<html> <head> <title>chakmak</title> </head> <link href="chakmak.css" rel="stylesheet" type="text/css" /> <script type="text/javascript" src="chakmak.js"></script> <body> <div align="center"><a target="_blank" href="http://www.eklavya.in/chakmak/chakmak/subscribe.php"><img src="form_image.jpg"></a></div> <!--<p align="center">All Fields Required</p> <div class="sr-sign-up-bg" id="main-change"> <form action="http://www.eklavya.in/chakmak/subscription_form/thank-you.php" name="" method="post"> <table cellspacing="10" cellpadding="5" align="center"> <tr> <td><input type="text" id="f_name" name="f_name" onBlur="if (this.value == '') {this.value = 'Full Name:';}" onFocus="if (this.value == 'Full Name:') {this.value = '';}" value="Full Name:"/></td> </tr> <tr> <td width="50px"> <select id="member" name="member"> <option value="none">Subscription Type</option> <option value="Individual">Individual</option> <option value="Organazation">Organazation</option> </select> </td> </tr> <tr> <td><input type="text" id="add" name="add" value="Address:" onBlur="if (this.value == '') {this.value = 'Address:';}" onFocus="if (this.value == 'Address:') {this.value = '';}" /></td> </tr> <tr> <td><input type="text" id="city" name="city" onBlur="if (this.value == '') {this.value = 'City:'}" onFocus="if (this.value == 'City:') {this.value = '';}" value="City:"/></td> </tr> <tr> <td><input type="text" id="pcode" name="pcode" value="Pin Code:" onBlur="if (this.value == '') {this.value = 'Pin Code:'}" onFocus="if (this.value == 'Pin Code:') {this.value = '';}"/></td> </tr> <tr> <td><input type="text" id="state" name="state" value="State/Region:" onBlur="if (this.value == '') {this.value = 'State/Region:'}" onFocus="if (this.value == 'State/Region:') {this.value = ''}"/></td> </tr> <tr> <td><input type="text" id="email" name="email" value="Email:" onBlur="if (this.value == '') {this.value = 'Email:'}" onFocus="if (this.value == 'Email:') {this.value = ''}"/></td> </tr> <tr> <td><input type="text" id="p_number" name="p_number" value="Phone Number:" onBlur="if (this.value == '') {this.value = 'Phone Number:'}" onFocus="if (this.value == 'Phone Number:') {this.value = ''}"/> </td> </tr> <tr> <td><input type="image" class="submit-btn" name="submit" value="Submit" src="submit-btn.png" onClick="return Validation_form()"/></td> </tr> </table> </form> </div>--> </body> </html>