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<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">
<title>Information Request</title>
<meta name="GENERATOR" content="Microsoft FrontPage 3.0">
<meta name="Microsoft Theme" content="csb-new 110, default"><meta name="Microsoft Border" content="tlb, default"></head>
<body bgcolor="#FFFFFF" text="#000000" link="#3366CC" vlink="#666666" alink="#FF3300"><!--msnavigation--><table border="0" cellpadding="0" cellspacing="0" width="100%"><tr><td><!--mstheme--><font face="verdana, arial, helvetica">
<p><MAP NAME="FrontPageMap"><AREA SHAPE="RECT" COORDS="598, 22, 705, 36" HREF="inforeq.htm"><AREA SHAPE="RECT" COORDS="529, 22, 583, 37" HREF="feedback.htm"><AREA SHAPE="RECT" COORDS="458, 19, 490, 36" HREF="toc.htm"><AREA SHAPE="RECT" COORDS="385, 20, 438, 37" HREF="index.html"></MAP><a href="_vti_bin/shtml.exe/inforeq.htm/map"><img ismap usemap="#FrontPageMap" border="0" alt="csb-topbar.gif (1834 bytes)" src="images/csb-topbar.gif"></a><br>
<MAP NAME="FrontPageMap1"><AREA SHAPE="RECT" COORDS="625, 0, 749, 20" HREF="company.htm"><AREA SHAPE="RECT" COORDS="495, 0, 612, 20" HREF="career_entry.htm"><AREA SHAPE="RECT" COORDS="198, 0, 293, 20" HREF="products_entry.htm"><AREA SHAPE="RECT" COORDS="101, 0, 185, 20" HREF="services_entry.htm"><AREA SHAPE="RECT" COORDS="0, 0, 78, 20" HREF="news.htm"></MAP><a href="_vti_bin/shtml.exe/inforeq.htm/map1"><img ismap usemap="#FrontPageMap1" border="0" alt="csb-homepage.gif (2504 bytes)" src="images/csb-homepage.gif"></a></p>
<blockquote>
<blockquote>
<blockquote>
<blockquote>
<blockquote>
<h1><!--mstheme--><font color="#CC3300"><img src="images/blue-arrow.gif" width="16" height="16"><font color="#004080"><small>
Information Request</small></font><!--mstheme--></font></h1>
</blockquote>
</blockquote>
</blockquote>
</blockquote>
</blockquote>
<p>&nbsp;</p>
<!--mstheme--></font></td></tr><!--msnavigation--></table><!--msnavigation--><table border="0" cellpadding="0" cellspacing="0" width="100%"><tr><td valign="top" width="1%"><!--mstheme--><font face="verdana, arial, helvetica">
<p align="left"><img src="images/quickfind.GIF" alt="quickfind.GIF (2756 bytes)" WIDTH="189" HEIGHT="32"></p>
<p><script language="JavaScript"><!--
MSFPhover =
(((navigator.appName == "Netscape") &&
(parseInt(navigator.appVersion) >= 3 )) ||
((navigator.appName == "Microsoft Internet Explorer") &&
(parseInt(navigator.appVersion) >= 4 )));
function MSFPpreload(img)
{
var a=new Image(); a.src=img; return a;
}
// --></script><script language="JavaScript"><!--
if(MSFPhover) { MSFPnav1n=MSFPpreload('_derived/up_cmp_csb-new110_vbtn.gif'); MSFPnav1h=MSFPpreload('_derived/up_cmp_csb-new110_vbtn_a.gif'); }
// --></script><a href="./" onmouseover="if(MSFPhover) document['MSFPnav1'].src=MSFPnav1h.src" onmouseout="if(MSFPhover) document['MSFPnav1'].src=MSFPnav1n.src"><img src="_derived/up_cmp_csb-new110_vbtn.gif" width="180" height="30" border="0" alt="Up" name="MSFPnav1"></a> </p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p><MAP NAME="FrontPageMap2"><AREA SHAPE="RECT" COORDS="16, 164, 156, 193" HREF="mailto:sales@csbsys.com"><AREA SHAPE="RECT" COORDS="19, 125, 157, 152" HREF="mailto:info@csbsys.com"></MAP><a href="_vti_bin/shtml.exe/inforeq.htm/map2"><img ismap usemap="#FrontPageMap2" border="0" alt="csb-address.gif (4763 bytes)" src="images/csb-address.gif"></a></p>
<!--mstheme--></font></td><td valign="top" width="24"></td><!--msnavigation--><td valign="top"><!--mstheme--><font face="verdana, arial, helvetica">
<!--webbot BOT="GeneratedScript" PREVIEW=" " startspan --><script Language="JavaScript"><!--
function FrontPage_Form1_Validator(theForm)
{
if (theForm.Name.value == "")
{
alert("Please enter a value for the \"Name\" field.");
theForm.Name.focus();
return (false);
}
if (theForm.Company.value == "")
{
alert("Please enter a value for the \"Company\" field.");
theForm.Company.focus();
return (false);
}
if (theForm.Phone.value == "")
{
alert("Please enter a value for the \"Phone Number\" field.");
theForm.Phone.focus();
return (false);
}
return (true);
}
//--></script><!--webbot BOT="GeneratedScript" endspan --><form method="POST" action="mailto:webmaster@csbsys.com" onsubmit="return FrontPage_Form1_Validator(this)" name="FrontPage_Form1">
