Bupa claim form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" rowspan="2" width=210 BGCOLOR="#99CC99" TEXT="#080000" bgproperties="fixed" background="0cb8dfc3.jpg"> <div> <B>   <IMG SRC="1f16a680.gif" border=0 width="106" height="104" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> <bR> <DIV ALIGN="LEFT"></DIV> <div> <B>To print the Bupa forms you</B></div> <div> <B>need to right click over form, </B></div> <div> <B>save as to your desktop and </B></div> <div> <B>then print the file from there.</B></div> <bR> <div> <B>REMEMBER THE DOCTOR</B></div> <div> <B>MUST SIGN & STAMP </B></div> <div> <B>IF POSSIBLE </B></div> </td> <td valign="top" colspan=2 height=82 style=" border-bottom: 1px solid #999980;" BGCOLOR="#CCCC99" TEXT="#080000" bgproperties="fixed" background="0cc8dfe1esnpes.jpg"> <bR> <div> <FONT SIZE="5" COLOR="#0066FF" FACE="Arial" ><B>   North African Geophysical</B></FONT><FONT SIZE="2" COLOR="#0066FF" FACE="Times New Roman" ><B>  </B></FONT><B>   </B><B>|</B><B>    </B><FONT SIZE="5" COLOR="#000000" FACE="Times New Roman" ><B> </B><A HREF="index.htm" TARGET="_top" TITLE=" North African Geophysical"><B>home</B></A></FONT></div> <div> <A HREF="id17.htm" TARGET="_top" TITLE="About Us">About Us</A>   |   <A HREF="id19.htm" TARGET="_top" TITLE="Location Map ">Location Map </A>   |   <B>Bupa claim form</B>   |   <A HREF="equipment_for_sale.htm" TARGET="_top" TITLE="Equipment for Sale">Equipment for Sale</A></div> <div> </div> </td> </tr><tr> <td valign="top" height=398 width="100%" colspan=2 BGCOLOR="#CCCC99" TEXT="#080000" bgproperties="fixed" background="0cc8dfc3.jpg"> <div> <I>Bupa claim form</I></div> <bR> <bR> <div> <IMG SRC="35c97d60.jpg" border=0 width="151" height="214" ALT="page 1" ALIGN="BOTTOM" HSPACE="0" VSPACE="0">    <IMG SRC="35d96d20.jpg" border=0 width="150" height="210" ALT="page 2" ALIGN="BOTTOM" HSPACE="0" VSPACE="0">    <IMG SRC="36199d00.jpg" border=0 width="153" height="208" ALT="page 3" ALIGN="BOTTOM" HSPACE="0" VSPACE="0">     <IMG SRC="36291ce0.jpg" border=0 width="145" height="206" ALT="page 4" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </td> </tr></table></body>