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Current File : //proc/5198/root/home2/church/public_html/comparefloridarates.com/index-shell.php

            
                 
          <head>
    <title>Compare Rates!</title>
    <style>
      td {
        vertical-align: top;
padding: 5px 10px;
      }
    </style>
  </head>
            <div class="index-shell">

            <? if ($page_title!=$page_title_contact) { ?>
              <div class="widget">
                <h4 style="text-align:center">Get Started On Your Rate Quote!</h4>
                
               <center> <div class="widget-rule"></div></center>
                <center>
                <div class="widget-form">
                  <form action="compare-rates.php" method="post">
      <table>
        <tbody>
          <tr>
            <td>Zip</td>
            <td><input type="text" name="zip" /></td>
          </tr>
          <tr>
            <td>Dwelling Coverage Amount</td>
            <td><input type="text" name="cov_a" /></td>
          </tr>
          <tr>
            <td>Year Built</td>
            <td><input type="text" name="year_built" /></td>
          </tr>
          <tr>
            <td>Construction Type</td>
            <td><select name="construction_type"><option>Frame</option><option>Masonry</option></td>
          </tr>
          <tr>
            <td>Replacement Cost On Contents</td>
            <td><select name="pp_repl_cost"><option>Y</option><option>N</option>
          <tr>
          <tr>
            <td>New roof Since 2001</td>
            <td><select name="roof_after_2001"><option>Y</option><option>N</option>
          </tr>
            <td></td>
            <td><input style="color:white; background: #ca8345; /* Old browsers */
/* IE9 SVG, needs conditional override of 'filter' to 'none' */
background: url(data:image/svg+xml;base64,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);
background: -moz-linear-gradient(top,  #ca8345 0%, #bc7d42 100%); /* FF3.6+ */
background: -webkit-gradient(linear, left top, left bottom, color-stop(0%,#ca8345), color-stop(100%,#bc7d42)); /* Chrome,Safari4+ */
background: -webkit-linear-gradient(top,  #ca8345 0%,#bc7d42 100%); /* Chrome10+,Safari5.1+ */
background: -o-linear-gradient(top,  #ca8345 0%,#bc7d42 100%); /* Opera 11.10+ */
background: -ms-linear-gradient(top,  #ca8345 0%,#bc7d42 100%); /* IE10+ */
background: linear-gradient(to bottom,  #ca8345 0%,#bc7d42 100%); /* W3C */
filter: progid:DXImageTransform.Microsoft.gradient( startColorstr='#ca8345', endColorstr='#bc7d42',GradientType=0 ); /* IE6-8 */" type="submit" value="Get Instant Quotes"/></td>
          </tr>
        </tbody>
      </table>
    </form>
                </div>
                </center>
              </div>
              <!--{ end widget -->
              <? } else { ?>
              <? } ?>

           
    
              <div class="clear"></div>
              
              
              <div style="clear:both;"></div>
            </div>
            <!--end form-shell-->    
            <div style="clear:both;"></div>