<!-- BOF: ./personal-templates/show.body -->
<!-- BOF: ./personal-templates/simple/generic/show -->
<!-- BOF: ./personal-templates/rtl.html -->
<!-- Locale=en_US_ISO8859_1 -->
<!-- EOF: ./personal-templates/rtl.html -->


<!-- BOF: ./personal-templates/simple/generic/functions -->
<!-- BOF: ./personal-templates/simple/generic/navbar --><!-- EOF: ./personal-templates/simple/generic/navbar -->


<!-- EOF: ./personal-templates/simple/generic/functions -->


<!-- EOF: ./personal-templates/simple/generic/show -->

<!-- BOF: ./personal-templates/simple/generic/images -->

<!-- EOF: ./personal-templates/simple/generic/images -->


<!-- BOF: ./personal-templates/simple/personal/other/l52.settings.init -->


<!-- EOF: ./personal-templates/simple/personal/other/l52.settings.init -->


    <!-- BOF: ./personal-templates/simple/businessnew/form/style_l58.images -->
<!-- EOF: ./personal-templates/simple/businessnew/form/style_l58.images -->

    <!-- BOF: ./personal-templates/simple/businessnew/form/style_l58.wait -->
<!-- EOF: ./personal-templates/simple/businessnew/form/style_l58.wait -->

  
  <!-- BOF: ./personal-templates/simple/businessnew/layout/l58.wait -->


<!-- EOF: ./personal-templates/simple/businessnew/layout/l58.wait -->


<HTML>

<HEAD>


<META NAME="description" CONTENT="">
<META NAME="Keywords"    CONTENT="">


<!-- business -->


<META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=UTF-8">
<META NAME="Generator" content="">
<!-- BOF: ./personal-templates/simple/themes.show -->


<!-- EOF: ./personal-templates/simple/themes.show -->


<!--<BASE HREF="http://71.18.131.6/form.html">-->
<TITLE>Survey</TITLE></head>
<BODY  BGCOLOR="#E4DDDD"
 TEXT="#3A3A3A"

LEFTMARGIN="0" TOPMARGIN="0" RIGHTMARGIN="0" BOTTOMMARGIN="0"

 onLoad=""
 
 LINK="#000000"
 VLINK="#000000"
 ALINK="#00E6E3"
>

  
      <!-- BOF: ./personal-templates/simple/businessnew/layout/l58.layout -->


<!-- html -->
<TABLE DIR="LTR" WIDTH="100%" HEIGHT="100%" BORDER="0" CELLPADDING="0" CELLSPACING="0" VALIGN="top" BGCOLOR="#9E9E9E" BACKGROUND="widgets/gen_1.1.gif" style="background-attachment: fixed; background-position: 0% 100%;background-repeat: repeat-x;">
    <TR>
        <TD WIDTH="100%" HEIGHT="100%" ALIGN="center" VALIGN="top" BACKGROUND="widgets/gen_0.1.gif" style="background-position: 0% 0%;background-repeat: repeat-x;">    
            <TABLE WIDTH=775 HEIGHT="100%" BORDER="0" CELLPADDING="0" CELLSPACING="0" VALIGN="top">
                <TR>
                    <TD WIDTH="100%" HEIGHT=105>
                        <TABLE WIDTH="100%" HEIGHT=105 BORDER="0" CELLPADDING="0" CELLSPACING="0" VALIGN="top">
                            <TR>
                                <TD WIDTH=688 HEIGHT=105>
                                    <img src="widgets/gen_148.1.gif" border=0 width=688 height=105 alt=""></TD>
                                <TD WIDTH="100%" HEIGHT=105 BACKGROUND="widgets/gen_3.1.gif">
                                    <img src="widgets/spacer.gif" height=105 width=6 alt=""></TD>
                                <TD WIDTH=81 HEIGHT=105>
                                    <img src="widgets/gen_4.1.gif" border=0 width=81 height=105 alt=""></TD>
                            </TR>
                        </TABLE>
                    </TD>
                </TR>
                <TR>
                    <TD WIDTH="100%" HEIGHT=1 VALIGN="top">
                        <TABLE WIDTH="100%" HEIGHT=1 BORDER="0" CELLPADDING="0" CELLSPACING="0" VALIGN="top">
                            <TR>
                                <TD WIDTH=32 HEIGHT=1 VALIGN="top">    
                                    <img src="widgets/gen_5.1.gif" border=0 width=32 height=1 alt=""></TD>
                                <TD WIDTH="100%" HEIGHT=1 BGCOLOR="#362321">
                                    <img src="widgets/spacer.gif" height=1 width=6 alt=""></TD>
                                <TD WIDTH=24 HEIGHT=1 VALIGN="top">    
                                    <img src="widgets/gen_6.1.gif" border=0 width=24 height=1 alt=""></TD>
                            </TR>
                            <TR>
                                <TD WIDTH=32 HEIGHT=19 VALIGN="top" BACKGROUND="widgets/gen_7.1.gif">    
                                    <img src="widgets/gen_7.1.gif" border=0 width=32 height=19 alt=""></TD>
                                <TD WIDTH="100%" HEIGHT=19 BGCOLOR="#362321" BACKGROUND="widgets/gen_9.1.gif" style="background-position: 0% 0%;background-repeat: repeat-x;">
                                    
