<%@LANGUAGE="JAVASCRIPT"%>
<!--#include file="../../Connections/glasgowmoneyquest.asp" -->
<%
// *** Edit Operations: declare variables
// set the form action variable
var MM_editAction = Request.ServerVariables("URL");
if (Request.QueryString) {
MM_editAction += "?" + Request.QueryString;
}
// boolean to abort record edit
var MM_abortEdit = false;
// query string to execute
var MM_editQuery = "";
%>
<%
// *** Insert Record: set variables
if (String(Request("MM_insert")) != "undefined") {
var MM_editConnection = MM_glasgowmoneyquest_STRING;
var MM_editTable  = "copy2autodates";
var MM_editRedirectUrl = "http://www.financesearch.co.uk/mq_mortgage_enquiry_thanks.html";
var MM_fieldsStr = "FirstName|value|Surname|value|HomeTel|value|WorkTel|value|Mobile|value|email|value|StatusType|value|DateofBirth|value|FoundProperty|value|EstCompDate|value|ApplicationType|value|MortgageTerm|value|PPriceVal|value|LoanRequired|value|Notes|value|email_recip|value|url|value|Valuation|value|searchengine|value|searchengine_sitemanager|value|Source|value|TakenBy|value|Outcome|value|LeadType|value|Consultant|value|MortgageAdvisor|value|CaseManager|value|SourceType|value|Spare5|value|App2NameFirst|value|App2SecondName|value|App2Salary|value|App2JobTitle|value|IncomeBasic|value|Occupation|value|App2HouseNo|value|App2CellPhone|value|App2OfficeNo|value|App2EAddress|value|App2DOB|value|Answer1|value|Answer2|value|Answer3|value|Answer4|value|Answer5_1|value|Answer5_2|value|Answer5_3|value|Answer5_4|value|Answer5_5|value|Answer5_6|value|Answer5_7|value|Answer5_8|value|Answer5_9|value|Answer6|value|NetMonthlyPayApp1|value|NetMonthlyPayApp2|value|ExistingMortgageRent|value|CouncilTax|value|Groceries|value|Clothing|value|Travel|value|EntertainmentLeisure|value|SavingsInvestment|value|Miscellaneous|value";
var MM_columnsStr = "FirstName|',none,''|Surname|',none,''|HomeTel|',none,''|WorkTel|',none,''|Mobile|',none,''|email|',none,''|StatusType|',none,''|DateofBirth|',none,''|FoundProperty|',none,''|EstCompDate|',none,''|ApplicationType|',none,''|MortgageTerm|none,none,NULL|PPriceVal|none,none,NULL|LoanRequired|none,none,NULL|Notes|',none,''|Spare10|',none,''|Spare9|',none,''|Valuation|none,none,NULL|Spare7|',none,''|SiteManager|',none,''|Source|',none,''|TakenBy|',none,''|Outcome|',none,''|LeadType|',none,''|Consultant|none,none,NULL|MortgageAdvisor|',none,''|CaseManager|',none,''|SourceType|',none,''|Spare5|',none,''|App2NameFirst|',none,''|App2SecondName|',none,''|App2Salary|',none,''|App2JobTitle|',none,''|IncomeBasic|',none,''|Occupation|',none,''|App2HouseNo|',none,''|App2CellPhone|',none,''|App2OfficeNo|',none,''|App2EAddress|',none,''|App2DOB|',none,''|Answer1|',none,''|Answer2|',none,''|Answer3|',none,''|Answer4|',none,''|Answer5_1|',none,''|Answer5_2|',none,''|Answer5_3|',none,''|Answer5_4|',none,''|Answer5_5|',none,''|Answer5_6|',none,''|Answer5_7|',none,''|Answer5_8|',none,''|Answer5_9|',none,''|Answer6|',none,''|NetMonthlyPayApp1|',none,''|NetMonthlyPayApp2|',none,''|ExistingMortgageRent|',none,''|CouncilTax|',none,''|Groceries|',none,''|Clothing|',none,''|Travel|',none,''|EntertainmentLeisure|',none,''|SavingsInvestment|',none,''|Miscellaneous|',none,''";
// create the MM_fields and MM_columns arrays
var MM_fields = MM_fieldsStr.split("|");
var MM_columns = MM_columnsStr.split("|");
// set the form values
for (var i=0; i+1 < MM_fields.length; i+=2) {
MM_fields[i+1] = String(Request.Form(MM_fields[i]));
}
// append the query string to the redirect URL
if (MM_editRedirectUrl && Request.QueryString && Request.QueryString.length > 0) {
MM_editRedirectUrl += ((MM_editRedirectUrl.indexOf('?') == -1)?"?":"&") + Request.QueryString;
}
}
%>
<%
// *** Insert Record: construct a sql insert statement and execute it
if (String(Request("MM_insert")) != "undefined") {
// create the sql insert statement
var MM_tableValues = "", MM_dbValues = "";
for (var i=0; i+1 < MM_fields.length; i+=2) {
var formVal = MM_fields[i+1];
var MM_typesArray = MM_columns[i+1].split(",");
var delim =    (MM_typesArray[0] != "none") ? MM_typesArray[0] : "";
var altVal =   (MM_typesArray[1] != "none") ? MM_typesArray[1] : "";
var emptyVal = (MM_typesArray[2] != "none") ? MM_typesArray[2] : "";
if (formVal == "" || formVal == "undefined") {
formVal = emptyVal;
} else {
if (altVal != "") {
formVal = altVal;
} else if (delim == "'") { // escape quotes
formVal = "'" + formVal.replace(/'/g,"''") + "'";
} else {
formVal = delim + formVal + delim;
}
}
MM_tableValues += ((i != 0) ? "," : "") + MM_columns[i];
MM_dbValues += ((i != 0) ? "," : "") + formVal;
}
MM_editQuery = "insert into " + MM_editTable + " (" + MM_tableValues + ") values (" + MM_dbValues + ")";
if (!MM_abortEdit) {
// execute the insert
var MM_editCmd = Server.CreateObject('ADODB.Command');
MM_editCmd.ActiveConnection = MM_editConnection;
MM_editCmd.CommandText = MM_editQuery;
MM_editCmd.Execute();
MM_editCmd.ActiveConnection.Close();
if (MM_editRedirectUrl) {
Response.Redirect(MM_editRedirectUrl);
}
}
}
%>
<html>
<!--SOURCE CODE TRIMMED -->
<head>
<script LANGUAGE="JavaScript1.1">
<!-- Begin
function right(e) {
if (navigator.appName == 'Netscape' &&
(e.which == 3 || e.which == 2))
return false;
else if (navigator.appName == 'Microsoft Internet Explorer' &&
(event.button == 2 || event.button == 3)) {
alert("Source code is copyright");
return false;
}
return true;
}
document.onmousedown=right;
document.onmouseup=right;
if (document.layers) window.captureEvents(Event.MOUSEDOWN);
if (document.layers) window.captureEvents(Event.MOUSEUP);
window.onmousedown=right;
window.onmouseup=right;
//  End -->
</script>
<SCRIPT LANGUAGE="JavaScript">

function adCalc(form) {
var ok = 0;
var NetMonthlyPayApp1 = form1.NetMonthlyPayApp1.value;
var NetMonthlyPayApp2 = form1.NetMonthlyPayApp2.value;
var TotalIncome = form.TotalIncome.value;

var complete = "You have changed the income values the calculation will be performed again.";

var incomplete = "Oops! you supplied no information.  It doesn't appear you entered enough information.  Please enter at least two entries in order to solve for the other two.";

if (NetMonthlyPayApp1 != "" && NetMonthlyPayApp2 != "")       { form1.TotalIncome.value = (NetMonthlyPayApp1-0) + (NetMonthlyPayApp2-0); ok++; } // solve for exposures

if (!ok) alert(incomplete);  // they did not enter at least 2 fields
if (NetMonthlyPayApp1 != "" && NetMonthlyPayApp2 != "" && TotalIncome != ""); // they filled in all the fields!
}
//  End -->
</script>



<SCRIPT LANGUAGE="JavaScript">

function adCalc2(form) {
var ok = 0;
var ExistingMortgageRent = form1.ExistingMortgageRent.value;
var CouncilTax = form1.CouncilTax.value;
var Groceries = form.Groceries.value;
var Clothing = form.Clothing.value;
var Travel = form.Travel.value;
var EntertainmentLeisure = form.EntertainmentLeisure.value;
var SavingsInvestment = form.SavingsInvestment.value;
var Miscellaneous = form.Miscellaneous.value;
var TotalSpend = form.TotalSpend.value;

var complete = "Your expenditure calculation is complete.";

if (ExistingMortgageRent != "" && CouncilTax != "" && Groceries != "" && Clothing != "" && Travel != "" && EntertainmentLeisure != "" && SavingsInvestment != "" && Miscellaneous != "")       { form1.TotalSpend.value = (ExistingMortgageRent-0) + (CouncilTax-0) + (Groceries-0) + (Clothing-0) + (Travel-0) + (EntertainmentLeisure-0) + (SavingsInvestment-0) + (Miscellaneous-0); ok++; } // solve for exposures

if (!ok) // they did not enter at least 2 fields
if (ExistingMortgageRent != "" && CouncilTax != "" && Groceries != "" && Clothing != "" && Travel != "" && EntertainmentLeisure != "" && SavingsInvestment != "" && Miscellaneous != "" && TotalSpend != ""); // they filled in all the fields!
}
//  End -->
</script>


