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<form url="myform.php"
 window="_self"
 method="POST"
 fontname="MS Sans Serif"
 width="386"
 height="1900"
 bkcolor="0xFFFFFF"
 outlinecolor="0xFFFFFF"
 fontcolor="0x000000"
 themecolor="0xC0C0C0"
 fontcolor2="#000000"
 bkcolor2="#FFFFFF"
 includeresults="false"
 emailuser="false"
 reqmessage="One or More Fields are Required"
 autoresponse="">

<hidden
 name="thankyoupage"
 value="http://www.funkyu.com"
></hidden>

<hidden
 name="mailto"
 value="ben@funkyu.com"
></hidden>

<hidden
 name="subject"
 value="Funkyu User"
></hidden>

<image
 image="buttonbg.jpeg"
 x="172"
 y="17"
></image>

<label
 name="My Text 1"
 x="-1"
 y="85"
 w="28"
 h="16"
 text="Title"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<combobox
 name="Title"
 x="175"
 y="88"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 w="76"
 h="20">
  <item name=".: :."></item>
  <item name="Mr"></item>
  <item name="Mrs"></item>
  <item name="Miss"></item>
  <item name="Ms"></item>
  <item name="Dr"></item>
</combobox>

<label
 name="My Text 2"
 x="-1"
 y="109"
 w="68"
 h="16"
 text="First Name"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<textinput
 name="First Name"
 x="175"
 y="112"
 w="201"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<label
 name="My Text 3"
 x="-1"
 y="134"
 w="56"
 h="16"
 text="Surname"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<textinput
 name="Surname"
 x="175"
 y="137"
 w="201"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<label
 name="My Text 4"
 x="-1"
 y="158"
 w="77"
 h="16"
 text="Organisation"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<textinput
 name="Organisation"
 x="175"
 y="162"
 w="201"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<label
 name="My Text 5"
 x="-1"
 y="184"
 w="91"
 h="16"
 text="Billing Address"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<textinput
 name="Billing Address"
 x="175"
 y="187"
 w="201"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textinput
 name="City"
 x="175"
 y="213"
 w="201"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textinput
 name="State"
 x="176"
 y="237"
 w="201"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textinput
 name="Postcode"
 x="175"
 y="263"
 w="201"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<label
 name="My Text 6"
 x="-1"
 y="210"
 w="27"
 h="16"
 text="City"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 7"
 x="-1"
 y="235"
 w="35"
 h="16"
 text="State"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 8"
 x="-1"
 y="259"
 w="59"
 h="16"
 text="Postcode"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<textinput
 name="Ph"
 x="175"
 y="288"
 w="201"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textinput
 name="Fax"
 x="175"
 y="338"
 w="201"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textinput
 name="Mobile"
 x="175"
 y="313"
 w="201"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<label
 name="My Text 9"
 x="-1"
 y="285"
 w="41"
 h="16"
 text="Phone"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 10"
 x="-1"
 y="311"
 w="42"
 h="16"
 text="Mobile"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 11"
 x="-1"
 y="337"
 w="26"
 h="16"
 text="Fax"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 12"
 x="-1"
 y="395"
 w="164"
 h="16"
 text="Preferred method of contact"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<combobox
 name="Best contact"
 x="175"
 y="396"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 w="142"
 h="20">
  <item name=".: :."></item>
  <item name="Via Telephone"></item>
  <item name="Via Mobile Phone"></item>
  <item name="Via Email"></item>
</combobox>

