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Become a CRMA Preferred Partner

\n" . "X-Priority: 3\n" . "X-MSMail-Priority: Normal\n" . "X-Mailer: PHP"; $subject = "New CRMA Partner Submission"; $body = "There has been a new partner submission as follows:\n"; $body .= "Reference: $thisnum\nCompany:\n$_POST[partnerCompany]\n$_POST[partnerAddress]\n$_POST[partnerCity], $_POST[partnerProv]\n$_POST[partnerPostalCode]\n\n$_POST[partnerFirstName] $_POST[partnerLastName]\n$_POST[partnerTitle]\n$_POST[partnerEmail]\n\n$_POST[partnerPhone]\n$_POST[partnerFax] Fax\n\n$_POST[partnerWebsite]\n\nCategory: $category\n\n"; $body .= "Description:\n$_POST[partnerDescription]\n\nOffer:\n$_POST[partnerOffer]"; mail($to,$subject,$body,$headers); ?>

Thank you for your submission . Your submission will be reviewed and somebody will be in touch to finalize your participation in this venture. Thank you for your interest.

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Please fill in the following form to be considered for inclusion in our Preferred Partner program.

Company*
A value is required.
Address*
A value is required.
City*
A value is required.
State/Prov*
Please select an item.
Zip/Postal Code*
A value is required.
Telephone*
A value is required.Invalid format. (XXX) XXX-XXXX
Fax
A value is required.Invalid format. (XXX) XXX-XXXX
First Name*
A value is required.
Last Name*
A value is required.
Title
Email*
A value is required.Invalid format.
url
Annual Sales*






Category*
Please select an item.
Description of Services
Offer to CRMA Members
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