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<title>AFC MySQL Address Book v2.2</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
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<body bgcolor="#8080C0">
<div align="center">
<table width="550" cellspacing="0" cellpadding="0">
<tr>
<td bgcolor="#FFFFFF"> <img src="header.jpg" width="550" height="136"><br>
<form name="form1" method="post" action="output.php">
<table width="500" align="center" cellpadding="0" cellspacing="0">
<tr bgcolor="#FFFFFF">
<td colspan="3"> <div align="right"><font size="2" face="Arial, Helvetica, sans-serif"> </font></div></td>
</tr>
<tr bgcolor="#FFFFFF">
<td width="144"> <div align="left"><font size="2" face="Arial, Helvetica, sans-serif"></font></div></td>
<td width="166"> <div align="left"><font size="2" face="Arial, Helvetica, sans-serif">
<input name="id" type="hidden" id="id" size="7">
</font></div></td>
<td width="188" rowspan="6"> <div align="center"><img src="business.jpg" width="158" height="116"></div></td>
</tr>
<tr bgcolor="#FFFFFF">
<td> <div align="right"><font size="2" face="Arial, Helvetica, sans-serif">First
Name:</font></div></td>
<td> <div align="left"><font size="2" face="Arial, Helvetica, sans-serif">
<input name="First_Name" type="text" id="First_Name2">
</font></div></td>
</tr>
<tr bgcolor="#FFFFFF">
<td> <div align="right"><font size="2" face="Arial, Helvetica, sans-serif">Last
Name:</font></div></td>
<td> <div align="left"><font size="2" face="Arial, Helvetica, sans-serif">
<input name="Last_Name" type="text" id="Last_Name2">
</font></div></td>
</tr>
<tr bgcolor="#FFFFFF">
<td> <div align="right"><font size="2" face="Arial, Helvetica, sans-serif">Address:</font></div></td>
<td> <div align="left"><font size="2" face="Arial, Helvetica, sans-serif">
<input name="Address" type="text" id="Address2">
</font></div></td>
</tr>
<tr bgcolor="#FFFFFF">
<td> <div align="right"><font size="2" face="Arial, Helvetica, sans-serif">City:</font></div></td>
<td> <div align="left"><font size="2" face="Arial, Helvetica, sans-serif">
<input name="City" type="text" id="City2">
</font></div></td>
</tr>
<tr bgcolor="#FFFFFF">
<td> <div align="right"><font size="2" face="Arial, Helvetica, sans-serif">State:</font></div></td>
<td> <div align="left"><font size="2" face="Arial, Helvetica, sans-serif">
<input name="State" type="text" id="State2">
</font></div></td>
</tr>
<tr bgcolor="#FFFFFF">
<td> <div align="right"><font size="2" face="Arial, Helvetica, sans-serif">Zip
Code:</font></div></td>
<td> <div align="left"><font size="2" face="Arial, Helvetica, sans-serif">
<input name="Zip" type="text" id="Zip2">
</font></div></td>
<td> <div align="center"><font size="2" face="Arial, Helvetica, sans-serif">
<INPUT TYPE="button" onClick="parent.location='table_display.php'" value="View | Edit | Delete">
</font></div></td>
</tr>
<tr bgcolor="#FFFFFF">
<td> <div align="right"><font size="2" face="Arial, Helvetica, sans-serif">Home
Phone:</font></div></td>
<td> <div align="left"><font size="2" face="Arial, Helvetica, sans-serif">
<input name="Home_Phone" type="text" id="Home_Phone2">
</font></div></td>
<td> <div align="center"></div></td>
</tr>
<tr bgcolor="#FFFFFF">
<td> <div align="right"><font size="2" face="Arial, Helvetica, sans-serif">Cell
Phone:</font></div></td>
<td> <div align="left"><font size="2" face="Arial, Helvetica, sans-serif">
<input name="Cell_Phone" type="text" id="Cell_Phone2">
</font></div></td>
<td rowspan="5" valign="bottom"> <div align="center"><font size="2" face="Arial, Helvetica, sans-serif"></font><font size="2" face="Arial, Helvetica, sans-serif"></font><font size="2" face="Arial, Helvetica, sans-serif"></font><font size="2" face="Arial, Helvetica, sans-serif"></font>
<textarea name="Notes" cols="17" rows="6" id="Notes"></textarea>
</div></td>
</tr>
<tr bgcolor="#FFFFFF">
<td> <div align="right"><font size="2" face="Arial, Helvetica, sans-serif">Business
Phone:</font></div></td>
<td> <div align="left"><font size="2" face="Arial, Helvetica, sans-serif">
<input name="Business_Phone" type="text" id="Business_Phone2">
</font></div></td>
</tr>
<tr bgcolor="#FFFFFF">
<td> <div align="right"><font size="2" face="Arial, Helvetica, sans-serif">Fax
Number:</font></div></td>
<td> <div align="left"><font size="2" face="Arial, Helvetica, sans-serif">
<input name="Fax_Number" type="text" id="Fax_Number2">
</font></div></td>
</tr>
<tr bgcolor="#FFFFFF">
<td> <div align="right"><font size="2" face="Arial, Helvetica, sans-serif">eMail
Address:</font></div></td>
<td> <div align="left"><font size="2" face="Arial, Helvetica, sans-serif">
<input name="eMail_Address" type="text" id="eMail_Address2">
</font></div></td>
</tr>
<tr bgcolor="#FFFFFF">
<td> <div align="right"><font size="2" face="Arial, Helvetica, sans-serif">Website
Address:</font></div></td>
<td> <div align="left"><font size="2" face="Arial, Helvetica, sans-serif">
<input name="Website_Address" type="text" id="Website_Address2">
</font></div></td>
</tr>
<tr bgcolor="#FFFFFF">
<td> <div align="right"><font size="2" face="Arial, Helvetica, sans-serif"></font></div></td>
<td> <div align="left"><font size="2" face="Arial, Helvetica, sans-serif">
<input type="submit" name="Submit" value="Save Data">
</font></div></td>
<td> <div align="center"><font size="2" face="Arial, Helvetica, sans-serif">Notes
/ Comments</font></div></td>
</tr>
<tr bgcolor="#FFFFFF">
<td> <div align="center"><font size="2" face="Arial, Helvetica, sans-serif">
</font></div></td>
<td> <div align="right"><font size="2" face="Arial, Helvetica, sans-serif"></font></div></td>
<td> <div align="center"><font size="2" face="Arial, Helvetica, sans-serif">
</font></div></td>
</tr>
<tr bgcolor="#FFFFFF">
<td> <div align="center"><font size="2" face="Arial, Helvetica, sans-serif">
</font></div></td>
<td> <div align="right"><font size="2" face="Arial, Helvetica, sans-serif"></font></div></td>
<td> <div align="center"><font size="2" face="Arial, Helvetica, sans-serif">
</font></div></td>
</tr>
</table></form>
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</table>
<br>
<font size="2" face="Arial, Helvetica, sans-serif"><strong>Provided By: <a href="http://www.americanfinancing.net"><font color="#FFFFFF">American
Financing</font></a></strong></font></div>
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