EVENT SUBMISSION PAGE

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" rowspan="2" width=100 BGCOLOR="#A0A0A4" TEXT="#080000" bgproperties="fixed" background="4a945453.jpg"> <bR> <div> <B> <script language=JavaScript>  </script>  </B></div> </td> <td valign="top" height=430 BGCOLOR="#FFFFFF" TEXT="#080000" background="09190903.jpg"> <div> www.ShopRockinghamCounty.com</div> <div> <B>To List an event for Rockingham County,</B></div> <div> <B>just fill out the form below and press the "Send" button.</B></div> <div> <B>We will try to get your event online as soon as possible.</B></div> <div> <B>We reserve the right to reject any submissions.</B></div> <bR> <div> <B> <FORM ACTION="mailto:info@shoprockinghamcounty.com?no_signature=true" METHOD="POST" ENCTYPE="text/plain"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">Contact Person:<br> <input type="text" name="Contact Person" size="45" maxlength="100"></td> </tr> <tr> <td align="left">Organization:<br> <input type="text" name="Organization" size="45" maxlength="100"></td> </tr> <tr> <td align="left">Address:<br> <input type="text" name="Address" size="45" 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="22" maxlength="22"></td> </tr> <tr> <td align="left">Fax Number:<br> <input type="text" name="Fax" size="22" maxlength="22"></td> </tr> <tr> <td align="left">Email:<br> <input type="text" name="Email" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Event Description:<br> <textarea name="Event Description" rows="5" cols="45"></textarea></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </B></div> <bR> <div> <A HREF="shop_rockingham_county_main_links_page.htm" TARGET="_top" TITLE="links page, Madison, Mayodan, Eden, Reid"><U><IMG SRC="53981430.jpg" border=0 width="129" height="67" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="http://www.rockinghamco.com" TARGET="_top" TITLE="http://www.rockinghamco.com"><U><B>Back To The Calendar Of Events Page</B></U></A></div> <bR> <div> <IMG SRC="0902c260.jpg" border=0 width="300" height="294" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> <B> <script language=JavaScript>  </script>  </B></div> <bR> <DIV ALIGN="LEFT"></DIV> <div> <B> <center><a href=http://xcounters.com/><img src=http://a.xcounters.com/?shoprock border=0></a><br><a href="http://xcounters.com/"><font size="1" face="Arial, Helvetica, sans-serif">Web Counter</font></a></center>  </B></div> </td> <td valign="top" rowspan="2" width=100 BGCOLOR="#666666" TEXT="#080000" bgproperties="fixed" background="4a945453.jpg"> <bR> </td> </tr><tr> <td valign="top" height=50 BGCOLOR="#A0A0A4" TEXT="#080000" bgproperties="fixed" background="51a45323.jpg"> <div> <A HREF="shop_rockingham_county_main_links_page.htm" TARGET="_top" TITLE="links page, Madison, Mayodan, Eden, Reid"><U><B>Main Page</B></U></A><B> - </B><A HREF="id102.htm" TARGET="_top" TITLE="Advertisers Index"><U><B>Advertiser's Index</B></U></A><B>  - </B><A HREF="id17.htm" TARGET="_top" TITLE="Madison Main Page"><U><B>Madison</B></U></A><B> - </B><A HREF="id18.htm" TARGET="_top" TITLE="MAYODAN MAIN PAGE"><U><B>Mayodan</B></U></A><B> -  </B><A HREF="id19.htm" TARGET="_top" TITLE="STONEVILLE MAIN PAGE"><U><B>Stoneville</B></U></A><B> - </B><A HREF="id20.htm" TARGET="_top" TITLE="EDEN MAIN PAGE"><U><B>Eden</B></U></A><B> -</B></div> <div> <B>  </B><A HREF="id21.htm" TARGET="_top" TITLE="REIDSVILLE MAIN PAGE"><U><B>Reidsville</B></U></A><B> - </B><A HREF="id22.htm" TARGET="_top" TITLE="WENTWORTH MAIN PAGE"><U><B>Wentworth</B></U></A><B> - </B><A HREF="id23.htm" TARGET="_top" TITLE="Rural Areas Main Page"><U><B>Other Areas</B></U></A><B> - </B><A HREF="id104.htm" TARGET="_top" TITLE="Local Talent"><U><B>Local Talent</B></U></A><B> - </B><A HREF="id89.htm" TARGET="_top" TITLE="Local Links"><U><B>Local Links</B></U></A><B> -</B></div> <div> <A HREF="id91.htm" TARGET="_top" TITLE="clubs organizations"><U><B>Clubs & Organizations</B></U></A><B> - </B><A HREF="id25.htm" TARGET="_top" TITLE="JOBS AVAILABLE"><U><B>Jobs Available</B></U></A><B> - </B><A HREF="http://www.rockinghamco.com" TARGET="_top" TITLE="http://www.rockinghamco.com"><U><B>Calendar Of Events</B></U></A><B> - </B><A HREF="id86.htm" TARGET="_top" TITLE="current rates"><U><B>Advertising</B></U></A><B> </B></div> </td> </tr></table></body>