Communication Portal

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If you have already sent previous correspondences to us, you only need to fill in your email address and the nature of your request. Otherwise please fill out all of the fields with Green labels.
Your Request is  
 I am an Existing Customer or have communicated before with the following email address.
* Email Address:
* Company Name:
* First Name:
* Last Name:
Address1:
Address2:
Country:
City:
State:
Zipcode:
Mobile Phone:
* Office Phone:
Number of Employees:
Language Preference:
Product Interest:
* Message:

Communication For:

Sales
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'; echo ''; /* alltel = '@message.alltel.com' at&t = '@txt.att.net' boost = '@myboostmobile.com' cingular = '@mobile.mycingular.com' nextel '@messaging.nextel.com' T-Mobile = '@tmomail.net' verizon = '@vtext.com' virgin = '@vmobl.com' */ //this could also be 7701212321@txt.att.net if you wanted to send to a phone echo ''; echo 'Please add the following two numbers and place the answer in the following box. The answer must be correct before you can post your request.'; echo '
'; echo ''.$firstnum.' + '.$secondnum.' = '; ?>