<!-- BOF: ./personal-templates/show.body -->
<!-- BOF: ./personal-templates/simple/generic/show -->
<!-- BOF: ./personal-templates/rtl.html -->
<!-- Locale=en_US -->
<!-- EOF: ./personal-templates/rtl.html -->


<!-- BOF: ./personal-templates/simple/generic/functions -->
<!-- BOF: ./personal-templates/simple/generic/navbar --><!-- EOF: ./personal-templates/simple/generic/navbar -->


<!-- EOF: ./personal-templates/simple/generic/functions -->


<!-- EOF: ./personal-templates/simple/generic/show -->

<!-- BOF: ./personal-templates/simple/generic/images -->

<!-- EOF: ./personal-templates/simple/generic/images -->


<!-- BOF: ./personal-templates/simple/personal/other/l59.settings.init -->


<!-- EOF: ./personal-templates/simple/personal/other/l59.settings.init -->


    <!-- BOF: ./personal-templates/simple/businessnew/amazon/style_l59.images -->

<!-- EOF: ./personal-templates/simple/businessnew/amazon/style_l59.images -->

    <!-- BOF: ./personal-templates/simple/businessnew/amazon/style_l59.wait -->

 
<!-- EOF: ./personal-templates/simple/businessnew/amazon/style_l59.wait -->

  
  <!-- BOF: ./personal-templates/simple/business/layout/l59.wait -->


<!-- EOF: ./personal-templates/simple/business/layout/l59.wait -->


<HTML>

<HEAD>


<META NAME="description" CONTENT="Welcome to the Fryburg Old Treasures Depot.  Located in Fryburg on Route 208 between Oil City and Clarion in the former Faller's Furniture Building.">
<META NAME="Keywords"    CONTENT="Antiques, uniques, collectables, books, fryburg, crafts, crafts, antique, ">


<!-- business -->


<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=UTF-8">
<META NAME="Generator" content="">
<!-- BOF: ./personal-templates/simple/themes.show -->

<!-- BOF: ./personal-templates/simple/themes/top_down_curtain.show.header -->
<style>
<!--
.intro{
position:absolute;
left:0;
top:0;
layer-background-color:green;
background-color:green;
border:0.1px solid green;
overflow: auto;
}
-->
</style>
<!-- EOF: ./personal-templates/simple/themes/top_down_curtain.show.header -->


<!-- EOF: ./personal-templates/simple/themes.show -->


<!--<BASE HREF="http://www.fryburgdepot.com/form.html">-->
<TITLE>Survey</TITLE></head>
<BODY  BGCOLOR="#FFFFFF"
 TEXT="#333333"

LEFTMARGIN="0" TOPMARGIN="0" RIGHTMARGIN="0" BOTTOMMARGIN="0"

 onLoad=""
 
