Partnership Info Request

A request for partnership info has been submitted from isdweb on

The following details were specified:

* First Name:
[$First Name$]
* Last Name:
[$Last Name$]
Job Title:
[$Job Title$]
* Company:
[$Company$]
*  Address:
[$Address$]
Address2:
[$Address2$]
*  City:
[$City$]
*  State/Province:
[$state$]
* Zip/Postal Code:
[$Zip/Postal Code$]
* Country:
[$Country$]
Telephone:*
(ie, 6174192444
)
[$Telephone$]
Fax:
(ie, 6174192424)
[$Fax$]
* E-Mail:
[$mailfrom$]
Corporate website:
[$website$]
The reason they are interested in partnering with ISD:
[$interest$]