Photo by JackF/iStock / Getty Images
Photo by JackF/iStock / Getty Images

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<!--  If necessary, please modify the charset parameter to specify the        -->
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<META HTTP-EQUIV="Content-type" CONTENT="text/html; charset=UTF-8">

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<!--  NOTE: Please add the following <FORM> element to your page.             -->
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<form action="https://www.salesforce.com/servlet/servlet.WebToCase?encoding=UTF-8" method="POST">

<input type=hidden name="orgid" value="00D80000000LC3q">
<input type=hidden name="retURL" value="http://www.epianalytics.com">

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<!--  NOTE: These fields are optional debugging elements. Please uncomment    -->
<!--  these lines if you wish to test in debug mode.                          -->
<!--  <input type="hidden" name="debug" value=1>                              -->
<!--  <input type="hidden" name="debugEmail"                                  -->
<!--  value="jvecchio@epianalytics.com">                                      -->
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<label for="name">Contact Name</label><inputid="name" maxlength="80" name="name" size="20" type="text" /><br>

<label for="email">Email</label><inputid="email" maxlength="80" name="email" size="20" type="text" /><br>

<label for="phone">Phone</label><inputid="phone" maxlength="40" name="phone" size="20" type="text" /><br>

<label for="subject">Subject</label><inputid="subject" maxlength="80" name="subject" size="20" type="text" /><br>

<label for="description">Description</label><textarea name="description"></textarea><br>

<input type="hidden"  id="external" name="external" value="1" /><br>

<input type="submit" name="submit">

</form>