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<HTML>
<HEAD>


<META NAME="description" CONTENT="The Singleton - Biggest Update Ever has just taken place! Created by Tom Singleton 2007!">
<META NAME="Keywords"    CONTENT="the singleton, thesingleton, chuckle brothers, marlpool urc theatre company, The Singleton"> 


<!-- business -->


<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=UTF-8">
<META NAME="Generator" content="">
<!-- BOF: ./personal-templates/simple/themes.show -->


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


<!--<BASE HREF="http://82.110.105.17/thesingleton.co.uk/form.html">-->
<TITLE>Username & Password Request for Tom Singleton Disco Services</TITLE></head>
<BODY  BGCOLOR="#FFFFFF"
 TEXT="#000000"

MARGINHEIGHT="0" MARGINWIDTH="0" LEFTMARGIN="0" TOPMARGIN="0" RIGHTMARGIN="0" BOTTOMMARGIN="0"

 onLoad=""
 LINK="#000000"
 VLINK="#000000"
 ALINK="#000000"
>

  
      <!-- BOF: ./personal-templates/simple/businessnew/layout/l36.layout --> 

<TABLE WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top" BGCOLOR="#FFFFFF"> 
        <TR>
<!-- Begin Name -->
        
                <TD WIDTH=100% HEIGHT=48 BGCOLOR="#FFFFFF">                   
                       <TABLE WIDTH=100% HEIGHT=48 BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">  
                              <TR>
                                      <TD WIDTH=100% HEIGHT=48  VALIGN="top" BACKGROUND="widgets/gen_315.1.gif">
                                              <IMG SRC="widgets/gen_313.1.gif" WIDTH=711 HEIGHT=48 ALT=""></TD>
                                      <TD WIDTH=64 HEIGHT=48  VALIGN="top">
                                              <IMG SRC="widgets/gen_316.1.gif" WIDTH=64 HEIGHT=48 ALT=""></TD>
                              </TR>
                        </TABLE>                                
                </TD>
<!-- End Name -->
        </TR>
        <TR>
<!-- Begin Slogan -->
                <TD WIDTH=100% HEIGHT=21 BGCOLOR="#FFFFFF" VALIGN="top">
                        <TABLE WIDTH=100% HEIGHT=21 BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">  
                              <TR>
                                      <TD WIDTH=100% HEIGHT=21  VALIGN="top">
                                              <IMG SRC="widgets/gen_317.1.gif" WIDTH=711 ALT=""></TD>
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                              </TR>
                        </TABLE>                                
                </TD>
<!-- End Slogan -->
        </TR>
        <TR>
                <TD>
                        <TABLE WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top" BGCOLOR="#FFFFFF"> 
                                <TR>
                                        <TD WIDTH=279 HEIGHT=100% BGCOLOR="#FFFFFF" VALIGN="top">
                                                <TABLE WIDTH=279 HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">  
                                                        <TR>
<!-- Begin Ris -->
                                                                <TD WIDTH=279 HEIGHT=284 VALIGN="top" BGCOLOR="#FFFFFF">  
                                                                        <IMG SRC="widgets/gen_320.1.gif" WIDTH=279 HEIGHT=284 ALT=""></TD>                   
                                                        </TR>
                                                        <TR>
                                                                <TD WIDTH=279 HEIGHT=159 VALIGN="top">
                                                                        <IMG SRC="widgets/gen_322.1.gif" WIDTH=279 HEIGHT=159 ALT=""></TD>                   
<!-- End Ris -->
                                                        </TR> 
                               
                                                        <TR>
<!-- Begin Menu -->
                                                                <TD WIDTH=279 VALIGN="top" BGCOLOR="#572510">  
                                                                        