<input type="hidden" name="subject" value="CSB Information Request"><input type="hidden" name="to" value="webmaster@csbsys.com"><input type="hidden" name="InfoRequest" value="CSB Information Request"><p><small><strong>Thank you for your interest. Please
select the items that apply, and tell us how we can contact you. </strong></small></p>
<p><small>We do <u>not</u> sell lists. The information you have provided in this form is
considered confidential and is only used by CSB Systems Ltd. and its employees for
processing information requests.</small></p>
<blockquote>
<p><small><input type="CHECKBOX" name="SendProductLiterature" checked value="ON"> Send
product literature<br>
<input type="CHECKBOX" name="SendCompanyLiterature" value="ON"> Send company literature<br>
<input type="CHECKBOX" name="SalesContactRequested" value="ON"> Have a New Business
Representative contact me</small><br>
</p>
</blockquote>
<p><img src="images/longbar.gif" alt="LongBar.GIF (162 bytes)" WIDTH="600" HEIGHT="10"></p>
<h3><!--mstheme--><font color="#CC3300">Contact Details:<!--mstheme--></font></h3>
<blockquote>
<p><small><em><font color="#FF0000">*</font> Mandatory fields are marked with an asterisk</em></small></p>
</blockquote>
<!--mstheme--></font><table width="75%" height="321">
<tr>
<td align="right" width="41" height="25"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td align="right" width="125" height="25"><!--mstheme--><font face="verdana, arial, helvetica"><small><em><font color="#FF0000">*</font> Name</em></small><!--mstheme--></font></td>
<td width="490" height="25"><!--mstheme--><font face="verdana, arial, helvetica"><!--webbot bot="Validation" S-Display-Name="Name" B-Value-Required="TRUE" --><input name="Name" value size="35"><!--mstheme--></font></td>
</tr>
<tr>
<td align="right" width="41" height="25"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td align="right" width="125" height="25"><!--mstheme--><font face="verdana, arial, helvetica"><small><em>Title</em></small><!--mstheme--></font></td>
<td width="490" height="25"><!--mstheme--><font face="verdana, arial, helvetica"><input type="TEXT" name="Title" value size="35"><!--mstheme--></font></td>
</tr>
<tr>
<td align="right" width="41" height="25"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td align="right" width="125" height="25"><!--mstheme--><font face="verdana, arial, helvetica"><small><em><font color="#FF0000">*</font>
Company</em></small><!--mstheme--></font></td>
<td width="490" height="25"><!--mstheme--><font face="verdana, arial, helvetica"><!--webbot bot="Validation" S-Display-Name="Company" B-Value-Required="TRUE" --><input type="TEXT" name="Company" value size="35"><!--mstheme--></font></td>
</tr>
<tr>
<td align="right" width="41" height="119"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td align="right" width="125" height="119"><!--mstheme--><font face="verdana, arial, helvetica"><small><em>Address</em></small><!--mstheme--></font></td>
<td width="490" height="119"><!--mstheme--><font face="verdana, arial, helvetica"><textarea name="Address" rows="5" cols="35"></textarea><!--mstheme--></font></td>
</tr>
<tr>
<td align="right" width="41" height="25"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td align="right" width="125" height="25"><!--mstheme--><font face="verdana, arial, helvetica"><small><em>E-mail</em></small><!--mstheme--></font></td>
<td width="490" height="25"><!--mstheme--><font face="verdana, arial, helvetica"><input type="TEXT" name="Email" value size="35"> <!--mstheme--></font></td>
</tr>
<tr>
<td align="right" width="41" height="25"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td align="right" width="125" height="25"><!--mstheme--><font face="verdana, arial, helvetica"><small><em><font color="#FF0000">*</font> Phone</em></small><!--mstheme--></font></td>
<td width="490" height="25"><!--mstheme--><font face="verdana, arial, helvetica"><!--webbot bot="Validation" S-Display-Name="Phone Number" B-Value-Required="TRUE" --><input type="TEXT" name="Phone" value size="35"><br>
<small>e.g. 604-298-8200</small><!--mstheme--></font></td>
</tr>
<tr>
