The Dieter Company (137) -- Dieter Rental Account (93)

Visual Data Systems

mgmt - The Dieter Company Property Management Request Form

FormID: 816 AccountID: 93

LEGACY Contents for config-mgmt.php file:
<?php $AccountID = 93; $formid = 816; $pageTitle = 'Contact Us'; $pageHeader = 'Contact Us For More Information'; $introText = '<p>We would like the opportunity to provide you with more information. Please fill in the simple form below, select the <strong>Submit</strong> button, and we will get back to you shortly. </p>'; $template = $Root.'/Templates/page2.dwt'; $contactblock = "<tr><td colspan=4><table width=100%><tr><td align=right class=label>First Name:</td><td width=85%><input type='text' name='FirstName' value='".(($_POST['FirstName'] <> "") ? htmlentities(stripslashes($_POST['FirstName']), ENT_QUOTES) : "")."' size=24 maxlength=24 />$reqsymbol</td></tr> <tr><td align=right class=label>Last Name:</td><td width=85%><input type='text' name='LastName' value='".(($_POST['LastName'] <> "") ? htmlentities(stripslashes($_POST['LastName']), ENT_QUOTES) : "")."' size=32 maxlength=32 />$reqsymbol</td></tr> <tr><td align=right class=label>Email:</td><td width=85%><input type='text' name='Email' value='".(($_POST['Email'] <> "") ? htmlentities(stripslashes($_POST['Email']), ENT_QUOTES) : "")."' size=32 maxlength=64 />$reqsymbol</td></tr> <tr><td align=right class=label>Phone:</td><td width=85%><input type='text' name='Phone' value='".(($_POST['Phone'] <> "") ? htmlentities(stripslashes($_POST['Phone']), ENT_QUOTES) : "")."' size=16 maxlength=16 />$reqsymbol</td></tr> <tr><td align=right class=label>Address 1:</td><td width=85%><input type='text' name='Address1' value='".(($_POST['Address1'] <> "") ? htmlentities(stripslashes($_POST['Address1']), ENT_QUOTES) : "")."' size=44 maxlength=48 /></td></tr> <tr><td align=right class=label>City:</td><td width=85%><input type='text' name='City' value='".(($_POST['City'] <> "") ? htmlentities(stripslashes($_POST['City']), ENT_QUOTES) : "")."' size=24 maxlength=24 /></td></tr> <tr><td align=right class=label>State:</td><td><select name='State' size='1'><option value='' SELECTED>[State]</option><option value='ZZ'".(($_POST['State'] == 'ZZ') ? "selected" : "").">International</option><option value='AL'".(($_POST['State'] == 'AL') ? "selected" : "").">AL-Alabama</option><option value='AK'".(($_POST['State'] == 'AK') ? "selected" : "").">AK-Alaska</option><option value='AZ'".(($_POST['State'] == 'AZ') ? "selected" : "").">AZ-Arizona</option><option value='AR'".(($_POST['State'] == 'AR') ? "selected" : "").">AR-Arkansas</option><option value='CA'".(($_POST['State'] == 'CA') ? "selected" : "").">CA-California</option><option value='CO'".(($_POST['State'] == 'CO') ? "selected" : "").">CO-Colorado</option><option value='CT'".(($_POST['State'] == 'CT') ? "selected" : "").">CT-Connecticut</option><option value='DC'".(($_POST['State'] == 'DC') ? "selected" : "").">DC-Washington D.C.</option><option value='DE'".(($_POST['State'] == 'DE') ? "selected" : "").">DE-Delaware</option><option value='FL'".(($_POST['State'] == 'FL') ? "selected" : "").">FL-Florida</option><option value='GA'".(($_POST['State'] == 'GA') ? "selected" : "").">GA-Georgia</option><option value='HI'".(($_POST['State'] == 'HI') ? "selected" : "").">HI-Hawaii</option><option value='ID'".(($_POST['State'] == 'ID') ? "selected" : "").">ID-Idaho</option><option value='IL'".(($_POST['State'] == 'IL') ? "selected" : "").">IL-Illinois</option><option value='IN'".(($_POST['State'] == 'IN') ? "selected" : "").">IN-Indiana</option><option value='IA'".(($_POST['State'] == 'IA') ? "selected" : "").">IA-Iowa</option><option value='KS'".(($_POST['State'] == 'KS') ? "selected" : "").">KS-Kansas</option><option value='KY'".(($_POST['State'] == 'KY') ? "selected" : "").">KY-Kentucky</option><option value='LA'".