Lambert Corporation - New Curber Application

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=49 BGCOLOR="#000000" TEXT="#F7F7FF" bgproperties="fixed" background="61500341dvldtc.jpg"> <div> <B> </B><FONT SIZE="5" COLOR="#FFFFFF" FACE="Times New Roman" ><B>Lambert Corporation</B></FONT><B> <style type="text/css">  </style>                               </B><A HREF="http://www.lambertusa.com" TARGET="_top" TITLE="http://www.lambertusa.com"><B><IMG SRC="1853b150.png" border=0 width="59" height="21" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=135 BGCOLOR="#EEEEEE" TEXT="#080000" bgproperties="fixed" background="61187b72eesboc.jpg"> <div> <B><script Webstyle4 src="leftsidemenu.js"></script></B></div> <bR> </td> <td valign="top" height=431 width="100%" BGCOLOR="#EEEEEE" TEXT="#080000"> <div> <B>LANDSCAPE CURBING INFORMATION REQUEST</B></div> <div> <B>AND/OR ACCOUNT APPLICATION</B></div> <div> <B> <META HTTP-EQUIV="imagetoolbar" CONTENT="no"> <script language="JavaScript1.2"> /* Disable right click script II (on images)- By Dynamicdrive.com For full source, Terms of service, and 100s DTHML scripts Visit http://www.dynamicdrive.com */ var clickmessage="Please do not take images!" function disableclick(e) { if (document.all) { if (event.button==2||event.button==3) { if (event.srcElement.tagName=="IMG"){ alert(clickmessage); return false; } } } else if (document.layers) { if (e.which == 3) { alert(clickmessage); return false; } } else if (document.getElementById){ if (e.which==3&&e.target.tagName=="IMG"){ alert(clickmessage) return false } } } function associateimages(){ for(i=0;i<document.images.length;i++) document.images[i].onmousedown=disableclick; } if (document.all) document.onmousedown=disableclick else if (document.getElementById) document.onmouseup=disableclick else if (document.layers) associateimages() </script>  </B><FONT SIZE="5" COLOR="#000000" FACE="Arial" ><B> <style type="text/css"> input:focus { background-color: #FFFFCC } textarea:focus { background-color: #FFFFCC } </style>  </B></FONT><FONT SIZE="2" COLOR="#000000" FACE="Arial" > <script type="text/javascript"> /*********************************************** * Disable "Enter" key in Form script- By Nurul Fadilah(nurul@REMOVETHISvolmedia.com) * This notice must stay intact for use * Visit http://www.dynamicdrive.com/ for full source code ***********************************************/ function handleEnter (field, event) { var keyCode = event.keyCode ? event.keyCode : event.which ? event.which : event.charCode; if (keyCode == 13) { var i; for (i = 0; i < field.form.elements.length; i++) if (field == field.form.elements[i]) break; i = (i + 1) % field.form.elements.length; field.form.elements[i].focus(); return false; } else return true; } </script>  </FONT></div> <bR> <bR> <div> <B>Lambert Corporation sells products through a distributor network. </B><B>We ship nationally coast-to-coast and internationally via a freight forwarder of your choice.  </B><FONT SIZE="2" COLOR="#990000" FACE="Arial" ><B>Though we usually do not sell directly to contractors, exceptions have been made in areas that do not have a local distributor available and other specific limited situations.  </B></FONT></div> <bR> <div> <B>Please complete the form below and submit it to our office for review.  </B></div> <div> In order to determine if you have a local distributor available or qualify to purchase your products directly from Lambert Corporation, we need some basic information from you. Once we have the form, <FONT SIZE="2" COLOR="#990000" FACE="Arial" ><B>one of our representatives will contact you by phone or email to relay options (available local distributors, opening an account, or freight calculations, etc).</B></FONT><B>  During the peak curbing season, we try to respond within a business week during our regular business hours.  </B></div> <bR> <div> <B>Please read the questions & answers below.  Usually this </B><B>is faster than asking them on the phone.</B><B> </B></div> <div> <B>(</B><A HREF="text.htm" TARGET="_top" TITLE="Curbing accounts Frequently Asked Quest"><B>Click here to see them in a new large window and/or to print them</B></A><B>)  </B></div> <bR> <bR> <div> <B> <iframe name="FRAME1" src="text.htm" width="598" height="120" style="border: 5 solid #990000" ></iframe>  </B></div> <bR> <bR> <bR> <div> <TABLE BORDER="0" CELLPADDING="2" CELLSPACING="4" WIDTH="573" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 77 WIDTH="561"><div> <A HREF="http://www.lilbubbabiz.com/" TARGET="_blank" TITLE="http://www.lilbubbabiz.com/"><B><IMG SRC="4b6574d0.jpg" border=0 width="87" height="77" ALIGN="RIGHT" HSPACE="0" VSPACE="0"></B></A><B>Do you use a Lil' Bubba curb machine?