The header image indeed looks not very professional, And the brown/yellow link highlighting doesn't look very good.
All those ads and the " X Web Design Company " links are very annoying  ,
I would prefer making a selection box with all the states listed there, After that will be another selection box for all the cities in that state(you can use a small JS script i think), And maybe add a text box for searching.
As for the quote page, Specify which fields are required and which are optional  (you can put a red asterisk beside the required fields).
Another useful tip(for you and for everyone  ), Check your code if its a valid HTML:
http://validator.w3.org/check?uri=ht...ersbystate.com
As it shows there, You got some problems in your code, Its not that important to fix it, As soon as all works OK, But i usually correct all the problems so that my code is absolutely valid and interoperable.
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