(($_POST['State'] == 'LA') ? "selected" : "").">LA-Louisiana</option><option value='ME'".(($_POST['State'] == 'ME') ? "selected" : "").">ME-Maine</option><option value='MD'".(($_POST['State'] == 'MD') ? "selected" : "").">MD-Maryland</option><option value='MA'".(($_POST['State'] == 'MA') ? "selected" : "").">MA-Massachusetts</option><option value='MI'".(($_POST['State'] == 'MI') ? "selected" : "").">MI-Michigan</option><option value='MN'".(($_POST['State'] == 'MN') ? "selected" : "").">MN-Minnesota</option><option value='MS'".(($_POST['State'] == 'MS') ? "selected" : "").">MS-Mississippi</option><option value='MO'".(($_POST['State'] == 'MO') ? "selected" : "").">MO-Missouri</option><option value='MT'".(($_POST['State'] == 'MT') ? "selected" : "").">MT-Montana</option><option value='NE'".(($_POST['State'] == 'NE') ? "selected" : "").">NE-Nebraska</option><option value='NV'".(($_POST['State'] == 'NV') ? "selected" : "").">NV-Nevada</option><option value='NH'".(($_POST['State'] == 'NH') ? "selected" : "").">NH-New Hampshire</option><option value='NJ'".(($_POST['State'] == 'NJ') ? "selected" : "").">NJ-New Jersey</option><option value='NM'".(($_POST['State'] == 'NM') ? "selected" : "").">NM-New Mexico</option><option value='NY'".(($_POST['State'] == 'NY') ? "selected" : "").">NY-New York</option><option value='NC'".(($_POST['State'] == 'NC') ? "selected" : "").">NC-North Carolina</option><option value='ND'".(($_POST['State'] == 'ND') ? "selected" : "").">ND-North Dakota</option><option value='OH'".(($_POST['State'] == 'OH') ? "selected" : "").">OH-Ohio</option><option value='OK'".(($_POST['State'] == 'OK') ? "selected" : "").">OK-Oklahoma</option><option value='OR'".(($_POST['State'] == 'OR') ? "selected" : "").">OR-Oregon</option><option value='PA'".(($_POST['State'] == 'PA') ? "selected" : "").">PA-Pennsylvania</option><option value='PR'".(($_POST['State'] == 'PR') ? "selected" : "").">PR-Puerto Rico</option><option value='RI'".(($_POST['State'] == 'RI') ? "selected" : "").">RI-Rhode Island</option><option value='SC'".(($_POST['State'] == 'SC') ? "selected" : "").">SC-South Carolina</option><option value='SD'".(($_POST['State'] == 'SD') ? "selected" : "").">SD-South Dakota</option><option value='TN'".(($_POST['State'] == 'TN') ? "selected" : "").">TN-Tennessee</option><option value='TX'".(($_POST['State'] == 'TX') ? "selected" : "").">TX-Texas</option><option value='UT'".(($_POST['State'] == 'UT') ? "selected" : "").">UT-Utah</option><option value='VT'".(($_POST['State'] == 'VT') ? "selected" : "").">VT-Vermont</option><option value='VA'".(($_POST['State'] == 'VA') ? "selected" : "").">VA-Virginia</option><option value='WA'".(($_POST['State'] == 'WA') ? "selected" : "").">WA-Washington</option><option value='WV'".(($_POST['State'] == 'WV') ? "selected" : "").">WV-West Virginia</option><option value='WI'".(($_POST['State'] == 'WI') ? "selected" : "").">WI-Wisconsin</option><option value='WY'".(($_POST['State'] == 'WY') ? "selected" : "").">WY-Wyoming</option></select></td></tr> <tr><td align=right class=label>Zip:</td><td width=85%><input type='text' name='Zip' value='".(($_POST['Zip'] <> "") ? htmlentities(stripslashes($_POST['Zip']), ENT_QUOTES) : "")."' size=10 maxlength=10 /></td></tr> <tr><td colspan=2><table width=100%><tr><td colspan=3>Please indicate the methods by which we may contact you:</td></tr><tr><td><input type='checkbox' class=clear name='ApprovedContactEmail' value='1' ".(($_POST['ApprovedContactEmail'] == "1") ? "CHECKED" : "CHECKED")." />email</td><td><input type='checkbox' class=clear name='ApprovedContactPhone' value='1' ".(($_POST['ApprovedContactPhone'] == "1") ? "CHECKED" : "CHECKED")." />phone</td><td><input type='checkbox' class=clear name='ApprovedContactPost' value='1' ".