Fields marked with an asterik (*) are required.<br>The evaluation key will be mailed to the email address you provide.
<form name="f1" method="post" action="evaluation2.asp">
<table border="0" cellpadding="1" cellspacing="0" bgcolor=#aaaaaa><tr><td>
<table border="0" cellspacing="0" bgcolor="#dddddd">
  <tr>
    <td><table border="0" cellspacing="0" cellpadding="2">
      <tr>
        <td width="50%" class=psmall>
          <div align="left">
            
            <b><i>* Name:</i></b>
            
            <br>
            <input class=psmall type="text" name="txtName" size="50" maxlength="50" tabindex=1 value="">
          </div>
        </td>
        <td width="50%" class=psmall>
          <div align="left">
            
            <b><i>* Email Address:</i></b>
            
            <br>
            <input class=psmall type="text" name="txtEmail" size="50" maxlength="50" tabindex=2 value="">
          </div>
        </td>
      </tr>
      <tr>
        <td width="50%" class=psmall>
          <div align="left">
            
            <b><i>* Company:</i></b>
            
            <br>
            <input class=psmall type="text" name="txtCompany" size="50" maxlength="50" tabindex=3 value="">
          </div>
        </td>
        <td width="50%" class=psmall>
            <b><i>* Software Version: (eg. 2004)</i></b>
            
            <br>
            
            <input class=psmall type="text" name="txtVersion" size="50" maxlength="15" tabindex=4 value="">
            
        </td>
      </tr>
      <tr>
        <td colspan="2" class=psmall>
          <div align="left">
            
            <b><i>* Address 1:</i></b>
            
            <br>
            <input class=psmall type="text" name="txtAddress1" size="104" maxlength="100" tabindex=5 value="">
          </div>
        </td>
      </tr>
      <tr>
        <td colspan="2" class=psmall>
          <div align="left"><b><i> Address 2:</i></b><br>
              <input class=psmall type="text" name="txtAddress2" size="104" maxlength="100" tabindex=6 value="">
          </div>
        </td>
      </tr>
      <tr>
        <td width="50%" class=psmall>
          <div align="left">
            
            <b><i>* City, State, Zip:</i></b>
            
            <br>
            <input class=psmall type="text" name="txtCity" size="50" maxlength="50" tabindex=7 value="">
          </div>
        </td>
        <td width="50%" class=psmall>
            <b><i>* Country:</i></b>
            
            <br>
            <input class=psmall type="text" name="txtCountry" size="50" maxlength="50" tabindex=8 value="">
        </td>
      </tr>
      <tr>
        <td width="50%" class=psmall>
          <div align="left">
            
            <b><i>* Telephone Number:</i></b>
            
            <br>
            <input class=psmall type="text" name="txtPhone" size="50" maxlength="50" tabindex=9 value="">
          </div>
        </td>
        <td width="50%" class=psmall><b><i>Fax</i></b><br>
            <input class=psmall type="text" name="txtFax" size="50" maxlength="50" tabindex=10 value="">
        </td>
      </tr>
      <tr>
        <td colspan="2" class=psmall>
		  <div align="left"><b><i>Comments (optional):</i></b><br>
              <textarea name="txtComment" cols="101" rows="5" tabindex="11" wrap="soft" class=psmall></textarea>
          </div>
        </td>
      </tr>
    </table></td>
  </tr>
  <tr>
    <td class=psmall><div align="center">
      <input class=psmall type="submit" name="Send_Request" value="Request Evaluation Key">
    </div></td>
  </tr>
</table></td></tr></table>
<div align="center">  </div>
</form>