MDS Advertising - Email Form

<% end if %>

					Email MDS
					Work at MDS

<% if request.querystring("c") = 1 then response.write("

Thank you for filling out our contact form. Your message has been received. A member from the MDS Advertising staff will be in touch with you shortly.

") else %>

Please check in all Required (*) Fields

") end if %>

<% if session("fntProcess") = "1" then strMsg = "

Please correct the the following fields:

" strMsg1 = "" if session("fname_form") = "x-" then strMsg1 = strMsg1 & "First Name
" if session("lname_form") = "x-" then strMsg1 = strMsg1 & "Last Name
" if session("email_form") = "x-" then strMsg1 = strMsg1 & "Email
" if session("email2_form") = "x-" then strMsg1 = strMsg1 & "Confirm Email Address
" if session("eveningphone_form") = "x-" then strMsg1 = strMsg1 & "Phone
" session("fname_form") = "" session("lname_form") = "" session("email_form") = "" session("email2_form") = "" session("eveningphone_form") = "" if strMsg1 <> "" then response.write("

" & strMsg & strMsg1 & "

*First name

*Last name

Company name

Type of business

City

State

*Email address

*Confirm address

*Phone number

Best times to contact you

Advertising/Marketing Budget

Estimated Monthly Budget

Worked with an ad agency before?

<% if session("worked_agency") = "" then %> Yes No <% elseif session("worked_agency") = "Yes" then %> Yes No <% elseif session("worked_agency") = "No" then %> Yes No <% end if %>

Select Services

>Ad Campaigns
>Market Strategy
>Public Relations
>Branding / Corp ID
>Annual Reports
>Product Packaging
>Radio
>TV
>Media Planning / Buys
>Brochures / Catalogues
>Magazine and Print Ads
>Direct Mail

>Web Development
>Online Marketing / SEM
>Paid Search
>SEO / Search Engine Optimization
>Search Informed Market Research
>Lead Generation
>Trade Show Exhibits
>Magazine Publishing
>Multimedia Presentations
>Photography
>Green Printing Options
>Printing

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