<html>
<meta http-equiv="Content-Type" content="text/html; charset=utf-8">
<head>
<title>Unsubscribe</title>
<style type="text/css">
#main {
    margin-left: auto;
    margin-right: auto;
    max-width: 700px;
    font-size: 14pt;
    overflow: hidden;
    font-family: Arial, Helvetica, sans-serif;
    text-rendering: optimizeLegibility;
    border: 1px solid blue;
    padding: 5px 15px 5px 15px;

}
.heading {
    text-align: center;
    font-weight: bold;
    display: block;
    padding: 5px;
    font-size: 16pt;
}
fieldset {
    text-align: center;
}
#email {
    font-size: 14pt;
}
#reason {
    font-size: 12pt;
}
#reasonother {
    font-size: 12pt;
    font-family: Arial, Helvetica, sans-serif;
    text-rendering: optimizeLegibility;
}
input:required:invalid, input:focus:invalid {
    border-color: red;
}
</style>
</head>
<body>
<form method="post">
<div id="main">
<span class="heading">If you have received e-mail from us, it is because your e-mail address is currently on our newsletter list.</span>
<p>Our records indicate that you have requested information from one of our partners or affiliates.  By entering your email address in the box below we will promptly remove you from our lists and you will no longer receive emails from us. </p>
<fieldset>
    Please enter your e-mail address: <input type="email" id="email" name="email" required placeholder="your@example.com"><br />
    Please let us know why you wish to unsubscribe:<br><select size="1" id="reason" name="reason">
        <option value="">----</option>
        <option>I experienced a technical problem viewing the e-mails</option>
        <option>I did not find the content to be relevant</option>
        <option>E-mails were sent too frequently</option>
        <option>E-mails were not sent frequently enough to meet my needs</option>
        <option>I am not involved in the purchasing process</option>
        <option value="Other">Other (please explain below)</option>
    </select><br>
    <textarea id="reasonother" name="reasonother" cols="40" rows="5"></textarea><br>
    <input type="submit" value="Unsubscribe">
</fieldset><br>
</div>
</form>
</body>
</html>
