document.write("<script src=\'http://wam.imeasure-marketing.com/WamHtmlBuilders/Scripts/prototype.js\' type=\'text/javascript\'  language=\'javascript\' ></script>");
document.write("<script src=\'http://wam.imeasure-marketing.com/WamHtmlBuilders/Scripts/Validation.js\' type=\'text/javascript\'  language=\'javascript\' ></script>");
document.write("<style type=\'text/css\'>");
document.write("DIV#SocketContainer128 { font-family:Arial;font-size:10px;color:#00334d;width:100%; }");
document.write("DIV#SocketContainer128 TD { font-family:Arial;font-size:10px;color:#00334d; } ");
document.write("</style>");
document.write("<div id=\'SocketContainer128\' ><div align=\"left\"><font face=\"Arial\"><font color=\"#00334d\" size=\"2\">Thank you for your interest in iMeasure Marketing.&nbsp; Please tell us a little about yourself and your company, and we will contact you as soon as possible.</font></font></div>");
document.write("<br /><form method=\"post\" action=\"http://wam.imeasure-marketing.com/WamHtmlBuilders/GenerateCode.aspx?OT=2&OQ=N2IolY9Hk8ZwWEd5zt8E\" onsubmit=\"javascript:return FormSubmit210();\"><table style=\"\"><tr><td style=\"\"><SPAN id=\"rfvPQ3042\" name=\"rfvPQ3042\" style=\"color:Red;display:none;\">*</SPAN>First Name*<br /><input type=\"text\" id=\"PQ3042\" name=\"PQ3042\" value=\"\" style=\" width: 200px; \" maxlength=\"500\" /></td></tr><tr><td style=\"\"><SPAN id=\"rfvPQ3043\" name=\"rfvPQ3043\" style=\"color:Red;display:none;\">*</SPAN>Last Name*<br /><input type=\"text\" id=\"PQ3043\" name=\"PQ3043\" value=\"\" style=\" width: 200px; \" maxlength=\"500\" /></td></tr><tr><td style=\"\"><SPAN id=\"rfvPQ3041\" name=\"rfvPQ3041\" style=\"color:Red;display:none;\">*</SPAN><SPAN id=\"revPQ3041\" name=\"revPQ3041\" style=\"color:Red;display:none;\">*</SPAN>Email*<br /><input type=\"text\" id=\"PQ3041\" name=\"PQ3041\" value=\"\" style=\" width: 200px; \" maxlength=\"500\" /></td></tr><tr><td style=\"\"><SPAN id=\"rfvPQ3044\" name=\"rfvPQ3044\" style=\"color:Red;display:none;\">*</SPAN>Company*<br /><input type=\"text\" id=\"PQ3044\" name=\"PQ3044\" value=\"\" style=\" width: 200px; \" maxlength=\"500\" /></td></tr><tr><td style=\"\"><SPAN id=\"rfvPQ3045\" name=\"rfvPQ3045\" style=\"color:Red;display:none;\">*</SPAN><SPAN id=\"revPQ3045\" name=\"revPQ3045\" style=\"color:Red;display:none;\">*</SPAN>Phone*<br /><input type=\"text\" id=\"PQ3045\" name=\"PQ3045\" value=\"\" style=\" width: 200px; \" onblur=\"formatphones(this)\" maxlength=\"500\" /></td></tr><tr><td style=\"\"><SPAN id=\"rfvCQ2008\" name=\"rfvCQ2008\" style=\"color:Red;display:none;\">*</SPAN>I am interested in:*<br /><table><tr><td><input id=\"CQ2008\" type=\"checkbox\" name=\"CQ2008\" value=\"CA3288\">Web design</input><br /></td></tr><tr><td><input id=\"CQ2008\" type=\"checkbox\" name=\"CQ2008\" value=\"CA3289\">Print/graphic design</input><br /></td></tr><tr><td><input id=\"CQ2008\" type=\"checkbox\" name=\"CQ2008\" value=\"CA13399\">Campaigns</input><br /></td></tr><tr><td><input id=\"CQ2008\" type=\"checkbox\" name=\"CQ2008\" value=\"CA3290\">Email marketing</input><br /></td></tr><tr><td><input id=\"CQ2008\" type=\"checkbox\" name=\"CQ2008\" value=\"CA3291\">Multimedia</input><br /></td></tr><tr><td><input id=\"CQ2008\" type=\"checkbox\" name=\"CQ2008\" value=\"CA13400\">Additional Services</input><br /></td></tr><tr><td><input id=\"CQ2008\" type=\"checkbox\" name=\"CQ2008\" value=\"CA3292\">Other</input><br /></td></tr></table></td></tr><tr><td style=\"\"><SPAN id=\"rfvCQ2009\" name=\"rfvCQ2009\" style=\"color:Red;display:none;\">*</SPAN>How did you hear about iMeasure Marketing?*<br /><table><tr><td><input id=\"CQ2009\" type=\"radio\" name=\"CQ2009\" value=\"CA3293\">Referral</input><br /></td></tr><tr><td><input id=\"CQ2009\" type=\"radio\" name=\"CQ2009\" value=\"CA3294\">Web advertisement</input><br /></td></tr><tr><td><input id=\"CQ2009\" type=\"radio\" name=\"CQ2009\" value=\"CA3295\">Print advertisement</input><br /></td></tr><tr><td><input id=\"CQ2009\" type=\"radio\" name=\"CQ2009\" value=\"CA3296\">Trade show/event</input><br /></td></tr><tr><td><input id=\"CQ2009\" type=\"radio\" name=\"CQ2009\" value=\"CA3297\">Search engine</input><br /></td></tr><tr><td><input id=\"CQ2009\" type=\"radio\" name=\"CQ2009\" value=\"CA3298\">Other (Please specify in the box below)</input><br /></td></tr></table></td></tr><tr><td style=\"\">Comments and Questions<br /><textarea id=\"CQ7609\" name=\"CQ7609\" rows=\"5\" style=\" width: 400px; \" onkeyup=\"checkMaxLength(this, 200)\"></textarea></td></tr><tr><td style=\"\"><input id=\"IM210\" type=\"checkbox\" name=\"IM210\" value=\"true\" checked=\"true\">I would like to be contacted by a representative of iMeasure Marketing.</input><br /></td></tr></table><img src=\'http://app.wampower.net/WamHtmlBuilders/GenerateCode.aspx?OT=2&OQ=N2IolY9Hk8dwWEd5zt8E\' width=\'1\' height=\'1\' boder=\'0\'/>");
