Prayer Request Form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#006699" TEXT="#080000" background="058fd5a3.jpg"> <div> <FONT SIZE="5" COLOR="#000000" FACE="Arial" ><B>The Southern Methodist Church</B></FONT><B>    </B><B> |     </B><A HREF="index.htm" TARGET="_top" TITLE="The Southern Methodist Church"><U><B>home</B></U></A></div> <div> <A HREF="id18.htm" TARGET="_top" TITLE="About Us"><U>About Us</U></A>   |   <A HREF="id19.htm" TARGET="_top" TITLE="Our Ministries"><U>Our Ministries</U></A>   |   <A HREF="id20.htm" TARGET="_top" TITLE="Conferences"><U>Conferences</U></A>   |   <A HREF="id26.htm" TARGET="_top" TITLE="Related Links"><U>Related Links</U></A>   |   <A HREF="id27.htm" TARGET="_top" TITLE="Contact Us"><U>Contact Us</U></A>   |   <A HREF="id17.htm" TARGET="_top" TITLE="Calendar"><U>Calendar</U></A>   |   <A HREF="id28.htm" TARGET="_top" TITLE="Other Helps"><U>Other Helps</U></A>   |   <A HREF="id72.htm" TARGET="_top" TITLE="Announcements"><U>Announcements</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFCC66" TEXT="#080000" background="059d2043.jpg"> <div> <IMG SRC="063bb940.jpg" border=0 width="187" height="148" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </td> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>Prayer Request Form</I></div> <div>  <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,Request"><input type="hidden" name="tlx_FormIndex" value="1"><input type="hidden" name="tlx_OKMessage" value="Thank you for your prayer request. Our office meets daily for prayer."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A prayer request has been submitted"><input type="hidden" name="tlx_EmailTo" value="smchq@bellsouth.net"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">Name:<br> <input type="text" name="Name" 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">Prayer Request:<br> <textarea name="Request" rows="5" cols="30"></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>