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


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


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

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<!-- BOF: ./personal-templates/simple/personal/other/l35.settings.init -->


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    <!-- BOF: ./personal-templates/simple/businessnew/form/style_l34.images -->


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    <!-- BOF: ./personal-templates/simple/businessnew/form/style_l35.wait -->


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  <!-- BOF: ./personal-templates/simple/businessnew/layout/l35.wait -->


<!-- EOF: ./personal-templates/simple/businessnew/layout/l35.wait -->


<HTML>

<HEAD>


<META NAME="description" CONTENT="ISO Standard microchip implants and scanners. ">
<META NAME="Keywords"    CONTENT="MICROCHIPS, PETS, TRANSPONDERS, ISO, CHIPS, ELECTRONIC ID, SCANNERS, READERS, ANIMAL ID, IRELAND, DOGS, HORSES, SHEEP, CATTLE, ID, IDENTIFICATION, IMPLANTS, MICROCHIP, MICROCHIP IMPLANTS, MICROCHIPS IN IRELAND, DOG CHIPS,">


<!-- business -->


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

<!-- BOF: ./personal-templates/simple/themes/top_down_curtain.show.header -->
<style>
<!--
.intro{
position:absolute;
left:0;
top:0;
layer-background-color:green;
background-color:green;
border:0.1px solid green;
overflow: auto;
}
-->
</style>
<!-- EOF: ./personal-templates/simple/themes/top_down_curtain.show.header -->


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


<!--<BASE HREF="http://d4340922.u109.hosting365.ie/StarterPackOrder.html">-->
<TITLE>Starter Pack Order</TITLE></head>
<BODY  BGCOLOR="#ffffff"
 TEXT="#000000"

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

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

  
      <!-- BOF: ./personal-templates/simple/businessnew/layout/l35.layout --> 
<TABLE DIR="LTR" WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 ALIGN="center" VALIGN="top" BGCOLOR="#508CCF" background=""> 
<TR>
                
                <TD WIDTH=10% HEIGHT=100% BGCOLOR="#ffffff" background="">
                        <IMG SRC="widgets/spacer.gif" WIDTH=7 HEIGHT=18></TD>
                <TD WIDTH=1 HEIGHT=100% BGCOLOR="#003D6D">
                        <IMG SRC="widgets/spacer.gif" WIDTH=1 HEIGHT=18></TD>
                
    <TD WIDTH=764 BGCOLOR="#ffffff" VALIGN="top" >
    <TABLE WIDTH=775 HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top" >  
    <TR>
<!-- Begin Slogan -->       
    <TD HEIGHT=24 VALIGN="top" BGCOLOR="#ffffff" BACKGROUND="widgets/gen_810.1.gif" ALIGN="right"><img src="widgets/gen_802.1.gif" border=0 width=775 alt=""></TD>
    </TR>
<!-- End Slogan -->
<!-- Begin Name -->
    <TR>
        <TD  HEIGHT=49 VALIGN="top" BGCOLOR="#ffffff" ALIGN="right">
        <TABLE BORDER=0 CELLPADDING=0 CELLSPACING=0>
        <TR>
            <TD WIDTH=1 HEIGHT=49 BGCOLOR="#003D6D"><img src="widgets/spacer.gif" height=49 width=1 alt=""></TD>
            <TD HEIGHT=49 VALIGN="top" BGCOLOR="#EBEBEB" ALIGN="right"><img src="widgets/gen_803.1.gif" border=0 width=775 alt=""></TD>
        </TR>
        </TABLE>
        </TD>
    </TR>
<!-- End Name -->
<!-- Begin Ris -->
    <TR>
        <TD VALIGN="top" BGCOLOR="#ffffff" ALIGN="right" BACKGROUND="widgets/gen_762.1.gif">
        <TABLE  BORDER=0 CELLPADDING=0 CELLSPACING=0>
        <TR>
            <TD  WIDTH=1 HEIGHT=228 BGCOLOR="#003D6D"><img src="widgets/spacer.gif" height=228 width=1 alt=""></TD>
            <TD  HEIGHT=228><img src="widgets/gen_804.1.gif" border=0 width=336 height=228 alt=""></TD>
            <TD WIDTH=174 HEIGHT=228><img src="widgets/gen_976.1.gif" border=0 width=174 height=228 alt=""></TD>
            <TD WIDTH=265 HEIGHT=228><img src="widgets/gen_977.1.gif" border=0 width=265 height=228 alt=""></TD>
                                 