<SCRIPT LANGUAGE="JavaScript">

function adCalc3(form) {
var ok = 0;
var TotalIncome = form1.TotalIncome.value;
var TotalSpend = form1.TotalSpend.value;
var Difference = form.Difference.value;

if (TotalIncome != "" && TotalSpend != "")       { form1.Difference.value = (TotalIncome-0) - (TotalSpend-0); ok++; } // solve for exposures

if (!ok) // they did not enter at least 2 fields
if (TotalIncome != "" && TotalSpend != "" && Difference != ""); // they filled in all the fields!
}
//  End -->
</script>




<SCRIPT TYPE="text/javascript">
<!--
function numbersonly(myfield, e, dec)
{
var key;
var keychar;
if (window.event)
key = window.event.keyCode;
else if (e)
key = e.which;
else
return true;
keychar = String.fromCharCode(key);
// control keys
if ((key==null) || (key==0) || (key==8) ||
(key==9) || (key==13) || (key==27) )
return true;
// numbers
else if ((("0123456789").indexOf(keychar) > -1))
return true;
// decimal point jump
else if (dec && (keychar == "."))
{
PPriceVal.form1.elements[dec].focus();
LoanRequired.form1.elements[dec].focus();
return false;
}
else
return false;
}
//-->
</SCRIPT>


<script type="text/javascript">
function testDate()
	{
	var d = new Date();
	var dm = d.getMonth();
	var dy = d.getYear();
	var fm = parseInt (document.form1.monthm.value);
	var fy = parseInt (document.form1.yearm.value);
	if (fy == -1 || fm == -1) return false;
	else if (fy < dy || (dy == fy && fm < dm))
		{
		alert ("Please enter a future or current date");
		return false;
		}
	else return true;
	}
</script>
<script language="JavaScript" type="text/javascript">
<!--
function titleCase(name)	{
//name.value = name.value.toUpperCase();
var cap = name.value.charAt(0);
var len = name.value.length;
var theRest = name.value.substring(1,len);
var letter = cap.toUpperCase();
var body = theRest.toLowerCase();
name.value = letter + body;
}
//-->
</script>
<script>
function validateForm() {

  if (document.form1.Spare5.value=='##') {
    alert("Please select 'yes' if you consent to receiving a telephone call from Moneyquest regarding your enquiry.");
    document.form1.Spare5.style.backgroundColor='#ccccff';
    return false;
  }
  else { document.form1.Spare5.style.backgroundColor=''; }  
  
  
    if (document.form1.Spare5.value=='http://www.moneyquest.co.uk/Mortgage_No.php?Keywords=Mortgages,true') {
    alert("Please select 'yes' if you consent to receiving a telephone call from Moneyquest regarding your enquiry.");
    document.form1.Spare5.style.backgroundColor='#ccccff';
    return false;
  }
  else { document.form1.Spare5.style.backgroundColor=''; }  


  if (document.form1.FirstName.value=='') {
    alert("You must indicate your first name.");
    document.form1.FirstName.style.backgroundColor='#ccccff';
    return false;
  }
  else { document.form1.FirstName.style.backgroundColor=''; }  
  
  if (document.form1.Surname.value=='') {
    alert("You must indicate your surname.");
    document.form1.Surname.style.backgroundColor='#ccccff';
    return false;
  }
  else { document.form1.Surname.style.backgroundColor=''; }
  
  if (document.form1.HomeTel.value=='') {
    alert("You must indicate your best contact telephone number.");
    document.form1.HomeTel.style.backgroundColor='#ccccff';
    return false;
  }
  else { document.form1.HomeTel.style.backgroundColor=''; }
  
  if (document.form1.LoanRequired.value=='') {
    alert("You must indicate the loan required.");
    document.form1.LoanRequired.style.backgroundColor='#ccccff';
    return false;
  }
  else { document.form1.LoanRequired.style.backgroundColor=''; }
  
  if (document.form1.FoundProperty.value=='') {
    alert("You must indicate whether you are remortgaging, have found a property or not found a property.");
    document.form1.FoundProperty.style.backgroundColor='#ccccff';
    return false;
  }
  else { document.form1.FoundProperty.style.backgroundColor=''; }
  
  if (document.form1.Spare5.value=='##') {
    alert("Please select 'yes' if you consent to receiving a telephone call from Moneyquest regarding your enquiry.");
    document.form1.Spare5.style.backgroundColor='#ccccff';
    return false;
  }
  else { document.form1.Spare5.style.backgroundColor=''; }
  return true;
}
// -->
</SCRIPT>

<script>
function AddInfoHide()
{
var App2_0_Area = document.getElementById("app2_0")
var App2_1_Area = document.getElementById("app2_1")
var App2_2_Area = document.getElementById("app2_2")
var App2_3_Area = document.getElementById("app2_3")
var App2_4_Area = document.getElementById("app2_4")
var App2_5_Area = document.getElementById("app2_5")
if (document.form1.AddInfo.value =="1")
{
App2_0_Area.style.display = "block"
App2_1_Area.style.display = "block"
App2_2_Area.style.display = "block"
App2_3_Area.style.display = "block"
App2_4_Area.style.display = "block"
App2_5_Area.style.display = "block"
}
else
{
App2_0_Area.style.display = "none"
App2_1_Area.style.display = "none"
App2_2_Area.style.display = "none"
App2_3_Area.style.display = "none"
App2_4_Area.style.display = "none"
App2_5_Area.style.display = "none"
} 
}
</script>

<script>
function AddInfoHide2()
{
var App3_0_Area = document.getElementById("app3_0")
var App3_1_Area = document.getElementById("app3_1")
var App3_2_Area = document.getElementById("app3_2")
var App3_3_Area = document.getElementById("app3_3")
var App3_4_Area = document.getElementById("app3_4")
var App3_5_Area = document.getElementById("app3_5")
var App3_6_Area = document.getElementById("app3_6")
var App3_7_Area = document.getElementById("app3_7")
var App3_8_Area = document.getElementById("app3_8")
var App3_9_Area = document.getElementById("app3_9")
var App3_10_Area = document.getElementById("app3_10")
var App3_11_Area = document.getElementById("app3_11")
var App3_12_Area = document.getElementById("app3_12")
var App3_13_Area = document.getElementById("app3_13")
var App3_14_Area = document.getElementById("app3_14")
var App3_15_Area = document.getElementById("app3_15")
if (document.form1.AddInfo2.value =="1")
{
App3_0_Area.style.display = "block"
App3_1_Area.style.display = "block"
App3_2_Area.style.display = "block"
App3_3_Area.style.display = "block"
App3_4_Area.style.display = "block"
App3_5_Area.style.display = "block"
App3_6_Area.style.display = "block"
App3_7_Area.style.display = "block"
App3_8_Area.style.display = "block"
App3_9_Area.style.display = "block"
App3_10_Area.style.display = "block"
App3_11_Area.style.display = "block"
App3_12_Area.style.display = "block"
App3_13_Area.style.display = "block"
App3_14_Area.style.display = "block"
App3_15_Area.style.display = "block"
}
else
{
App3_0_Area.style.display = "none"
App3_1_Area.style.display = "none"
App3_2_Area.style.display = "none"
App3_3_Area.style.display = "none"
App3_4_Area.style.display = "none"
App3_5_Area.style.display = "none"
App3_6_Area.style.display = "none"
App3_7_Area.style.display = "none"
App3_8_Area.style.display = "none"
App3_9_Area.style.display = "none"
App3_10_Area.style.display = "none"
App3_11_Area.style.display = "none"
App3_12_Area.style.display = "none"
App3_13_Area.style.display = "none"
App3_14_Area.style.display = "none"
App3_15_Area.style.display = "none"
} 
}
</script>

<SCRIPT>
<!--
function MM_findObj(n, d) { //v4.01
  var p,i,x;  if(!d) d=document; if((p=n.indexOf("?"))>0&&parent.frames.length) {
    d=parent.frames[n.substring(p+1)].document; n=n.substring(0,p);}
  if(!(x=d[n])&&d.all) x=d.all[n]; for (i=0;!x&&i<d.forms.length;i++) x=d.forms[i][n];
  for(i=0;!x&&d.layers&&i<d.layers.length;i++) x=MM_findObj(n,d.layers[i].document);
  if(!x && d.getElementById) x=d.getElementById(n); return x;
}

function MM_validateForm() { //v4.0
  var i,p,q,nm,test,num,min,max,errors='',args=MM_validateForm.arguments;
  for (i=0; i<(args.length-2); i+=3) { test=args[i+2]; val=MM_findObj(args[i]);
    if (val) { nm=val.name; if ((val=val.value)!="") {
      if (test.indexOf('isEmail')!=-1) { p=val.indexOf('@');
        if (p<1 || p==(val.length-1)) errors+='- '+nm+' must contain an e-mail address.\n';
      } else if (test!='R') { num = parseFloat(val);
        if (isNaN(val)) errors+='- '+nm+' must contain a number.\n';
        if (test.indexOf('inRange') != -1) { p=test.indexOf(':');
          min=test.substring(8,p); max=test.substring(p+1);
          if (num<min || max<num) errors+='- '+nm+' must contain a number between '+min+' and '+max+'.\n';
    } } } else if (test.charAt(0) == 'R') errors += '- '+nm+' is required.\n'; }
  } if (errors) alert('The following error occurred:\n'+errors);
  document.MM_returnValue = (errors == '');
}

function MM_findObj(n, d) { //v4.01
  var p,i,x;  if(!d) d=document; if((p=n.indexOf("?"))>0&&parent.frames.length) {
    d=parent.frames[n.substring(p+1)].document; n=n.substring(0,p);}
  if(!(x=d[n])&&d.all) x=d.all[n]; for (i=0;!x&&i<d.forms.length;i++) x=d.forms[i][n];
  for(i=0;!x&&d.layers&&i<d.layers.length;i++) x=MM_findObj(n,d.layers[i].document);
  if(!x && d.getElementById) x=d.getElementById(n); return x;
}

