/*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(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"><'+'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 i1211112011 = new FrameBuilder("1211112011", false, "", "\n\n\n\n\nForm<\/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:10px;\n }\n .form-label-right{\n width:150px !important;\n }\n body, html{\n margin:0;\n padding:0;\n background:false;\n }\n\n .form-all{\n margin:0px auto;\n padding-top:0px;\n width:619px;\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 $('input_10').hint('ex: myname@example.com');\n JotForm.autoCompletes['input_5'] = 'Item 1|Item 2|Item 3';\n JotForm.setCalendar(\"14\");\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_1211112011\" id=\"1211112011\" accept-charset=\"utf-8\">\n <input type=\"hidden\" name=\"formID\" value=\"1211112011\" \/>\n <div class=\"form-all\">\n <ul class=\"form-section\">\n <li id=\"cid_9\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h3 id=\"header_9\" class=\"form-header\">\n REQUEST A QUOTE.\n <\/h3>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_34\">\n <label class=\"form-label-left\" id=\"label_34\" for=\"input_34\">\n Title:<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_34\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio validate[required]\" id=\"input_34_0\" name=\"q34_title\" value=\"Mr\" \/>\n <label for=\"input_34_0\"> Mr <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio validate[required]\" id=\"input_34_1\" name=\"q34_title\" value=\"Mrs\" \/>\n <label for=\"input_34_1\"> Mrs <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio validate[required]\" id=\"input_34_2\" name=\"q34_title\" value=\"Ms\" \/>\n <label for=\"input_34_2\"> Ms <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left\"><input type=\"radio\" class=\"form-radio-other form-radio validate[required]\" name=\"q34_title\" id=\"other_34\" \/>\n <input type=\"text\" class=\"form-radio-other-input\" name=\"q34_title[other]\" size=\"15\" id=\"input_34\" disabled=\"disabled\" \/>\n <br \/><\/span>\n <\/div>\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 Full Name<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_12\" class=\"form-input\"><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" type=\"text\" size=\"10\" name=\"q12_fullName12[first]\" id=\"first_12\" \/>\n <label class=\"form-sub-label\" for=\"first_12\" id=\"sublabel_first\"> name <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" type=\"text\" size=\"15\" name=\"q12_fullName12[last]\" id=\"last_12\" \/>\n <label class=\"form-sub-label\" for=\"last_12\" id=\"sublabel_last\"> Surname <\/label><\/span>\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 E-mail<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_10\" class=\"form-input\">\n <input type=\"email\" class=\"form-textbox validate[required, Email]\" id=\"input_10\" name=\"q10_email10\" size=\"40\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_5\">\n <label class=\"form-label-left\" id=\"label_5\" for=\"input_5\">\n Your Tel<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_5\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_5\" name=\"q5_yourTel5\" autocomplete=\"off\" size=\"30\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_14\">\n <label class=\"form-label-right\" id=\"label_14\" for=\"input_14\"> Your estimated moving date\/time? <\/label>\n <div id=\"cid_14\" class=\"form-input\"><span class=\"form-sub-label-container\"><input class=\"noDefault form-textbox\" id=\"day_14\" name=\"q14_yourEstimated14[day]\" type=\"text\" size=\"2\" maxlength=\"2\" value=\"\" \/><span class=\"date-separate\"> -<\/span>\n <label class=\"form-sub-label\" for=\"day_14\"> <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox\" id=\"month_14\" name=\"q14_yourEstimated14[month]\" type=\"text\" size=\"2\" maxlength=\"2\" value=\"\" \/><span