/*jslint nomen:false, debug:true, evil:true, vars:false, browser:true, forin:true, undef:false, white:false */
/**
 * Includes a Form with javascript
 * @param {Object} formId
 * @param {Object} initialHeight
 * @param {Object} iframeCode
 */
function FrameBuilder (formId, appendTo, initialHeight, iframeCode){
    this.formId = formId;
    this.initialHeight = initialHeight;
    this.iframeCode = iframeCode;
    this.frame = null;
    this.timeInterval= 200;
    this.appendTo = appendTo || false;
    
    // initialize function for object
    this.init = function(){
        this.createFrame();
        this.addFrameContent(this.iframeCode);
    };
    
    // Create the frame
    this.createFrame = function(){
        var htmlCode = "<"+"iframe src=\"\" allowtransparency=\"true\" frameborder=\"0\" name=\""+this.formId+"\" id=\""+this.formId+"\" style=\"width:100%; height:"+this.initialHeight+"px; border:none;\" scrolling=\"no\"></if"+"rame>";
        if(this.appendTo === false){
            document.write(htmlCode);
        }else{
            var tmp = document.createElement('div');
            tmp.innerHTML = htmlCode;
            var a = this.appendTo;
            document.getElementById(a).appendChild(tmp.firstChild);            
        }
        // also get the frame for future use.
        this.frame = document.getElementById(this.formId);
        // set the time on the on load event of the frame
        this.addEvent(this.frame, 'load', this.bindMethod(this.setTimer, this));
    };
    
    // add event function for different browsers
    this.addEvent = function( obj, type, fn ) {
        if ( obj.attachEvent ) {
            obj["e"+type+fn] = fn;
            obj[type+fn] = function() { obj["e"+type+fn]( window.event ); };
            obj.attachEvent( "on"+type, obj[type+fn] );
        }
        else{
            obj.addEventListener( type, fn, false );   
        }
    };
    
    this.addFrameContent = function (string){
        string = string.replace(new RegExp('src\\=\\"[^"]*captcha.php\"><\/scr'+'ipt>', 'gim'), 'src="http://api.recaptcha.net/js/recaptcha_ajax.js"></scr'+'ipt><'+'div id="recaptcha_div"><'+'/div>'+
                '<'+'style>#recaptcha_logo{ display:none;} #recaptcha_tagline{display:none;} #recaptcha_table{border:none !important;} .recaptchatable .recaptcha_image_cell, #recaptcha_table{ background-color:transparent !important; } <'+'/style>'+
                '<'+'script defer="defer"> window.onload = function(){ Recaptcha.create("6Ld9UAgAAAAAAMon8zjt30tEZiGQZ4IIuWXLt1ky", "recaptcha_div", {theme: "clean",tabindex: 0,callback: function (){'+
                'if (document.getElementById("uword")) { document.getElementById("uword").parentNode.removeChild(document.getElementById("uword")); } if (window["validate"] !== undefined) { if (document.getElementById("recaptcha_response_field")){ document.getElementById("recaptcha_response_field").onblur = function(){ validate(document.getElementById("recaptcha_response_field"), "Required"); } } } if (document.getElementById("recaptcha_response_field")){ document.getElementsByName("recaptcha_challenge_field")[0].setAttribute("name", "anum"); } if (document.getElementById("recaptcha_response_field")){ document.getElementsByName("recaptcha_response_field")[0].setAttribute("name", "qCap"); }}})'+
                ' }<'+'/script>');
        string = string.replace(/(type="text\/javascript">)\s+(validate\(\"[^"]*"\);)/, '$1 jTime = setInterval(function(){if("validate" in window){$2clearTimeout(jTime);}}, 1000);');
        var frameDocument = (this.frame.contentWindow) ? this.frame.contentWindow : (this.frame.contentDocument.document) ? this.frame.contentDocument.document : this.frame.contentDocument;
        frameDocument.document.open();
        frameDocument.document.write(string);
        setTimeout( function(){
            frameDocument.document.close();
            try{
                if('JotFormFrameLoaded' in window){
                    JotFormFrameLoaded();
                }
            }catch(e){}
        },200);
    };
    
    this.setTimer = function(){
        var self = this;
        this.interval = setTimeout(function(){self.changeHeight();},this.timeInterval);
    };
    
    this.changeHeight = function (){
        var actualHeight = this.getBodyHeight();
        var currentHeight = this.getViewPortHeight();
        if(actualHeight === undefined){
            this.frame.style.height = "100%";
            if(!this.frame.style.minHeight){
                this.frame.style.minHeight = "300px";
            }
        }else if  (Math.abs(actualHeight - currentHeight) > 18){
            this.frame.style.height = (actualHeight)+"px";
        }
        this.setTimer();
    };
    
