/*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 i1810956760 = new FrameBuilder("1810956760", 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:url(images\/styles\/style2_bg.jpg) #ffffff;\n    }\n\n    .form-all{\n        margin:0px auto;\n        padding-top:0px;\n        width:690px;\n        background:url(images\/styles\/style2_bg.jpg) #ffffff;\n        color:#333333 !important;\n        font-family:Verdana;\n        font-size:14px;\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_22', 'Available in 7\/8 and 25 yard rolls');\n      JotForm.description('input_80', '3\/8 ribbon');\n      JotForm.description('input_130', '7\/8 ribbon');\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_1810956760\" id=\"1810956760\" accept-charset=\"utf-8\">\n  <input type=\"hidden\" name=\"formID\" value=\"1810956760\" \/>\n  <div class=\"form-all\">\n    <ul class=\"form-section\">\n      <li id=\"cid_112\" class=\"form-input-wide\">\n        <div class=\"form-header-group\">\n          <h2 id=\"header_112\" class=\"form-header\">\n            BUY INFORMATION\n          <\/h2>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_110\">\n        <div id=\"cid_110\" class=\"form-input-wide\">\n          <div id=\"text_110\" class=\"form-html\">\n            <p>\n              Ribbon cost: 3\/8 - 25 yards $5.75, 5\/8 - 25 yards $6.75, 7\/8 - 25 yards $7.75, 1.5 - 25 yards $10.00.&nbsp; There isn't a discount for 50 or 100 yard rolls but you can get them at the super low buy price. If you are interest complete this order form then send me an email that you would like the larger rolls. Buy Fee 1.75 plus actual shipping cost to you and paypal fees. I hope to receive the ribbon no later than October 1st. Once you have submitted the form you are committing to the buy. I will\n              send you a paypal invoice when I know the ribbons you chose will make the buy. I will extend the deadline on payments to September 1st so it will be within the paypal refund time frame.&nbsp; This is to make everyone feel comfortable and secure with the buy.&nbsp; A total of a 1000 yards per ribbon must be met to get the super low prices so refer your friends.\n            <\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li id=\"cid_127\" class=\"form-input-wide\">\n        <div class=\"form-header-group\">\n          <h2 id=\"header_127\" class=\"form-header\">\n            There was a mistake with this ribbon on the last buy so I am going to try it again. I love the ribbon that was received but it was with black ink instead of white ink and I would really like the black ribbon with white ink.\n          <\/h2>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_22\">\n        <div id=\"cid_22\" class=\"form-input-wide\">\n          <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/i933.photobucket.com\/albums\/ad177\/pcaldwell9\/initials-1.jpg\" height=\"300\" width=\"200\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_26\">\n        <div id=\"cid_26\" class=\"form-input-wide\">\n          <div id=\"text_26\" class=\"form-html\">\n            Available in 7\/8\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_27\">\n        <div id=\"cid_27\" class=\"form-input-wide\">\n          <div id=\"text_27\" class=\"form-html\">\n            25 yard rolls\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_11\">\n        <label class=\"form-label-left\" id=\"label_11\" for=\"input_11\"> Initial A <\/label>\n        <div id=\"cid_11\" 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_11_0\" name=\"q11_initialA[]\" value=\"Pink\" \/>\n              <label for=\"input_11_0\"> Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_11_1\" name=\"q11_initialA[]\" value=\"Blue\" \/>\n              <label for=\"input_11_1\"> Blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_11_2\" name=\"q11_initialA[]\" value=\"Black\" \/>\n              <label for=\"input_11_2\"> Black <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_11_3\" name=\"q11_initialA[]\" value=\"Red\" \/>\n              <label for=\"input_11_3\"> Red <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_29\">\n        <label class=\"form-label-left\" id=\"label_29\" for=\"input_29\"> Initial C <\/label>\n        <div id=\"cid_29\" 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_29_0\" name=\"q29_initialC[]\" value=\"Pink\" \/>\n              <label for=\"input_29_0\"> Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_29_1\" name=\"q29_initialC[]\" value=\"Blue\" \/>\n              <label for=\"input_29_1\"> Blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_29_2\" name=\"q29_initialC[]\" value=\"Black\" \/>\n              <label for=\"input_29_2\"> Black <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_31\">\n        <label class=\"form-label-left\" id=\"label_31\" for=\"input_31\"> Initial E <\/label>\n        <div id=\"cid_31\" 