<label
 name="My Text 13"
 x="-1"
 y="417"
 w="168"
 h="16"
 text="Quote Number (if applicable)"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<textinput
 name="Quote "
 x="175"
 y="421"
 w="201"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textinput
 name="Product"
 x="175"
 y="452"
 w="201"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textinput
 name="Job Title"
 x="175"
 y="477"
 w="201"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textinput
 name="File Name"
 x="175"
 y="514"
 w="201"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<label
 name="My Text 14"
 x="-1"
 y="448"
 w="49"
 h="16"
 text="Product"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 15"
 x="-1"
 y="470"
 w="52"
 h="16"
 text="Job Title"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 16"
 x="-1"
 y="511"
 w="84"
 h="16"
 text="Art File Name"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 17"
 x="-1"
 y="550"
 w="108"
 h="16"
 text="Stock and Weight"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<combobox
 name="Stock Weight"
 x="174"
 y="556"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 w="198"
 h="20">
  <item name=".: :."></item>
  <item name="100 gsm - high grade laser bond"></item>
  <item name="80gsm - envelope quality bond"></item>
  <item name="104 gsm - expression uncoated"></item>
  <item name="104 gsm - expression envelope"></item>
  <item name="115 gsm - gloss art papper"></item>
  <item name="150 gsm - matt art papper"></item>
  <item name="150 gsm - gloss art papper"></item>
  <item name="230 gsm - satin gloss art board"></item>
  <item name="260 gsm - snowboard"></item>
  <item name="280 gsm - white knight uncoated"></item>
  <item name="310 gsm - satin gloss art board"></item>
  <item name="352 gsm - experession uncoated"></item>
  <item name="200 gsm - sticker self adhesive gloss"></item>
</combobox>

<label
 name="My Text 18"
 x="-1"
 y="578"
 w="36"
 h="16"
 text="Other"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<textinput
 name="Other"
 x="174"
 y="579"
 w="202"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textinput
 name="Flat size"
 x="176"
 y="620"
 w="53"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textinput
 name="Flatt"
 x="249"
 y="620"
 w="53"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textinput
 name="Finished"
 x="249"
 y="645"
 w="53"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textinput
 name="Finished"
 x="176"
 y="645"
 w="53"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<label
 name="My Text 19"
 x="233"
 y="615"
 w="11"
 h="16"
 text="x"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 20"
 x="233"
 y="641"
 w="11"
 h="16"
 text="x"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 21"
 x="306"
 y="642"
 w="26"
 h="16"
 text="mm"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 22"
 x="306"
 y="616"
 w="26"
 h="16"
 text="mm"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 23"
 x="-1"
 y="614"
 w="56"
 h="16"
 text="Flat Size"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 24"
 x="-1"
 y="680"
 w="34"
 h="16"
 text="Front"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 25"
 x="-1"
 y="642"
 w="173"
 h="16"
 text="Finsihed Size (when/if folded)"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<combobox
 name="Front"
 x="174"
 y="685"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 w="110"
 h="20">
  <item name="NONE"></item>
  <item name="CMYK/Full Colour"></item>
  <item name="PMS (please specify)"></item>
  <item name=""></item>
</combobox>

<label
 name="My Text 26"
 x="286"
 y="678"
 w="29"
 h="16"
 text="pms"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<textinput
 name="My Input Box 20"
 x="317"
 y="682"
 w="59"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textinput
 name="My Input Box 21"
 x="317"
 y="707"
 w="59"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<label
 name="My Text 27"
 x="286"
 y="703"
 w="29"
 h="16"
 text="pms"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<combobox
 name="Back"
 x="174"
 y="708"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 w="109"
 h="20">
  <item name="NONE"></item>
  <item name="CMYK/Full Colour"></item>
  <item name="PMS (please specify)"></item>
  <item name=""></item>
</combobox>

<label
 name="My Text 28"
 x="-1"
 y="702"
 w="34"
 h="16"
 text="Back"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 29"
 x="-1"
 y="726"
 w="157"
 h="16"
 text="Throughout (booklets only)"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<combobox
 name="Throughout"
 x="174"
 y="732"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 w="109"
 h="20">
  <item name="NONE"></item>
  <item name="CMYK/Full Colour"></item>
  <item name="PMS (please specify)"></item>
  <item name=""></item>
</combobox>

<label
 name="My Text 30"
 x="285"
 y="728"
 w="29"
 h="16"
 text="pms"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<textinput
 name="My Input Box 22"
 x="317"
 y="731"
 w="59"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<combobox
 name="Coating"
 x="174"
 y="755"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 w="201"
 h="20">
  <item name="NONE"></item>
  <item name="Matt 1 side (please specify file or page)"></item>
  <item name="Matt 2 sides"></item>
  <item name="Gloss 1 side (please specify file or page)"></item>
  <item name="Gloss 2 sides"></item>
</combobox>