 LINK="#660000"
 VLINK="#000000"
 ALINK="#000000"
>

  
      <!-- BOF: ./personal-templates/simple/business/layout/l59.layout -->

 
<!-- html -->
<TABLE WIDTH="100%" height="100%" BORDER=0 CELLPADDING=0 CELLSPACING=0 align="center" valign="top" background="widgets/gen_33.1.gif" bgcolor="#A24A1E">
    <TR>
       <TD align="center" valign="top" background="">
            <TABLE WIDTH="90%" BORDER=0 CELLPADDING=0 CELLSPACING=10 align="center" valign="top">
              <tr>
                <td width="100%" colspan="2">
                    <TABLE height="76" WIDTH="100%" BORDER=0 CELLPADDING=0 CELLSPACING=0 valign="top">
                       <tr>
                         <td width="687" height="76"><img src="widgets/gen_16.1.gif" border=0 width=687 height=76 alt=""></td>
                         <td background="widgets/gen_18.1.gif">&nbsp;</td>
                         <td width="14" height="76" align="right"><img src="widgets/gen_19.1.gif" border=0 width=14 height=76 alt=""></td>
                       </tr>
                    </table>
                </td>
              </tr>
              <tr>
                <td width="206" height="100%" valign="top">
                <TABLE WIDTH="206" height="100%" BORDER=0 CELLPADDING=0 CELLSPACING=0 valign="top">
                    <tr><td valign="top">
                      <TABLE WIDTH="206" BORDER=0 CELLPADDING=0 CELLSPACING=0 valign="top">
                         <tr>
                           <td colspan="3"><img src="widgets/gen_38.1.gif" border=0 width=206 height=31 alt=""></td>
                         </tr>
                         <tr>
                           <td width="13" background="widgets/gen_41.1.gif"><img src="images/spacer.png" width="13" height="1"></td>
                           <td bgcolor="#FCD8C7" valign="top">
                                            <a href="index.html" onMouseOver="document.images['img8'].src='widgets/gen_51.1.gif'" onMouseOut="document.images['img8'].src='widgets/gen_50.1.gif'"><img src="widgets/gen_50.1.gif" alt="Welcome" name="img8" border="0"></a><br>
                                            <a href="about.html" onMouseOver="document.images['img6'].src='widgets/gen_46.1.gif'" onMouseOut="document.images['img6'].src='widgets/gen_45.1.gif'"><img src="widgets/gen_45.1.gif" alt="About" name="img6" border="0"></a><br>
                                            <a href="slideshow_flash.html" onMouseOver="document.images['img9'].src='widgets/gen_79.1.gif'" onMouseOut="document.images['img9'].src='widgets/gen_78.1.gif'"><img src="widgets/gen_78.1.gif" alt="Virtual Tour" name="img9" border="0"></a><br>
                                            <a href="links.html" onMouseOver="document.images['img11'].src='widgets/gen_77.1.gif'" onMouseOut="document.images['img11'].src='widgets/gen_76.1.gif'"><img src="widgets/gen_76.1.gif" alt="Internet Links" name="img11" border="0"></a><br>
                                            <a href="form.html" onMouseOver="document.images['img13'].src='widgets/gen_82.1.gif'" onMouseOut="document.images['img13'].src='widgets/gen_81.1.gif'"><img src="widgets/gen_81.1.gif" alt="Survey" name="img13" border="0"></a><br>
                                            <a href="directions.html" onMouseOver="document.images['img40'].src='widgets/gen_92.1.gif'" onMouseOut="document.images['img40'].src='widgets/gen_91.1.gif'"><img src="widgets/gen_91.1.gif" alt="Directions" name="img40" border="0"></a><br>
                                            <a href="sitemap.html" onMouseOver="document.images['img39'].src='widgets/gen_89.1.gif'" onMouseOut="document.images['img39'].src='widgets/gen_88.1.gif'"><img src="widgets/gen_88.1.gif" alt="Site Map" name="img39" border="0"></a><br>
                                            
                                            
                                            <a href="gpage.html" onMouseOver="document.images['img50'].src='widgets/gen_107.1.gif'" onMouseOut="document.images['img50'].src='widgets/gen_106.1.gif'"><img src="widgets/gen_106.1.gif" alt="Vendors" name="img50" border="0"></a><br><a href="mailto:adam@fryburgdepot.com" onMouseOver="document.images['img_email'].src='widgets/gen_48.1.gif'" onMouseOut="document.images['img_email'].src='widgets/gen_47.1.gif'"><img src="widgets/gen_47.1.gif" alt="e-mail me" name="img_email" border="0"></a><br>
                                            </td>
                           <td width="13" background="widgets/gen_40.1.gif"><img src="images/spacer.png" width="13" height="1"></td>
                         </tr>
                         <tr>
                           <td colspan="3"><img src="widgets/gen_39.1.gif" border=0 width=206 height=17 alt=""></td>
                         </tr>
                      </table>
                      </td></tr>
                      <tr><td><img src="widgets/spacer.gif" height=5 width=20 alt=""></td></tr>
                      <tr>
                      <td WIDTH="206" height="100%">
                      <TABLE WIDTH="206" height="100%" BORDER=0 CELLPADDING=0 CELLSPACING=0 valign="top">
                          <tr>
                             <td width="206" height="12"><img src="widgets/gen_42.1.gif" border=0 width=206 height=12 alt=""></td>
                          </tr>
                          <tr>
                             <td height="100%" background="widgets/gen_44.1.gif" height="100%">&nbsp;</td>
                          </tr>
                          <tr>
                             <td width="206" height="12" valign="bottom"><img src="widgets/gen_43.1.gif" border=0 width=206 height=12 alt=""></td>
                          </tr>
                      </table>
                      </td></tr></table>
                </td>
                <td height="100%" width="100%" valign="top">
                <TABLE DIR="LTR" WIDTH="100%" height="100%" BORDER=0 CELLPADDING=0 CELLSPACING=0 valign="top">
                          <TR>
                              <td colspan="3" width="100%">
                              <TABLE WIDTH="100%" height="30" BORDER=0 CELLPADDING=0 CELLSPACING=0 valign="top">
                                <tr>
                                  <td width="478" height="30"><img src="widgets/gen_80.1.gif" border=0 width=478 height=30 alt=""></td>
                                  <td width="100%" background="widgets/gen_14.1.gif"><img src="widgets/spacer.gif" height=30 width=1 alt=""></td>
                                  <td width="11"><img src="widgets/gen_15.1.gif" border=0 width=11 height=30 alt=""></td>
                                </tr>
                              </table>
                              </td>
                          </TR>
                          <tr><td colspan="3" height="10"><img src="widgets/spacer.gif" height=10 width=11 alt=""></td></tr>
                          <tr>
                             <td width="11" height="10"><img src="widgets/gen_34.1.gif" border=0 width=11 height=10 alt=""></td>
                             <td height="10" width="100%" background="widgets/gen_30.1.gif"></td>
                             <td width="11" height="10"><img src="widgets/gen_35.1.gif" border=0 width=11 height=10 alt=""></td>
                          </tr>
                          <tr>
                             <td height="100%" width="11" background="widgets/gen_31.1.gif"><img src="widgets/spacer.gif" height=1 width=11 alt=""></td>
                             <TD width="100%" height="100%" bgcolor="#F7E2D7" valign="top">
                             <!-- BOF: ./personal-templates/simple/businessnew/form/style_l59.html -->
<TABLE WIDTH=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
<TR>
    <TD WIDTH=100% COLSPAN="2" VALIGN="top">
       <TABLE WIDTH=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
         <TR>
<SCRIPT LANGUAGE="JavaScript">
var BUILDER = '/servlet/psoft.masonry.Builder';
function validate(frm){
var i = 0;

