<!-- BOF: ./personal-templates/show.body -->
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  <!-- BOF: ./personal-templates/simple/business/layout/l41.wait -->


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<HTML>

<HEAD>


<META NAME="description" CONTENT="Domain Registration, Web Hosting, Web Design and a do-it-yourself Web Builder program">
<META NAME="Keywords"    CONTENT="domains,domain registration,hosting,web hosting,website hosting,web design,website design,web builder,website builder">


<!-- business -->


<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=ISO-8859-1">
<META NAME="Generator" content="">
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<!--<BASE HREF="http://otter2000.com/form.html">-->
<TITLE>Standing Order Registration<p>I want to pay by Standing Order<p>Fill out the form below, and we will email you the appropraite Standing Order Mandate to complete.</TITLE></head>
<BODY  BGCOLOR="#000000"
 TEXT="#FFFFFF"

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

 onLoad=""
 
 LINK="#FFFFFF"
 VLINK="#FFFFFF"
 ALINK="#FFFFFF"
>

  
      <!-- BOF: ./personal-templates/simple/business/layout/l41.layout --> 

<TABLE WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top" BGCOLOR="#000000"> 
        <TR>
<!-- Begin Name -->
               <TD WIDTH=100% HEIGHT=122  VALIGN="top" >
                        <TABLE WIDTH=100% HEIGHT=122 BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">  
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<!-- End Name -->
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        <TR>
<!-- Begin Slogan -->
                <TD WIDTH=100% HEIGHT=25 BGCOLOR="#000000" VALIGN="top">
                        <TABLE WIDTH=100% HEIGHT=25 BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">  
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                <TD WIDTH=100% HEIGHT=100%>
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                                <TR>
                                        <TD WIDTH=223 HEIGHT=100% BGCOLOR="#D7BEFF" VALIGN="top" >
                                                <TABLE WIDTH=223 HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top"> 
                                                        <TR>
                                                                <TD WIDTH=223 HEIGHT=298 BGCOLOR="#D7BEFF" VALIGN="top">
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                                                        <TR>
                                                                <TD WIDTH=223 HEIGHT=100% BGCOLOR="#D7BEFF" VALIGN="top" BACKGROUND="widgets/gen_119.1.gif">
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                                                </TABLE>
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                                        <TD WIDTH=100 HEIGHT=100% BGCOLOR="#000000" VALIGN="top">
                                                <TABLE WIDTH=100 HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top" BGCOLOR="#000000">
                                                        <TR>
                                                                <TD WIDTH=100 HEIGHT=103 BGCOLOR="#000000" VALIGN="top"> 
                                                                        <IMG SRC="widgets/gen_120.1.gif" WIDTH=100 HEIGHT=103 ALT=""></TD>
                                                        </TR>
                                                        <TR>
                                                                <TD WIDTH=100 BGCOLOR="#000000" VALIGN="top" BACKGROUND="widgets/gen_121.1.gif"> 
                                                                
                                                                 <a href="index.html" onMouseOver="document.images['img139'].src='widgets/gen_491.1.gif'" onMouseOut="document.images['img139'].src='widgets/gen_490.1.gif'"><img src="widgets/gen_490.1.gif" alt="Home" name="img139" border="0"></a><br>
                                                                 <a href="intro.html" onMouseOver="document.images['img39'].src='widgets/gen_252.1.gif'" onMouseOut="document.images['img39'].src='widgets/gen_251.1.gif'"><img src="widgets/gen_251.1.gif" alt="About Us" name="img39" border="0"></a><br>
                                                                 <a href="builder.html" onMouseOver="document.images['img40'].src='widgets/gen_248.1.gif'" onMouseOut="document.images['img40'].src='widgets/gen_247.1.gif'"><img src="widgets/gen_247.1.gif" alt="Web Builder" name="img40" border="0"></a><br>
                                                                 <a href="hosting.html" onMouseOver="document.images['img9'].src='widgets/gen_215.1.gif'" onMouseOut="document.images['img9'].src='widgets/gen_214.1.gif'"><img src="widgets/gen_214.1.gif" alt="Hosting" name="img9" border="0"></a><br>
                                                                 <a href="domains.html" onMouseOver="document.images['img44'].src='widgets/gen_250.1.gif'" onMouseOut="document.images['img44'].src='widgets/gen_249.1.gif'"><img src="widgets/gen_249.1.gif" alt="Domains" name="img44" border="0"></a><br>
                                                                 <a href="contact.html" onMouseOver="document.images['img14'].src='widgets/gen_189.1.gif'" onMouseOut="document.images['img14'].src='widgets/gen_188.1.gif'"><img src="widgets/gen_188.1.gif" alt="Contact Us" name="img14" border="0"></a><br>
                                                                 <a href="links.html" onMouseOver="document.images['img50'].src='widgets/gen_259.1.gif'" onMouseOut="document.images['img50'].src='widgets/gen_258.1.gif'"><img src="widgets/gen_258.1.gif" alt="Useful Links" name="img50" border="0"></a><br>
                                                                 
