<div id='crmWebToEntityForm' align='center'> <form action='https://crm.zoho.com/crm/WebToLeadForm' name=WebToLeads1167580000000214079 method='POST' onSubmit='javascript:document.charset="UTF-8"; return checkMandatery()' accept-charset='UTF-8'> <input type='text' style='display:none;' name='xnQsjsdp' value='qQF9qkfW4wJthYo@kRl79w$$'/> <input type='hidden' name='zc_gad' id='zc_gad' value=''/> <input type='text' style='display:none;' name='xmIwtLD' value='VYUSV4hmFVL8aJLE8Fi0vrxbl34S2P-4'/> <input type='text' style='display:none;' name='actionType' value='TGVhZHM='/> <input type='text' style='display:none;' name='returnURL' value='http://www.triplelinesolar.com/thank-you/' /> <br>
<table border=0 cellspacing=0 cellpadding='7' width=75% style='background-color:white;color:black'><tr>
<td colspan='2' align='left' style='color:black;font-family:Arial;font-size:16px;background-color: #FFCC33;'>
<strong>Detailed Solar Quote</strong></td></tr> <br><tr><td nowrap='nowrap' align='left' style='font-size:14px;font-family:Arial;width:200px;'>First Name </td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='40' name='First Name' /></td></tr><tr><td nowrap='nowrap' align='left' style='font-size:14px;font-family:Arial;width:200px;'>Last Name<span style='color:red;'>*</span> </td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='80' name='Last Name' /></td></tr><tr><td nowrap='nowrap' align='left' style='font-size:14px;font-family:Arial;width:200px;'>Phone </td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='30' name='Phone' /></td></tr><tr><td nowrap='nowrap' align='left' style='font-size:14px;font-family:Arial;width:200px;'>Street </td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='250' name='Street' /></td></tr><tr><td nowrap='nowrap' align='left' style='font-size:14px;font-family:Arial;width:200px;'>City </td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='30' name='City' /></td></tr><tr><td nowrap='nowrap' align='left' style='font-size:14px;font-family:Arial;width:200px;'>Email </td><td style='width:250px;' ><input type='text' style='width:250px;' maxlength='100' name='Email' /></td></tr><tr><td nowrap='nowrap' align='left' style='font-size:14px;font-family:Arial;width:200px;'>Monthly or Annual kW Usage </td><td style='width:250px;' > <textarea style='width:250px;' name='LEADCF10' maxlength='1000' width='250' height='250'></textarea></td></tr><tr><td nowrap='nowrap' align='left' style='font-size:14px;font-family:Arial;width:200px;'>Description </td><td style='width:250px;' > <textarea style='width:250px;' name='Description' maxlength='1000' width='250' height='500'></textarea></td></tr><tr><td nowrap='nowrap' align='left' style='font-size:14px;font-family:Arial;width:200px;'>PURCHASE METHOD </td><td style='width:250px;' ><select style='width:250px;' name='LEADCF6' multiple> <option value='CASH'>CASH</option> <option value='LOAN'>LOAN</option> <option value='HERO'>HERO</option> <option value='LEASE'>LEASE</option> </select></td></tr><tr><td nowrap='nowrap' align='left' style='font-size:14px;font-family:Arial;width:200px;'>Interested in? </td><td style='width:250px;' ><select style='width:250px;' name='LEADCF1' multiple> <option value='Solar Installation'>Solar Installation</option> <option value='Solar KIT'>Solar KIT</option> <option value='QuietCool Fan'>QuietCool Fan</option> <option value='SolaTube'>SolaTube</option> <option value='Permit Plan Set'>Permit Plan Set</option> <option value='Training/Class'>Training/Class</option> <option value='SunJack'>SunJack</option> <option value='Battery Back-up Generator'>Battery Back-up Generator</option> <option value='Pre-Site Service'>Pre-Site Service</option> <option