if (frm.field_21.value=="") return error(frm.field_21);

if (frm.field_18.value=="") return error(frm.field_18);

for(i = 0; i < frm.field_19.length; i++)
if (frm.field_19[i].checked) break;
if (frm.field_19.length==i) return error(frm.field_19[0]);

for(i = 0; i < frm.field_22.length; i++)
if (frm.field_22[i].checked) break;
if (frm.field_22.length==i) return error(frm.field_22[0]);

var url = document.URL;
if (url.indexOf(BUILDER) == -1 && url.charAt(url.length)!='/') {
 url = url.substring(0, url.lastIndexOf('/')+1);
}
frm.domain.value=url;
return true;

}
function error(field){ alert('You did not fill all required fields!'); field.focus(); return false; }
</SCRIPT>
<form name="questionary" action="http://sitebuilder.hostrocket.com/servlet/psoft.customform.CustomForm" method="post">
<input type="hidden" name="domain" value="">
<input type="hidden" name="title" value="Survey">
<input type="hidden" name="esubj" value="Submitted Form Report">
<input type="hidden" name="name" value="=GghoWXsbVRbLl=b">
<input type="hidden" name="submit_url" value="onsubmit.html">
<input type="hidden" name="error_url" value="onerror.html">

<input type="hidden" name="order" value="21 d17 18 19 20 22 33 ">

        <TD VALIGN="top">
        
<TABLE WIDTH=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
                                 <TR>
                                    <TD WIDTH=6 HEIGHT=7>
                                        <img src="widgets/gen_1.1.gif" border=0 width=6 height=7 alt=""></TD>
                                    <TD background="widgets/gen_0.1.gif">
                                        <img src="widgets/spacer.gif" height=1 width=7 alt=""></TD>
                                    <TD ALIGN="right" WIDTH=5 HEIGHT=7>
                                        <img src="widgets/gen_2.1.gif" border=0 width=5 height=7 alt=""></TD>
                                 </TR>
                                 <TR>
                                    <TD background="widgets/gen_4.1.gif">
                                        <img src="widgets/spacer.gif" height=5 width=6 alt=""></TD>
                                    <TD WIDTH=100% VALIGN="top" BGCOLOR="#FCD8C7" VALIGN="top" style='border-bottom: 1px dotted #A24A1E'>

         <span style="color:#660000;font-size:12px;font-weight:bold;font-family:Verdana,Arial,Helvetica">Survey</span>
         </TD>
         <TD background="widgets/gen_3.1.gif"><img src="widgets/spacer.gif" height=5 width=5 alt=""></TD>
         </TR>
         <TR>
                <TD background="widgets/gen_5.1.gif"><img src="widgets/spacer.gif" height=1 width=6 alt=""></TD>
                <TD WIDTH=100% VALIGN="top" BGCOLOR="#FFFFFF" VALIGN="top">

