This form is to use for Bonus Egg Entries Only.  Submit once for each bonus egg you find.  Please be sure you select the correct store.<form method="post" action="http://www.emailmeform.com/fid.php?formid=59244" enctype="multipart/form-data" accept-charset="UTF-8">
<table cellpadding="2" cellspacing="0" border="0" bgcolor="#FFFFFF">
<tr>
<td>
<font face="Verdana" size="2" color="#000000"></font>
 <div style="" id="mainmsg"> </div>

</td>
</tr>
</table>

<br>

<table cellpadding="2" cellspacing="0" border="0" bgcolor="#FFFFFF">

<tr valign="top">
 <td nowrap><font face="Verdana" size="2" color="#000000">Your Name</font></td>
 <td>
<input type="text" name="FieldData0" value="" maxlength="100" size="99"> </td>
</tr>      

<tr valign="top">
 <td nowrap><font face="Verdana" size="2" color="#000000">Store Name where Bonus Eggs were found</font></td>
 <td>
<select name="FieldData1"><option value="Cutie Pie Clippies">Cutie Pie Clippies</option><option value="Zing Slings & More">Zing Slings & More</option><option value="Nifty Necessities">Nifty Necessities</option><option value="Blue Skye Designs">Blue Skye Designs</option><option value="Puddin Babies Potions">Puddin Babies Potions</option></select> </td>
</tr>      

<tr valign="top">
 <td nowrap><font face="Verdana" size="2" color="#000000">Location of bonus egg (copy and paste URL)</font></td>
 <td>
<input type="text" name="FieldData2" value="" maxlength="100" size="99"> </td>
</tr>      

<tr valign="top">
 <td nowrap><font face="Verdana" size="2" color="#000000">Your Email address</font></td>
 <td>
<input type="text" name="FieldData3" value="" maxlength="100" size="99"> </td>
</tr>      

<tr>
 <td colspan="2">
</td>
</tr>
<tr>
 <td>&nbsp;</td>
 <td align="middle">
<input type="text" name="hida2" value="" maxlength="100" size="3" style="display : none;">
<input type="submit" class="btn" value="Submit Bonus Egg Entry" name="Submit">&nbsp; &nbsp; <input type="reset" class="btn" value="  Clear  " name="Clear"></td>
</tr>
<tr>
<td colspan=2 align="center">
<br>
</td>
</tr>
</table>                      

</form></body>
</html>