Brindley Beach Sales (1854) -- Brindley Beach Sales OptIn (383)

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contact - Brindley Beach Home Wish List Form

FormID: 1004 AccountID: 383

LEGACY Contents for config-contact.php file:
<?php $AccountID = 383; $formid = 1004; $pageTitle = 'OBX Home Wish List'; $pageHeader = 'OBX Home Wish List'; $introText = 'Dreaming of your next Outer Banks home or vacation property? We will work together with you to make your dream a reality! Help us get started by describing the particular features on your personal wish list. Think of locations on the OBX you want, do you prefer oceanside or soundside, what features are important to you, your family or your guests. We will hand-pick a short list of available properties to meet your needs and your investment level. Let’s find your dream home! Please fill in the simple form below, select the Submit button, then one of our experienced, professional agents will respond to you shortly.'; $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 /></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> </table></td></tr>"; $questionblock = "<tr><td class=label><b>Preferred Area</b></td><td><input type='text' class='item' name='TEXT:0000008234' value='".(($_POST['TEXT:0000008234'] <> "") ? htmlentities($_POST['TEXT:0000008234'], ENT_QUOTES) : "")."' /></td></tr> <tr><td><b>Property Type:</b></td><td><select class='item' name='MAID:0000008285' size='1'><option value='0000065905' ".(($_POST['MAID:0000008285'] == '0000065905') ? "selected":"").">-select one-</option><option value='0000065906' ".(($_POST['MAID:0000008285'] == '0000065906') ? "selected":"").">House</option><option value='0000065907' ".(($_POST['MAID:0000008285'] == '0000065907') ? "selected":"").">Condo</option><option value='0000065908' ".(($_POST['MAID:0000008285'] == '0000065908') ? "selected":"").">Townhome</option><option value='0000065909' ".(($_POST['MAID:0000008285'] == '0000065909') ? "selected":"").">Duplex</option></select></td></tr> <tr><td class=label><b>Number of bedrooms</b></td><td><input type='text' class='item' name='TEXT:0000008236' value='".(($_POST['TEXT:0000008236'] <> "") ? htmlentities($_POST['TEXT:0000008236'], ENT_QUOTES) : "")."' /></td></tr> <tr><td class=label><b>Price Range</b></td><td><input type='text' class='item' name='TEXT:0000008237' value='".(($_POST['TEXT:0000008237'] <> "") ? htmlentities($_POST['TEXT:0000008237'], ENT_QUOTES) : "")."' /></td></tr> <tr><td class=label colspan=2><b>Timeframe for Purchase:</b></td></tr><tr><td colspan=2>   <input type='checkbox' class=clear name='MAID:0000008863:0' value='0000068807' ".(($_POST['MAID:0000008863:0'] == '0000068807') ? "checked='checked'":"")." />0-3 months </td></tr><tr><td colspan=2>   <input type='checkbox' class=clear name='MAID:0000008863:1' value='0000068808' ".(($_POST['MAID:0000008863:1'] == '0000068808') ? "checked='checked'":"")." />3-6 months </td></tr><tr><td colspan=2>   <input type='checkbox' class=clear name='MAID:0000008863:2' value='0000068809' ".(($_POST['MAID:0000008863:2'] == '0000068809') ? "checked='checked'":"")." />6-12 months </td></tr> <tr><td colspan=2><b>Tell Us About Any Home or Neighborhood Features that are Important to Your Family:</b></td></tr><tr><td colspan=2><textarea cols=60 rows=5 name='TEXT:0000008865'>".(($_POST['TEXT:0000008865'] <> "") ? htmlentities(stripslashes($_POST['TEXT:0000008865']), ENT_QUOTES) : htmlentities(stripslashes(""), ENT_QUOTES))."</textarea></td></tr> "; $thanksTitle = 'Thank You'; $thanksHeader = 'Thank You 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>';

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