CAROLINA VIRGINIA SPRAY BOOTH CONTACT FORM

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=60 BGCOLOR="#FF0000" TEXT="#080000" bgproperties="fixed" background="0492c3c1dvlddx.jpg"> <div> <IMG SRC="051562d0.jpg" border=0 width="342" height="45" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> </div> </td> </tr><tr> <td valign="top" width=185 BGCOLOR="#FF0000" TEXT="#080000" bgproperties="fixed" background="04bb95f2dvlddx.jpg"> <div> <A HREF="http://www.car-va.com/id19.htm" TARGET="_top" TITLE="http://www.car-va.com/id19.htm"><U><IMG SRC="1098c160.jpg" border=0 width="140" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="http://www.car-va.com/id20.htm" TARGET="_top" TITLE="http://www.car-va.com/id20.htm"><U><IMG SRC="10a8c160.jpg" border=0 width="140" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="http://www.car-va.com/id21.htm" TARGET="_top" TITLE="http://www.car-va.com/id21.htm"><U><IMG SRC="10b8c160.jpg" border=0 width="140" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="http://www.boothdescriptions.car-va.com" TARGET="_top" TITLE="http://www.boothdescriptions.car-va.com"><U><IMG SRC="10c8c160.jpg" border=0 width="140" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="http://www.car-va.com/id33.htm" TARGET="_top" TITLE="http://www.car-va.com/id33.htm"><U><IMG SRC="10d8c160.jpg" border=0 width="140" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="http://www.dustfumecollections.car-va.com" TARGET="_top" TITLE="http://www.dustfumecollections.car-va.co"><U><IMG SRC="10e8c160.jpg" border=0 width="140" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="http://www.car-va.com/id32.htm" TARGET="_top" TITLE="http://www.car-va.com/id32.htm"><U><IMG SRC="10f8c160.jpg" border=0 width="140" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="http://www.car-va.com/id34.htm" TARGET="_top" TITLE="http://www.car-va.com/id34.htm"><U><IMG SRC="1108c160.jpg" border=0 width="140" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="http://acenclosures.car-va.com" TARGET="_top" TITLE="http://acenclosures.car-va.com"><U><IMG SRC="1208c160.jpg" border=0 width="140" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="http://www.accessories.car-va.com" TARGET="_top" TITLE="http://www.accessories.car-va.com"><U><IMG SRC="1118c160.jpg" border=0 width="140" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="http://www.airmakeup.car-va.com" TARGET="_top" TITLE="http://www.airmakeup.car-va.com"><U><IMG SRC="1128c160.jpg" border=0 width="140" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="http://www.car-va.com/id35.htm" TARGET="_top" TITLE="http://www.car-va.com/id35.htm"><U><IMG SRC="1138c160.jpg" border=0 width="140" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="http://www.lighting.car-va.com" TARGET="_top" TITLE="http://www.lighting.car-va.com"><U><IMG SRC="1148c160.jpg" border=0 width="140" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="http://www.customdesigns.car-va.com" TARGET="_top" TITLE="http://www.customdesigns.car-va.com"><U><IMG SRC="1158c160.jpg" border=0 width="140" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="http://www.car-va.com/id22.htm" TARGET="_top" TITLE="http://www.car-va.com/id22.htm"><U><IMG SRC="1168c160.jpg" border=0 width="140" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="http://www.photogallery.car-va.com" TARGET="_top" TITLE="http://www.photogallery.car-va.com"><U><IMG SRC="1178c160.jpg" border=0 width="140" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="http://www.car-va.com/id24.htm" TARGET="_top" TITLE="http://www.car-va.com/id24.htm"><U><IMG SRC="1188c160.jpg" border=0 width="140" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="http://www.car-va.com/id23.htm" TARGET="_top" TITLE="http://www.car-va.com/id23.htm"><U><IMG SRC="1198c160.jpg" border=0 width="140" height="22" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <bR> <div> <IMG SRC="04f926e0.jpg" border=0 width="146" height="110" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> </td> <td valign="top" height=420 BGCOLOR="#FFFFFF" TEXT="#080000" bgproperties="fixed" background="04364643.jpg"> <div> www.car-va.com</div> <div> <B>CONTACT US</B></div> <div> <B>Please feel free to contact Carolina Virginia Spray Booth, Inc. for more information or for help you with your purchasing decisions. You can use the form below by filling in the blanks and pressing the "Send" button at the bottom, or you can call, fax or email us direct.</B></div> <bR> <DIV ALIGN="LEFT"></DIV> <div> <TABLE BORDER="2" CELLPADDING="2" CELLSPACING="1" WIDTH="519" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 505 WIDTH="254"><div> <IMG SRC="074f99a0.jpg" border=0 width="249" height="154" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <bR> <div> <B>PHYSICAL ADDRESS:</B></div> <div> <B>CAROLINA VIRGINIA SPRAY BOOTH, INC.</B></div> <div> <B>139 INDUSTRIAL AVENUE</B></div> <div> <B>GREENSBORO, NC 27406</B></div> <bR> <div> <B>MAILING ADDRESS:</B></div> <div> <B>CAROLINA VIRGINIA SPRAY BOOTH, INC.</B></div> <div> <B>PO BOX 36586</B></div> <div> <B>GREENSBORO, NC 27416</B></div> <bR> <bR> <div> <B>PHONE:336-272-9939 OR 336-272-9940</B></div> <bR> <div> <A HREF="mailto:mikeh@car-va.com" TARGET="_top" TITLE="mailto:mikeh@car-va.com"><U><B>EMAIL US</B></U></A></div> </tD> <tD VALIGN=TOP><NOBR><div>  <FORM ACTION="mailto:mikeh@car-va.com?no_signature=true" METHOD="POST" ENCTYPE="text/plain"> <table cellpadding="0" 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">Company:<br> <input type="text" name="Company" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address:<br> <input type="text" name="Address" 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 align="left">Fax Number:<br> <input type="text" name="Fax" size="14" maxlength="14"></td> </tr> <tr> <td align="left">Email:<br> <input type="text" name="Email" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Item Interested In:<br> <input type="text" name="Item interested in" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Questions or Comments:<br> <textarea name="Questions or Comments" rows="5" cols="30"></textarea></td> </tr> <tr> <td> <input type="checkbox" name="MailingList" value="yes"> Add me to your mailing list</td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> </NOBR></tD> </tR> </TABLE></div> <bR> <bR> <bR> <bR> <div>  <script src="http://www.google-analytics.com/urchin.js" type="text/javascript"> </script> <script type="text/javascript"> uacct = "UA-266074-4"; urchinTracker(); </script>  </div> <bR> </td> </tr></table></body>