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<SCRIPT LANGUAGE="JavaScript1.2" SRC="HM_Loader.js" TYPE='text/javascript'></SCRIPT> </BODY> </HTML> <html></html> <title>Isha Yoga Program Pre-Registration</title> </head> <body bgcolor="#000000" text="#ff7f50" link="#ffff00" vlink="#c0c0c0" alink="#00 0000">

<table bordercolor="#ffffff" cellpadding="0" cellspacing="0" bgcolor="#000000"> <tr> <td valign="top" align="center" width="70"> <BR>&nbsp; <font face="Tahoma,Verdana,Arial" size="1" color=#d2b48c> <script language="JavaScript"> <!-var DayOfWeek = new Array('Sunday','Monday','Tuesday','W ednesday','Thursday','Friday','Saturday'); var MonthName = new Array('January','February','March',' April','May','June','July','August','September', 'October','November','December'); var theDate = new Date(); document.write('<B>' + DayOfWeek[theDate.getDay()] + ' ' + MonthName[theDate.getMonth()] + ' ' +

theDate.getDate() + ', ' + (theDate.getYear() < 1000 ? theDate.getYear() + 1900 : t heDate.getYear()) + '</B>'); //--> </script> </font> </td> <td width="390" valign="top" align="center"> <BR>&nbsp; <IMG ALT="Isha Logo" src="images/isha-title.jpg"> </td> <td width="150" valign="top" bgcolor=#000000> <BR>&nbsp; <A HREF="donation/donation.asp"><img border="0" src="images/giving-backto-isha.jpg" ALT="Giving Back to Isha"></A> </td> </tr> <tr> <td colspan=2 align="left" valign="top" bordercolor=#cd853f width="460"> <BR>&nbsp; <BR> <P align=center> <font color="#ffff00" size="5" face="Arial"><b>I S H A&nbsp;&nbsp;&nbsp; &nbsp;Y O G A<BR> PRE - REGISTRATION</b></font> </P> <blockquote> <blockquote> <form action="/cgi-shl/tgFormMail.pl" method="post" name="ssypreregn"> <input type="hidden" name="recipient" value="registration@ishafounda tion.org"> <input type="hidden" name="TO:" value="Isha Foundation"> <font size="4" face="Comic Sans MS"> <!-- <input type=hidden name=recipient value='webmaster@ ishafoundation.org'> --> </font><p> <font size="4" face="Comic Sans MS"><br> </font><font size="2" face="Arial, Book Antiqua"><b><U>Pre - Registr ation Form:</U> </b></font></p> <p>Please fill out the form below with as much information as possible and you will be contacted at the earliest by an ISHA volunteer near you: </p> <table border="0"> <tr> <td><b>Name</b></td> <td><input size="35" maxlength="256" name="Name" ></td> </tr> <tr> <td><b>Street address</b></td> <td><input size="35" maxlength="256" name="Street Address"></td> </tr> <tr>

<td><b>Address (cont.) </b></td> <td><input size="35" maxlength="256" name="Address2" ></td> </tr> <tr> <td><b>City</b></td> <td><input size="35" maxlength="256" name="City" ></td> </tr> <tr> <td><b>State</b></td> <td><input size="35" maxlength="256" name="State" ></td> </tr> <tr> <td><b>Zip/Postal code</b></td> <td><input size="12" maxlength="12" name="ZipCode" ></td> </tr> <tr> <td><b>Work Phone</b></td> <td><input size="25" maxlength="25" name="Work Phone"></td> </tr> <tr> <td><b>Home Phone</b></td> <td><input size="25" maxlength="25" name="Home Phone"></td> </tr> <tr> <td><b>FAX</b></td> <td><input size="25" maxlength="25" name="FAX" ></td> </tr> <tr> <td><b>E-mail</b></td> <td><input size="25" maxlength="256" name="email" ></td> </tr> </table> <p>Please specify where you would like to attend the classes: <br> <select name="Preferred Area" size="1"> <option selected>Chicago, IL</option> <option>Columbus, OH</option> <option>Dayton, OH</option> <option>Detroit, MI</option> <option>Nashville, TN</option> <option>Ney Jersey, NJ</option> <option>Beirut, Lebanon</option> <option>TamilNadu, India</option> <option>All Other locations</option> </select> </p> <p>If you chose "Other location" above please mention the location where you wish to attend the class? <br> <input size="54" maxlength="256" name="Other location preferred?"></ p> <p>When do you plan to take the class? <br> <select name="When do you plan to take this class? " size="1"> <option selected>Immediately</option>

