// JavaScript Document OmniSourceIT Solutions
document.write("<form action='http://www.accountsupport.com/scripts/formsender.html' enctype='application/x-www-form-urlencoded' method='post' name='webquote' onSubmit='return checkbae(); stripHTML(webquote.Comments, webquote.Name)' onKeyUp='stripHTML(webquote.Comments, webquote.Name)'><table  align='center' background='../images/new/bgred.gif' class='google' style='border:2 px; border-collapse: collapse; font-size:10px; color:#ffffff' width='470' cellpadding='3'><tr ><td background='../images/bg_webquothdr.gif' height='20' colspan='2' align='center' style='color: #214231; font-weight: bold;'>OmniSource IT Solutions:Free Quote Form</td></tr><tr><th align='right'>First Name:</th><td><input class='menugreentint' type='text' name='First_Name'  size='30' /></td></tr><tr><th align='right'>Last Name:</th><td><input class='menugreentint' type='text' name='Last_Name'  size='30' /></td></tr><tr><th align='right'>Company:</th><td><input class='menugreentint' type='text' name='Company'  size='30' /></td></tr><tr><th align='right'>Email:</th><td><input class='menugreentint' type='text' name='Email'  size='30' /></td></tr><tr><th align='right'> New design or a redesign:</th><td><input  type='radio' name='New_design_or_a_redesign_' value='New' checked='checked' class='checkbox' />New<input type='radio' name='New_design_or_a_redesign_' value='Redesign' class='checkbox' />Redesign</td></tr><tr><th align='right'> Do you have a domain name?</th><td><input type='radio' name='Do_you_have_a_domain_name' value='Yes' checked='checked' class='checkbox' />Yes<input type='radio' name='Do_you_have_a_domain_name' value='No' class='checkbox' />No</td></tr><tr><th align='right'>Domain Name:</th><td><input class='menugreentint' type='text' name='Domain_Name'  size='30' /></td></tr><tr valign='top'><th align='right'> What is the primary message you wish to convey to your audience with this site:</th><td><textarea class='menugreentint' name='What_is_the_primary_message_yo'  rows='6' cols='30' /></textarea></td></tr><tr><tr valign='top'><th align='right'> What are the secondary objectives and overall goal you hope to achieve with this site:</th><td><textarea class='menugreentint' name='What_are_the__secondary_object' rows='6' cols='30' /></textarea></td></tr><tr><th align='right'>Who is your target audience:</th><td><textarea class='menugreentint' name='Who_is_your_target_audience'  rows='6' cols='30' /></textarea></td></tr><tr><tr valign='top'><th align='right'> Is this different from your current customer demographics:</th><td><textarea class='menugreentint' name='Is_this_different_from_your_cu'  rows='6' cols='30' /></textarea></td></tr><tr><tr valign='top'><th align='right'> How is your company different from your competitors:</th><td><textarea class='menugreentint' name='How_is_your_company_dfrom_your'  rows='6' cols='30' /></textarea></td></tr><tr><tr valign='top'><th align='right'> What are the key reasons why customers choose your company:</th><td><textarea class='menugreentint' name='What_are_the_key_reasons_why'  rows='6' cols='30' /></textarea></td></tr><tr><tr valign='top'><th align='right'> Use three adjectives to describe how the user should perceive the site. (examples:<br>conservative, progressive, friendly, formal, casual, serious, experts, humorous,<br>service-oriented, professional, etc.)<br></th><td><input class='menugreentint' type='text' name='Use_three_adjectives_to_descri'  size='30' /></td></tr><tr><tr valign='top'><th align='right'> Is this different than your current image perception</th><td><textarea class='menugreentint' name='Is_this_different_than_your_cu'  rows='6' cols='30' /></textarea></td></tr><tr><tr valign='top'><th align='right'> What do you feel is the biggest challenge in getting your message across to your<br>customers?<br></th><td><textarea class='menugreentint' name='What_do_you_feel_is_the_bigges'  rows='6' cols='30' /></textarea></td></tr><tr><tr valign='top'><th align='right'> Are there any visual elements or styles which you would like to use from existing marketing<br>materials <br></th><td><textarea class='menugreentint' name='Are_there_any_visual_elements' rows='6' cols='30' /></textarea></td></tr><tr valign='top'><th align='right'> List any URLs of sites you find compelling. What do you find the most interesting<br>about these sites?