Discussion:
Unsecured, Fast Restaurant Funding. Credit is not Important
b***@productivelist.net
2006-02-21 14:24:34 UTC
Permalink
<html>

<head>
<meta name="GENERATOR" content="Microsoft FrontPage 5.0">
<meta name="ProgId" content="FrontPage.Editor.Document">
<meta http-equiv="Content-Type" content="text/html; charset=windows-1252">
<title>To request a phone call</title>
<style>
<!--
.input1 {
font-family: Verdana, Arial, Helvetica, sans-serif;
font-size: 11px;
color: #333333;
}
-->
</style>
</head>

<body>

<table cellSpacing="1" cellPadding="0" width="100" align="center" bgColor="#000000" border="0">
<tr>
<td bgColor="#ffffff">
<table cellSpacing="0" cellPadding="0" width="750" align="center" border="0">
<tr align="right" bgColor="#fedc0b">
<td colSpan="3" height="23">
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
<strong>To request a phone call, please complete the form below!&nbsp;&nbsp;&nbsp;&nbsp;</strong></font></td>
</tr>
<tr>
<td>
<img alt src="Loading Image..." border="0" name="index_r2_c1" width="230" height="93"></td>
<td>
<img alt src="Loading Image..." border="0" name="index_r2_c2" width="228" height="93"></td>
<form name="form1" onsubmit="Javascript:return check();" action="http://69.94.114.109/Breadstreet_resturant/index_submit.asp" method="post">
<td vAlign="top" align="right" width="292" height="427" rowSpan="4">
<table cellSpacing="0" cellPadding="0" width="280" border="0">
<tr>
<td colSpan="2">
<font color="#cc3300" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px" face="Arial, Helvetica, sans-serif">
(Name, Phone number and e-mail address are required fields*)<strong>
</strong></font></td>
</tr>
<tr>
<td width="138">
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
Business Owner Name*</font></td>
<td width="142">
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
<input class="input1" size="15" name="name"> </font></td>
</tr>
<tr>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
Company Name</font></td>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
<input class="input1" size="15" name="company"> </font></td>
</tr>
<tr>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
Phone Number 1*</font></td>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
<input class="input1" size="15" name="phone1"> </font></td>
</tr>
<tr>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
Phone Number 2 (cell)</font></td>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
<input class="input1" size="15" name="phone2"> </font></td>
</tr>
<tr>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
E-mail Address*</font></td>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
<input class="input1" size="15" name="email"> </font></td>
</tr>
<tr>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
Business Street Address</font></td>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
<input class="input1" size="15" name="street"> </font></td>
</tr>
<tr>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
City/State</font></td>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
<input class="input1" size="15" name="city"> </font></td>
</tr>
<tr>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
Average Monthly Gross Sales (approx.) </font></td>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
<input class="input1" size="15" name="gross_sales"> </font></td>
</tr>
<tr>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
Desired Funding Amount</font></td>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
<input class="input1" size="15" name="desired_amount"> </font>
</td>
</tr>
<tr>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
When do you need the <br>
funding by</font></td>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
<input class="input1" size="15" name="when_you_need"> </font></td>
</tr>
<tr>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
How Long have you <br>
been in Business</font></td>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
<input type="radio" value="Less than one year" name="business_span">
Less than one year<br>
<input type="radio" value="Over 1 years" name="business_span">
Over 1 years<br>
<input type="radio" value="Over 3 years" name="business_span">
Over 3 years<br>
<input type="radio" value="Not opened yet" name="business_span">
Not opened yet</font></td>
</tr>
<tr>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
What type of <br>
establishment is this?</font></td>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
<input type="radio" value="Restaurant" name="establishment_type">
Restaurant
<input type="radio" value="Retail" name="establishment_type">
Retail<br>
<input type="radio" value="Hotel" name="establishment_type"> Hotel
<input type="radio" value="Other" name="establishment_type"> Other</font></td>
</tr>
<tr>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
Best time to contact you</font></td>
<td>
<font face="Arial, Helvetica, sans-serif" style="font-family: Arial, Helvetica, sans-serif; font-size: 11px">
<input size="15" name="time_to_contact"> </font></td>
</tr>
<tr align="middle">
<td colSpan="2"><input type="submit" value="Submit" name="Submit"></td>
</tr>
</table>
</td>
</form>
</tr>
<tr>
<td>
<img alt src="Loading Image..." border="0" name="index_r3_c1" width="230" height="106"></td>
<td>
<img alt src="Loading Image..." border="0" name="index_r3_c2" width="228" height="106"></td>
</tr>
<tr>
<td>
<img alt src="Loading Image..." border="0" name="index_r4_c1" width="230" height="109"></td>
<td>
<img alt src="Loading Image..." border="0" name="index_r4_c2" width="228" height="109"></td>
</tr>
<tr>
<td>
<img alt src="Loading Image..." border="0" name="index_r5_c1" width="230" height="119"></td>
<td>
<img alt src="Loading Image..." border="0" name="index_r5_c2" width="228" height="119"></td>
</tr>
</table>
</td>
</tr>
</table>

</body>

</html>

Loading...