<FORM action="http://www-sid.slac.stanford.edu/sidinterest.asp" method="post">
<TABLE border="0" bordercolor="#111111" cellpadding="0" cellspacing="0" id="AutoNumber2" style="border-collapse: collapse;">

<TBODY><TR>
<TD align="left" width="25%">
<B>First Name</B></TD>
<TD width="75%"><INPUT name="fname" size="36" type="text"></INPUT></TD>
</TR>
<TR>
<TD lign="left" width="25%">
<B>Last Name</B></TD>
<TD width="75%"><INPUT name="lname" size="36" type="text"></INPUT></TD>
</TR>
<TR>
<TD lign="left" width="25%">
<B>Institution</B></TD>
<TD width="75%"><INPUT name="institution" size="36" type="text"></INPUT></TD>
</TR>
<TR>
<TD align="left" width="25%">
<B>Email</B></TD>
<TD width="75%"><INPUT name="email" size="36" type="text"></INPUT></TD>
</TR>
<TR>
<TD width="25%"> </TD>
<TD width="75%"><INPUT name="B1" type="submit" value="Send"></INPUT> <INPUT name="B2" type="reset" value="Reset"></INPUT></TD>
</TR>
</TBODY></TABLE>
</FORM>