Connect Microsoft Registration Form

ConnectMicrosoftRegistrationForm.html

<div style="width: 100%; padding-top: 10px;">
	            <div id="ctl00_LeftColumn" class="LeftColumn">		        
		            
                    
	            </div>
		        <div id="ctl00_ContentPane" class="ContentPaneWithinConnection">
			        
			        
                    
    <div class="metro">
        <h1>Office 2016 Preview (for Business) Profile</h1>
        <p></p>
        <h2></h2>
        <p></p>
        <div><span style="color: red;">*</span> Indicates a required field.<div class="ClearBoth"></div><div class="survey-label"><h4><span>
<p><img src="/SiteImages/bd058582-fe20-4708-8c77-861c19e28666.png" alt="" style="float:right"></p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
<div class="x_x_x_x_x_x_x_x_WordSection1">
<p class="x_x_x_x_x_x_x_x_MsoNormal" style="margin-bottom:0pt; line-height:normal">
<span style="font-family:&quot;Segoe UI&quot;,sans-serif"><span style="font-family:verdana,geneva"><span style="font-size:small">This program is intended for Businesses only.&nbsp;&nbsp;You should complete the information below
<strong>only</strong> if you plan on participating with an Office 365, Visio or Project subscription.&nbsp;</span></span></span></p>
</div>
</span></h4><div class="body"></div></div><div class="ClearBoth"></div><div><h4><label for="ctl00_MasterBody_SurveyQuestions_CustomForm195589"><p>1. Company Name<span style="color: red;">*</span></p></label></h4><div class="body"><input name="ctl00$MasterBody$SurveyQuestions$CustomForm195589" maxlength="100" id="ctl00_MasterBody_SurveyQuestions_CustomForm195589" class="survey-input" type="text"></div></div><div class="ClearBoth"></div><div><h4><label for="ctl00_MasterBody_SurveyQuestions_CustomForm195590"><p>2. First Name<span style="color: red;">*</span></p></label></h4><div class="body"><input name="ctl00$MasterBody$SurveyQuestions$CustomForm195590" maxlength="50" id="ctl00_MasterBody_SurveyQuestions_CustomForm195590" class="survey-input" type="text"></div></div><div class="ClearBoth"></div><div><h4><label for="ctl00_MasterBody_SurveyQuestions_CustomForm195591"><p>3. <span style="font-family:verdana,geneva">Last Name</span><span style="color: red;">*</span></p></label></h4><div class="body"><input name="ctl00$MasterBody$SurveyQuestions$CustomForm195591" maxlength="50" id="ctl00_MasterBody_SurveyQuestions_CustomForm195591" class="survey-input" type="text"></div></div><div class="ClearBoth"></div><div><h4><label for="ctl00_MasterBody_SurveyQuestions_CustomForm195592"><p>4. <span style="font-family:verdana,geneva">Email Address (Please list the best address to follow up with you on your company's interest)</span><span style="color: red;">*</span></p></label></h4><div class="body"><input name="ctl00$MasterBody$SurveyQuestions$CustomForm195592" maxlength="50" id="ctl00_MasterBody_SurveyQuestions_CustomForm195592" class="survey-input" type="text"></div></div><div class="ClearBoth"></div><div><h4><label for="ctl00_MasterBody_SurveyQuestions_CustomForm195593"><p>5. Country<span style="color: red;">*</span></p></label></h4><div class="body"><select name="ctl00$MasterBody$SurveyQuestions$CustomForm195593" id="ctl00_MasterBody_SurveyQuestions_CustomForm195593" class="survey-input">
	<option value=""></option>
	<option value="Algeria">Algeria</option>
	<option value="Argentina">Argentina</option>
	<option value="Asia Pacific HQ">Asia Pacific HQ</option>
	<option value="Australia">Australia</option>
	<option value="Austria">Austria</option>
	<option value="Azerbaijan">Azerbaijan</option>
	<option value="Bahrain">Bahrain</option>
	<option value="Belarus">Belarus</option>
	<option value="Belgium">Belgium</option>
	<option value="Bolivia">Bolivia</option>
	<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
	<option value="Brazil">Brazil</option>
	<option value="Bulgaria">Bulgaria</option>
	<option value="Brunei">Brunei</option>
