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<FONT style='color:#008080;font-size:18pt;'><B><I>Request Information </I></B></FONT></DIV>
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<FONT style='font-size:13pt;'><B>CrosStar respects your privacy and will not share your contact information. </B></FONT></DIV>
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<FONT style='font-size:13pt;'><B> </B></FONT></DIV>
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Tell us how to reach you: </DIV>
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<FONT style='font-size:10pt;'>(Your full name is required to submit a Request for Information.) </FONT></DIV>
<FORM METHOD="POST" ACTION="mailto:sales@crosstar.com" ENCTYPE="text/plain" >
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<FONT style='font-size:10pt;'></FONT> </DIV>
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<TABLE WIDTH="67%" BORDER="0" CELLPADDING="2" CELLSPACING="2" >
<TR>
<TD WIDTH=17% VALIGN=TOP >
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<FONT style='color:#FF0000;'>First Name:</FONT></DIV>
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<TD WIDTH=50% VALIGN=TOP >
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<INPUT NAME="FirstName" SIZE="30" >
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<FONT style='color:#FF0000;'>Last Name:</FONT></DIV>
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<TD WIDTH=50% VALIGN=TOP >
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<INPUT NAME="LastName" SIZE="30" >
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<TD WIDTH=17% VALIGN=TOP >
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Title:</DIV>
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<TD WIDTH=50% VALIGN=TOP >
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<INPUT NAME="Title" SIZE="30" >
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<TD WIDTH=17% VALIGN=TOP >
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<FONT style='color:#FF0000;'>Company Name:</FONT></DIV>
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<TD WIDTH=50% VALIGN=TOP >
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<INPUT NAME="CompanyName" SIZE="30" >
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<TD WIDTH=17% VALIGN=TOP >
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Mailing Address:</DIV>
</TD>
<TD WIDTH=50% VALIGN=TOP >
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<INPUT NAME="MailingAddress1" SIZE="30" >
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<TD WIDTH=17% VALIGN=TOP >
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</DIV>
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<INPUT NAME="MailingAddress2" SIZE="30" >
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<TD WIDTH=17% VALIGN=TOP >
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City:</DIV>
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<TD WIDTH=50% VALIGN=TOP >
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<INPUT NAME="City" SIZE="30" >
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<TD WIDTH=17% VALIGN=TOP >
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State/Province:</DIV>
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<TD WIDTH=50% VALIGN=TOP >
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<INPUT NAME="State" SIZE="30" >
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<TD WIDTH=17% VALIGN=TOP >
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Zip/Postal Code:</DIV>
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<TD WIDTH=50% VALIGN=TOP >
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<INPUT NAME="Zipcode" SIZE="30" >
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Country:</DIV>
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<TD WIDTH=50% VALIGN=TOP >
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<INPUT NAME="Country" VALUE="USA" SIZE="30" >
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<TD WIDTH=17% VALIGN=TOP >
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<FONT style='color:#FF0000;'>Telephone Number:</FONT></DIV>
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<TD WIDTH=50% VALIGN=TOP >
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<INPUT NAME="Telephone" SIZE="30" >
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<TD WIDTH=17% VALIGN=TOP >
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FAX Number:</DIV>
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<TD WIDTH=50% VALIGN=TOP >
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<INPUT NAME="FAX" SIZE="30" >
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E-mail Address:</DIV>
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<TD WIDTH=50% VALIGN=TOP >
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<INPUT NAME="EMail" SIZE="30" >
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<B>Enter your comments in the space below: </B></DIV>
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<TEXTAREA NAME="Comments" ROWS="6" COLS="60" >
</TEXTAREA> </DIV>
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<B>I prefer to be contacted by: </B></DIV>
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<INPUT TYPE="radio" NAME="PreferredContact" VALUE="E-Mail" >
E-Mail <INPUT TYPE="radio" NAME="PreferredContact" VALUE="Telephone" >
Telephone <INPUT TYPE="radio" NAME="PreferredContact" VALUE="Standard Mail" CHECKED >
Standard Mail </DIV>
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<INPUT TYPE="submit" VALUE="Submit" >
<INPUT TYPE="reset" VALUE="Clear Form" >
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<IMG SRC="crosstar_i000001.jpg" BORDER=0 ALIGN=MIDDLE WIDTH=750 HEIGHT=8 > </DIV>
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<FONT style='color:#000080;font-size:8pt;'>© Copyright 1997 - 2002 CrosStar, LLC. All Rights Reserved. </FONT></DIV>
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