        <TABLE border="0" cellpadding="5" cellspacing="5" width="100%">
        <input type="hidden" name="name_21" value="Name">
        <TR><TD>


<font face='Arial' size='2' color='#333333'>

Name

</font>


<font color="red" size="-1">*</font></td>
            <TD><input type="text" name="field_21" size=35 style="background: #F7E2D7;border:1px solid #A24A1E">
            
            </TD>
        </TR>
        <input type="hidden" name="name_17" value="Date">
        <TR><TD>


<font face='Arial' size='2' color='#333333'>

Date

</font>


</td>
            <TD><select name="field_m_17" size="1" style="background: #F7E2D7;border:1px solid #A24A1E">
            <option>Jan<option>Feb<option>Mar
            <option>Apr<option>May<option>Jun
            <option>Jul<option>Aug<option>Sep
            <option>Oct<option>Nov<option>Dec
            </select>
            <select name="field_d_17" size="1" style="background: #F7E2D7;border:1px solid #A24A1E">
            <option>1<option>2<option>3<option>4<option>5<option>6<option>7<option>8<option>9<option>10<option>11<option>12<option>13<option>14<option>15<option>16<option>17<option>18<option>19<option>20<option>21<option>22<option>23<option>24<option>25<option>26<option>27<option>28<option>29<option>30<option>31
            </select>
            <input type="text" name="field_y_17" size="4" maxsize="4" style="background: #F7E2D7;border:1px solid #A24A1E">
            
            </TD>
        </TR>
        <input type="hidden" name="name_18" value="Email Address">
        <TR><TD>


<font face='Arial' size='2' color='#333333'>

Email Address

</font>


<font color="red" size="-1">*</font></td>
            <TD><input type="text" name="field_18" size=35 style="background: #F7E2D7;border:1px solid #A24A1E"><input type="hidden" name="rcpt" value="field_18">
            
            </TD>
        </TR>
        <input type="hidden" name="name_19" value="Have you visited our store?">
        <TR><TD>


<font face='Arial' size='2' color='#333333'>

Have you visited our store?

</font>


<font color="red" size="-1">*</font></td>
            <TD><input type="radio" name="field_19" value="Yes">


<font face='Arial' size='2' color='#333333'>

Yes

</font>


 <input type="radio" name="field_19" value="No">


<font face='Arial' size='2' color='#333333'>

No

</font>


            </TD>
        </TR>
        <input type="hidden" name="name_20" value="What are you in search of?">
        <TR><TD>


<font face='Arial' size='2' color='#333333'>

What are you in search of?

</font>


</td>
            <TD><textarea name="field_20" rows="5" cols="30" style="background: #F7E2D7;border:1px solid #A24A1E"></textarea>
            
            </TD>
        </TR>
        <input type="hidden" name="name_22" value="Can we contact you about events happening at the Depot?">
        <TR><TD>


<font face='Arial' size='2' color='#333333'>

Can we contact you about events happening at the Depot?

</font>


<font color="red" size="-1">*</font></td>
            <TD><input type="radio" name="field_22" value="Yes">


<font face='Arial' size='2' color='#333333'>

Yes

</font>


 <input type="radio" name="field_22" value="No">


<font face='Arial' size='2' color='#333333'>

No

</font>


            </TD>
        </TR>
        <input type="hidden" name="name_33" value="Other Comments">
        <TR><TD>


<font face='Arial' size='2' color='#333333'>

Other Comments

</font>


</td>
            <TD><textarea name="field_33" rows="5" cols="30" style="background: #F7E2D7;border:1px solid #A24A1E"></textarea>
            
            </TD>
        </TR>
        
        <TR><TD colspan=2 align=center><input onClick="return validate(form)" type="submit" value="Submit" style="background: #FCD8C7;border:1px solid #A24A1E">
            <input type="reset"  value="Reset" style="background: #FCD8C7;border:1px solid #A24A1E"></TD>
        </TR>
        </TABLE>
        
