

<HTML>
<HEAD>
<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=ISO-8859-1">
<TITLE>Directory Addition Form</TITLE>

<META NAME="GENERATOR" CONTENT="Internet Assistant for Microsoft Word 2.04z">
</HEAD>
<BODY BACKGROUND="http://aurora.ncat.edu/~marshall/bluewa1.gif" TEXT="#ffffff">
<P>
<CENTER><TABLE BGCOLOR="#ffffff" BORDER="1" BORDERCOLOR="#ffff00" ALIGN="CENTER">
<TR><TD ALIGN="CENTER" WIDTH=583><CENTER><B><FONT SIZE=4 COLOR=#0000FF FACE="Lucida Casual">You can add your name or chapter to the list </FONT></B></CENTER>
<P>
<CENTER><B><FONT SIZE=4 COLOR=#0000FF FACE="Lucida Casual">by simply completing the following form!</FONT></B></CENTER>
</TD></TR>
</TABLE>
</CENTER>
<HR>
<FORM ACTION="http://www.vivanet.com/cgi-bin/formmail.pl" METHOD="POST" ENCTYPE="application/x-www-form-urlencoded">
<P>
<INPUT NAME="forward" VALUE="http://aurora.ncat.edu/~tbsigma/dir2.html" TYPE=HIDDEN>
<P>
<INPUT NAME="mail" VALUE="marshall@aurora.ncat.edu" TYPE=HIDDEN>
<P>
Name:  <INPUT NAME="Name:" VALUE="" MAXLENGTH="30" SIZE=25>
<P>
School: 
<TEXTAREA NAME="School:" ROWS=2 COLS=30>
</TEXTAREA>
<P>
Organization: <INPUT TYPE="RADIO" NAME="Organization" VALUE="KKY">KKY
<INPUT TYPE="RADIO" NAME="Organization" VALUE="TBS">TBS
<P>
Chapter: <INPUT NAME="Chapter:" VALUE="" MAXLENGTH="25" SIZE=25>
<P>
Email Address: <input name="Email:" value"" maxlength=40 size=30>
<p>

Comments/Suggestions/Questions:
<P>
<TEXTAREA NAME="Comments/Suggestions/Questions:" ROWS=9 COLS=50>
</TEXTAREA>
<P>
 <INPUT TYPE=SUBMIT VALUE="Send it!" NAME="Submit"> <INPUT TYPE=RESET VALUE="Clear">
<BR>
</FORM>

</BODY>
</HTML>
