<!--<%@LANGUAGE="VBSCRIPT"%>
<%
' *** Edit Operations: declare variables

Dim MM_editAction
Dim MM_abortEdit
Dim MM_editQuery
Dim MM_editCmd

Dim MM_editConnection
Dim MM_editTable
Dim MM_editRedirectUrl
Dim MM_editColumn
Dim MM_recordId

Dim MM_fieldsStr
Dim MM_columnsStr
Dim MM_fields
Dim MM_columns
Dim MM_typeArray
Dim MM_formVal
Dim MM_delim
Dim MM_altVal
Dim MM_emptyVal
Dim MM_i

MM_editAction = CStr(Request.ServerVariables("SCRIPT_NAME"))
If (Request.QueryString <> "") Then
  MM_editAction = MM_editAction & "?" & Server.HTMLEncode(Request.QueryString)
End If

' boolean to abort record edit
MM_abortEdit = false

' query string to execute
MM_editQuery = ""
%>
<%
' *** Insert Record: set variables

If (CStr(Request("MM_insert")) = "GetEstimate") Then

  MM_editConnection = MM_connGlobal_STRING
  MM_editTable = "Estimates"
  MM_editRedirectUrl = "proc_Estimate.asp"
  MM_fieldsStr  = "FirstName|value|LastName|value|TheirEmail|value|PhoneAreaCode|value|PhonePrefix|value|PhoneNumber|value|BestTime|value|Address01|value|City|value|theirState|value|ZipPostalCode|value|Roofing|value|Painting|value|Repair|value|Electrical|value|Other|value|QuestionsFeedback|value|Source|value|theTime|value|theDate|value|TakenBy|value|PhoneExtension|value"
  MM_columnsStr = "FirstName|',none,''|LastName|',none,''|TheirEmail|',none,''|PhoneArea|',none,''|PhonePrefix|',none,''|PhoneNumber|',none,''|BestTime|',none,''|Address01|',none,''|City|',none,''|theState|',none,''|Zipcode|',none,''|Roofing|none,1,0|Painting|none,1,0|Repair|none,1,0|Electrical|none,1,0|Other|none,1,0|Comments|',none,''|Source|',none,''|submitTime|',none,''|submitDate|',none,''|TakenBy|',none,''|PhoneExtension|',none,''"

  ' create the MM_fields and MM_columns arrays
  MM_fields = Split(MM_fieldsStr, "|")
  MM_columns = Split(MM_columnsStr, "|")
  
  ' set the form values
  For MM_i = LBound(MM_fields) To UBound(MM_fields) Step 2
    MM_fields(MM_i+1) = CStr(Request.Form(MM_fields(MM_i)))
  Next

  ' append the query string to the redirect URL
  If (MM_editRedirectUrl <> "" And Request.QueryString <> "") Then
    If (InStr(1, MM_editRedirectUrl, "?", vbTextCompare) = 0 And Request.QueryString <> "") Then
      MM_editRedirectUrl = MM_editRedirectUrl & "?" & Request.QueryString
    Else
      MM_editRedirectUrl = MM_editRedirectUrl & "&" & Request.QueryString
    End If
  End If

End If
%>
<%
' *** Insert Record: construct a sql insert statement and execute it