<td align="right" width="41" height="23"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td align="right" width="125" height="23"><!--mstheme--><font face="verdana, arial, helvetica"><small><em>Fax</em></small><!--mstheme--></font></td>
<td width="490" height="23"><!--mstheme--><font face="verdana, arial, helvetica"><input type="text" name="Fax" size="35"><!--mstheme--></font></td>
</tr>
</table><!--mstheme--><font face="verdana, arial, helvetica">
<h3><!--mstheme--><font color="#CC3300"><img src="images/longbar.gif" alt="LongBar.GIF (162 bytes)" WIDTH="600" HEIGHT="10"><!--mstheme--></font></h3>
<h3><!--mstheme--><font color="#CC3300">Software Requirements:<!--mstheme--></font></h3>
<!--mstheme--></font><table border="0" width="75%" height="227">
<tr>
<td width="5%" height="25"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="45%" colspan="2" height="25"><!--mstheme--><font face="verdana, arial, helvetica"><h3><!--mstheme--><font color="#CC3300"><small><small><font color="#000000"><strong>Core
Applications</strong></font></small></small><!--mstheme--></font></h3>
<!--mstheme--></font></td>
<td width="5%" valign="middle" height="25"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="45%" valign="middle" height="25" colspan="2"><!--mstheme--><font face="verdana, arial, helvetica"><h3><!--mstheme--><font color="#CC3300"><small><small><font color="#000000">Productivity Tools</font></small></small><!--mstheme--></font></h3>
<!--mstheme--></font></td>
</tr>
<tr>
<td width="5%" height="21"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="6%" height="21"><!--mstheme--><font face="verdana, arial, helvetica"><div align="right"><p><small><input type="checkbox" name="CoreProductInfo-IMPACT" value="ON"></small><!--mstheme--></font></td>
<td width="39%" valign="middle" height="21"><!--mstheme--><font face="verdana, arial, helvetica"><small>IMPACT Award/Encore</small><!--mstheme--></font></td>
<td width="5%" valign="middle" height="21"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="6%" height="21"><!--mstheme--><font face="verdana, arial, helvetica"><div align="right"><p><small><input type="checkbox" name="ProductInfo-CashFlow" value="ON"></small><!--mstheme--></font></td>
<td width="38%" valign="middle" height="21"><!--mstheme--><font face="verdana, arial, helvetica"><small>Cash Flow</small><!--mstheme--></font></td>
</tr>
<tr>
<td width="5%" height="21"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="6%" align="right" height="21"><!--mstheme--><font face="verdana, arial, helvetica"><small><input type="checkbox" name="CoreProductInfo-Agama" value="ON"></small><!--mstheme--></font></td>
<td width="39%" valign="middle" height="21"><!--mstheme--><font face="verdana, arial, helvetica"><small>Agama</small><!--mstheme--></font></td>
<td width="5%" valign="middle" height="21"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="6%" align="right" height="21"><!--mstheme--><font face="verdana, arial, helvetica"><small><input type="checkbox" name="ProductInfo-ReportWriter" value="ON"></small><!--mstheme--></font></td>
<td width="38%" valign="middle" height="21"><!--mstheme--><font face="verdana, arial, helvetica"><small>Report Writers</small><!--mstheme--></font></td>
</tr>
<tr>
<td width="5%" height="21"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="6%" align="right" height="21"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="39%" valign="middle" height="21"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="5%" valign="middle" height="21"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="6%" align="right" height="21"><!--mstheme--><font face="verdana, arial, helvetica"><small><input type="checkbox" name="ProductInfo-BarCode" value="ON"></small><!--mstheme--></font></td>
<td width="38%" valign="middle" height="21"><!--mstheme--><font face="verdana, arial, helvetica"><small>Bar Coding / Data Collection</small><!--mstheme--></font></td>
</tr>
<tr>
<td width="5%" height="18"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="6%" height="18"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="39%" height="18"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="5%" height="18"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="6%"><!--mstheme--><font face="verdana, arial, helvetica"><div align="right"><p><small><input type="checkbox" name="ProductInfo-Configurator" value="ON"></small><!--mstheme--></font></td>