                                    <a href="index.html" onMouseOver="document.images['img7'].src='widgets/gen_44.1.gif'" onMouseOut="document.images['img7'].src='widgets/gen_43.1.gif'"><img src="widgets/gen_43.1.gif" alt="Welcome" name="img7" border="0"></a>
                                    <a href="Download.html" onMouseOver="document.images['img16'].src='widgets/gen_98.1.gif'" onMouseOut="document.images['img16'].src='widgets/gen_97.1.gif'"><img src="widgets/gen_97.1.gif" alt="News" name="img16" border="0"></a>
                                    <a href="gpage3.html" onMouseOver="document.images['img98'].src='widgets/gen_245.1.gif'" onMouseOut="document.images['img98'].src='widgets/gen_244.1.gif'"><img src="widgets/gen_244.1.gif" alt=""Aussem" Work" name="img98" border="0"></a>
                                    <a href="links.html" onMouseOver="document.images['img17'].src='widgets/gen_239.1.gif'" onMouseOut="document.images['img17'].src='widgets/gen_238.1.gif'"><img src="widgets/gen_238.1.gif" alt="Union Links" name="img17" border="0"></a>
                                    <a href="contact.html" onMouseOver="document.images['img9'].src='widgets/gen_46.1.gif'" onMouseOut="document.images['img9'].src='widgets/gen_45.1.gif'"><img src="widgets/gen_45.1.gif" alt="Contact Us" name="img9" border="0"></a>
                                    <a href="gpage.html" onMouseOver="document.images['img6'].src='widgets/gen_93.1.gif'" onMouseOut="document.images['img6'].src='widgets/gen_92.1.gif'"><img src="widgets/gen_92.1.gif" alt="Guest Book" name="img6" border="0"></a>
                                    <a href="form.html" onMouseOver="document.images['img60'].src='widgets/gen_108.1.gif'" onMouseOut="document.images['img60'].src='widgets/gen_107.1.gif'"><img src="widgets/gen_107.1.gif" alt="Survey" name="img60" border="0"></a>
                                    <a href="directions.html" onMouseOver="document.images['img20'].src='widgets/gen_59.1.gif'" onMouseOut="document.images['img20'].src='widgets/gen_58.1.gif'"><img src="widgets/gen_58.1.gif" alt="Directions" name="img20" border="0"></a>
                                    <a href="gpage2.html" onMouseOver="document.images['img15'].src='widgets/gen_102.1.gif'" onMouseOut="document.images['img15'].src='widgets/gen_101.1.gif'"><img src="widgets/gen_101.1.gif" alt="Local Affiliates" name="img15" border="0"></a>
                                    