function MM_validateForm() { //v4.0
  var i,p,q,nm,test,num,min,max,errors='',args=MM_validateForm.arguments;
  for (i=0; i<(args.length-2); i+=3) { test=args[i+2]; val=MM_findObj(args[i]);
    if (val) { nm=val.name; if ((val=val.value)!="") {
      if (test.indexOf('isEmail')!=-1) { p=val.indexOf('@');
        if (p<1 || p==(val.length-1)) errors+='- '+nm+' must contain an e-mail address.\n';
      } else if (test!='R') { num = parseFloat(val);
        if (isNaN(val)) errors+='- '+nm+' must contain a number.\n';
        if (test.indexOf('inRange') != -1) { p=test.indexOf(':');
          min=test.substring(8,p); max=test.substring(p+1);
          if (num<min || max<num) errors+='- '+nm+' must contain a number between '+min+' and '+max+'.\n';
    } } } else if (test.charAt(0) == 'R') errors += '- '+nm+' is required.\n'; }
  } if (errors) alert('The following error(s) occurred:\n'+errors);
  document.MM_returnValue = (errors == '');
}
//-->
</SCRIPT>
<script type="text/javascript">
 function getLink(sel){
 var lnk = sel.options[sel.selectedIndex].value.split(",")
 if(lnk[1]){
 window.open(lnk[0],"","")
 } else {
   if (top == self) self.location=lnk[0]
 }
 }
</script>
<title>Mortgage Enquiry Form</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1">

<script language="JavaScript">
<!--
<!--
function MM_reloadPage(init) {  //reloads the window if Nav4 resized
if (init==true) with (navigator) {if ((appName=="Netscape")&&(parseInt(appVersion)==4)) {
document.MM_pgW=innerWidth; document.MM_pgH=innerHeight; onresize=MM_reloadPage; }}
else if (innerWidth!=document.MM_pgW || innerHeight!=document.MM_pgH) location.reload();
}
MM_reloadPage(true);
// -->
function MM_findObj(n, d) { //v4.0
var p,i,x;  if(!d) d=document; if((p=n.indexOf("?"))>0&&parent.frames.length) {
d=parent.frames[n.substring(p+1)].document; n=n.substring(0,p);}
if(!(x=d[n])&&d.all) x=d.all[n]; for (i=0;!x&&i<d.forms.length;i++) x=d.forms[i][n];
for(i=0;!x&&d.layers&&i<d.layers.length;i++) x=MM_findObj(n,d.layers[i].document);
if(!x && document.getElementById) x=document.getElementById(n); return x;
}
function MM_showHideLayers() { //v3.0
var i,p,v,obj,args=MM_showHideLayers.arguments;
for (i=0; i<(args.length-2); i+=3) if ((obj=MM_findObj(args[i]))!=null) { v=args[i+2];
if (obj.style) { obj=obj.style; v=(v=='show')?'visible':(v='hide')?'hidden':v; }
obj.visibility=v; }
}
//-->
</script>
<SCRIPT>
function validate()
{
if   (document.form1.FirstName.value <=0)
{
alert("Please go back and enter your first name.\nWe are unable to provide quotes without one.")
}
else if  (document.form1.HomeTel.value+document.form1.WorkTel.value+document.form1.Mobile.value <=0)
{
alert("Please go back and enter a contact telephone number.\nWe are unable to provide quotes without it.")
}
else if (document.form1.LoanRequired.value <=0)
{
alert("Please go back and enter a your required loan amount.\nWe are unable to provide quotes without it.")
}
else
{
document.form1.submit()
}
}
</SCRIPT>
<SCRIPT TYPE="text/javascript">
<!--
function numbersonly(myfield, e, dec)
{
var key;
var keychar;
if (window.event)
key = window.event.keyCode;
else if (e)
key = e.which;
else
return true;
keychar = String.fromCharCode(key);
// control keys
if ((key==null) || (key==0) || (key==8) ||
(key==9) || (key==13) || (key==27) )
return true;
// numbers
else if ((("0123456789").indexOf(keychar) > -1))
return true;
// decimal point jump
else if (dec && (keychar == "."))
{
PPriceVal.form1.elements[dec].focus();
LoanRequired.form1.elements[dec].focus();
return false;
}
else
return false;
}
//-->
</SCRIPT>
<script language = "Javascript">
function echeck(str) {
var at="@"
var dot="."
var lat=str.indexOf(at)
var lstr=str.length
var ldot=str.indexOf(dot)
if (str.indexOf(at)==-1){
   document.form1.email.value=""
   return false
}
if (str.indexOf(at)==-1 || str.indexOf(at)==0 || str.indexOf(at)==lstr){
   document.form1.email.value=""
   return false
}
if (str.indexOf(dot)==-1 || str.indexOf(dot)==0 || str.indexOf(dot)==lstr){
    document.form1.email.value=""
    return false
}
 if (str.indexOf(at,(lat+1))!=-1){
    document.form1.email.value=""
    return false
 }
 if (str.substring(lat-1,lat)==dot || str.substring(lat+1,lat+2)==dot){
    document.form1.email.value=""
    return false
 }
 if (str.indexOf(dot,(lat+2))==-1){
    document.form1.email.value=""
    return false
 }
 if (str.indexOf(" ")!=-1){
    document.form1.email.value=""
    return false
 }
 return true					
}
function ValidateEmail(){
var emailID=document.form1.email
if (echeck(emailID.value)==false){
emailID.value=""
emailID.focus()
return false
}
return true
}
</script>
</head>
<body bgcolor="#FFFFFF" text="#000000" leftmargin="0" topmargin="0" marginwidth="0" marginheight="0">
<font size="2" face="Arial, Helvetica, sans-serif"><font color="#000099" size="1"> 
</font></font> 
<table width="100%" border="0" cellspacing="0" height="100%">
<tr>
<td align="center" valign="top">
<div align="center"> 
        <form method="POST" action="<%=MM_editAction%>" name="form1" onSubmit="return validateForm()">
          
