<?xml version="1.0" encoding="ISO-8859-1"?><page><header xmlns:jx="http://apache.org/cocoon/templates/jx/1.0">
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    <title>Service Request</title>
    <breadcrumb xmlns="http://www.w3.org/1999/xhtml"><span>You are on: </span><span class="breadcrumbs"><a href="../index.html">Home</a> | <span class="breadcrumbActive">Service Request</span></span></breadcrumb>
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      <span style="float:right;"><img src="../images/servicerequest_32.png" title="Service Request" alt="Service Request" width="32" height="32"/></span><h1>Service Request</h1>
      <br/>
          <form-content xmlns:fi="http://apache.org/cocoon/forms/1.0#instance">
            <form xmlns="" action="submitform" method="post" state="active" onsubmit="forms_onsubmit(); "><div><input name="forms_submit_id" type="hidden"/></div>
            <div style="display: none;"><input value="6c6a0c4415482f527f34464255694268485b447d" type="hidden" name="continuation-id"/></div>
            
            <fieldset><legend title=""/><div class="inputcontainer_odd"><label title="" for="name" class="form">Name</label><span id="name"><input type="text" title="" value="" id="name:input" name="name"/></span></div><div class="inputcontainer"><label title="" for="email" class="form"><span class="required"> * </span>Email</label><span id="email"><input type="text" title="" value="" id="email:input" name="email"/></span></div><div class="inputcontainer_odd"><label title="" for="type" class="form">Service Type</label><select name="type" id="type" title=""><option value="" selected="selected">-- Please Select --</option><option value="telos:categories:general:business">Business</option><option value="telos:categories:general:business:commerce">-Commerce</option><option value="telos:categories:general:business:logistics">-Logistics</option><option value="telos:categories:general:business:sourcing">-Sourcing</option><option value="telos:categories:general:business:auctions">-Auctions</option><option value="telos:categories:general:business:insurance">-Insurance</option><option value="telos:categories:general:business:inventory">-Inventory</option><option value="telos:categories:general:business:marketing">-Marketing</option><option value="telos:categories:general:business:reference">-Reference</option><option value="telos:categories:general:consumer">Consumer</option><option value="telos:categories:general:consumer:shopping">-Shopping</option><option value="telos:categories:general:consumer:travel">-Travel</option><option value="telos:categories:general:consumer:lending">-Lending</option><option value="telos:categories:general:consumer:auctions">-Auctions</option><option value="telos:categories:general:consumer:housing">-Housing</option><option value="telos:categories:general:consumer:insurance">-Insurance</option><option value="telos:categories:general:consumer:selling">-Selling</option><option value="telos:categories:general:finance">Finance</option><option value="telos:categories:general:finance:securities">-Securities</option><option value="telos:categories:general:finance:currency">-Currency</option><option value="telos:categories:general:finance:reference">-Reference</option><option value="telos:categories:general:finance:lending">-Lending</option><option value="telos:categories:general:finance:rates">-Rates</option><option value="telos:categories:general:accounting">Accounting</option><option value="telos:categories:general:accounting:payroll">-Payroll</option><option value="telos:categories:general:accounting:tax">-Tax</option><option value="telos:categories:general:accounting:generalledger">-General Ledger</option><option value="telos:categories:general:accounting:accountsreceivables">-Accounts Receivables</option><option value="telos:categories:general:accounting:accountspayables">-Accounts Payables</option><option value="telos:categories:general:media">Media</option><option value="telos:categories:general:media:advertising">-Advertising</option><option value="telos:categories:general:media:news">-News</option><option value="telos:categories:general:media:entertainment">-Entertainment</option><option value="telos:categories:general:media:music">-Music</option><option value="telos:categories:general:media:video">-Video</option><option value="telos:categories:general:communications">Communications</option><option value="telos:categories:general:communications:network">-Network</option><option value="telos:categories:general:communications:telecom">-Telecom</option><option value="telos:categories:general:communications:messaging">-Messaging</option><option value="telos:categories:general:communications:email">-Email</option><option value="telos:categories:general:utilities">Utilities</option><option value="telos:categories:general:utilities:analysis">-Analysis</option><option value="telos:categories:general:utilities:survey">-Survey</option><option value="telos:categories:general:utilities:compositeservices">-Composite Services</option><option value="telos:categories:general:utilities:canonicalservices">-Canonical Services</option><option value="telos:categories:general:utilities:security">-Security</option><option value="telos:categories:general:utilities:weather">-Weather</option><option value="telos:categories:general:science">Science</option><option value="telos:categories:general:science:mathematics">-Mathematics</option><option value="telos:categories:general:science:measurements">-Measurements</option><option value="telos:categories:general:science:other">-Other</option><option value="telos:categories:general:government">Goverment</option><option value="telos:categories:general:government:federal">-Federal</option><option value="telos:categories:general:government:state">-State</option><option value="telos:categories:general:government:international">-International</option><option value="telos:categories:general:data">Data</option><option value="telos:categories:general:data:interchange">-Interchange</option><option value="telos:categories:general:data:translation">-Translation</option><option value="telos:categories:general:data:management">-Management</option><option value="telos:categories:general:data:replication">-Replication</option><option value="telos:categories:general:data:transformation">-Transformation</option><option value="telos:categories:general:reference">Reference</option><option value="telos:categories:general:reference:address">-Address</option><option value="telos:categories:general:reference:demographics">-Demographics</option><option value="telos:categories:general:reference:search">-Search</option></select></div><div class="inputcontainer"><label title="" for="urgency" class="form">Urgency</label><select name="urgency" id="urgency" title=""><option value="" selected="selected">-- Please Select --</option><option value="urgent">urgent</option><option value="customer request">customer request</option><option value="standard">standard</option></select></div><div class="inputcontainer_odd"><label title="" for="usage" class="form">Usage Estimates</label><select name="usage" id="usage" title=""><option value="" selected="selected">-- Please Select --</option><option value="primary">primary</option><option value="secondary">secondary</option><option value="rarely">rarely</option></select></div><div class="inputcontainer"><label title="" for="description" class="form"><span class="required"> * </span>Description</label><textarea title="" name="description" id="description" class="form" cols="50" rows="10"> </textarea></div><div class="inputcontainer_odd"><label title="" for="captcha" class="form"><span class="required"> * </span>Copy the string shown on the right into the input field</label><span id="captcha"><img class="forms captcha" style="vertical-align:middle" src="captcha-1b1a64803c3c.jpg"/> <input type="text" title="" value="" id="captcha:input" name="captcha"/></span></div><div><br xmlns="http://www.w3.org/1999/xhtml"/></div><div><input xmlns="http://www.w3.org/1999/xhtml" type="submit" value="submit" name="submit" class="submit"/></div></fieldset>
            </form>
          </form-content>
    </content>
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