<form action="SMSConfirmation.asp" method="get">

<div align="center">

<center>

<table border="0" width="393" height="1" bgcolor="#C0C0C0" align="center">

<tr>

<td width="396" height="1" align="center">

<p align="center"><TEXTAREA onkeypress="return taLimit()" onkeyup="return taCount(myCounter)"

name=txtMessage rows=5 wrap=physical cols=34 maxLength="160"></TEXTAREA></p>

</center><p align="left"><font color="#000000" face="Tahoma" size="2">Characters Remaining&nbsp;&nbsp;&nbsp;

</font><input type = "text" size="9" name="txtCounter" value="160" id=myCounter </p><p align="left"><font color="#000000" size="2" face="Tahoma">Select Group/Groups&nbsp;</font>

<p align="left">&nbsp;

<input type="radio" value="Senior" name="optGroup">

<font face="Tahoma" size="2" color="#000000">Senior </font>

<input type="radio" value="Junior" name="optGroup">&nbsp;

<font face="Tahoma" size="2" color="#000000">Junior&nbsp; </font>

<input type="radio" value="U21" name="optGroup">&nbsp;

<font face="Tahoma" size="2" color="#000000">U21 </font>

<input type="radio" value="Minor" name="optGroup">&nbsp;

<font face="Tahoma" size="2" color="#000000">Minor </font>

<input type="radio" value="Committee" name="optGroup">

<font face="Tahoma" size="2" color="#000000">Committee </font>

<p align="left" style="line-height: 100%"> <font face="Tahoma" color="#000000" size="2">And/Or&nbsp;Type&nbsp;in&nbsp;Number </font></p>

<p align="left" style="line-height: 100%"> <font face="Tahoma" color="#000000" size= "2">e.g.&nbsp;353863304416&nbsp;&nbsp;&nb sp;&nbsp;&nbsp;&nbsp;&nbsp;

</font><input type = "text" size="16" name="txtNumber" maxlength="12" value="353">

<p align="center"> <font face="Tahoma" size="3"> <INPUT TYPE="Submit" NAME="cmdSendSMS" VALUE="Send">&nbsp;

<INPUT TYPE="Button" NAME="cmdClearSMS" VALUE="Clear"></font></p>