          <table width="95%" border="0" align="centre" cellpadding="0" cellspacing="2" bgcolor="#FFFFFF">
            <tr align="left" valign="middle"> 
              <td colspan="4"> <p><font face="Arial, Helvetica, sans-serif" size="2" color="#000066"><font color="#000099"><strong><font color="#009966" size="4">Moneyquest 
                  Mortgage and Remortgage Enquiry Form</font></strong></font></font></p>
                <p><font face="Arial, Helvetica, sans-serif" size="2" color="#000066"><font color="#000099"><font face="Arial, Helvetica, sans-serif" size="2" color="#000066"><strong><font size="3">&quot;Why 
                  Completing This Simple Form Can Save <em>You</em> Time <u>and</u> 
                  Money&quot;</font></strong><br>
                  <br>
                  <font color="#000099">Our mortgage experts have access to the 
                  most up-to-date rates from the UK's <strong>top</strong> Lenders. 
                  By completing this user-friendly enquiry form<strong> fully 
                  and accurately</strong>, we will be able to search the market 
                  on your behalf and provide you with the most suitable mortgage 
                  quote for your needs.<br>
                  </font></font></font></font><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">If 
                  you are serious about finding the most competitive mortgage, 
                  our reliable FREE quote service is the fastest way to ensure 
                  you find the best deal - why not put us to the test today?</font> 
                  <font face="Arial, Helvetica, sans-serif" size="2" color="#000066"><font color="#000099"><font face="Arial, Helvetica, sans-serif" size="2" color="#000066"><font color="#000099"><em><strong>(</strong></em></font><strong><font color="#000099" size="1" face="Arial, Helvetica, sans-serif"><font color="#000099" size="1" face="Arial, Helvetica, sans-serif"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif"><font color="#000066"><font color="#000099" size="1" face="Arial, Helvetica, sans-serif"><font color="#000099" size="1" face="Arial, Helvetica, sans-serif"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif"><font color="#000066"><font face="Verdana, Arial, Helvetica, sans-serif"><strong><font color="#990000">*</font></strong></font></font></font></font></font></font></font></font></font></strong><em><strong><font color="#000099"> 
                  denotes a required field).<br>
                  <br>
                  </font></strong></em></font></font></font></p></td>
            </tr>
            <tr align="left" valign="middle"> 
              <td colspan="4" bgcolor="#C1D0E1"><font face="Arial, Helvetica, sans-serif" size="2" color="#000066"><font color="#000099"><font color="#990000"><strong>Consent 
                to Call: (IMPORTANT - Please read carefully)</strong></font></font></font></td>
            </tr>
            <tr align="left" valign="middle"> 
              <td height="18" colspan="4" bgcolor="#F4F4F4"><font size="2" face="Arial, Helvetica, sans-serif"><strong>Please 
                Note</strong>: </font><font color="#000099" size="1" face="Arial, Helvetica, sans-serif"><font size="2">We 
                <strong><u>need</u></strong> your consent <strong>before</strong> 
                we can telephone you and provide mortgage quotes. We <strong>do 
                not</strong> pass your details to any third party.</font></font> 
                <label></label></td>
            </tr>
            <tr align="left" valign="middle"> 
              <td colspan="4" bgcolor="#F4F4F4"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">I 
                <strong>would like</strong> to take advantage of your FREE quote 
                service &amp; give my express consent for Moneyquest to call me.</font> 
                <label><font face="Arial, Helvetica, sans-serif"> </font></label> 
                <font color="#000099" size="1" face="Arial, Helvetica, sans-serif"> 
                <font color="#000099" size="1" face="Arial, Helvetica, sans-serif"> 
                <font color="#000099" size="2" face="Arial, Helvetica, sans-serif"><font color="#000066"><font face="Verdana, Arial, Helvetica, sans-serif"><strong><font face="Arial, Helvetica, sans-serif" size="2" color="#000066"><font color="#000099" size="1" face="Arial, Helvetica, sans-serif"> 
                <select name="Spare5" id="Spare5" onChange="getLink(this)" tabindex="1">
                  <option value="##">Select</option>
                  <option value="#">Yes</option>
                  <option value="http://www.moneyquest.co.uk/Mortgage_No.php?Keywords=Mortgages,true">No</option>
                </select>
                </font></font><font color="#990000">*</font></strong></font></font></font></font></font><font color="#000099" size="1" face="Arial, Helvetica, sans-serif">&nbsp;</font> 
                <label></label> </td>
            </tr>
            <tr align="left" valign="middle"> 
              <td height="18" colspan="2" bgcolor="#C1D0E1"><font face="Arial, Helvetica, sans-serif" size="2" color="#000066"><font color="#000099"><strong>Your 
                Details:</strong></font></font></td>
              <td height="18" colspan="2" bgcolor="#C1D0E1"><font face="Arial, Helvetica, sans-serif" size="2" color="#000066"><font color="#000099"><strong>Your 
                Contact Details:</strong></font><font color="#000099" size="1" face="Arial, Helvetica, sans-serif"> 
                </font></font></td>
            </tr>
            <tr align="left" valign="middle"> 
              <td width="25%" bgcolor="#E9EEF3"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099">First 
                Name:</font></td>
              <td width="25%"><font face="Arial, Helvetica, sans-serif" size="1" color="#000099"> 
                <input style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" type="text" name="FirstName" tabindex="2" size="20" onChange='titleCase(this)'>
                </font><font color="#000099" size="1" face="Arial, Helvetica, sans-serif"><font color="#000099" size="1" face="Arial, Helvetica, sans-serif"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif"><font color="#000066"><font face="Verdana, Arial, Helvetica, sans-serif"><strong><font color="#990000">*</font></strong></font></font></font></font></font><font face="Arial, Helvetica, sans-serif" size="1" color="#000066">&nbsp;</font></td>
              <td width="25%" bgcolor="#E9EEF3"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099">Best 
                Contact Tel No:</font></td>
              <td width="25%"><font size="2" face="Arial, Helvetica, sans-serif"><font color="#000099" size="1"> 
                </font></font><font color="#000099" size="1" face="Arial, Helvetica, sans-serif"><font color="#000099" size="1" face="Arial, Helvetica, sans-serif"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif"><font color="#000066"><font face="Verdana, Arial, Helvetica, sans-serif"><strong><font size="2" face="Arial, Helvetica, sans-serif"><font color="#000099" size="1">
                <input style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" tabindex="9" type="text" name="HomeTel" id="HomeTel" size="12">
                </font></font><font color="#990000">*</font></strong></font></font></font></font></font></td>
            </tr>
            <tr align="left" valign="middle"> 
              <td width="25%" bgcolor="#E9EEF3"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099">Surname:</font></td>
              <td width="25%"><font face="Arial, Helvetica, sans-serif" size="1" color="#000099"> 
                <input style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" tabindex="3" type="text" name="Surname" size="20" onChange='titleCase(this)'>
                </font><font face="Arial, Helvetica, sans-serif" size="2" color="#000066"><font color="#000099"><font color="#000099"></font><font color="#000099" size="1" face="Arial, Helvetica, sans-serif"><font color="#000099" size="1" face="Arial, Helvetica, sans-serif"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif"><font color="#000066"><font face="Verdana, Arial, Helvetica, sans-serif"><strong><font color="#990000">*</font></strong></font></font></font></font></font><font face="Arial, Helvetica, sans-serif" size="1" color="#000066"></font></font></font></td>
              <td width="25%" bgcolor="#E9EEF3"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099">Work 
                Tel:</font></td>
              <td width="25%"><font size="2" face="Arial, Helvetica, sans-serif"><font color="#000099" size="1"> 
                <input style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" tabindex="10" type="text" name="WorkTel" size="12" >
                </font><font size="2" face="Arial, Helvetica, sans-serif"><font size="2" face="Arial, Helvetica, sans-serif"><font face="Arial, Helvetica, sans-serif" size="1" color="#000066"><font color="#CC0000">(If 
                contactable)</font></font></font></font></font></td>
            </tr>
            <tr align="left" valign="middle"> 
              <td width="25%" bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Date 
                of Birth:</font></td>
              <td width="25%"> <select type="text" name="day" style="color: #000000; border: 1px #000000 solid; font-family: Arial, Helvetica, sans-serif ; font-weight: normal; font-size: 11px; background-color: #ffffff;" tabindex="4"  onBlur=DateBuilder() onclick=DateBuilder()>
                  <option value="0">day</option>
                  <option value="1">1 </option>
                  <option value="2">2 </option>
                  <option value="3">3 </option>
                  <option value="4">4 </option>
                  <option value="5">5 </option>
                  <option value="6">6 </option>
                  <option value="7">7 </option>
                  <option value="8">8 </option>
                  <option value="9">9 </option>
                  <option value="10">10 </option>
                  <option value="11">11 </option>
                  <option value="12">12 </option>
                  <option value="13">13 </option>
                  <option value="14">14 </option>
                  <option value="15">15 </option>
                  <option value="16">16 </option>
                  <option value="17">17 </option>
                  <option value="18">18 </option>
                  <option value="19">19 </option>
                  <option value="20">20 </option>
                  <option value="21">21 </option>
                  <option value="22">22 </option>
                  <option value="23">23 </option>
                  <option value="24">24 </option>
                  <option value="25">25 </option>
                  <option value="26">26 </option>
                  <option value="27">27 </option>
                  <option value="28">28 </option>
                  <option value="29">29 </option>
                  <option value="30">30 </option>
                  <option value="31">31 </option>
                </select> <select type="text" name="month" style="color: #000000; border: 1px #000000 solid; font-family: verdana, arial, sans-serif ; font-weight: normal; font-size: 11px; background-color: #ffffff;" tabindex="5"  onBlur=DateBuilder() onclick=DateBuilder()>
                  <option value="0">mon</option>
                  <option value="1">01 
                  <option value="2">02 
                  <option value="3">03 
                  <option value="4">04 
                  <option value="5">05 
                  <option value="6">06 
                  <option value="7">07 
                  <option value="8">08 
                  <option value="9">09 
                  <option value="10">10 
                  <option value="11">11 
                  <option value="12">12 </select> <select type="text"  name="year" style="color: #000000; border: 1px #000000 solid; font-family: verdana, arial, sans-serif ; font-weight: normal; font-size: 11px; background-color: #ffffff;" tabindex="6"  onBlur=DateBuilder() onclick=DateBuilder()>
                  <option value="0" selected>year</option>
                  <option value="1940">1940</option>
                  <option value="1941">1941</option>
                  <option value="1942">1942</option>
                  <option value="1943">1943</option>
                  <option value="1944">1944</option>
                  <option value="1945">1945</option>
                  <option value="1946">1946</option>
                  <option value="1947">1947</option>
                  <option value="1948">1948</option>
                  <option value="1949">1949</option>
                  <option value="1950">1950</option>
                  <option value="1951">1951</option>
                  <option value="1952">1952</option>
                  <option value="1953">1953</option>
                  <option value="1954">1954</option>
                  <option value="1955">1955</option>
                  <option value="1956">1956</option>
                  <option value="1957">1957</option>
                  <option value="1958">1958</option>
                  <option value="1959">1959</option>
                  <option value="1960">1960</option>
                  <option value="1961">1961</option>
                  <option value="1962">1962</option>
                  <option value="1963">1963</option>
                  <option value="1964">1964</option>
                  <option value="1965">1965</option>
                  <option value="1966">1966</option>
                  <option value="1967">1967</option>
                  <option value="1968">1968</option>
                  <option value="1969">1969</option>
                  <option value="1970">1970</option>
                  <option value="1971">1971</option>
                  <option value="1972">1972</option>
                  <option value="1973">1973</option>
                  <option value="1974">1974</option>
                  <option value="1975">1975</option>
                  <option value="1976">1976</option>
                  <option value="1977">1977</option>
                  <option value="1978">1978</option>
                  <option value="1979">1979</option>
                  <option value="1980">1980</option>
                  <option value="1981">1981</option>
                  <option value="1982">1982</option>
                  <option value="1983">1983</option>
                  <option value="1984">1984</option>
                  <option value="1985">1985</option>
