<div style="text-align: center">
<form action="http://demo.dadnab.com/enclosure.do" method="post" target="_blank">
<select style="background-color: lightgoldenrodyellow" id="region" name="region" size="1">
<option selected="selected" value="Austin, TX: (512) 981-6221</option>
<option value="bay">San Francisco Bay Area: (415) 335-6221</option>
<option value="boston">Boston, MA: (857) 244-1622</option>
<option value="chicago">Chicago, IL: (312) 772-3622</option>
<option value="dallas">Dallas, TX: (469) 844-3622</option>
<option value="houston">Houston, TX: (832) 303-3622</option>
<option value="portland">Portland, OR: (503) 406-8622</option>
<option value="seattle">Seattle, WA: (206) 659-6225</option>
<option value="socal">Southern California: (323) 863-6221</option>
<option value="tri">Tri-State NY/NJ/CT Area: (347) 497-3622</option>
</select><br/>
<textarea id="input" name="input" cols="44" rows="3">5th & lavaca to barton springs & kinney</textarea>
<input type="submit" value="Send"/>
Try <a href="http://www.dadnab.com">Dadnab</a> now.
</form>
</div>