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_31_0\" name=\"q31_initialE[]\" value=\"Pink\" \/>\n              <label for=\"input_31_0\"> Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_31_1\" name=\"q31_initialE[]\" value=\"Blue\" \/>\n              <label for=\"input_31_1\"> Blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_31_2\" name=\"q31_initialE[]\" value=\"Black\" \/>\n              <label for=\"input_31_2\"> Black <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_32\">\n        <label class=\"form-label-left\" id=\"label_32\" for=\"input_32\"> Initial G <\/label>\n        <div id=\"cid_32\" 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_32_0\" name=\"q32_initialG[]\" value=\"Pink\" \/>\n              <label for=\"input_32_0\"> Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_32_1\" name=\"q32_initialG[]\" value=\"Blue\" \/>\n              <label for=\"input_32_1\"> Blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_32_2\" name=\"q32_initialG[]\" value=\"Black\" \/>\n              <label for=\"input_32_2\"> Black <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_32_3\" name=\"q32_initialG[]\" value=\"Red\" \/>\n              <label for=\"input_32_3\"> Red <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_34\">\n        <label class=\"form-label-left\" id=\"label_34\" for=\"input_34\"> Initial H <\/label>\n        <div id=\"cid_34\" 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_34_0\" name=\"q34_initialH[]\" value=\"Pink\" \/>\n              <label for=\"input_34_0\"> Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_34_1\" name=\"q34_initialH[]\" value=\"Blue\" \/>\n              <label for=\"input_34_1\"> Blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_34_2\" name=\"q34_initialH[]\" value=\"Black\" \/>\n              <label for=\"input_34_2\"> Black <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_35\">\n        <label class=\"form-label-left\" id=\"label_35\" for=\"input_35\"> Initial k <\/label>\n        <div id=\"cid_35\" 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_35_0\" name=\"q35_initialK[]\" value=\"Pink\" \/>\n              <label for=\"input_35_0\"> Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_35_1\" name=\"q35_initialK[]\" value=\"Blue\" \/>\n              <label for=\"input_35_1\"> Blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_35_2\" name=\"q35_initialK[]\" value=\"Black\" \/>\n              <label for=\"input_35_2\"> Black <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_35_3\" name=\"q35_initialK[]\" value=\"Lt. Navy\" \/>\n              <label for=\"input_35_3\"> Lt. Navy <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_38\">\n        <label class=\"form-label-left\" id=\"label_38\" for=\"input_38\"> Initial L <\/label>\n        <div id=\"cid_38\" 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_38_0\" name=\"q38_initialL[]\" value=\"Pink\" \/>\n              <label for=\"input_38_0\"> Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_38_1\" name=\"q38_initialL[]\" value=\"Blue\" \/>\n              <label for=\"input_38_1\"> Blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_38_2\" name=\"q38_initialL[]\" value=\"Black\" \/>\n              <label for=\"input_38_2\"> Black <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_52\">\n        <label class=\"form-label-left\" id=\"label_52\" for=\"input_52\"> Initial M <\/label>\n        <div id=\"cid_52\" 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_52_0\" name=\"q52_initialM[]\" value=\"Pink\" \/>\n              <label for=\"input_52_0\"> Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_52_1\" name=\"q52_initialM[]\" value=\"Blue\" \/>\n              <label for=\"input_52_1\"> Blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_52_2\" name=\"q52_initialM[]\" value=\"Black\" \/>\n              <label for=\"input_52_2\"> Black <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_45\">\n        <label class=\"form-label-left\" id=\"label_45\" for=\"input_45\"> Initial R <\/label>\n        <div id=\"cid_45\" 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_45_0\" name=\"q45_initialR[]\" value=\"Pink\" \/>\n              <label for=\"input_45_0\"> Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_45_1\" name=\"q45_initialR[]\" value=\"Blue\" \/>\n              <label for=\"input_45_1\"> Blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_45_2\" name=\"q45_initialR[]\" value=\"Black\" \/>\n              <label for=\"input_45_2\"> Black <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_47\">\n        <label class=\"form-label-left\" id=\"label_47\" for=\"input_47\"> Initial S <\/label>\n        <div id=\"cid_47\" 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_47_0\" name=\"q47_initialS[]\" value=\"Pink\" \/>\n              <label for=\"input_47_0\"> Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_47_1\" name=\"q47_initialS[]\" value=\"Blue\" \/>\n              <label