Join The Fan Club

<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="#777777" TEXT="#080000" background="07503573.jpg"> <div> <FONT SIZE="5" COLOR="#FFFFFF" FACE="Arial" ><B>www.MichaelCamachoMusic.com</B></FONT><B>    </B><B> |     </B><A HREF="index.htm" TARGET="_top" TITLE="www.MichaelCamachoMusic.com"><B>home</B></A></div> <div> <A HREF="products_and_services.htm" TARGET="_top" TITLE="Tour Dates">Tour Dates</A>   |   <A HREF="about_us.htm" TARGET="_top" TITLE="Bio">Bio</A>   |   <A HREF="music__tracks.htm" TARGET="_top" TITLE="Music Tracks">Music & Tracks</A>   |   <A HREF="more_information.htm" TARGET="_top" TITLE="Photo Gallery">Photo Gallery</A>   |   <A HREF="press_articles.htm" TARGET="_top" TITLE="Reviews Press Articles">Reviews & Press Articles</A>   |   <B>Join The Fan Club</B>   |   <A HREF="contact_us.htm" TARGET="_top" TITLE="Booking Info">Booking Info</A></div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#333333" TEXT="#F7F7FF"> <bR> <div> <A HREF="products_and_services.htm" TARGET="_top" TITLE="Tour Dates"><IMG SRC="0d88c1c0.png" border=0 width="140" height="28" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></A></div> <div> <A HREF="about_us.htm" TARGET="_top" TITLE="Bio"><IMG SRC="0d98c1c0.png" border=0 width="140" height="28" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></A></div> <div> <A HREF="music__tracks.htm" TARGET="_top" TITLE="Music Tracks"><IMG SRC="0da8c1c0.png" border=0 width="140" height="28" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></A></div> <div> <A HREF="more_information.htm" TARGET="_top" TITLE="Photo Gallery"><IMG SRC="0db8c1c0.png" border=0 width="140" height="28" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></A></div> <div> <A HREF="press_articles.htm" TARGET="_top" TITLE="Reviews Press Articles"><IMG SRC="0dc8c1c0.png" border=0 width="140" height="28" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></A></div> <div> <A HREF="join_the_fan_club.htm" TARGET="_top" TITLE="Join The Fan Club"><IMG SRC="0dd8c1c0.png" border=0 width="140" height="28" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></A></div> <div> <A HREF="contact_us.htm" TARGET="_top" TITLE="Booking Info"><IMG SRC="0de8c1c0.png" border=0 width="140" height="28" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></A></div> <bR> <div> © 2007 Michael Camacho</div> <bR> </td> <td valign="top" height=390 width="100%" BGCOLOR="#333333" TEXT="#F7F7FF"> <div> <I>Join The Fan Club</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="firstName,lastName,email,address1,address2,city,state,zip,phone,mailingList,comments"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for your support!"><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A FANCLUB form was submitted"><input type="hidden" name="tlx_EmailTo" value="michaelcamachomusic@yahoo.com"> <table cellpadding="5" cellspacing="1" border="0" align="center"> <tr> <td align="left">First Name: <br> <input type="text" name="firstName" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Last Name: <br> <input type="text" name="lastName" 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">Address Line 1: <br> <input type="text" name="address1" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Address Line 2: <br> <input type="text" name="address2" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">City: <br> <input type="text" name="city" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">State: <br> <input type="text" name="state" size="30" maxlength="100"> </td> </tr> <tr> <td align="left">Zip: <br> <input type="text" name="zip" size="10" maxlength="10"> </td> </tr> <tr> <td align="left">Phone Number: <br> <input type="text" name="phone" size="14" maxlength="14"> </td> </tr> <tr> <td> <input type="checkbox" name="mailingList" value="yes"> Add me to your email newsletter too!</td> </tr> <tr> <td align="left">Comments: <br> <textarea name="comments" 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>