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Text File  |  1997-08-20  |  4.7 KB  |  156 lines
  1. <%@ LANGUAGE="VBSCRIPT" %>
  2. <% Option Explicit  %>
  3.  
  4. <% 
  5.     ' If this page is a POST back to itself then pull out the benefit selected
  6.     Dim strSelection 
  7.     strSelection = Request.Form("BenefitSelection") 
  8. %>
  9.  
  10. <!--BEGIN HTML-->
  11. <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 3.2//EN">
  12. <HTML>
  13. <HEAD>
  14. <!--META TAGS ARE RECOMMENDED FOR THE SEARCH ENGINE-->
  15. <META NAME="DESCRIPTION" CONTENT="Exploration Air's Benefits Page">
  16. <META NAME="KEYWORDS" CONTENT="medical, benefits, intranet">
  17. <META NAME="GENERATOR" CONTENT="Microsoft Visual InterDev 1.0">
  18. <META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso8859-1">
  19. <!--END META TAGS-->
  20.  
  21. <TITLE>Personnel Benefits <%=strSelection%></TITLE>
  22. </HEAD>
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  38.     <TR>
  39.       <TD VALIGN=TOP WIDTH=415 HEIGHT=76>
  40.             <IMG SRC="../images/logo_sm.gif" WIDTH=200 HEIGHT=100 ALT="Return to Exploration Air Home Page">
  41.             <BR>
  42.             <A HREF="../default.asp"><IMG SRC="../images/barrowy.gif" HEIGHT=8 WIDTH=8 HSPACE=5 ALT="Return to Exploration Air Home Page" BORDER=0></A> 
  43.             <A HREF="../default.asp"><FONT FACE="VERDANA, ARIAL, HELVETICA" SIZE=2> <STRONG>EXPLORATION AIR HOME PAGE</STRONG></FONT></A>
  44.       </TD>
  45.       <TD VALIGN=MIDDLE WIDTH=200><FONT FACE="VERDANA, ARIAL, HELVETICA" COLOR="#0000FF" SIZE=5>Exploration Air's Intranet - Benefits Page <%=strSelection%></FONT>
  46.       </TD>
  47.     </TR>
  48. </TABLE>
  49. <!--END TABLE CONTAINING LOGO, TITLE, AND NAVIGATIONAL LINK -->
  50.  
  51. <BR>
  52. <BR>
  53.  
  54. <!-- MAIN CONTENT-->
  55. <% If strSelection = "" Then %>
  56. <CENTER>
  57. Which benefit do you wish to select?
  58. <FORM ACTION="Benefits.asp" METHOD="POST">
  59.     <SELECT NAME="BenefitSelection">
  60.         <OPTION>Medical
  61.         <OPTION>Dental
  62.         <OPTION>Childcare
  63.         <OPTION>Insurance
  64.         <OPTION>Stock Options
  65.         <OPTION>Stock Purchase
  66.     </SELECT>
  67.  
  68.     <INPUT TYPE="SUBMIT" NAME="SUBMIT" VALUE="OK">
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  76.             <TABLE CELLPADDING=1 CELLSPACING=1 BORDER=0> 
  77.                 <TR>
  78.                     <TD BGCOLOR="#C71585" COLSPAN=4>
  79.                         <STRONG><FONT COLOR="#FFFFFF"> Personal Information</FONT></STRONG>
  80.                     </TD>
  81.                     <TD BGCOLOR="#C71585" COLSPAN=4>
  82.                         <STRONG><FONT COLOR="#FFFFFF"> <%=strSelection%> Information</FONT></STRONG>
  83.                     </TD>
  84.                 </TR>
  85.                 <TR>
  86.                     <TD WIDTH=110><STRONG>First Name:</STRONG></TD>
  87.                        <TD COLSPAN=3 WIDTH=190>Michael</TD>      
  88.  
  89.                     <TD WIDTH=110><STRONG>Dentist:</STRONG></TD>
  90.                        <TD COLSPAN=3 WIDTH=190>Dr. Q Smith</TD>      
  91.                 </TR>
  92.                 <TR>
  93.                     <TD WIDTH=110><STRONG>Last Name:</STRONG></TD>
  94.                        <TD COLSPAN=3 WIDTH=190>Howard</TD>      
  95.  
  96.                     <TD WIDTH=110><STRONG>Address:</STRONG></TD>
  97.                        <TD COLSPAN=3 WIDTH=190>42 Washington St</TD>      
  98.                 </TR>
  99.                 <TR>
  100.                     <TD WIDTH=110><STRONG>Initial:</STRONG></TD>
  101.                        <TD COLSPAN=3 WIDTH=190></TD>      
  102.  
  103.                     <TD WIDTH=110><STRONG></STRONG></TD>
  104.                        <TD COLSPAN=3 WIDTH=190>Redmond</TD>      
  105.                 </TR>
  106.                 <TR>
  107.                     <TD WIDTH=110><STRONG></STRONG></TD>
  108.                        <TD COLSPAN=3 WIDTH=190></TD>      
  109.  
  110.                     <TD WIDTH=110><STRONG></STRONG></TD>
  111.                        <TD COLSPAN=3 WIDTH=190>WA, 89035</TD>      
  112.                 </TR>
  113.                 <TR>
  114.                     <TD WIDTH=110><STRONG></STRONG></TD>
  115.                        <TD COLSPAN=3 WIDTH=190></TD>      
  116.  
  117.                     <TD WIDTH=110><STRONG>Benefit Credit</STRONG></TD>
  118.                        <TD COLSPAN=3 WIDTH=190>$430</TD>      
  119.                 </TR>
  120.             </TABLE>
  121.         </TD>
  122.     </TR>
  123. </TABLE>
  124. <FORM>
  125.     <STRONG>Select an option:</STRONG>
  126.     <INPUT TYPE="RADIO" CHECKED NAME=0 VALUE=0>Change Dentist   
  127.     <INPUT TYPE="RADIO" NAME=0 VALUE=1>Make Claim   
  128.     <INPUT TYPE="RADIO" NAME=0 VALUE=2>View History   
  129. </FORM>
  130. </CENTER>
  131. <% End If %>
  132.  
  133. <!-- MAIN CONTENT-->
  134.  
  135. <P> 
  136. <HR=400>
  137. <P>
  138.  
  139. <CENTER>
  140. <FONT FACE="VERDANA, ARIAL, HELVETICA" SIZE="1"><A HREF="../legal.htm">©1997 Microsoft Corporation. All rights reserved. Terms of Use.</A></FONT>
  141. </CENTER>
  142.  
  143. <P>
  144.  
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  150.     </TR>
  151. </TABLE>
  152. <!--END COLOR BANNER-->
  153.  
  154. </BODY>
  155. </HTML>
  156.