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<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<title>Boral NeighbourZone TM</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
<style type="text/css">
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.smtext  { font-family:arial, verdana, helvetica; color:#025993; font-size:8pt}
</style>
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<body>
<table width="616" border="0" cellspacing="0" cellpadding="0" style="border: 1px solid #046EB4; background: #f1f9fe;">
  <tr>
    <td align="center" valign="top"><img src="/Images/common/neighbourzone/index1_r1_c1.jpg" width="616" height="70" /><br />
      <form action="http://www.boral.com.au/brochures/email/neighbour_email.asp" id="neighbour" method="post" name="neighbour">
        <table width="580" border="0" cellspacing="0" cellpadding="0">
          <tr> 
            <td class="title">Please fill out the following if you'd like more 
              information on Boral's NeighbourZone&#8482;</td>
          </tr>
          <tr> 
            <td>&nbsp;</td>
          </tr>
          <tr> 
            <td class="title">Building Construction*</td>
          </tr>
          <tr> 
            <td>&nbsp;</td>
          </tr>
          <tr> 
            <td><table width="580" border="0" cellspacing="0" cellpadding="0">
                <tr> 
                  <td width="100" align="left" valign="top" class="bodytext">Type 
                    of building</td>
                  <td width="480"><table width="200" class="bodytext">
                      <tr> 
                        <td><label> 
                          <input type="radio" name="type_of_building" value="villa" />
                          Villa Unit</label></td>
                      </tr>
                      <tr> 
                        <td><label> 
                          <input type="radio" name="type_of_building" value="townhouse" />
                          Townhouse</label></td>
                      </tr>
                      <tr> 
                        <td><label> 
                          <input type="radio" name="type_of_building" value="lowrise_apartment" />
                          Low Rise Apartment</label></td>
                      </tr>
                      <tr> 
                        <td><label> 
                          <input type="radio" name="type_of_building" value="hirise_apartment" />
                          High Rise Apartment</label></td>
                      </tr>
                    </table></td>
                </tr>
              </table></td>
          </tr>
          <tr> 
            <td>&nbsp;</td>
          </tr>
          <tr> 
            <td><table width="580" border="0" cellspacing="0" cellpadding="0">
                <tr> 
                  <td width="140" class="bodytext">Age of building<br> <span class="smtext">age 
                    in years or &quot;unknown&quot; </span></td>
                  <td width="120"> <input name="Age_of_building" type="text" size="5" /> 
                  </td>
                  <td width="120" class="bodytext">Number of storeys</td>
                  <td width="200"> <input name="Number_of_storeys" type="text" size="5" /> 
                  </td>
                </tr>
              </table></td>
          </tr>
          <tr> 
            <td>&nbsp;</td>
          </tr>
          <tr> 
            <td><table width="580" border="0" cellspacing="0" cellpadding="0">
                <tr> 
                  <td align="left" valign="middle" class="bodytext">What level 
                    do you live on <span class="smtext">(if low or high rise apartment)</span> 
                    <input name="your_level" type="text" size="5" /> </td>
                </tr>
              </table></td>
          </tr>
          <tr> 
            <td>&nbsp;</td>
          </tr>
          <tr> 
            <td><table width="580" border="0" cellspacing="0" cellpadding="0">
                <tr> 
                  <td width="100" align="left" valign="top" class="bodytext">Wall 
                    Construction </td>
                  <td width="480"><table width="200" class="bodytext">
                      <tr> 
                        <td><label> 
                          <input type="radio" name="Wall_Construction" value="brick" />
                          Brick</label></td>
                      </tr>
                      <tr> 
                        <td><label> 
                          <input type="radio" name="Wall_Construction" value="concrete_block" />
                          Concrete Block</label></td>
                      </tr>
                      <tr> 
