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<HTML>
<HEAD>
<meta HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=windows-1252">
<meta http-equiv="Content-Language" content="en-us">
<TITLE>Contact Form</TITLE>
</HEAD>
<BODY>
<table border="1" cellspacing="1" width="100%">
<tr>
<td width="69%"><p align="center"><small><small><font face="Arial"><a href="corporate.htm">Corporate</a>
� <a href="index.html">Home</a> � <a href="license.htm">License</a> � <a
href="memory.htm">Memory</a> � <a href="mips.htm">MIPs</a> � <a href="perform.htm">Performance</a>
� <a href="products.htm">Products</a> � <a href="price.htm">Prices</a></font></small></small></td>
<td width="31%"><p align="center">
<img src="images/mesi_logo6.gif"
alt="Mesi_logo6.gif (2951 bytes)" width="187" height="74"></td>
</tr>
</table>
<HR>
<P align="left">
<font size="4">Please use this form to submit your request.</font></P>
<FORM METHOD="POST" action="../_vti_bin/shtml.dll/MESiWeb/contact_form.htm" onSubmit="" webbot-action="--WEBBOT-SELF--">
<!--webbot bot="SaveResults" s-builtin-fields s-form-fields s-email-address="[email protected]" s-email-format="TEXT/PRE" startspan --><input TYPE="hidden" NAME="VTI-GROUP" VALUE="0"><!--webbot bot="SaveResults" endspan i-checksum="43374" --><P>
Please provide the following contact information:</P>
<BLOCKQUOTE>
<TABLE>
<TR>
<TD ALIGN="right">
<EM>Name</EM></TD>
<TD>
<INPUT TYPE=TEXT NAME="Contact_FullName" SIZE=35>
</TD>
</TR>
<TR>
<TD ALIGN="right">
<EM>Organization</EM></TD>
<TD>
<INPUT TYPE=TEXT NAME="Contact_Organization" SIZE=35>
</TD>
</TR>
<TR>
<TD ALIGN="right">
<EM>Street Address</EM></TD>
<TD>
<INPUT TYPE=TEXT NAME="Contact_StreetAddress" SIZE=35>
</TD>
</TR>
<TR>
<TD ALIGN="right">
<EM>Address (cont.)</EM></TD>
<TD>
<INPUT TYPE=TEXT NAME="Contact_Address2" SIZE=35>
</TD>
</TR>
<TR>
<TD ALIGN="right">
<EM>City</EM></TD>
<TD>
<INPUT TYPE=TEXT NAME="Contact_City" SIZE=35>
</TD>
</TR>
<TR>
<TD ALIGN="right">
<EM>State/Province</EM></TD>
<TD>
<INPUT TYPE=TEXT NAME="Contact_State" SIZE=35>
</TD>
</TR>
<TR>
<TD ALIGN="right">
<EM>Zip/Postal Code</EM></TD>
<TD>
<INPUT TYPE=TEXT NAME="Contact_ZipCode" SIZE=12 MAXLENGTH=12>
</TD>
</TR>
<TR>
<TD ALIGN="right">
<EM>Country</EM></TD>
<TD>
<INPUT TYPE=TEXT NAME="Contact_Country" SIZE=25>
</TD>
</TR>
<TR>
<TD ALIGN="right">
<EM>Work Phone</EM></TD>
<TD>
<INPUT TYPE=TEXT NAME="Contact_WorkPhone" SIZE=25 MAXLENGTH=25>
</TD>
</TR>
<TR>
<TD ALIGN="right">
<EM>FAX</EM></TD>
<TD>
<INPUT TYPE=TEXT NAME="Contact_FAX" SIZE=25 MAXLENGTH=25>
</TD>
</TR>
<TR>
<TD ALIGN="right">
<EM>E-mail</EM></TD>
<TD>
<INPUT TYPE=TEXT NAME="Contact_Email" SIZE=25>
</TD>
</TR>
</TABLE>
</BLOCKQUOTE>
<P>
Select any of the following options that apply:</P>
<BLOCKQUOTE>
<P>
<INPUT TYPE=CHECKBOX NAME="Option_Price" value="ON">
Price<BR>
<INPUT TYPE=CHECKBOX NAME="Option_Availability" value="ON">
Availability<BR>
<INPUT TYPE=CHECKBOX NAME="Option_More Information" value="ON">
More Information<BR>
</P>
</BLOCKQUOTE>
<P>
Please enter any requests or comments.</P>
<BLOCKQUOTE>
<P>
<TEXTAREA NAME="user input" ROWS=5 COLS=35></TEXTAREA>
<BR>
</P>
</BLOCKQUOTE>
<INPUT TYPE=SUBMIT VALUE="Submit Form">
<INPUT TYPE=RESET VALUE="Reset Form">
</FORM>
<HR>
<H5>
Copyright � 2003 MESi. All rights reserved. <BR>
Revised:
<!--WEBBOT BOT=TimeStamp
S-Type="EDITED"
S-Format="%m/%d/%y" startspan
-->12/15/09<!--webbot bot="TimeStamp" i-checksum="13449" endspan --></H5>
</BODY>
</HTML>