I Need More Information on Trust and Estate Planning

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" rowspan="2" width=185 BGCOLOR="#003333" TEXT="#F7F7FF" bgproperties="fixed" background="185d4c00dduajq.jpg"> <bR> <bR> <bR> <bR> <div> <IMG BORDER="0" SRC="1x1.gif" HEIGHT="17" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" WIDTH="9"><B>       </B><IMG BORDER="0" SRC="1x1.gif" HEIGHT="17" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" WIDTH="17"><B>   </B><IMG BORDER="0" SRC="1x1.gif" HEIGHT="17" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" WIDTH="17"><B>       </B><IMG BORDER="0" SRC="1x1.gif" HEIGHT="17" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" WIDTH="9"></div> <div> <B>Request Trust and Estate Planning Information by </B></div> <div> <B>Filling-out the Request Form to the Right</B></div> <bR> <div> <A HREF="id12.htm" TARGET="_top" TITLE=" Trust and Estate Planni"><B>Back to Estate Planning</B></A></div> <bR> <div> <A HREF="index.htm" TARGET="_top" TITLE="Law Offices of Mathews Bergen Grier"><B>Home</B></A></div> <bR> <div> <A HREF="mailto:mbglaw@cts.com" TARGET="_top" TITLE="mailto:mbglaw@cts.com"><B><IMG SRC="01573ce0.jpg" border=0 width="115" height="206" ALT="E-mail MATHEWS BERGEN & GRIER" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></A></div> </td> <td valign="top" colspan=2 height=100 BGCOLOR="#FFFBF0" TEXT="#080000"> <div> <I>I Need More Information on Trust and Estate Planning</I></div> <div> </div> </td> </tr><tr> <td valign="top" height=380 width="100%" colspan=2 BGCOLOR="#FFFBF0" TEXT="#080000"> <div>  <form action="http://formmail.trellix.com/servlets/TlxMailer" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="FirstName,LastName,Email,Company,Address1,Address2,City,State,Zip,Phone,Fax,MailingList for e-mail newsletter,Comments"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for your request for information trust and estate planning information. Please expect our reply within 5 business days. If you need furter information, please call us at (619) 298-2100"><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A request form for estate and trust planning was submitted"><input type="hidden" name="tlx_EmailTo" value="mbglaw@fflashcom.net"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">First Name: <br> <input type="text" name="FirstName" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Last Name: <br> <input type="text" name="LastName" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Email: <br> <input type="text" name="Email" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Company: <br> <input type="text" name="Company" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Address Line 1: <br> <input type="text" name="Address1" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Address Line 2: <br> <input type="text" name="Address2" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">City: <br> <input type="text" name="City" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">State: <br> <input type="text" name="State" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Zip: <br> <input type="text" name="Zip" size="10" maxlength="10"> </td> </tr> <tr> <td align="left">Phone Number: <br> <input type="text" name="Phone" size="14" maxlength="14"> </td> </tr> <tr> <td align="left">Fax Number: <br> <input type="text" name="Fax" size="14" maxlength="14"> </td> </tr> <tr> <td> <input type="checkbox" name="MailingList for e-mail newsletter" value="yes"> Add me to your e-mail newsletter mailing list. Confirm your e-mail address in the box below, if differenent from that listed above. Mulitple addresses are OK.</td> </tr> <tr> <td align="left">Please indicate eactly the information you require. If you want a personal phone call, please indicate that, also. If we are to phone you, please provide a 'best' time to call. : <br> <textarea name="Comments" rows="12" cols="80"></textarea> </td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> </td> </tr></table></body>