                                    
                                    <a href="mailto:Info@aussemiron.com" onMouseOver="document.images['img_email'].src='widgets/gen_141.1.gif'" onMouseOut="document.images['img_email'].src='widgets/gen_140.1.gif'"><img src="widgets/gen_140.1.gif" alt="e-mail me" name="img_email" border="0"></a></TD>
                                <TD WIDTH=24 HEIGHT=19 VALIGN="top" BACKGROUND="widgets/gen_8.1.gif">        
                                    <img src="widgets/gen_8.1.gif" border=0 width=24 height=19 alt=""></TD>
                            </TR>
                        </TABLE>
                    </TD>
                </TR>
                <TR>
                    <TD WIDTH="100%" HEIGHT=9 VALIGN="top">
                        <TABLE WIDTH="100%" HEIGHT=9 BORDER="0" CELLPADDING="0" CELLSPACING="0" VALIGN="top">
                            <TR>
                                <TD WIDTH=49 HEIGHT=9 VALIGN="top">    
                                    <img src="widgets/gen_10.1.gif" border=0 width=49 height=9 alt=""></TD>
                                <TD WIDTH="100%" HEIGHT=9 BGCOLOR="#362321" BACKGROUND="widgets/gen_12.1.gif">
                                    <img src="widgets/spacer.gif" height=1 width=6 alt=""></TD>
                                <TD WIDTH=42 HEIGHT=9 VALIGN="top">    
                                    <img src="widgets/gen_11.1.gif" border=0 width=42 height=9 alt=""></TD>
                            </TR>
                        </TABLE>
                    </TD>
                </TR>
                <TR>
                    <TD WIDTH="100%" HEIGHT=172 VALIGN="top">
                        <TABLE WIDTH="100%" HEIGHT=172 BORDER="0" CELLPADDING="0" CELLSPACING="0" VALIGN="top">
                            <TR>
                                <TD WIDTH=283 HEIGHT=172>
                                    <img src="widgets/gen_159.1.gif" border=0 width=283 height=172 alt=""></TD>
                                <TD WIDTH="50%" HEIGHT=1 BGCOLOR="#FFFFFF">
                                    <img src="widgets/spacer.gif" height=1 width=1 alt=""></TD>
                                <TD WIDTH=215 HEIGHT=172>
                                    <img src="widgets/gen_160.1.gif" border=0 width=215 height=172 alt=""></TD>
                                <TD WIDTH="50%" HEIGHT=1 BGCOLOR="#FFFFFF">
                                    <img src="widgets/spacer.gif" height=1 width=1 alt=""></TD>
                                <TD WIDTH=275 HEIGHT=172 >
                                    <img src="widgets/gen_161.1.gif" border=0 width=275 height=172 alt=""></TD>
                            </TR>
                        </TABLE>
                    </TD>
                </TR>
                <TR>
                    <TD WIDTH="100%" HEIGHT=29 VALIGN="top">
                        <TABLE WIDTH="100%" HEIGHT=29 BORDER="0" CELLPADDING="0" CELLSPACING="0" VALIGN="top">
                            <TR>
                                <TD WIDTH=775 HEIGHT=29>
                                    <img src="widgets/gen_133.1.gif" border=0 width=707 height=29 alt=""></TD>
                                <TD WIDTH="100%" HEIGHT=29 BACKGROUND="widgets/gen_17.1.gif">
                                    <img src="widgets/spacer.gif" height=29 width=17 alt=""></TD>
                                <TD WIDTH=51 HEIGHT=29>
                                    <img src="widgets/gen_18.1.gif" border=0 width=51 height=29 alt=""></TD>
                            </TR>
                        </TABLE>
                    </TD>
                </TR>
                <TR>
                    <TD WIDTH=775 HEIGHT="100%" VALIGN="top">
                        <TABLE WIDTH="100%" HEIGHT="100%" BORDER="0" CELLPADDING="0" CELLSPACING="0" VALIGN="top">
                            <TR>
                                <TD WIDTH=35 HEIGHT=4>
                                    <img src="widgets/gen_19.1.gif" border=0 width=35 height=4 alt=""></TD>
                                <TD WIDTH="100%" HEIGHT=4 BACKGROUND="widgets/gen_34.1.gif">
                                    <img src="widgets/spacer.gif" height=4 width=4 alt=""></TD>
                                <TD WIDTH=29 HEIGHT=4>
                                    <img src="widgets/gen_20.1.gif" border=0 width=29 height=4 alt=""></TD>
                            </TR>
                            <TR>
                                <TD WIDTH=35 HEIGHT="100%" VALIGN="bottom" BACKGROUND="widgets/gen_21.1.gif">
                                    <img src="widgets/gen_23.1.gif" border=0 width=35 height=171 alt=""></TD>
                                <TD WIDTH="100%" HEIGHT="100%" BGCOLOR="#E4DDDD" VALIGN="top">
                                    <!-- BOF: ./personal-templates/simple/businessnew/form/style_l58.html -->

