Visitor Comments

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=3 BGCOLOR="#CC9900" TEXT="#080000"> <div> </div> </td> </tr><tr> <td valign="top" height=477 BGCOLOR="#CCCCE4" TEXT="#080000"> <bR> <div> <B>VISITOR'S COMMENTS</B></div> <div> <B> </B></div> <div> <B> <form action="http://csbmail.globalscape.com/cgi-bin/csbmail/csbmail.pl" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="name,Email,Residence,Residence,Experience,Experience,Yellow Pages,Motivation,Packet,Bluffton Today,Newspaper blurb,Website,Other,[radiobuttons10],[radiobuttons10],[radiobuttons10],[radiobuttons10],Minister,Membership,Service comments"><input type="hidden" name="tlx_FormIndex" value="1"><input type="hidden" name="tlx_OKMessage" value="Thank you for your comments. We'll look forward to reading them! "><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="Unitarian Universalist comment form"><input type="hidden" name="tlx_EmailTo" value="bobshamo@adelphia.net"> <table cellpadding="5" cellspacing="1" border="0" align="center"> <tr> <td align="left">Name(s): <br> <input type="text" name="name" size="50" maxlength="25"> </td> </tr> <tr> <td align="left">Email: <br> <input type="text" name="Email" size="50" maxlength="50"> </td> </tr> <tr> <td align="left">Residence: <br> <input type="radio" value="Visiting" name="Residence">Just visiting (vacation, etc.)<br></input><input type="radio" value="Here now or soon" name="Residence">Live in the area now or planning to move here<br></input> </td> </tr> <tr> <td align="left">Experience with Unitarian Universalism: <br> <input type="radio" value="New" name="Experience">Pretty much new to me<br></input><input type="radio" value="Current" name="Experience">Am now UU or was at one time<br></input> </td> </tr> <tr> <td align="left">Why you came (check all that apply): <br> <div> <input type="checkbox" name="Yellow Pages" value="Yellow Pages"> Yellow Pages<br></input><input type="checkbox" name="Motivation" value="Member"> One of your members talked to me<br></input><input type="checkbox" name="Packet" value="Packet"> Weekly ad in Island Packet<br></input><input type="checkbox" name="Bluffton Today" value="Bluffton Today"> Weekly ad in Bluffton Today<br></input><input type="checkbox" name="Newspaper blurb" value="Newspaper blurb"> Newspaper blurb about this particular service<br></input><input type="checkbox" name="Website" value="Website"> The website (www.unitarianhiltonhead.org)<br></input><input type="checkbox" name="Other" value="Other"> Other (please describe below)<br></input> </div> </td> </tr> <tr> <td align="left">Likelihood you'll come again: <br> <input type="radio" value="have" name="[radiobuttons10]">Already have!<br></input><input type="radio" value="Likely" name="[radiobuttons10]">Most likely<br></input><input type="radio" value="Doubtful" name="[radiobuttons10]">Doubtful<br></input><input type="radio" value="No way!" name="[radiobuttons10]">No way!<br></input> </td> </tr> <tr> <td align="left">Please: <br> <div> <input type="checkbox" name="Minister" value="Minister"> Ask the minister to contact me<br></input><input type="checkbox" name="Membership" value="Membership"> Relay my interest to the membership committee<br></input> </div> </td> </tr> <tr> <td align="left">Service and website comments, pro or con: <br> <textarea name="Service comments" rows="8" cols="70"></textarea> </td> </tr> <tr> <td align="right"> <input type="reset"> <input type="submit" value="Send" name="tlx_send"> </td> </tr> </table> </form>  </B></div> <div> <B>This questionnaire was first posted in March, 2006. </B></div> <bR> <bR> <div> <I> </I></div> <bR> <bR> <bR> <div> <B> </B></div> <div>  </div> </td> </tr></table></body>