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File: catalog_request.php
<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd"> <html xmlns="http://www.w3.org/1999/xhtml"><head> <meta http-equiv="Content-Type" content="text/html; charset=utf-8"> <meta name="description" content="Catalog Request page for ProSun International Products: Choose from Home Tanning Equipment, Salon Tanning Equipment, and Skin Rejuvenation."> <meta name="keywords" content="ProSun, Home, Salon, Residential, Commercial, Skin Rejuvenation, Phototherapy, Spa, Beauty, Catalog, Free"> <meta name="robots" content="index,follow"><title>Free Catalog Request Form | ProSun International</title> <style type="text/css"> @import url('css/formsubmit.css'); #catalogblock { clear:both; width:80%;} body{ font-family:Arial, Helvetica, sans-serif; font-size:12px;} .catalogbox { display:block; float:left; font-weight:bold; font-size:0.9em; width:140px; margin-right:20px; padding:10px; background-color:#EEE; border:1px solid #BBB; } #catalogblock IMG { cursor:pointer; } .highlighted { background-color:#9F9; border:1px solid #0C0; } .zoop { height:0px; overflow:hidden; } .visible { height:auto; overflow:auto; } #pgtitle { position:absolute; padding:0; margin:0; display:block; top:80px; left:450px; color:#009; } .question { display:block; clear:both; } .question LABEL { display:block; width:150px; text-align:right; margin-right:10px; height:25px; float:left; } .question INPUT { height:15px; width:300px; } .required { font-weight:bold; color:#009; } #submitbutton { height:55px; width:400px; margin-top:20px; float:left; font-size:1.4em; font-weight:bold; } </style> </head> <body lang="en"> <div id="content" align="center" style="width:auto; margin:auto"> <img src="images/fromLogo.jpg" width="215" height="206" /> <form action="mail2.php" enctype="application/x-www-form-urlencoded" method="post"><input name="PHPSESSID" value="e3473617d4e7dc6e05cfec8a0decf7b9" type="hidden"> <h3 style="margin-top: 0pt; padding-top: 0pt;">Free Catalog Request Form :</h3> <p>Upon request completion, the selected catalogs will be e-mailed to you in Adobe PDF format, in order to fulfil your request as quickly as possible. These documents are exact digital copies of our current literature.</p> <p>Note that if you select more than one catalog, you are essentially submitting multiple requests at once, and therefore may be contacted by multiple salespeople from the departments related to your catalog selections. In order to assist our sales staff in determining the best way to assist you, please complete the questionaires related to each of your selections.</p> <p style="text-indent: 0pt; color: rgb(0, 0, 153); font-weight: bold;">Bold blue fields are Required.</p> <h3 style="clear: both; padding-top: 25px;">Who are you? </h3> <table width="85%" border="0" cellspacing="0" cellpadding="4"> <tr> <td width="23%"><label class="required">Contact Name: </label></td> <td width="23%"><input id="txt_name" name="txt_name" type="text"></td> <td width="23%"><label class="required">E-mail Address: </label></td> <td width="31%"><input id="txt_email" name="txt_email" type="text" /></td> </tr> <tr> <td><label class="required">Phone: </label></td> <td><input id="txt_phone" name="txt_phone" type="text"></td> <td><label class="required">Fax: </label></td> <td><input id="txt_fax" name="txt_fax" type="text" /></td> </tr> </table> <h3>Where should we send the catalog(s)?</h3> <table width="85%" border="0" cellspacing="0" cellpadding="4"> <tr> <td width="23%"><label class="required">Street Address : </label></td> <td width="23%"><input id="txt_street" name="txt_street" type="text"></td> <td width="23%"><label class="required">City: </label></td> <td width="31%"><input id="txt_city" name="txt_city" type="text"></td> </tr> <tr> <td><label class="required">State: </label></td> <td><input id="txt_state" name="txt_state" type="text"></td> <td><label class="required">Zip: </label></td> <td><input id="txt_zip" name="txt_zip" style="width: 120px;" type="text"></td> </tr> </table> <h3>Do you own or work at a salon? </h3> <table width="85%" border="0" cellspacing="0" cellpadding="4"> <tr> <td width="23%"><label class="required">Salon Name : </label></td> <td width="23%"><input id="txt_salon" name="txt_salon" type="text"></td> <td width="23%"><label class="required">Your Title : </label></td> <td width="31%"><input id="txt_title" name="txt_title" type="text"></td> </tr> </table> <h3>( Commercial ) Please complete these qusetions: </h3> <table border="0" cellpadding="1" cellspacing="10"> <tbody><tr> <td valign="top" width="423">Are you planning on buying new equipment in the near future?</td> <td width="183">Yes <input name="newequip" value="Yes" type="radio"> No <input name="newequip" value="No" type="radio"></td> </tr> <tr> <td valign="top">If yes, when?