                        <td><label> 
                          <input type="radio" name="Wall_Construction" value="concrete_panel" />
                          Concrete Panel</label></td>
                      </tr>
                      <tr> 
                        <td><label> 
                          <input type="radio" name="Wall_Construction" value="timber_frame" />
                          Timber Framed</label></td>
                      </tr>
                      <tr> 
                        <td><label> 
                          <input type="radio" name="Wall_Construction" value="steel_frame" />
                          Steel Framed</label></td>
                      </tr>
                      <tr> 
                        <td><label> 
                          <input type="radio" name="Wall_Construction" value="other_unknown" />
                          Other or Unknown</label></td>
                      </tr>
                    </table></td>
                </tr>
              </table></td>
          </tr>
          <tr> 
            <td>&nbsp;</td>
          </tr>
          <tr> 
            <td class="bodytext">*all building construction information is compulsory</td>
          </tr>
          <tr> 
            <td height="30">&nbsp;</td>
          </tr>
          <tr> 
            <td class="title">Type of Noise</td>
          </tr>
          <tr> 
            <td>&nbsp;</td>
          </tr>
          <tr> 
            <td><table width="580" border="0" cellpadding="0" cellspacing="0" class="bodytext">
                <tr align="left" valign="middle"> 
                  <td width="20"> <input type="checkbox" name="Normal_conversation" value="Normal_conversation" /></td>
                  <td width="200">Normal conversation</td>
                  <td width="20"><input type="checkbox" name="Musical_instruments" value="Musical_instruments" /></td>
                  <td width="340">Musical instruments (drums, piano, other)</td>
                </tr>
                <tr align="left" valign="middle"> 
                  <td width="20">&nbsp;</td>
                  <td width="200">&nbsp;</td>
                  <td width="20">&nbsp;</td>
                  <td width="340">&nbsp;</td>
                </tr>
                <tr align="left" valign="middle"> 
                  <td width="20"><input type="checkbox" name="Loud_conversation" value="Loud_conversation" /></td>
                  <td width="200">Loud conversation</td>
                  <td width="20"><input type="checkbox" name="Plumbing_noises" value="Plumbing_noises" /></td>
                  <td width="340">Plumbing noises (toilet flushing, spa bath, 
                    water hammer)</td>
                </tr>
                <tr align="left" valign="middle"> 
                  <td width="20">&nbsp;</td>
                  <td width="200">&nbsp;</td>
                  <td width="20">&nbsp;</td>
                  <td width="340">&nbsp;</td>
                </tr>
                <tr align="left" valign="middle"> 
                  <td width="20"><input type="checkbox" name="Telephone_ringing" value="Telephone_ringing" /></td>
                  <td width="200">Telephone ringing</td>
                  <td width="20"><input type="checkbox" name="doors_opening" value="doors_opening" /></td>
                  <td width="340">Cupboard doors opening/closing</td>
                </tr>
                <tr align="left" valign="middle"> 
                  <td width="20">&nbsp;</td>
                  <td width="200">&nbsp;</td>
                  <td width="20">&nbsp;</td>
                  <td width="340">&nbsp;</td>
                </tr>
                <tr align="left" valign="middle"> 
                  <td width="20"><input type="checkbox" name="Answering_machine" value="Answering_machine" /></td>
                  <td width="200">Answering machine</td>
                  <td width="20"><input type="checkbox" name="Food_preparation" value="Food_preparation" /></td>
                  <td width="340">Food preparation (food being chopped, other)</td>
                </tr>
                <tr align="left" valign="middle"> 
                  <td width="20">&nbsp;</td>
                  <td width="200">&nbsp;</td>
                  <td width="20">&nbsp;</td>
                  <td width="340">&nbsp;</td>
                </tr>
                <tr align="left" valign="middle"> 
                  <td width="20"><input type="checkbox" name="Television" value="Television" /></td>
                  <td width="200">Television</td>
                  <td width="20"><input type="checkbox" name="Lift_noises" value="Lift_noises" /></td>
                  <td width="340">Lift noises</td>
                </tr>