(($_POST['ApprovedContactPost'] == "1") ? "CHECKED" : "CHECKED")." />post</td></tr></table></td></tr> </table></td></tr>"; $questionblock = "<tr><td class=label><b>Property Address: </b></td><td><input type='text' class='item' name='TEXT:0000005055' value='".(($_POST['TEXT:0000005055'] <> "") ? htmlentities($_POST['TEXT:0000005055'], ENT_QUOTES) : "")."' /></td></tr> <tr><td><b>Bedrooms:</b></td><td><select class='item' name='MAID:0000005169' size='1'><option value='0000054236' ".(($_POST['MAID:0000005169'] == '0000054236') ? "selected":"").">0</option><option value='0000054237' ".(($_POST['MAID:0000005169'] == '0000054237') ? "selected":"").">1</option><option value='0000054238' ".(($_POST['MAID:0000005169'] == '0000054238') ? "selected":"").">2</option><option value='0000054239' ".(($_POST['MAID:0000005169'] == '0000054239') ? "selected":"").">3</option><option value='0000054240' ".(($_POST['MAID:0000005169'] == '0000054240') ? "selected":"").">4</option><option value='0000054241' ".(($_POST['MAID:0000005169'] == '0000054241') ? "selected":"").">5</option><option value='0000054242' ".(($_POST['MAID:0000005169'] == '0000054242') ? "selected":"").">6</option><option value='0000054243' ".(($_POST['MAID:0000005169'] == '0000054243') ? "selected":"").">7</option><option value='0000054244' ".(($_POST['MAID:0000005169'] == '0000054244') ? "selected":"").">7+</option></select></td></tr> <tr><td><b>Bathrooms:</b></td><td><select class='item' name='MAID:0000005170' size='1'><option value='0000054248' ".(($_POST['MAID:0000005170'] == '0000054248') ? "selected":"").">0</option><option value='0000054249' ".(($_POST['MAID:0000005170'] == '0000054249') ? "selected":"").">1</option><option value='0000054250' ".(($_POST['MAID:0000005170'] == '0000054250') ? "selected":"").">2</option><option value='0000054251' ".(($_POST['MAID:0000005170'] == '0000054251') ? "selected":"").">3</option><option value='0000054252' ".(($_POST['MAID:0000005170'] == '0000054252') ? "selected":"").">4</option><option value='0000054253' ".(($_POST['MAID:0000005170'] == '0000054253') ? "selected":"").">5</option><option value='0000054254' ".(($_POST['MAID:0000005170'] == '0000054254') ? "selected":"").">6</option><option value='0000054255' ".(($_POST['MAID:0000005170'] == '0000054255') ? "selected":"").">7</option><option value='0000054256' ".(($_POST['MAID:0000005170'] == '0000054256') ? "selected":"").">7+</option></select></td></tr> <tr><td class=label colspan=2><b>Is your property currently in a rental program? </b></td></tr><tr><td colspan=2>   <input type='radio' class=clear name='MAID:0000005056' value='0000053877' ".(($_POST['MAID:0000005056'] == '0000053877') ? "selected='selected'":"")." />Yes </td></tr><tr><td colspan=2>   <input type='radio' class=clear name='MAID:0000005056' value='0000053878' ".(($_POST['MAID:0000005056'] == '0000053878') ? "selected='selected'":"")." />No </td></tr> <tr><td class=label><b>If so, what company?</b></td><td><input type='text' class='item' name='TEXT:0000005057' value='".(($_POST['TEXT:0000005057'] <> "") ? htmlentities($_POST['TEXT:0000005057'], ENT_QUOTES) : "")."' /></td></tr> <tr><td class=label><b>Property ID: </b></td><td><input type='text' class='item' name='TEXT:0000005058' value='".(($_POST['TEXT:0000005058'] <> "") ? htmlentities($_POST['TEXT:0000005058'], ENT_QUOTES) : "")."' /></td></tr> <tr><td colspan=2><b>Additional Comments:</b></td></tr><tr><td colspan=2><textarea cols=60 rows=5 name='TEXT:0000003921'>".(($_POST['TEXT:0000003921'] <> "") ? htmlentities(stripslashes($_POST['TEXT:0000003921']), ENT_QUOTES) : htmlentities(stripslashes(" "), ENT_QUOTES))."</textarea></td></tr> "; $thanksTitle = 'Thank You'; $thanksHeader = 'Thanks for your time!'; $thanksText = '<P>Many thanks for contacting us. A representative will be responding to your on-line request shortly. We appreciate your business and will do our best to serve your needs! </p>';