Cocktails & Requests Form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=76 BGCOLOR="#CC0066" TEXT="#080000"> <div> <B> <TABLE BORDER="1" CELLPADDING="1" CELLSPACING="0" WIDTH="614" BORDERCOLORLIGHT="#FF3366" BORDERCOLORDARK="#CC0066" FRAME="VOID" RULES="COLS" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP BGCOLOR=#CC0066 HEIGHT= 34 ><NOBR><div> <I><B> </B></I><A HREF="index.htm" TARGET="_top" TITLE="Flying Iguana Restaurant Bar"><U><I><B>Home</B></I></U></A><A HREF="index.htm" TARGET="_top" TITLE="Flying Iguana Restaurant Bar"><U><I><B> </B></I></U></A><A HREF="index.htm" TARGET="_top" TITLE="Flying Iguana Restaurant Bar"><U><I><B>Page</B></I></U></A></div> <div> <I><B>  </B></I></div> </NOBR></tD> <tD VALIGN=TOP BGCOLOR=#CC0066 WIDTH="80"><div> <A HREF="id27.htm" TARGET="_top" TITLE=" Private Chef Menu"><U><I><B>Private Chef</B></I></U></A><I><B>  </B></I><A HREF="id27.htm" TARGET="_top" TITLE=" Private Chef Menu"><U><I><B>   Menu</B></I></U></A><I><B> </B></I><I><B>  </B></I></div> </tD> <tD VALIGN=TOP BGCOLOR=#CC0066 WIDTH="80"><div> <I><B> </B></I><A HREF="id17.htm" TARGET="_top" TITLE=" Breakfast Menu"><U><I><B>Breakfast</B></I></U></A></div> <div> <A HREF="id17.htm" TARGET="_top" TITLE=" Breakfast Menu"><U><I><B>Menu</B></I></U></A></div> </tD> <tD VALIGN=TOP WIDTH="94"><div> <A HREF="id20.htm" TARGET="_top" TITLE="Lunch Dinner Menu"><U><I><B>Lunch & Dinner</B></I></U></A><I><B>  </B></I><A HREF="id20.htm" TARGET="_top" TITLE="Lunch Dinner Menu"><U><I><B>Menu</B></I></U></A></div> </tD> <tD VALIGN=TOP><NOBR><div> <I><B> </B></I><A HREF="id18.htm" TARGET="_top" TITLE="Cocktails Requests Form"><U><I><B>Cocktail &</B></I></U></A><I><B> </B></I><I><B> </B></I></div> <div> <I><B> </B></I><A HREF="id18.htm" TARGET="_top" TITLE="Cocktails Requests Form"><U><I><B>Requests Form</B></I></U></A></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <I><B> </B></I><A HREF="id26.htm" TARGET="_top" TITLE="Our Islands"><U><I><B>Our Island</B></I></U></A><I><B> </B></I></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="80"><div> <A HREF="id19.htm" TARGET="_top" TITLE="Favorite Links"><U><I><B>Favorite</B></I></U></A><I><B>  </B></I></div> <div> <I><B> </B></I><A HREF="id19.htm" TARGET="_top" TITLE="Favorite Links"><U><I><B>Links</B></I></U></A><I><B> </B></I></div> </tD> </tR> </TABLE></B></div> <bR> <div> <I><B>         </B></I><FONT SIZE="3" COLOR="#FF9933" FACE="Times New Roman" ><I><B>   </B></I></FONT></div> </td> </tr><tr> <td valign="top" width=190 BGCOLOR="#FFCC66" TEXT="#080000" background="044d2b03.jpg"> <div> <I>When you're not at the flying Iguana sipping a cool one or </I><I>enjoying a meal, below are just a few of the activities you might  enjoy in Virgin Gorda.</I></div> <DIV ALIGN="LEFT"></DIV> <div> <IMG SRC="0a7a9790.jpg" border=0 width="169" height="121" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <div> <I>Enjoing the "Sailing Capital of the world"</I></div> <div> <I><IMG SRC="0a9ad7d0.jpg" border=0 width="173" height="125" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></I></div> <div> <I>Windsurfing until sunset</I></div> <div> <I><IMG SRC="0ab80b40.jpg" border=0 width="128" height="180" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></I></div> <div> <I>Scuba diving or snorkeling our pristine waters.</I></div> <div> <I><IMG SRC="0ad84b90.jpg" border=0 width="132" height="185" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></I></div> <div> <I>Parasailing on our soft </I></div> <div> <I>trade winds.</I></div> <div> <I><IMG SRC="0af77ba0.jpg" border=0 width="119" height="186" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></I></div> <div> <I>Exploring the pools and grottos of the famous</I></div> <div> <I>               BATHS.</I></div> <bR> <DIV ALIGN="LEFT"></DIV> <div> <I> .</I></div> <bR> <bR> </td> <td valign="top" height=404 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I><IMG SRC="06884780.png" border=0 width="132" height="120" ALIGN="LEFT" HSPACE="0" VSPACE="0">                                 </I> <FONT SIZE="5" COLOR="#000000" FACE="Franciscan" ><U>Flying Iguana</U></FONT></div> <div>                <U>Cocktail Concoctions</U> </div> <div>                       <U>Specials</U></div> <div> <I>              Be refreshed by our blended or shaken</I></div> <div> <I>                                    taste sensations</I></div> <bR> <bR> <div> <TABLE BORDER="1" CELLPADDING="1" CELLSPACING="0" WIDTH="567" BORDERCOLORLIGHT="#FF3366" BORDERCOLORDARK="#CC0066" FRAME="RHS" RULES="NONE" HSPACE="0" VSPACE="0" BGCOLOR=#FFFFFF > <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>                                       Banana, Strawberry, Mango, or Papaya Daiquiris </B><B> </B>         </div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <B>         $6.00</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>                                       Selections from the above colada style</B></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <B>         $6.50</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 23 WIDTH="485"><div> <B><U>Use the handy form</U></B><B> </B></div> </tD> <tD VALIGN=TOP WIDTH="76"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="23" ALIGN="bottom" WIDTH="76" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 23 ><NOBR><div> <B>  </B><B><U>below to contact</U></B><B>          Shaken and Stirred Cocktails</B></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <B>         $6.00</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 WIDTH="485"><div> <I><B> </B></I><I><B><U>FLYING IGUANA</U></B></I><B>      Flying Iguana Sunset</B></div> </tD> <tD VALIGN=TOP><NOBR><div> <B>         $6.00</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 WIDTH="485"><div> <B>      </B><B> </B><B><U> for an</U></B><B>  </B><B>                   Island Girl</B></div> </tD> <tD VALIGN=TOP><NOBR><div> <B>         $6.00</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 WIDTH="485"><div> <B> </B><B> </B><B><U>IMMEDIATE</U></B><B>            Boarding Pass</B></div> </tD> <tD VALIGN=TOP><NOBR><div> <B>         $6.00</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>       </B><B><U> reply.</U></B><B> </B><B>                    Iguana Painkiller with 'float'</B></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <B>         $6.00</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 WIDTH="485"><div> <B>        </B><B>            </B><B>                 </B><B><U> Blended All the Way:</U></B></div> </tD> <tD VALIGN=TOP WIDTH="76"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="76" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 WIDTH="485"><div> <B>                                      Bushwacker</B></div> </tD> <tD VALIGN=TOP><NOBR><div> <B>         $6.00</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 WIDTH="485"><div> <B>                                      Royal Iguana Stand</B></div> </tD> <tD VALIGN=TOP><NOBR><div> <B>         $6.00</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 WIDTH="485"><div> <B>                                      Iguana Colada</B></div> </tD> <tD VALIGN=TOP><NOBR><div> <B>         $6.00 </B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 20 ><NOBR><div> <B>                                      Iguana Smoothies               $5.00 or with a hint</B></div> </NOBR></tD> <tD VALIGN=TOP><NOBR><div> <B>         $6.00</B></div> </NOBR></tD> </tR> </TABLE></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,Company,Address,Address,City,State,Zip,Phone,Email,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="flyingiguanabvi@hotmail.com"> <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">Company:<br> <input type="text" name="Company" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address L:<br> <input type="text" name="Address" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address Line :<br> <input type="text" name="Address" 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 align="left">Email:<br> <input type="text" name="Email" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Fax Number:<br> <input type="text" name="Fax" 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">Questions? Requests, Comments, Reservations:<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> <bR> <div> <IMG SRC="0568a7e0.png" border=0 width="138" height="126" ALIGN="LEFT" HSPACE="0" VSPACE="0">    </div> <div>                                                </div> <div> <TABLE BORDER="1" CELLPADDING="1" CELLSPACING="1" WIDTH="308" BORDERCOLORLIGHT="#CC0066" BORDERCOLORDARK="#FFFFFF" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 95 ><NOBR><div> <I><B>Across from the Virgin Gorda Airport</B></I></div> <div> <I><B>Virgin Gorda, British Virgin Islands</B></I></div> <div> <I><B>Phone: 284 495-5277</B></I></div> <div> <I><B>Email: </B></I><A HREF="mailto:flyingiguanabvi@hotmail.com" TARGET="_top" TITLE="mailto:flyingiguanabvi@hotmail.com"><U><I><B>flyingiguanabvi@hotmail.com</B></I></U></A></div> <div> <I><B>            We monitor VHF Channel 16</B></I></div> </NOBR></tD> </tR> </TABLE></div> <div>                         </div> </td> </tr></table></body>