<HTML>

<HEAD>
<TITLE>Add</TITLE>
</HEAD>


<BODY>

<CENTER>
<H2><font face="Arial" color="#004080"><b>$headline$</b></font></H2>

<FORM METHOD="post" ACTION="/cgi-bin/agencyhost.exe">

&nbsp;</center>
<div align="center">
<table border="0" cellspacing="0" width="760" cellpadding="6">
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name1$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field1$" TYPE="text" SIZE="$size1$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name2$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field2$" TYPE="text" SIZE="$size2$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name3$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field3$" TYPE="text" SIZE="$size3$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name4$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field4$" TYPE="text" SIZE="$size4$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name5$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field5$" TYPE="text" SIZE="$size5$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name6$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field6$" TYPE="text" SIZE="$size6$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name7$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field7$" TYPE="text" SIZE="$size7$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name8$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field8$" TYPE="text" SIZE="$size8$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name9$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field9$" TYPE="text" SIZE="$size9$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name10$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field10$" TYPE="text" SIZE="$size10$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name11$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field11$" TYPE="text" SIZE="$size11$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name12$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field12$" TYPE="text" SIZE="$size12$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name13$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field13$" TYPE="text" SIZE="$size13$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name14$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field14$" TYPE="text" SIZE="$size14$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name15$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field15$" TYPE="text" SIZE="$size15$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name16$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field16$" TYPE="text" SIZE="$size16$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name17$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field17$" TYPE="text" SIZE="$size17$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name18$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field18$" TYPE="text" SIZE="$size18$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name19$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field19$" TYPE="text" SIZE="$size19$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name20$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field20$" TYPE="text" SIZE="$size20$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name21$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field21$" TYPE="text" SIZE="$size21$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name22$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field22$" TYPE="text" SIZE="$size22$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name23$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field23$" TYPE="text" SIZE="$size23$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name24$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field24$" TYPE="text" SIZE="$size24$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name25$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field25$" TYPE="text" SIZE="$size25$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name26$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field26$" TYPE="text" SIZE="$size26$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name27$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field27$" TYPE="text" SIZE="$size27$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name28$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field28$" TYPE="text" SIZE="$size28$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name29$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field29$" TYPE="text" SIZE="$size29$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name30$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field30$" TYPE="text" SIZE="$size30$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name31$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field31$" TYPE="text" SIZE="$size31$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name32$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field32$" TYPE="text" SIZE="$size32$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name33$</b></font></p>
</td>

<td width="380"><INPUT NAME="$field33$" TYPE="text" SIZE="$size33$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
<tr>
<td width="380">
<p align="right"><font face="Arial" color="#004080"><b>$name34$</b></font></p>
</td>

<CENTER>
<td width="380"><INPUT NAME="$field34$" TYPE="text" SIZE="$size34$" style="font-family: Arial; font-size: 10pt; font-weight: bold"></td>
</tr>
</table>
</div>

<INPUT NAME="database" TYPE="hidden" VALUE="DRIVER={Microsoft Access Driver (*.mdb)};
DBQ=//nawinfs02/home/users/web/b851/rh.agencyhost/database/$database$.mdb;
FIL=MS Access; UID=Admin; PWD=rustad">

<INPUT NAME="sql" TYPE="hidden"
VALUE="INSERT INTO BusinessSystems ($field1$, $field2$, $field3$, $field4$, $field5$, $field6$,
$field7$, $field8$, $field9$, $field10$, $field11$, $field12$, $field13$, $field14$, $field15$,
$field16$, $field17$, $field18$, $field19$, $field20$, $field21$, $field22$, $field23$, $field24$,
$field25$, $field26$, $field27$, $field28$, $field29$, $field30$, $field31$, $field32$, $field33$,
$field34$)
VALUES ($$field1$$, '$$field2$$', '$$field3$$', '$$field4$$', '$$field5$$', '$$field6$$', '$$field7$$',
'$$field8$$', '$$field9$$', '$$field10$$', '$$field11$$', '$$field12$$', '$$field13$$', '$$field14$$',
'$$field15$$', '$$field16$$', '$$field17$$', '$$field18$$', '$$field19$$', '$$field20$$', '$$field21$$',
'$$field22$$', '$$field23$$', '$$field24$$', '$$field25$$' '$$field26$$', '$$field27$$',
'$$field28$$', '$$field29$$' '$$field30$$', '$$field31$$' '$$field32$$', '$$field33$$' '$$field34$$)">

<INPUT NAME="sql_header" TYPE="hidden" VALUE="<h2>Inserting Record...</h2>">

<INPUT NAME="translate" TYPE="hidden" VALUE="sql_status -2=$sql_error$,
-1=ERROR: Record $$field1$$ not inserted: $sql_error$,
0=$sql_error$, 1=Record $$field1$$ inserted">

<INPUT NAME="sql_footer" TYPE="hidden" VALUE="<h3>$sql_status$</h3>">


<P align="center">
<INPUT class=s style="color: #122376; background-color: #FFFFFF; font-family: Arial; font-size: 12pt; font-weight: bold; border-right-style: solid; border-bottom-style: solid" type="submit" value="Insert a New Record">
<INPUT class=s style="color: #122376; background-color: #FFFFFF; font-family: Arial; font-size: 12pt; font-weight: bold; border-right-style: solid; border-bottom-style: solid" TYPE="reset" VALUE="Clear Form">

</FORM>
<HR>

<div align="center">
<center>
<table border="1" width="140" style="color: #004080; font-family: Arial; font-size: 12pt; font-weight: bold; border-right-style: solid" bordercolor="#004080" bordercolordark="#004080" cellspacing="0" bordercolorlight="#004080" cellpadding="0">
<tr>
<td>
<p align="center"><a href="javascript:void(0);" onClick="window.close('profile');">
<font color="#004080">Close Window Without Adding</font></a></td>
</tr>
</table>
</center>
</div>

</center>

</BODY>
</HTML>