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<html>
<head>
<meta name="GENERATOR" content="Microsoft FrontPage 3.0">
<title>Reseller Sign-up Form</title>
<meta name="Microsoft Border" content="none">
</head>
<body background="images/BackGround.jpg">
<table border="0" width="100%" style="border: medium none" cellspacing="0" cellpadding="0">
<tr>
<td width="100%" style="background-color: rgb(0,0,128); border: medium none; padding-left: 5; padding-right: 0; padding-top: 5; padding-bottom: 0"><p style="margin-bottom: 0"><img src="images/Zajtra%20Logo.gif" alt="Zajtra Logo.gif (1221 bytes)" WIDTH="500" HEIGHT="25"></p>
<p style="margin-top: 0; margin-bottom: 0">&nbsp; <small>
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<param name="text" value="Home">
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<param name="fontstyle" value="regular">
<param name="fontsize" value="12">
</applet>
</small>
<applet code="fphover.class" codebase="_fpclass/" width="120" height="24">
<param name="text" value="Company Info">
<param name="color" value="#000080">
<param name="hovercolor" value="#0000FF">
<param name="textcolor" value="#FFFFFF">
<param name="effect" value="lightGlow">
<param name="url" value="CompanyInfo/Contact.htm" valuetype="ref">
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</applet>
<applet code="fphover.class" codebase="_fpclass/" width="120" height="24">
<param name="text" value="Lucy Info">
<param name="color" value="#000080">
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<param name="effect" value="lightGlow">
<param name="url" value="LucyInfo/LucyHome.htm" valuetype="ref">
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</applet>
<applet code="fphover.class" codebase="_fpclass/" width="120" height="24">
<param name="text" value="Download Lucy">
<param name="color" value="#000080">
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<param name="effect" value="lightGlow">
<param name="url" value="DownloadLucy/EvaluationSteps.htm" valuetype="ref">
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</td>
</tr>
<tr>
<td width="100%" style="border: medium none"><table border="0" width="100%" style="border: medium none" cellspacing="0" cellpadding="0">
<tr>
<td width="20%" style="border: medium none; padding-left: 5; padding-right: 5" bgcolor="#000080" valign="top"><p style="margin-top: 0; margin-bottom: 10"><a href="default.htm" style="color: rgb(192,192,192)"><small><font face="Arial">Home</font></small></a></p>
<p style="margin-top: 0; margin-bottom: 10"><a href="CompanyInfo/Contact.htm" style="color: rgb(192,192,192)"><small><font face="Arial">Company Info</font></small></a></p>
<p style="margin-top: 0; margin-bottom: 10"><a href="LucyInfo/LucyHome.htm" style="color: rgb(192,192,192)"><small><font face="Arial">Lucy Info</font></small></a></p>
<p style="margin-top: 0; margin-bottom: 10"><a href="DownloadLucy/EvaluationSteps.htm" style="color: rgb(192,192,192)"><small><font face="Arial">Download Lucy</font></small></a></p>
<hr>
<p style="margin-top: 0; margin-bottom: 10">&nbsp;</p>
<p><font face="Arial" color="#C0C0C0"><strong>Zajtra Home</strong></font></p>
<p style="margin-top: 0; margin-bottom: 10"><a href="default.htm" style="color: rgb(192,192,192)"><font face="Arial"><small>Headlines</small></font></a></p>
<p style="margin-top: 0; margin-bottom: 10"><a href="PressReleases.htm" style="color: rgb(192,192,192)"><font face="Arial"><small>Press Releases</small></font></a></p>
<p style="margin-top: 0; margin-bottom: 10"><a style="color: rgb(192,192,192)" href="Y2KStatment.htm"><font face="Arial"><small>Y2K Readiness Statement</small></font></a></p>
<p style="margin-top: 0; margin-bottom: 10"><a href="ResellerForm.htm" style="color: rgb(192,192,192)"><font face="Arial"><small>Reseller Sign-up Form</small></font></a></td>
<td width="80%" style="border: medium none; padding: 5" valign="top"><table border="1" width="100%" style="background-color: rgb(0,0,128); color: rgb(192,192,192); border: medium none">
<tr>
<td width="100%" style="border: medium none"><p align="center"><big><font face="Arial">Reseller
Sign-up Form</font></big></td>
</tr>
</table>
<p>We are looking for qualified resellers for Lucy.&nbsp; If you are interested in
becoming a reseller, please provide the following information and we will contact you.