<option>In a month</option> <option>1 to 3 months</option> <option>3 to 6 months</option> <option>More than 1 year</option> <option>Undecided</option> </select> </p> <p>Describe the benefit(s) you are looking to derive out of this yog a program: <br><TEXTAREA cols=55 name="Describe the benefit(s) you are looking to derive out of this program:" rows=4></TEXTAREA> </p> <p align="center"><input type="submit" name="Form Action" value="Sub mit Registration">&nbsp;&nbsp;<input type="reset" name="Clear" value="Clear Form "></p> </form> </blockquote> </blockquote> <p align="center"><font size="1" face="Comic Sans MS"><b>Send mail to </b></font><A href="mailto:registration@ishafoundation.org"><font size="1" face ="Comic Sans MS"><b>registration@ishafoundation.org</b></font></A ><font size="1" face ="Comic Sans MS"><b> with questions or comments. </b></font></p> <td width="150" valign="top" bordercolor=#000000 bgcolor=#696969> <BR> <form action="maillist/from_form.asp" Method="Post"> <table border="0" cellpadding="0" cellspacing="0" align="center"> <tr> <td bgcolor="000000"> <table width=150 border="0" cellpadding="2" cellspacing="1" align="center"> <tr> <td bgcolor="52637B" align="center"><font face="Verdana" size="1" color="FFCC00" ><b>Join Our Newsletter</b></font></td> </tr> <tr> <td bgcolor="B0C4DE"><font face="Verdana" size="1" color="000000">E-Mail Address :<br> <input type="text" name="Email" size="20" maxlength="255" style="color : #000000 ; background : #FFFFFF; border-top : 1px solid; border-bottom : 1px solid; borde r-left : 1px solid; border-right : 1px solid; font-family : Verdana,tahoma,Arial ; font-size : 10px;"> <br> First Name:<br> <input type="text" name="Name_First" size="20" maxlength="255" style="color : #0 00000; background : #FFFFFF; border-top : 1px solid; border-bottom : 1px solid; border-left : 1px solid; border-right : 1px solid; font-family : Verdana,tahoma, Arial; font-size : 10px;"> <br> Last Name:<br> <input type="text" name="Name_Last" size="20" maxlength="255" style="color : #00 0000; background : #FFFFFF; border-top : 1px solid; border-bottom : 1px solid; b order-left : 1px solid; border-right : 1px solid; font-family : Verdana,tahoma,A rial; font-size : 10px;"> <br> <input type="radio" name="Join_Quit" value="Join" checked> Subscribe<br> <input type="radio" name="Join_Quit" value="Quit"> Unsubscribe <br> <input type="submit" size="20" value="Go" style="color: #000000; background-colo

r: #EEEEEE; border-top : 1px solid; border-bottom : 1px solid; border-left : 1px solid; border-right : 1px solid; font-family : Verdana,tahoma,Arial; font-size : 10px; font-weight: bold;"></font></td> </tr> </table> </td> </tr> </table> </form> <BR> <center> <A HREF="http://www.amazon.com/exec/obidos/ASIN/8187910003" target="_blank"><img src="http://www.ishafoundation.org/images/dhyan-book-cover.jpg" ALT="Buy Sadhgu ru's book at Amazon.com" border=0></A> </center> <BR> <table border="0" cellpadding="0" cellspacing="0" align="center" > <tr> <td bgcolor="000000"> <TABLE width=150 border="0" cellpadding="2" cellspacing= "1" align="center"> <TR> <TD bgcolor="52637B" align="center"> <FORM METHOD="post" ACTION="http://sitesearch.hitbox.com /cgi-bin/search/cgi/search" target="_blank"> <INPUT TYPE=hidden NAME=config VALUE=11454> <font face="Verdana" size="1" color="FFCC00"><b>Search I sha</b></font> </td> </tr> <tr> <td bgcolor="B0C4DE"> <font face="Verdana" size="1" color="#000000"><input typ e="Text" name="words" size=14 maxlength="255" style="color : #000000; background : #FFFFFF; border-top : 1px solid; border-bottom : 1px solid; border-left : 1px solid; border-right : 1px solid; font-family : Verdana,tahoma,Arial; font-size : 10px;"> <input type="Submit" name="submit" value="Go!" style="co lor: #000000; background-color: #EEEEEE; border-top : 1px solid; border-bottom : 1px solid; border-left : 1px solid; border-right : 1px solid; font-family : Ver dana,tahoma,Arial; font-size : 10px; font-weight: bold;"><BR> <input type="Radio" name="yep" value="0" checked>Only Is ha<BR> <input type="Radio" name="yep" value="1">The Web<BR><BR> &nbsp;<BR> <input type="Radio" checked name="method" VALUE=and>All words<BR> <input type="Radio" name="method" VALUE=or>Any Word </font> </form> </TD> </TR> </TABLE> </td>