        </TR>
        </TABLE>
        </TD>
    </TR>
<!-- End Ris -->
<!-- Begin Center -->
    <TR>
        <TD WIDTH=764 HEIGHT=100% BGCOLOR="#ffffff" VALIGN="top">
        <TABLE WIDTH=775 HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top" ALIGN="center">
        <TR>  
            <TD WIDTH=510 HEIGHT=100% VALIGN="top" >
            <TABLE WIDTH=510 HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
            <TR>
            <TD HEIGHT=122 VALIGN=top BGCOLOR="#EBEBEB" ALIGN="right"><img src="widgets/gen_978.1.gif" border=0 width=510 height=122 alt=""></TD>
            </TR>
            <TR>
                <TD WIDTH=510 HEIGHT=100% BGCOLOR="#EBEBEB" VALIGN="top">
                
                    <!-- BOF: ./personal-templates/simple/businessnew/form/style_l35.html -->
<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;

if (frm.field_75.value=="") return error(frm.field_75);

if (frm.field_76.value=="") return error(frm.field_76);

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://82.195.128.67/studio/servlet/psoft.customform.CustomForm" method="post">
<input type="hidden" name="domain" value="">
<input type="hidden" name="title" value="Starter Pack Order">
<input type="hidden" name="esubj" value="Starter Pack Order">
<input type="hidden" name="name" value="=GCh0WGybU1bal4b">
<input type="hidden" name="submit_url" value="onsubmit2.html">
<input type="hidden" name="error_url" value="onerror2.html">

<input type="hidden" name="order" value="80 81 75 82 76 77 78 79 83 ">

    <TD>
    <TABLE border="0" cellpadding="5" cellspacing="5" width="95%">
    <TR><TD colspan=2>&nbsp;</td></TR>
    <input type="hidden" name="name_80" value="12 Chip Starter Pack € 199.99">
    <TR><TD>


<font face='Arial' size='2' color='#000000'>

12 Chip Starter Pack € 199.99

</font>


</td>
        <TD><input type="radio" name="field_80" value="Yes">


<font face='Arial' size='2' color='#000000'>

Yes

</font>


 <input type="radio" name="field_80" value="No">


<font face='Arial' size='2' color='#000000'>

No

</font>


        </TD>
    </TR>
    <input type="hidden" name="name_81" value="24 Chip Starter Pack € 239.00">
    <TR><TD>


<font face='Arial' size='2' color='#000000'>

24 Chip Starter Pack € 239.00

</font>


</td>
        <TD><input type="radio" name="field_81" value="Yes">


<font face='Arial' size='2' color='#000000'>

Yes

</font>


 <input type="radio" name="field_81" value="No">


<font face='Arial' size='2' color='#000000'>

No

</font>


        </TD>
    </TR>
    <input type="hidden" name="name_75" value="Name">
    <TR><TD>


<font face='Arial' size='2' color='#000000'>

Name

</font>


<font color="red" size="-1">*</font></td>
        <TD><input type="text" name="field_75" size=35>
        
        </TD>
    </TR>
    <input type="hidden" name="name_82" value="Organisation Name (If Applicable)">
    <TR><TD>


<font face='Arial' size='2' color='#000000'>

Organisation Name (If Applicable)

</font>


</td>
        <TD><input type="text" name="field_82" size=35>
        
        </TD>
    </TR>
    <input type="hidden" name="name_76" value="Postal Address">
    <TR><TD>


<font face='Arial' size='2' color='#000000'>

Postal Address

</font>


<font color="red" size="-1">*</font></td>
        <TD><textarea name="field_76" rows="5" cols="30"></textarea>
        
        </TD>
    </TR>
    <input type="hidden" name="name_77" value="Email">
    <TR><TD>


<font face='Arial' size='2' color='#000000'>

Email

</font>


</td>
        <TD><input type="text" name="field_77" size=35>
        
        </TD>
    </TR>
    <input type="hidden" name="name_78" value="Phone">
    <TR><TD>


<font face='Arial' size='2' color='#000000'>

Phone

</font>


</td>
        <TD><input type="text" name="field_78" size=35>
        
        </TD>
    </TR>
    <input type="hidden" name="name_79" value="Mobile">
    <TR><TD>


<font face='Arial' size='2' color='#000000'>

Mobile

</font>


</td>
        <TD><input type="text" name="field_79" size=35>
        
        </TD>
    </TR>
    <input type="hidden" name="name_83" value="How did you hear about us?">
    <TR><TD>


<font face='Arial' size='2' color='#000000'>

How did you hear about us?