                                                                        <a href="index.html" onMouseOver="document.images['img35'].src='widgets/gen_335.1.gif'" onMouseOut="document.images['img35'].src='widgets/gen_334.1.gif'"><img src="widgets/gen_334.1.gif" alt="Welcome" name="img35" border="0"></a><br>
                                                                        <a href="julu2007.html" onMouseOver="document.images['img8'].src='widgets/gen_337.1.gif'" onMouseOut="document.images['img8'].src='widgets/gen_336.1.gif'"><img src="widgets/gen_336.1.gif" alt="July 2007" name="img8" border="0"></a><br>
                                                                        <a href="marlpoolurc.html" onMouseOver="document.images['img19'].src='widgets/gen_341.1.gif'" onMouseOut="document.images['img19'].src='widgets/gen_340.1.gif'"><img src="widgets/gen_340.1.gif" alt="Marlpool URC" name="img19" border="0"></a><br>
                                                                        <a href="disco.html" onMouseOver="document.images['img22'].src='widgets/gen_345.1.gif'" onMouseOut="document.images['img22'].src='widgets/gen_344.1.gif'"><img src="widgets/gen_344.1.gif" alt="Disco Services" name="img22" border="0"></a><br>
                                                                        <a href="form.html" onMouseOver="document.images['img27'].src='widgets/gen_347.1.gif'" onMouseOut="document.images['img27'].src='widgets/gen_346.1.gif'"><img src="widgets/gen_346.1.gif" alt="User & Password Request" name="img27" border="0"></a><br>
                                                                        <a href="contact.html" onMouseOver="document.images['img10'].src='widgets/gen_339.1.gif'" onMouseOut="document.images['img10'].src='widgets/gen_338.1.gif'"><img src="widgets/gen_338.1.gif" alt="Contact Us" name="img10" border="0"></a><br>
                                                                        <a href="sitemap.html" onMouseOver="document.images['img21'].src='widgets/gen_343.1.gif'" onMouseOut="document.images['img21'].src='widgets/gen_342.1.gif'"><img src="widgets/gen_342.1.gif" alt="Site Map" name="img21" border="0"></a><br>
                                                                        
                                                                        
                                                                        <a href="external.html" onMouseOver="document.images['img37'].src='widgets/gen_362.1.gif'" onMouseOut="document.images['img37'].src='widgets/gen_361.1.gif'"><img src="widgets/gen_361.1.gif" alt="YouTube" name="img37" border="0"></a><br>
                                                                        <a href="live.html" onMouseOver="document.images['img38'].src='widgets/gen_407.1.gif'" onMouseOut="document.images['img38'].src='widgets/gen_406.1.gif'"><img src="widgets/gen_406.1.gif" alt="LIVE TV" name="img38" border="0"></a><br>
                                                                        <a href="chat.html" onMouseOver="document.images['img39'].src='widgets/gen_413.1.gif'" onMouseOut="document.images['img39'].src='widgets/gen_412.1.gif'"><img src="widgets/gen_412.1.gif" alt="Chat Room" name="img39" border="0"></a><br><a href="mailto:headoffice@thesingleton.co.uk" onMouseOver="document.images['img_email'].src='widgets/gen_349.1.gif'" onMouseOut="document.images['img_email'].src='widgets/gen_348.1.gif'"><img src="widgets/gen_348.1.gif" alt="e-mail me" name="img_email" border="0"></a><br></TD>
<!-- End Menu -->
                                                        </TR>
                                                        <TR>
                                                                <TD WIDTH=279 HEIGHT=100% VALIGN="top" BACKGROUND="widgets/gen_329.1.gif">      
                                                                        <IMG SRC="widgets/gen_329.1.gif" WIDTH=279 ALT=""></TD>                   
<!-- End Ris -->
                                                        </TR>
                                                        
                                                </TABLE>
                                        </TD>
<!-- Begin Center -->
                                        <TD WIDTH=100% HEIGHT=100% BGCOLOR="#FFFFFF" VALIGN="top">
                                                <TABLE WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">  
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                                                                <TD WIDTH=14 HEIGHT=100% BGCOLOR="#FFFFFF" BACKGROUND="widgets/gen_324.1.gif">
                                                                        <IMG SRC="widgets/gen_324.1.gif" WIDTH=14 HEIGHT=223 ALT=""></TD>                   
                                                                <TD WIDTH=100% HEIGHT=100% BGCOLOR="#FFFFFF" VALIGN="top">
                                                                        
                                                                        <!-- BOF: ./personal-templates/simple/businessnew/form/style_l36.html -->
<TABLE WIDTH=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 BGCOLOR="#FFFFFF" VALIGN="top">
        <TR>        
                <TD WIDTH=114  HEIGHT=63 BGCOLOR="#FFFFFF" VALIGN="top">
                        <IMG SRC="widgets/gen_350.1.gif" WIDTH=114  HEIGHT=63></TD>
                <TD WIDTH=100%  HEIGHT=63 BGCOLOR="#FFFFFF" VALIGN="top" ALIGN="right" BACKGROUND="widgets/gen_308.1.gif">
                        <IMG SRC="widgets/gen_351.1.gif" WIDTH=242 HEIGHT=63></TD>
        </TR>
        <TR>
                <TD WIDTH=100% COLSPAN="2" VALIGN="top">
                        <TABLE WIDTH=90% BORDER=0 CELLPADDING=5 CELLSPACING=0 VALIGN="top">
                        <TR>
                                

<SCRIPT LANGUAGE="JavaScript">
function validate(){
        var valid;
        valid=true;
        var valueExists;


if (document.forms[0].field_31.value==""){ valid=false; };


if (document.forms[0].field_32.value==""){ valid=false; };


if (document.forms[0].field_33.value==""){ valid=false; };


if (document.forms[0].field_34.value==""){ valid=false; };


