<!-- BOF: ./personal-templates/show.body -->
<!-- BOF: ./personal-templates/simple/generic/show -->
<!-- BOF: ./personal-templates/rtl.html -->

    
<!-- Locale=en_US_ISO8859_1 -->

    
<!-- EOF: ./personal-templates/rtl.html -->


<!-- BOF: ./personal-templates/simple/generic/functions -->
<!-- BOF: ./personal-templates/simple/generic/navbar --><!-- EOF: ./personal-templates/simple/generic/navbar -->


<!-- EOF: ./personal-templates/simple/generic/functions -->


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

<!-- BOF: ./personal-templates/simple/generic/images -->

<!-- EOF: ./personal-templates/simple/generic/images -->


<!-- BOF: ./personal-templates/simple/personal/other/l18.settings.init -->


<!-- EOF: ./personal-templates/simple/personal/other/l18.settings.init -->


  <!-- BOF: ./personal-templates/simple/personal/layout/l18.wait -->


<!-- EOF: ./personal-templates/simple/personal/layout/l18.wait -->


<HTML>

<HEAD>


<META NAME="description" CONTENT="Bupengary Pony Club">
<META NAME="Keywords"    CONTENT="Horse, pony, Burpengary, BEC, jumping, sporting, BPC, pony club, hunter trial, eventing, dressage, horsetrial, sporting,">


<!-- personal -->


<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://www.burpengaryponyclub.com.au/form.html">-->
<TITLE>Survey</TITLE></head>
<BODY  BGCOLOR="#FFCC99"
 TEXT="#000000"

LEFTMARGIN="0" TOPMARGIN="0" RIGHTMARGIN="0" BOTTOMMARGIN="0"

 onLoad=""
 