This information will be used only as described in our <a href="DownloadLucy/PrivacyStatement.htm">privacy statement</a>.</p>
<!--webbot BOT="GeneratedScript" PREVIEW=" " startspan --><script Language="VBScript"><!--
function FrontPage_Form1_onsubmit()
Set theForm = document.FrontPage_Form1
If (theForm.ResellerCompanyName.value = "") Then
MsgBox "Please enter a value for the ""Company Name"" field.", 0, "Validation Error"
theForm.ResellerCompanyName.focus()
FrontPage_Form1_onsubmit = False
Exit Function
End If
If (theForm.ResellerAddressStreet.value = "") Then
MsgBox "Please enter a value for the ""Street Address"" field.", 0, "Validation Error"
theForm.ResellerAddressStreet.focus()
FrontPage_Form1_onsubmit = False
Exit Function
End If
If (theForm.ResellerAddressCity.value = "") Then
MsgBox "Please enter a value for the ""City"" field.", 0, "Validation Error"
theForm.ResellerAddressCity.focus()
FrontPage_Form1_onsubmit = False
Exit Function
End If
If (theForm.ResellerAddressCountry.value = "") Then
MsgBox "Please enter a value for the ""Country"" field.", 0, "Validation Error"
theForm.ResellerAddressCountry.focus()
FrontPage_Form1_onsubmit = False
Exit Function
End If
If (theForm.ResellerContactName.value = "") Then
MsgBox "Please enter a value for the ""Contact Name"" field.", 0, "Validation Error"
theForm.ResellerContactName.focus()
FrontPage_Form1_onsubmit = False
Exit Function
End If
If (theForm.ResellerContactPhoneNumber.value = "") Then
MsgBox "Please enter a value for the ""Phone Number"" field.", 0, "Validation Error"
theForm.ResellerContactPhoneNumber.focus()
FrontPage_Form1_onsubmit = False
Exit Function
End If
FrontPage_Form1_onsubmit = True
End Function
--></script><!--webbot BOT="GeneratedScript" endspan --><form method="POST" action="_vti_bin/shtml.dll/ResellerForm.htm" name="FrontPage_Form1" webbot-action="--WEBBOT-SELF--">
<!--webbot bot="SaveResults" U-File="_private/Resellers.txt" S-Format="TEXT/TSV" S-Label-Fields="TRUE" B-Reverse-Chronology="FALSE" S-Email-Format="TEXT/PRE" S-Email-Address="ScottBaird@zajtra.com" B-Email-Label-Fields="TRUE" B-Email-ReplyTo-From-Field="TRUE" S-Email-ReplyTo="ResellererEMail" B-Email-Subject-From-Field="FALSE" S-Email-Subject="Reseller Sign-up" S-Builtin-Fields="Date Time REMOTE_USER" S-Form-Fields="DownloaderFirstName DownloaderLastName DownloaderCompany DownloaderPhoneNumber DownloaderEMail DownloaderFoundOut " U-Confirmation-Url="DownloadLucy/DownloadOptions.htm" startspan --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><!--webbot bot="SaveResults" endspan i-checksum="43374" --><table border="0" width="100%">
<tr>
<td width="20%"><div align="right"><p>Company Name:</td>
<td width="80%"><!--webbot bot="Validation" S-Display-Name="Company Name" B-Value-Required="TRUE" --><input type="text" name="ResellerCompanyName" size="40"></td>
</tr>
<tr>
<td width="20%"><div align="right"><p>Street Address:</td>
<td width="80%"><!--webbot bot="Validation" S-Display-Name="Street Address" B-Value-Required="TRUE" --><input type="text" name="ResellerAddressStreet" size="40"></td>
</tr>
<tr>
<td width="20%"><div align="right"><p>City:</td>
<td width="80%"><!--webbot bot="Validation" S-Display-Name="City" B-Value-Required="TRUE" --><input type="text" name="ResellerAddressCity" size="40"></td>
</tr>
<tr>
<td width="20%" align="right">State:</td>
<td width="80%"><input type="text" name="ResellerAddressState" size="40"></td>
</tr>
<tr>
<td width="20%" align="right">Zip Code:</td>
<td width="80%"><input type="text" name="ResellerAddressZip" size="40"></td>
</tr>
<tr>
<td width="20%" align="right">Country:</td>
<td width="80%"><!--webbot bot="Validation" S-Display-Name="Country" B-Value-Required="TRUE" --><input type="text" name="ResellerAddressCountry" size="40" value="USA"></td>
</tr>
<tr>
<td width="20%"><div align="right"><p>Web Page:</td>
<td width="80%"><input type="text" name="ResellerWebPage" size="40"></td>
</tr>
<tr>
<td width="20%"></td>
<td width="80%">
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </td>
</tr>
<tr>
<td width="20%"><div align="right"><p>Contact Name: </td>
<td width="80%"><!--webbot bot="Validation" S-Display-Name="Contact Name" B-Value-Required="TRUE" --><input type="text" name="ResellerContactName" size="30"></td>
</tr>
<tr>
<td width="20%"><div align="right"><p>Phone Number: </td>
<td width="80%"><!--webbot bot="Validation" S-Display-Name="Phone Number" B-Value-Required="TRUE" --><input type="text" name="ResellerContactPhoneNumber" size="30"></td>
</tr>
<tr>
<td width="20%"><div align="right"><p>E-mail Address:</td>
<td width="80%"><input type="text" name="ResellerContactEMail" size="30"></td>
</tr>
<tr>
<td width="20%"></td>
<td width="80%"></td>
</tr>
<tr>
<td width="20%"><div align="right"></div></td>
<td width="80%"><input type="submit" value="Submit" name="B1"><input type="reset" value="Reset" name="B2"></td>
</tr>
</table>
<div align="left"><p><br>
</p>
</div>
</form>
<p><a href="http://www.microsoft.com/windows/ie/default.htm" target="_top"><img src="images/IELogo.gif" alt="IELogo.gif (1943 bytes)" WIDTH="88" HEIGHT="31"></a></p>
<hr size="6" color="#000080">
<p style="margin-top: 0; margin-bottom: 10"><a href="DownloadLucy/PrivacyStatement.htm" style="color: rgb(192,192,192)"><font face="Arial"><small>ent</small></font></a></td>
</tr>
</table>
</td>
</tr>
</table>
</body>
</html>