                  <option value="1986">1986</option>
                  <option value="1987">1987</option>
                  <option value="1988">1988</option>
                  <option value="1989">1989</option>
                  <option value="1990">1990</option>
                    </select> 
                <script>
function DateBuilder()
{
dayrst=document.form1.day.value
monthrst=document.form1.month.value
yearrst=document.form1.year.value
document.form1.DateofBirth.value=""+yearrst+"-"+monthrst+"-"+dayrst+" 00:00:00"
}
                          </script> <input type="hidden" name="DateofBirth" value="" size="32"> 
              </td>
              <td width="25%" bgcolor="#E9EEF3"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099">Mobile:</font></td>
              <td width="25%"><font size="2" face="Arial, Helvetica, sans-serif"><font color="#000099" size="1"> 
                <input style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" type="text" tabindex="11" name="Mobile" size="12" >
                </font><font size="2" face="Arial, Helvetica, sans-serif"><font face="Arial, Helvetica, sans-serif" size="1" color="#000066"><font color="#CC0000">(If 
                contactable)</font></font></font></font></td>
            </tr>
            <tr align="left" valign="middle"> 
              <td width="25%" height="23" bgcolor="#E9EEF3"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099">Occupation:</font></td>
              <td width="25%"><font face="Arial, Helvetica, sans-serif" size="1" color="#000099"> 
                <input style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" type="text" name="Occupation" tabindex="7" size="20" onChange='titleCase(this)'>
                <font color="#000099" size="1" face="Arial, Helvetica, sans-serif"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif"><font color="#000066"><font face="Verdana, Arial, Helvetica, sans-serif"><strong></strong></font></font></font></font></font></td>
              <td width="25%" bgcolor="#E9EEF3"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099">Email: 
                <em>(Your quotes will be emailed)</em></font></td>
              <td width="25%"><font size="2" face="Arial, Helvetica, sans-serif"><font color="#000099" size="1"> 
                </font><font size="2" face="Arial, Helvetica, sans-serif"><font face="Arial, Helvetica, sans-serif" size="1" color="#000066"><font face="Arial, Helvetica, sans-serif" size="1" color="#000099"> 
                </font><font size="2" face="Arial, Helvetica, sans-serif"><font size="2" face="Arial, Helvetica, sans-serif"><font face="Arial, Helvetica, sans-serif" size="1" color="#000066"><font face="Arial, Helvetica, sans-serif" size="1" color="#000099"> 
                <input name="email" type="text" style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" tabindex="12" onBlur="MM_validateForm('email','','NisEmail');return document.MM_returnValue"  size="20">
                </font></font></font></font><font face="Arial, Helvetica, sans-serif" size="1" color="#000099"> 
                </font></font></font></font></td>
            </tr>
            <tr align="left" valign="middle"> 
              <td width="25%" bgcolor="#E9EEF3"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099">Gross 
                Annual Income:</font></td>
              <td width="25%"><font face="Arial, Helvetica, sans-serif" size="1" color="#000099"> 
                <input style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" tabindex="8" type="text" name="IncomeBasic" value="" size="20" >
                </font><font face="Arial, Helvetica, sans-serif" size="2" color="#000066"><font color="#000099"><font color="#000099"></font></font></font></td>
              <td width="25%" valign="top">&nbsp;</td>
              <td width="25%" valign="top"><font face="Arial, Helvetica, sans-serif" size="1" color="#000099">&nbsp; 
                </font></td>
            </tr>
            <tr align="left" valign="middle"> 
              <td bgcolor="#C1D0E1"><strong><font color="#000066" size="2" face="Arial, Helvetica, sans-serif">Will 
                the quotes be in joint names?</font></strong> <font face="Arial, Helvetica, sans-serif" size="2" color="#000000"><strong> 
                </strong></font></td>
              <td><font face="Arial, Helvetica, sans-serif" size="2" color="#000000"><strong> 
                <select type="text" name="AddInfo" tabindex="13" onChange="AddInfoHide()">
                  <option value="" selected></option>
                  <option value="0">No</option>
                  <option value="1">Yes</option>
                </select>
                </strong></font></td>
              <td colspan="2" valign="top">&nbsp;</td>
            </tr>
            <tr id="app2_0" style="display:none"> 
              <td colspan="2" bgcolor="#C1D0E1"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif"><strong>Your 
                Partners Details:</strong></font></td>
              <td colspan="2" bgcolor="#C1D0E1"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif"><strong>Your 
                Partners Contact Details:</strong></font></td>
            </tr>
            <tr style="display:none" id="app2_1"> 
              <td height="25" bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif"> 
                First Name:</font></td>
              <td> <input name="App2NameFirst" type="text" style="color: #000000; border: 1px #000000 solid; font-family: Arial, Helvetica, sans-serif ; font-weight: normal; font-size: 11px; background-color: #ffffff;" size="20" value="" tabindex="14" onChange='titleCase(this)'></td>
              <td width="25%" align="left" valign="middle" bgcolor="#E9EEF3"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099">Home 
                Tel:</font></td>
              <td width="25%" align="left" valign="middle"><font size="2" face="Arial, Helvetica, sans-serif"><font color="#000099" size="1"> 
                <input style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" tabindex="21" type="text" name="App2HouseNo" id="App2HouseNo" value="" size="12"  >
                </font><font size="2" face="Arial, Helvetica, sans-serif"><font size="2" face="Arial, Helvetica, sans-serif"><font face="Arial, Helvetica, sans-serif" size="1" color="#000066"><font color="#CC0000">(If 
                contactable)</font></font></font></font><font color="#000099" size="1"> 
                </font></font></td>
            </tr>
            <tr style="display:none" id="app2_2"> 
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif"> 
                Surname:</font></td>
              <td><input name="App2SecondName" type="text" style="color: #000000; border: 1px #000000 solid; font-family: Arial, Helvetica, sans-serif ; font-weight: normal; font-size: 11px; background-color: #ffffff;" size="20" value="" tabindex="15" onChange='titleCase(this)'></td>
              <td width="25%" align="left" valign="middle" bgcolor="#E9EEF3"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099">Work 
                Tel:</font></td>
              <td width="25%" align="left" valign="middle"><font size="2" face="Arial, Helvetica, sans-serif"><font color="#000099" size="1"> 
                <input style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" tabindex="22" type="text" name="App2OfficeNo" value="" size="12" >
                </font><font size="2" face="Arial, Helvetica, sans-serif"><font size="2" face="Arial, Helvetica, sans-serif"><font face="Arial, Helvetica, sans-serif" size="1" color="#000066"><font color="#CC0000">(If 
                contactable)</font></font></font></font></font></td>
            </tr>
            <tr style="display:none" id="app2_3"> 
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif"> 
                Date of Birth: </font></td>
              <td><select type="text" name="secondday" style="color: #000000; border: 1px #000000 solid; font-family: Arial, Helvetica, sans-serif ; font-weight: normal; font-size: 11px; background-color: #ffffff;" tabindex="16"  onBlur=DateBuilderx() onclick=DateBuilderx()>
                  <option value="">day</option>
                  <option value="1">1 </option>
                  <option value="2">2 </option>
                  <option value="3">3 </option>
                  <option value="4">4 </option>
                  <option value="5">5 </option>
                  <option value="6">6 </option>
                  <option value="7">7 </option>
                  <option value="8">8 </option>
                  <option value="9">9 </option>
                  <option value="10">10 </option>
                  <option value="11">11 </option>
                  <option value="12">12 </option>
                  <option value="13">13 </option>
                  <option value="14">14 </option>
                  <option value="15">15 </option>
                  <option value="16">16 </option>
                  <option value="17">17 </option>
                  <option value="18">18 </option>
                  <option value="19">19 </option>
                  <option value="20">20 </option>
                  <option value="21">21 </option>
                  <option value="22">22 </option>
                  <option value="23">23 </option>
                  <option value="24">24 </option>
                  <option value="25">25 </option>
                  <option value="26">26 </option>
                  <option value="27">27 </option>
                  <option value="28">28 </option>
                  <option value="29">29 </option>
                  <option value="30">30 </option>
                  <option value="31">31 </option>
                </select> <select type="text" name="secondmonth" style="color: #000000; border: 1px #000000 solid; font-family: verdana, arial, sans-serif ; font-weight: normal; font-size: 11px; background-color: #ffffff;" tabindex="17"  onBlur=DateBuilderx() onclick=DateBuilderx()>
                  <option value="">mon</option>
                  <option value="1">01 </option>
                  <option value="2">02 </option>
                  <option value="3">03 </option>
                  <option value="4">04 </option>
                  <option value="5">05 </option>
                  <option value="6">06 </option>
                  <option value="7">07 </option>
                  <option value="8">08 </option>
                  <option value="9">09 </option>
                  <option value="10">10 </option>
                  <option value="11">11 </option>
                  <option value="12">12 </option>
                </select> <select type="text" name="secondyear" style="color: #000000; border: 1px #000000 solid; font-family: verdana, arial, sans-serif ; font-weight: normal; font-size: 11px; background-color: #ffffff;" tabindex="18"  onBlur=DateBuilderx() onclick=DateBuilderx()>
                  <option value="" selected>year</option>
                  <option value="1940">1940</option>
                  <option value="1941">1941</option>
                  <option value="1942">1942</option>
                  <option value="1943">1943</option>
                  <option value="1944">1944</option>
                  <option value="1945">1945</option>
                  <option value="1946">1946</option>
                  <option value="1947">1947</option>
                  <option value="1948">1948</option>
                  <option value="1949">1949</option>
                  <option value="1950">1950</option>
                  <option value="1951">1951</option>
                  <option value="1952">1952</option>
                  <option value="1953">1953</option>
                  <option value="1954">1954</option>
                  <option value="1955">1955</option>
                  <option value="1956">1956</option>
                  <option value="1957">1957</option>
                  <option value="1958">1958</option>
                  <option value="1959">1959</option>
                  <option value="1960">1960</option>
                  <option value="1961">1961</option>
                  <option value="1962">1962</option>
                  <option value="1963">1963</option>
                  <option value="1964">1964</option>
                  <option value="1965">1965</option>
                  <option value="1966">1966</option>
                  <option value="1967">1967</option>
                  <option value="1968">1968</option>
                  <option value="1969">1969</option>
                  <option value="1970">1970</option>
                  <option value="1971">1971</option>
                  <option value="1972">1972</option>
                  <option value="1973">1973</option>
                  <option value="1974">1974</option>
                  <option value="1975">1975</option>
                  <option value="1976">1976</option>
                  <option value="1977">1977</option>
                  <option value="1978">1978</option>
                  <option value="1979">1979</option>
                  <option value="1980">1980</option>
                  <option value="1981">1981</option>
                  <option value="1982">1982</option>
                  <option value="1983">1983</option>
                  <option value="1984">1984</option>
                  <option value="1985">1985</option>
                  <option value="1986">1986</option>
                  <option value="1987">1987</option>
                  <option value="1988">1988</option>
                  <option value="1989">1989</option>
                  <option value="1990">1990</option>
                </select> 
                <script>
function DateBuilderx()
{
dayabc=document.form1.secondday.value
monthabc=document.form1.secondmonth.value
yearabc=document.form1.secondyear.value
document.form1.App2DOB.value=""+yearabc+"-"+monthabc+"-"+dayabc+" 00:00:00"
}
                          </script> <input type="hidden" name="App2DOB" value="" size="32"> 
              </td>
              <td width="25%" align="left" valign="middle" bgcolor="#E9EEF3"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099">Mobile:</font></td>
              <td width="25%" align="left" valign="middle"><font size="2" face="Arial, Helvetica, sans-serif"><font color="#000099" size="1"> 
                <input style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" type="text" tabindex="23" name="App2CellPhone" value="" size="12" >
                </font><font size="2" face="Arial, Helvetica, sans-serif"><font face="Arial, Helvetica, sans-serif" size="1" color="#000066"><font color="#CC0000">(If 
                contactable)</font></font></font></font></td>
            
