Become a Supporter

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=100 BGCOLOR="#CCCCFF" TEXT="#080000" bgproperties="fixed" background="07400640egdysm.jpg"> <div> <FONT SIZE="5" COLOR="#000066" FACE="Arial" ><B>Christian Aid to Romania and Elsewhere (CARE)</B></FONT><FONT SIZE="5" COLOR="#000099" FACE="Arial" ><B> </B></FONT><B>    |     </B><A HREF="index.htm" TARGET="_top" TITLE="Christian Aid to Romania and Elsewhere ("><U><B>home</B></U></A></div> <div> <A HREF="current_news.htm" TARGET="_top" TITLE="Current News"><U>Current News</U></A>   |   <A HREF="missionstatement.htm" TARGET="_top" TITLE="Mission Statement"><U>Mission Statement</U></A>   |   <A HREF="currentprojects.htm" TARGET="_top" TITLE="Current Projects"><U>Current Projects</U></A>   |   <A HREF="fre.htm" TARGET="_top" TITLE="Fundraising Events"><U>Fund-raising Events</U></A>   |   <A HREF="donations.htm" TARGET="_top" TITLE="Donations"><U>Donations</U></A>   |   <A HREF="contactus.htm" TARGET="_top" TITLE="Contact Us"><U>Contact Us</U></A>   |   <A HREF="ml.htm" TARGET="_top" TITLE="Members list"><U>Members list</U></A>   |   <A HREF="links.htm" TARGET="_top" TITLE="Related Links"><U>Related Links</U></A>   |   <A HREF="pastprojects.htm" TARGET="_top" TITLE="Past Projects"><U>Past Projects</U></A>   |   <A HREF="romaniancalender.htm" TARGET="_top" TITLE="Romanian Calendar"><U>Romanian Calendar</U></A>   |   <A HREF="pastors.htm" TARGET="_top" TITLE="Romanian Pastors"><U>Romanian Pastors</U></A>   |   <A HREF="setup.htm" TARGET="_top" TITLE="Cost of setting up the site"><U>Cost of setting up the site</U></A>   |   <A HREF="indexofsite.htm" TARGET="_top" TITLE="Index of Site"><U>Index of Site</U></A>   |   <A HREF="newsletter.htm" TARGET="_top" TITLE="October 2002 Newsletter"><U>October 2002 Newsletter</U></A>   |   <A HREF="aboutus.htm" TARGET="_top" TITLE="About us"><U>About us</U></A>   |   <A HREF="chronicle.htm" TARGET="_top" TITLE="CARE Chronicle"><U>CARE Chronicle</U></A>   |   <B>Become a Supporter</B>   |   <A HREF="becomeamember.htm" TARGET="_top" TITLE="Become a member"><U>Become a member</U></A>   |   <A HREF="searchthesite.htm" TARGET="_top" TITLE="Search the web site"><U>Search the web site</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=200 BGCOLOR="#0000BF" TEXT="#F7F7FF" bgproperties="fixed" background="0b7c8c00exvipq.jpg"> <div> <B>  <script type="text/javascript" language="javascript"> var sc_project=230632; var sc_partition=0; </script> <script type="text/javascript" language="javascript" src="http://www.statcounter.com/counter/counter.js"></script><noscript><a href="http://www.statcounter.com/free_hit_counter.html" target="_blank"><img src="http://c1.statcounter.com/counter.php?sc_project=230632&java=0" alt="web counter" border="0"></a> </noscript>   </B></div> </td> <td valign="top" height=380 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>Become a Supporter</I></div> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="8" WIDTH="619" BORDERCOLORLIGHT="#BF0000" BORDERCOLORDARK="#0000CC" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 167 WIDTH="508"><div> If you would like to become a supporter, Church representative, or need further information about CARE or would like to receive our quarterly newsletter please complete the form below</div> <bR> <div> <U> <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,LastName,Email,Company,Address1,Address2,City,State,Zip,Phone,Comments"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for your request for becoming a Supporter."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="Many thanks for your interest in become a supporter"><input type="hidden" name="tlx_EmailTo" value="paulwilson@uk2.net"> <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 or 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">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>  </U></div> <div> Registered Charity number 1061497</div> </tD> <tD VALIGN=TOP WIDTH="71"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="167" ALIGN="bottom" WIDTH="71" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 75 ><NOBR><div>  <html> <head> <title>JavaFILE</title> <base target="centre"> </head> <body BGCOLOR="#ffffff" link="#CC0033" vlink="#333399" alink="#FF0000"  <table WIDTH="96%" BORDER="0" CELLSPACING="5" CELLPADDING="5"> <tr> <p align="center">© Christian Aid to Romania and Elsewhere (CARE)<br> Last Updated: <script>  </script> </font></td> </tr> </table> </body> </html>   <script src="http://www.google-analytics.com/urchin.js" type="text/javascript"> </script> <script type="text/javascript"> _uacct = "UA-262624-3"; 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