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gianluigi |
18:40 19 Aug 2004 |
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[email protected] |
20:21 19 Aug 2004 |
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this form is posted at the following link
http://www.lifespr.com/forms/isrequestform.asp
below is the code for the page
<html> <head> <title>IS Request Form</title> <meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1"> <script language="JavaScript" src="../../IS/pupdate.js"></script> </head>
<body bgcolor="#FFFFFF" text="#000000"> <form name="isreq" method="post" action="http://mgmt.lifespr.com/forms/isreq.asp"> <table border="0" cellspacing="0" cellpadding="0" width="75%"> <tr> <td width="42"><img src="../../images/formtemplateslice_r1_c1.jpg" width="42" height="42"></td> <td width="809" background="../../images/formtemplateslice_r1_c2.jpg"> </td> <td width="43"><img src="../../images/formtemplateslice_r1_c3.jpg" width="42" height="42"></td> </tr> <tr> <td width="42" background="../../images/formtemplateslice_r2_c1.jpg"> </td> <td width="809"> <table width="100%" border="0" cellspacing="2" cellpadding="0" align="left"> <tr> <td colspan="5" height="51" bgcolor="#CCCCCC"> <center> <p><font size="4" face="Arial, Helvetica, sans-serif">Information Systems Request Form</font> </p> </center> </td> </tr> <tr valign="middle"> <td width="14%"> <div align="right"><b><font face="Arial, Helvetica, sans-serif" size="-1">Requestor</font></b> </div> </td> <td colspan="2"><b> <input type="text" name="requestor" tabindex=1> </b></td> <td width="18%"> <div align="right"><b><font face="Arial, Helvetica, sans-serif" size="-1">Date </font></b></div> </td> <td width="38%"> <input type="text" name="date" tabindex=8> <font face="Arial, Helvetica, sans-serif" size="-2"><a href="#" onClick="getCalendarFor(document.isreq.date);return false">[CHOOSE DATE]</a></font> </td> </tr> <tr valign="middle"> <td width="14%"> <div align="right"><b><font face="Arial, Helvetica, sans-serif" size="-1">Building </font></b></div> </td> <td colspan="2"><b><font face="Arial, Helvetica, sans-serif" size="-1"> <input type="text" name="building" tabindex=2> </font></b></td> <td width="18%"> <div align="right"><b><font face="Arial, Helvetica, sans-serif" size="-1">Room # </font></b></div> </td> <td width="38%"> <input type="text" name="room_number" tabindex=9> </td> </tr> <tr valign="middle"> <td width="14%"> <div align="right"><b><font face="Arial, Helvetica, sans-serif" size="-1">Department of Requestor </font></b></div> </td> <td colspan="2"><b><font face="Arial, Helvetica, sans-serif" size="-1"> <input type="text" name="department" tabindex=3> </font></b></td> <td width="18%"> <div align="right"><b><font face="Arial, Helvetica, sans-serif" size="-1">Phone # </font></b></div> </td> <td width="38%"> <input type="text" name="phone_number" tabindex=10> </td> </tr> <tr valign="middle"> <td rowspan="2" width="14%"> <div align="right"><b><font face="Arial, Helvetica, sans-serif" size="-1">Type of Request </font></b></div> <b></b></td> <td rowspan="2" width="15%"><b><font face="Arial, Helvetica, sans-serif" size="-1"> <input type="checkbox" name="problem" value="problem" tabindex=4> <font size="-2">Problem <br> <input type="checkbox" name="project" value="project" tabindex=5> Project<br> </font></font></b></td> <td rowspan="2" width="15%"><b><font face="Arial, Helvetica, sans-serif" size="-1"><font size="-2"> <input type="checkbox" name="hardware" value="hardware" tabindex=6> Hardware<br> <input type="checkbox" name="software" value="software" tabindex=7> Software</font></font></b></td> <td width="18%"> <div align="right"><b><font face="Arial, Helvetica, sans-serif" size="-1">RU # </font></b></div> </td> <td width="38%"> <input type="text" name="ru_number" tabindex=11> </td> </tr> <tr> <td width="18%"> <div align="right"><b><font face="Arial, Helvetica, sans-serif" size="-1">Date Needed </font></b></div> </td> <td width="38%" nowrap> <input type="text" name="date_needed" tabindex=12> <font face="Arial, Helvetica, sans-serif" size="-2"><a href="#" onClick="getCalendarFor(document.isreq.date_needed);return false">[CHOOSE DATE]</a></font></td> </tr> <tr> <td colspan="5"> <center> <b><font face="Arial, Helvetica, sans-serif" size="-1">Please describe in detail the problem/project:<br> <textarea name="description" wrap="VIRTUAL" cols="40" rows="5" tabindex=13></textarea> </font></b> </center> </td> </tr> <tr bgcolor="#CCCCCC"> <td colspan="5"> <p align="center"><font size="-1" face="Arial, Helvetica, sans-serif"><b><font size="-2">Enter your email address here to receive confirmation of this form submittal:</font></b></font> <input type="text" name="email" size="20" tabindex=14> </p> <p align="center"> <input type="submit" name="Submit" value="Submit"> <input type="reset" name="Reset" value="Reset"> </p> </td> </tr> </table> </td> <td width="43"> </td> </tr> <tr> <td width="42"><img