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Subject: [doc-jp 10174] Double your clientele, here's how.
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<html><head><meta http-equiv=3D"Content-Type" content=3D"text/html; charset=
=3Diso-8859-1"><link rel=3D"stylesheet" href=3Dtype=3D"text/css"></head><b=
ody bgcolor=3D"#FFFFFF" text=3D"#000000"><table width=3D"100%" border=3D"0=
" cellspacing=3D"0" cellpadding=3D"0" height=3D"60"><tr><td><div align=3D"=
center"><table width=3D"546" border=3D"0" cellspacing=3D"0" cellpadding=3D=
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ddle" width=3D"12" height=3D"289">&nbsp;</td></tr><tr><td colspan=3D"2" wi=
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tr><td>&nbsp;</td><td align=3D"center" valign=3D"top"><table width=3D"100%=
" border=3D"0" cellspacing=3D"0" cellpadding=3D"0"><tr><td width=3D"15">&n=
bsp;</td><td width=3D"*"><p class=3D"emediaEmailRed">Inquiry Form</p><p cl=
ass=3D"emediaEmailBlack">A <i>quicknote </i>- we ask all fields to be comp=
leted so that we may better serve your potential <font color=3D"#A90013">e=
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dential, and shall not be shared, sold, or disseminated, in any form. Than=
k You! <br> <br></p></td><td width=3D"25">&nbsp;</td></tr></table></td><td=
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height=3D"2"><div align=3D"left"><font color=3D"#ED181E">*</font></div></t=
d><td width=3D"227" class=3D"emediaEmailBlack" height=3D"2">First Name / L=
ast Name:</td><td width=3D"353" height=3D"2"><input type=3D"text" name=3D"=
fName" maxlength=3D"18" size=3D"20.5"> <input type=3D"text" name=3D"lName"=
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t" name=3D"position" maxlength=3D"35" size=3D"42"></td></tr><tr><td width=3D=
"5" class=3D"bodyMain"><font color=3D"#ED181E">*</font></td><td width=3D"2=
27" class=3D"emediaEmailBlack">Company Name:<br></td><td width=3D"353"><in=
put type=3D"text" name=3D"companyName" maxlength=3D"35" size=3D"35"></td><=
/tr><tr><td width=3D"5" class=3D"bodyMain"><font color=3D"#ED181E">*</font=
></td><td width=3D"227" class=3D"emediaEmailBlack">Telephone:<br></td><td =
width=3D"353"><input type=3D"text" name=3D"phone" maxlength=3D"35" size=3D=
"35"></td></tr><tr><td width=3D"5" class=3D"bodyMain"><font color=3D"#ED18=
1E">*</font></td><td width=3D"227" class=3D"emediaEmailBlack">State / Coun=
try:</td><td width=3D"353"><input type=3D"text" name=3D"state" maxlength=3D=
"18" size=3D"20.5"> <input type=3D"text" name=3D"Country" maxlength=3D"18"=
 size=3D"20"></td></tr><tr><td width=3D"5" class=3D"bodyMain" height=3D"24=
"><font color=3D"#ED181E">*</font></td><td width=3D"227" class=3D"emediaEm=
ailBlack" height=3D"24">Time Zone:</td><td width=3D"353" valign=3D"top" he=
ight=3D"24"><input type=3D"text" name=3D"timeZone" maxlength=3D"35" size=3D=
"35"></td></tr><tr><td width=3D"5" class=3D"bodyMain"><font color=3D"#ED18=
1E">*</font></td><td width=3D"227" class=3D"emediaEmailBlack">Best time to=
 call:</td><td width=3D"353"><input type=3D"text" name=3D"bestTime" maxlen=
gth=3D"35" size=3D"35"></td></tr><tr><td width=3D"5" class=3D"bodyMain"><f=
ont color=3D"#ED181E">*</font></td><td width=3D"227" class=3D"emediaEmailB=
lack">Type of Business:</td><td width=3D"353" valign=3D"top"><input type=3D=
"text" name=3D"businessType" maxlength=3D"35" size=3D"35"></td></tr><tr><t=
d width=3D"5" class=3D"bodyMain" valign=3D"top"><font color=3D"#ED181E">*<=
/font></td><td width=3D"227" class=3D"emediaEmailBlack" valign=3D"top">Pro=
duct/Service/Announcement to be promoted:</td><td width=3D"353"><textarea =
name=3D"announcements" cols=3D"38" rows=3D"5" wrap=3D"PHYSICAL"></textarea=
></td></tr><tr><td width=3D"5" class=3D"bodyMain"><font color=3D"#ED181E">=
*</font></td><td width=3D"227" class=3D"emediaEmailBlack">Deadline for Pro=
ject:</td><td width=3D"353" valign=3D"top"><input type=3D"text" name=3D"de=
adline" maxlength=3D"35" size=3D"35"></td></tr><tr><td width=3D"5" class=3D=
"bodyMain" valign=3D"top"><font color=3D"#ED181E">*</font></td><td width=3D=
"227" class=3D"emediaEmailBlack">What is the dedicated Budget for your Int=
ernet Marketing Project?</td><td width=3D"353" valign=3D"top"><input type=3D=
"text" name=3D"budget" maxlength=3D"35" size=3D"35"></td></tr><tr><td widt=
h=3D"5" class=3D"bodyMain" valign=3D"top"><font color=3D"#ED181E">*</font>=
</td><td width=3D"227" class=3D"emediaEmailBlack">Have you tried Emarketin=
g on the Internet previously?</td><td width=3D"353" valign=3D"top"><input =
type=3D"text" name=3D"previousEmarketing" maxlength=3D"1" size=3D"2"></td>=
</tr><tr><td width=3D"5" class=3D"bodyMain" height=3D"15" valign=3D"middle=
"><font color=3D"#ED181E">*</font></td><td width=3D"227" class=3D"emediaEm=
ailBlack" height=3D"15">E-mail Address:</td><td width=3D"353" height=3D"15=
"><input type=3D"text" name=3D"email" maxlength=3D"35" size=3D"35"></td></=
tr><tr><td width=3D"5" class=3D"bodyMain" valign=3D"middle"><font color=3D=
"#ED181E">*</font></td><td width=3D"227" class=3D"emediaEmailBlack">Web Ad=
dress:</td><td width=3D"353"><input type=3D"text" name=3D"webAddress" maxl=
ength=3D"35" size=3D"35"></td></tr><tr><td colspan=3D"3"><input type=3D"im=
age" border=3D"0" src=3D"http://home1.gte.net/web23ypy/button_submit.gif" =
width=3D"70" height=3D"22" name=3D"submit">&nbsp;</td></tr><tr><td width=3D=
"20">&nbsp;</td><td colspan=3D"3" class=3D"emediaSmallText">&nbsp;</td></t=
r></table></form></td></tr></table></div></td></tr></table></body></html>