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

return valid;
}
</SCRIPT>

<form name="questionary" action="http://82.110.105.5:8080/servlet/psoft.customform.CustomForm" method="post">
<input type="hidden" name="form_id" value="27">
<input type="hidden" name="user_id" value="5972">
<input type="hidden" name="title" value="Username & Password Request for Tom Singleton Disco Services">

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


<input type="hidden" name="order" value="31 32 33 34 ">
<input type="hidden" name="submit_url" value="http://82.110.105.17/thesingleton.co.uk/onsubmit1.html">
<input type="hidden" name="error_url" value="http://82.110.105.17/thesingleton.co.uk/onerror1.html">
                                <TD>
                                        <TABLE border="0" cellpadding="5" cellspacing="5" width="95%">
                                                <TR>
                                                        <TD colspan=2>&nbsp;</td>
                                                </TR>


<input type="hidden" name="name_31" value="Desired Username">
                                                <TR>    
                                                        <TD>


<font face='Arial' size='2' color='#000000'>

Desired Username

</font>


<font color="red" size="-1">*</font></td>
                                                        <TD>
                                                                
                                                                
                                                                <input type="text" name="field_31" size="35">
                                                                
                                                                
                                                         </TD>
                                                </TR> 

<input type="hidden" name="name_32" value="Desired Password">
                                                <TR>    
                                                        <TD>


<font face='Arial' size='2' color='#000000'>

Desired Password

</font>


<font color="red" size="-1">*</font></td>
                                                        <TD>
                                                                
                                                                
                                                                <input type="text" name="field_32" size="35">
                                                                
                                                                
                                                         </TD>
                                                </TR> 

<input type="hidden" name="name_33" value="Full Name">
                                                <TR>    
                                                        <TD>


<font face='Arial' size='2' color='#000000'>

Full Name

</font>


<font color="red" size="-1">*</font></td>
                                                        <TD>
                                                                
                                                                
                                                                <input type="text" name="field_33" size="35">
                                                                
                                                                
                                                         </TD>
                                                </TR> 

<input type="hidden" name="name_34" value="Email Address">
                                                <TR>    
                                                        <TD>


<font face='Arial' size='2' color='#000000'>

Email Address

</font>


<font color="red" size="-1">*</font></td>
                                                        <TD>
                                                                
                                                                
                                                                <input type="text" name="field_34" size="35">
                                                                
                                                                
                                                         </TD>
                                                </TR> 

                                                <TR>
                                                        <TD COLSPAN="2">
                                                         
                                                                <input type="submit" onClick="return validate()"><input type="reset">
                                                        </TD>
                                                </TR>
                                        </TABLE>
                                </TD>
                        </TR>
</form> 
                </TABLE>
        </TD>
</TR>
</TABLE>

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

<nobr>|<a href="julu2007.html">July 2007</A>|</nobr>

<nobr>|<a href="marlpoolurc.html">Marlpool URC</A>|</nobr>

<nobr>|<a href="disco.html">Disco Services</A>|</nobr>

<nobr>|User & Password Request|</nobr>

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

<nobr>|<a href="sitemap.html">Site Map</A>|</nobr>

<nobr>|<a href="external.html">YouTube</A>|</nobr>

<nobr>|<a href="live.html">LIVE TV</A>|</nobr>

<nobr>|<a href="chat.html">Chat Room</A>|</nobr>
</center>
</font>
<br>
<center><table border="0" cellpadding="0" cellspacing="3"><tr><td align="center">

<br><font face="helvetica,verdana, arial" size="1"><!-- from 82.110.105.5 --></font>

</td></tr></table></center>

                                                                        </TD>                   
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                                                        </TR>
                                                        <TR>
                                                                <TD COLSPAN="3" WIDTH=100% HEIGHT=79 BGCOLOR="#572510" VALIGN="top">
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                                                                        </TABLE>                                          
                                                                </TD>                                                                                        
                                                        </TR>
                                                </TABLE>
                                        </TD>
<!-- End Center -->
                                        <TD WIDTH=34 HEIGHT=100% BGCOLOR="#FFFFFF" VALIGN="top">
                                                <TABLE WIDTH=34 HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">  
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                                                                <TD WIDTH=34 HEIGHT=283 VALIGN="top">  
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                                                                <TD WIDTH=34 HEIGHT=100% VALIGN="top" BACKGROUND="widgets/gen_328.1.gif">      
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                                                        </TR>
                                                </TABLE>
                                        </TD>
                               </TR>
                        </TABLE>
                </TD>
        </TR>
</TABLE>                
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</body>
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</html>


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