Sample Web Form

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The problem with so many forms sites is they send the data in an email that requires a user to input the data MANUALLY!  You cannot afford to waste valuable resources inputting information that should import directly into your systems.  We can setup forms, host them, and assist you in setting up your imports so you can keep your people performing tasks that impact the bottom line in a positive manner.  We can also design custom import solutions as needed.  Links below open our forms both on this page and in a separate window.  More below...... More info contact Jim Edison

Auto Quote Home Quote Other Personal Work Comp Other Commercial
All Personal All Lines All Commercial

Get a sample quote - you do not need to complete the entire form but do include your email address if you want the file sent to you. We will not save your email address.

This is a brief sample of a form page used to gather information to produce various insurance quotes which allow secure download of the file in a standard insurance import format.  We can also compile your data into a format of your specification if you wish to use your forms.   We offer multiple ways to present the forms to the user, in a frame in your page, in separate windows.  **Also of note is the form runs on a secure server.  The browser may not show the "padlock" when running in a frame.  More info contact Jim Edison

 

Send mail to JimE@EDIConcepts.net with questions or comments about this web site.
Copyright © 2004 EDI Concepts, Inc.
Last modified: 02/11/09