<?xml version="1.0" encoding="UTF-8"?>

<form url="myform.php"
 window="_self"
 method="POST"
 fontname="MS Sans Serif"
 width="450"
 height="368"
 bkcolor="0xFFFFFF"
 outlinecolor="0xFFFFFF"
 fontcolor="0x000000"
 themecolor="0xFFFF99"
 fontcolor2="#000000"
 bkcolor2="#FFFFFF"
 includeresults="false"
 emailuser="false"
 reqmessage="You have not completed all the required Feilds. Please Try again."
 autoresponse="">

<hidden
 name="thankyoupage"
 value="http://www.pressplay.co.nz/datalockwholesaleform/datalockpricing.html"
></hidden>

<hidden
 name="mailto"
 value="wholesale@datalock.co.nz"
></hidden>

<hidden
 name="subject"
 value="Wholesale Pricing Enquiry Form"
></hidden>

<textinput
 name="First Name"
 x="118"
 y="28"
 w="292"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<textinput
 name="Last Name"
 x="118"
 y="58"
 w="292"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<textinput
 name="Company Name"
 x="118"
 y="88"
 w="292"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<textinput
 name="Website"
 x="118"
 y="119"
 w="292"
 h="22"
 initvalue="http://www."
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textinput
 name="email address"
 x="119"
 y="149"
 w="292"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 emailbox="true"
>
</textinput>

<textinput
 name="Postal Address"
 x="119"
 y="179"
 w="292"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textinput
 name="Phone Number"
 x="189"
 y="209"
 w="121"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<textinput
 name="Extention Number"
 x="348"
 y="208"
 w="63"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<combobox
 name="Area Code"
 x="120"
 y="208"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 w="59"
 h="20">
  <item name="Select One..."></item>
  <item name="03"></item>
  <item name="04"></item>
  <item name="06"></item>
  <item name="07"></item>
  <item name="09"></item>
  <item name="021"></item>
  <item name="027"></item>
</combobox>

<textarea
 name="Comments"
 x="119"
 y="239"
 w="291"
 h="91"
 initvalue=""
 wordwrap="true"
 bkcolor="0xFFFFFF"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></textarea>

<submitbutton
 name="submitbutton1"
 x="176"
 y="340"
 w="100"
 h="20"
 label="Send"
 fontname="Arial"
 fontcolor="0x000000"
  fontsize="12"
></submitbutton>

<label
 name="My Text 1"
 x="42"
 y="27"
 w="68"
 h="16"
 text="First Name"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 2"
 x="43"
 y="58"
 w="67"
 h="16"
 text="Last Name"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 3"
 x="13"
 y="89"
 w="97"
 h="16"
 text="Company Name"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 4"
 x="17"
 y="179"
 w="93"
 h="16"
 text="Postal Address"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 5"
 x="21"
 y="150"
 w="89"
 h="16"
 text="Email Address"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 6"
 x="-1"
 y="120"
 w="111"
 h="16"
 text="Company Website"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 7"
 x="24"
 y="204"
 w="90"
 h="16"
 text="Phone Number"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 8"
 x="312"
 y="207"
 w="28"
 h="16"
 text="Ext."
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 9"
 x="25"
 y="244"
 w="85"
 h="16"
 text="Additional Info"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

</form>