<% keywords="" ProductGroup=0 'Based on EPI warehouse codes Product="" Industry=0 'Based on EPI warehouse codes Author="" 'Page Author Title="Custom LC Column Quote and Information Request" 'Page Title LastUpdate=#06/16/2004# 'Page Last Update Date Country="US" 'Country code, based on codes in cagmisc.mdb Language="EN" 'Language code, based on codes in cagmisc.mdb PageType=30 'Based on list maintained by webmaster NavigationOverride=0 'Include left navigation BodyGraphic="" 'Contains main body graphic with banner shadow ExtraNav="" 'HTML for extra navigation buttons below left navigation LogAccessCode = 505 'enables page to be logged %> Custom LC Column Quote and Information Request

<% Dim TLoginId TLoginID = request.cookies ("AgilentCAG")("loginID") Dim OBJdbCustomers Set OBJdbCustomers = Server.CreateObject("ADODB.Connection") OpenJet OBJdbCustomers, "Customers", "" Dim sSQL if TLoginID <> "" then sSQL = "select GivenName,MiddleInitial,FamilyName,streetaddress,streetdesignator,streetbuildingname,city," & _ " zipcode,state,country,EmailAddress,TelePhoneNumber,Company ,faxNumber, countrycode" & _ " from tblcustomer " & _ " where LoginID = "& TLoginID &" " dim oRs set oRs = OBJdbCustomers.Execute(sSQL) 'Response.Write sSQL dim name,company,streetaddress,city,state,zipcode,telephonenumber,faxnumber,emailaddress if oRs.EOF = false then name = oRS("GivenName") & " " & oRs("MiddleInitial") & " " & oRs("FamilyName") company = oRs("company") streetaddress = oRs("streetaddress") city = oRS("city") state = oRs("state") countrycode = oRs("countrycode") zipcode = oRs("zipcode") telephonenumber = oRS("telePhoneNumber") 'faxnumber emailaddress = oRs("EmailAddress") faxnumber = oRs("faxnumber") end if oRs.Close end if %>

* = Required Field
Name:*
Company:*
Street Address:*
City:*
State/Province:*
Country:	Select Country <% sSQL="SELECT CountryCode, CountryName FROM train..Country order by CountryName" set oRs=OBJdbCustomers.Execute(sSQL) while not oRs.EOF %> " <%if trim(oRs("CountryCode")) = Trim(countrycode) then%> selected <%end if%>><%=oRs("Countryname")%><%=vbCRLF%> <%oRs.movenext wend set oRs =nothing %>
Zip/Postal Code:*
Phone Number:*
Fax Number:
E-Mail Address:*
Preferred method of communication:	Fax Email
Yes, please contact me by email for clarification on this custom column request.
Custom Request Type (select one)
Custom LC Column, no part number (1.0 mm - 4.6 mm ID) Custom Capillary or Nanobore LC Column, no part number (< 1.0 mm ID) Custom Preparative Scale LC Column (9.4 mm - 50 mm ID) Custom Lot # Request (1.0 mm - 4.6 mm ID) Custom Lot # Request (< 1.0 mm ID) Custom Lot # Request (Preparative scale) Other LC Column Related Requests