<td width="38%" height="18"><!--mstheme--><font face="verdana, arial, helvetica"><small>Configurators</small><!--mstheme--></font></td>
</tr>
<tr>
<td width="5%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="6%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="39%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="5%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="6%" align="right"><!--mstheme--><font face="verdana, arial, helvetica"><small><input type="checkbox" name="ProductInfo-Scheduling" value="ON"></small><!--mstheme--></font></td>
<td width="38%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><small>Scheduling</small><!--mstheme--></font></td>
</tr>
<tr>
<td width="5%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="6%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="39%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="5%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="6%" align="right"><!--mstheme--><font face="verdana, arial, helvetica"><small><input type="checkbox" name="ProductInfo-EDI" value="ON"></small><!--mstheme--></font></td>
<td width="38%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><small>EDI / Electronic Commerce</small><!--mstheme--></font></td>
</tr>
<tr>
<td width="5%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="6%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="39%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="5%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="6%"><!--mstheme--><font face="verdana, arial, helvetica"><div align="right"><p><small><input type="checkbox" name="ProductInfo-OfficeAuto" value="ON"></small><!--mstheme--></font></td>
<td width="38%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><small>Office Automation</small><!--mstheme--></font></td>
</tr>
<tr>
<td width="5%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="6%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="39%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="5%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="6%" align="right"><!--mstheme--><font face="verdana, arial, helvetica"><small><input type="checkbox" name="ProductInfo-Intranet" value="ON"></small><!--mstheme--></font></td>
<td width="38%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><small>Internet / Intranet</small><!--mstheme--></font></td>
</tr>
<tr>
<td width="5%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="6%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="39%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="5%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="6%" align="right"><!--mstheme--><font face="verdana, arial, helvetica"><small><input type="checkbox" name="ProductInfo-PayrollHR" value="ON"></small><!--mstheme--></font></td>
<td width="38%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><small>Payroll / Human Resources</small><!--mstheme--></font></td>
</tr>
<tr>
<td width="5%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="6%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="39%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="5%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="6%" align="right"><!--mstheme--><font face="verdana, arial, helvetica"><small><input type="checkbox" name="ProductInfo-RemoteAccess" value="ON"></small><!--mstheme--></font></td>
<td width="38%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><small>Remote Access</small><!--mstheme--></font></td>
</tr>
<tr>
<td width="5%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="6%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="39%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="5%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="6%" align="right"><!--mstheme--><font face="verdana, arial, helvetica"><small><input type="checkbox" name="ProductInfo-ODBC" value="ON"></small><!--mstheme--></font></td>
<td width="38%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><small>ODBC</small><!--mstheme--></font></td>
</tr>
<tr>
