*Primary First Name: 
*Primary Last Name: 
*Primary Phone Number: 
Primary Cell Number: 
Primary E-mail address: 
Secondary First Name: 
Secondary Last Name: 
Secondary Phone Number: 
Secondary Cell Number: 
Secondary E-mail address: 
 
  
*Quadrant: 
Company Fax: 
Company Name: 
 
 
Address: 
    
Postal Code: 
Company Phone: 
*Assigned Tech: 
     
*Marketing: 
Priority:
if Other, Please Specify: 
  

'; $edit_crm_content='


*Primary First Name: 
*Primary Last Name: 
*Primary Phone Number: 
Primary Cell Number: 
Primary E-mail address: 
Secondary First Name: 
Secondary Last Name: 
Secondary Phone Number: 
Secondary Cell Number: 
Secondary E-mail address: 
 
  
*Quadrant: 
Company Fax: 
Company Name: 
 
 
Address: 
    
Postal Code: 
Company Phone: 
*Assigned Tech: 
     
*Marketing: 
Priority:
if Other, Please Specify: 
  
Member Status:
Reward Points Total:
 

'; ?>
Edit Customer"; } elseif ($action == "edit") { echo "

Edit Customer

"; } else { echo "

Add Customer

"; } ?>