class=\"date-separate\"> -<\/span>\n <label class=\"form-sub-label\" for=\"month_14\"> <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox\" id=\"year_14\" name=\"q14_yourEstimated14[year]\" type=\"text\" size=\"4\" maxlength=\"4\" value=\"\" \/>\n <label class=\"form-sub-label\" for=\"year_14\"> <\/label><\/span><span class=\"form-sub-label-container\"><div id=\"at_14\">\n at\n <\/div>\n <label class=\"form-sub-label\" for=\"at_14\"> <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox\" id=\"hour_14\" name=\"q14_yourEstimated14[hour]\" type=\"text\" size=\"2\" maxlength=\"2\" value=\"\" \/><span class=\"date-separate\"> \/<\/span>\n <label class=\"form-sub-label\" for=\"hour_14\"> <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox\" id=\"min_14\" name=\"q14_yourEstimated14[min]\" type=\"text\" size=\"2\" maxlength=\"2\" value=\"\" \/>\n <label class=\"form-sub-label\" for=\"min_14\"> <\/label><\/span><span class=\"form-sub-label-container\"><img alt=\"Pick a Date\" id=\"input_14_pick\" src=\"http:\/\/www.jotform.com\/images\/calendar.png\" align=\"absmiddle\" \/>\n <label class=\"form-sub-label\" for=\"input_14_pick\"> <\/label><\/span>\n <\/div>\n <\/li>\n <li id=\"cid_36\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h3 id=\"header_36\" class=\"form-header\">\n Moving From:\n <\/h3>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_23\">\n <label class=\"form-label-left\" id=\"label_23\" for=\"input_23\"> Address: <\/label>\n <div id=\"cid_23\" class=\"form-input\">\n <textarea id=\"input_23\" class=\"form-textarea\" name=\"q23_address23\" cols=\"50\" rows=\"3\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_25\">\n <label class=\"form-label-left\" id=\"label_25\" for=\"input_25\"> Property Size <\/label>\n <div id=\"cid_25\" class=\"form-input\">\n <select class=\"form-dropdown\" style=\"width:150px\" id=\"input_25\" name=\"q25_propertySize\">\n <option> <\/option>\n <option value=\"Please Select\"> Please Select <\/option>\n <option selected=\"selected\" value=\"Studio\/Room\"> Studio\/Room <\/option>\n <option value=\"1Bed Flat\"> 1Bed Flat <\/option>\n <option value=\"2Bed Flat\"> 2Bed Flat <\/option>\n <option value=\"2Bed House\"> 2Bed House <\/option>\n <option value=\"3Bed Flat \"> 3Bed Flat <\/option>\n <option value=\"3Bed House\"> 3Bed House <\/option>\n <option value=\"4Bed Flat \"> 4Bed Flat <\/option>\n <option value=\"4Bed House\"> 4Bed House <\/option>\n <option value=\"5Bed Flat 5Bed \"> 5Bed Flat 5Bed <\/option>\n <option value=\"House\"> House <\/option>\n <option value=\"Office\"> Office <\/option>\n <option value=\"Storage\"> Storage <\/option>\n <option value=\"Other\"> Other <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_32\">\n <label class=\"form-label-left\" id=\"label_32\" for=\"input_32\"> What floor? <\/label>\n <div id=\"cid_32\" class=\"form-input\">\n <select class=\"form-dropdown\" style=\"width:150px\" id=\"input_32\" name=\"q32_whatFloor\">\n <option> <\/option>\n <option value=\"Please Select\"> Please Select <\/option>\n <option value=\"No stairs\"> No stairs <\/option>\n <option value=\"Basement\"> Basement <\/option>\n <option value=\"Ground floor\"> Ground floor <\/option>\n <option value=\"1st\"> 1st <\/option>\n <option value=\"2nd \"> 2nd <\/option>\n <option value=\"3rd\"> 3rd <\/option>\n <option value=\"4th\"> 4th <\/option>\n <option value=\"5th\"> 5th <\/option>\n <option value=\"7th\"> 7th <\/option>\n <option value=\"8th\"> 8th <\/option>\n <option value=\"9th\"> 9th <\/option>\n <option value=\"10th\"> 10th <\/option>\n <option value=\"11th\"> 11th <\/option>\n <option value=\"12th\"> 12th <\/option>\n <option value=\"13th\"> 13th <\/option>\n <option value=\"14th\"> 14th <\/option>\n <option value=\"15th\"> 15th <\/option>\n <option value=\"16th\"> 16th <\/option>\n <option value=\"17th\"> 17th <\/option>\n <option value=\"18th\"> 18th <\/option>\n <option value=\"19th\"> 19th <\/option>\n <option value=\"20th\"> 20th <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_19\">\n <label class=\"form-label-left\" id=\"label_19\" for=\"input_19\"> Is a lift available? <\/label>\n <div id=\"cid_19\" 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_19_0\" name=\"q19_isA19[]\" value=\"Yes\" \/>\n <label for=\"input_19_0\"> Yes <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_19_1\" name=\"q19_isA19[]\" value=\"No\" \/>\n <label for=\"input_19_1\"> No <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_35\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h3 id=\"header_35\" class=\"form-header\">\n New Property:\n <\/h3>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_29\">\n <label class=\"form-label-left\" id=\"label_29\" for=\"input_29\"> Address: <\/label>\n <div id=\"cid_29\" class=\"form-input\">\n <textarea id=\"input_29\" class=\"form-textarea\" name=\"q29_address29\" cols=\"50\" rows=\"3\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_50\">\n <label class=\"form-label-left\" id=\"label_50\" for=\"input_50\"> Property Size <\/label>\n <div id=\"cid_50\" class=\"form-input\">\n <select class=\"form-dropdown\" style=\"width:150px\" id=\"input_50\" name=\"q50_propertySize50\">\n <option> <\/option>\n <option value=\"Please Select\"> Please Select <\/option>\n <option selected=\"selected\" value=\"Studio\/Room\"> Studio\/Room <\/option>\n <option value=\"1Bed Flat\"> 1Bed Flat <\/option>\n <option value=\"2Bed Flat\"> 2Bed Flat <\/option>\n <option value=\"2Bed House\"> 2Bed House <\/option>\n <option value=\"3Bed Flat \"> 3Bed Flat <\/option>\n <option value=\"3Bed House\"> 3Bed House <\/option>\n <option value=\"4Bed Flat \"> 4Bed Flat <\/option>\n <option value=\"4Bed House\"> 4Bed House <\/option>\n <option value=\"5Bed Flat 5Bed \"> 5Bed Flat 5Bed <\/option>\n <option value=\"House\"> House <\/option>\n <option value=\"Office\"> Office <\/option>\n <option value=\"Storage\"> Storage <\/option>\n <option value=\"Other\"> Other <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_31\">\n <label class=\"form-label-left\" id=\"label_31\" for=\"input_31\"> What floor? <\/label>\n <div id=\"cid_31\" class=\"form-input\">\n <select class=\"form-dropdown\" style=\"width:150px\" id=\"input_31\" name=\"q31_whatFloor\">\n <option> <\/option>\n <option value=\"Please Select\"> Please Select <\/option>\n <option value=\"No stairs\"> No stairs <\/option>\n <option value=\"Basement\"> Basement <\/option>\n <option value=\"Ground floor\"> Ground floor <\/option>\n <option value=\"1st\"> 1st <\/option>\n <option value=\"2nd \"> 2nd <\/option>\n <option value=\"3rd\"> 3rd <\/option>\n <option value=\"4th\"> 4th <\/option>\n <option value=\"5th\"> 5th <\/option>\n <option value=\"7th\"> 7th <\/option>\n <option value=\"8th\"> 8th <\/option>\n <option value=\"9th\"> 9th <\/option>\n <option value=\"10th\"> 10th <\/option>\n <option value=\"11th\"> 11th <\/option>\n <option value=\"12th\"> 12th <\/option>\n <option value=\"13th\"> 13th <\/option>\n <option value=\"14th\"> 14th <\/option>\n <option value=\"15th\"> 15th <\/option>\n <option value=\"16th\"> 16th <\/option>\n <option value=\"17th\"> 17th <\/option>\n <option value=\"18th\"> 18th <\/option>\n <option value=\"19th\"> 19th <\/option>\n <option value=\"20th\"> 20th <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_20\">\n <label class=\"form-label-left\" id=\"label_20\" for=\"input_20\"> Is a lift available ? <\/label>\n <div id=\"cid_20\" 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_20_0\" name=\"q20_isA20[]\" value=\"Yes\" \/>\n <label for=\"input_20_0\"> Yes <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_20_1\" name=\"q20_isA20[]\" value=\"No\" \/>\n <label for=\"input_20_1\"> No <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_37\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h3 id=\"header_37\" class=\"form-header\">\n I need....