Dim MM_tableValues
Dim MM_dbValues

If (CStr(Request("MM_insert")) <> "") Then
session("sessTheirEmail")=Request("TheirEmail")
  ' create the sql insert statement
  MM_tableValues = ""
  MM_dbValues = ""
  For MM_i = LBound(MM_fields) To UBound(MM_fields) Step 2
    MM_formVal = MM_fields(MM_i+1)
    MM_typeArray = Split(MM_columns(MM_i+1),",")
    MM_delim = MM_typeArray(0)
    If (MM_delim = "none") Then MM_delim = ""
    MM_altVal = MM_typeArray(1)
    If (MM_altVal = "none") Then MM_altVal = ""
    MM_emptyVal = MM_typeArray(2)
    If (MM_emptyVal = "none") Then MM_emptyVal = ""
    If (MM_formVal = "") Then
      MM_formVal = MM_emptyVal
    Else
      If (MM_altVal <> "") Then
        MM_formVal = MM_altVal
      ElseIf (MM_delim = "'") Then  ' escape quotes
        MM_formVal = "'" & Replace(MM_formVal,"'","''") & "'"
      Else
        MM_formVal = MM_delim + MM_formVal + MM_delim
      End If
    End If
    If (MM_i <> LBound(MM_fields)) Then
      MM_tableValues = MM_tableValues & ","
      MM_dbValues = MM_dbValues & ","
    End If
    MM_tableValues = MM_tableValues & MM_columns(MM_i)
    MM_dbValues = MM_dbValues & MM_formVal
  Next
  MM_editQuery = "insert into " & MM_editTable & " (" & MM_tableValues & ") values (" & MM_dbValues & ")"

  If (Not MM_abortEdit) Then
    ' execute the insert
    Set MM_editCmd = Server.CreateObject("ADODB.Command")
    MM_editCmd.ActiveConnection = MM_editConnection
    MM_editCmd.CommandText = MM_editQuery
    MM_editCmd.Execute
    MM_editCmd.ActiveConnection.Close

    If (MM_editRedirectUrl <> "") Then
      Response.Redirect(MM_editRedirectUrl)
    End If
  End If

End If
%>-->


<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
<html>
<head>

<meta http-equiv="Content-Type" content="text/html; charset=utf-8">

<title>Free home inspection request form</title>

<meta name="robots" content="index,follow">
<meta http-equiv="Pragma" content="no-cache">
<link href="styles/style.css" rel="stylesheet" type="text/css">
<style type="text/css">
<!--
body {
	background-color: #FFFFFF;
}
-->
</style>

<meta name="keywords" content="request, home, inspection">
<meta name="description" content="Request a free home inspection using this simple form">

<SCRIPT LANGUAGE="JavaScript">
<!--
<!--
<!-- This script and many more are available free online at -->
<!-- The JavaScript Source!! http://javascript.internet.com -->

<!-- Begin
var isNN = (navigator.appName.indexOf("Netscape")!=-1);
function autoTab(input,len, e) {
var keyCode = (isNN) ? e.which : e.keyCode; 
var filter = (isNN) ? [0,8,9] : [0,8,9,16,17,18,37,38,39,40,46];
if(input.value.length >= len && !containsElement(filter,keyCode)) {
input.value = input.value.slice(0, len);
input.form[(getIndex(input)+1) % input.form.length].focus();
}
function containsElement(arr, ele) {
var found = false, index = 0;
while(!found && index < arr.length)
if(arr[index] == ele)
found = true;
else
index++;
return found;
}
function getIndex(input) {
var index = -1, i = 0, found = false;
while (i < input.form.length && index == -1)
if (input.form[i] == input)index = i;
else i++;
return index;
}
return true;
}
//  End -->

function MM_findObj(n, d) { //v4.01
  var p,i,x;  if(!d) d=document; if((p=n.indexOf("?"))>0&&parent.frames.length) {
    d=parent.frames[n.substring(p+1)].document; n=n.substring(0,p);}
  if(!(x=d[n])&&d.all) x=d.all[n]; for (i=0;!x&&i<d.forms.length;i++) x=d.forms[i][n];
  for(i=0;!x&&d.layers&&i<d.layers.length;i++) x=MM_findObj(n,d.layers[i].document);
  if(!x && d.getElementById) x=d.getElementById(n); return x;
}

