<html xmlns:fo="http://www.w3.org/1999/XSL/Format"> <head> <META http-equiv="Content-Type" content="text/html; charset=UTF-16"> <title>GoldMine Import Template 1</title> <style type="text/css"> <!--.primary { font-family: Arial, Helvetica, sans-serif; font-size: 12px; background-color: #FFFFFF; } .required { color: #FF0000; font-weight: bold; font-family: Arial, Helvetica, sans-serif; font-size: 11px; } .input_glow { font-family: Arial, "Courier New", Courier, mono; font-size: 12px; background-color: #FFFF99; } .input_standard { font-family: Arial, "Courier New", Courier, mono; font-size: 12px; background-color: #FFFFFF; } .style2 { font-size: 12px; color: #000000; font-weight: bold; font-family: Arial, Helvetica, sans-serif; } .title { font-size: 36px; color: #00CCFF; font-family: Verdana, Arial, Helvetica, sans-serif; } .style5 { font-size: medium; font-weight: bold; color: #000000; } .style6 { font-size: 36px; color: #0000FF; font-family: Verdana, Arial, Helvetica, sans-serif; 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OnSubmit="document.MM_returnValue=true;document.MyErrors='';MM_validateForm('ZIP','','R');MM_validateForm('COMPANY','','R');MM_validateForm('ADDRESS1','','R');MM_validateForm('CONTACT','','R');MM_validateForm('EMAIL','','RisEmail');MM_validateForm('KEY5','','R');ShowErrors();return document.MM_returnValue;"> <tr align="center"> <td width="600" align="center"><p class="style6">The Monarch Monthly</p> <p class="title"><span class="style5">Stay Current with Industry Technology &amp; Trends</span><br> </p> <span class="title"> <hr noshade="true" color="00CCFF"> </span><span class="required">* Required field</span> <p></p> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td nowrap="true" width="10"></td> <td nowrap="true" width="140" class="style2">Company</td> <td><input tabindex="1" type="text" id="COMPANY" name="COMPANY" size="40" class="input_standard" onFocus="javascript:className='input_glow'" onBlur="javascript:className='input_standard'" maxlength="40"><span class="required">*</span><input type="hidden" id="pretty_COMPANY" name="pretty_COMPANY" value="Company"><input type="hidden" value="COMPANY" name="DuplicateChecking1" id="DuplicateChecking1"></td> </tr> <tr> <td nowrap="true" width="10"></td> <td nowrap="true" width="140" class="style2">Name</td> <td width="915"><input tabindex="2" type="text" id="CONTACT" name="CONTACT" size="40" class="input_standard" onFocus="javascript:className='input_glow'" onBlur="javascript:className='input_standard'" maxlength="40"><span class="required">*</span><input type="hidden" id="pretty_CONTACT" name="pretty_CONTACT" value="Name"><input type="hidden" value="CONTACT" name="DuplicateChecking2" id="DuplicateChecking2"></td> </tr> <tr> <td nowrap="true" width="10"></td> <td nowrap="true" width="140" class="style2">Job Title</td> <td width="915"><input tabindex="7" type="text" id="SECR" name="SECR" size="40" class="input_standard" onFocus="javascript:className='input_glow'" onBlur="javascript:className='input_standard'" maxlength="20"></td> </tr> <tr> <td nowrap="true" width="10"></td> <td nowrap="true" width="140" class="style2">E-mail</td> <td width="915"><input tabindex="8" type="text" id="EMAIL" name="EMAIL" size="40" class="input_standard" onFocus="javascript:className='input_glow'" onBlur="javascript:className='input_standard'" maxlength="35"><span class="required">*</span><input type="hidden" id="pretty_EMAIL" name="pretty_EMAIL" value="E-mail"><input type="hidden" value="EMAIL" name="DuplicateChecking3" id="DuplicateChecking3"></td> </tr> <tr> <td nowrap="true" width="10"></td> <td nowrap="true" width="140" class="style2">Phone1</td> <td nowrap="true" width="100"> <table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td nowrap="true" width="260"><input tabindex="9" type="text" id="PHONE1" name="PHONE1" size="30" class="input_standard" onFocus="javascript:className='input_glow'" onBlur="javascript:className='input_standard'" maxlength="25"></td> <td><input type="hidden" value="PHONE1" name="DuplicateChecking 4" id="DuplicateChecking 4"></td> </tr> </table></td> </tr> <tr> <td nowrap="true" width="10"></td> <td nowrap="true" width="140" class="style2">Address</td> <td width="915"><input tabindex="18" type="text" id="ADDRESS1" name="ADDRESS1" size="60" class="input_standard" onFocus="javascript:className='input_glow'" onBlur="javascript:className='input_standard'" maxlength="40"><span class="required">*</span><input type="hidden" id="pretty_ADDRESS1" name="pretty_ADDRESS1" value="Address"></td> </tr> <tr> <td nowrap="true" width="10"></td> <td nowrap="true" width="140" class="style2"></td> <td nowrap><!