	<option value="Canada">Canada</option>
	<option value="Caribbean">Caribbean</option>
	<option value="Chile">Chile</option>
	<option value="China">China</option>
	<option value="Colombia">Colombia</option>
	<option value="Costa Rica">Costa Rica</option>
	<option value="Croatia">Croatia</option>
	<option value="Cyprus">Cyprus</option>
	<option value="Czech Republic">Czech Republic</option>
	<option value="Denmark">Denmark</option>
	<option value="Dominican Republic">Dominican Republic</option>
	<option value="Ecuador">Ecuador</option>
	<option value="Egypt">Egypt</option>
	<option value="El Salvador">El Salvador</option>
	<option value="Estonia">Estonia</option>
	<option value="Europe">Europe</option>
	<option value="Figi">Figi</option>
	<option value="Finland">Finland</option>
	<option value="France">France</option>
	<option value="Germany">Germany</option>
	<option value="Greece">Greece</option>
	<option value="Guatemala">Guatemala</option>
	<option value="Gulf">Gulf</option>
	<option value="Honduras">Honduras</option>
	<option value="Hong Kong SAR">Hong Kong SAR</option>
	<option value="Hungary">Hungary</option>
	<option value="Iceland">Iceland</option>
	<option value="India">India</option>
	<option value="Indonesia">Indonesia</option>
	<option value="Ireland">Ireland</option>
	<option value="Israel">Israel</option>
	<option value="Italy">Italy</option>
	<option value="Jamaica">Jamaica</option>
	<option value="Japan">Japan</option>
	<option value="Jordan">Jordan</option>
	<option value="Korea">Korea</option>
	<option value="Kazakhstan">Kazakhstan</option>
	<option value="Kuwait">Kuwait</option>
	<option value="Latin America">Latin America</option>
	<option value="Latvia">Latvia</option>
	<option value="Lebanon">Lebanon</option>
	<option value="Lithuania">Lithuania</option>
	<option value="Luxembourg">Luxembourg</option>
	<option value="Macedonia, FYRO">Macedonia, FYRO</option>
	<option value="Malaysia">Malaysia</option>
	<option value="Malta">Malta</option>
	<option value="Mexico">Mexico</option>
	<option value="Middle East">Middle East</option>
	<option value="Montenegro">Montenegro</option>
	<option value="Moldova">Moldova</option>
	<option value="Netherlands">Netherlands</option>
	<option value="New Zealand">New Zealand</option>
	<option value="Nigeria">Nigeria</option>
	<option value="North Africa">North Africa</option>
	<option value="Norway">Norway</option>
	<option value="Panama">Panama</option>
	<option value="Oman">Oman</option>
	<option value="Pakistan">Pakistan</option>
	<option value="Paraguay">Paraguay</option>
	<option value="Peru">Peru</option>
	<option value="Philippines">Philippines</option>
	<option value="Poland">Poland</option>
	<option value="Portugal">Portugal</option>
	<option value="Puerto Rico">Puerto Rico</option>
	<option value="Qatar">Qatar</option>
	<option value="Romania">Romania</option>
	<option value="Russia">Russia</option>
	<option value="Saudi Arabia">Saudi Arabia</option>
	<option value="Serbia and Montenegro">Serbia and Montenegro</option>
	<option value="Singapore">Singapore</option>
	<option value="Slovakia">Slovakia</option>
	<option value="Slovenia">Slovenia</option>
	<option value="South Africa">South Africa</option>
	<option value="Spain">Spain</option>
	<option value="Sri Lanka">Sri Lanka</option>
	<option value="Sweden">Sweden</option>
	<option value="Switzerland">Switzerland</option>
	<option value="Taiwan">Taiwan</option>
	<option value="Thailand">Thailand</option>
	<option value="Trinidad and Tobago">Trinidad and Tobago</option>
	<option value="Tunisia">Tunisia</option>
	<option value="Turkey">Turkey</option>
	<option value="United Arab Emirates">United Arab Emirates</option>
	<option value="Ukraine">Ukraine</option>
	<option value="United Kingdom">United Kingdom</option>
	<option value="United States">United States</option>
	<option value="Uruguay">Uruguay</option>
	<option value="Venezuela">Venezuela</option>
	<option value="Vietnam">Vietnam</option>

