Interested in Membership?

<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="#FFFFFF" TEXT="#080000" background="0618a923.jpg"> <div> <FONT SIZE="5" COLOR="#FFFF00" FACE="Arial" ><B>www.bac4ca.org  </B></FONT><B>    </B><B> |     </B><A HREF="index.htm" TARGET="_top" TITLE="www.bac4ca.org "><U><B>home</B></U></A></div> <div> <A HREF="id19.htm" TARGET="_top" TITLE="About Us"><U>About Us</U></A>   |   <A HREF="id43.htm" TARGET="_top" TITLE="Meet our team"><U>Meet our team</U></A>   |   <A HREF="id45.htm" TARGET="_top" TITLE="Member Information"><U>Member Information</U></A>   |   <A HREF="id20.htm" TARGET="_top" TITLE=" Apprentice Information"><U> Apprentice Information</U></A>   |   <B>Interested in Membership?</B>   |   <A HREF="id31.htm" TARGET="_top" TITLE="Wheres The Work"><U>Where's The Work</U></A>   |   <A HREF="id28.htm" TARGET="_top" TITLE="Photo Album"><U>Photo Album</U></A>   |   <A HREF="id29.htm" TARGET="_top" TITLE="Frequently Asked Questions"><U>Frequently Asked Questions</U></A>   |   <A HREF="id30.htm" TARGET="_top" TITLE="Signatory Contractor List"><U>Signatory Contractor List</U></A>   |   <A HREF="id26.htm" TARGET="_top" TITLE="Meeting Schedule "><U>Meeting Schedule </U></A>   |   <A HREF="id27.htm" TARGET="_top" TITLE="Newsletter"><U>Newsletter</U></A>   |   <A HREF="id33.htm" TARGET="_top" TITLE="Member Feedback"><U>Member Feedback</U></A>   |   <A HREF="id35.htm" TARGET="_top" TITLE="Forms "><U>Forms </U></A>   |   <A HREF="id32.htm" TARGET="_top" TITLE="Links"><U>Links</U></A>   |   <A HREF="id34.htm" TARGET="_top" TITLE="Contact Us "><U>Contact Us </U></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#AAAAAA" TEXT="#080000" bgproperties="fixed" background="070fcde2euxmic.jpg"> <div> <A HREF="index.htm" TARGET="_top" TITLE="www.bac4ca.org "><U><IMG SRC="0679e610.jpg" border=0 width="158" height="97" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div> <A HREF="id19.htm" TARGET="_top" TITLE="About Us"><U>About Us</U></A></div> <div> <A HREF="id43.htm" TARGET="_top" TITLE="Meet our team"><U>Meet our team</U></A></div> <div> <A HREF="id45.htm" TARGET="_top" TITLE="Member Information"><U>Member Information</U></A></div> <div> <A HREF="id20.htm" TARGET="_top" TITLE=" Apprentice Information"><U> Apprentice Information</U></A></div> <div> <B>Interested in Membership?</B></div> <div> <A HREF="id31.htm" TARGET="_top" TITLE="Wheres The Work"><U>Where's The Work</U></A></div> <div> <A HREF="id28.htm" TARGET="_top" TITLE="Photo Album"><U>Photo Album</U></A></div> <div> <A HREF="id29.htm" TARGET="_top" TITLE="Frequently Asked Questions"><U>Frequently Asked Questions</U></A></div> <div> <A HREF="id30.htm" TARGET="_top" TITLE="Signatory Contractor List"><U>Signatory Contractor List</U></A></div> <div> <A HREF="id26.htm" TARGET="_top" TITLE="Meeting Schedule "><U>Meeting Schedule </U></A></div> <div> <A HREF="id27.htm" TARGET="_top" TITLE="Newsletter"><U>Newsletter</U></A></div> <div> <A HREF="id33.htm" TARGET="_top" TITLE="Member Feedback"><U>Member Feedback</U></A></div> <div> <A HREF="id35.htm" TARGET="_top" TITLE="Forms "><U>Forms </U></A></div> <div> <A HREF="id32.htm" TARGET="_top" TITLE="Links"><U>Links</U></A></div> <div> <A HREF="id34.htm" TARGET="_top" TITLE="Contact Us "><U>Contact Us </U></A></div> </td> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000" bgproperties="fixed" background="06f00c00egerdp.jpg"> <div> <I>Interested in Membership?</I></div> <div> <I>Fill out our Contact Sheet.</I></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="Date,First Name,LName,Email,Company,Address,City,State,Zip,Phone,former,Ststememb,YearMem,Training,BrofTrade,Remarks"><input type="hidden" name="tlx_FormIndex" value="1"><input type="hidden" name="tlx_OKMessage" value="A reprisentative will contact you shortly. "><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="new menmber"><input type="hidden" name="tlx_EmailTo" value="member@bac4ca.org"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">Date:<br> <input type="text" name="Date" size="30" maxlength="100"></td> </tr> <tr> <td align="left">F_Name:<br> <input type="text" name="First Name" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Last Name:<br> <input type="text" name="LName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Email:<br> <input type="text" name="Email" 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">Are you a former Member? Yes/ No:<br> <input type="text" name="former" size="30" maxlength="100"></td> </tr> <tr> <td align="left">If yes in what state?:<br> <input type="text" name="Ststememb" size="30" maxlength="100"></td> </tr> <tr> <td align="left">If yes in what Year?:<br> <input type="text" name="YearMem" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Have you recieved formal training? Yes / No:<br> <input type="text" name="Training" size="30" maxlength="100"></td> </tr> <tr> <td align="left">What is your branch of trade? Brick, block, stone ect...:<br> <input type="text" name="BrofTrade" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Remarks :<br> <textarea name="Remarks" rows="5" cols="30"></textarea></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> </td> </tr></table></body>