src="../../images/formtemplateslice_r3_c1.jpg" width="42" height="46"></td> <td width="809"> </td> <td width="43"> </td> </tr> </table> </form> <p align="center"> </p> <script language="JavaScript"> if (document.all) { document.writeln("<div id=\"PopUpCalendar\" style=\"position:absolute; left:0px; top:0px; z-index:7; width:200px; height:77px; overflow: visible; visibility: hidden; background-color: #FFFFFF; border: 1px none #000000\" onMouseOver=\"if(ppcTI){clearTimeout(ppcTI);ppcTI=false;}\" onMouseOut=\"ppcTI=setTimeout(\'hideCalendar()\',500)\">"); document.writeln("<div id=\"monthSelector\" style=\"position:absolute; left:0px; top:0px; z-index:9; width:181px; height:27px; overflow: visible; visibility:inherit\">");} else if (document.layers) { document.writeln("<layer id=\"PopUpCalendar\" pagex=\"0\" pagey=\"0\" width=\"200\" height=\"200\" z-index=\"100\" visibility=\"hide\" bgcolor=\"#FFFFFF\" onMouseOver=\"if(ppcTI){clearTimeout(ppcTI);ppcTI=false;}\" onMouseOut=\"ppcTI=setTimeout('hideCalendar()',500)\">"); document.writeln("<layer id=\"monthSelector\" left=\"0\" top=\"0\" width=\"181\" height=\"27\" z-index=\"9\" visibility=\"inherit\">");} else { document.writeln("<p><font color=\"#FF0000\"><b>Error ! The current browser is either too old or too modern (using DOM document structure).</b></font></p>");} </script> <noscript><p><font color="#FF0000"><b>JavaScript is not activated !</b></font></p></noscript> <table border="1" cellspacing="1" cellpadding="2" width="200" bordercolorlight="#000000" bordercolordark="#000000" vspace="0" hspace="0"><form name="ppcMonthList"><tr><td align="center" bgcolor="#CCCCCC"><a href="javascript:moveMonth('Back')" onMouseOver="window.status=' ';return true;"><font face="Arial, Helvetica, sans-serif" size="2" color="#000000"><b>< </b></font></a><font face="MS Sans Serif, sans-serif" size="1"> <select name="sItem" onMouseOut="if(ppcIE){window.event.cancelBubble = true;}" onChange="switchMonth(this.options[this.selectedIndex].value)" style="font-family: 'MS Sans Serif', sans-serif; font-size: 9pt"><option value="0" selected>2000 � January</option><option value="1">2000 � February</option><option value="2">2000 � March</option><option value="3">2000 � April</option><option value="4">2000 � May</option><option value="5">2000 � June</option><option value="6">2000 � July</option><option value="7">2000 � August</option><option value="8">2000 � September</option><option value="9">2000 � October</option><option value="10">2000 � November</option><option value="11">2000 � December</option><option value="0">2001 � January</option></select></font><a href="javascript:moveMonth('Forward')" onMouseOver="window.status=' ';return true;"><font face="Arial, Helvetica, sans-serif" size="2" color="#000000"><b> ></b></font></a></td></tr></form></table> <table border="1" cellspacing="1" cellpadding="2" bordercolorlight="#000000" bordercolordark="#000000" width="200" vspace="0" hspace="0"><tr align="center" bgcolor="#CCCCCC"><td width="20" bgcolor="#FFFFCC"><b><font face="MS Sans Serif, sans-serif" size="1">Su</font></b></td><td width="20"><b><font face="MS Sans Serif, sans-serif" size="1">Mo</font></b></td><td width="20"><b><font face="MS Sans Serif, sans-serif" size="1">Tu</font></b></td><td width="20"><b><font face="MS Sans Serif, sans-serif" size="1">We</font></b></td><td width="20"><b><font face="MS Sans Serif, sans-serif" size="1">Th</font></b></td><td width="20"><b><font face="MS Sans Serif, sans-serif" size="1">Fr</font></b></td><td width="20" bgcolor="#FFFFCC"><b><font face="MS Sans Serif, sans-serif" size="1">Sa</font></b></td></tr></table> <script language="JavaScript"> if (document.all) { document.writeln("</div>"); document.writeln("<div id=\"monthDays\" style=\"position:absolute; left:0px; top:52px; z-index:8; width:200px; height:17px; overflow: visible; visibility:inherit; background-color: #FFFFFF; border: 1px none #000000\"> </div></div>");} else if (document.layers) { document.writeln("</layer>"); document.writeln("<layer id=\"monthDays\" left=\"0\" top=\"52\" width=\"200\" height=\"17\" z-index=\"8\" bgcolor=\"#FFFFFF\" visibility=\"inherit\"> </layer></layer>");} else {/*NOP*/} </script> </body> </html>
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gianluigi |
20:40 24 Aug 2004 |
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[email protected] |
5:23 5 Aug 2004 |
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gianluigi |
8:19 5 Aug 2004 |
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[email protected] |
2:50 5 Aug 2004 |
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gianluigi |
8:22 5 Aug 2004 |
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[email protected] |
3:42 4 Aug 2004 |
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gianluigi |
17:59 4 Aug 2004 |
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[email protected] |
22:39 3 Aug 2004 |
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