Garage door quote request form - Serving New York, New Jersey, Westchester and Connecticut

<% dim lError dim lFirstName dim lLastName dim lAddress dim lCity dim lHomePhone lError = request("Error") 'If errors were found trying to update if (lError <> "") then lErrArr = split(Session("Error"),"|$|") end if %> Garage door quote request form - Serving New York, New Jersey, Westchester and Connecticut

G ARAGE D OOR Q UOTE R EQUEST F ORM

(Residential)

Please Provide the Following Information:
* Indicates required field

<% '******************************************************************************************** ' Display the Error messages to the user '******************************************************************************************** If lError <> "" Then %>

<% 'Display Required Field Error Messages if instr(lError, "00") > 0 then %> Last Name is required
<% End If if instr(lError, "01") > 0 then %> First Name is required
<% End If if instr(lError, "02") > 0 then %> Address is required
<% End If if instr(lError, "03") > 0 then %> City is required
<% End If if instr(lError, "04") > 0 then %> Home Phone is required
<% End If %>

<% End If %>

GENERAL
*last name:
*first name:
*address:
*city:
state:
zip code:
email:
*tel. (home):
tel. (work):
best time to contact you:
YOUR HOUSE
*how old is it:	to be built 1 to 7 years old 8 to 14 years old 15 years or more
*style:	1 storey 2 or multi- storeys semi-detached town-house condominium
YOUR GARAGE DOOR
*size:	1 car 2 cars other
*electric operator:	I already have one need a new one not necessary (manual operation)
*windows:	no yes (type of panes desired)
YOUR GARAGE
*you use your garage for:	workshop or recreation room car parking storage and car parking other (please specify)
*your garage is:	attached to the house detached from the house underground other (please specify)
* IMPORTANT SELECTING CRITERIA FOR YOU (select all that applies)	insulation colour choice shock resistance aesthetics and appearance price easy maintenance durability product and installation warranty safe operation
OTHER RELATED WORK	removal and disposal of existing door caping the door frame (aluminum or vinyl)
OTHER IMPORTANT POINTS TO MENTION: ( ex: bedroom above garage )