<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
<title>Offsetters Signature Maker</title>

<style>
BODY {margin-left:40px;font-family:arial;font-size:9pt}
</style>

</head>

<body>

<table  WIDTH="718" CELLPADDING="0" CELLSPACING="0" BORDER="0" ALIGN="center">
<tr>
<td><img SRC="signatureHeader.jpg" width="718" height="142"></td></tr>
<tr>
<td>

<div STYLE="padding:20px;border:1px solid black;background:#aab0c0 URL(bg.jpg) repeat-x">

<div STYLE="margin-left:80px">

<form ACTION="signature-inline.php" METHOD="GET">

Enter your name here:<br />
<input TYPE="text" NAME="name" SIZE="40">

<br /><br />

Enter your title here:<br />
<input TYPE="text" NAME="title" SIZE="40">

<br /><br />

Enter your company name here:<br />
<input TYPE="text" NAME="company" SIZE="40">

<br /><br />

Enter your company's website here<br />(eg http://www.offsetters.ca):<br />
<input TYPE="text" NAME="companyURL" SIZE="40">

<br /><br />

Enter your email address here:<br />
<input TYPE="text" NAME="emailAddress" SIZE="40">

<br /><br />

Enter your telephone number here:<br />
<input TYPE="text" NAME="tel" SIZE="40">

<br /><br />

Please select either the LIVE or WORK signature:<br />
<select NAME="type">
<option NAME="LIVE">LIVE</option>
<option NAME="WORK">WORK</option></select>

<br /><br />

<input TYPE="submit" VALUE="make signature">

</form>

</div>
</div>

</td></tr>
</table>

</body>
</html>
