document.write(unescape('<table cellpadding=5 cellspacing=0 border=0><form method=post action="Eformdata.php"><input type=hidden name="Form_Name" value="SIGNUP FORM"><tr><td colspan=2><b>Company Information</b></td></tr><tr><td>Company name</td><td><input name="company" size=45></td></tr><tr><td>Address</td><td><input name="address" size=45></td></tr><tr><td>City</td><td><input name="city" size=45></td></tr><tr><td>State</td><td><input name="state" size=45></td></tr><tr><td>Zip</td><td><input name="zip" size=45></td></tr><tr><td>Years in business</td><td><input name="yrs_in_business" size=45></td></tr><tr><td>Number of employees</td><td><input name="number_of_employees" size=45></td></tr><tr><td>Resale number</td><td><input name="resale_number" size=45></td></tr><tr><td colspan=2><b>Your Information</b></td></tr><tr><td>Name</td><td><input name="contact_name" size=45></td></tr><tr><td>Title</td><td><input name="title" size=45></td></tr><tr><td>Phone</td><td><input name="phone" size=45></td></tr><tr><td>Email</td><td><input name="email" size=45></td></tr><!--<tr><td></td><td><input name=company size=45></td></tr><tr><td></td><td><input name=company size=45></td></tr><tr><td></td><td><input name=company size=45></td></tr><tr><td></td><td><input name=company size=45></td></tr><tr><td></td><td><input name=company size=45></td></tr><tr><td></td><td><input name=company size=45></td></tr><tr><td></td><td><input name=company size=45></td></tr><tr><td></td><td><input name=company size=45></td></tr><tr><td></td><td><input name=company size=45></td></tr><tr><td></td><td><input name=company size=45></td></tr><tr><td></td><td><input name=company size=45></td></tr><tr><td></td><td><input name=company size=45></td></tr><tr><td></td><td><input name=company size=45></td></tr><tr><td></td><td><input name=company size=45></td></tr><tr><td></td><td><input name=company size=45></td></tr><tr><td></td><td><input name=company size=45></td></tr>--><tr><td></td><td><font color=red><b>Your account will NOT be activated until<br>you print and sign these 3 forms and<br>fax them to 888 474-3535<br><a class=btn href="d/CreditCardRelease.pdf" target="&nbsp;blank">Credit Card Release form</a><br><a class=btn href="d/ResaleCertificate.pdf" target="&nbsp;blank">Resale Certificate form</a><br><a class=btn href="d/LegalDisclaimer.pdf" target="&nbsp;blank">Terms of Sale form</a></b></font><br><br><input class=submit type=submit value="Send"></td></tr></form></table>'));