tag:blogger.com,1999:blog-22479884231096877912011-07-07T19:18:02.702-07:00Mechanical License Questionnarehttp://www.blogger.com/profile/05577107683508049798noreply@blogger.comBlogger11100tag:blogger.com,1999:blog-2247988423109687791.post-61926247449076318492009-06-10T08:11:00.001-07:002009-06-11T08:34:51.937-07:00<form enctype= "multipart/form-data" method="post" action="http://www.freedback.com/mail.php" charset="UTF-8"><br /><div><br /><br /><input name="acctid" id="acctid" value="xdkg6zp6u33etqnd" type="hidden"><br /> <input name="formid" id="formid" value="616855" type="hidden"><br /> <input name="required_vars" id="required_vars" value="name,email,field-99713f75f9d84fb,field-e937b1c041b8756,field-6edf1e309a172c1,field-3e191f1eedef16b,field-e124579d175fe9b,field-c334881682df845" type="hidden"><br /><br /></div><br /><table border="0" cellpadding="5" cellspacing="5"><br /><td valign="top"><br /><strong>Contact Name:</strong><br /> </td><br /> <td valign="top"><br /> <input name="name" id="name" size="40" value="" type="text"><br /> <br /> </td><br /> </tr><br /> <tr><br /> <td valign="top"><br /> <strong>Email:</strong><br /> </td><br /> <td valign="top"><br /> <input name="email" id="email" size="40" value="" type="text"><br /> <br /> </td><br /> </tr><br /> <tr><br /> <td valign="top"><br /> <strong>Address:</strong><br /> </td><br /> <td valign="top"><br /> <textarea name="field-99713f75f9d84fb" id="field-99713f75f9d84fb" rows="6" cols="40"></textarea><br /> <br /> </td><br /> </tr><br /> <tr><br /> <td valign="top"><br /> <strong>Phone:</strong><br /> </td><br /> <td valign="top"><br /> <input name="field-e937b1c041b8756" id="field-e937b1c041b8756" size="40" value="" type="text"><br /> <br /> </td><br /> </tr><br /> <tr><br /> <td valign="top"><br /> <strong>Fax:</strong><br /> </td><br /> <td valign="top"><br /> <input name="field-cba6378f45fee26" id="field-cba6378f45fee26" size="40" value="" type="text"><br /> <br /> </td><br /> </tr><br /> <tr><br /> <td valign="top"><br /> <strong>Name of Church, individual or company requesting mechanical license:</strong><br /> </td><br /> <td valign="top"><br /> <textarea name="field-581a12bd9e8c671" id="field-581a12bd9e8c671" rows="6" cols="40"></textarea><br /> <br /> </td><br /> </tr><br /> <tr><br /> <td valign="top"><br /> <strong></strong><br /> </td><br /> <td valign="top"><br /> <select name="field-18d231ca96322d7" id="field-18d231ca96322d7"> <option value="Church">Church</option> <option value="Individual">Individual</option> <option value="Company">Company</option> </select><br /> <br /> </td><br /> </tr><br /> <tr><br /> <td valign="top"><br /> <strong>Name of song(s) being requested:</strong><br /> </td><br /> <td valign="top"><br /> <textarea name="field-6edf1e309a172c1" id="field-6edf1e309a172c1" rows="6" cols="40"></textarea><br /> <br /> </td><br /> </tr><br /> <tr><br /> <td valign="top"><br /> <strong>Name of project:</strong><br /> </td><br /> <td valign="top"><br /> <input name="field-3e191f1eedef16b" id="field-3e191f1eedef16b" size="40" value="" type="text"><br /> <br /> </td><br /> </tr><br /> <tr><br /> <td valign="top"><br /> <strong>Number of units being manufactured: </strong><br /> </td><br /> <td valign="top"><br /> <input name="field-e124579d175fe9b" id="field-e124579d175fe9b" size="40" value="" type="text"><br /> <br /> </td><br /> </tr><br /> <tr><br /> <td valign="top"><br /> <strong>Duration of song (Master time):</strong><br /> </td><br /> <td valign="top"><br /> <input name="field-c334881682df845" id="field-c334881682df845" size="40" value="" type="text"><br /> <br /> </td><br /> </tr><br /> <tr><br /> <td colspan="2" align="center"><br /> <input value=" Submit Form " type="submit"><br /> </td><br /> </tr><br /></tbody></table><br /></form><!-- End Freedback Form --><div class="blogger-post-footer"><img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/2247988423109687791-6192624744907631849?l=licensingquestionnare.blogspot.com' alt='' /></div>Mechanical License Questionnarehttp://www.blogger.com/profile/05577107683508049798noreply@blogger.com0