document.write("<input type=\"submit\" value=\"Submit\" style=\"color:black;\" /></form></div>");
document.write("<script type=\"text/javascript\" language=\"javascript\">");
document.write("var Form_ValidatorList210 = new Array(");
document.write("document.getElementById(\"rfvPQ3042\"),");
document.write("document.getElementById(\"rfvPQ3043\"),");
document.write("document.getElementById(\"rfvPQ3041\"),");
document.write("document.getElementById(\"revPQ3041\"),");
document.write("document.getElementById(\"rfvPQ3044\"),");
document.write("document.getElementById(\"rfvPQ3045\"),");
document.write("document.getElementById(\"revPQ3045\"),");
document.write("document.getElementById(\"rfvCQ2008\"),");
document.write("document.getElementById(\"rfvCQ2009\"));var rfvPQ3042 = document.all ? document.all[\"rfvPQ3042\"] : document.getElementById(\"rfvPQ3042\");");
document.write("rfvPQ3042.controltovalidate = \"PQ3042\";");
document.write("rfvPQ3042.evaluationfunction = \"RequiredFieldValidatorEvaluateIsValid\";");
document.write("rfvPQ3042.initialvalue = \"\";");
document.write("var rfvPQ3043 = document.all ? document.all[\"rfvPQ3043\"] : document.getElementById(\"rfvPQ3043\");");
document.write("rfvPQ3043.controltovalidate = \"PQ3043\";");
document.write("rfvPQ3043.evaluationfunction = \"RequiredFieldValidatorEvaluateIsValid\";");
document.write("rfvPQ3043.initialvalue = \"\";");
document.write("var rfvPQ3041 = document.all ? document.all[\"rfvPQ3041\"] : document.getElementById(\"rfvPQ3041\");");
document.write("rfvPQ3041.controltovalidate = \"PQ3041\";");
document.write("rfvPQ3041.evaluationfunction = \"RequiredFieldValidatorEvaluateIsValid\";");
document.write("rfvPQ3041.initialvalue = \"\";");
document.write("var revPQ3041 = document.all ? document.all[\"revPQ3041\"] : document.getElementById(\"revPQ3041\");");
document.write("revPQ3041.controltovalidate = \"PQ3041\";");
document.write("revPQ3041.evaluationfunction = \"RegularExpressionValidatorEvaluateIsValid\";");
document.write("revPQ3041.validationexpression = \"^\\\\S+@\\\\S+\\\\.\\\\S+$\";");
document.write("var rfvPQ3044 = document.all ? document.all[\"rfvPQ3044\"] : document.getElementById(\"rfvPQ3044\");");
document.write("rfvPQ3044.controltovalidate = \"PQ3044\";");
document.write("rfvPQ3044.evaluationfunction = \"RequiredFieldValidatorEvaluateIsValid\";");
document.write("rfvPQ3044.initialvalue = \"\";");
document.write("var rfvPQ3045 = document.all ? document.all[\"rfvPQ3045\"] : document.getElementById(\"rfvPQ3045\");");
document.write("rfvPQ3045.controltovalidate = \"PQ3045\";");
document.write("rfvPQ3045.evaluationfunction = \"RequiredFieldValidatorEvaluateIsValid\";");
document.write("rfvPQ3045.initialvalue = \"\";");
document.write("var revPQ3045 = document.all ? document.all[\"revPQ3045\"] : document.getElementById(\"revPQ3045\");");
document.write("revPQ3045.controltovalidate = \"PQ3045\";");
document.write("revPQ3045.evaluationfunction = \"RegularExpressionValidatorEvaluateIsValid\";");
document.write("revPQ3045.validationexpression = \"((\\\\(\\\\d{3}\\\\) ?)|(\\\\d{3}-))?\\\\d{3}-\\\\d{4}\";");
document.write("var rfvCQ2008 = document.all ? document.all[\"rfvCQ2008\"] : document.getElementById(\"rfvCQ2008\");");
document.write("rfvCQ2008.controltovalidate = \"CQ2008\";");
document.write("rfvCQ2008.evaluationfunction = \"RequiredFieldValidatorEvaluateIsValid\";");
document.write("rfvCQ2008.initialvalue = \"\";");
document.write("var rfvCQ2009 = document.all ? document.all[\"rfvCQ2009\"] : document.getElementById(\"rfvCQ2009\");");
document.write("rfvCQ2009.controltovalidate = \"CQ2009\";");
document.write("rfvCQ2009.evaluationfunction = \"RequiredFieldValidatorEvaluateIsValid\";");
document.write("rfvCQ2009.initialvalue = \"\";");
document.write("function FormSubmit210() {");
document.write("if (typeof(ValidateControls) == \"function\" && ValidateControls(Form_ValidatorList210) == false) ");
document.write(" return false;");
document.write("}");
document.write("</script>");