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An Information Form example (Real case, have a look here)
PLEASE NOTE: This advertisement is not an offering. Persons submitting this form are under
no obligation. This form is simply a request for more information on the opportunity listed above.
If you have difficulties registering or using this site, please contact
Complete this brief form now and receive free information!
* Required Fields
First Name *
Last Name *
Email Address *
Mailing Address *
City *
US State/Province *
Country *
Phone *
Night Time Phone
Contact Time *
Liquid Capital Available to Invest *
How soon would you like to start your new your business? *
The information collected with this form will only be used for sending you the information you have asked for.  We will never pass on or sell your details to any unsolicited company.
Would you like to receive our Newsletter ?
Zip/Postal Code*
The client has asked for a series of forms to let interested visitors require franchise information regarding specific products /companies. The form had to be customizable for every product, colors too. Uppon submission, an email is sent to the site owner, and more emails (up to 3 in this case) are sent to the interested company responsibles. The email addresses are variable, according to the product / company. None of these emails are included in the form itself, in order to avoid spammers. Security measures are implemented in the script to avoid illegal use of the script by spammers. An autoresponder message in html format is also sent to the visitor. All submissions are stored in a database table, and the site owner can manage listings in all possible ways.

Please feel free to test submit, so you can see how the form script works. Then please visit the Administrator Interface, to see what you can do with our Database interface. Please use password : demo1  and username : demo1  to loggin.
Copyright 2006 All rights reserved.
Information Form Example