\n <\/h3>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_17\">\n <label class=\"form-label-left\" id=\"label_17\" for=\"input_17\"> Request: <\/label>\n <div id=\"cid_17\" 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_17_0\" name=\"q17_request[]\" value=\"Removal Service\" \/>\n <label for=\"input_17_0\"> Removal Service <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_17_1\" name=\"q17_request[]\" value=\"Packing Service\" \/>\n <label for=\"input_17_1\"> Packing Service <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_17_2\" name=\"q17_request[]\" value=\"Unpacking Service\" \/>\n <label for=\"input_17_2\"> Unpacking Service <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_17_3\" name=\"q17_request[]\" value=\"Boxes\" \/>\n <label for=\"input_17_3\"> Boxes <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_17_4\" name=\"q17_request[]\" value=\"Viewing quote\" \/>\n <label for=\"input_17_4\"> Viewing quote <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_17_5\" name=\"q17_request[]\" value=\"On-line Quote\" \/>\n <label for=\"input_17_5\"> On-line Quote <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_24\">\n <label class=\"form-label-left\" id=\"label_24\" for=\"input_24\"> Team: <\/label>\n <div id=\"cid_24\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_24_0\" name=\"q24_team24\" value=\"1 Man\" \/>\n <label for=\"input_24_0\"> 1 Man <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_24_1\" name=\"q24_team24\" value=\"2 Men\" \/>\n <label for=\"input_24_1\"> 2 Men <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio\" id=\"input_24_2\" name=\"q24_team24\" value=\"3 Men\" \/>\n <label for=\"input_24_2\"> 3 Men <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left\"><input type=\"radio\" class=\"form-radio-other form-radio\" name=\"q24_team24\" id=\"other_24\" \/>\n <input type=\"text\" class=\"form-radio-other-input\" name=\"q24_team24[other]\" size=\"15\" id=\"input_24\" disabled=\"disabled\" \/>\n <br \/><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_16\">\n <label class=\"form-label-left\" id=\"label_16\" for=\"input_16\"> Truck <\/label>\n <div id=\"cid_16\" class=\"form-input\">\n <select class=\"form-dropdown\" style=\"width:150px\" id=\"input_16\" name=\"q16_truck\">\n <option> <\/option>\n <option value=\"Panel Van\"> Panel Van <\/option>\n <option value=\"\"> <\/option>\n <option value=\"Luton Van\"> Luton Van <\/option>\n <option value=\"\"> <\/option>\n <option value=\"7.5t Lorry\"> 7.5t Lorry <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li id=\"cid_38\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h3 id=\"header_38\" class=\"form-header\">\n What else should we know?\n <\/h3>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_46\">\n <label class=\"form-label-left\" id=\"label_46\" for=\"input_46\"> Other info: <\/label>\n <div id=\"cid_46\" class=\"form-input\">\n <textarea id=\"input_46\" class=\"form-textarea\" name=\"q46_otherInfo\" cols=\"50\" rows=\"5\"><\/textarea>\n <\/div>\n <\/li>\n <li id=\"cid_51\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h3 id=\"header_51\" class=\"form-header\">\n The quote will be based only on information you provide!\n <\/h3>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_8\">\n <div id=\"cid_8\" class=\"form-input-wide\">\n <div style=\"text-align:center\" class=\"form-buttons-wrapper\">\n <button id=\"input_8\" type=\"submit\" class=\"form-submit-button\">\n Submit Form\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=\"1211112011\" \/>\n <script type=\"text\/javascript\">\n document.getElementById(\"si\" + \"mple\" + \"_spc\").value = \"1211112011-1211112011\";\n <\/script>\n<\/form><\/body>\n<\/html>\n");