<%@ page language="VB" masterpagefile="~/pages/airedale911.master" autoeventwireup="false" inherits="feedback, App_Web_i5ksdbwd" title="airedale911.org: Feedback" %>
<asp:Content ID="Content1" ContentPlaceHolderID="ContentPlaceHolder" runat="Server">
<h1>
Airedale911's New Adoption Form In Progress</h1>
<p>
<strong>Instructions</strong>
<p>All fields that require an answer will prompt you if you leave them blank or enter an invalid value. If there is no answer,
please enter "n/a" into the field.</p>
<p>Note that if you leave the form page without completing the on-line application,
your answers will not be saved.</p>
<p>If your form does not get submitted, check the error message shown and return to that field.</p><br />
</p>
<table>
<tr>
<td class="Listings" valign="top" width="62">
Comments2
</td>
<td class="Listings" width="303">
<asp:TextBox cssclass="inputTXT" TextMode="MultiLine" Rows="5" ID="txtComments2" runat="server"></asp:TextBox>
</td>
<td class="Listings" valign="top" width="50">
<asp:RequiredFieldValidator ID="rfvMailBody2" runat="server" ControlToValidate="txtComments"
ErrorMessage="Required" Display="Dynamic"></asp:RequiredFieldValidator></td>
</tr>
<tr>
<td class="Listings" valign="top" width="62">
Comments
</td>
<td class="Listings" width="303">
<asp:TextBox cssclass="inputTXT" TextMode="MultiLine" Rows="5" ID="txtComments" runat="server"></asp:TextBox>
</td>
<td class="Listings" valign="top" width="50">
<asp:RequiredFieldValidator ID="rfvMailBody" runat="server" ControlToValidate="txtComments"
ErrorMessage="Required" Display="Dynamic"></asp:RequiredFieldValidator></td>
</tr>
<tr>
<td class="Listings">
Category
</td>
<td class="Listings">
<asp:DropDownList runat="server" cssclass="inputDDL" ID="ddlCategory">
<asp:ListItem Selected="true">Web site</asp:ListItem>
<asp:ListItem>Adoptions</asp:ListItem>
<asp:ListItem>Events</asp:ListItem>
<asp:ListItem>Donations</asp:ListItem>
</asp:DropDownList>
</td>
<td class="Listings"> </td>
</tr>
<tr>
<td colspan="3" class="Listings">
<b>Your Contact Information</b></td>
</tr>
<tr>
<td class="Listings">
Name
</td>
<td>
<asp:TextBox cssclass="inputTXT" ID="txtName" runat="server"></asp:TextBox></td>
<td class="Listings">
<asp:RequiredFieldValidator ID="rfvName" runat="server" ControlToValidate="txtName"
Display="Dynamic" ErrorMessage="Required"></asp:RequiredFieldValidator></td>
</tr>
<tr>
<td class="Listings">
How many in your household?
</td>
<td>
<asp:TextBox cssclass="inputTXT2" ID="txtName2" runat="server"></asp:TextBox></td>
<td class="Listings">
<asp:RequiredFieldValidator ID="rfvName2" runat="server" ControlToValidate="txtName2"
Display="Dynamic" ErrorMessage="Required"></asp:RequiredFieldValidator></td>
</tr>
<tr>
<td class="Listings">
Phone</td>
<td>
<asp:TextBox cssclass="inputTXT" ID="txtPhone" runat="server"></asp:TextBox>
<ajax:TextBoxWatermarkExtender ID="wmxPhone" runat="server" WatermarkCssClass="faintTXT"
TargetControlID="txtPhone" WatermarkText="nnn-nnn-nnnn">
</ajax:TextBoxWatermarkExtender>
</td>
<td class="Listings">
<asp:RequiredFieldValidator ID="rfvPhone" runat="server" ControlToValidate="txtPhone"
Display="Dynamic" ErrorMessage="Required"></asp:RequiredFieldValidator><asp:RegularExpressionValidator ID="rxvPhone" runat="server" ControlToValidate="txtPhone"
Display="Dynamic" ErrorMessage="Invalid" ValidationExpression="((\(\d{3}\) ?)|(\d{3}-))?\d{3}-\d{4}"></asp:RegularExpressionValidator></td>
</tr>
<tr>
<td class="Listings">
Fax
</td>
<td>
<asp:TextBox cssclass="inputTXT" ID="txtFax" runat="server"></asp:TextBox>
<ajax:TextBoxWatermarkExtender ID="wmxFax" runat="server" WatermarkCssClass="faintTXT"
TargetControlID="txtFax" WatermarkText="nnn-nnn-nnnn">
</ajax:TextBoxWatermarkExtender>
</td>
<td class="Listings">
<asp:RegularExpressionValidator ID="rxvFax" runat="server" ControlToValidate="txtFax"
Display="Dynamic" ErrorMessage="Invalid" ValidationExpression="((\(\d{3}\) ?)|(\d{3}-))?\d{3}-\d{4}"></asp:RegularExpressionValidator></td>
</tr>
<tr>
<td class="Listings">
E-mail</td>
<td>
<asp:TextBox cssclass="inputTXT" ID="txtEmail" runat="server"></asp:TextBox>
<ajax:TextBoxWatermarkExtender ID="wmxEmail" runat="server" WatermarkCssClass="faintTXT"
TargetControlID="txtEmail" WatermarkText="user@domain.com">
</ajax:TextBoxWatermarkExtender>
</td>
<td class="Listings">
<asp:RequiredFieldValidator ID="rfvEmail" runat="server" ControlToValidate="txtEmail"
Display="Dynamic" ErrorMessage="Required"></asp:RequiredFieldValidator><asp:RegularExpressionValidator ID="rxvEmail" runat="server" ControlToValidate="txtEmail"
Display="Dynamic" ErrorMessage="Invalid" ValidationExpression="\w+([-+.']\w+)*@\w+([-.]\w+)*\.\w+([-.]\w+)*"></asp:RegularExpressionValidator></td>
</tr>
<tr>
<td colspan="2" align="center">
<asp:Button ID="btnSubmit" runat="server" Text="Send" Width="100px" />
<input id="Reset1" size="" style="width: 100px" type="reset" value="Clear" /></td>
</tr>
</table>
<!--</form>-->
</asp:Content>