Engineering Survey Page<title> <meta content="l, default" name="Microsoft Border" /> <style type="text/css"> .auto-style8 { font-size: medium; } .auto-style10 { font-family: Arial, Helvetica, sans-serif; } .auto-style11 { font-size: small; } .auto-style12 { font-family: Arial, Helvetica, sans-serif; color: #FF0000; } .auto-style42 { font-family: Arial, Helvetica, sans-serif; font-size: small; color: #FF0000; } </style> </head> <body> <p> <font size="1" color="#000000"> <span lang="en-us"> <strong> <img alt="" height="200" src="engineers.jpg" width="300" class="auto-style10"></strong></span></font></p> <p><strong><font class="auto-style11" size="1"><span class="auto-style10">LM76 wants to be your linear motion engineering source and vendor.</span><br class="auto-style10" /> <span class="auto-style10">Let us know what you need and what you expect.</span></font></strong></p> <p> <font size="1" color="#000000" class="auto-style10"> <span lang="en-us"> <strong> <span class="auto-style8">Design/Manufacturing Engineering <br /> Fill-out our survey and get a copy <br /> of our latest engineering solution white paper</span></strong></span></font></p> <p class="auto-style12"><strong>Comments</strong></p> <form action="--WEBBOT-SELF--" method="post">  <br class="auto-style10" /> <br class="auto-style10" /> <span class="auto-style10"><strong>First Name </strong></span><strong> <input class="auto-style10" name="FName" type="text" /><br class="auto-style10" /> </strong><span class="auto-style10"><strong>Last Name </strong></span> <strong><input class="auto-style10" name="Text2" type="text" /><br class="auto-style10" /> </strong><span class="auto-style10"><strong>Company </strong></span><strong> <input class="auto-style10" name="Text3" type="text" /><br class="auto-style10" /> </strong><span class="auto-style10"><strong>Email </strong></span><strong> <input class="auto-style10" name="Email" type="text" /><br class="auto-style10" /> </strong><br class="auto-style10" /> <span class="auto-style10"><strong>Your Position</strong></span><br class="auto-style10" /> <br class="auto-style10" /> <select class="auto-style10" name="Select1" style="width: 255px; height: 0px"> <option>Design Engineer</option> <option>Quality Engineer</option> <option>Manufacturing Engineer</option> <option>Electrical Engineer</option> </select><br class="auto-style10" /> <br class="auto-style10" /> <span class="auto-style10"><strong>What linear product(s) do you have questions about:</strong></span><br class="auto-style10" /> <br class="auto-style10" /> <select class="auto-style10" name="Products" style="width: 246px; height: 15px"> <option>Sleeve-Style Linear Bearings</option> <option>All the Above</option> <option>Linear Ball Bearings</option> <option>Linear Shafting</option> <option>Linear Slides</option> <option>Belt Actuators</option> <option>Linear Actuators</option> </select><br /> <br class="auto-style10" /> <span class="auto-style10"><strong>When will you be starting your next new product design?</strong></span><br class="auto-style10" /> <br class="auto-style10" /> <select class="auto-style10" name="Select3" style="width: 244px"> <option>0-3 weeks</option> <option>4-12 weeks</option> <option>3-6 months</option> <option>6 months to 1 year</option> </select><br class="auto-style10" /> <br class="auto-style10" /> <span class="auto-style10"><strong>Would you like any of the following support items?</strong></span><br /> <br /> <select name="Select4" style="width: 233px"> <option>Catalogs</option> <option>Cad Files</option> <option>Samples</option> <option>Engineering Visit</option> </select><br /> <br /> <span class="auto-style42">LM76 seeks to be your linear supplier. Call Mike Quinn with any questions @ 1-800-513-3163 Cell: 617-538-8756</span><br /> <br /> <input name="Submit1" type="submit" value="submit" /></form> <p> </p> </body> </html>