<% Dim strCompanyName, strName, strEmail, strTelephone, strFax, strAddress, _ strZipCode, strBestTimeToCall, strExpirationMonth, strCurrentCarrier, _ strQuestionsConcerns strCompanyName = "" strName = "" strEmail = "" strTelephone = "" strFax = "" strAddress = "" strZipCode = "" strBestTimeToCall = "" strExpirationMonth = "" strCurrentCarrier = "" strQuestionsConcerns = "" %>
<% Sub CommercialQuoteForm %>

Contact Information:

* Company Name:
* Contact Name:
* Email Address:
* Telephone:
Fax:
* Address:
* Zip Code:
Best time to call:

Commercial Quote Information

* Expiration Month:
Current Carrier:
Questions or Concerns:

<% End Sub %> <% If Request.ServerVariables("REQUEST_METHOD") = "POST" Then strCompanyName = Request.Form("companyname") strName = Request.Form("name") strEmail = Request.Form("email") strTelephone = Request.Form("telephone") strFax = Request.Form("fax") strAddress = Request.Form("address") strZipCode = Request.Form("zipcode") strBestTimeToCall = Request.Form("besttimetocall") strExpirationMonth = Request.Form("expirationmonth") strCurrentCarrier = Request.Form("currentcarrier") strQuestionsConcerns = Request.Form("questionsconcerns") If (strCompanyName <> "") And (strName <> "") And (strEmail <> "") And (strTelephone <> "") And _ (strFax <> "") And (strAddress <> "") And (strZipCode <> "") And (strBestTimeToCall <> "") And _ (strExpirationMonth <> "") And (strCurrentCarrier <> "") Then %> <% Call CommercialQuoteForm End If Else Call CommercialQuoteForm End If %>