            <TABLE WIDTH="100%" BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
                <TR>
                    <TD WIDTH="100%" valign="top">
                        <TABLE WIDTH="100%" BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
                            <TR>
                                <TD WIDTH=46 HEIGHT=33 valign="top">   
                                    <img src="widgets/gen_39.1.gif" border=0 width=46 height=33 alt=""></TD>
                                <TD WIDTH="100%" HEIGHT=33 valign="top" BACKGROUND="widgets/gen_40.1.gif">   
                                    <img src="widgets/spacer.gif" height=33 width=3 alt=""></TD>    
                                <TD WIDTH=662 HEIGHT=33 valign="top" BACKGROUND="">   
                                    <img src="widgets/gen_154.1.gif" border=0 width=662 height=33 alt=""></TD>    
                            </TR>
                        </TABLE>
                    </TD>
                </TR>
                <TR>
                    <TD WIDTH="100%" valign="top">
                        <TABLE WIDTH="100%" BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
                            <TR>
                                <TD WIDTH=13 valign="top" BGCOLOR="#E4DDDD">       
                                    <img src="widgets/spacer.gif" height=3 width=13 alt=""></TD>
                                <TD WIDTH=1 valign="top" BGCOLOR="#9E9E9E">       
                                    <img src="widgets/spacer.gif" height=3 width=1 alt=""></TD>        
                                <TD WIDTH="100%" valign="top" BGCOLOR="#FFFFFF">    


<TABLE WIDTH=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
<TR>
  <TD WIDTH=100% COLSPAN="2" VALIGN="top">
  <TABLE WIDTH=90% BORDER=0 CELLPADDING=5 CELLSPACING=0 VALIGN="top">
  <TR>
<SCRIPT LANGUAGE="JavaScript">
var BUILDER = '/studio/servlet/psoft.masonry.Builder';
function validate(frm){
var i = 0;

var url = document.URL;
if (url.indexOf(BUILDER) == -1 && url.charAt(url.length)!='/') {
 url = url.substring(0, url.lastIndexOf('/')+1);
}
frm.domain.value=url;
return true;

}
function error(field){ alert('You did not fill all required fields!'); field.focus(); return false; }
</SCRIPT>

<form name="questionary" action="http://72.41.255.209:8080/studio/servlet/psoft.customform.CustomForm" method="post">
<input type="hidden" name="domain" value="">
<input type="hidden" name="title" value="Survey">
<input type="hidden" name="esubj" value="Submitted Form Report">
<input type="hidden" name="name" value="=GCh0WGxbU1bal4b">
<input type="hidden" name="submit_url" value="onsubmit1.html">
<input type="hidden" name="error_url" value="onerror1.html">

<input type="hidden" name="order" value="d64 66 ">

    <TD VALIGN="top">
      <TABLE VALIGN="top" border="0" cellpadding="5" cellspacing="5" width="95%">
      <TR><TD colspan=2>&nbsp;</td></TR>
      
          <input type="hidden" name="name_64" value="Aussem Iron is grateful to provide you with outstanding work. Feel free to ">
      <TR>
          <TD VALIGN="top"><nobr>


