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<form url="contact.php"
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 reqmessage="One or More Fields are Required, check the * fields."
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 autoresponseaddtotop="f"
 usephp="true"
 disableclicktoactiveprompt="true"
 extensions="*.txt;*.gif;*.jpg;*.jpeg;*.zip;*.doc;*.png;*.pdf;*.rtf"
>

<hidden
 name="thankyoupage"
 value="http://landmarkbaptistdayton.com/contact_results.html"
></hidden>

<hidden
 name="subject"
 value="Form Submission from Landmark Baptist Website"
></hidden>

<textinput
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 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<textinput
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  fontname="Arial"
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>
</textinput>

<textinput
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 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<textinput
 name="Apt"
 x="556"
 y="80"
 w="71"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textinput
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 y="112"
 w="140"
 h="22"
 initvalue=""
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  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<textinput
 name="State"
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 w="82"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
>
</textinput>

<textinput
 name="Zip"
 x="552"
 y="112"
 w="76"
 h="22"
 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
  restrict="num"
>
</textinput>

<textinput
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  fontname="Arial"
  fontcolor="0x000000"
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  restrict="phone"
>
</textinput>

<textinput
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  fontname="Arial"
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  restrict="num"
>
</textinput>

<textinput
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 initvalue=""
 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
 required="true"
 emailbox="true"
  restrict="email"
>
</textinput>

<checkbox
 name="QuestionAboutFaith"
 x="196"
 y="220"
 w="145"
 h="19"
 label="Question about my faith"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
 name="LookingForChurch"
 x="348"
 y="220"
 w="177"
 h="19"
 label="Looking for a church to attend"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
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  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
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 h="19"
 label="General Question"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
 name="Suggestion"
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 y="244"
 w="79"
 h="19"
 label="Suggestion"
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 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
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 h="19"
 label="Comments"
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  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<checkbox
 name="Other"
 x="588"
 y="244"
 w="46"
 h="19"
 label="Other"
 labelPos="right"
 value="checked"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></checkbox>

<textinput
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 x="48"
 y="328"
 w="222"
 h="22"
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 bkcolor="0xFFFFFF"
  fontname="Arial"
  fontcolor="0x000000"
>
</textinput>

<textarea
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 x="44"
 y="360"
 w="648"
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 wordwrap="true"
 required="true"
 bkcolor="0xFFFFFF"
  fontsize="12"
  fontname="Arial"
  fontcolor="0x000000"
></textarea>

<submitbutton
 name="Submit Button"
 x="160"
 y="668"
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 h="27"
 label="Submit"
 fontname="Arial"
 fontcolor="0x000000"
  fontsize="12"
></submitbutton>

<resetbutton
 name="File Browse Button"
 x="469"
 y="668"
 w="131"
 h="31"
 label="Reset"
 fontname="Arial"
 fontcolor="0x000000"
  fontsize="12"
></resetbutton>

<label
 name="My Text 1"
 x="240"
 y="4"
 w="312"
 h="16"
 text="Please enter the requred information below to submit."
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<captcha
 name="My Captcha 1"
 x="160"
 y="556"
 w="438"
 h="100"
 text="To Control Spam, please enter the characters in the box above in the box below*:"
 fnt="Arial"
 fntclr="0x000000"
 fntsize="11"
 bkbdrcolor="0x000000"
 bkfillclr="0xFFFFFF"
 bkdobdr="t"
 bkbdrsolid="t"
 bkdobk="t"
 bkfillalpha="100"
 message="Incorrect key!"
></captcha>

<label
 name="My Text 2"
 x="200"
 y="28"
 w="127"
 h="16"
 text="First and Last Name*"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 3"
 x="184"
 y="84"
 w="96"
 h="16"
 text="Street Address*"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
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  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
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 x="184"
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 w="126"
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 text="Your Phone Number*"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
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  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 7"
 x="184"
 y="56"
 w="140"
 h="16"
 text="Organization (If applies)"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 8"
 x="516"
 y="84"
 w="35"
 h="16"
 text="Apt #"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
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  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 10"
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 h="16"
 text="State*"
  fontname="Arial"
  fontcolor="0x000000"
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></label>

<label
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 x="492"
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 text="Zip Code*"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 12"
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 y="144"
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  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
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 w="430"
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 text="If you would like this message to go to a specific person enter their name:"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
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 y="340"
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 text=","
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

<label
 name="My Text 15"
 x="348"
 y="200"
 w="133"
 h="16"
 text="Check all that applies:"
  fontname="Arial"
  fontcolor="0x000000"
  fontsize="13"
></label>

</form>