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1 company 2 companies 3 companies 4 companies 5 companies 6 companies 7 companies 8 companies 9 companies 10 companies 10 companies Example FORMS in PHP, HTML ASP Customer and Companies Input SHOPPING CART PAY PAL Client Contact Info Auto Responder Service MYSQL Information to be sent between both sources Server & Aweber by small change in provided HTML Aweber code. Aweber to receive only Client Information Customer and Companies Info GOAL: FINAL OUTPUT Exportable .CSV DEVELOPER Form Data Collection CLIENT & COMPANY INFO DEVELOPER TASK COMPLETE MY COMPANY .CSV Customer chooses which option 3 -5-10 etc’ Customer then is sent to the shopping cart. Will have 10 different options and prices. Customer places their information: Input Name Address SSN# ETC. Input Forms will also have up to 10 Lines of input for up to 10 different companies. Depending on the option they choose Example 3-5-10 There will be 10 company option choices total. Input to include, Company, Name Address, Phone # Fax# SUBMIT – PAYMENT - APPROVED This information will then filter through to 2 sources - 1St Customer information to be sent to an auto responder service. (Example Aweber) 2nd source to MYSQl Database Which will be exportable in CSV format so it can be uploaded into company form output printer each form and print out with same client info on each page with each page having a different company’s information on each pages letterhead. SEE ATTACHED EXAMPLE After using a shopping cart service type of function. Information will then submit on the online server for CSV export. To be used for uploading @ my company to print forms Currently unsure of method of gathering information PHP, ASP,HTML forms with AWEBER HTML integration. Currently HOSTED ON GO DADDY SERVER Linux or Windows Customer Info Company 1 Info Company 2 Info Company 3 Info Company 4 Info Company 5 Info Company 6 Info Company 7 Info Company 8 Info Company 9 Info Company 10 Info Customer Info #1 Company Info FORM LETTER Customer Info #2 Company Info FORM LETTER Customer Info #3 Company Info FORM LETTER Customer Info #4 Company Info FORM LETTER Customer Info #5 Company Info FORM LETTER Customer Info #6 Company Info FORM LETTER KEEP IT SIMPLE FORM CSV EXPORT FOR PRINTING AT MY COMPANY IS THE END GOAL Open to A server logon solution: could allow a client to purchase more options and enable them to be able to log back on to use the ones they had purchased but had not used. Final Form Output from uploaded .CSV Customer Info #7 Company Info FORM LETTER Customer Info #8 Company Info FORM LETTER Customer Info #9 Company Info FORM LETTER Customer Info #10 Company Inf FORM LETTER PLEASE MAKE SURE YOU GIVE FULL DETAILS OF YOUR CAPABILITIES FOR THIS PROJECT AND HOW YOU WOULD COMPLETE IT PLEASE READ FULL DETAIL OF PROJECT Contractor to setup the following: Shopping Cart - same look and feel as main web site Shopping cart will have 10 options for Same client and 10 Different company contacts Checkout: the selection that was ordered will filter through only the amount of contact companies that have been paid for. The information will flow to AWEBER for auto responder and to Database. AWEBER: HTML function. (SEE: AWEBER CODE BELOW) Change in Aweber code to make form horizontal fill able and split information between the 2 sources The input will be split between AWEBER and DATABASE Input shall be by web form collection then filtered through Aweber and Exportable to CSV format EXPORTABLE CSV is Developers responsibility. ***CSV will be used for upload by our company for form printing solution *** The upload CSV is on my company’s end ***UPLOAD NOT DEVELOPER RESPONSIBILIYT*** Goal: backend web data collection solution for CSV EXPORT Application Flow 1. 2. 3. 4. Selecting options, Filling Forms, PHP, ASP, HTML [GOTO Checkout] Shopping Cart PHP, ASP, HTML [data flows to 2 sources Aweber & Database] DATABASE MySql [Output will be downloadable CSV format] Printing and mailing management from my company’s end [Unloadable CSV format] ****Possible Customer Signup and login panel (Bid this separately) • • • Client web portal Not necessary – but if able to do would be open to a bid for that separately The only function I am currently concerned about is client shopping cart with 1 client 10 company output, CSV format AWEBER auto responder. SHOPPING CART WILL BE UPDATEABLE FOR FUTURE OPTIONS File hosting is with Go Daddy and is a shared hosting solution with following Language support PHP ASP MYSQL AWEBER RESPONDER CODE: Submission to AWEBER must use this code Submissions cannot be made by any other code :JAVA PHP ETC: AWEBER CODE needs to be modified to make the form horizontal: Data will be to sent to both sources AWEBER & DATABASE by modifying the Html IMPORTANT: Both the Client /Company data and the Aweber data needs to be submitted at the same time because Aweber generates a welcome page after submit.

Please Make Sure Not to Miss Any Fields: We Cannot do our job without the right information PHONE NUMBER IS FOR FOR OUR RECORDS ONLY

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Social Security Number:

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10 COMPANY FORM SAMPLE THERE WILL BE A TOTAL OF 10 DIFFERENT FORMS FOR CHECKOUT CART Please make sure to fill out form in detail so we can have everything we need to go to work for you PLEASE DO NOT LEAVE ANY SECTIONS BLANK USED TO MAKE THEY CANNOT SAY WE HAVE THE WRONG ACCOUNT Phone Numbers Are For Our Records Only COMPANY 1 COMPANY 2 COMPANY 3 COMPANY 4 COMPANY 5 COMPANY 6 COMPANY 7 COMPANY 7 COMPANY 8 COMPANY 9 COMPANY 10 THIS IS THE FORM THAT WOULD RECEIVE CLIENT AND COMPANY INFORMATION Each Sheet will print the same client contact information but different company. <5556 Zallman Lane> <<< <<< <<< Company Information Company Address Company City, State, Zip Code <02/12/2008> To: << << << MY TEXT GOES HERE TEXT TEXT TEXT TEXT TEXT SINCERELY THE FIRM! This is a record sent to FAX <000-000-0000> <<< FAX Number