MICROWORM

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=50 BGCOLOR="#111111" TEXT="#F7F7FF"> <div> <FONT SIZE="5" COLOR="#FFFF00" FACE="Arial" ><B>Fishworld</B></FONT><FONT SIZE="1" COLOR="#FFFF00" FACE="Arial" ><B> </B><B>   </B></FONT><FONT SIZE="1" COLOR="#FFFFFF" FACE="Arial" ><B> |   </B></FONT><A HREF="index.htm" TARGET="_top" TITLE="Fishworld"><U><B>Home</B></U></A><B>   </B><FONT SIZE="2" COLOR="#FFFFFF" FACE="Arial" ><B> </B></FONT><A HREF="live_foods_should_be_fed_to_fish_at_least_twice_a_week.htm" TARGET="_top" TITLE="Live Foods"><U><B>Back to live foods</B></U></A></div> <bR> <bR> <bR> <bR> <div> <I>MICROWORM</I></div> </td> </tr><tr> <td valign="top" height=430 BGCOLOR="#111111" TEXT="#F7F7FF"> <div> <I>Microworm culture and full instructions £3.50 includes postage & package.</I><FONT SIZE="3" COLOR="#000000" FACE="Arial" ><B><IMG SRC="44c3a3a0.gif" border=0 width="58" height="58" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></FONT></div> <div> <B>( Please note orders cannot be sent untill payment is received )</B></div> <DIV ALIGN="LEFT"></DIV> <div> <I>Order your Microworm in three easy steps</I></div> <div> <I>1. Fill in the form below.</I></div> <div> <I>2, Click send.</I></div> <div> <I>3, Send your cheque made payable to </I><B><U>Fishworld</U></B><B> </B><B> </B><I>for £3.50</I></div> <div> <I>to 756 Middleton Road, Chadderton, Oldham, Lancashire. OL9 OPA.</I></div> <DIV ALIGN="LEFT"></DIV> <div> <I> <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,House number and street,Town,County,Postcode,Phone Number,Quantity required,Comments"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for your order for Microworms. As soon as we recieve payment your order will be dispatched."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A request form was submitted"><input type="hidden" name="tlx_EmailTo" value="thefishworld@tiscali.co.uk"> <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 (if applicable):<br> <input type="text" name="Company" size="30" maxlength="100"></td> </tr> <tr> <td align="left">House number and street:<br> <input type="text" name="House number and street" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Town:<br> <input type="text" name="Town" size="30" maxlength="100"></td> </tr> <tr> <td align="left">County:<br> <input type="text" name="County" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Postcode:<br> <input type="text" name="Postcode" size="10" maxlength="10"></td> </tr> <tr> <td align="left">Phone Number(optional):<br> <input type="text" name="Phone Number" size="14" maxlength="14"></td> </tr> <tr> <td align="left">Quantity required:<br> <input type="text" name="Quantity required" 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>  </I></div> <div> <I>Orders can only be accepted for U.K</I></div> <div> <B> <input type="button" name="printMe" onClick="print()" value="Click here to print this page"> </form>  </B></div> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> </td> </tr></table></body>