</B></div> <div> <B>You must contact one of our distributors or </B><A HREF="http://www.lilbubbabiz.com/" TARGET="_blank" TITLE="http://www.lilbubbabiz.com/"><B>The Concrete Edge</B></A><B> to purchase Lambco Color</B>©<B>, dry integral color (mix-in) for concrete.  They are your source for materials, equipment and technical support.</B></div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="1" CELLPADDING="2" CELLSPACING="0" WIDTH="597" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="NONE" HSPACE="0" VSPACE="0" BGCOLOR=#EEEEEE > <tR> <tD VALIGN=TOP COLSPAN=2 HEIGHT= 113 WIDTH="585"><div> <B>THE FORM BELOW IS ONLY FOR USE BY LANDSCAPE CURBERS.</B></div> <div> <B>IF YOU ARE A CONTRACTOR, BUT NOT IN THE CURBING/EDGING BUSINESS, PLEASE CONTACT LAMBERT USING </B><A HREF="thanks.htm" TARGET="_top" TITLE="Thank you for sending a form."><B>THIS FORM</B></A><B>.</B></div> <div> <I><B> <form action="/ufm2/mailit.php?cid=222" method="post" enctype="multipart/form-data" name="form2" onKeyUp="highlight(event)" onClick="highlight(event)">  </B></I></div> <div> <I><B>Privacy Statement:  </B></I><I>Data you input is considered private and confidential.  We do not sell or give information to any third party. Information is kept in our database only if needed for your account.</I></div> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 BGCOLOR=#FFFF00 HEIGHT= 14 ><NOBR><div> <B><IMG SRC="79309090.gif" border=0 width="9" height="9" ALIGN="BOTTOM" HSPACE="0" VSPACE="0">   THESE ARE REQUIRED FIELDS.   This form will not process without this information!</B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 ><NOBR><div> <B>Your Name:   </B><FONT SIZE="1" COLOR="#000000" FACE="Verdana" ><B><IMG SRC="79309090.gif" border=0 width="9" height="9" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></FONT><B>              </B><FONT SIZE="1" COLOR="#800000" FACE="Verdana" ><I><B>(REQUIRED)</B></I></FONT></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="340"><div>  <input name="name" type="text" id="name" size="20" maxlength="30" onkeypress="return handleEnter(this, event)">  </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 WIDTH="245"><div> <B>Business Name: </B></div> </tD> <tD VALIGN=TOP WIDTH="340"><div>  <input name="company" type="text" id="company" size="40" maxlength="80" onkeypress="return handleEnter(this, event)">  </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 ><NOBR><div> <B>Email:     </B><FONT SIZE="1" COLOR="#000000" FACE="Verdana" ><B><IMG SRC="79309090.gif" border=0 width="9" height="9" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></FONT><B>                        </B><FONT SIZE="1" COLOR="#800000" FACE="Verdana" ><I><B>(REQUIRED)</B></I></FONT></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="340"><div>  <input name="email" type="text" id="email" size="30" maxlength="60" onkeypress="return handleEnter(this, event)">  </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 WIDTH="245"><div> <B>Cell Phone:</B></div> </tD> <tD VALIGN=TOP WIDTH="340"><div>  <input name="cell_phone" type="text" id="business_phone" size="20" maxlength="20" onkeypress="return handleEnter(this, event)">  </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 WIDTH="245"><div> <B>Business Phone:</B></div> </tD> <tD VALIGN=TOP WIDTH="340"><div>  <input name="business_phone" type="text" id="business_phone" size="20" maxlength="20" onkeypress="return handleEnter(this, event)">  </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 WIDTH="245"><div> <B>Home Phone:</B></div> </tD> <tD VALIGN=TOP WIDTH="340"><div>  <input name="home_phone" type="text" id="business_phone" size="20" maxlength="20" onkeypress="return handleEnter(this, event)">  </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 50 ><NOBR><div> <B>Phone number(s):  </B></div> <div>  (Can list more than one, but note</div> <div>  here which is most important/primary)</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="340"><div>  <textarea name="phone_primary" cols="35" rows="4" wrap="VIRTUAL" onkeypress="return handleEnter(this, event)"></textarea>  </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 16 WIDTH="245"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="245" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="340"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="340" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 ><NOBR><div> <B>PHYSICAL BUSINESS ADDRESS:</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="340"><div>  <textarea name="physical_address" cols="35" rows="6" wrap="VIRTUAL"></textarea>  </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 32 ><NOBR><div> <B>BILLING ADDRESS:</B></div> <div>  (if different than the physical address)</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="340"><div>  <textarea name="billing_address" cols="35" rows="6" wrap="VIRTUAL"></textarea>  </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 32 ><NOBR><div> <B>SHIPPING ADDRESS:</B></div> <div>  (if different than the physical address)</div> </NOBR></tD> <tD VALIGN=TOP WIDTH="340"><div>  <textarea name="shipping_address" cols="35" rows="6" wrap="VIRTUAL" ></textarea>  </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 16 WIDTH="245"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="245" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="340"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="340" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 33 WIDTH="245"><div> <B>Is your business address your home address?</B></div> </tD> <tD VALIGN=TOP WIDTH="340"><div>  <input type="radio" Name=home_add_is_bus_add value="y" checked>   YES        <input type="radio" Name=home_add_is_bus_add value="n">  NO</div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 16 WIDTH="245"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="245" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="340"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="340" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 33 WIDTH="245"><div> <B>Is your shipping address your residential or commercial?</B></div> </tD> <tD VALIGN=TOP WIDTH="340"><div>  <input type="radio" Name=fesidential_ship_add value="y" checked>  RESIDENTIAL       <input type="radio" Name=residential_ship_add value="n">  COMMERCIAL</div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 16 WIDTH="245"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="245" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="340"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="340" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 35 ><NOBR><div> <B>Nearest large city:</B></div> <div> <B> </B><FONT SIZE="1" COLOR="#000000" FACE="Verdana" >(for locating freight terminal closest to you) </FONT></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="340"><div>  <input name="large_city" type="text" id="large_city" size="40" maxlength="40" onkeypress="return handleEnter(this, event)">  </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 16 WIDTH="245"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="245" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="340"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="340" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 64 ><NOBR><div> <B>Reason for completing this form:</B></div> <div> (Choose subject and explain if necessary)</div> <bR> <bR> </NOBR></tD> <tD VALIGN=TOP WIDTH="340"><div>  <select name="subject" size="1"> <option value="Choose One Please">PLEASE CHOOSE A SUBJECT </option> <option value="Locate a distributor in my area">Locate a distributor in my area </option> <option value="Would like to open an account">Would like to open an account </option> <option value="Contact me about my existing acount">Contact me about my existing acount </option> <option value="Mail Integral Color Chart">Mail - Mix-In (Integral) Color Chart </option> <option value="Mail Surface Color Chart">Mail - Surface applied Color Chart </option> <option value="Mail Both Color Charts">Mail - Both Color Charts </option> <option value="Mail/Fax Other Literature">Mail/Fax - Other Literature (describe below) </option> <option value="Product Question">Product Question </option> <option value="Technical Question">Technical Question </option> <option value="General Comment / Other">General Comment/Other </option> </select>  </div> <div>  <textarea name="subject_more" cols="35" rows="5" wrap="VIRTUAL"></textarea>  </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 16 WIDTH="245"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="245" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="340"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="340" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 ><NOBR><div> <B>Curbing Equipment type: </B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="340"><div>  <select name="equipment" size="1"> <option value="--">What equipment do you use? </option> <option value="New Edgemaster equipment from Kwik Kerb">New Edgemaster equipment from Kwik Kerb</option> <option value="New Edgemaster equipment from Curb World">New Edgemaster equipment from Curb World</option> <option value="New Edgemaster equipment from other source">New Edgemaster equipment from other source</option> <option value="Used Edgemaster equip">Used Edgemaster equipment</option> <option value="Lil' Bubba-Ineligible">Lil