Prayer Request

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#006699" TEXT="#080000" background="557fd5a3.jpg"> <div> <FONT SIZE="5" COLOR="#000000" FACE="Arial" ><B>New Jersey West Central Section Royal Rangers </B></FONT><B>  </B><B>   |     </B><A HREF="index.htm" TARGET="_top" TITLE="New Jersey West Central Section Royal Ra"><U><B>home</B></U></A></div> <div> back to  <A HREF="index.htm" TARGET="_top" TITLE="New Jersey West Central Section Royal Ra"><U><B>New Jersey West Central Section Royal Rangers </B></U></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFFBF0" TEXT="#080000"> <div> <A HREF="index.htm" TARGET="_top" TITLE="New Jersey West Central Section Royal Ra"><U><IMG SRC="0d10e0e0.png" border=0 width="14" height="14" ALT="up" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A>   <IMG BORDER="0" SRC="1x1.gif" HEIGHT="14" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" WIDTH="14">     <A HREF="id18.htm" TARGET="_top" TITLE=" FCF Corner"><U><IMG SRC="0d20e0e0.png" border=0 width="14" height="14" ALT="previous" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A>  <A HREF="id21.htm" TARGET="_top" TITLE="Pinewood Derby"><U><IMG SRC="0d30e0e0.png" border=0 width="14" height="14" ALT="next" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <B>Prayer Request</B></div> <div> <B><IMG SRC="326b6930.jpg" border=0 width="182" height="147" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> <bR> </td> <td valign="top" height=390 BGCOLOR="#FFFBF0" TEXT="#080000"> <bR> <div> <B>We respect your confidentiality and request that you fill in only the information that you desire us to know. </B></div> <div> <B>May God bless you.</B><FONT SIZE="4" COLOR="#000000" FACE="Californian FB" > </FONT></div> <bR> <div> <B>Prayer Request Information</B></div> <div>  <form action="http://csbmail.globalscape.com/cgi-bin/csbmail/csbmail.pl" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="Email,Outpost,Prayer Request,Name"><input type="hidden" name="tlx_FormIndex" value="1"><input type="hidden" name="tlx_OKMessage" value="Trust in the LORD with all your heart and lean not on your own understanding: in all your ways acknowledge him, and he will make your paths straight. (Proverbs 3:5-6 NIV)"><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A prayer request form was submitted"><input type="hidden" name="tlx_EmailTo" value="dan.ruggieri@njwcsrr.org"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">Email:<br> <input type="text" name="Email" size="30" maxlength="30"></td> </tr> <tr> <td align="left">Outpost:<br> <input type="text" name="Outpost" size="3" maxlength="3"></td> </tr> <tr> <td align="left">Prayer Request:<br> <textarea name="Prayer Request" rows="5" cols="50"></textarea></td> </tr> <tr> <td align="left">Name:<br> <input type="text" name="Name" size="30" maxlength="30"></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> <bR> <DIV ALIGN="LEFT"></DIV> <div> <B><IMG SRC="3241d170.png" border=0 width="541" height="23" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> <bR> <bR> </td> </tr></table></body>