function MM_validateForm() { //v4.0
  var i,p,q,nm,test,num,min,max,errors='',args=MM_validateForm.arguments;
  for (i=0; i<(args.length-2); i+=3) { test=args[i+2]; val=MM_findObj(args[i]);
    if (val) { nm=val.name; if ((val=val.value)!="") {
      if (test.indexOf('isEmail')!=-1) { p=val.indexOf('@');
        if (p<1 || p==(val.length-1)) errors+='- '+nm+' must contain an e-mail address.\n';
      } else if (test!='R') { num = parseFloat(val);
        if (isNaN(val)) errors+='- '+nm+' must contain a number.\n';
        if (test.indexOf('inRange') != -1) { p=test.indexOf(':');
          min=test.substring(8,p); max=test.substring(p+1);
          if (num<min || max<num) errors+='- '+nm+' must contain a number between '+min+' and '+max+'.\n';
    } } } else if (test.charAt(0) == 'R') errors += '- '+nm+' is required.\n'; }
  } if (errors) alert('The following error(s) occurred:\n'+errors);
  document.MM_returnValue = (errors == '');
}
//-->
</SCRIPT>


		<csscriptdict>
			<script><!--
CSInit = new Array;
function CSScriptInit() {
if(typeof(skipPage) != "undefined") { if(skipPage) return; }
idxArray = new Array;
for(var i=0;i<CSInit.length;i++)
	idxArray[i] = i;
CSAction2(CSInit, idxArray);}
CSAg = window.navigator.userAgent; CSBVers = parseInt(CSAg.charAt(CSAg.indexOf("/")+1),10);
function IsIE() { return CSAg.indexOf("MSIE") > 0;}
function CSIEStyl(s) { return document.all.tags("div")[s].style; }
function CSNSStyl(s) { return CSFindElement(s,0); }
function CSFindElement(n,ly) { if (CSBVers < 4) return document[n];
	var curDoc = ly ? ly.document : document; var elem = curDoc[n];
	if (!elem) { for (var i=0;i<curDoc.layers.length;i++) {
		elem = CSFindElement(n,curDoc.layers[i]); if (elem) return elem; }}
	return elem;
}

function CSClickReturn () {
	var bAgent = window.navigator.userAgent; 
	var bAppName = window.navigator.appName;
	if ((bAppName.indexOf("Explorer") >= 0) && (bAgent.indexOf("Mozilla/3") >= 0) && (bAgent.indexOf("Mac") >= 0))
		return true; // dont follow link
	else return false; // dont follow link
}

function CSButtonReturn () {
	var bAgent = window.navigator.userAgent; 
	var bAppName = window.navigator.appName;
	if ((bAppName.indexOf("Explorer") >= 0) && (bAgent.indexOf("Mozilla/3") >= 0) && (bAgent.indexOf("Mac") >= 0))
		return false; // follow link
	else return true; // follow link
}

CSIm = new Object();
function CSIShow(n,i) {
	if (document.images) {
		if (CSIm[n]) {
			var img = (!IsIE()) ? CSFindElement(n,0) : document[n];
			if (img && typeof(CSIm[n][i].src) != "undefined") {img.src = CSIm[n][i].src;}
			if(i != 0)
				self.status = CSIm[n][3];
			else
				self.status = " ";
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}
function CSILoad(action) {
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			else CSIm[im][i-2] = 0;
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		CSIm[im][3] = action[5];
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}
CSStopExecution = false;
function CSAction(array) { 
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}
function CSAction2(fct, array) { 
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			else
				tempArray[j] = actArray[j];
		}			
		result = actArray[0](tempArray);
	}
	return result;
}
CSAct = new Object;


// --></script>
		</csscriptdict>
		<csactiondict>
			<script><!--
CSInit[CSInit.length] = new Array(CSILoad,/*CMP*/'button',/*URL*/'multi/Newlogoacut%20copy.jpg',/*URL*/'multi/Newlogoacutred%20copy.jpg',/*URL*/'multi/Newlogoacutred%20copy.jpg','');

// --></script>
		</csactiondict>
</head>

<body onLoad="CSScriptInit();">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
  <tr>
    <td valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0">
      <tr>
        <td width="40" style="background-image: url(images/t-dr.gif); background-repeat: repeat-x; background-position: top;height:28px"><img src="images/t-dr.gif" width="40" height="28"></td>
      </tr>
    </table></td>
    <td valign="top">
<table bgcolor="#FFFFFF" width="766" border="0" cellspacing="0" cellpadding="0">
<tr>
<td valign="top">
<table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>