                                    </TD>
                                    <TD background="widgets/gen_6.1.gif">
                                        <img src="widgets/spacer.gif" height=1 width=5 alt=""></TD>
                                 </TR>
                                 <TR>
                                    <TD WIDTH=6 HEIGHT=8>
                                        <img src="widgets/gen_7.1.gif" border=0 width=6 height=8 alt=""></TD>
                                    <TD background="widgets/gen_9.1.gif">
                                        <img src="widgets/spacer.gif" height=1 width=6 alt=""></TD>
                                    <TD WIDTH=5 HEIGHT=8>
                                        <img src="widgets/gen_8.1.gif" border=0 width=5 height=8 alt=""></TD>
                                 </TR>
                                 <TR> 
                                    <TD COLSPAN=3>
                                        <img src="widgets/spacer.gif" height=10 width=10 alt=""></TD>
                                 </TR>
                                        
                         </TABLE>
</form>
    </TR>
    </TABLE>
    </TD>
</TR>
</TABLE>
<!-- EOF: ./personal-templates/simple/businessnew/form/style_l59.html -->

                                </td>
                             <td height="100%" width="11" background="widgets/gen_32.1.gif" align="right"><img src="widgets/spacer.gif" height=1 width=11 alt=""></td>
                          </tr>
                          <tr>
                             <td width="11" height="10"><img src="widgets/gen_37.1.gif" border=0 width=11 height=10 alt=""></td>
                             <td height="10" width="100%" background="widgets/gen_29.1.gif"></td>
                             <td width="11" height="10"><img src="widgets/gen_36.1.gif" border=0 width=11 height=10 alt=""></td>
                          </tr>
                       </table>
                </td></tr>
              <tr>
                 <td width="100%" colspan="2">
                      <TABLE DIR="LTR" WIDTH="100%" BORDER=0 CELLPADDING=0 CELLSPACING=0 valign="top">
                          <tr>
                             <td width="11" height="10"><img src="widgets/gen_22.1.gif" border=0 width=11 height=10 alt=""></td>
                             <td background="widgets/gen_24.1.gif" width="100%"></td>
                             <td width="16" height="10"><img src="widgets/gen_23.1.gif" border=0 width=16 height=10 alt=""></td>
                          </tr>
                          <tr>
                             <td background="widgets/gen_26.1.gif"><img src="widgets/spacer.gif" height=1 width=1 alt=""></td>
                             <TD bgcolor="#E7804C">
<center><table border="0" cellpadding="0" cellspacing="3"><tr><td align="center">

<a href="http://www.psoft.net" target="_blank"><img src="widgets/ss_button.gif" border="0"></a>

<br><font face="helvetica,verdana, arial" size="1">&nbsp;</font>

</td></tr></table></center>


<br>
<FONT FACE="verdana, arial, helvetica" SIZE="1">
<center>
<nobr>|<a href="index.html">Welcome</A>|</nobr>

<nobr>|<a href="about.html">About</A>|</nobr>

<nobr>|<a href="slideshow_flash.html">Virtual Tour</A>|</nobr>

<nobr>|<a href="links.html">Internet Links</A>|</nobr>

<nobr>|Survey|</nobr>

<nobr>|<a href="directions.html">Directions</A>|</nobr>

<nobr>|<a href="sitemap.html">Site Map</A>|</nobr>

<nobr>|<a href="gpage.html">Vendors</A>|</nobr>
</center>
</font>

</td>
                             <td background="widgets/gen_27.1.gif"><img src="widgets/spacer.gif" height=1 width=1 alt=""></td>
                          </tr>
                          <tr>
                             <td><img src="widgets/gen_20.1.gif" border=0 width=11 height=15 alt=""></td>
                             <td background="widgets/gen_25.1.gif" width="100%"></td>
                             <td><img src="widgets/gen_21.1.gif" border=0 width=16 height=15 alt=""></td>
                          </tr>
                      </table>
                 </td>
              </tr>
            </TABLE>
       </TD>
    </TR>
</TABLE>
<!-- End html -->
<!-- EOF: ./personal-templates/simple/business/layout/l59.layout -->

    
<!-- BOF: ./personal-templates/simple/themes.show.body -->


<!-- EOF: ./personal-templates/simple/themes.show.body -->

</body>
<!-- BOF: ./personal-templates/simple/themes.show.end -->


<!-- Template Error: Template "simple//themes/horizontal_curtain.show.bottom" not found in cache. -->


<!-- EOF: ./personal-templates/simple/themes.show.end -->


</html>


<!-- EOF: ./personal-templates/show.body -->