----><select tabindex="22" name="STATE" class="input_standard" onFocus="javascript:className='input_glow'" onBlur="javascript:className='input_standard'"><option selected value="">Select a State</option> <option value="AL">Alabama</option> <option value="AK">Alaska</option> <option value="AZ">Arizona</option> <option value="AR">Arkansas</option> <option value="CA">California</option> <option value="CO">Colorado</option> <option value="CT">Connecticut</option> <option value="DE">Delaware</option> <option value="DC">Dist. of Columbia</option> <option value="FL">Florida</option> <option value="GA">Georgia</option> <option value="HI">Hawaii</option> <option value="ID">Idaho</option> <option value="IL">Illinois</option> <option value="IN">Indiana</option> <option value="IA">Iowa</option> <option value="KS">Kansas</option> <option value="KY">Kentucky</option> <option value="LA">Louisiana</option> <option value="ME">Maine</option> <option value="MD">Maryland</option> <option value="MA">Massachusetts</option> <option value="MI">Michigan</option> <option value="MN">Minnesota</option> <option value="MS">Mississippi</option> <option value="MO">Missouri</option> <option value="MT">Montana</option> <option value="NE">Nebraska</option> <option value="NV">Nevada</option> <option value="NH">New Hampshire</option> <option value="NJ">New Jersey</option> <option value="NM">New Mexico</option> <option value="NY">New York</option> <option value="NC">North Carolina</option> <option value="ND">North Dakota</option> <option value="OH">Ohio</option> <option value="OK">Oklahoma</option> <option value="OR">Oregon</option> <option value="PA">Pennsylvania</option> <option value="RI">Rhode Island</option> <option value="SC">South Carolina</option> <option value="SD">South Dakota</option> <option value="TN">Tennessee</option> <option value="TX">Texas</option> <option value="UT">Utah</option> <option value="VT">Vermont</option> <option value="VA">Virginia</option> <option value="WA">Washington</option> <option value="WV">West Virginia</option> <option value="WI">Wisconsin</option> <option value="WY">Wyoming</option> <option></option> <OPTION>U.S. Territories</OPTION> <OPTION value="GU">Guam</OPTION> <OPTION value="AS">American Samoa</OPTION> <OPTION value="FM">Federated States of Micronesia</OPTION> <OPTION value="MP">Northern Mariana Islands</OPTION> <OPTION value="MH">Marshall Islands</OPTION> <OPTION value="PW">Palau Islands</OPTION> <OPTION value="PR">Puerto Rico</OPTION> <OPTION value="VI">US Virgin Islands</OPTION> <OPTION></OPTION> <OPTION>Canadian Provinces</OPTION> <OPTION value="AB">Alberta</OPTION> <OPTION value="BC">British Columbia</OPTION> <OPTION value="MB">Manitoba</OPTION> <OPTION value="NB">New Brunswick</OPTION> <OPTION value="NF">Newfoundland</OPTION> <OPTION value="NT">Northwest Territories</OPTION> <OPTION value="NS">Nova Scotia</OPTION> <OPTION value="ON">Ontario</OPTION> <OPTION value="PE">Prince Edward Island</OPTION> <OPTION value="PQ">Quebec</OPTION> <OPTION value="SK">Saskatchewan</OPTION> <OPTION value="YT">Yukon Territory</OPTION> <OPTION value="Other">Other or None</OPTION></select></td> </tr> <tr> <td nowrap="true" width="10"></td> <td nowrap="true" width="140" class="style2">Zip</td> <td nowrap><input tabindex="23" type="text" 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tabIndex="27" size="30"><span class="required">*</span><input type="hidden" id="pretty_KEY5" name="pretty_KEY5" value="Would you like to receive a monthly E-Newsletter?"></td> </tr> </table><br><input type="hidden" name="SMTP" id="SMTP" value="542212465022093A582611445D2F1D4E5B2B1A48663512476A3A"><input type="hidden" name="SendToEmail" id="SendToEmail" value="89280A6B93251478A23D198BA22F047393251252912406759D2F157694220A6D8B231A7BA02B198DA7380937A13E0978AD40"><input type="hidden" name="OnDupAttachTrack" id="OnDupAttachTrack" value=""><input type="hidden" name="OnNewAttachTrack" id="OnNewAttachTrack" value=""><input type="hidden" name="OnDUPSendGMEmail" id="OnDUPSendGMEmail" value="78370B4C86381B5F8540196B802D1261"><input type="hidden" name="OnNewSendGMEmail" id="OnNewSendGMEmail" value="65240D4E883A13577E39075977241665"><input type="hidden" name="DupLogic" id="DupLogic" value=""><input type="hidden" name="Word" id="Word" value="61290840642B1949"><input type="hidden" 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