function checkForm2() { if(window.document.reg2.company.value.length < 2) { alert("Please enter your COMPANY NAME..."); window.document.reg2.company.focus(); return; } else if(window.document.reg2.name.value.length < 2) { alert("Please enter a CONTACT NAME..."); window.document.reg2.name.focus(); return; } else if(window.document.reg2.email.value.length < 6) { alert("Please enter your EMAIL..."); window.document.reg2.email.focus(); return; } else if(window.document.reg2.phone.value.length < 10) { alert("Please enter a valid PHONE NUMBER..."); window.document.reg2.phone.focus(); return; } else if(window.document.reg2.address.value.length < 5) { alert("Please enter a valid ADDRESS..."); window.document.reg2.address.focus(); return; } else if(window.document.reg2.city.value.length < 2) { alert("Please enter your CITY..."); window.document.reg2.city.focus(); return; } else { window.document.reg2.submit(); } } document.write("
Please fill out the following questions to the best of your ability.

Company Name:
Contact Name:
Website:
Email:
Phone Number:
Address:
City:
Country:                           

1. Do you currently distribute products?:
    Yes     No

    1a. If so, what type of products do you distribute?:
          

2. Does your company have a sales and technical department?:
    Yes     No

3. How long has your company been in business?:
    

4. What countries do you currently distribute products into?:
    

5. What is your company's average gross revenues per year?:
    

Once you have answered all of the above questions please press the \"Submit\" button below. Your application will be submitted for approval and an Axiom Worldwide Representative will contact you to inform you of the outcome. Thank you for your interest in Axiom Worldwide.

"); function setCookie(name, value, expires, path, domain, secure) { var curCookie = name + "=" + escape(value) + ((expires) ? "; expires=" + expires.toGMTString() : "") + ((path) ? "; path=" + path : "") + ((domain) ? "; domain=" + domain : "") + ((secure) ? "; secure" : ""); document.cookie = curCookie; } function getCookie(name) { var dc = document.cookie; var prefix = name + "="; var begin = dc.indexOf("; " + prefix); if (begin == -1) { begin = dc.indexOf(prefix); if (begin != 0) return null; } else begin += 2; var end = document.cookie.indexOf(";", begin); if (end == -1) end = dc.length; return unescape(dc.substring(begin + prefix.length, end)); } unique_track = new Image(); unique_track.src = "http://forms.aweber.com/form/displays.htm?id=bOxMTOwcTByM";