 LINK="#660000"
 VLINK="#000000"
 ALINK="#FFFFFF"
>

  
      <!-- BOF: ./personal-templates/simple/personal/layout/l18.layout -->
<table width="100%" border="0" cellspacing="0" cellpadding="0" height="100%">
<tr>
    <td align="left" valign="top" width="1%"><img src="widgets/gen_1.1.gif" border=0 width=167 height=132 alt=""></td>
    <td width="98%" align="left" valign="top"> 
    <table width="100%" border="0" cellspacing="0" cellpadding="0">
    <tr> 
        <td width="1%" align="left" valign="top" height="1%"><img src="widgets/gen_2.1.gif" border=0 width=64 height=26 alt=""></td>
        <td width="99%" height="1%" background="widgets/gen_4.1.gif">&nbsp;</td>
    </tr>
    <tr> 
        <td align="left" valign="top"><img src="widgets/gen_446.1.gif" border=0 width=64 height=41 alt=""></td>
        <td align="right"><img border="0" name="gen_0" src="widgets/gen_0.1.gif"></td>
    </tr>
    </table>
    </td>
    <td align="right" width="1%" valign="top"><img src="widgets/gen_266.1.gif" border=0 width=152 height=106 alt=""></td>
</tr>
<tr>
    <td height="70%" width="1%" align="left" valign="top">
    <a href="index.html" onMouseOver="document.images['img53'].src='widgets/gen_32.1.gif'" onMouseOut="document.images['img53'].src='widgets/gen_31.1.gif'"><img src="widgets/gen_31.1.gif" alt="Home" name="img53" border="0"></a><br><a href="about.html" onMouseOver="document.images['img44'].src='widgets/gen_183.1.gif'" onMouseOut="document.images['img44'].src='widgets/gen_182.1.gif'"><img src="widgets/gen_182.1.gif" alt="About" name="img44" border="0"></a><br><a href="calendar1.html" onMouseOver="document.images['img200'].src='widgets/gen_258.1.gif'" onMouseOut="document.images['img200'].src='widgets/gen_257.1.gif'"><img src="widgets/gen_257.1.gif" alt="Calendar" name="img200" border="0"></a><br><a href="gpage9.html" onMouseOver="document.images['img348'].src='widgets/gen_470.1.gif'" onMouseOut="document.images['img348'].src='widgets/gen_469.1.gif'"><img src="widgets/gen_469.1.gif" alt="Musters" name="img348" border="0"></a><br><a href="Download.html" onMouseOver="document.images['img45'].src='widgets/gen_346.1.gif'" onMouseOut="document.images['img45'].src='widgets/gen_345.1.gif'"><img src="widgets/gen_345.1.gif" alt="Programs" name="img45" border="0"></a><br><a href="photo_album.html" onMouseOver="document.images['img11'].src='widgets/gen_351.1.gif'" onMouseOut="document.images['img11'].src='widgets/gen_350.1.gif'"><img src="widgets/gen_350.1.gif" alt="Photo Album" name="img11" border="0"></a><br><a href="gpage4.html" onMouseOver="document.images['img50'].src='widgets/gen_452.1.gif'" onMouseOut="document.images['img50'].src='widgets/gen_247.1.gif'"><img src="widgets/gen_247.1.gif" alt="Contact" name="img50" border="0"></a><br><a href="gpage2.html" onMouseOver="document.images['img33'].src='widgets/gen_265.1.gif'" onMouseOut="document.images['img33'].src='widgets/gen_264.1.gif'"><img src="widgets/gen_264.1.gif" alt="Membership" name="img33" border="0"></a><br><a href="gpage3.html" onMouseOver="document.images['img48'].src='widgets/gen_311.1.gif'" onMouseOut="document.images['img48'].src='widgets/gen_310.1.gif'"><img src="widgets/gen_310.1.gif" alt="Uniforms" name="img48" border="0"></a><br><a href="Links.html" onMouseOver="document.images['img6'].src='widgets/gen_10.1.gif'" onMouseOut="document.images['img6'].src='widgets/gen_9.1.gif'"><img src="widgets/gen_9.1.gif" alt="Links" name="img6" border="0"></a><br><a href="gpage1.html" onMouseOver="document.images['img65'].src='widgets/gen_341.1.gif'" onMouseOut="document.images['img65'].src='widgets/gen_340.1.gif'"><img src="widgets/gen_340.1.gif" alt="Location" name="img65" border="0"></a><br><a href="gpage16.html" onMouseOver="document.images['img196'].src='widgets/gen_432.1.gif'" onMouseOut="document.images['img196'].src='widgets/gen_431.1.gif'"><img src="widgets/gen_431.1.gif" alt="Results" name="img196" border="0"></a><br><a href="gpage11.html" onMouseOver="document.images['img359'].src='widgets/gen_479.1.gif'" onMouseOut="document.images['img359'].src='widgets/gen_478.1.gif'"><img src="widgets/gen_478.1.gif" alt="Buy, Swap and Sell" name="img359" border="0"></a><br><a href="photo_album2.html" onMouseOver="document.images['img553'].src='widgets/gen_40.1.gif'" onMouseOut="document.images['img553'].src='widgets/gen_39.1.gif'"><img src="widgets/gen_39.1.gif" alt="Album" name="img553" border="0"></a><br><a href="gpage13.html" onMouseOver="document.images['img554'].src='widgets/gen_519.1.gif'" onMouseOut="document.images['img554'].src='widgets/gen_518.1.gif'"><img src="widgets/gen_518.1.gif" alt="Cross Country Jumps" name="img554" border="0"></a><br><a href="gpage14.html" onMouseOver="document.images['img559'].src='widgets/gen_524.1.gif'" onMouseOut="document.images['img559'].src='widgets/gen_523.1.gif'"><img src="widgets/gen_523.1.gif" alt="Newsletters" name="img559" border="0"></a><br><a href="form.html" onMouseOver="document.images['img596'].src='widgets/gen_263.1.gif'" onMouseOut="document.images['img596'].src='widgets/gen_262.1.gif'"><img src="widgets/gen_262.1.gif" alt="Survey" name="img596" border="0"></a><br><a href="photo_album3.html" onMouseOver="document.images['img651'].src='widgets/gen_40.1.gif'" onMouseOut="document.images['img651'].src='widgets/gen_39.1.gif'"><img src="widgets/gen_39.1.gif" alt="Album" name="img651" border="0"></a><br><a href="about1.html" onMouseOver="document.images['img652'].src='widgets/gen_183.1.gif'" onMouseOut="document.images['img652'].src='widgets/gen_182.1.gif'"><img src="widgets/gen_182.1.gif" alt="About" name="img652" border="0"></a><br><a href="about2.html" onMouseOver="document.images['img653'].src='widgets/gen_183.1.gif'" onMouseOut="document.images['img653'].src='widgets/gen_182.1.gif'"><img src="widgets/gen_182.1.gif" alt="About" name="img653" border="0"></a><br><a href="mailto:admin@burpengaryponyclub.com.au" onMouseOver="document.images['img_email'].src='widgets/gen_12.1.gif'" onMouseOut="document.images['img_email'].src='widgets/gen_11.1.gif'"><img src="widgets/gen_11.1.gif" alt="E-mail Me" name="img_email" border="0"></a>
    </td>
    <td valign="top">
        <!-- BOF: ./personal-templates/simple/personal/form/html -->


