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<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=60 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I><IMG SRC="062a02a0.png" border=0 width="160" height="42" ALIGN="BOTTOM" HSPACE="0" VSPACE="0">  </I><I><B>Insulation Specialists Ltd - </B></I><I><B>Contact Us</B></I></div> <div> </div> </td> </tr><tr> <td valign="top" width=180 BGCOLOR="#FF0000" TEXT="#080000"> <div> <TABLE BORDER="0" CELLPADDING="0" CELLSPACING="0" WIDTH="140" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=BOTTOM HEIGHT= 26 WIDTH="35"><div> <A HREF="tests___reports.htm" TARGET="_top" TITLE="Tests Reports"><U><IMG SRC="00314140.png" border=0 width="20" height="20" ALT="previous" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> </tD> <tD VALIGN=BOTTOM WIDTH="35"><div> <IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" 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<tR> <tD VALIGN=TOP HEIGHT= 16 WIDTH="417"><div> <A HREF="index.htm" TARGET="_top" TITLE="Home"><U><B>Home</B></U></A><B> >> </B><B>Contact Us</B></div> </tD> </tR> </TABLE></div> <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,Company,Address1,Address2,City,AreaCode,Phone,Fax,MailingList,Comments"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for your request for information."><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="info@insul-fluf.co.nz"> <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">Company:<br> <input type="text" name="Company" 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">Zip/Area Code:<br> <input type="text" name="AreaCode" size="10" maxlength="10"></td> </tr> <tr> <td align="left">Phone Number:<br> <input type="text" name="Phone" size="14" maxlength="20"></td> </tr> <tr> <td align="left">Fax Number:<br> <input type="text" name="Fax" size="14" maxlength="20"></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="50"></textarea></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> </td> </tr></table></body>