File: /home/awaldron/www/archive/blueliner/lib/quote.php
<?php
session_start();
$level = "Quote";
$pagename = "quote.php";
$title = "Obtain an Instant Quote on a Blueliner Website";
$splash = "time_is_money.jpg";
$promo = "_marketing.php";
$promo_head = "Drive Traffic With Website Marketing";
include("_header.php");
?>
<div class="sub-header">Obtain an Instant Quote</div>
<P>Fill out the form below to obtain a quote on Blueliner's services. <b>Be sure to enter a valid email address!</b>
<form action="quote_gen.php" method="post" name="myQuote">
<P><center><b>** All Items are Required! **</b></center>
<br><table width="100%" border=0>
<tr><td class="text" align="right"><b>Your Name</b></td><td><input type="text" name="name" size=25 maxlength=127></td></tr>
<tr><td class="text" align="right"><b>Email</b></td><td><input type="text" name="email" size=25 maxlength=127></td></tr>
</table>
<P><b>1.</b> How many individual pages are needed for your website?
<br> <SELECT name="numpages">
<option value="1-10">Please Select:
<option value="1-10">Between 1 and 10
<option value="11-20">Between 11 and 20
<option value="21-35">Between 21 and 35
<option value="36-50">Between 36 and 50
<option value="51-75">Between 51 and 75
<option value="76-100">Between 76 and 100
<option value="100+">Over 100 Pages
</SELECT>
<P><b>2.</b> How many products will be in your online catalog?
<br> <SELECT name="catalog">
<option value="0">Please Select:
<option value="0">I do not need a catalog.
<option value="1-10">Between 1 and 10
<option value="11-25">Between 11 and 25
<option value="26-50">Between 26 and 50
<option value="51-100">Between 51 and 100
<option value="101-175">Between 101 and 175
<option value="176-250">Between 176 and 250
<option value="250+">Over 250 Products
</SELECT>
<P><b>3.</b> Select any additional features you would like:
<br><table width="100%" border=0>
<tr><td class="text"> <input type="checkbox" name="forums" value=1> User Forums</td>
<td class="text"><input type="checkbox" name="traffic" value=1> Traffic Analysis</td></tr>
<tr><td class="text"> <input type="checkbox" name="photo" value=1> Photo Album</td>
<td class="text"><input type="checkbox" name="calendar" value=1> Event Calendar</td></tr>
<tr><td class="text"> <input type="checkbox" name="chat" value=1> Chat Rooms</td>
<td class="text"><input type="checkbox" name="survey" value=1> User Surveys</td></tr>
<tr><td class="text"> <input type="checkbox" name="blog" value=1> Journal (Blog)</td>
<td class="text"></td></tr>
</table>
<P><b>4.</b> Please provide us with additional info about your website:
<textarea name="comments" cols=60 rows=4></textarea>
<P><b>5.</b> Would you like a custom <a href="logos.php" class="text" target="new">logo design</a> for your company?
<br> <SELECT name="logo"><option value="0">No</option><option value="1">Yes</option></SELECT>
<P><b>6.</b> How many potential customers would you like to drive to
<br> your site with <a href="marketing.php" class="text" target="new">Website Marketing</a>?
<br> <SELECT name="marketing">
<option value="0">None</option>
<option value="100">100 Users</option>
<option value="250">250 Users</option>
<option value="500">500 Users</option>
<option value="750">750 Users</option>
<option value="1000">1000 Users</option>
<option value="1250">1250 Users</option>
<option value="2000">2000 Users</option>
<option value="2500">2500 Users</option>
<option value="3000">3000 Users</option>
<option value="3500">3500 Users</option>
<option value="4000">4000 Users</option>
<option value="4500">4500 Users</option>
<option value="5000">5000 Users</option>
<option value="7500">7500 Users</option>
<option value="10000">10,000 Users</option>
</SELECT>
<input type="hidden" name="submit" value="1">
<P><center><input type="submit" class="submit" value="Generate My Quote >>"></center>
<br><br>
<?php
include("_footer.php");
include("_blustats.php");
?>