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Sample Agreement scripted in PHP.
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@YesThatAllen
YesThatAllen committed Dec 8, 2013
1 parent 2596730 commit 78edcb3
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244 changes: 244 additions & 0 deletions sample-agreement-php/agreement.php
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<?php
if (!empty($_POST["billAnnually"]))
{
$agreementText = 'Annual Billing';
$agreementAmount = $_POST["annuallyTotal"];
}
else
{
$agreementText = 'Monthly Billing';
$agreementAmount = $_POST["grandTotal"];
}

?>
<?php
$to = "[email protected]";
$subject = "Support Agreement Submission";
$company = $_POST["company"];
$name = $_POST["firstname"] . " " . $_POST["lastname"];
$email = $_POST["email"];
$address1 = $_POST["address1"];
$city = $_POST["city"];
$state = $_POST["state"];
$zip = $_POST["zip"];
$phone = $_POST["phone"];

$qty_item_1 = $_POST["qty_item_1"];
$qty_item_2 = $_POST["qty_item_2"];
$qty_item_8 = $_POST["qty_item_8"];
$qty_item_3 = $_POST["qty_item_3"];
$qty_item_4 = $_POST["qty_item_4"];
$qty_item_5 = $_POST["qty_item_5"];
$qty_item_6 = $_POST["qty_item_6"];
$qty_item_7 = $_POST["qty_item_7"];

$message = "
--Personal Information--
Company: $company
Name: $name
E-Mail: $email
Address: $address1
City: $city
State: $state
Zip: $zip
Phone: $phone
--Agreement Information--
Personal Support Users: $qty_item_1
Monitored Computers: $qty_item_2
Monitoring Family Pack: $qty_item_8
Monitored Servers: $qty_item_3
Managed Clients: $qty_item_4
Windows Servers: $qty_item_5
Prepaid Hours: $qty_item_6
Premier Support: $qty_item_7
Amount to be billed: $agreementAmount
Billing interval: $agreementText
";
$from = $_POST["email"];
$headers = "From:" . $from;


mail($to,$subject,$message,$headers);
?>

<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01//EN"
"http://www.w3.org/TR/html4/strict.dtd">
<html lang="en">
<head>
<title>
MyCompany Service Agreement Signup Form
</title><!-- Framework CSS -->
<link rel="stylesheet" href="jquery.tooltip.css" type="text/css" media="screen, projection">
<link rel="stylesheet" href="screen.css" type="text/css" media="print, screen, projection">
<!--[if lt IE 8]><link rel="stylesheet" href="ie.css" type="text/css" media="screen, projection"><![endif]-->
<style type="text/css" media="screen">
div fieldset.sigbox {
background-color: transparent;
/* border-bottom: 1px solid #999;*/
height: 70px;
}
div.thecontainer {
position: relative;
}
.nobreak {
white-space: nowrap;
overflow: hidden;
}
body div.container h2#mylogo {
/* height: 162px;*/

display: block;
list-style-image: url(logo.png);
list-style-position: inside;

/* letter-spacing: -1000em;*/
/* font-size: 1pt; */
/* position: relative;*/
}
body div.container h2#mylogo .loseit {
display: none!important;
position: absolute;
color: #FFF;
text-indent: -999999px;
}
#mylogo img {
/* position: absolute;*/
position: relative;
text-indent: 0px!important;
top: 0px;
}
</style>

<script src="jquery.min.js" type="text/javascript"></script>
<script src="jquery.dimensions.min.js" type="text/javascript"></script>
<script src="jquery.tooltip.js" type="text/javascript"></script>
</head>
<body id="index" class="index" onload="document.forms.pay.company.focus()">
<div class="container">
<!-- inactive class - showgrid -->
<h4 class="printme">My Company, Inc.<br />123 Main Street<br />Anytown, Anywhere<br />+1-408-352-6145</h4>
<h2 id="mylogo">
<img src="logo.png" alt="" class="imageo" />
<br>
<small>Support Agreement</small>
</h2>
<hr>
<div>
<p>Your Support Agreement has been submitted. <p>
<strong>As a subscriber to our support package, you receive:</strong>
<ul>
<li>Brief emails and calls, under 15 minutes per incident, are covered by your agreement.</li>
<li>The rate for labor will be discounted from &#36;150 to &#36;120 an hour</li>
<li>Hardware and software sales will enjoy a 5.5% discount</li>
</ul>
<p>
<strong>Your Monitored Computers will have:</strong>
</p>
<ul>
<li>Automated monitoring and reporting on the overall health of your computer</li>
<li>A chance to identify small problems before they get develop to large ones, or to data loss.</li>
<li>Active notification of issues Watchman Monitoring finds as it checks your backup status, hard drive, and more.</li>
<li>You get peace of mind knowing that MyCompany, Inc. will contact you if your computer is showing signs of failure.</li>
</ul>
<p>
We will enter your agreement into our system, send your invoice, and coordinate payment information with you directly.
Phone and email support is available immediately, and we will coordinate a time to install our monitoring software.
Thank you for your business and continued support.
</p>

<p style="text-align: right;"><em>Sincerely,</em><br> <strong>Allen Hancock</strong> and the <strong>MyCompany, Inc.</strong></p>