                <td style="background-image: url(images/t-dr.gif); background-repeat: repeat-x; background-position: top;height:28px" width="100%" valign="top"><img alt="" border="0" src="images/empty.gif" width="766" height="1"><br></td>
              </tr>
          </table></td>
        </tr>
        <tr>
          <td width="100%" height="305" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0">
            <tr>
              <td style="height:94px" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0">
                  <tr>
                    <td width="195" valign="top"><img src="multi/Newlogo.jpg" alt="{logo} GGCS" width="178" height="81" vspace="5" border="0"></td>
                    <td valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0">
                        <tr>
                          <td style="margin-right:10px;"><table width="100%" border="0" cellspacing="0" cellpadding="0">
                                                            <tr>
                                <td valign="top" nowrap><img src="images/empty.gif" width="5" height="8" border="0"></td>
                              </tr>
							  <tr>
                                <td valign="middle" nowrap><div align="right">
																						sign up for a&nbsp;<span class="c_text"><a href="free_home-inspections.html">free inspection</a></span><csobj w="35" h="31" t="Button" ht="multi/Newlogoacutred%20copy.jpg" cl="multi/Newlogoacutred%20copy.jpg"><a href="free_home-inspections.html" onMouseOver="return CSIShow(/*CMP*/'button',1)" onMouseOut="return CSIShow(/*CMP*/'button',0)" onClick="CSIShow(/*CMP*/'button',2);return CSButtonReturn()"><img src="multi/Newlogoacut%20copy.jpg" width="35" height="31" name="button" border="0"></a></csobj>&nbsp;&nbsp;</div></td>
                              </tr>
                              <tr>
                                <td valign="top" nowrap><img src="images/empty.gif" width="5" height="15" border="0"></td>
                              </tr>
                          </table></td>
                        </tr>
                        <tr>
                          <td><table width="100%" border="0" cellspacing="0" cellpadding="0">
                            <tr>
                              <td width="90%"><img src="images/empty.gif" width="5" height="35" border="0"></td>
                              <td width="111" valign="bottom"><a href="index.html"><img src="multi/Homenew.gif" width="111" height="26" border="0"></a></td>
                              <td width="120" valign="bottom"><a href="AboutGCGS.html"><img src="multi/AboutGGCSnew.gif" width="111" height="26" border="0"></a></td>
                              <td width="111" valign="bottom"><a href="the_process.html"><img src="multi/Processnew2a.gif" width="111" height="26" border="0"></a></td>
																				<td width="111" valign="bottom"><a href="free_home-inspections.html"><img src="multi/Contact%20Usnew.gif" width="111" height="26" border="0"></a></td>
								</tr>
                          </table></td>
                          </tr>
                    </table></td>
                  </tr>
              </table></td>
            </tr>
            <tr>
              <td bgcolor="#E2E2E2" width="100%" style="height:1px" valign="top"><img alt="" border="0" src="images/pd.gif" width="10" height="1"></td>
            </tr>
            <tr>
              <td width="100%" style="height:14px" valign="top"></td>
            </tr>
            <tr>
              <td style="height:189px" valign="top"><table width="766" border="0" cellspacing="0" cellpadding="0">
                  <tr>
                    <td valign="top"><img alt="" border="0" src="images/empty.gif" width="11" height="1"><br></td>
                    <td bgcolor="#336699" valign="top"><img src="images/empty.gif" alt="" width="184" height="5" border="0"></td>
                    <td valign="top"><img alt="" border="0" src="images/spacer.gif" width="1" height="1"><br></td>
                    <td width="183" valign="top" style="height:100%"><img src="multi/roofer.jpg" alt="" width="185" height="189" border="0" ><br>                    </td>
                    <td valign="top"><img alt="" border="0" src="images/spacer.gif" width="1" height="1"><br></td>
                    <td bgcolor="#336699" width="50%" valign="top"><img src="images/empty.gif" alt="" width="184" height="5" border="0"></td>
                    <td valign="top"><img alt="" border="0" src="images/spacer.gif" width="1" height="1"><br></td>
                    <td valign="top"><img src="multi/skeleton.jpg" alt="" width="185" height="189" border="0" ><br>                    </td>
                    <td valign="top"><img alt="" border="0" src="images/spacer.gif" width="17" height="1"><br></td>
                  </tr>
                </table>
                  <img src="images/empty.gif" width="17" height="5" border="0"></td>
            </tr>
          </table></td>
        </tr>
        <tr>
          <td style="height:6px" valign="top"></td>
        </tr>
        <tr>
          <td valign="top">            <div align="center">
              <table width="766" border="0" cellpadding="0" cellspacing="0">
                <tr>
