Cheaper Cell Phone Calls - Application Form/title> <meta name="description" content="Earn money by having your clients phone a cell number connected to your landline" /> <meta name="keywords" content="earn, money, cheap, cell phone, landline, telkom, vodacom, mtn, cheaper phone calls, phone call savings" /> <meta http-equiv="content-type" content="text/html; charset=utf-8" /> <link rel=?icon? href=?favicon.ico? type=?image/x-icon?> <link href="default.css" rel="stylesheet" type="text/css" media="screen" /> </head> <body>  <div id="header"> <h1>Cheaper Phone Calls</h1> </div>   <div id="page" style="width: 900px; height: 658px">  <div id="content"> <div class="post"> <h1 class="title">Apply here for your free cell number!</h1> <div align="left"> </div> <div align="left"> Fields Marked with an <font color="#FF0000" size="4"><b>*</b></font> are required.</div> <div align="left">  <form name="contactForm" method="post" action="http://www.mycontactform.com/sendform/sendform.php"> <input name="user" type="hidden" id="user" value="tommeintjes" /><input name="formid" type="hidden" id="formid" value="269181" /><input name="subject" type="hidden" id="subject" value="Cell Number Application" /> <table width="500" style="border: 0px solid #000000; margin: 0; padding: 0; background-color: #FFFFFF;"><tr><td> <table width="100%" border="0" cellspacing="0" cellpadding="5"> <tr bgcolor="#EFEFEF"><td><font color="#000000" size="2" face="Verdana">Company Name:<font color="#FF0000"> *</font></font></td><td><font color="#000000" size="2" face="Verdana"><input name="q[2]" type="text" value="" size="20" maxlength="100" /></font></td></tr><tr bgcolor="#FFFFFF"><td><font color="#000000" size="2" face="Verdana">Registration Number:</font></td><td><font color="#000000" size="2" face="Verdana"><input name="q[3]" type="text" value="" size="20" maxlength="100" /></font></td></tr><tr bgcolor="#EFEFEF"><td><font color="#000000" size="2" face="Verdana">Contact Person:<font color="#FF0000"> *</font></font></td><td><font color="#000000" size="2" face="Verdana"><input name="q[18]" type="text" value="" size="20" maxlength="50" /></font></td></tr><tr bgcolor="#FFFFFF"><td><font color="#000000" size="2" face="Verdana">Designation:<font color="#FF0000"> *</font></font></td><td><font color="#000000" size="2" face="Verdana"><input name="q[4]" type="text" value="" size="20" maxlength="100" /></font></td></tr><tr bgcolor="#EFEFEF"><td><font color="#000000" size="2" face="Verdana"> E-mail Address:<font color="#FF0000"> *</font></font></td><td><input name="email" type="text" id="email" size="20" maxlength="100" /></td></tr><tr bgcolor="#FFFFFF"><td><font color="#000000" size="2" face="Verdana">Telephone No:<font color="#FF0000"> *</font></font></td><td><font color="#000000" size="2" face="Verdana"><input name="q[17]" type="text" value="" size="20" maxlength="20" /></font></td></tr><tr bgcolor="#EFEFEF"><td><font color="#000000" size="2" face="Verdana">Fax No:</font></td><td><font color="#000000" size="2" face="Verdana"><input name="q[6]" type="text" value="" size="20" maxlength="20" /></font></td></tr><tr bgcolor="#FFFFFF"><td><font color="#000000" size="2" face="Verdana">Email Address:<font color="#FF0000"> *</font></font></td><td><font color="#000000" size="2" face="Verdana"><input name="q[5]" type="text" value="" size="20" maxlength="100" /></font></td></tr><tr bgcolor="#EFEFEF"><td><font color="#000000" size="2" face="Verdana">Physical Address:<font color="#FF0000"> *</font></font></td><td><font color="#000000" size="2" face="Verdana"><textarea name="q[8]" cols="20" rows="4" ></textarea></font></td></tr><tr bgcolor="#FFFFFF"><td><font color="#000000" size="2" face="Verdana">Postal Code:<font color="#FF0000"> *</font></font></td><td><font color="#000000" size="2" face="Verdana"><input name="q[9]" type="text" value="" size="4" maxlength="4" /></font></td></tr><tr bgcolor="#EFEFEF"><td><font color="#000000" size="2" face="Verdana">Postal Address:<font color="#FF0000"> *</font></font></td><td><font color="#000000" size="2" face="Verdana"><textarea name="q[19]" cols="20" rows="4" ></textarea></font></td></tr><tr bgcolor="#FFFFFF"><td><font color="#000000" size="2" face="Verdana">Postal Code:<font color="#FF0000"> *</font></font></td><td><font color="#000000" size="2" face="Verdana"><input name="q[20]" type="text" value="" size="4" maxlength="4" /></font></td></tr><tr bgcolor="#EFEFEF"><td><font color="#000000" size="2" face="Verdana">Application is for a:<font color="#FF0000"> *</font></font></td><td><font color="#000000" size="2" face="Verdana"><input name="q[21]" type="hidden" value="checkbox269181" /><input name="checkbox21[]" type="checkbox" value="Switchboard" />Switchboard<br /><input name="checkbox21[]" type="checkbox" value="Single Line" />Single Line</font></td></tr><tr bgcolor="#FFFFFF"><td><font color="#000000" size="2" face="Verdana">Operator required:<font color="#FF0000"> *</font></font></td><td><font color="#000000" size="2" face="Verdana"><input name="q[22]" type="hidden" value="checkbox269181" /><input name="checkbox22[]" type="checkbox" value="Vodacom" />Vodacom<br /><input name="checkbox22[]" type="checkbox" value="MTN" />MTN</font></td></tr><tr bgcolor="#EFEFEF"><td><font color="#000000" size="2" face="Verdana">Landline No.for allocation:<font color="#FF0000"> *</font></font></td><td><font color="#000000" size="2" face="Verdana"><input name="q[23]" type="text" value="" size="20" maxlength="20" /></font></td></tr><tr bgcolor="#FFFFFF"><td><font color="#000000" size="2" face="Verdana">Switchboard Details - No. of Lines:</font></td><td><font color="#000000" size="2" face="Verdana"><input name="q[24]" type="text" value="" size="3" maxlength="3" /></font></td></tr><tr bgcolor="#EFEFEF"><td><font color="#000000" size="2" face="Verdana">Switchboard - Hunting Line No:</font></td><td><font color="#000000" size="2" face="Verdana"><input name="q[25]" type="text" value="" size="20" maxlength="20" /></font></td></tr><tr bgcolor="#FFFFFF"><td><font color="#000000" size="2" face="Verdana">Make of Switchboard:</font></td><td><font color="#000000" size="2" face="Verdana"><input name="q[26]" type="text" value="" size="20" maxlength="100" /></font></td></tr><tr bgcolor="#EFEFEF"><td><font color="#000000" size="2" face="Verdana">Switchboard Model No:</font></td><td><font color="#000000" size="2" face="Verdana"><input name="q[27]" type="text" value="" size="20" maxlength="100" /></font></td></tr><tr bgcolor="#FFFFFF"><td><font color="#000000" size="2" face="Verdana">Switchboard Contract Firm:</font></td><td><font color="#000000" size="2" face="Verdana"><input name="q[28]" type="text" value="" size="20" maxlength="100" /></font></td></tr><tr bgcolor="#EFEFEF"><td><font color="#000000" size="2" face="Verdana">Switchboard Technician Contact Details:</font></td><td><font color="#000000" size="2" face="Verdana"><textarea name="q[29]" cols="20" rows="4" ></textarea></font></td></tr><tr><td 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