//
function Wr(str) {
	document.write(str);
}


Wr("<table border=0 cellpadding=0 cellspacing=0 width=100% class=medbodytext>");
Wr("<tr valign=top>");
Wr("<td background=imgs/background_06.gif bgcolor=#e6e6e6><img src=imgs/spacer.gif width=6 height=1></TD>");
Wr("<td background=imgs/background_06.gif bgcolor=#e6e6e6>");
Wr("<img src=imgs/spacer.gif width=1 height=3><BR>");
Wr("<CENTER>");
Wr("<SPAN CLASS=bodytext>");
Wr("<FONT COLOR=#FFFFFF>");
Wr("<B>See what you could have been saving</B>");
Wr("</FONT>");
Wr("</SPAN>");
Wr("<BR>");
Wr("<img src=imgs/spacer.gif width=1 height=10><BR>");
Wr("<FONT COLOR=#3C6E78>");
Wr("<B>Calculate your savings below!</B>");
Wr("</FONT> &#160; ");
Wr("<SPAN CLASS=smallbodytext>");
Wr("<FONT COLOR=#3C6E78>(Enter items #1 and #2 below)</FONT>");
Wr("</SPAN>");
Wr("<BR>");
Wr("<IMG SRC=imgs/spacer.gif WIDTH=1 HEIGHT=10><BR>");
Wr("<table border=0 cellpadding=0 cellspacing=1 bgcolor=#777777>");
Wr("<tr>");
Wr("<td>");
Wr("<table border=0 cellpadding=0 cellspacing=0 class=smallbodytext>");
Wr("<form method=post action=http://www.getenhanced.com/cgibin/cgiemail.cgi/client/compmonitor_contactmail.txt onSubmit='return validate(this)'>");
Wr("<input type=hidden name=success value=http://www.compmonitor.com/formconf.asp>");
Wr("<input type=hidden name=reductionfactor value=>");
Wr("<input type=hidden name=annualcostsub value=>");
Wr("<input type=hidden name=annualcost value=>");
Wr("<tr align=center>");
Wr("<TD BACKGROUND=imgs/background_08.gif WIDTH=130>");
Wr("<IMG SRC=imgs/spacer.gif WIDTH=1 HEIGHT=6><BR>");
Wr("<NOBR><B>&#160;&#160;(1)&#160;Annual Workers'&#160;&#160;</NOBR><BR>");
Wr("<NOBR>Comp Premium</NOBR></B><BR>");
Wr("<IMG SRC=imgs/spacer.gif WIDTH=1 HEIGHT=3></TD>");
Wr("<TD BGCOLOR=#ffffff><IMG SRC=imgs/spacer.gif WIDTH=1 HEIGHT=1></TD>");
Wr("<TD BACKGROUND=imgs/background_08.gif WIDTH=130>");
Wr("<IMG SRC=imgs/spacer.gif WIDTH=1 HEIGHT=6><BR>");
Wr("<B>(2)&#160;Experience<BR>Modifier</B></TD>");
Wr("<TD BGCOLOR=#ffffff><IMG SRC=imgs/spacer.gif WIDTH=1 HEIGHT=1></TD>");
Wr("<TD BACKGROUND=imgs/background_07.gif WIDTH=130>");
Wr("<IMG SRC=imgs/spacer.gif WIDTH=1 HEIGHT=6><BR>");
Wr("<FONT COLOR=#FFFFFF>");
Wr("<B>Estimated<BR>Savings</B>");
Wr("</FONT></TD>");
Wr("</tr>");
Wr("<tr>");
Wr("<TD BACKGROUND=imgs/background_08.gif VALIGN=CENTER ALIGN=CENTER>");
Wr("<IMG SRC=imgs/spacer.gif WIDTH=1 HEIGHT=3><BR>");
Wr("$&#160;<input tabindex=1 class=searchboxes2 type=text name=wcpremium size=10 maxlength=50 onFocus='this.select()' onChange='sumAnnCost(document.forms[0])'>&#160;&#160;<BR>");
Wr("<IMG SRC=imgs/spacer.gif WIDTH=1 HEIGHT=3><BR>");
Wr("</TD>");
Wr("<TD BGCOLOR=#ffffff><IMG SRC=imgs/spacer.gif WIDTH=1 HEIGHT=1></TD>");
Wr("<TD BACKGROUND=imgs/background_08.gif VALIGN=CENTER ALIGN=CENTER>&#160;&#160;");
