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File: catalog.html
<!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" /> <title>Custom Tanningbed Form</title> <style type="text/css"> <!-- body { margin-left: 0px; margin-top: 0px; } .style1 { font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 12px; } .style2 { color: #003399; font-weight: bold; } .style6 {font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 12px; font-weight: bold; } .style12 {color: #003399; font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 12px; font-weight: bold; } .style14 {color: #0A3B9D; font-weight: bold; } --> </style></head> <body> <table width="796" border="0" cellspacing="20" cellpadding="0"> <tr> <td colspan="2"><div align="center"><img src="../images/new/fromLogo.jpg" width="215" height="206" /></div></td> </tr> <tr> <td colspan="2"><div align="center" class="style1"><strong>Free Catalog Request Form :</strong><br /> 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.<br /> 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.<br /> <span class="style2">Bold blue fields are Required. </span></div></td> </tr> <tr> <td colspan="2"><form id="form1" name="form1" method="post" action=""> <span class="style6">Who are you?<br /> <br /> </span> <table width="100%" border="0" cellspacing="5" cellpadding="0"> <tr> <td width="18%" class="style1"><span class="style2">Contact Name:</span></td> <td width="82%"><label> <input type="text" name="Contact Name" id="Contact Name" /> </label></td> </tr> <tr> <td class="style1"><span class="style2">E-mail Address:</span></td> <td><label> <input type="text" name="E-mail Address" id="E-mail Address" /> </label></td> </tr> <tr> <td class="style1"><span class="style2">Phone:</span></td> <td><label> <input type="text" name="Phone" id="Phone" /> </label></td> </tr> <tr> <td class="style1"><span class="style2">Fax:</span></td> <td><label> <input type="text" name="Fax" id="Fax" /> </label></td> </tr> </table> <span class="style6"><br /> Where should we send the catalog(s)?<br /> <br /> </span> <table width="100%" border="0" cellspacing="5" cellpadding="0"> <tr> <td width="18%" class="style1"><span class="style14">Street Address :</span></td> <td width="82%"><label> <input name="Street Address" type="text" id="Street Address" size="40" /> </label></td> </tr> <tr> <td class="style1"><span class="style14">City:</span></td> <td><label> <input type="text" name="City" id="City" /> </label></td> </tr> <tr> <td class="style1"><span class="style14">State:</span></td> <td><label> <input type="text" name="State" id="State" /> </label></td> </tr> <tr> <td class="style1"><span class="style14">Zip:</span></td> <td><label> <input type="text" name="Zip" id="Zip" /> </label></td> </tr> </table> <span class="style6"><br /> Do you own or work at a salon?<br /> <br /> </span> <table width="100%" border="0" cellspacing="5" cellpadding="0"> <tr> <td width="18%" class="style1"><span class="style12">Salon Name :</span></td> <td width="82%"><label> <input type="text" name="Salon Name" id="Salon Name" /> </label></td> </tr> <tr> <td class="style1"><span class="style12">Your Title :</span></td> <td><label> <input type="text" name="Your Title" id="Your Title" /> </label></td> </tr> </table> <span class="style6"><br /> ( Commercial ) Please complete these questions:</span><br /> <br /> <table width="100%" border="0" cellspacing="5" cellpadding="0"> <tr> <td width="57%" class="style1"><span class="style1">Are you planning on buying new equipment in the near future?</span></td> <td width="43%">Yes <label> <input name="radio" type="radio" id="radio" value="radio" /> No <input name="radio" type="radio" id="radio2" value="radio" /> </label></td> </tr> <tr> <td class="style1">If yes, when?</td> <td><label> <select name="select" id="select"> <option> </option> <option>within 2 months</option> <option>within 4 months</option> <option>within 6 months</option> <option>within 6 months</option> </select> </label></td> </tr> <tr> <td class="style1">What type of business is this for?</td> <td><label> <select name="select2" id="select2"> <option> </option> <option>Tanning Salon</option> <option>Beauty Salon</option> <option>Fitness Center</option> <option>Spa</option> <option>Hotel</option> <option>Video Store</option> <option>Other</option> </select> </label></td> </tr> <tr> <td class="style1">Is this a new or existing business?</td> <td>New <label> <input type="radio" name="radio3" id="radio3" value="radio3" /> Existing <input type="radio" name="radio3" id="radio4" value="radio3" /> </label></td> </tr> <tr> <td class="style1">If this is for a new business, have you selected a location?</td> <td>Yes <label> <input name="radio5" type="radio" id="radio5" value="radio5" /> No <input name="radio5" type="radio" id="radio6" value="radio5" /> </label></td> </tr> <tr> <td class="style1">If this is for an existing business, how many beds do you have?</td> <td><label> <select name="select3" id="select3"> <option> </option> <option>1 to 3</option> <option>4 to 6</option> <option>7 or more</option> <option>N/A</option> </select> </label></td> </tr> <tr> <td class="style1">Are you interested in Spray Tanning also?</td> <td>Yes <label> <input name="radio7" type="radio" id="radio7" value="radio7" /> No <input name="radio7" type="radio" id="radio8" value="radio7" /> </label></td> </tr> <tr> <td class="style1">How did you first learn about Tropical Rayz beds?</td> <td><label> <select name="select4" id="select4"> <option> </option> <option>Internet</option> <option>Trade Show</option> <option>Magazine Ad</option> <option>Yellow Pages</option> <option>Salon</option> <option>Referral</option> </select> </label></td> </tr> </table> <br /> <span class="style6">( Residential ) Please complete these qusetions:</span><br /> <br /> <table width="100%" border="0" cellspacing="5" cellpadding="0"> <tr> <td width="57%" class="style1">When do you plan on purchasing a tanning bed?</td> <td width="43%"><label> <select name="select5" id="select5"> <option> </option> <option>within a week</option> <option>within 2 weeks</option> <option>within a month</option> <option>within 2 months</option> <option>more than 2 months</option> </select> </label></td> </tr> <tr> <td class="style1">How many lamps are you looking for on your tanning bed?</td> <td><label> <select name="select5" id="select6"> <option> </option> <option>10 Lamps</option> <option>16 Lamps</option> <option>20 Lamps</option> <option>24 Lamps</option> <option>28 Lamps</option> <option>30 Lamps</option> <option>More than 30</option> </select> </label></td> </tr> <tr> <td class="style1">What is your budget for this purchase?</td> <td><label> <input type="text" name="textfield11" id="textfield11" /> </label></td> </tr> <tr> <td class="style1">How did you first learn about Tropical Rayz beds?</td> <td><label> <select name="select5" id="select8"> <option> </option> <option>Internet</option> <option>Trade Show</option> <option>Magazine Ad</option> <option>Yellow Pages</option> <option>Salon</option> <option>Referral</option> </select> </label></td> </tr> <tr> <td class="style1">How would you like us to contact you?</td> <td><label> <select name="select7" id="select7"> <option> </option> <option>Phone</option> <option>E-Mail</option> </select> </label></td> </tr> </table> <br /> <span class="style6">Finally, please provide any additional comments you may have:</span><br /> <label> <textarea name="textarea" id="textarea" cols="92" rows="6"></textarea> <br /> <br /> <input type="submit" name="button" id="button" value="Submit My Catalog Request(s)!" /> </label> <br /> </form> </td> </tr> </table> <br /> </body> </html> <script type="text/javascript"> var _gaq = _gaq || []; _gaq.push(['_setAccount', 'UA-37606842-1']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 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