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<!doctype html>
<html>
  <head>
    <meta charset="utf-8">
    <title>Z57 PPC Builder</title>
  </head>
  <body>
    <script src="jquery.js"></script>
    <script language="javascript" type="text/javascript">
    <!--
    function ajaxFunction(){
        var ajaxRequest;
        try{
            ajaxRequest = new XMLHttpRequest();
        } catch (e){
            try{
                ajaxRequest = new ActiveXObject("Msxml2.XMLHTTP");
            } catch (e) {
                try{
                    ajaxRequest = new ActiveXObject("Microsoft.XMLHTTP");
                } catch (e){
                    alert("Your browser broke!");
                    return false;
                }
            }
        }
        ajaxRequest.onreadystatechange = function(){
        if(ajaxRequest.readyState == 4){
            var ajaxDisplay = document.getElementById('ajaxDiv');
            ajaxDisplay.innerHTML = ajaxRequest.responseText;
        }
        }
        var state = document.getElementById('state').value;
        var queryString = "?state=" + state;
        ajaxRequest.open("GET", "webService.php" + querystring, true);
        ajaxRequest.send(null);
    }
    //-->
    </script>
    <script>

    </script>

<h2>Z57 PPC Builder</h2>
<form name="ppcForm">
City 1:<input type="text" id="city1" /><br />
City 2:<input type="text" id="city2" /><br />
City 3:<input type="text" id="city3" /><br />
City 4:<input type="text" id="city4" /><br />
City 5:<input type="text" id="city5" /><br />
City 6:<input type="text" id="city6" /><br />
City 7:<input type="text" id="city7" /><br />
Zip 1:<input type="text" id="zip1" /><br />
Zip 2:<input type="text" id="zip2" /><br />
Zip 3:<input type="text" id="zip3" /><br />
County 1:<input type="text" id="county1" /><br />
County 2:<input type="text" id="county2" /><br />
State:<select id="state" onChange="ajaxFunction();">
    <option value="AL">Alabama</option>
    <option value="AK">Alaska</option>
    <option value="AZ">Arizona</option>
    <option value="AR">Arkansas</option>
    <option value="CA">California</option>
    <option value="CO">Colorado</option>
    <option value="CT">Connecticut</option>
    <option value="DE">Delaware</option>
    <option value="DC">District of Columbia</option>
    <option value="FL">Florida</option>
    <option value="GA">Georgia</option>
    <option value="HI">Hawaii</option>
    <option value="ID">Idaho</option>
    <option value="IL">Illinois</option>
    <option value="IN">Indiana</option>
    <option value="IA">Iowa</option>
    <option value="KS">Kansas</option>
    <option value="KY">Kentucky</option>
    <option value="LA">Louisiana</option>
    <option value="ME">Maine</option>
    <option value="MD">Maryland</option>
    <option value="MA">Massachusetts</option>
    <option value="MI">Michigan</option>
    <option value="MN">Minnesota</option>
    <option value="MS">Mississippi</option>
    <option value="MO">Missouri</option>
    <option value="MT">Montana</option>
    <option value="NE">Nebraska</option>
    <option value="NV">Nevada</option>
    <option value="NH">New Hampshire</option>
    <option value="NJ">New Jersey</option>
    <option value="NM">New Mexico</option>
    <option value="NY">New York</option>
    <option value="NC">North Carolina</option>
    <option value="ND">North Dakota</option>
    <option value="OH">Ohio</option>
    <option value="OK">Oklahoma</option>
    <option value="OR">Oregon</option>
    <option value="PA">Pennsylvania</option>
    <option value="RI">Rhode Island</option>
    <option value="SC">South Carolina</option>
    <option value="SD">South Dakota</option>
    <option value="TN">Tennessee</option>
    <option value="TX">Texas</option>
    <option value="UT">Utah</option>
    <option value="VT">Vermont</option>
    <option value="VA">Virginia</option>
    <option value="WA">Washington</option>
    <option value="WV">West Virginia</option>
    <option value="WI">Wisconsin</option>
    <option value="WY">Wyoming</option>
</select>
<br />
StateABV: <div id='ajaxDiv'></div>
Domain:<input type="text" id="domain" /><br />
SEM Page:<input type="text" id="semPage" /><br />
Project ID:<input type="text" id="projectID" /><br />
CPC:<input type="text" id="costPerClick" /><br />
Specialties:<br />
<input type="checkbox" id="specialties" value="singleFamily" checked/> Single Family<br />
<input type="checkbox" id="specialties" value="multipleFamily" checked/> Multi-Family<br />
<input type="checkbox" id="specialties" value="condo" checked/> Condo<br />
<input type="checkbox" id="specialties" value="foreclosures" checked/> Forclosures<br />
<input type="checkbox" id="specialties" value="vacationHomes" checked/> Vacation Homes<br />
<input type="checkbox" id="specialties" value="commercial" checked/> Commercial<br />
<input type="checkbox" id="specialties" value="land" /> Land<br />
<input type="checkbox" id="specialties" value="farmRanch" /> Farm/Ranch<br />
<input type="checkbox" id="specialties" value="commercial" /> Manufactured<br />


<p><input type="button" value="Submit"> <input type="reset"></p>
</form>

  </body>
</html>