                                                                 <a href="design.html" onMouseOver="document.images['img110'].src='widgets/gen_284.1.gif'" onMouseOut="document.images['img110'].src='widgets/gen_283.1.gif'"><img src="widgets/gen_283.1.gif" alt="Web Design" name="img110" border="0"></a><br>
                                                                 
                                                                 <a href="login.html" onMouseOver="document.images['img48'].src='widgets/gen_254.1.gif'" onMouseOut="document.images['img48'].src='widgets/gen_253.1.gif'"><img src="widgets/gen_253.1.gif" alt="Builder Login" name="img48" border="0"></a><br>
                                                                 
                                                                 
                                                                 <a href="mailto:admin@otter2000.com" onMouseOver="document.images['img_email'].src='widgets/gen_135.1.gif'" onMouseOut="document.images['img_email'].src='widgets/gen_134.1.gif'"><img src="widgets/gen_134.1.gif" alt="e-mail me" name="img_email" border="0"></a><br></TD>
                                                        </TR>
                                                        <TR>
                                                                <TD WIDTH=100 HEIGHT=100% BGCOLOR="#000000" VALIGN="top" BACKGROUND="widgets/gen_121.1.gif"> 
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                                                        </TR>
                                                </TABLE> 
                                        </TD>
                                        <TD WIDTH=100% HEIGHT=100% BGCOLOR="#000000" VALIGN="top">
                                                <TABLE WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 HEIGHT=100% VALIGN="top">
                                                        <TR> 
       
                                                                <TD WIDTH=452 HEIGHT=100% VALIGN="top" BACKGROUND="widgets/gen_122.1.gif" style="background-repeat: no-repeat;"> 

                                                                <IMG SRC="widgets/spacer.gif" WIDTH=452 HEIGHT=1>
                                                                <!-- BOF: ./personal-templates/simple/business/form/html -->
<!-- BOF: ./personal-templates/simple/personal/form/html -->


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


<font face='Verdana' size='2' color='#FF0000'>

Standing Order Registration<p>I want to pay by Standing Order<p>Fill out the form below, and we will email you the appropraite Standing Order Mandate to complete.

</font>


<br>
<SCRIPT LANGUAGE="JavaScript">
function validate(){
    var valid;
        valid=true;
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if (document.forms[0].field_176.value==""){ valid=false; };


if (document.forms[0].field_177.value==""){ valid=false; };


if (document.forms[0].field_178.value==""){ valid=false; };


if (document.forms[0].field_179.value==""){ valid=false; };


if (document.forms[0].field_180.value==""){ valid=false; };


if (document.forms[0].field_181.value==""){ valid=false; };


if (document.forms[0].field_182.value==""){ valid=false; };


if (valid==false) {
        alert('You did not fill all required fields!');
        }

return valid;
}
</SCRIPT>

<form name="questionary" action="http://209.51.138.34:8080/servlet/psoft.customform.CustomForm" method="post">
<input type="hidden" name="form_id" value="172">
<input type="hidden" name="user_id" value="472">
<input type="hidden" name="title" value="Standing Order Registration<p>I want to pay by Standing Order<p>Fill out the form below, and we will email you the appropraite Standing Order Mandate to complete.">