<font face='Arial' size='2' color='#3A3A3A'>

Aussem Iron is grateful to provide you with outstanding work. Feel free to 

</font>


</nobr></td>
          <TD><select name="field_m_64" size="1">
          <option>Jan<option>Feb<option>Mar
          <option>Apr<option>May<option>Jun
          <option>Jul<option>Aug<option>Sep
          <option>Oct<option>Nov<option>Dec
          </select>
          <select name="field_d_64" size="1">
          <option>1<option>2<option>3<option>4<option>5<option>6<option>7<option>8<option>9<option>10<option>11<option>12<option>13<option>14<option>15<option>16<option>17<option>18<option>19<option>20<option>21<option>22<option>23<option>24<option>25<option>26<option>27<option>28<option>29<option>30<option>31
          </select>
          <input type="text" name="field_y_64" size="4" maxsize="4">
          
          </TD>
      </TR>
      
          <input type="hidden" name="name_66" value="suggest anything that you feel would improve your future experiences with us.">
      <TR>
          <TD VALIGN="top"><nobr>


<font face='Arial' size='2' color='#3A3A3A'>

suggest anything that you feel would improve your future experiences with us.

</font>


</nobr></td>
          <TD><textarea name="field_66" rows="5" cols="30"></textarea>
          
          </TD>
      </TR>
      
      <TR>
          <TD COLSPAN="2">
            <input onClick="return validate(form)" type="submit" value="Submit">
            <input type="reset"  value="Reset">
          </TD>
      </TR>
      </TABLE>
    </TD>
  </TR>
</form>
  </TABLE>
  </TD>
</TR>
</TABLE>

                    </TD>
                    <TD WIDTH=1 valign="top" BGCOLOR="#9E9E9E">       
                        <img src="widgets/spacer.gif" height=3 width=1 alt=""></TD>
                    <TD WIDTH=14 valign="top" BGCOLOR="#E4DDDD">       
                         <img src="widgets/spacer.gif" height=3 width=14 alt=""></TD>        
                </TR>
            </TABLE>
        </TD>
    </TR>
    <TR>
        <TD WIDTH="100%" valign="top">
            <TABLE WIDTH="100%" BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
                <TR>
                    <TD WIDTH=13 valign="top">       
                        <img src="widgets/spacer.gif" height=3 width=13 alt=""></TD>
                    <TD WIDTH="100%" HEIGHT=11 valign="top" BACKGROUND="widgets/gen_42.1.gif">   
                        <img src="widgets/spacer.gif" height=11 width=9 alt=""></TD>
                    <TD WIDTH=14 valign="top">       
                        <img src="widgets/spacer.gif" height=3 width=14 alt=""></TD>       
                </TR>
            </TABLE>
        </TD>
    </TR>
    <TR>
        <TD WIDTH="100%" HEIGHT=5 valign="top">   
            <img src="widgets/spacer.gif" height=5 width=9 alt=""></TD>    
    </TR>
</TABLE>