</td> <td><select name="when_c"><option value=" "> </option><option value="Within 2 Months">Within 2 Months</option><option value="Within 4 Months">Within 4 Months</option><option value="Within 6 Months">Within 6 Months</option><option value="After 6 Months">After 6 Months</option></select></td> </tr> <tr> <td valign="top">What type of business is this for?</td> <td><select name="type"><option value=" "> </option><option value="Tanning Salon">Tanning Salon</option><option value="Beauty Salon">Beauty Salon</option><option value="Fitness Center">Fitness Center</option><option value="Spa">Spa</option><option value="Hotel">Hotel</option><option value="Video Store">Video Store</option><option value="Other">Other</option></select></td> </tr> <tr> <td valign="top">Is this a new or existing business?</td> <td>New <input name="neworexist" value="New" type="radio"> Existing <input name="neworexist" value="Existing" type="radio"></td> </tr> <tr> <td valign="top">If this is for a new business, have you selected a location?</td> <td>Yes <input name="location" value="Yes" type="radio"> No <input name="location" value="No" type="radio"></td> </tr> <tr> <td valign="middle">If this is for an existing business, how many beds do you have?</td> <td><select name="beds"><option value=" "> </option><option value="1 to 3">1 to 3</option><option value="4 to 6">4 to 6</option><option value="7 or more">7 or more</option><option value="N/A">N/A</option></select></td> </tr> <tr> <td valign="middle">Are you interested in Spray Tanning also?</td> <td>Yes <input name="spray" value="Yes" type="radio"> No <input name="spray" value="No" type="radio"></td> </tr> <tr> <td valign="middle">How did you first learn about Tropical Rayz beds?</td> <td><select name="learn_c"><option value=" "> </option><option value="Internet">Internet</option><option value="Trade Show">Trade Show</option><option value="Magazine Ad">Magazine Ad</option><option value="Yellow Pages">Yellow Pages</option><option value="Salon">Salon</option><option value="Referral">Referral</option></select></td> </tr> </tbody></table> <h3>( Residential ) Please complete these qusetions: </h3> <table border="0" cellpadding="1" cellspacing="10"> <tbody><tr> <td valign="top" width="423">When do you plan on purchasing a tanning bed?</td> <td width="183"><select name="when_r"><option value=" "> </option><option value="Within a week">Within a week</option><option value="Within 2 weeks">Within 2 weeks</option><option value="Within a month">Within a month</option><option value="Within 2 months">Within 2 months</option><option value="More than 2 months">More than 2 months</option></select></td> </tr> <tr> <td valign="top">How many lamps are you looking for on your tanning bed?</td> <td><select name="lamps"><option value=" "> </option><option value="10 Lamps">10 Lamps</option><option value="16 Lamps">16 Lamps</option><option value="20 Lamps">20 Lamps</option><option value="24 Lamps">24 Lamps</option><option value="28 Lamps">28 Lamps</option><option value="30 Lamps">30 Lamps</option><option value="More than 30">More than 30</option></select></td> </tr> <tr> <td valign="top">What is your budget for this purchase?</td> <td><input name="budget" type="text"></td> </tr> <tr> <td valign="top">How did you first learn about Tropical Rayz beds?</td> <td><select name="learn_r"><option value=" "> </option><option value="Internet">Internet</option><option value="Trade Show">Trade Show</option><option value="Magazine Ad">Magazine Ad</option><option value="Yellow Pages">Yellow Pages</option><option value="Salon">Salon</option><option value="Referral">Referral</option></select></td> </tr> <tr> <td valign="top">How would you like us to contact you?</td> <td><select name="contact"><option value=" "> </option><option value="Phone">Phone</option><option value="E-mail">E-mail</option></select></td> </tr> </tbody></table> <h3>Finally, please provide any additional comments you may have: </h3> <p> <textarea name="comments" id="txt_comments" style="width: 80%; height: 150px;"></textarea> <br> <input name="isFromAdwords" value="No" type="hidden"> </p> <p><img src="security_key.php" width="120" height="40"> <br> Enter the above value<input type="text" name="capture" value="" /><br /> </p> <table width="95%" border="0" cellspacing="0" cellpadding="0"> <tr> <td align="center" valign="middle"> <input name="submit" type="submit" value="Submit My Catalog Request(s)!" /> </td> </tr> </table> TanningOnline.com © Copyright 1999-2008 All rights reserved. Privacy<br /> This page was last updated and optimized on May 15, 2008 by Website-Optimization-Experts.com<br /> * VHR & VLR are registered trademarks of Cosmedico Light Inc </form> <script type="text/javascript"> var gaJsHost = (("https:" == document.location.protocol) ? "https://ssl." : "http://www."); document.write(unescape("%3Cscript src='" + gaJsHost + "google-analytics.com/ga.js' type='text/javascript'%3E%3C/script%3E")); </script><script src="catalog_request.php_files/ga.js" type="text/javascript"></script> <script type="text/javascript"> var pageTracker = _gat._getTracker("UA-275918-1"); pageTracker._initData(); pageTracker._trackPageview(); </script> </body></html>