<td width="100%" height="20" colspan="6"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
</tr>
</table><!--mstheme--><font face="verdana, arial, helvetica">
<h3><!--mstheme--><font color="#CC3300"><img src="images/longbar.gif" alt="LongBar.GIF (162 bytes)" WIDTH="600" HEIGHT="10"><!--mstheme--></font></h3>
<h3><!--mstheme--><font color="#CC3300">Tell us about your company:<!--mstheme--></font></h3>
<!--mstheme--></font><table border="0" width="75%" height="142" cellspacing="0" cellpadding="0">
<tr>
<td width="22%" colspan="2" height="21"><!--mstheme--><font face="verdana, arial, helvetica"><small><strong>Number of Employees <font color="#FF0000">*</font></strong></small><!--mstheme--></font></td>
<td width="44%" height="21" colspan="2"><!--mstheme--><font face="verdana, arial, helvetica"><small><strong>Primary Area of Interest <font color="#FF0000">*</font></strong></small><!--mstheme--></font></td>
</tr>
<tr>
<td width="2%" height="1"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="20%" height="1"><!--mstheme--><font face="verdana, arial, helvetica"><small><input type="radio" value="1-19" name="No_of_Employees"><strong>
</strong>1 - 19</small><!--mstheme--></font></td>
<td width="2%" height="1"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="43%" height="1"><!--mstheme--><font face="verdana, arial, helvetica"><small><input type="radio" name="Area_of_Interest" value="Manufacturing"> Manufacturing</small><!--mstheme--></font></td>
</tr>
<tr>
<td width="2%" height="1"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="20%" height="1"><!--mstheme--><font face="verdana, arial, helvetica"><small><input type="radio" name="No_of_Employees" value="20-49">
20 - 49 </small><!--mstheme--></font></td>
<td width="2%" height="1"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="43%" height="1"><!--mstheme--><font face="verdana, arial, helvetica"><small><input type="radio" name="Area_of_Interest" value="Distribution"> Distribution</small><!--mstheme--></font></td>
</tr>
<tr>
<td width="2%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="20%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><small><input type="radio" name="No_of_Employees" value="50-99"> 50 - 99</small><!--mstheme--></font></td>
<td width="2%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="43%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><small><input type="radio" name="Area_of_Interest" value="Accounting"> Accounting</small><!--mstheme--></font></td>
</tr>
<tr>
<td width="2%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="20%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><small><input type="radio" name="No_of_Employees" value="100-249"> 100 - 249</small><!--mstheme--></font></td>
<td width="2%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="43%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><small><input type="radio" name="Area_of_Interest" value="Other"> Other</small><!--mstheme--></font></td>
</tr>
<tr>
<td width="2%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="20%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><small><input type="radio" name="No_of_Employees" value="250-499"> 250 - 499</small><!--mstheme--></font></td>
<td width="2%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="43%" height="20"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
</tr>
<tr>
<td width="2%" height="17"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="20%" height="17"><!--mstheme--><font face="verdana, arial, helvetica"><small><input type="radio" name="No_of_Employees" value="500+">
500+</small><!--mstheme--></font></td>
<td width="2%" height="17"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
<td width="43%" height="17"><!--mstheme--><font face="verdana, arial, helvetica"><!--mstheme--></font></td>
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</table><!--mstheme--><font face="verdana, arial, helvetica">
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<input type="radio" name="Request_Help" value="No">
No&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <br>
<input type="radio" name="Request_Help" value="Please call"> I'm not sure, please call
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