Untitled

<%@ Page Language="C#" AutoEventWireup="true" CodeFile="Test_Aug21.aspx.cs" Inherits="process.Test_Aug21" %>
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">

<html xmlns="http://www.w3.org/1999/xhtml">
<head runat="server">
    <title>Advertising Specialty Institute</title>

    <link href="http://cdn.asicentral.com/MKTGemails/111-111111/css/styles.css" rel="stylesheet" />
    <script type="text/javascript" src="../../js/SubmitDynamicData.js"></script>
    <script type="text/javascript" src="../../js/softLead.js"></script>
    <script type="text/javascript" src="../../js/jquery-1.8.3.min.js"></script>
	<script type="text/javascript" src="../../js/validate.js"></script>

    <script>
        $(document).ready(function () {

            $("#form").validate();
        });
        window.onload = function () {
            SaveData();
        }
    </script>

</head>
<body>
      <div id="wrapper" style="width: 900px; height: 1170px; background:url(http://cdn.asicentral.com/MKTGemails/111-111111/images/form.jpg) no-repeat;">
        <div style="padding-left: 530px; padding-top: 150px;">

      <div id="form_wrapper">

      <%-- Start Of Code Section--%>

       <form  method="post" name="form" id="form" runat="server" onsubmit="return false;">
         <div class="fields" style="padding-bottom: 10px;">
              <input name="Option1" type="checkbox" id="rqOption1" class="checkbox" value="Yes, I want to sign up." checked />
                    <div class="checkbox_text">
                        Yes, I want to learn more.
                     </div>
                </div>
          <table>
                <tr>
                    <td class="fields">
                         <label><span class="red">*</span>Name:</label>
                         <input type="text" class="required" name="Name" id="Name"/>
                    </td>
                </tr>
                <tr>
                    <td class="fields">
                        <label><span class="red">*</span>Company:</label>
                     <input type="text" class="required" name="Company" id="Company"  />

                    </td>
                </tr>
                <tr>
                    <td class="fields">
                        <label>asi/:</label>
                        <input type="text" class="notrequired digits minlength" name="ASINO" minlength="5" id="ASINO"/>

                    </td>
                </tr>
                <tr>
                    <td class="fields">
                         <label><span class="red">*</span>Business Phone:</label>
                     <input type="text" class="required digits minlength" name="Phone" id="Phone" minlength="10"/>

                    </td>
                </tr>
                <tr>
                    <td class="fields">
                          <label><span class="red">*</span>Email:</label>
                      <input type="text" class="required email" name="email" id="email"/>
                    </td>
                </tr>
               <tr>
 <td class="fields">
 <label><span class="red">*</span>Membership Rep Name:</label>
 <input type="text" id="rqMembershipRepName" class="required" name="rqMembershipRepName"/>
 </td>
 </tr>
                <tr>
                    <td class="fields red" style="text-align: right;">
                                                    *required
                    </td>
                </tr>
                <tr>
                    <td class="fields">
                    <label></label>
                     <input type="submit" class="button" id="btnSubmit" name="button" value="Submit" onclick="fnSubmitData()" />
                    </td>
                </tr>
            </table>
                <div>
                    <input type="hidden" id="emailhdnCtrl1" name="emailhdnCtrl1" value="dvuu@asicentral.com"/>
                    <input type="hidden" id="emailhdnCtrl2" name="emailhdnCtrl2" value="jkrolick@asicentral.com"/>
                    <input type="hidden" id="emailhdnCtrl3" name="emailhdnCtrl3" value="wmorrison@asicentral.com"/>
                    <input type="hidden" id="emailhdnCtrl4" name="emailhdnCtrl4" value=""/>
                    <input type="hidden" id="emailhdnCtrl5" name="emailhdnCtrl5" value=""/>
                    <input type="hidden" id="subhdnCtrl"    name="subhdnCtrl"    value="Please Join Today Subject"/>
                    <input type="hidden" id="hdCampaignID"  name="hdCampaignID"  value="123-456789"/>
                    <input type="hidden" id="hdPersonifyID" name="hdPersonifyID" value="P_123-456789"/>
                    <input type="hidden" id="hdListCode"    name="hdListCode"    value="List_Code"/>
                    <input type="hidden" id="hdSupplier"    name="hdSupplier"    value="Email"/>

                    <!-- For adding supplier in TO   of Email add value="Email"   OR
                         For adding supplier in body of Email add value="Content" -->
                </div>
            </form>
        <%-- End Of Code Section--%>

        </div>
      </div>
    	<div class="clear"></div>

          <%-- Start Of Footer Section--%>
        <div id="footer">
            <img src="http://cdn.asicentral.com/MKTGemails/global/images/logogrey.jpg" align="left" />
            asi/33020<br>
            ©2014, Advertising Specialty Institute<sup>®</sup>. All Rights Reserved.<br>
            111-111111 0814
      </div>
          <%-- End Of Footer Section--%>

    </div>
</body>
</html>