    this.bindMethod = function(method, scope) {
        return function() {
            method.apply(scope,arguments);
        };
    };
    
    this.getBodyHeight = function (){
        var height;
        var scrollHeight;
        var offsetHeight;
        try{  // Prevent IE from throw errors
            if (this.frame.contentWindow.document.height){
                
                height = this.frame.contentWindow.document.height;
                //Emre: to prevent "iframe height"  problem (61059)
                if (this.frame.contentWindow.document.body.scrollHeight){
                    height = scrollHeight = this.frame.contentWindow.document.body.scrollHeight;
                }
                
                if (this.frame.contentWindow.document.body.offsetHeight){
                    height = offsetHeight = this.frame.contentWindow.document.body.offsetHeight;
                }
                
            } else if (this.frame.contentWindow.document.body){
                
                if (this.frame.contentWindow.document.body.scrollHeight){
                    height = scrollHeight = this.frame.contentWindow.document.body.scrollHeight;
                }
                
                if (this.frame.contentWindow.document.body.offsetHeight){
                    height = offsetHeight = this.frame.contentWindow.document.body.offsetHeight;
                }
                
                if (scrollHeight && offsetHeight){
                    height = Math.max(scrollHeight, offsetHeight);
                }
            }            
        }catch(e){ }
        return height;
    };
    
    this.getViewPortHeight = function(){
        var height = 0;
        try{ // Prevent IE from throw errors
            if (this.frame.contentWindow.window.innerHeight)
            {
                height = this.frame.contentWindow.window.innerHeight - 18;
            }
            else if ((this.frame.contentWindow.document.documentElement) &&
                     (this.frame.contentWindow.document.documentElement.clientHeight))
            {
                height = this.frame.contentWindow.document.documentElement.clientHeight;
            }
            else if ((this.frame.contentWindow.document.body) &&
                     (this.frame.contentWindow.document.body.clientHeight))
            {
                height = this.frame.contentWindow.document.body.clientHeight;
            }            
        }catch(e){ }
        return height;
    };
    
