP WIDTH="289"><bR> <div>  <form action="http://formmail.trellix.com/servlets/TlxMailer" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="FirstName,LastName,Email,Company,Address1,Address2,City,State,Post Code,Phone,Fax,QuoteOnly,Copy,Phonetic Instructions"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for your order. We will contact you shortly via the e-mail address you gave us."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="An order form was submitted to the RayPal site."><input type="hidden" name="tlx_EmailTo" value="Ray@RayPal.com"> <table cellpadding="0" 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">Post Code:<br> <input type="text" name="Post Code" 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> <input type="checkbox" name="QuoteOnly" value="yes"> I just want a quote for this project</td> </tr> <tr> <td align="left">Copy:<br> <textarea name="Copy" rows="5" cols="30"></textarea></td> </tr> <tr> <td align="left">Phonetic Instructions:<br> <input type="text" name="Phonetic Instructions" size="30" maxlength="999"></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> </tD> <tD VALIGN=TOP WIDTH="225"><bR> <bR> <div> <B>Payment may be made via secure server with VISA, MasterCard, Discover, or American Express.</B></div> <bR> <div>   <A HREF="https://www.paypal.com/verified/pal=Ray.Palla%40INSONA.com" target="_blank"><IMG SRC="http://images.paypal.com/images/verification_seal.gif" BORDER="0" ALT="Official PayPal Seal"></A>   </div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 82 WIDTH="229"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="82" ALIGN="bottom" WIDTH="229" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER><NOBR><div> This site Built by:</div> <div> <A HREF="http://www.INSONA.com" TARGET="_top" TITLE="http://www.INSONA.com"><U><IMG SRC="2208d270.jpg" border=0 width="141" height="39" ALT="INSONA Corporation" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> is best viewed at 1024 X 768 resolution</div> <div> <U>Copyright ©  Ray Palla 1980-2003. All Rights Reserved.</U></div> </NOBR></tD> <tD VALIGN=CENTER WIDTH="225"><div> <A HREF="mailto:Sales@RayPal.com" TARGET="_top" TITLE="mailto:Sales@RayPal.com"><U> <img src="HTMLobj-844/aniGif.gif" border="0" align="bottom" width="30" height="50">  </U></A></div> <div> <A HREF="mailto:Sales@RayPal.com" TARGET="_top" TITLE="mailto:Sales@RayPal.com"><U><B>E-Mail</B></U></A></div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 3 WIDTH="229"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="3" ALIGN="bottom" WIDTH="229" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="289"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="3" ALIGN="bottom" WIDTH="289" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="225"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="3" ALIGN="bottom" WIDTH="225" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></div> <bR> </td> </tr><tr> <td valign="top" colspan=2 height=20 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <A HREF="raypal.htm" TARGET="_top" TITLE="RayPal Home Page No PopUp"><U>Home</U></A>  |  <A HREF="vo_demos.htm" TARGET="_top" TITLE="Voice Over Demos"><U>VOs</U></A>   |   <A HREF="jingle_link.htm" TARGET="_top" TITLE="Jingle Demos"><U>Jingles</U></A>   |   <A HREF="station_promos.htm" TARGET="_top" TITLE="Station Imaging Promo Demos"><U>Promos</U></A>   |   <A HREF="humor_demos.htm" TARGET="_top" TITLE="Humor Demos"><U>Humor</U></A>   |   <B>Order</B>   |   <A HREF="payments.htm" TARGET="_top" TITLE="Make Payment"><U>Payment</U></A>   |   <A HREF="about_ray.htm" TARGET="_top" TITLE="About Ray"><U>About Ray</U></A>   |   <A HREF="links.htm" TARGET="_top" TITLE="Partners / Links"><U>Links</U></A>   |   <A HREF="contact_info.htm" TARGET="_top" TITLE="Contact Info"><U>Contact Info</U></A></div> <bR> </td> </tr></table></body>