            <tr style="display:none" id="app2_4"> 
              <td align="left" valign="middle" bgcolor="#E9EEF3"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099">Occupation:</font></td>
              <td width="25%" align="left" valign="middle"><font face="Arial, Helvetica, sans-serif" size="1" color="#000099"> 
                <input style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" type="text" name="App2JobTitle" tabindex="19" size="20" onChange='titleCase(this)'>
                </font></td>
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Email:</font></td>
              <td> <input name="App2EAddress" type="text" style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" tabindex="24" value="" size="20" ></td>
            </tr>
            <tr style="display:none" id="app2_5"> 
              <td align="left" valign="middle" bgcolor="#E9EEF3"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099">Gross 
                Annual Income:</font></td>
              <td align="left" valign="middle"><font face="Arial, Helvetica, sans-serif" size="1" color="#000099"> 
                <input style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" tabindex="20" type="text" name="App2Salary" value="" size="20" >
                </font><font face="Arial, Helvetica, sans-serif" size="2" color="#000066"><font color="#000099"><font color="#000099"></font></font></font></td>
              <td colspan="2">&nbsp;</td>
            </tr>
            <tr align="left" valign="middle"> 
              <td colspan="2">&nbsp;</td>
              <td colspan="2">&nbsp;</td>
            </tr>
            <tr align="left" valign="middle"> 
              <td colspan="2" bgcolor="#C1D0E1"><font face="Arial, Helvetica, sans-serif" size="2" color="#000066"><font color="#000099"><strong>Quotation 
                Details:</strong></font></font></td>
              <td colspan="2" bgcolor="#C1D0E1"><font face="Arial, Helvetica, sans-serif" size="2" color="#000066"><font color="#000099"><strong>Mortgage 
                Details:</strong></font></font></td>
            </tr>
            <tr align="left" valign="middle"> 
              <td bgcolor="#E9EEF3"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099">Type 
                of Quotation:</font></td>
              <td><font color="#000099" size="1" face="Arial, Helvetica, sans-serif"> 
                <select name="ApplicationType" tabindex="25" type="text" style="color: #000000;  font-family: arial,verdana,sans-serif; font-weight: normal; font-size: 12px; background-color: #ffffff;">
                  <option selected>Please Select</option>
                  <option value="Mortgage">Mortgage</option>
                  <option value="Mortgage &amp; Insurance">Mortgage / Insurance</option>
                </select>
                </font></td>
              <td width="25%" bgcolor="#E9EEF3"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099">Mortgage 
                Amount Required<font color="#000066" size="1">:</font></font><font face="Arial, Helvetica, sans-serif" size="1" color="#000066"><font color="#CC0000" size="2"> 
                &pound;</font></font></td>
              <td width="25%"><font face="Arial, Helvetica, sans-serif" size="1" color="#000099"> 
                <input tabindex="30" style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" type="text" name="LoanRequired" size="20" onKeyPress="return numbersonly(this, event)">
                </font><font face="Arial, Helvetica, sans-serif" size="1" color="#000066"><font color="#000099" size="1" face="Arial, Helvetica, sans-serif"><font color="#000099" size="1" face="Arial, Helvetica, sans-serif"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif"><font color="#000066"><font face="Verdana, Arial, Helvetica, sans-serif"><strong><font color="#990000">*</font></strong></font></font></font></font></font><font face="Arial, Helvetica, sans-serif" size="1" color="#000066"></font></font></td>
            </tr>
            <tr align="left" valign="middle"> 
              <td bgcolor="#E9EEF3"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099">Preferred 
                Mortgage Term in Years:</font></td>
              <td><font color="#000099" size="1" face="Arial, Helvetica, sans-serif"> 
                <input tabindex="26" style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" type="text" name="MortgageTerm" size="20" onKeyPress="return numbersonly(this, event)">
                </font></td>
              <td bgcolor="#E9EEF3"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099">Property 
                Valuation:</font><font face="Arial, Helvetica, sans-serif" size="1" color="#000066"><font color="#CC0000" size="2"> 
                &pound;</font></font></td>
              <td><font color="#000099" size="1" face="Arial, Helvetica, sans-serif"> 
                <input tabindex="31" style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" type="text" name="PPriceVal" size="20" onKeyPress="return numbersonly(this, event)">
                </font></td>
            </tr>
            <tr align="left" valign="middle"> 
              <td bgcolor="#E9EEF3"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099">Preferred 
                Payment Method: </font></td>
              <td><font color="#000099" size="1" face="Arial, Helvetica, sans-serif"> 
                <select tabindex="27" name="NotesY" onBlur='NotesBuilder2()' style="color: #000000;  font-family: arial,verdana,sans-serif ; font-weight: normal; font-size: 12px; background-color: #ffffff;">
                  <option selected>Please Select</option>
                  <option value="repayment">Repayment</option>
                  <option value="part - repayment">Part Repayment</option>
                  <option value="interest only">Interest Only</option>
                </select>
                </font></td>
              <td width="25%" valign="top" bgcolor="#E9EEF3"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099">Have 
                You Found a Property?:</font></td>
              <td width="25%"><font color="#000099" size="1" face="Arial, Helvetica, sans-serif"> 
                <select name="FoundProperty" type="text" tabindex="32" style="color: #000000;  font-family: arial,verdana,sans-serif; font-weight: normal; font-size: 12px; background-color: #ffffff;">
                  <option selected>Please Select</option>
                  <option value="Yes">Yes</option>
                  <option value="No">No</option>
                  <option value="Yes">Re-Mortgage</option>
                </select>
                <font color="#000099" size="1" face="Arial, Helvetica, sans-serif"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif"><font color="#000066"><font face="Verdana, Arial, Helvetica, sans-serif"><strong><font color="#990000">*</font></strong></font></font></font></font> 
                </font><font face="Arial, Helvetica, sans-serif" size="1" color="#000066"><font color="#CC0000"> 
                </font></font></td>
            </tr>
            <tr align="left" valign="middle"> 
              <td bgcolor="#E9EEF3"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099">Mortgage 
                Type: </font></td>
              <td><font face="Arial, Helvetica, sans-serif" size="1" color="#000099"> 
                <select name="StatusType" style="color: #000000;  font-family: arial,verdana,sans-serif ; font-weight: normal; font-size: 12px; background-color: #ffffff;" tabindex="28">
                  <option selected>Please Select</option>
                  <option value="FTB">First time buyer</option>
                  <option value="2TB">Second time buyer</option>
                  <option value="Re-Mortgage">Re-Mortgage</option>
                  <option value="Home Mover">Home mover</option>
                  <option value="Buy to Let">Buy to let</option>
                  <option value="Council House">Council house purchase</option>
                  <option value="Adverse">Adverse Credit</option>
                </select>
                </font></td>
              <td valign="top" bgcolor="#E9EEF3"><font face="Arial, Helvetica, sans-serif" size="2" color="#000066"><font color="#000099"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099">Mortgage 
                Completion Date:</font></font></font></td>
              <td valign="top"><font face="Arial, Helvetica, sans-serif" size="2" color="#000066"><font color="#000099"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099"></font><font color="#000099" size="1" face="Arial, Helvetica, sans-serif"><b><font color="#333333"><font face="Verdana, Arial, Helvetica, sans-serif" size="1"><font color="#666699"><font color="#003399"><font color="#CC0000"> 
                <select tabindex="33" name="MCDmonth" onBlur=DateBuilderm() onclick=DateBuilderm() style="color: #000000;  font-family: arial,verdana,sans-serif ; font-weight: normal; font-size: 12px; background-color: #ffffff;">
                  <option>month</option>
                  <option value="1">Jan </option>
                  <option value="2">Feb </option>
                  <option value="3">Mar </option>
                  <option value="4">Apr </option>
                  <option value="5">May </option>
                  <option value="6">Jun </option>
                  <option value="7">Jul </option>
                  <option value="8">Aug </option>
                  <option value="9">Sep </option>
                  <option value="10">Oct </option>
                  <option value="11">Nov </option>
                  <option value="12">Dec </option>
                </select>
                </font></font></font></font></font></b><font color="#333333" size="1"><font face="Verdana, Arial, Helvetica, sans-serif"><font color="#666699"><font color="#003399"><font color="#CC0000"><b> 
                &nbsp; <b><b><font face="Verdana, Arial, Helvetica, sans-serif"><font color="#666699"><font color="#003399"> 
                <select tabindex="34" name="MCDyear" onBlur=DateBuilderm() onclick=DateBuilderm() style="color: #000000; font-family: arial,verdana,sans-serif ; font-weight: normal; font-size: 12px; background-color: #ffffff;">
                  <option selected>year</option>
                  <option value="2006">2006</option>
                  <option value="2007">2007</option>
                  <option value="2008">2008</option>
                  <option value="2009">2009</option>
                </select>
                </font></font></font></b></b></b></font></font></font></font></font><font color="#333333"><b><b><font face="Verdana, Arial, Helvetica, sans-serif" size="1"><font color="#666699"><font color="#003399"><font color="#333333"><b><font color="#333333"><b><b><font face="Verdana, Arial, Helvetica, sans-serif" size="1" color="#CC0000"> 
                <script>
function DateBuilderm()
{
dayxy=document.form1.MCDday.value
monthxy=document.form1.MCDmonth.value
yearxy=document.form1.MCDyear.value
document.form1.EstCompDate.value=""+yearxy+"-"+monthxy+"-"+dayxy+" 00:00:00"
}
</script>
                </font><font color="#333333"><b><b><font face="Verdana, Arial, Helvetica, sans-serif" size="1" color="#CC0000"> 
                <input type="hidden" name="EstCompDate">
