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<H1><FONT COLOR = '#00B5EF'>Hexagon Metrology Newsletter Subscription Form</FONT></H1>

<p>Fill out the following form to subscribe to the Hexagon Metrology newsletter,
<i>Points of Interest</i>.
The newsletter will be sent to the email address provided.</p>
<p><b>Note: </b>You do not need to subscribe if you are already a registered user to the
WAI website and have already elected to receive the newsletter through that registration form.</p>

<p><font color = 'red'><b>Important: </b></font>Please ensure that your spam or
email blockers accept the email address of webmaster@wilcoxassoc.com.</p>

<p>(Fields in red are required.)<form method='post' action='nl_subscribe.pl'></p>
<table cellpadding='5'>
<tr>
	<td valign = 'top'>
	<p><input type='text' name='txtName1'><font color='#CC0000'>First Name</font></p>
	<p><input type='text' name='txtName2'><font color='#CC0000'>Last Name</font></p>
	<p><input type='text' name='txtEmail'><font color='#CC0000'>Email</font></p>
	<p><input type='text' name='txtEmail2'><font color='#CC0000'>Retype Email</font></p>
	<p><input type='text' name='txtCompany'>Company Name</p>
	<p><input type='text' name='txtPosition'>Job Position</p>
	</td>
	<td valign = 'top'>
	<p><input type='text' name='txtAddress'>Street Address</p>
	<p><input type='text' name='txtCity'>City</p>
	<p><input type='text' name='txtState'>State/Province</p>
	<p><input type='text' name='txtZip'>Zip/Postal Code</p>
	<p><input type='text' name='txtCountry'>Country</p>

	<p><input type='text' name='txtPhone'>Phone Number</p>
	<p>
	</td>
</tr>
<tr>
<td colspan="2">
<CENTER>
	<input type='submit' name='Submit' value='Subscribe'>
	<input type='reset' name='Subscription' value='Clear'>
	<input type='button' name='btnCloseWindow' value='Close' onClick="window.close();"></p>
</CENTER>
</td>
</tr>
</table>
<center>
</center>
</form>
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