Quote Form with Calculations - LAMP Server

Web site quote form for insurance products. Mockups of quote form included in attachment. [login to view URL] - contains price tables and calculation formula for each product. [login to view URL] (3) - 3 different quote forms. price-quote-result-page - display results for quote form submission Quote Form Requirements: 1. Quote form fields will change depending on type of insurance product selected from first drop down menu. 2. Quote form should contain a pop-up calendar control where indicated. 3. Quote form should check for and validate correct data entered prior to sumbission and provide pop-up notification where errors exist. 4. Quote form should be secure against abuse/hacking. 5. Pricing data may be in MySQL database, XML or flat file. Data should be editable using phpMyAdmin or text editor. 6. Quote form will run on LAMP server. Acceptable programming langauges include PHP, Ajax, Javascript and MySQL. ## Deliverables See attachment for detailed requirements.