</select></div></div><div class="ClearBoth"></div><div><h4><label for="ctl00_MasterBody_SurveyQuestions_CustomForm195594"><p>6. Number of Employees<span style="color: red;">*</span></p></label></h4><div class="body"><input name="ctl00$MasterBody$SurveyQuestions$CustomForm195594" id="ctl00_MasterBody_SurveyQuestions_CustomForm195594" class="survey-input" type="text"></div></div><div class="ClearBoth"></div><div><h4><label for="ctl00_MasterBody_SurveyQuestions_CustomForm195595"><p>7. What Industry best describes your company?<span style="color: red;">*</span></p></label></h4><div class="body"><select name="ctl00$MasterBody$SurveyQuestions$CustomForm195595" id="ctl00_MasterBody_SurveyQuestions_CustomForm195595" class="survey-input">
	<option value=""></option>
	<option value="Agriculture, Mining and Fishing">Agriculture, Mining and Fishing</option>
	<option value="Communications and Telecom">Communications and Telecom</option>
	<option value="Education">Education</option>
	<option value="Energy and Utilities">Energy and Utilities</option>
	<option value="Financial Srvcs, Insurance, or Real Estate">Financial Srvcs, Insurance, or Real Estate</option>
	<option value="Government, Military">Government, Military</option>
	<option value="Healthcare">Healthcare</option>
	<option value="Manufacturing">Manufacturing</option>
	<option value="Non-Profit">Non-Profit</option>
	<option value="Professional Services">Professional Services</option>
	<option value="Public Sector">Public Sector</option>
	<option value="Retail">Retail</option>
	<option value="Software">Software</option>
	<option value="Transportation and Construction">Transportation and Construction</option>
	<option value="Other">Other</option>

</select></div></div><div class="ClearBoth"></div><div><h4><label for="ctl00_MasterBody_SurveyQuestions_CustomForm195596"><p>8. Are you a Microsoft Partner (OEM, ISV, IT, SI)<span style="color: red;">*</span></p></label></h4><div class="body"><select name="ctl00$MasterBody$SurveyQuestions$CustomForm195596" id="ctl00_MasterBody_SurveyQuestions_CustomForm195596" class="survey-input">
	<option value=""></option>
	<option value="Yes">Yes</option>
	<option value="No">No</option>
	<option value="I don't know">I don't know</option>

</select></div></div><div class="ClearBoth"></div><div><h4><label for="ctl00_MasterBody_SurveyQuestions_CustomForm195777">9. <div class="x_x_WordSection1"><p class="x_x_MsoNormal" style="margin-bottom:0pt; line-height:normal"><span style="font-size:10pt; font-family:&quot;Segoe UI&quot;,sans-serif; color:black">&nbsp;I would like to be contacted to participate in future Office Pre-Release Programs</span></p></div><span style="color: red;">*</span></label></h4><div class="body"><select name="ctl00$MasterBody$SurveyQuestions$CustomForm195777" id="ctl00_MasterBody_SurveyQuestions_CustomForm195777" class="survey-input">
	<option value=""></option>
	<option value="Yes">Yes</option>
	<option value="No">No</option>
	<option value="I don't know">I don't know</option>

</select></div></div></div>
         <div class="strip right">
             <input name="ctl00$MasterBody$btnCancel" value="Cancel" onclick="javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions(&quot;ctl00$MasterBody$btnCancel&quot;, &quot;&quot;, true, &quot;&quot;, &quot;&quot;, false, false))" id="ctl00_MasterBody_btnCancel" class="button" type="submit">
             <input name="ctl00$MasterBody$btnSubmit" value="Submit" onclick="javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions(&quot;ctl00$MasterBody$btnSubmit&quot;, &quot;&quot;, true, &quot;&quot;, &quot;&quot;, false, false))" id="ctl00_MasterBody_btnSubmit" class="button default" type="submit">
        </div>
        <div id="survey-submission-alert" class="survey-notice">
            </div>
    </div>

		        </div>

                <div class="ClearBoth"></div>
            </div>