                </font><font color="#333333"><b><b><font color="#333333"><b><font face="Verdana, Arial, Helvetica, sans-serif" size="1"><font color="#666699"><font color="#003399"><font color="#CC0000"> 
                <input type="hidden" name="MCDday" value="1">
                </font></font></font></font></b></font></b></b></font></b></b></font></b></b></font></b></font></font></font></font></b></b></font></font><font color="#009966"></font></font></font></td>
            </tr>
            <tr align="left" valign="top"> 
              <td bgcolor="#E9EEF3"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099">Credit 
                History :</font></td>
              <td><font color="#000099" size="1" face="Arial, Helvetica, sans-serif"> 
                <select tabindex="29" name="credit" onBlur='NotesBuilder2()' style="color: #000000;  font-family: arial,verdana,sans-serif ; font-weight: normal; font-size: 12px; background-color: #ffffff;">
                  <option selected>Please Select</option>
                  <option value="My Credit History is Excellent">Excellent</option>
                  <option value="My Credit History is Good">Good</option>
                  <option value="My Credit History is Fair">Fair</option>
                  <option value="My Credit History is Impaired">Impaired</option>
                </select>
                </font></td>
              <td rowspan="2" valign="middle" bgcolor="#E9EEF3"> <label><font face="Arial, Helvetica, sans-serif" size="2" color="#000099">Any 
                Other Information:</font></label></td>
              <td rowspan="2" valign="middle"><font color="#000099" size="1" face="Arial, Helvetica, sans-serif"> 
                <textarea tabindex="35" name="NotesX" type="text" cols="29" rows="2" onBlur=NotesBuilder2() style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;"></textarea>
                </font><font face="Arial, Helvetica, sans-serif" size="2" color="#000099"> 
                <script>
  function NotesBuilder2()
  {
  abc=document.form1.NotesY.value
  xyz=document.form1.NotesX.value
  credits=document.form1.credit.value
  document.form1.Notes.value=""+abc+"   "+xyz+"  "+credits+"  "
  }
  </script>
                </font><font color="#000099" size="1" face="Arial, Helvetica, sans-serif">&nbsp; 
                </font></td>
            </tr>
            <tr align="left" valign="top"> 
              <td>&nbsp;</td>
              <td><font face="Arial, Helvetica, sans-serif" size="1" color="#000099">&nbsp; 
                </font></td>
            </tr>
            <tr align="left" valign="middle"> 
              <td colspan="4"><div align="left"> 
                  <p><font face="Arial, Helvetica, sans-serif" size="2" color="#000099"><strong><img src="http://www.moneyquest.co.uk/images/lightbulbSM.jpg" width="30" height="32"><font color="#990000"><em>Time 
                    Saving Tip:</em></font> Save even more time by completing 
                    some additional questions now and you will benefit from our 
                    fastest quote service ever! These extra questions will only 
                    take you a few minutes to answer but enable us to pinpoint 
                    the best deals for you very quickly. This reduces the time 
                    you need to spend when we telephone to give you your quotes.</strong></font></p>
                  <p align="center"><font face="Arial, Helvetica, sans-serif" size="2" color="#000099"><strong><font face="Arial, Helvetica, sans-serif" size="2" color="#000000"><strong> 
                    <select type="text" name="AddInfo2" tabindex="36" onChange="AddInfoHide2()">
                      <option value="">Please Select</option>
                      <option value="1">Yes, I would be happy to provide more 
                      information</option>
                      <option value="0">No, I am happy with the information I 
                      have already provided</option>
                    </select>
                    </strong></font></strong></font></p>
                </div></td>
            </tr>
            <tr id="app3_0" style="display:none"> 
              <td colspan="2" bgcolor="#C1D0E1"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif"><strong>More 
                Details - Income Calculation:</strong></font></td>
              <td colspan="2" bgcolor="#C1D0E1"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif"><strong>More 
                Details (Mortgage Attitude Questions)</strong></font></td>
            </tr>
            <tr align="left" valign="middle" id="app3_1" style="display:none"> 
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Your 
                Monthly Take Home Pay</font></td>
              <td bgcolor="#E9EEF3"> <input name="NetMonthlyPayApp1" id="NetMonthlyPayApp1" tabindex="37" onFocus="select();adCalc(this.form)" onChange="adCalc(this.form);adCalc2(this.form);adCalc3(this.form)" value="0" size=8></td>
              <td width="25%" bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">	
                Will your net income or household expenditure increase or decrease 
                substantially in the near future?</font></td>
              <td width="25%" bgcolor="#E9EEF3"> <select name="Answer1" id="Answer1">
                  <option>Please Select</option>
                  <option value="Yes">Yes</option>
                  <option value="No">No</option>
                  <option value="Not Disclosed">Not Disclosed</option>
                </select></td>
            </tr>
            <tr align="left" valign="middle" id="app3_2" style="display:none"> 
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Your 
                Partners Monthly Take Home Pay</font></td>
              <td bgcolor="#E9EEF3"> <input name="NetMonthlyPayApp2" id="NetMonthlyPayApp2" tabindex="38" onFocus="select();adCalc(this.form)" onChange="adCalc(this.form);adCalc2(this.form);adCalc3(this.form)" value="0" size=8> 
              </td>
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">When 
                (if at all) would you expect to move again?</font></td>
              <td bgcolor="#E9EEF3"><select name="Answer2" id="Answer2">
                  <option value="Please Select">Please Select</option>
                  <option value="1">1</option>
                  <option value="2">2</option>
                  <option value="3">3</option>
                  <option value="4">4</option>
                  <option value="5">5</option>
                  <option value="6">6</option>
                  <option value="7">7</option>
                  <option value="8">8</option>
                  <option value="9">9</option>
                  <option value="10">10</option>
                </select> <font size="2">years</font></td>
            </tr>
            <tr align="left" valign="middle" id="app3_3" style="display:none"> 
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">= 
                Net Monthly Income</font></td>
              <td bgcolor="#E9EEF3"> <input name="TotalIncome" id="TotalIncome" tabindex="39" onFocus="select();this.blur()" size=8></td>
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Do 
                rising interest rates concern you?</font></td>
              <td bgcolor="#E9EEF3"><select name="Answer3" id="Answer3">
                  <option>Please Select</option>
                  <option value="Yes">Yes</option>
                  <option value="No">No</option>
                  <option value="Not Disclosed">Not Disclosed</option>
                </select></td>
            </tr>
            <tr align="left" valign="middle" id="app3_4" style="display:none"> 
              <td>&nbsp;</td>
              <td>&nbsp;</td>
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Would 
                you like to see your mortgage payments fixed, capped or discounted 
                for an initial period?</font></td>
              <td bgcolor="#E9EEF3"><select name="Answer4" id="Answer4">
                 <option>Please Select</option>
                              <option value="Fixed">Fixed</option>
                              <option value="Capped">Capped</option>
                              <option value="Discounted">Discounted</option>
                              <option value="Not Disclosed">Not Disclosed</option>
                </select></td>
            </tr>
            <tr align="left" valign="middle" id="app3_5" style="display:none"> 
              <td colspan="2" bgcolor="#C1D0E1"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif"><strong>Expenditure 
                Calculation:</strong></font></td>
              <td colspan="2" bgcolor="#C1D0E1"><strong><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">The 
                next few questions require a 'yes or no' answer:</font></strong></td>
            </tr>
            <tr align="left" valign="middle" id="app3_6" style="display:none"> 
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Mortgage 
                / Rent</font></td>
              <td bgcolor="#E9EEF3"> <input name="ExistingMortgageRent" type="text" id="ExistingMortgageRent" tabindex="40" onFocus="select();adCalc2(this.form)" onChange="adCalc2(this.form);adCalc3(this.form)" value="0" size="8"></td>
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Would 
                you like a mortgage that has no tie-ins <strong>after</strong> 
                a fixed, capped or discounted period?</font></td>
              <td bgcolor="#E9EEF3"> <select name="Answer5_1" id="Answer5_1">
                  <option>Please Select</option>
                  <option value="Yes">Yes</option>
                  <option value="No">No</option>
                </select></td>
            </tr>
            <tr align="left" valign="middle" id="app3_7" style="display:none"> 
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Council 
                Tax</font></td>
              <td bgcolor="#E9EEF3"> <input name="CouncilTax" type="text" id="CouncilTax" tabindex="41" onFocus="select();adCalc2(this.form)" onChange="adCalc2(this.form);adCalc3(this.form)" value="0" size="8"></td>
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Do 
                you expect to make part or full repayment during the initial incentive 
                period?</font></td>
              <td bgcolor="#E9EEF3"> <select name="Answer5_2" id="Answer5_2">
                  <option>Please Select</option>
                  <option value="Yes">Yes</option>
                  <option value="No">No</option>
                </select></td>
            </tr>
            <tr align="left" valign="middle" id="app3_8" style="display:none"> 
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Groceries 
                &amp; Toiletries</font></td>
              <td bgcolor="#E9EEF3"> <input name="Groceries" type="text" id="Groceries" tabindex="42" onFocus="select();adCalc2(this.form)" onChange="adCalc2(this.form);adCalc3(this.form)" value="0" size="8"></td>
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Is 
                it important to avoid any charges for full repayment during the 
                initial term?</font></td>
              <td bgcolor="#E9EEF3"> <select name="Answer5_3" id="Answer5_3">