                  <td height="1" valign="top" bgcolor="#D0D0D0"><img src="images/empty.gif" width="766" height="1" border="0"></td>
                </tr>
                <tr>
                  <td height="1" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0">
                      <tr>
                        <td width="27" colspan="2"><img src="headers/request_free_inspect.gif" alt="{image} Request Inspection" width="180" height="15" hspace="5" vspace="5" border="0"></td>
                      </tr>
                  </table></td>
                </tr>
                <tr>
                  <td valign="top"><form action="mailto:burl@globalbystorm.com?subject=GlobalbyStorm" method = "post" enctype = "text/plain" name= "Globalbystorm" onSubmit="MM_validateForm('FirstName','','R','LastName','','R','TheirEmail','','RisEmail','PhoneAreaCode','','R','PhonePrefix','','R','PhoneNumber','','R');return document.MM_returnValue">
                    <table width="100%" border="0" cellspacing="0" cellpadding="0">
                      <tr>
                        <td width="167" valign="top"><div style="margin-left:10px; margin-right:10px;">
                            <span class="smallHeadersRed">Name/Address</span><br>
                            <br>
                            <table width="100%" border="0" cellpadding="0" cellspacing="3">
                              <tr>
                                <td width="87%" valign="bottom"><b><font color="#336699">*</font></b> First Name:</td>
                              </tr>
                              <tr>
                                <td><input name="FirstName" type="text" class="formInput" id="FirstName" onFocus="highlight(this); this.select()" onBlur="unhighlight(this);" size="25" /></td>
                              </tr>
                              <tr>
                                <td valign="bottom"><b><font color="#336699">*</font></b> Last Name:</td>
                              </tr>
                              <tr>
                                <td><input name="LastName" type="text" class="formInput" id="LastName" size="25" /></td>
                              </tr>
                              <tr>
                                <td valign="bottom"><b><font color="#336699">*</font></b> Your Email:</td>
                              </tr>
                              <tr>
                                <td><input name="TheirEmail" type="text" class="formInput" id="TheirEmail" size="25" /></td>
                              </tr>
                              <tr>
                                <td valign="bottom"><b><font color="#336699">*</font></b> Your Phone:</td>
                              </tr>
                              <tr>
                                <td nowrap>&nbsp; <span class="finePrint">(</span>
                                    <input name="PhoneAreaCode" type="text" class="formInput" id="PhoneAreaCode" onKeyUp="return autoTab(this, 3, event);" size="3" maxlength="3" />
                                    <span class="finePrint">)</span>
                                    <input name="PhonePrefix" type="text" class="formInput" id="PhonePrefix" onKeyUp="return autoTab(this, 3, event);" size="3" maxlength="3" />
                                  -
                                  <input name="PhoneNumber" type="text" class="formInput" id="PhoneNumber" onKeyUp="return autoTab(this, 4, event);" size="4" maxlength="4" /></td>
                              </tr>
                              <tr>
                                <td nowrap>Best time to call?</td>
                              </tr>
                              <tr>
                                <td nowrap><select name="BestTime" class="formInput" id="BestTime">
                                  <option value="Morning">Morning</option>
                                  <option value="Afternoon" selected="selected">Afternoon</option>
                                  <option value="Mid-Afternoon">Mid-Afternoon</option>
                                  <option value="Early Evening">Early Evening</option>
                                  <option value="Late Evening">Late Evening</option>
                                </select></td>
                              </tr>
                            </table>
                          <br></td>
                        <td width="8" valign="top"><img src="images/empty.gif" width="8" height="7" vspace="4" border="0"></td>
                        <td width="191" valign="top"><div style="margin-left:10px; margin-right:10px;"><span class="smallHeadersRed">&nbsp;</span><br>
                                <br>
                                <table width="100%" border="0" cellspacing="3" cellpadding="0">
                                  <tr>
                                    <td valign="bottom"><b><font color="#336699">*</font></b> Address:</td>
                                  </tr>
                                  <tr>
                                    <td class="finePrint"><input name="Address01" type="text" class="formInput" id="Address01" size="25" maxlength="55" /></td>
                                  </tr>
                                  <tr>
                                    <td valign="bottom"><b><font color="#336699">*</font></b> City:</td>