<center><table border=0>
<tr><td>


<font face='Arial' size='+1' color='#660000'>

Survey

</font>


<br>
<SCRIPT LANGUAGE="JavaScript">
function validate(frm){
var i = 0;

if (frm.field_601.value=="") return error(frm.field_601);

if (frm.field_604.value=="") return error(frm.field_604);

for(i = 0; i < frm.field_605.length; i++)
if (frm.field_605[i].checked) break;
if (frm.field_605.length==i) return error(frm.field_605[0]);

for(i = 0; i < frm.field_607.length; i++)
if (frm.field_607[i].checked) break;
if (frm.field_607.length==i) return error(frm.field_607[0]);

return true;
}
function error(field){ alert('You did not fill all required fields!'); field.focus(); return false; }
</SCRIPT>
<form name="questionary" action="http://uranus.websiteactive.com/servlet/psoft.customform.CustomForm" method="post">
<input type="hidden" name="domain" value="">
<input type="hidden" name="title" value="Survey">
<input type="hidden" name="efrom" value="">
<input type="hidden" name="email" value="admin@burpengaryponyclub.com.au">
<input type="hidden" name="esubj" value="Submitted Form Report">
<input type="hidden" name="submit_url" value="onsubmit.html">
<input type="hidden" name="error_url"  value="onerror.html">
<input type="hidden" name="order" value="601 604 605 606 607 608 ">
<script>
var p = location.pathname;
if (p.charAt(p.length)!='/') {
    p = p.substring(0, p.lastIndexOf('/')+1);
}
document.forms[0].domain.value = location.protocol+'//'+location.host+p;
</script>
<table border=0 cellpedding=5 cellspacing=5>

<input type="hidden" name="name_601" value="How many do horses do you have">
<tr><td>


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

How many do horses do you have

</font>


 <font color="red" size="-1">*</font></td><td>


<input type="text" name="field_601" style="width:100%">


</td></tr>

<input type="hidden" name="name_604" value="Where do you live">
<tr><td>


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

Where do you live

</font>


 <font color="red" size="-1">*</font></td><td>


<textarea name="field_604" rows="4" cols="30"></textarea>

</td></tr>

<input type="hidden" name="name_605" value="Are you a member of a Pony Club">
<tr><td>


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

Are you a member of a Pony Club

</font>


 <font color="red" size="-1">*</font></td><td>

<input type="radio" name="field_605" id="field_6051" value="Yes"><label for="field_6051">


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

Yes

</font>


</label> <input type="radio" name="field_605" id="field_6052" value="No"><label for="field_6052">


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

No

</font>


</label>


</td></tr>

<input type="hidden" name="name_606" value="What Pony Club are you a member of?">
<tr><td>


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

What Pony Club are you a member of?

