<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> <HTML><HEAD> <META content="text/html; charset=unicode" http-equiv=Content-Type> <meta NAME="GENERATOR" Content="MSHTML 8.00.6001.18812" > <script language="JavaScript"> function Validate(){ if (theForm.Email.value == "") { alert("Please enter a value for the \"Your Email Address\" field."); theForm.Email.focus(); return (false); } if (theForm.Email.value.search("@") == -1 || theForm.Email.value.search("[.*]") == -1){ alert("Please enter a valid Email Address"); theForm.Email.focus(); return (false); } if (theForm.Name.value == "") { alert("Please enter a value for the \"Your Name\" field."); theForm.Name.focus(); return (false); } if (theForm.Company.value == "") { alert("Please enter a value for the \"Your Organization Name\" field."); theForm.Company.focus(); return (false); } if (theForm.Address.value == "") { alert("Please enter a value for the \"Your Address\" field."); theForm.Address.focus(); return (false); } if (theForm.City.value == "") { alert("Please enter a value for the \"Your City\" field."); theForm.City.focus(); return (false); } if (theForm.State.value == "") { alert("Please enter a value for the \"Your State\" field."); theForm.State.focus(); return (false); } if (theForm.Zip.value == "") { alert("Please enter a value for the \"Your Zip Code\" field."); theForm.Zip.focus(); return (false); } if (theForm.Phone.value == "") { alert("Please enter a value for the \"Your Phone Number\" field."); theForm.Phone.focus(); return (false); } return (true); } </script> <link href="style.css" rel="stylesheet" type="text/css"> <body marginwidth="0" marginheight="0" > <div align="center"> <!--#include file="TopNVEnergy.html" --> <br> <br> <form name="theForm" ACTION="BrokerRequestSend.asp" METHOD="post" onSubmit="return Validate()"></HEAD> <table border="0" cellPadding="1" cellSpacing="1" width="601" align=center> <p>&nbsp; <P></P> <TBODY> <tr> <td colspan=3><font face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular" color="#696969" size="2"><b>Complete the following fields and click the Submit button to request membership to NV Energy Site Locator.</font> <p></p></TD></TR> <p> <tr> <td width="200"><font face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular" size="2">Email Address:</font></td> <td><input name="Email" size="60" maxlength=50 ></td> </tr> <tr> <td width="200"><font size="2" face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular">Company:</font></td> <td><INPUT name="Company" size=60 maxlength=150 ></td> </tr> <tr> <td width="200"><font size="2" face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular">Name:</font></td> <td><INPUT name="Name" size=60 maxlength=100 ></td> </tr> <tr> <td width="200"><font size="2" face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular">Title:&nbsp;&nbsp;&nbsp;</font></td> <td><INPUT name="Title" size=60 maxlength=50 ></td> </tr> <tr> <td width="200"><font size="2" face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular">Street:</font></td> <td><INPUT name="Address" size=60 maxlength=100 ></td> </tr> <tr> <td width="200"><font size="2" face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular">City:</font></td> <td><INPUT name="City" size=60 maxlength=50></td> </tr> <tr> <td width="200"><font size="2" face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular">State:</font></td> <td><select name="State" style="WIDTH: 176px; HEIGHT: 22px" size="1"> <option selected value="NV">Nevada </option> </select> </td> </tr> <tr> <td width="200"><font size="2" face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular">Zip/Postal Code:</font></td> <td><INPUT name="Zip" size=60 maxlength=20 ></td> </tr> <tr> <td width="200"><font size="2" face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular">Telephone:</font></td> <td><INPUT name="Phone" size=60 maxlength=30 ></td> </tr> <tr> <td width="200"><font size="2" face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular">Cell Phone:</font></td> <td><INPUT name="CellPhone" size=60 maxlength=30 ></td> </tr> <tr> <td width="200"><font size="2" face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular">Fax:</font></td> <td><INPUT name="Fax" size=60 maxlength=30 ></td> </tr> <tr> <td width="200"><font size="2" face="Arial,Helvetica,Geneva,Swiss,SunSans-Regular">Web Address:</font></td> <td>www.<INPUT name="WebAddress" size=54 maxlength=50 ></td> </tr> <tr> <td width="200"><INPUT type="submit" value="Submit" id=submit1 name=submit1></td> <td></td> </tr></p></P> </table> <p> <p></FORM></p></BODY></HTML>