Contact Us

<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="#006699" TEXT="#080000" background="0bb085a3.jpg"> <div> <FONT SIZE="5" COLOR="#FFFFFF" FACE="Arial" ><B>Minority Student Nurses Organization</B></FONT><B> at the University of Tennessee    |     </B><A HREF="default.htm" TARGET="_top" TITLE="Minority Student Nurses Organization"><U><B>home</B></U></A></div> <div> <A HREF="id18.htm" TARGET="_top" TITLE="About MSNO"><U>About MSNO</U></A>   |   <A HREF="id22.htm" TARGET="_top" TITLE="Members"><U>Members</U></A>   |   <A HREF="id19.htm" TARGET="_top" TITLE="Activities"><U>Activities</U></A>   |   <A HREF="id17.htm" TARGET="_top" TITLE="Newsletter"><U>Newsletter</U></A>   |   <A HREF="id20.htm" TARGET="_top" TITLE="Related Links"><U>Related Links</U></A>   |   <B>Contact Us</B>   |   <A HREF="id43.htm" TARGET="_top" TITLE="Pioneer"><U>Pioneer</U></A>   |   <A HREF="id54.htm" TARGET="_top" TITLE="My Photos"><U>My Photos</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFFFFF" TEXT="#080000" background="0bcd2e83.jpg"> <bR> </td> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I><U>Contact Us</U></I></div> <bR> <div> If you are interested in joining MSNO or would like to send any comments and suggestions, please</div> <div> let us know by filling out the form below.</div> <bR> <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="FirstName,LastName,Email,Address1,Address2,City,State,Zip,Phone,MailingList,Comments,[Custom1]"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for your interest in the Minority Student Nurses Organization. Someone will send you information as soon as possible."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A request form was submitted"><input type="hidden" name="tlx_EmailTo" value="msno@utk.edu"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">First Name:<br> <input type="text" name="FirstName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Last Name:<br> <input type="text" name="LastName" 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">Address Line 1:<br> <input type="text" name="Address1" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address Line 2:<br> <input type="text" name="Address2" 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> <input type="checkbox" name="MailingList" value="yes"> Add me to your mailing list</td> </tr> <tr> <td align="left">Comments:<br> <textarea name="Comments" rows="5" cols="30"></textarea></td> </tr> <tr> <td align="left">Classification:<br> <input type="text" name="[Custom1]" size="30" maxlength="100"></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> <bR> </td> </tr></table></body>