<br></th><td><textarea class='menugreentint' name='List_any_URLs_of_sites_you_f'  rows='6' cols='30' /></textarea></td></tr><tr><tr valign='top'><th align='right'> List URLs of competitor sites and briefly state what you like and dislike about their<br>overall site.<br></th><td><textarea class='menugreentint' name='List_URLs_of_competitor_sites'  rows='6' cols='30' /></textarea></td></tr><tr><tr valign='top'><th align='right'> What elements are key items you wish to have available to the user on every page:</th><td><textarea class='menugreentint' name='What_elements_are_key_items_yo'  rows='6' cols='30' /></textarea></td></tr><tr><th align='right'>Will you use a database:</th><td><input type='radio' name='Will_you_have_database_functio' value='Yes'  class='checkbox' />Yes<input  type='radio' name='Will_you_have_database_functio' value='No' checked='checked' class='checkbox' />No</td></tr><tr><th align='right'>Will this site use existing content?</th><td><input type='radio' name='Will_this_site_use_existing_co' value='Yes' checked='checked' class='checkbox' />Yes<input  type='radio' name='Will_this_site_use_existing_co' value='No' class='checkbox' />No</td></tr><tr><th align='right'> Do you intend on keeping the site up to date?</th><td><input type='radio' name='Do_you_intend_on_keeping_the_s' value='Yes' checked='checked' class='checkbox' />Yes<input  type='radio' name='Do_you_intend_on_keeping_the_s' value='No' class='checkbox' />No</td></tr><tr valign='top'><th align='right' valign='top'>Can this project be broken in a phased manner<br>to help you meet your goals?</th><td><input  type='radio' name='Can_this_project_be_broken_in' value='Yes' checked='checked' class='checkbox' />Yes<input  type='radio' name='Can_this_project_be_broken_in' value='No' class='checkbox' />No</td></tr><tr><th align='right'>Do you already have a database:</th><td><input type='radio' name='Do_you_already_have_a_database' value='Yes'  class='checkbox' />Yes<input  type='radio' name='Do_you_already_have_a_database' value='No' checked='checked' class='checkbox' />No</td></tr><tr><tr valign='top'><th align='right'> Please<br>describe in detail, including specific information about programs and software:</th><td><input class='menugreentint' type='text' name='Please'  size='30' /></td></tr><tr><tr valign='top'><th align='right'> Will you have a need for any secured transactions? Please describe in detail</th><td><textarea class='menugreentint' name='Will_you_have_a_need_for_any_s' cols='30' rows='6'/></textarea></td></tr><tr><th align='right'> What are your short term marketing goals:</th><td><textarea class='menugreentint' name='What_are_your_short_term_marke'  rows='6' cols='30' /></textarea></td></tr><tr><th align='right'> How will this Web site help to meet your goals</th><td><textarea class='menugreentint' name='How_will_this_Web_site_help_to'  rows='6' cols='30' /></textarea></td></tr><tr><th align='right'> What are your budget limitations</th><td><input class='menugreentint' type='text' name='What_are_your_budget_limitatio'  size='30' value='$' /></td></tr><tr valign='top'><th align='right'>Additional Comments:</th><td><textarea class='menugreentint' name='Additional_Comments' rows='6' cols='30'></textarea></td></tr><tr><th align='right'>Phone:</th><td><input class='menugreentint' type='text' name='Phone'  size='30' /></td></tr><tr><th align='right'>Fax:</th><td><input class='menugreentint' type='text' name='Fax'  size='30' /></td></tr><tr><th align='right'>Street Address:</th><td><input class='menugreentint' type='text' name='Street_Address'  size='30' /></td></tr><tr><th align='right'>City:</th><td><input class='menugreentint' type='text' name='City'  size='30' /></td></tr><tr><th align='right'>State:</th><td><input class='menugreentint' type='text' name='State'  size='30' /></td></tr><tr><th align='right'>Zip Code:</th><td><input class='menugreentint' type='text' name='Zip_Code'  size='30' /></td></tr><tr><th align='right' background='../images/bg_webquothdr.gif'>Submit Form &nbsp; <input type='text' name='FORMDATE' class='menugreenTint' size='10'></th><td nowrap background='../images/bg_webquothdr.gif'><input  type='submit' name='Form_Submit' value='Submit' class='butGenNav' /> &nbsp;<input  type='reset' value='reset'  class='butGenNav' onClick='  StartForm(); DQ();' onBlur='DQ();' ></td></tr></table><input id='form_id' class='menugreentint' type='hidden' name='form_id' value='104502' /></form>")