Bubba</option> <option value="Curbmate">Curbmate</option> <option value="Curb-King">Curb-King</option> <option value="Borderline">Borderline</option> <option value="Tygar">Tygar</option> <option value="Other Curbing Style">Other Curbing equipment</option> </select>  </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 WIDTH="245"><div> <B>Kwik Kerb customers:</B></div> </tD> <tD VALIGN=TOP WIDTH="340"><div>  <select name="kwik" size="1"> <option value="--">What type of Kwik Kerb account do you have: </option> <option value="Kwik Kerb Business System Owner">Kwik Kerb Business System Owner </option> <option value="New equipment and 1 day class">New equipment and 1 day class </option> </select>  </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 ><NOBR><div> <B>Type of color to be used:</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="340"><div>  <select name="color" size="1"> <option value="--">Which type of color will you need? </option> <option value="Integral mix in">Integral (mixed throughout the concrete) </option> <option value="Surface/Dust-on">Surface (dusted on or slurry, etc) </option> <option value="Both Integral and Surface">Both Integral and Surface Colors </option> </select>  </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 18 ><NOBR><div> <B>Referred by/</B><B>how you heard of us</B><B>:</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="340"><div>  <textarea name="referred_by" cols="35" rows="4" wrap="VIRTUAL"></textarea>  </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 16 WIDTH="245"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="245" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="340"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="340" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 35 ><NOBR><div> <B>CUSTOMER ACCOUNT NUMBER:</B></div> <div> <B>  </B><FONT SIZE="1" COLOR="#000000" FACE="Verdana" >(if you already have an account with us)</FONT></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="340"><div>  <input name="custno" type="text" id="custno" size="20" maxlength="20" onkeypress="return handleEnter(this, event)">  </div> </tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 16 WIDTH="245"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="245" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=TOP WIDTH="340"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="16" ALIGN="bottom" WIDTH="340" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 HEIGHT= 16 WIDTH="585"><div> <B>COMMENTS:    </B></div> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 HEIGHT= 70 WIDTH="585"><div> If your situation is not described above, or you have questions not answered in the Frequently Asked Questions inset, or any additional comments please note them.</div> <bR> <DIV ALIGN="LEFT"></DIV> <div> <B>Do NOT include credit card information on this form!</B></div> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 HEIGHT= 32 WIDTH="585"><bR> <div>  <textarea name="message" cols="60" rows="15" wrap="VIRTUAL"></textarea>  </div> </tD> </tR> <tR> <tD VALIGN=TOP COLSPAN=2 HEIGHT= 74 ><NOBR><bR> <bR> <div> <B>Note: If the form is not complete, it will delay the review process!</B></div> <bR> </NOBR></tD> </tR> </TABLE></div> <div> <TABLE BORDER="0" CELLPADDING="2" CELLSPACING="1" WIDTH="596" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 81 ><NOBR><div>  <input name="token" value="d3465214ecd69c91f20b1958375c3d39" type="hidden" /><input type="submit" name="Submit" value="Submit"> <INPUT TYPE="reset"> </form>  </div> <div> <B>THANK YOU FOR YOUR INTEREST IN LAMBERT PRODUCTS!</B></div> <bR> <div> <A HREF="id143.htm" TARGET="_top" TITLE="Lambert Curbing">curbing page with links to most used products</A> </div> </NOBR></tD> </tR> </TABLE></div> <div>  </div> <bR> <div> <A HREF="http://www.lambertusa.com/id11.htm" TARGET="_top" TITLE="http://www.lambertusa.com/id11.htm">Product list by Type</A> | <A HREF="http://www.lambertusa.com/resource/id19.htm" TARGET="_top" TITLE="http://www.lambertusa.com/resource/id19.">F.A.Q</A> | <A HREF="http://www.lambertusa.com/id7.htm" TARGET="_top" TITLE="http://www.lambertusa.com/id7.htm">Contact Lambert</A> | <A HREF="http://www.lambertusa.com/resource/" TARGET="_top" TITLE="http://www.lambertusa.com/resource/">Resource Center</A> | <A HREF="http://www.lambertusa.com/prosoco.htm" TARGET="_top" TITLE="http://www.lambertusa.com/prosoco.htm">Prosoco Products</A> | <A HREF="http://www.lambertusa.com/id143.htm" TARGET="_top" TITLE="http://www.lambertusa.com/id143.htm">Curbing</A> | </div> <div> ©2001-2008 Lambert Corporation - All rights reserved<FONT SIZE="2" COLOR="#000000" FACE="Arial" >.</FONT></div> </td> </tr></table></body>