<!-- EOF: ./personal-templates/simple/businessnew/form/style_l58.html -->

                                    </TD>
                                <TD WIDTH=29 HEIGHT="100%" VALIGN="bottom" BACKGROUND="widgets/gen_22.1.gif">
                                    <img src="widgets/spacer.gif" height=4 width=29 alt=""></TD>
                            </TR>
                            <TR>
                                <TD WIDTH=35 HEIGHT=6>
                                    <img src="widgets/gen_24.1.gif" border=0 width=35 height=6 alt=""></TD>
                                <TD WIDTH="100%" HEIGHT=6 BGCOLOR="#E4DDDD" BACKGROUND="widgets/gen_35.1.gif">
                                    <img src="widgets/spacer.gif" height=6 width=6 alt=""></TD>
                                <TD WIDTH=29 HEIGHT=6>
                                    <img src="widgets/gen_25.1.gif" border=0 width=29 height=6 alt=""></TD>
                            </TR>
                        </TABLE>
                    </TD>
                </TR>
                <TR>
                    <TD WIDTH="100%" VALIGN="top">
                        <TABLE WIDTH="100%" BORDER="0" CELLPADDING="0" CELLSPACING="0" VALIGN="top">
                            <TR>
                                <TD WIDTH=34 HEIGHT=8 VALIGN="top">
                                    <img src="widgets/gen_26.1.gif" border=0 width=34 height=8 alt=""></TD>
                                <TD WIDTH="100%" HEIGHT=8 VALIGN="top" BACKGROUND="widgets/gen_28.1.gif">
                                    <img src="widgets/spacer.gif" height=8 width=6 alt=""></TD>
                                <TD WIDTH=28 HEIGHT=8 VALIGN="top">
                                    <img src="widgets/gen_27.1.gif" border=0 width=28 height=8 alt=""></TD>
                            </TR>
                            <TR>
                                <TD WIDTH=34 HEIGHT="100%" VALIGN="top" BACKGROUND="widgets/gen_29.1.gif">
                                    <img src="widgets/spacer.gif" height=3 width=34 alt=""></TD>
                                <TD WIDTH="100%" HEIGHT="100%" VALIGN="top" BACKGROUND="widgets/gen_36.1.gif">
                                    

<br>
<FONT FACE="verdana, arial, helvetica" SIZE="1">
<center>
<nobr>|<a href="index.html">Welcome</A>|</nobr>

<nobr>|<a href="Download.html">News</A>|</nobr>

<nobr>|<a href="gpage3.html">"Aussem" Work</A>|</nobr>

<nobr>|<a href="links.html">Union Links</A>|</nobr>

<nobr>|<a href="contact.html">Contact Us</A>|</nobr>

<nobr>|<a href="gpage.html">Guest Book</A>|</nobr>

<nobr>|Survey|</nobr>

<nobr>|<a href="directions.html">Directions</A>|</nobr>

<nobr>|<a href="gpage2.html">Local Affiliates</A>|</nobr>
</center>
</font>

<br>
<center><table border="0" cellpadding="0" cellspacing="3"><tr><td align="center">

<br><font face="helvetica,verdana, arial" size="1">&nbsp;</font>

</td></tr></table></center>
</TD>
                                <TD WIDTH=28 HEIGHT="100%" VALIGN="top" BACKGROUND="widgets/gen_30.1.gif">
                                    <img src="widgets/spacer.gif" height=3 width=28 alt=""></TD>
                            </TR>
                        </TABLE>
                    </TD>
                </TR>
                <TR>
                    <TD WIDTH="100%" HEIGHT=67 VALIGN="top">
                        <TABLE WIDTH="100%" HEIGHT=67 BORDER="0" CELLPADDING="0" CELLSPACING="0" VALIGN="top">
                            <TR>
                                <TD WIDTH=99 HEIGHT=67 VALIGN="top">
                                    <img src="widgets/gen_31.1.gif" border=0 width=99 height=67 alt=""></TD>
                                <TD WIDTH="100%" HEIGHT=8 VALIGN="top" BACKGROUND="widgets/gen_33.1.gif">
                                    <img src="widgets/spacer.gif" height=67 width=6 alt=""></TD>
                                <TD WIDTH=49 HEIGHT=67 VALIGN="top">
                                    <img src="widgets/gen_32.1.gif" border=0 width=49 height=67 alt=""></TD>
                            </TR>
                        </TABLE>
                    </TD>
                </TR>
            </TABLE>
        </TD>
    </TR>
</TABLE>
<!-- end html -->
<!-- EOF: ./personal-templates/simple/businessnew/layout/l58.layout -->

    
<!-- BOF: ./personal-templates/simple/themes.show.body -->


<!-- EOF: ./personal-templates/simple/themes.show.body -->

</body>
<!-- BOF: ./personal-templates/simple/themes.show.end -->


<!-- EOF: ./personal-templates/simple/themes.show.end -->


</html>


<!-- EOF: ./personal-templates/show.body -->