                                  </tr>
                                  <tr>
                                    <td><input name="City" type="text" class="formInput" id="City" size="25" /></td>
                                  </tr>
                                  <tr>
                                    <td valign="bottom"><b><font color="#336699">*</font></b> State:</td>
                                  </tr>
                                  <tr>
                                    <td><select name="theirState" class="formInput" id="theirState">
                                        <option value="AL">Alabama </option>
                                        <option value="AZ">Arizona </option>
                                        <option value="AR">Arkansas </option>
                                        <option value="CA">California </option>
                                        <option value="CO">Colorado </option>
                                        <option value="CT">Connecticut </option>
                                        <option value="DE">Delaware </option>
                                        <option value="DC">District of Columbia </option>
                                        <option value="FL">Florida </option>
                                        <option value="GA">Georgia </option>
                                        <option value="ID">Idaho </option>
                                        <option value="IL">Illinois </option>
                                        <option value="IN">Indiana </option>
                                        <option value="IA">Iowa </option>
                                        <option value="KS">Kansas </option>
                                        <option value="KY">Kentucky </option>
                                        <option value="LA">Louisiana </option>
                                        <option value="ME">Maine </option>
                                        <option value="MD">Maryland </option>
                                        <option value="MA">Massachusetts </option>
                                        <option value="MI">Michigan </option>
                                        <option value="MN">Minnesota </option>
                                        <option value="MS">Mississippi </option>
                                        <option value="MO">Missouri </option>
                                        <option value="MT">Montana </option>
                                        <option value="NE">Nebraska </option>
                                        <option value="NV">Nevada </option>
                                        <option value="NH">New Hampshire </option>
                                        <option value="NJ">New Jersey </option>
                                        <option value="NM">New Mexico </option>
                                        <option value="NY">New York </option>
                                        <option value="NC">North Carolina </option>
                                        <option value="ND">North Dakota </option>
                                        <option value="OH">Ohio </option>
                                        <option value="OK">Oklahoma </option>
                                        <option value="OR">Oregon </option>
                                        <option value="PA">Pennsylvania </option>
                                        <option value="RI">Rhode Island </option>
                                        <option value="SC">South Carolina </option>
                                        <option value="SD">South Dakota </option>
                                        <option value="TN">Tennessee </option>
                                        <option value="TX" selected="selected">Texas </option>
                                        <option value="UT">Utah </option>
                                        <option value="VT">Vermont </option>
                                        <option value="VA">Virginia </option>
                                        <option value="WA">Washington </option>
                                        <option value="WV">West Virginia </option>
                                        <option value="WI">Wisconsin </option>
                                        <option value="WY">Wyoming</option>
                                    </select></td>
                                  </tr>
                                  <tr>
                                    <td valign="top"><img src="images/empty.gif" width="10" height="2" /></td>
                                  </tr>
                                  <tr>
                                    <td valign="bottom"><b><font color="#336699">*</font></b> Zip/Postal Code:</td>
                                  </tr>
                                  <tr>
                                    <td class="finePrint"><input name="ZipPostalCode" type="text" class="formInput" id="ZipPostalCode" size="8" maxlength="8" /></td>
                                  </tr>
                                </table>
                        </div></td>
