Email address to receive results
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type in the email address to send the completed information to
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Name to use when not available
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when the person does not provide a name, enter the default salutation to address this person by within the email marketing address list.
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Confirm Subscription
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Check this box to send the person an email to confirm the subscription. Upon receipt of the confirmation email for person, their information will be added to the list selected.
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Request Name
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Check this box to request their First Name and Last Name.
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Request Company
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Check this box to request their Company Name
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Request Phone
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Check this box to request their Telephone Number.
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Incorrect Message
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When the viewer does not complete the entire form, type the message to display.
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Thank You Message
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When the viewer completes the form, enter the message to display.
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