                <tr align="left" valign="middle"> 
                  <td width="20">&nbsp;</td>
                  <td width="200">&nbsp;</td>
                  <td width="20">&nbsp;</td>
                  <td width="340">&nbsp;</td>
                </tr>
                <tr align="left" valign="middle"> 
                  <td width="20"><input type="checkbox" name="Hi-Fi" value="Hi-Fi" /></td>
                  <td width="200">Hi-Fi</td>
                  <td width="20"><input type="checkbox" name="Other" value="Other" /></td>
                  <td width="340">Other</td>
                </tr>
                <tr align="left" valign="middle"> 
                  <td width="20">&nbsp;</td>
                  <td width="200">&nbsp;</td>
                  <td width="20">&nbsp;</td>
                  <td width="340">&nbsp;</td>
                </tr>
                <tr align="left" valign="middle"> 
                  <td width="20"><input type="checkbox" name="Home_theatre" value="Home_theatre" /></td>
                  <td width="200">Home theatre system</td>
                  <td width="20">&nbsp;</td>
                  <td width="340">&nbsp;</td>
                </tr>
              </table></td>
          </tr>
          <tr> 
            <td height="30">&nbsp;</td>
          </tr>
          <tr> 
            <td class="title">Contact Details</td>
          </tr>
          <tr> 
            <td>&nbsp;</td>
          </tr>
          <tr> 
            <td><table width="580" border="0" cellspacing="0" cellpadding="0">
                <tr align="left" valign="middle"> 
                  <td width="130" class="bodytext">First Name</td>
                  <td width="450"> <input name="First_Name" type="text" size="25" /> 
                  </td>
                </tr>
              </table></td>
          </tr>
          <tr> 
            <td height="10"> </td>
          </tr>
          <tr> 
            <td><table width="580" border="0" cellspacing="0" cellpadding="0">
                <tr align="left" valign="middle"> 
                  <td width="130" class="bodytext">Surname</td>
                  <td width="450"> <input name="Surname" type="text" size="25" /> 
                  </td>
                </tr>
              </table></td>
          </tr>
          <tr> 
            <td height="10"> </td>
          </tr>
          <tr> 
            <td><table width="580" border="0" cellspacing="0" cellpadding="0">
                <tr align="left" valign="middle"> 
                  <td width="130" class="bodytext">Street Address</td>
                  <td width="450"> <input name="Street_Address" type="text" size="25" /> 
                  </td>
                </tr>
              </table></td>
          </tr>
          <tr> 
            <td height="10"> </td>
          </tr>
          <tr> 
            <td><table width="580" border="0" cellspacing="0" cellpadding="0">
                <tr align="left" valign="middle"> 
                  <td width="130" class="bodytext">Suburb</td>
                  <td width="450"> <input name="Suburb" type="text" size="25" /> 
                  </td>
                </tr>
              </table></td>
          </tr>
          <tr> 
            <td height="10"> </td>
          </tr>
          <tr> 
            <td><table width="580" border="0" cellspacing="0" cellpadding="0">
                <tr align="left" valign="middle"> 
                  <td width="130" class="bodytext">State</td>
                  <td width="450"> <input name="State" type="text" size="12" /> 
                  </td>
                </tr>
              </table></td>
          </tr>
          <tr> 
            <td height="10"> </td>
          </tr>
          <tr> 
            <td><table width="580" border="0" cellspacing="0" cellpadding="0">
                <tr align="left" valign="middle"> 
                  <td width="130" class="bodytext">Postcode</td>
                  <td width="450"> <input name="Postcode" type="text" size="12" /> 
                  </td>
                </tr>
              </table></td>
          </tr>
          <tr> 
            <td height="10"> </td>
          </tr>
          <tr> 
            <td><table width="580" border="0" cellspacing="0" cellpadding="0">
                <tr align="left" valign="middle"> 
                  <td width="130" class="bodytext">AH Number</td>
                  <td width="450"> <input name="AH_Number" type="text" size="12" /> 
                  </td>
                </tr>
              </table></td>
          </tr>
          <tr> 
            <td height="10"> </td>
          </tr>
          <tr> 
            <td><table width="580" border="0" cellspacing="0" cellpadding="0">