</tr> </table> <BR> <BR> <br> <Script> function popUp(url) { var w = window.open(url, "", "width=350, height=350, top=100, left=100, status=N o, directories=No, location=No, menubar=No, resizable=No, scrollbars=No, toolbar =No") } </Script> <TABLE border="0" cellpadding="2" cellspacing="1" align="center"> <TR> <TD bgcolor="52637B" align="center"> <form method="POST" action="poll/pollmentorres.asp?id=2" target="_blank"> <font face="Verdana" size="1" color="FFCC00"><b>Do you find our programs ben eficial?</b></font> </td> </tr> <tr> <td bgcolor="B0C4DE"> <font face="Verdana" size="1" color="#000000"><br> <input type="radio" value="1" checked name="R1">Yes<br> <input type="radio" value="2" name="R1">No<br> <input type="radio" value="3" name="R1">Can't Say<br> <BR> <center> <input type="submit" value="Vote!" name="B1" style="color: #0000 00; background-color: #EEEEEE; border-top : 1px solid; border-bottom : 1px solid ; border-left : 1px solid; border-right : 1px solid; font-family : Verdana,tahom a,Arial; font-size : 10px; font-weight: bold;"> </center><br> <BR> <a class="regular" href="javascript:popUp('poll/pollmentorres.as p?id=2');">Current results</a><br> <a class="regular" href="javascript:popUp('poll/pollmentorhist.a sp');">Earlier poll results</a> <BR> <BR> 224 votes polled in this poll</font> </td> </form> </tr> </table> <BR> <center><A HREF="forums/default.asp"><img src="http://www.ishafoundation.org/ima ges/join-forums.jpg" ALT="Join the Discussion at Isha Forums" border=0></A></cen ter> <BR> </td>

</tr> <tr> <td colspan=2 width="460" bordercolor=#000000> <BR> <center><HR size=120> <BR> <p> <IMG SRC="images/bottom-navbar.jpg" BORDER=0 USEMAP="#bottom_navbar_Map"> <MAP NAME="bottom_navbar_Map"> <AREA SHAPE="rect" ALT="Isha Contact Information" COORDS="392,2,482,29" HREF="ht tp://www.ishafoundation.org/contact.asp"> <AREA SHAPE="rect" ALT="Sadhguru Jaggi Vasudev - Our Beloved Jaggi" COORDS="315, 3,390,31" HREF="http://www.ishafoundation.org/jaggi.asp"> <AREA SHAPE="rect" ALT="Program Schedule / Calendar of Events" COORDS="244,3,312 ,31" HREF="http://www.ishafoundation.org/cal/calendar.asp"> <AREA SHAPE="rect" ALT="Programs Offered by Isha" COORDS="163,2,242,27" HREF="ht tp://www.ishafoundation.org/programs/index.asp"> <AREA SHAPE="rect" ALT="Community - YogaCenter, Dhyanalingam & Volunteers" COORD S="70,2,162,30" HREF="http://www.ishafoundation.org/yogacenter.asp"> <AREA SHAPE="rect" ALT="Isha Home" COORDS="5,2,68,27" HREF="http://www.ishafound ation.org/"> </MAP> </p> <BR> <BR> <A HREF="http://www.icra.org"><IMG SRC="http://www.ishafoundation.org/im ages/rsacirated.gif" border=0></A> <BR> <!--WEBBOT bot="HTMLMarkup" startspan ALT="Site Meter" --> <script type="text/javascript" language="JavaScript">var site="sm4-isha"</script > <script type="text/javascript" language="JavaScript1.2" src="http://sm4.sitemete r.com/js/counter.js?site=sm4-isha"> </script> <noscript> <a href="http://sm4.sitemeter.com/stats.asp?site=sm4-isha" target=_top><img src= "http://sm4.sitemeter.com/meter.asp?site=sm4-isha" title="Site Meter" border=0>< /a> </noscript> <!-- Copyright (c)2000 Site Meter --> <!--WEBBOT bot="HTMLMarkup" Endspan i-checksum="38200" --> <BR><font size="-2">©Copyright 2002. Isha Foundation. All rights reserved.<BR>View our <A href="privacy.asp">Privacy Policy</A> here.</font> </center> <BR> <!-- Stats code --> <script type="text/javascript" language="JavaScript"> // Define the location of count.asp // Using a path, you may use this code in any subfolder var file='/stats/count.asp'; var d=new Date(); var s=d.getSeconds(); var m=d.getMinutes(); var x=s*m; f='' + escape(document.referrer); if (navigator.appName=='Netscape'){b='NS';} if (navigator.appName=='Microsoft Internet Explorer'){b='MSIE';} if (navigator.appVersion.indexOf('MSIE 3')>0) {b='MSIE';}

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