</font>


</td>
        <TD><input type="text" name="field_83" size=35>
        
        </TD>
    </TR>
    
    <TR><TD colspan=2 align=center>
        <input onClick="return validate(form)" type="submit" value="Submit">
        <input type="reset"  value="Reset">
        </TD>
    </TR>
    </TABLE>
    </TD>
</form>
</TR>
</TABLE>
<!-- EOF: ./personal-templates/simple/businessnew/form/style_l35.html -->

                
                </TD>
            </TR>
            <TR><TD WIDTH=510 HEIGHT=28 VALIGN="top"><img src="widgets/gen_760.1.gif" border=0 width=510 height=28 alt=""></TD></TR>
            <TR>
                <TD><font style="text-decoration: none; font-size:2pt; color:#3C3C3C">
                

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

<nobr>|<a href="AboutUs.html">About Us</A>|</nobr>

<nobr>|<a href="Microchips.html">Microchips / Implanters</A>|</nobr>

<nobr>|<a href="ReadersScanners.html">Readers / Scanners</A>|</nobr>

<nobr>|<a href="StarterPacks.html">Starter Packs</A>|</nobr>

<nobr>|Starter Pack Order|</nobr>

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

<nobr>|<a href="faq.html">FAQ</A>|</nobr>

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

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

<nobr>|<a href="OurCustomersNews.html">Our Customers News</A>|</nobr>

<nobr>|<a href="form.html">Survey</A>|</nobr>

<nobr>|<a href="sitemap.html">Site Map</A>|</nobr>

<nobr>|<a href="links.html">Internet Links</A>|</nobr>
</center>
</font>

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

<a href="http://www.psoft.net" target="_blank"><img src="widgets/ss_button.gif" border="0"></a>

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

</td></tr></table></center>
</font></TD>    
            </TR>
            </TABLE>
            </TD>
<!-- End Center -->
<!-- Begin Menu -->
            <TD WIDTH=266 HEIGHT=100% BGCOLOR="#508CCF" VALIGN="top">
            <TABLE WIDTH=266 HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 BGCOLOR="#508CCF">
            <TR>
                <TD COLSPAN="3" WIDTH=265 HEIGHT=84 VALIGN="top" BGCOLOR="#508CCF">
                    <img src="widgets/gen_757.1.gif" border=0 width=265 height=84 alt=""></TD>
            </TR>
            <TR>
                <TD WIDTH=37 HEIGHT=100% VALIGN="top" BGCOLOR="#508CCF" BACKGROUND="widgets/gen_864.1.gif">
                    <img src="widgets/gen_758.1.gif" border=0 width=37 height=26 alt=""></TD>
                <TD WIDTH=157 VALIGN="top" BACKGROUND="" BGCOLOR="#508CCF">
                