                        <td width="1" valign="top" bgcolor="#dedede"><img src="images/empty.gif" width="1" height="5" border="0"></td>
                        <td width="191" valign="top"><div style="margin-left:10px; margin-right:10px;"><span class="smallHeadersRed">How can we help? </span><br>
                              <br>
                                <table width="100%" border="0" cellspacing="3" cellpadding="0">
                                  <tr>
                                    <td width="8"><input name="Roofing" type="checkbox" class="checks" id="Roofing" /></td>
                                    <td>Roofing</td>
                                  </tr>
                                  <tr>
                                    <td><input name="Painting" type="checkbox" class="checks" id="Painting" /></td>
                                    <td>Painting</td>
                                  </tr>
                                  <tr>
                                    <td><input name="Repair" type="checkbox" class="checks" id="Repair" /></td>
                                    <td> Repair </td>
                                  </tr>
                                  <tr>
                                    <td><input name="Electrical" type="checkbox" class="checks" id="Electrical" /></td>
                                    <td>Electrical</td>
                                  </tr>
                                  <tr>
                                    <td><input name="Other" type="checkbox" class="checks" id="Other" /></td>
                                    <td>Other</td>
                                  </tr>
                                </table>
                        </div></td>
                        <td width="8" valign="top">&nbsp;</td>
                        <td width="193" valign="top"><div style="margin-left:10px; margin-right:10px;"><span class="smallHeadersRed">Comments/Other</span><br>
                              <br>
                                <table width="100%" border="0" cellspacing="3" cellpadding="0">
                                  <tr>
                                    <td><textarea class="formInput" name="QuestionsFeedback" cols="35" rows="10" wrap="virtual"></textarea></td>
                                  </tr>
                                  <tr>
                                    <td>How did you hear about us? </td>
                                  </tr>
                                  <tr>
                                    <td><span class="textForms">
                                      <select name="Source" class="formInput" id="Source">
                                        <option value="A">Ad</option>
                                        <option value="F">Flyer</option>
                                        <option value="R">Referral</option>
                                        <option value="S">Sign</option>
                                        <option value="P">Phone Book</option>
                                        <option value="O">Other</option>
                                        <option value="SEW" selected="selected">Search Engine/Web</option>
                                        <option value="BBB">Better Business Bureau</option>
                                      </select>
                                    </span></td>
                                  </tr>
                                  <tr>
                                    <td>&nbsp;</td>
                                  </tr>
                                  <tr>
                                    <td><div align="left"><span class="textForms">
                                      <input name="Submit" type="submit" class="btnSubmit" value="Submit" />
  &nbsp;&nbsp;
                                      <input name="theTime" type="hidden" value="<%=time%>" />
                                      <input name="theDate" type="hidden" value="<%=date%>" />
                                      <input name="TakenBy" type="hidden" id="TakenBy" value="Web" />
                                      <input name="PhoneExtension" type="hidden" id="PhoneExtension" value="000" />
                                    </span></div></td>
                                  </tr>
                                </table>
                        </div></td>
                      </tr>
                    </table>
                                    
                    <input type="hidden" name="MM_insert" value="GetEstimate">
                  </form>
                  <br>
                    <br></td></tr>
              </table>
          </div></td>
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        <tr>
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        <tr>
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              <td width="59%" valign="top" nowrap><div class="footerText" style="margin-left:10px; margin-top:12px;">9705 Burnett Rd. Suite 307 Austin, Texas 78758 (512) 719-9922<br>
                16103 Kuykendahl Rd. Houston, Texas 77068 (281) 583-2600 <br>
                Global General Construction Services  &copy; 2006 | <a href="#">Privacy</a></div></td>
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