Sponsor Tommy & Yvonne

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" width=200 BGCOLOR="#666699" TEXT="#080000"> <div> <IMG SRC="b6896880.gif" border=0 width="150" height="136" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <bR> </td> <td valign="top" BGCOLOR="#9999FF" TEXT="#080000"> <div> <FONT SIZE="2" COLOR="#000000" FACE="Arial" ><B>Hampshire Hackers Golf Society</B></FONT><FONT SIZE="1" COLOR="#3366FF" FACE="Arial" > </FONT><FONT SIZE="1" COLOR="#000000" FACE="Arial" >   |     </FONT><A HREF="index.html" TARGET="_top" TITLE="Hampshire Hackers Golf Society "><U>home</U></A>   </div> <div> <IMG BORDER="0" SRC="1x1.gif" HEIGHT="12" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" WIDTH="12">     <IMG BORDER="0" SRC="1x1.gif" HEIGHT="12" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" WIDTH="12">       <IMG BORDER="0" SRC="1x1.gif" HEIGHT="12" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" WIDTH="12">   <IMG BORDER="0" SRC="1x1.gif" HEIGHT="12" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" WIDTH="12"></div> <div> <B>Sponsor Tommy & Yvonne</B><B>             </B><A HREF="sponsored_cycling.htm" TARGET="_top" TITLE="Sponsored Cycle Ride"><U><B>BACK</B></U></A></div> <div> <I><B><IMG SRC="d0daae10.jpg" border=0 width="170" height="225" ALIGN="BOTTOM" HSPACE="0" VSPACE="0">         <IMG SRC="d0fa5e10.jpg" border=0 width="165" height="225" ALIGN="BOTTOM" HSPACE="0" VSPACE="0">Simply complete your details below and press SPONSOR NOW</B></I></div> <div> <I><B> <form method="post" action="http://www.emailmeform.com/fid.php?formid=109404" enctype="multipart/form-data" accept-charset="UTF-8"> <table cellpadding="2" cellspacing="0" border="0" bgcolor="#9999FF"> <tr> <td> <font face="Verdana" size="3" color="#000000">Yvonne and Tommy's Sponsorship form</font> <div style="" id="mainmsg"> </div> </td> </tr> </table> <br> <table cellpadding="2" cellspacing="0" border="0" bgcolor="#9999FF"> <tr valign="top"> <td nowrap><font face="Verdana" size="3" color="#000000">Your full name</font></td> <td> <input type="text" name="FieldData0" value="" maxlength="100" size="50"> </td> </tr> <tr valign="top"> <td nowrap><font face="Verdana" size="3" color="#000000">Your email address</font></td> <td> <input type="text" name="FieldData1" value="" maxlength="100" size="50"> </td> </tr> <tr valign="top"> <td nowrap><font face="Verdana" size="3" color="#000000">Your full postal address</font></td> <td> <textarea name="FieldData2" cols="40" rows="5"></textarea><br> </td> </tr> <tr valign="top"> <td nowrap><font face="Verdana" size="3" color="#000000">Your postcode</font></td> <td> <input type="text" name="FieldData3" value="" maxlength="100" size="8"> </td> </tr> <tr valign="top"> <td nowrap><font face="Verdana" size="3" color="#000000">Amount of your sponsorship donation</font></td> <td> <input type="text" name="FieldData4" value="" maxlength="100" size="30"> </td> </tr> <tr valign="top"> <td nowrap><font face="Verdana" size="3" color="#000000">Will you consent to Gift Aid?</font></td> <td> <input type="text" name="FieldData5" value="" maxlength="100" size="3"> </td> </tr> <tr valign="top"> <td nowrap><font face="Verdana" size="3" color="#000000">Any supporting comments you'd like to make</font></td> <td> <textarea name="FieldData6" cols="40" rows="5"></textarea><br> </td> </tr> <tr> <td colspan="2"> <table cellpadding=5 cellspacing=0 bgcolor="#E4F8E4" width="100%"> <tr bgcolor="#AAD6AA"> <td colspan="2"><font color="#FFFFFF" face="Verdana" size="2"><b>Image Verification</b></font></td> </tr> <tr> <td style="padding: 2px;" width="10"><img src="http://www.emailmeform.com/turing.php" id="captcha"></td> <td valign="top"><font color="#000000">Please enter the text from the image</font> <br><input type="text" name="Turing" value="" maxlength="100" size="10"> [ <a href="#" onclick=" document.getElementById('captcha').src = document.getElementById('captcha').src + '?' + (new Date()).getMilliseconds()">Refresh Image</a> ] [ <a href="http://www.emailmeform.com/?v=turing&pt=popup" onClick="window.open('http://www.emailmeform.com/?v=turing&pt=popup','_blank','width=400, height=300, left=' + (screen.width-450) + ', top=100');return false;">What's This?</a> ] </td> </tr> </table> </td> </tr> <tr> <td> </td> <td align="right"> <input type="text" name="hida2" value="" maxlength="100" size="3" style="display : none;"> <input type="submit" class="btn" value="Sponsor Now" name="Submit"> <input type="reset" class="btn" value=" Clear " name="Clear"></td> </tr> <tr> <td colspan=2 align="center"> <br> </td> </tr> </table> </form>  </B></I></div> <bR> <div> <I><B>SPONSORSHIP AND GIFT AID DECLARATION </B></I></div> <div> <I>I, who have given my name and address on the above form, and who have stated yes in the box entitled Gift Aid want The Rainbow Centre to reclaim tax on our donation detailed above, given on the date shown. I understand that I must pay income tax or capital gains tax equal to the tax reclaimed by the charity on the donation. </I></div> <bR> </td> </tr></table></body>