</div>
<hr>
<div class="thecontainer">
<div class="span-8">
<fieldset>
<legend>Your Billing Information</legend>
<table border="0" cellspacing="0" cellpadding="0">
<tr>
<td><label class="span-2" for="company">Company</label></td>
<td style="text-align: right;" align="right"><?php echo $_POST["company"]; ?></td>
</tr>
<tr>
<td><label class="span-2" for="firstname">Name</label></td>
<td style="text-align: right;" align="right"><?php echo $_POST["firstname"] . " " . $_POST["lastname"]; ?></td>
</tr>
<tr>
<td><label class="form-label" for="email">Email</label></td>
<td style="text-align: right;" align="right"><?php echo $_POST["email"]; ?></td>
</tr>
<tr>
<td><label class="span-2" for="address1">Address</label></td>
<td style="text-align: right;" align="right"><?php echo $_POST["address1"]; ?></td>
</tr>
<tr>
<td><label class="form-label" for="city"></label></td>
<td style="text-align: right;" align="right"><?php echo $_POST["city"] . ", " . $_POST["state"] . ", " . $_POST["zip"]; ?></td>
</tr>
<tr>
<td><label class="form-label" for="phone">Phone</label></td>
<td style="text-align: right;" align="right"><?php echo $_POST["phone"]; ?></td>
</tr>
</table>
</fieldset>
</div>
<div class="span-8">
<fieldset>
<legend>Monthly Agreement Quantities</legend>
<table border="0" cellspacing="0" cellpadding="0">
<tr>
<td><label class="form-label" for="qty_item_2">Personal Support</label></td>
<td style="text-align: right;" align="right"><?php echo $_POST["qty_item_1"]; ?></td>
</tr>
<tr>
<td><label class="form-label" for="qty_item_1">Monitored Computers</label></td>
<td style="text-align: right;" align="right"><?php echo $_POST["qty_item_2"]; ?></td>
</tr>
<tr>
<td><label class="form-label" for="qty_item_3">Monitored Servers</label></td>
<td style="text-align: right;" align="right"><?php echo $_POST["qty_item_3"]; ?></td>
</tr>
<tr>
<td><label class="form-label" for="qty_item_4">Managed Clients</label></td>
<td style="text-align: right;" align="right"><?php echo $_POST["qty_item_4"]; ?></td>
</tr>
<tr>
<td><label class="form-label" for="qty_item_5">Windows Servers</label></td>
<td style="text-align: right;" align="right"><?php echo $_POST["qty_item_5"]; ?></td>
</tr>
<tr>
<td><label class="form-label" for="qty_item_6">Prepaid Hours</label></td>
<td style="text-align: right;" align="right"><?php echo $_POST["qty_item_6"]; ?></td>
</tr>
<tr>
<td><label class="form-label" for="qty_item_7">Premier Support</label></td>
<td style="text-align: right;" align="right"><?php echo $_POST["qty_item_7"]; ?></td>
</tr>
<tr>

<td><label class="form-label"><?php echo $agreementText; ?></label></td>
<td style="text-align: right;" align="right"><?php echo $agreementAmount; ?></td>
</tr>
</table>
</fieldset>
</div>
<div class="span-8 last nobreak" style="height: 238px; position: relative">
<fieldset class="sigbox" style="margin-left: 20px;">
<legend>Authorized Signature</legend>
<p style="margin-top: 40px;">____________________________________</p>
</fieldset>
</div>
</div>
<br><br>
</div><!-- close: content -->
<div class="container">
<p><strong>Please print, sign, and return this form. Either in person, mail, or fax to +1-408-352-6145<strong></p>
</div>
<div id="footer">
<!-- Footer Stuff -->
</div><!-- close: footer -->
<!-- close: kontainer -->

</body>
</html>
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36 changes: 36 additions & 0 deletions sample-agreement-php/ie.css
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/* -----------------------------------------------------------------------
Blueprint CSS Framework 0.9
http://blueprintcss.org
* Copyright (c) 2007-Present. See LICENSE for more info.
* See README for instructions on how to use Blueprint.
* For credits and origins, see AUTHORS.
* This is a compressed file. See the sources in the 'src' directory.
----------------------------------------------------------------------- */

/* ie.css */
body {text-align:center;}
.container {text-align:left;}
* html .column, * html div.span-1, * html div.span-2, * html div.span-3, * html div.span-4, * html div.span-5, * html div.span-6, * html div.span-7, * html div.span-8, * html div.span-9, * html div.span-10, * html div.span-11, * html div.span-12, * html div.span-13, * html div.span-14, * html div.span-15, * html div.span-16, * html div.span-17, * html div.span-18, * html div.span-19, * html div.span-20, * html div.span-21, * html div.span-22, * html div.span-23, * html div.span-24 {display:inline;overflow-x:hidden;}
* html legend {margin:0px -8px 16px 0;padding:0;}
ol {margin-left:2em;}
sup {vertical-align:text-top;}
sub {vertical-align:text-bottom;}
html>body p code {*white-space:normal;}
hr {margin:-8px auto 11px;}
img {-ms-interpolation-mode:bicubic;}
.clearfix, .container {display:inline-block;}
* html .clearfix, * html .container {height:1%;}
fieldset {padding-top:0;}
textarea {overflow:auto;}
input.text, input.title, textarea {background-color:#fff;border:1px solid #bbb;}
input.text:focus, input.title:focus {border-color:#666;}
input.text, input.title, textarea, select {margin:0.5em 0;}
input.checkbox, input.radio {position:relative;top:.25em;}
form.inline div, form.inline p {vertical-align:middle;}
form.inline label {position:relative;top:-0.25em;}
form.inline input.checkbox, form.inline input.radio, form.inline input.button, form.inline button {margin:0.5em 0;}
button, input.button {position:relative;top:0.25em;}
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