<input type="hidden" name="name" value="email1.html">


<input type="hidden" name="order" value="176 177 178 179 180 181 182 183 184 185 186 187 188 189 ">
<input type="hidden" name="submit_url" value="http://otter2000.com/onsubmit1.html">
<input type="hidden" name="error_url" value="http://otter2000.com/onerror1.html">
<table border="0">

<input type="hidden" name="name_176" value="First Name">
<tr><td>


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

First Name

</font>


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


<input type="text" name="field_176">


</td></tr>

<input type="hidden" name="name_177" value="Last Name">
<tr><td>


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

Last Name

</font>


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


<input type="text" name="field_177">


</td></tr>

<input type="hidden" name="name_178" value="Street and House Number">
<tr><td>


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

Street and House Number

</font>


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


<textarea name="field_178" rows="4" cols="30"></textarea>


</td></tr>

<input type="hidden" name="name_179" value="Town or City">
<tr><td>


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

Town or City

</font>


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


<input type="text" name="field_179">


</td></tr>

<input type="hidden" name="name_180" value="Zip/Post Code">
<tr><td>


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

Zip/Post Code

</font>


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


<input type="text" name="field_180">


</td></tr>

<input type="hidden" name="name_181" value="Telephone">
<tr><td>


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

Telephone

</font>


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


<input type="text" name="field_181">


</td></tr>

<input type="hidden" name="name_182" value="Email Address">
<tr><td>


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

Email Address

</font>


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


<input type="text" name="field_182">


</td></tr>

<input type="hidden" name="name_183" value="Do you want to register a new Domain Name?">
<tr><td>


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

Do you want to register a new Domain Name?

</font>


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 <input type="radio" name="field_183" id="field_1831" value="Yes"><label for="field_1831">


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

Yes

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</label> <input type="radio" name="field_183" id="field_1832" value="No"><label for="field_1832">


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

No

</font>


</label>


</td></tr>

<input type="hidden" name="name_184" value="If 'Yes' give details">
<tr><td>


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

If 'Yes' give details

</font>


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<input type="text" name="field_184">


</td></tr>

<input type="hidden" name="name_185" value="Are you transfering existing DNS?">
<tr><td>


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

Are you transfering existing DNS?

</font>


 </td><td>


 <input type="radio" name="field_185" id="field_1851" value="Yes"><label for="field_1851">


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

Yes

</font>


</label> <input type="radio" name="field_185" id="field_1852" value="No"><label for="field_1852">


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

No

</font>


</label>


</td></tr>

<input type="hidden" name="name_186" value="If 'Yes' give details">
<tr><td>


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

If 'Yes' give details

</font>


 </td><td>


<input type="text" name="field_186">


</td></tr>

<input type="hidden" name="name_187" value="Which Package do you want?<br>Premium, Standard or Economy">
<tr><td>


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

Which Package do you want?<br>Premium, Standard or Economy

</font>


 </td><td>


<input type="text" name="field_187">


</td></tr>

<input type="hidden" name="name_188" value="Do you want to pay Monthly or Annualy?<br>Note Economy Package is annually only.">
<tr><td>


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

Do you want to pay Monthly or Annualy?<br>Note Economy Package is annually only.

</font>


 </td><td>


<input type="text" name="field_188">


</td></tr>

<input type="hidden" name="name_189" value="Do you require free Web Builder?">
<tr><td>


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

Do you require free Web Builder?

