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<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=85 BGCOLOR="#660033" TEXT="#F7F7FF" bgproperties="fixed" background="1673c5a3.jpg"> <div> <FONT SIZE="1" COLOR="#FFFBF0" FACE="Tahoma" ><IMG SRC="1551f1f0.jpg" border=0 width="287" height="31" ALIGN="BOTTOM" HSPACE="0" VSPACE="0">    </FONT> |     <A HREF="index.htm" TARGET="_top" TITLE="MPRRiedel Communications"><U>home</U></A></div> <div> <A HREF="about.htm" TARGET="_top" TITLE="About Us"><U>About Us</U></A>   |   <A HREF="portfolio.htm" TARGET="_top" TITLE="Portfolio"><U>Portfolio</U></A>   |   <A HREF="references.htm" TARGET="_top" TITLE="References"><U>References</U></A>   |   Want More Information?   |   <A HREF="contact.htm" TARGET="_top" TITLE="Contact Us"><U>Contact Us</U></A></div> <div> <B> <STYLE>  </STYLE>  </B></div> </td> </tr><tr> <td valign="top" height=315 BGCOLOR="#FFFBF0" TEXT="#080000"> <div> <B>Want More Information?</B></div> <div>  <STYLE>  </STYLE>  </div> <div> Fill out this form below and we will contact you as soon as possible.</div> <div>  <form action="http://formmail.trellix.com/servlets/TlxMailer" method="POST" enctype="application/x-www-form-urlencoded"><input type="hidden" name="tlx_SortOrder" value="FirstName,LastName,Email,Company,Address1,Address2,City,State,Zip,Phone,Fax,MailingList,Comments"><input type="hidden" name="tlx_FormIndex" value="2"><input type="hidden" name="tlx_OKMessage" value="Thank you for your request for information."><input type="hidden" name="tlx_SendMode" value="1"><input type="hidden" name="tlx_Subject" value="A request form was submitted"><input type="hidden" name="tlx_EmailTo" value="larapoirier@hotmail.com"> <table cellpadding="0" cellspacing="1" border="0" align="center"> <tr> <td align="left">First Name:<br> <input type="text" name="FirstName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Last Name:<br> <input type="text" name="LastName" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Email:<br> <input type="text" name="Email" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Company:<br> <input type="text" name="Company" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address Line 1:<br> <input type="text" name="Address1" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Address Line 2:<br> <input type="text" name="Address2" size="30" maxlength="100"></td> </tr> <tr> <td align="left">City:<br> <input type="text" name="City" size="30" maxlength="100"></td> </tr> <tr> <td align="left">State:<br> <input type="text" name="State" size="30" maxlength="100"></td> </tr> <tr> <td align="left">Zip:<br> <input type="text" name="Zip" size="10" maxlength="10"></td> </tr> <tr> <td align="left">Phone Number:<br> <input type="text" name="Phone" size="14" maxlength="14"></td> </tr> <tr> <td align="left">Fax Number:<br> <input type="text" name="Fax" size="14" maxlength="14"></td> </tr> <tr> <td> <input type="checkbox" name="MailingList" value="yes"> Add me to your mailing list</td> </tr> <tr> <td align="left">Comments:<br> <textarea name="Comments" rows="5" cols="30"></textarea></td> </tr> <tr> <td align="right"><input type="reset"> <input type="submit" value="Send" name="tlx_send"></td> </tr> </table> </form>  </div> </td> </tr><tr> <td valign="top" height=80 BGCOLOR="#660033" TEXT="#F7F7FF"> <div> Riedel Communications</div> <div> 1429 2nd Avenue</div> <div> Fairbanks, Alaska 99701</div> <div> 907.456.1220</div> <div> E-Mail</div> <bR> </td> </tr></table></body>