example only - your logo and company graphics would actually be in use

Dynamic Fields - Multi Purpose Form:

This is an example of a web form you can embed anywhere in your web site. This is embedded as an iFrame so the graphics and branding of your site are managed by your company and does not affect the form itself. The form can be hosted at no extra charge on the IntelliClick server, making it easy for anyone who managers your web site to set this up. There would be no reference to IntelliClick anywhere on your web site.

This form has dynamic field capabilities. As you select different options such as COUNTRY (will display approriate mailing and phone fields), TYPE OF INQUIRY (provides different options) and CONTACT METHOD, observe how the fields adjust to request the appropriate information and offer selections accord to the purpose of the form.