                  <option>Please Select</option>
                  <option value="Yes">Yes</option>
                  <option value="No">No</option>
                </select></td>
            </tr>
            <tr align="left" valign="middle" id="app3_9" style="display:none"> 
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Clothing 
                &amp; Footwear</font></td>
              <td bgcolor="#E9EEF3"> <input name="Clothing" type="text" id="Clothing" tabindex="43" onFocus="select();adCalc2(this.form)" onChange="adCalc2(this.form);adCalc3(this.form)" value="0" size="8"></td>
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Is 
                speed of completion important to you?</font></td>
              <td bgcolor="#E9EEF3"> <select name="Answer5_4" id="Answer5_4">
                  <option>Please Select</option>
                  <option value="Yes">Yes</option>
                  <option value="No">No</option>
                </select></td>
            </tr>
            <tr align="left" valign="middle" id="app3_10" style="display:none"> 
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Motoring, 
                Fares, Travel</font></td>
              <td bgcolor="#E9EEF3"> <input name="Travel" type="text" id="Travel" tabindex="44" onFocus="select();adCalc2(this.form)" onChange="adCalc2(this.form);adCalc3(this.form)" value="0" size="8"></td>
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Should 
                your chosen lender charge any fees, would you like the ability 
                to add these to the loan?</font></td>
              <td bgcolor="#E9EEF3"> <select name="Answer5_5" id="Answer5_5">
                  <option>Please Select</option>
                  <option value="Yes">Yes</option>
                  <option value="No">No</option>
                </select></td>
            </tr>
            <tr align="left" valign="middle" id="app3_11" style="display:none"> 
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Going 
                Out, Entertainment</font></td>
              <td bgcolor="#E9EEF3"> <input name="EntertainmentLeisure" type="text" id="EntertainmentLeisure" tabindex="45" onFocus="select();adCalc2(this.form)" onChange="adCalc2(this.form);adCalc3(this.form)" value="0" size="8"></td>
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Would 
                you like the facility to vary the repayment amount or take repayment 
                holidays if available to you?</font></td>
              <td bgcolor="#E9EEF3"> <select name="Answer5_6" id="Answer5_6">
                  <option>Please Select</option>
                  <option value="Yes">Yes</option>
                  <option value="No">No</option>
                </select></td>
            </tr>
            <tr align="left" valign="middle" id="app3_12" style="display:none"> 
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Regular 
                Savings, Pension, Investment</font></td>
              <td bgcolor="#E9EEF3"> <input name="SavingsInvestment" type="text" id="SavingsInvestment" tabindex="46" onFocus="select();adCalc2(this.form)" onChange="adCalc2(this.form);adCalc3(this.form)" value="0" size="8"></td>
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Would 
                you like a product giving access to an initial sum called 'cash 
                back' providing a higher monthly payment?</font></td>
              <td bgcolor="#E9EEF3"> <select name="Answer5_7" id="Answer5_7">
                  <option>Please Select</option>
                  <option value="Yes">Yes</option>
                  <option value="No">No</option>
                </select></td>
            </tr>
            <tr align="left" valign="middle" id="app3_13" style="display:none"> 
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Miscellaneous</font></td>
              <td bgcolor="#E9EEF3"> <input name="Miscellaneous" type="text" id="Miscellaneous" tabindex="47" onFocus="select();adCalc2(this.form)" onChange="adCalc2(this.form);adCalc3(this.form)" value="0" size="8"></td>
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Do 
                you want the certainty of your mortgage being repaid at the end 
                of the term?</font></td>
              <td bgcolor="#E9EEF3"> <select name="Answer5_8" id="Answer5_8">
                  <option>Please Select</option>
                  <option value="Yes">Yes</option>
                  <option value="No">No</option>
                </select></td>
            </tr>
            <tr align="left" valign="middle" id="app3_14" style="display:none"> 
              <td valign="bottom" bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">&nbsp;Total</font></td>
              <td valign="bottom" bgcolor="#E9EEF3"> <input name="TotalSpend" type="text" id="TotalSpend" onFocus="select();this.blur()" tabindex="49" onBlur="adCalc3(this.form)" size="8"> 
              </td>
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Are 
                you comfortable if all or part of your mortgage is repaid from 
                the proceeds of an existing or new investment product i.e. endowment, 
                ISA or pension?</font></td>
              <td bgcolor="#E9EEF3"> <select name="Answer5_9" id="Answer5_9">
                  <option>Please Select</option>
                  <option value="Yes">Yes</option>
                  <option value="No">No</option>
                </select></td>
            </tr>
            <tr align="left" valign="middle" id="app3_15" style="display:none"> 
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Spare 
                Income Each Month</font></td>
              <td bgcolor="#E9EEF3"><input name="Difference" type="text" tabindex="50" id="Difference2" onFocus="this.blur()" size="8"></td>
              <td bgcolor="#E9EEF3"><font color="#000099" size="2" face="Arial, Helvetica, sans-serif">Over 
                what term would you like to repay your mortgage? </font></td>
              <td bgcolor="#E9EEF3"> <select name="Answer6" id="Answer6">
                  <option value="Please Select">Please Select</option>
                  <option value="1">1</option>
                  <option value="2">2</option>
                  <option value="3">3</option>
                  <option value="4">4</option>
                  <option value="5">5</option>
                  <option value="6">6</option>
                  <option value="7">7</option>
                  <option value="8">8</option>
                  <option value="9">9</option>
                  <option value="10">10</option>
                  <option value="11">11</option>
                  <option value="12">12</option>
                  <option value="13">13</option>
                  <option value="14">14</option>
                  <option value="15">15</option>
                  <option value="16">16</option>
                  <option value="17">17</option>
                  <option value="18">18</option>
                  <option value="19">19</option>
                  <option value="20">20</option>
                  <option value="21">21</option>
                  <option value="22">22</option>
                  <option value="23">23</option>
                  <option value="24">24</option>
                  <option value="25">25</option>
                  <option value="26">26</option>
                  <option value="27">27</option>
                  <option value="28">28</option>
                  <option value="29">29</option>
                  <option value="30">30</option>
                  <option value="31">31</option>
                  <option value="32">32</option>
                  <option value="33">33</option>
                  <option value="34">34</option>
                  <option value="35">35</option>
                  <option value="36">36</option>
                  <option value="37">37</option>
                  <option value="38">38</option>
                  <option value="39">39</option>
                  <option value="40">40</option>
                </select> <font size="2" face="Arial, Helvetica, sans-serif">years</font></td>
            </tr>
            <tr align="left" valign="top"> 
              <td height="114" colspan="4"> <div align="center"> 
                  <p><font face="Arial, Helvetica, sans-serif" size="2" color="#FFFFFF"><br>
                    <input style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" name="email_recip" type="hidden" id="email_recip" value="andy@andystowell.com">
                    <input style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" name="url" type="hidden" id="url" value="www.financesearch.co.uk">
                    <input style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" type="hidden" name="Valuation" size="20" value="0">
                    </font> <font size="2" face="Arial, Helvetica, sans-serif"> 
                    <input style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" type="hidden" name="MM_insert" value="form1">
                    <input style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" name="searchengine" type="hidden" id="searchengine" value="<%= Request.QueryString("SE") %>">
                    <input style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" name="searchengine_sitemanager" type="hidden" id="searchengine_sitemanager2" value="<%= Request.QueryString("SE") %>">
                    </font> <font color="#000099" size="1" face="Arial, Helvetica, sans-serif"> 
                    <input style="color: #000000;  font-family: arial,verdana,sans-serif ; border-style: solid; border-color: black; border-width: 1px; font-weight: normal; font-size: 12px; background-color: #ffffff;" type="hidden" name="Notes" size="60">
                    <input  type="hidden" name="Source" value="Partner" size="20">
                    <input  type="hidden" name="TakenBy" value="Mark Reynolds" size="20">
                    <input  type="hidden" name="LeadType" value="Other" size="20">
                    <input  type="hidden" name="Consultant" value="0" size="20">
                    <input  type="hidden" name="Outcome" value="Pending" size="20">
                    <input  type="hidden" name="MortgageAdvisor" value="Mark Reynolds" size="20">
                    <input  type="hidden" name="CaseManager" size="20" value="Sharon McTaggart">
                    <input  type="hidden" name="SourceType" value="financesearch" size="20">
                    </font><font face="Arial, Helvetica, sans-serif" size="2" color="#FFFFFF"> 
                    <input name="submitbutton" type="submit"  style="color: #ffffff; border-style: solid; border-color: black; border-width: 1px; font-family:  verdana, arial, sans-serif ; font-weight: bold; font-size: 13px; background-color: #990000;" tabindex="36" onClick="MM_validateForm('email','','NisEmail');return document.MM_returnValue;" onMouseDown="DateBuilder();NotesBuilder2()" value="Submit Free Enquiry">
                    </font></p>
                </div></td>
            </tr>
          </table>
          <div align="center"><font face="Arial, Helvetica, sans-serif" size="2" color="#FFFFFF"> 
            </font> </div>
        </form>
      </div>
</td>
</tr>
</table>
</body>
</html>