</font>


 </td><td>


<input type="text" name="field_606" style="width:100%">


</td></tr>

<input type="hidden" name="name_607" value="Are you a member of any other horse associated clubs">
<tr><td>


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

Are you a member of any other horse associated clubs

</font>


 <font color="red" size="-1">*</font></td><td>

<input type="radio" name="field_607" id="field_6071" value="Yes"><label for="field_6071">


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

Yes

</font>


</label> <input type="radio" name="field_607" id="field_6072" value="No"><label for="field_6072">


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

No

</font>


</label>


</td></tr>

<input type="hidden" name="name_608" value="What other clubs are you a member of?">
<tr><td>


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

What other clubs are you a member of?

</font>


 </td><td>


<textarea name="field_608" rows="4" cols="30"></textarea>

</td></tr>

<tr><td colspan=2 align=center>
    <input onClick="return validate(form)" type="submit" value="Submit">
    <input type="reset"  value="Reset">
    </td>
</tr>
</table>
</form>
</td></tr></table></center>
<!-- EOF: ./personal-templates/simple/personal/form/html -->
<br>
        

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

<nobr>|<a href="about.html">About</A>|</nobr>

<nobr>|<a href="calendar1.html">Calendar</A>|</nobr>

<nobr>|<a href="gpage9.html">Musters</A>|</nobr>

<nobr>|<a href="Download.html">Programs</A>|</nobr>

<nobr>|<a href="photo_album.html">Photo Album</A>|</nobr>

<nobr>|<a href="gpage4.html">Contact</A>|</nobr>

<nobr>|<a href="gpage2.html">Membership</A>|</nobr>

<nobr>|<a href="gpage3.html">Uniforms</A>|</nobr>

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

<nobr>|<a href="gpage1.html">Location</A>|</nobr>

<nobr>|<a href="gpage16.html">Results</A>|</nobr>

<nobr>|<a href="gpage11.html">Buy, Swap and Sell</A>|</nobr>

<nobr>|<a href="photo_album2.html">Album</A>|</nobr>

<nobr>|<a href="gpage13.html">Cross Country Jumps</A>|</nobr>

<nobr>|<a href="gpage14.html">Newsletters</A>|</nobr>

<nobr>|Survey|</nobr>

<nobr>|<a href="photo_album3.html">Album</A>|</nobr>

<nobr>|<a href="about1.html">About</A>|</nobr>

<nobr>|<a href="about2.html">About</A>|</nobr>
</center>
</font>

<br>
        
<center><table border="0" cellpadding="0" cellspacing="3"><tr><td align="center">

<a href="http://www.psoft.net" target="_blank"><img src="widgets/ss_button.gif" border="0"></a>

<br><font face="helvetica,verdana, arial" size="1">&nbsp;</font>

</td></tr></table></center>
<br>
    </td>
    <td>&nbsp;</td>
</tr>
<tr>
    <td valign="bottom" width="1%" align="left"><img src="widgets/gen_6.1.gif" border=0 width=167 height=36 alt=""></td>
    <td valign="bottom">
    <table width="100%" border="0" cellspacing="0" cellpadding="0" background="widgets/gen_7.1.gif" height="36">
    <tr><td>&nbsp;</td></tr>
    </table>
    </td>
    <td valign="bottom" width="1%" align="right"><img src="widgets/gen_488.1.gif" border=0 width=152 height=36 alt=""></td>
</tr>
</table>
<!-- EOF: ./personal-templates/simple/personal/layout/l18.layout -->

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


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

</body>
<!-- BOF: ./personal-templates/simple/themes.show.end -->


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


</html>


<!-- EOF: ./personal-templates/show.body -->