    this.init();
}
FrameBuilder.get = [];
var i10192944163 = new FrameBuilder("10192944163", false, "", "<!DOCTYPE HTML PUBLIC \"-\/\/W3C\/\/DTD HTML 4.01\/\/EN\" \"http:\/\/www.w3.org\/TR\/html4\/strict.dtd\">\n<html><head>\n<meta http-equiv=\"Content-Type\" content=\"text\/html; charset=utf-8\" \/>\n<meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=0\" \/>\n<meta name=\"HandheldFriendly\" content=\"true\" \/>\n<title>Form<\/title>\n<link href=\"http:\/\/max.jotfor.ms\/min\/g=formCss?3.0.2435\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<style type=\"text\/css\">\n    .form-label{\n        width:150px !important;\n    }\n    .form-label-left{\n        width:150px !important;\n    }\n    .form-line{\n        padding:5px;\n    }\n    .form-label-right{\n        width:150px !important;\n    }\n    body, html{\n        margin:0;\n        padding:0;\n        background:white;\n    }\n\n    .form-all{\n        margin:0px auto;\n        padding-top:0px;\n        width:690px;\n        background:white;\n        color:black !important;\n        font-family:Verdana;\n        font-size:12px;\n    }\n<\/style>\n\n<script src=\"http:\/\/max.jotfor.ms\/min\/g=jotform?3.0.2435\" type=\"text\/javascript\"><\/script>\n<script type=\"text\/javascript\">\n var jsTime = setInterval(function(){try{\n   JotForm.jsForm = true;\n\n   JotForm.init(function(){\n      JotForm.description('input_20', 'enter quantity of shares requested');\n      JotForm.description('input_21', 'enter quantity of shares requested');\n      JotForm.description('input_22', 'enter quantity of shares requested');\n      JotForm.description('input_23', 'enter quantity of shares requested');\n      JotForm.description('input_24', 'enter quantity of shares requested');\n      JotForm.description('input_25', 'enter quantity of shares requested');\n      JotForm.description('input_26', 'enter quantity of shares requested');\n      JotForm.description('input_39', 'enter quantity and type of product i.e. 1 gal skim, half gal 2% etc');\n      JotForm.description('input_31', 'enter amount of donation');\n   });\n\n   clearInterval(jsTime);\n }catch(e){}}, 1000);\n<\/script>\n<\/head>\n<body>\n<form class=\"jotform-form\" action=\"http:\/\/submit.jotform.com\/submit.php\" method=\"post\" name=\"form_10192944163\" id=\"10192944163\" accept-charset=\"utf-8\">\n  <input type=\"hidden\" name=\"formID\" value=\"10192944163\" \/>\n  <div class=\"form-all\">\n    <ul class=\"form-section\">\n      <li id=\"cid_8\" class=\"form-input-wide\">\n        <div class=\"form-header-group\">\n          <h2 id=\"header_8\" class=\"form-header\">\n            2010 Farm to Folk Membership Form\n          <\/h2>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_9\">\n        <label class=\"form-label-left\" id=\"label_9\" for=\"input_9\">\n          First Name<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_9\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_9\" name=\"q9_firstName\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_45\">\n        <label class=\"form-label-left\" id=\"label_45\" for=\"input_45\"> Last Name <\/label>\n        <div id=\"cid_45\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox\" id=\"input_45\" name=\"q45_lastName\" size=\"20\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_10\">\n        <label class=\"form-label-left\" id=\"label_10\" for=\"input_10\">\n          Address<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_10\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_10\" name=\"q10_address\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_11\">\n        <label class=\"form-label-left\" id=\"label_11\" for=\"input_11\">\n          City<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_11\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_11\" name=\"q11_city\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_12\">\n        <label class=\"form-label-left\" id=\"label_12\" for=\"input_12\">\n          State, Zip<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_12\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_12\" name=\"q12_stateZip\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_13\">\n        <label class=\"form-label-left\" id=\"label_13\" for=\"input_13\">\n          email<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_13\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_13\" name=\"q13_email\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_43\">\n        <label class=\"form-label-left\" id=\"label_43\" for=\"input_43\">\n          phone<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_43\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_43\" name=\"q43_phone\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_14\">\n        <label class=\"form-label-left\" id=\"label_14\" for=\"input_14\"> Share partner Name <\/label>\n        <div id=\"cid_14\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox\" id=\"input_14\" name=\"q14_sharePartner\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_15\">\n        <label class=\"form-label-left\" id=\"label_15\" for=\"input_15\"> Share partner Address <\/label>\n        <div id=\"cid_15\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox\" id=\"input_15\" name=\"q15_sharePartner15\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_17\">\n        <label class=\"form-label-left\" id=\"label_17\" for=\"input_17\"> Share partner City <\/label>\n        <div id=\"cid_17\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox\" id=\"input_17\" name=\"q17_sharePartner17\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_16\">\n        <label class=\"form-label-left\" id=\"label_16\" for=\"input_16\"> Share partner State, Zip <\/label>\n        <div id=\"cid_16\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox\" id=\"input_16\" name=\"q16_sharePartner16\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_18\">\n        <label class=\"form-label-left\" id=\"label_18\" for=\"input_18\"> Share partner email <\/label>\n        <div id=\"cid_18\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox\" id=\"input_18\" name=\"q18_sharePartner18\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_44\">\n        <label class=\"form-label-left\" id=\"label_44\" for=\"input_44\"> phone <\/label>\n        <div id=\"cid_44\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox\" id=\"input_44\" name=\"q44_phone44\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_19\">\n        <label class=\"form-label-left\" id=\"label_19\" for=\"input_19\">\n          Annual Membership fee $15<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_19\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_19\" name=\"q19_annualMembership\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_20\">\n        <label class=\"form-label-left\" id=\"label_20\" for=\"input_20\"> Iowa Fresh Veggie share @ $250 Sold out for 2010 <\/label>\n        <div id=\"cid_20\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox\" id=\"input_20\" name=\"q20_iowaFresh\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_21\">\n        <label class=\"form-label-left\" id=\"label_21\" for=\"input_21\"> Onion Creek Full Veggie share @ $410 Sold out for 2010 <\/label>\n        <div id=\"cid_21\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox\" id=\"input_21\" name=\"q21_onionCreek21\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_22\">\n        <label class=\"form-label-left\" id=\"label_22\" for=\"input_22\"> Onion Creek Half Veggie share @ $217 Sold out for 2010 <\/label>\n        <div id=\"cid_22\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox\" id=\"input_22\" name=\"q22_onionCreek\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_23\">\n        <label class=\"form-label-left\" id=\"label_23\" for=\"input_23\"> Small Potatoes Veggie share @ $474 Sold out for 2010 <\/label>\n        <div id=\"cid_23\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox\" id=\"input_23\" name=\"q23_smallPotatoes23\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_24\">\n        <label class=\"form-label-left\" id=\"label_24\" for=\"input_24\"> Small Potatoes Extended share @ $128 Sold out for 2010 <\/label>\n        <div id=\"cid_24\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox\" id=\"input_24\" name=\"q24_smallPotatoes\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_25\">\n        <label class=\"form-label-left\" id=\"label_25\" for=\"input_25\"> Small Potatoes Greens share @ $75 <\/label>\n        <div id=\"cid_25\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox\" id=\"input_25\" name=\"q25_smallPotatoes25\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_26\">\n        <label class=\"form-label-left\" id=\"label_26\" for=\"input_26\"> Berry Patch Fruit Subscription @ $95 Sold out for 2010 <\/label>\n        <div id=\"cid_26\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox\" id=\"input_26\" name=\"q26_berryPatch26\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_39\">\n        <label class=\"form-label-left\" id=\"label_39\" for=\"input_39\"> Picket Fence 20 week dairy beginning May 25, 2010 <\/label>\n        <div id=\"cid_39\" class=\"form-input\">\n          <textarea id=\"input_39\" class=\"form-textarea\" name=\"q39_picketFence39\" cols=\"30\" rows=\"2\"><\/textarea>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_31\">\n        <label class=\"form-label-left\" id=\"label_31\" for=\"input_31\"> Donation to assist low income families <\/label>\n        <div id=\"cid_31\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox\" id=\"input_31\" name=\"q31_donationTo\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_40\">\n        <label class=\"form-label-left\" id=\"label_40\" for=\"input_40\"> I want to start an a la carte account. Suggested deposit $50 <\/label>\n        <div id=\"cid_40\" class=\"form-input\">\n          <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_40_0\" name=\"q40_iWant[]\" value=\"a la carte account\" \/>\n              <label for=\"input_40_0\"> a la carte account <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_33\">\n        <label class=\"form-label-left\" id=\"label_33\" for=\"input_33\">\n          I will pay as follows:<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_33\" class=\"form-input\">\n          <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_33_0\" name=\"q33_iWill[]\" value=\"one payment with this order\" \/>\n              <label for=\"input_33_0\"> one payment with this order <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_33_1\" name=\"q33_iWill[]\" value=\"three payments: Feb 1, Mar 1, April 1\" \/>\n              <label for=\"input_33_1\"> three payments: Feb 1, Mar 1, April 1 <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_33_2\" name=\"q33_iWill[]\" value=\"Other payment plan\" \/>\n              <label for=\"input_33_2\"> Other payment plan <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_33_3\" name=\"q33_iWill[]\" value=\"I'm interested in financial assistance\" \/>\n              <label for=\"input_33_3\"> I'm interested in financial assistance <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_42\">\n        <label class=\"form-label-left\" id=\"label_42\" for=\"input_42\"> I'd like to volunteer at the distribution site <\/label>\n        <div id=\"cid_42\" class=\"form-input\">\n          <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_42_0\" name=\"q42_idLike[]\" value=\"yes\" \/>\n              <label for=\"input_42_0\"> yes <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_42_1\" name=\"q42_idLike[]\" value=\"no\" \/>\n              <label for=\"input_42_1\"> no <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_42_2\" name=\"q42_idLike[]\" value=\"maybe\" \/>\n              <label for=\"input_42_2\"> maybe <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_41\">\n        <label class=\"form-label-left\" id=\"label_41\" for=\"input_41\"> Comments, questions, special requests: <\/label>\n        <div id=\"cid_41\" class=\"form-input\">\n          <textarea id=\"input_41\" class=\"form-textarea\" name=\"q41_commentsQuestions\" cols=\"30\" rows=\"2\"><\/textarea>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_32\">\n        <div id=\"cid_32\" class=\"form-input-wide\">\n          <div id=\"text_32\" class=\"form-html\">\n            Member agreement: I would like to become a member of Farm to Folk. I understand that farming is not exact and that I will share in both the bounty and risks of the farmers. I further understand that the growers for F2F agree to tend to the planting, cultivating, and harvesting of produce to the best of their ability and cannot be held liable for adverse growing conditions. By submitting this form you agree with the above statement.\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_1\">\n        <div id=\"cid_1\" class=\"form-input-wide\">\n          <div style=\"margin-left:156px\" class=\"form-buttons-wrapper\">\n            <button id=\"input_1\" type=\"submit\" class=\"form-submit-button\">\n              Submit\n            <\/button>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li style=\"display:none\">\n        Should be Empty:\n        <input type=\"text\" name=\"website\" value=\"\" \/>\n      <\/li>\n    <\/ul>\n  <\/div>\n  <input type=\"hidden\" id=\"simple_spc\" name=\"simple_spc\" value=\"10192944163\" \/>\n  <script type=\"text\/javascript\">\n  document.getElementById(\"si\" + \"mple\" + \"_spc\").value = \"10192944163-10192944163\";\n  <\/script>\n<\/form><\/body>\n<\/html>\n");