                <a href="index.html" onMouseOver="document.images['img6'].src='widgets/gen_812.1.gif'" onMouseOut="document.images['img6'].src='widgets/gen_878.1.gif'"><img src="widgets/gen_878.1.gif" alt="Home" name="img6" border="0"></a><br>
                <a href="AboutUs.html" onMouseOver="document.images['img7'].src='widgets/gen_880.1.gif'" onMouseOut="document.images['img7'].src='widgets/gen_813.1.gif'"><img src="widgets/gen_813.1.gif" alt="About Us" name="img7" border="0"></a><br>
                <a href="Microchips.html" onMouseOver="document.images['img8'].src='widgets/gen_816.1.gif'" onMouseOut="document.images['img8'].src='widgets/gen_869.1.gif'"><img src="widgets/gen_869.1.gif" alt="Microchips / Implanters" name="img8" border="0"></a><br>
                <a href="ReadersScanners.html" onMouseOver="document.images['img10'].src='widgets/gen_818.1.gif'" onMouseOut="document.images['img10'].src='widgets/gen_817.1.gif'"><img src="widgets/gen_817.1.gif" alt="Readers / Scanners" name="img10" border="0"></a><br>
                <a href="StarterPacks.html" onMouseOver="document.images['img84'].src='widgets/gen_907.1.gif'" onMouseOut="document.images['img84'].src='widgets/gen_906.1.gif'"><img src="widgets/gen_906.1.gif" alt="Starter Packs" name="img84" border="0"></a><br>
                <a href="StarterPackOrder.html" onMouseOver="document.images['img71'].src='widgets/gen_903.1.gif'" onMouseOut="document.images['img71'].src='widgets/gen_902.1.gif'"><img src="widgets/gen_902.1.gif" alt="Starter Pack Order" name="img71" border="0"></a><br>
                <a href="contact.html" onMouseOver="document.images['img11'].src='widgets/gen_820.1.gif'" onMouseOut="document.images['img11'].src='widgets/gen_819.1.gif'"><img src="widgets/gen_819.1.gif" alt="Contact Us" name="img11" border="0"></a><br>
                <a href="faq.html" onMouseOver="document.images['img28'].src='widgets/gen_875.1.gif'" onMouseOut="document.images['img28'].src='widgets/gen_823.1.gif'"><img src="widgets/gen_823.1.gif" alt="FAQ" name="img28" border="0"></a><br>
                <a href="ISO.html" onMouseOver="document.images['img45'].src='widgets/gen_888.1.gif'" onMouseOut="document.images['img45'].src='widgets/gen_844.1.gif'"><img src="widgets/gen_844.1.gif" alt="ISO" name="img45" border="0"></a><br>
                <a href="news.html" onMouseOver="document.images['img91'].src='widgets/gen_885.1.gif'" onMouseOut="document.images['img91'].src='widgets/gen_821.1.gif'"><img src="widgets/gen_821.1.gif" alt="News" name="img91" border="0"></a><br>
                <a href="OurCustomersNews.html" onMouseOver="document.images['img16'].src='widgets/gen_916.1.gif'" onMouseOut="document.images['img16'].src='widgets/gen_915.1.gif'"><img src="widgets/gen_915.1.gif" alt="Our Customers News" name="img16" border="0"></a><br>
                <a href="form.html" onMouseOver="document.images['img47'].src='widgets/gen_877.1.gif'" onMouseOut="document.images['img47'].src='widgets/gen_837.1.gif'"><img src="widgets/gen_837.1.gif" alt="Survey" name="img47" border="0"></a><br>
                
                
                <a href="sitemap.html" onMouseOver="document.images['img100'].src='widgets/gen_928.1.gif'" onMouseOut="document.images['img100'].src='widgets/gen_927.1.gif'"><img src="widgets/gen_927.1.gif" alt="Site Map" name="img100" border="0"></a><br>
                
                <a href="links.html" onMouseOver="document.images['img103'].src='widgets/gen_991.1.gif'" onMouseOut="document.images['img103'].src='widgets/gen_990.1.gif'"><img src="widgets/gen_990.1.gif" alt="Internet Links" name="img103" border="0"></a><br><a href="mailto:info@elfgroup.ie" onMouseOver="document.images['img_email'].src='widgets/gen_826.1.gif'" onMouseOut="document.images['img_email'].src='widgets/gen_890.1.gif'"><img src="widgets/gen_890.1.gif" alt="e-mail me" name="img_email" border="0"></a><br></TD>
                <TD WIDTH=71 HEIGHT=100% BGCOLOR="#508CCF"><img src="widgets/spacer.gif" height=48 width=71 alt=""></TD>
            </TR>
            </TABLE>
            </TD>
        </TR>
        </TABLE>
        </TD>
    </TR>
<!-- End Menu -->
    </TABLE>
    </TD>
                
                <TD WIDTH=90% HEIGHT=100%>
                        <TABLE WIDTH=100% HEIGHT=100% BORDER=0 CELLPADDING=0 CELLSPACING=0 VALIGN="top">
                                <TR>
                                        <TD WIDTH=350 HEIGHT=100% BACKGROUND="">                                                                     
                                                <IMG SRC="widgets/spacer.gif" WIDTH=24 HEIGHT=48></TD>
                                        <TD WIDTH=100% HEIGHT=100% BACKGROUND="">                                                                       
                                                <IMG SRC="widgets/spacer.gif" WIDTH=24 HEIGHT=48></TD>
                                </TR>
                
                        </TABLE>
                </TD>
                
</TR>
</TABLE>    
<!-- EOF: ./personal-templates/simple/businessnew/layout/l35.layout -->

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


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

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


<!-- Template Error: Template "simple//themes/horizontal_curtain.show.bottom" not found in cache. -->


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


</html>


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