                <tr align="left" valign="middle"> 
                  <td width="130" class="bodytext">BH Number</td>
                  <td width="450"> <input name="BH_Number" type="text" size="12" /> 
                  </td>
                </tr>
              </table></td>
          </tr>
          <tr> 
            <td height="10"> </td>
          </tr>
          <tr> 
            <td><table width="580" border="0" cellspacing="0" cellpadding="0">
                <tr align="left" valign="middle"> 
                  <td width="130" class="bodytext">Mobile Number</td>
                  <td width="450"> <input name="Mobile" type="text" size="12" /> 
                  </td>
                </tr>
              </table></td>
          </tr>
          <tr> 
            <td height="10"> </td>
          </tr>
          <tr> 
            <td><table width="580" border="0" cellspacing="0" cellpadding="0">
                <tr align="left" valign="middle"> 
                  <td width="130" class="bodytext">Email</td>
                  <td width="450"> <input name="Email" type="text" size="30" /> 
                  </td>
                </tr>
              </table></td>
          </tr>
          <tr> 
            <td>&nbsp;</td>
          </tr>
          <tr> 
            <td class="title">Urgency</td>
          </tr>
          <tr> 
            <td align="left" valign="top"> <table width="580" border="0" cellpadding="0" cellspacing="0" class="bodytext">
                <tr align="left" valign="middle"> 
                  <td width="20">&nbsp; </td>
                  <td width="560">&nbsp;</td>
                </tr>
                <tr align="left" valign="middle"> 
                  <td width="20" valign="top"> <input name="urgency" type="radio" id="urgency" value="need_help_now" /> 
                  </td>
                  <td width="560">Need help now! Please call me as soon as possible 
                    to arrange a quote</td>
                </tr>
                <tr align="left" valign="middle"> 
                  <td width="20">&nbsp;</td>
                  <td width="560">&nbsp;</td>
                </tr>
                <tr align="left" valign="middle"> 
                  <td width="20"><input name="urgency" type="radio" id="urgency" value="not_in_hurry" /></td>
                  <td width="560">Not in a hurry to fix the problem. Please call 
                    me at your convenience.</td>
                </tr>
                <tr align="left" valign="middle"> 
                  <td width="20">&nbsp;</td>
                  <td width="560">&nbsp;</td>
                </tr>
                <tr align="left" valign="middle"> 
                  <td width="20"><input name="urgency" type="radio" id="urgency" value="just_enquiry"></td>
                  <td width="560">Just Enquiring</td>
                </tr>                 <tr align="left" valign="middle"> 
                  <td width="20">&nbsp;</td>
                  <td width="560">&nbsp;</td>
                </tr>                <tr align="left" valign="middle"> 
                  <td COLSPAN=2 width="580">This information is being collected to enable us to service your 
                    query / request by directing it instantly to the most appropriate 
                    person/s in the corporation. It is also being gathered to 
                    enable us to assess the effectiveness of our site and its 
                    content and to assist us in improving our on-line marketing 
                    effort. From time to time Boral may wish to use this information 
                    to update you on its latest innovations, products and 
                    service offers. If you do not wish to take advantage of this 
                    facility click the check box to unsubscribe. 
                    <input type="checkbox" name="unsubscribe" value="yes"></td>
                </tr>
                
                                                
              </table></td>
          </tr>
          <tr> 
            <td height="30">&nbsp;</td>
          </tr>
          <tr> 
            <td><table width="260" border="0" cellspacing="0" cellpadding="0">
                <tr> 
                  <td width="130"><input type="image" src="/Images/common/neighbourzone/_submit_.gif" width="71" height="22" border="0"></td>
                  <td width="130"><input type="image" src="/Images/common/neighbourzone/_reset_.gif" width="68" height="22" border="0"></td>
                </tr>
              </table></td>
          </tr>
          <tr> 
            <td height="20">&nbsp;</td>
          </tr>
        </table>
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