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Form analysis
1 forms found in the DOM

Name: form1 — POST http://www.erieconstruction.com/forms/action.php

<form name="form1" method="post" action="http://www.erieconstruction.com/forms/action.php" onsubmit="return checkForm()">
  <table width="100%" border="0" align="center" cellpadding="3" cellspacing="0">
    <tbody>
      <tr>
        <td colspan="2">
          <p>Please complete the following information</p>
        </td>
      </tr>
      <tr>
        <td>
          <p>
            <font color="#FF0000">*</font>First Name:
          </p>
        </td>
        <td><input name="first-name" type="text" id="firstname" size="20" required="required"></td>
      </tr>
      <tr>
        <td>
          <p>
            <font color="#FF0000">*</font>Last Name:
          </p>
        </td>
        <td><input name="last-name" type="text" id="lastname" size="20" required="required"></td>
      </tr>
      <tr>
        <td>
          <p>
            <font color="#FF0000">*</font>Address:
          </p>
        </td>
        <td><input name="address-1" type="text" id="address" size="23" required="required"></td>
      </tr>
      <tr>
        <td>
          <p>
            <font color="#FF0000">*</font>City:
          </p>
        </td>
        <td><input name="city" type="text" id="city" size="20" required="required"></td>
      </tr>
      <tr>
        <td>
          <p>
            <font color="#FF0000">*</font>State:
          </p>
        </td>
        <td><select name="state" size="1" id="state" required="required">
            <option value="">Select a State</option>
            <option value="AL">Alabama</option>
            <option value="AK">Alaska</option>
            <option value="AZ">Arizona</option>
            <option value="AR">Arkansas</option>
            <option value="CA">California</option>
            <option value="CO">Colorado</option>
            <option value="CT">Connecticut</option>
            <option value="DE">Delaware</option>
            <option value="DC">District Of Columbia</option>
            <option value="FL">Florida</option>
            <option value="GA">Georgia</option>
            <option value="HI">Hawaii</option>
            <option value="ID">Idaho</option>
            <option value="IL">Illinois</option>
            <option value="IN">Indiana</option>
            <option value="IA">Iowa</option>
            <option value="KS">Kansas</option>
            <option value="KY">Kentucky</option>
            <option value="LA">Louisiana</option>
            <option value="ME">Maine</option>
            <option value="MD">Maryland</option>
            <option value="MA">Massachusetts</option>
            <option value="MI">Michigan</option>
            <option value="MN">Minnesota</option>
            <option value="MS">Mississippi</option>
            <option value="MO">Missouri</option>
            <option value="MT">Montana</option>
            <option value="NE">Nebraska</option>
            <option value="NV">Nevada</option>
            <option value="NH">New Hampshire</option>
            <option value="NJ">New Jersey</option>
            <option value="NM">New Mexico</option>
            <option value="NY">New York</option>
            <option value="NC">North Carolina</option>
            <option value="ND">North Dakota</option>
            <option value="OH">Ohio</option>
            <option value="OK">Oklahoma</option>
            <option value="OR">Oregon</option>
            <option value="PA">Pennsylvania</option>
            <option value="RI">Rhode Island</option>
            <option value="SC">South Carolina</option>
            <option value="SD">South Dakota</option>
            <option value="TN">Tennessee</option>
            <option value="TX">Texas</option>
            <option value="UT">Utah</option>
            <option value="VT">Vermont</option>
            <option value="VA">Virginia</option>
            <option value="WA">Washington</option>
            <option value="WV">West Virginia</option>
            <option value="WI">Wisconsin</option>
            <option value="WY">Wyoming</option>
          </select></td>
      </tr>
      <tr>
        <td>
          <p>
            <font color="#FF0000">*</font>Zip:
          </p>
        </td>
        <td><input name="zip" type="text" id="zip" size="7" required="required"></td>
      </tr>
      <tr>
        <td>
          <p>
            <font color="#FF0000">*</font>Email:
          </p>
        </td>
        <td><input name="email-address" type="text" id="email" size="23" required="required"></td>
      </tr>
      <tr>
        <td>
          <p>
            <font color="#FF0000">*</font>Phone:
          </p>
        </td>
        <td><input name="phone" type="text" id="homephone" size="15" required="required"></td>
      </tr>
      <tr>
      </tr>
    </tbody>
  </table>
  <p>
    <font color="#FF0000">* Required Fields </font>
  </p>
  <p align="center">
    <input type="submit" value="Get FREE Estimate">
  </p>
  <input type="hidden" value="Estimate" id="form-type" name="form-type">
  <input type="hidden" value="www.eriewindows.com/" id="form-source" name="form-source">
  <input type="hidden" value="www.eriewindows.com" id="form-host" name="form-host">
  <input type="hidden" value="EWNDWS-E" id="form-code" name="form-code">
</form>

Text Content

Please complete the following information

*First Name:

*Last Name:

*Address:

*City:

*State:

Select a State Alabama Alaska Arizona Arkansas California Colorado Connecticut
Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa
Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota
Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico
New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode
Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia
Washington West Virginia Wisconsin Wyoming

*Zip:

*Email:

*Phone:

* Required Fields




 
*Minimum purchase 3 windows. Offer and Guarantee valid on purchase of ERIE®
WINDOWS only. Not valid with any other offers or discounts. Some exclusions
apply. Financing options may vary and are subject to change without notice.
**Based on Mfg. backed one-year written savings guarantee. Many factors
determine actual savings. Actual results may vary.

Call for further details on our written savings guarantee.

Erie Construction Mid-West Inc. © 2009