<% '/=======================================================> '/ Signup Server Sample Page 01 '/ Modified by Edward C Kubaitis '/ Rev .07 9/98 '/ Rev .06 6/98 '/=======================================================> '/=======================================================> '/ Build the NEXT BACKURL '/=======================================================> NEXTURL = "http://myserver/signup02.asp" %> IEAK Sample

First Name
 Last Name
Company
Address
Additional Address Information (Optional)
City
State or province
ZIP or postal code
 Phone number