<label
 name="My Text 31"
 x="-1"
 y="747"
 w="48"
 h="16"
 text="Coating"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<textinput
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 x="174"
 y="778"
 w="202"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<label
 name="My Text 32"
 x="-1"
 y="772"
 w="163"
 h="16"
 text="Specify file or page location"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<combobox
 name="Quantity"
 x="174"
 y="818"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 w="100"
 h="20">
  <item name="Other"></item>
  <item name="250"></item>
  <item name="500"></item>
  <item name="1000"></item>
  <item name="2500"></item>
  <item name="5000"></item>
  <item name="10000"></item>
  <item name="15000"></item>
  <item name="20000"></item>
</combobox>

<combobox
 name="Kinds"
 x="318"
 y="818"
 bkcolor="0xFFFFFF"
 fontcolor="0x000000"
 w="57"
 h="20">
  <item name="1"></item>
  <item name="2"></item>
  <item name="3"></item>
  <item name="4"></item>
  <item name="5"></item>
  <item name="Other"></item>
</combobox>

<label
 name="My Text 33"
 x="-1"
 y="812"
 w="53"
 h="16"
 text="Quantity"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 34"
 x="275"
 y="815"
 w="41"
 h="16"
 text="Kinds:"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<checkbox
 name="    Scoring"
 x="1"
 y="936"
 w="70"
 h="19"
 label="    Scoring"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
 name="    Formecut"
 x="1"
 y="880"
 w="80"
 h="19"
 label="    Formecut"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
 name="    Drilling"
 x="1"
 y="918"
 w="67"
 h="19"
 label="    Drilling"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
 name="    Perforations"
 x="1"
 y="899"
 w="95"
 h="19"
 label="    Perforations"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
 name="    Magnets"
 x="1"
 y="974"
 w="75"
 h="19"
 label="    Magnets"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
 name="    Gluing"
 x="1"
 y="994"
 w="64"
 h="19"
 label="    Gluing"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
 name="    Spot colour  UV"
 x="1"
 y="955"
 w="115"
 h="19"
 label="    Spot colour / UV"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
 name="Folding"
 x="1"
 y="861"
 w="69"
 h="19"
 label="    Folding"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
 name="    Numbering"
 x="1"
 y="1012"
 w="90"
 h="19"
 label="    Numbering"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
 name="    Machine Rounded Coners"
 x="1"
 y="1105"
 w="172"
 h="19"
 label="    Machine Rounded Coners"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
 name="   Cold Lamination 2 Sides"
 x="1"
 y="1144"
 w="164"
 h="19"
 label="    Cold Lamination 2 Sides"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
 name="    Cold Lamination 1 Side"
 x="1"
 y="1124"
 w="157"
 h="19"
 label="    Cold Lamination 1 Side"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
 name="   Encapsulated Laminate"
 x="1"
 y="1049"
 w="159"
 h="19"
 label="    Encapsulated Laminate"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
 name="    Embossing"
 x="1"
 y="1068"
 w="92"
 h="19"
 label="    Embossing"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
 name="    Saddle Stitched"
 x="1"
 y="1030"
 w="114"
 h="19"
 label="    Saddle Stitched"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
 name="    Mounting"
 x="1"
 y="1086"
 w="78"
 h="19"
 label="    Mounting"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
 name="   Other"
 x="1"
 y="1166"
 w="55"
 h="19"
 label="   Other"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<textinput
 name="My Input Box 24"
 x="174"
 y="1163"
 w="201"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<checkbox
 name="    Epson Digital Proof"
 x="1"
 y="1204"
 w="134"
 h="19"
 label="    Epson Digital Proof"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<submitbutton
 name="Submit Button 1"
 x="268"
 y="1877"
 w="100"
 h="20"
 label="Submit"
 fontname="Arial"
 fontcolor="0x000000"
  fontsize="12"
></submitbutton>

<label
 name="My Text 35"
 x="-1"
 y="1239"
 w="85"
 h="16"
 text="Supplied Date"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<textinput
 name="Supplied Date"
 x="174"
 y="1240"
 w="87"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<label
 name="My Text 36"
 x="267"
 y="1237"
 w="88"
 h="16"
 text="DD/MM/YYYY"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 37"
 x="-1"
 y="1269"
 w="109"
 h="16"
 text="Files Supplied Via"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<checkbox
 name="CD"
 x="180"
 y="1273"
 w="34"
 h="19"
 label="CD"
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