</font>


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

Yes

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</label> <input type="radio" name="field_189" id="field_1892" value="No"><label for="field_1892">


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

No

</font>


</label>


</td></tr>

</table>


<input type="submit" onClick="return validate()"> <input type="reset">

</form>
</td></tr></table></center>
<!-- EOF: ./personal-templates/simple/personal/form/html -->

<!-- EOF: ./personal-templates/simple/business/form/html -->

                                                                </TD>
                                                                <TD WIDTH=100% HEIGHT=100% VALIGN="top" BACKGROUND="widgets/gen_123.1.gif"> 
                                                                        <TABLE WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
                                                                                <TR>
                                                                                        <TD WIDTH=100% HEIGHT=10 VALIGN="top" BACKGROUND="widgets/gen_123.1.gif"> 
                                                                                                <IMG SRC="widgets/spacer.gif" WIDTH=1 HEIGHT=10></TD>
                                                                                </TR>
                                                                                <TR>
                                                                                        <TD WIDTH=100% HEIGHT=100% VALIGN="top" BGCOLOR="#000000"  BACKGROUND="widgets/gen_129.1.gif"> 
                                                                                                <IMG SRC="widgets/spacer.gif" WIDTH=1 HEIGHT=1></TD>
                                                                                </TR>
                                                                        </TABLE>
                                                                </TD>
                                                                <TD WIDTH=50 HEIGHT=100% VALIGN="top" BACKGROUND="widgets/gen_124.1.gif"> 
                                                                        <TABLE WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">

                                                                                <TR>
                                                                                        <TD WIDTH=50 HEIGHT=100 VALIGN="top" BACKGROUND="widgets/gen_125.1.gif">        
                                                                                                <IMG SRC="widgets/spacer.gif" WIDTH=50 HEIGHT=100></TD>
                                                                                </TR>
                                                                                <TR>
                                                                                        <TD WIDTH=50 HEIGHT=100% VALIGN="top" BACKGROUND="widgets/gen_124.1.gif">        
                                                                                                <IMG SRC="widgets/spacer.gif" WIDTH=50 HEIGHT=100></TD>
                                                                                </TR>
                                                                                
                                                                        </TABLE>
                                                                </TD>
                                                        </TR>                   
                                                </TABLE>
                                                </div>
                                        </TD>
                                </TR>
<!-- End Center -->
                         </TABLE>
                  </TD>
        </TR>
        <TR>
                <TD  WIDTH=100%>
                        <TABLE WIDTH=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
                                <TR>
                                        <TD WIDTH=62 HEIGHT=55> 
                                                <IMG SRC="widgets/gen_128.1.gif" WIDTH=62 HEIGHT=55 ALT=""></TD>
                                        <TD WIDTH=100% HEIGHT=55 BACKGROUND="widgets/gen_126.1.gif">
                                                

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

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

<nobr>|<a href="builder.html">Web Builder</A>|</nobr>

<nobr>|<a href="hosting.html">Hosting</A>|</nobr>

<nobr>|<a href="domains.html">Domains</A>|</nobr>

<nobr>|<a href="contact.html">Contact Us</A>|</nobr>

<nobr>|<a href="links.html">Useful Links</A>|</nobr>

<nobr>|<a href="design.html">Web Design</A>|</nobr>

<nobr>|<a href="login.html">Builder Login</A>|</nobr>
</center>
</font>

</TD>
                                </TR>
                                <TR>
                                        <TD WIDTH=62 HEIGHT=55 BACKGROUND="widgets/gen_127.1.gif"> 
                                                <IMG SRC="widgets/spacer.gif" WIDTH=62 HEIGHT=55></TD>
                                        
                                        <TD WIDTH=100% COLSPAN="2" VALIGN="top" BACKGROUND="widgets/gen_127.1.gif">
                                                
<center><table border="0" cellpadding="0" cellspacing="3"><tr><td align="center">
<a href="www.otter2000.com"><img border="0" name="custom_logo" src="images/Powered By.bmp"></a>
<br>
<font face="helvetica,verdana, arial" size="1">Otter Business Services 2005</font>

</td></tr></table></center>
</TD>
                                </TR>
                        </TABLE>
                </TD>
        </TR>
</TABLE>                
<!-- EOF: ./personal-templates/simple/business/layout/l41.layout -->

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


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

</body>
<!-- BOF: ./personal-templates/simple/themes.show.end -->


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


</html>


<!-- EOF: ./personal-templates/show.body -->