Wr("<input tabindex=2 class=searchboxes2 type=text name=expmod size=10 maxlength=50 onFocus='this.select()' onChange='sumAnnCost(document.forms[0])'>&#160;&#160;</TD>");
Wr("<TD BGCOLOR=#ffffff><IMG SRC=imgs/spacer.gif WIDTH=1 HEIGHT=1></TD>");
Wr("<TD BACKGROUND=imgs/background_07.gif VALIGN=CENTER ALIGN=CENTER>&#160;&#160;&#160;");
Wr("<input class=searchboxes1a type=text name=calculate size=10 maxlength=50 onFocus='blur(  )'>&#160;&#160;</TD>");
Wr("</tr>");
Wr("</TABLE>");
Wr("</td>");
Wr("</tr>");
Wr("</table>");
Wr("<IMG SRC=imgs/spacer.gif WIDTH=1 HEIGHT=10><BR>");
Wr("<I>Call us <U>today</U> to get these great savings on your WC premiums!</I><BR>");
Wr("<img src=imgs/spacer.gif width=1 height=5></td>");
Wr("<td background=imgs/background_06.gif bgcolor=#e6e6e6><img src=imgs/spacer.gif width=6 height=1></TD>");
Wr("<td background=imgs/background_06.gif bgcolor=#e6e6e6>");
Wr("<img src=imgs/spacer.gif width=1 height=30><BR>");
Wr("<div align=right>");
Wr("");
Wr("<table border=0 cellpadding=0 cellspacing=0 width=228 height=116>");
Wr("<tr>");
Wr("<td background=imgs/contact_fade.gif valign=top>");
Wr("<table border=0 cellpadding=0 cellspacing=1 width=228 class=smallbodytext>");
Wr("<tr bgcolor=#F0F0F0 id=SetContact1 style='display: '>");
Wr("<td align=right height=20><NOBR>&#160;<input tabindex=3 type=checkbox name=ccontact onClick='SetContact(document.forms[0])' value='Please contact me with more information!'>Please contact me with more information! &#160;</NOBR></td>");
Wr("</tr>");
Wr("<tr bgcolor=#F0F0F0 id=SetContact2 style='display: none;'>");
Wr("<td align=right height=18>Name: <input tabindex=4 class=searchboxes2a name=cname size=25 maxlength=100> &#160;</td>");
Wr("</tr>");
Wr("<tr bgcolor=#F0F0F0 id=SetContact3 style='display: none;'>");
Wr("<td align=right height=18>Phone #: <input tabindex=5 class=searchboxes2a name=cphone size=25 maxlength=100> &#160;</td>");
Wr("</tr>");
Wr("<tr bgcolor=#F0F0F0 id=SetContact4 style='display: none;'>");
Wr("<td align=right height=18>Email: <input tabindex=6 class=searchboxes2a name=cemail size=25 maxlength=100> &#160;</td>");
Wr("</tr>");
Wr("<tr bgcolor=#F0F0F0 id=SetContact5 style='display: none;'>");
Wr("<td align=right height=18>&#160;Comments: <input tabindex=7 class=searchboxes2a name=ccomments size=25 maxlength=250> &#160;</td>");
Wr("</tr>");
Wr("<tr bgcolor=#F0F0F0 id=SetContact6 style='display: none;'>");
Wr("<td align=right height=17><input class=button3 type=submit value=submit> &#160;</td>");
Wr("</tr>");
Wr("</table>");
Wr("</td>");
Wr("</tr>");
Wr("</table>");
Wr("</TD>");
Wr("<td background=imgs/background_06.gif bgcolor=#e6e6e6><img src=imgs/spacer.gif width=6 height=1></TD>");
Wr("</tr>");
Wr("</form>");
Wr("</table>");