value='System Expansion'>System Expansion</option> <option value='Rebate/NEM Processing'>Rebate/NEM Processing</option> <option value='Solar Components'>Solar Components</option> <option value='Pool Thermal'>Pool Thermal</option> </select></td></tr><tr><td nowrap='nowrap' align='left' style='font-size:14px;font-family:Arial;width:200px;'>ARRAY LOCATION </td><td style='width:250px;' ><select style='width:250px;' name='LEADCF5'> <option value='-None-'>-None-</option> <option value='HOME - ROOF'>HOME - ROOF</option> <option value='HOME - FLAT ROOF'>HOME - FLAT ROOF</option> <option value='HOME - GROUND MOUNT'>HOME - GROUND MOUNT</option> <option value='COMMERCIAL - ROOF'>COMMERCIAL - ROOF</option> <option value='COMMERCIAL - BALLAST'>COMMERCIAL - BALLAST</option> <option value='COMMERCIAL - GROUND'>COMMERCIAL - GROUND</option> <option value='SHADE STRUCTURE'>SHADE STRUCTURE</option> </select></td></tr><tr><td nowrap='nowrap' align='left' style='font-size:14px;font-family:Arial;width:200px;'>CUSTOMER TYPE </td><td style='width:250px;' ><select style='width:250px;' name='LEADCF7'> <option value='-None-'>-None-</option> <option value='HOMEOWNER'>HOMEOWNER</option> <option value='CONTRACTOR'>CONTRACTOR</option> <option value='DIY'>DIY</option> <option value='RESELLER'>RESELLER</option> <option value='PARTNER'>PARTNER</option> <option value='EMPLOYEE'>EMPLOYEE</option> <option value='COMMERCIAL TENANT'>COMMERCIAL TENANT</option> </select></td></tr><tr><td nowrap='nowrap' align='left' style='font-size:14px;font-family:Arial;width:200px;'>How Did You Hear About Us? </td><td style='width:250px;' ><select style='width:250px;' name='LEADCF9'> <option value='-None-'>-None-</option> <option value='Customer Referral'>Customer Referral</option> <option value='E-book Download'>E-book Download</option> <option value='Employee Referral'>Employee Referral</option> <option value='Event'>Event</option> <option value='HERO Website'>HERO Website</option> <option value='Other Lead Generation Program'>Other Lead Generation Program</option> <option value='Partner Referral'>Partner Referral</option> <option value='Print'>Print</option> <option value='Radio'>Radio</option> <option value='Solar Reviews'>Solar Reviews</option> <option value='Walk-In'>Walk-In</option> <option value='Web Search'>Web Search</option> <option value='Web Site Form'>Web Site Form</option> <option value='Other (Add in Description)'>Other (Add in Description)</option> </select></td></tr><tr><td colspan='2' align='right' style='padding-top: 15px;' ><input style='font-size:14px;color:black' type='submit' value='Submit' /> </td></tr></table><script> var mndFileds=new Array('Last Name');var fldLangVal=new Array('Last Name');function reloadImg(){if(document.getElementById('imgid').src.indexOf('&d') !== -1 ){document.getElementById('imgid').src=document.getElementById('imgid').src.substring(0,document.getElementById('imgid').src.indexOf('&d'))+'&d'+new Date().getTime();}else{document.getElementById('imgid').src = document.getElementById('imgid').src+'&d'+new Date().getTime();}}function checkMandatery(){for(i=0;i<mndFileds.length;i++){ var fieldObj=document.forms['WebToLeads1167580000000214079'][mndFileds[i]];if(fieldObj) {if(((fieldObj.value).replace(/^\s+|\s+$/g, '')).length==0){alert(fldLangVal[i] +' cannot be empty'); fieldObj.focus(); return false;}else if(fieldObj.nodeName=='SELECT'){if(fieldObj.options[fieldObj.selectedIndex].value=='-None-'){alert(fldLangVal[i] +' cannot be none'); fieldObj.focus(); return false;}} else if(fieldObj.type =='checkbox'){ if (fieldObj.checked == false){ alert('Please accept '+fldLangVal[i]); fieldObj.focus();return false;}}}}}</script> </form></div>