function sumAnnCost(frm){
        frm.wcpremium.value = stripCharsInBag(frm.wcpremium.value, "~!@#$%^&*_+`-={}|[]\:;'<>?,/QWERTYUIOPASDFGHJKLZXCVBNMqwertyuiopasdfghjklzxcvbnm");

        if (frm.wcpremium.value <= 6999.99) {
frm.wcpremium.value = "";
frm.calculate.value = "";
frm.annualcost.value = "";
frm.ccontact.checked = false;
SetContact1.style.display='';
SetContact2.style.display='none';
SetContact3.style.display='none';
SetContact4.style.display='none';
SetContact5.style.display='none';
SetContact6.style.display='none';
                alert ("You must enter a MINIMUM Workers' Comp Premium amount of $7000");
    frm.wcpremium.focus();
                return false;}

        if ((frm.wcpremium.value >= 7000) && (frm.wcpremium.value <= 15000.99)) {
(frm.reductionfactor.value = ".155");
(frm.annualcostsub.value = "300");
}
        if ((frm.wcpremium.value >= 15001) && (frm.wcpremium.value <= 23000.99)) {
(frm.reductionfactor.value = ".176");
(frm.annualcostsub.value = "500");
}
        if ((frm.wcpremium.value >= 23001) && (frm.wcpremium.value <= 37000.99)) {
(frm.reductionfactor.value = ".193");
(frm.annualcostsub.value = "650");
}
        if ((frm.wcpremium.value >= 37001) && (frm.wcpremium.value <= 43000.99)) {
(frm.reductionfactor.value = ".205");
(frm.annualcostsub.value = "900");
}
        if ((frm.wcpremium.value >= 43001) && (frm.wcpremium.value <= 50000.99)) {
(frm.reductionfactor.value = ".217");
(frm.annualcostsub.value = "1200");
}
        if ((frm.wcpremium.value >= 50001) && (frm.wcpremium.value <= 64000.99)) {
(frm.reductionfactor.value = ".226");
(frm.annualcostsub.value = "1500");
}
        if ((frm.wcpremium.value >= 64001) && (frm.wcpremium.value <= 100000.99)) {
(frm.reductionfactor.value = ".231");
(frm.annualcostsub.value = "2000");
}
        if ((frm.wcpremium.value >= 100001) && (frm.wcpremium.value <= 200000.99)) {
(frm.reductionfactor.value = ".245");
(frm.annualcostsub.value = "2200");
}
        if ((frm.wcpremium.value >= 200001)) {
(frm.reductionfactor.value = ".247");
(frm.annualcostsub.value = "2500");
}

        if ((frm.wcpremium.value >= 6999.99) && (frm.expmod.value.length !=0)) {
        SetContact1.style.display='';
        SetContact2.style.display='';
        SetContact3.style.display='';
        SetContact4.style.display='';
        SetContact5.style.display='';
        SetContact6.style.display='';
	  frm.ccontact.checked = true;
        frm.calculate.value = formatCurrency(parseFloat(frm.wcpremium.value)*(frm.reductionfactor.value));
        frm.annualcost.value = formatCurrency(frm.annualcostsub.value);
}
}

function SetContact(frm) {
        if (frm.ccontact.checked) {
        SetContact2.style.display='';
        SetContact3.style.display='';
        SetContact4.style.display='';
        SetContact5.style.display='';
        SetContact6.style.display='';
}
  else {
        SetContact2.style.display='none';
        SetContact3.style.display='none';
        SetContact4.style.display='none';
        SetContact5.style.display='none';
        SetContact6.style.display='none';
}
}

// Removes all characters which appear in string bag from string s.
function stripCharsInBag (s, bag) 
{   var i;
    var returnString = "";

    // Search through string's characters one by one.
    // If character is not in bag, append to returnString.

    for (i = 0; i < s.length; i++)
    {   
        // Check that current character isn't whitespace.
        var c = s.charAt(i);
        if (bag.indexOf(c) == -1) returnString += c;
    }

    return returnString;
}

<!-- Begin
function formatCurrency(num) {
num = num.toString().replace(/\$|\,/g,'');
if(isNaN(num))
num = "0";
sign = (num == (num = Math.abs(num)));
num = Math.floor(num*100+0.50000000001);
cents = num%100;
num = Math.floor(num/100).toString();
if(cents<10)
cents = "0" + cents;
for (var i = 0; i < Math.floor((num.length-(1+i))/3); i++)
num = num.substring(0,num.length-(4*i+3))+','+
num.substring(num.length-(4*i+3));
return (((sign)?'':'-') + '$' + num + '.' + cents);
}
//  End -->


function validate(frm){

        if (frm.cname.value.length ==0) {
                alert ("You must enter your NAME in the field above");
    frm.cname.focus();
                return false;}
        if ((frm.cphone.value.length ==0) && (frm.cemail.value.length ==0)) {
                alert ("You must enter either your PHONE NUMBER or EMAIL ADDRESS in the field above");
    frm.cphone.focus();
                return false;}

        else
                return true;
}