for=\"input_47_1\"> Blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_47_2\" name=\"q47_initialS[]\" value=\"Black\" \/>\n              <label for=\"input_47_2\"> Black <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_46\">\n        <label class=\"form-label-left\" id=\"label_46\" for=\"input_46\"> Initial T <\/label>\n        <div id=\"cid_46\" 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_46_0\" name=\"q46_initialT[]\" value=\"Pink\" \/>\n              <label for=\"input_46_0\"> Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_46_1\" name=\"q46_initialT[]\" value=\"Blue\" \/>\n              <label for=\"input_46_1\"> Blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_46_2\" name=\"q46_initialT[]\" value=\"Black\" \/>\n              <label for=\"input_46_2\"> Black <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_46_3\" name=\"q46_initialT[]\" value=\"Orange\" \/>\n              <label for=\"input_46_3\"> Orange <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_113\">\n        <div id=\"cid_113\" class=\"form-input-wide\">\n          <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/i933.photobucket.com\/albums\/ad177\/pcaldwell9\/blackswirls.jpg\" height=\"625\" width=\"700\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_114\">\n        <label class=\"form-label-left\" id=\"label_114\" for=\"input_114\"> 3\/8 black heart swirls <\/label>\n        <div id=\"cid_114\" 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_114_0\" name=\"q114_38Black114[]\" value=\"white\" \/>\n              <label for=\"input_114_0\"> white <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_114_1\" name=\"q114_38Black114[]\" value=\"Pearl Pink\" \/>\n              <label for=\"input_114_1\"> Pearl Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_114_2\" name=\"q114_38Black114[]\" value=\"hot pink\" \/>\n              <label for=\"input_114_2\"> hot pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_114_3\" name=\"q114_38Black114[]\" value=\"lt. orchid\" \/>\n              <label for=\"input_114_3\"> lt. orchid <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_114_4\" name=\"q114_38Black114[]\" value=\"tan\" \/>\n              <label for=\"input_114_4\"> tan <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_114_5\" name=\"q114_38Black114[]\" value=\"Black\" \/>\n              <label for=\"input_114_5\"> Black <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_114_6\" name=\"q114_38Black114[]\" value=\"orange\" \/>\n              <label for=\"input_114_6\"> orange <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_114_7\" name=\"q114_38Black114[]\" value=\"red\" \/>\n              <label for=\"input_114_7\"> red <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_114_8\" name=\"q114_38Black114[]\" value=\"royal blue\" \/>\n              <label for=\"input_114_8\"> royal blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_114_9\" name=\"q114_38Black114[]\" value=\"silver\" \/>\n              <label for=\"input_114_9\"> silver <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_114_10\" name=\"q114_38Black114[]\" value=\"green\" \/>\n              <label for=\"input_114_10\"> green <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_114_11\" name=\"q114_38Black114[]\" value=\"yellow gold\" \/>\n              <label for=\"input_114_11\"> yellow gold <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_128\">\n        <label class=\"form-label-left\" id=\"label_128\" for=\"input_128\"> 7\/8 black heart swirls <\/label>\n        <div id=\"cid_128\" 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_128_0\" name=\"q128_78Black[]\" value=\"white\" \/>\n              <label for=\"input_128_0\"> white <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_128_1\" name=\"q128_78Black[]\" value=\"Pearl Pink\" \/>\n              <label for=\"input_128_1\"> Pearl Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_128_2\" name=\"q128_78Black[]\" value=\"hot pink\" \/>\n              <label for=\"input_128_2\"> hot pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_128_3\" name=\"q128_78Black[]\" value=\"lt. orchid\" \/>\n              <label for=\"input_128_3\"> lt. orchid <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_128_4\" name=\"q128_78Black[]\" value=\"tan\" \/>\n              <label for=\"input_128_4\"> tan <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_128_5\" name=\"q128_78Black[]\" value=\"Black\" \/>\n              <label for=\"input_128_5\"> Black <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_128_6\" name=\"q128_78Black[]\" value=\"orange\" \/>\n              <label for=\"input_128_6\"> orange <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_128_7\" name=\"q128_78Black[]\" value=\"red\" \/>\n              <label for=\"input_128_7\"> red <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_128_8\" name=\"q128_78Black[]\" value=\"royal blue\" \/>\n              <label for=\"input_128_8\"> royal blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_128_9\" name=\"q128_78Black[]\" value=\"silver\" \/>\n              <label for=\"input_128_9\"> silver <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_128_10\" name=\"q128_78Black[]\" value=\"green\" \/>\n              <label for=\"input_128_10\"> green <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_128_11\" name=\"q128_78Black[]\" value=\"yellow gold\" \/>\n              <label for=\"input_128_11\"> yellow gold <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column\" id=\"id_53\">\n        <div id=\"cid_53\" class=\"form-input-wide\">\n          <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/i933.photobucket.com\/albums\/ad177\/pcaldwell9\/whtswirl.jpg\" height=\"550\" width=\"500\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_54\">\n        <label class=\"form-label-left\" id=\"label_54\" for=\"input_54\"> 3\/8 white heart swirls <\/label>\n        <div id=\"cid_54\" 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_54_0\" name=\"q54_38White[]\" value=\"black\" \/>\n              <label for=\"input_54_0\"> black <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_54_1\" name=\"q54_38White[]\" value=\"pearl pink\" \/>\n              <label for=\"input_54_1\"> pearl pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_54_2\" name=\"q54_38White[]\" value=\"hot pink\" \/>\n              <label for=\"input_54_2\"> hot pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_54_3\" name=\"q54_38White[]\" value=\"red\" \/>\n              <label for=\"input_54_3\"> red <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_54_4\" name=\"q54_38White[]\" value=\"lt. blue\" \/>\n              <label for=\"input_54_4\"> lt. blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_54_5\" name=\"q54_38White[]\" value=\"yellow\" \/>\n              <label for=\"input_54_5\"> yellow <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_54_6\" name=\"q54_38White[]\" value=\"lt. navy\" \/>\n              <label for=\"input_54_6\"> lt. navy <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_54_7\" name=\"q54_38White[]\" value=\"electric blue\" \/>\n              <label for=\"input_54_7\"> electric blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_54_8\" name=\"q54_38White[]\" value=\"lt. orchid\" \/>\n              <label for=\"input_54_8\"> lt. orchid <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_54_9\" name=\"q54_38White[]\" value=\"orange\" \/>\n              <label for=\"input_54_9\"> orange <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_129\">\n        <label class=\"form-label-left\" id=\"label_129\" for=\"input_129\"> 7\/8 white heart swirls <\/label>\n        <div id=\"cid_129\" 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_129_0\" name=\"q129_78White[]\" value=\"black\" \/>\n              <label for=\"input_129_0\"> black <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_129_1\" name=\"q129_78White[]\" value=\"pearl pink\" \/>\n              <label for=\"input_129_1\"> pearl pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_129_2\" name=\"q129_78White[]\" value=\"hot pink\" \/>\n              <label for=\"input_129_2\"> hot pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_129_3\" name=\"q129_78White[]\" value=\"red\" \/>\n              <label for=\"input_129_3\"> red <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_129_4\" name=\"q129_78White[]\" value=\"lt. blue\" \/>\n              <label for=\"input_129_4\"> lt. blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_129_5\" name=\"q129_78White[]\" value=\"yellow\" \/>\n              <label for=\"input_129_5\"> yellow <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_129_6\" name=\"q129_78White[]\" value=\"lt. navy\" \/>\n              <label for=\"input_129_6\"> lt. navy <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_129_7\" name=\"q129_78White[]\" value=\"electric blue\" \/>\n              <label for=\"input_129_7\"> electric blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_129_8\" name=\"q129_78White[]\" value=\"lt. orchid\" \/>\n              <label for=\"input_129_8\"> lt. orchid <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_129_9\" name=\"q129_78White[]\" value=\"orange\" \/>\n              <label for=\"input_129_9\"> orange <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column\" id=\"id_80\">\n        <div id=\"cid_80\" class=\"form-input-wide\">\n          <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/i933.photobucket.com\/albums\/ad177\/pcaldwell9\/smpawprint.jpg\" height=\"425\" width=\"350\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column\" id=\"id_130\">\n        <div id=\"cid_130\" class=\"form-input-wide\">\n          <div style=\"text-align:center;\">\n            <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/i933.photobucket.com\/albums\/ad177\/pcaldwell9\/lgpawprint.jpg\" height=\"425\" width=\"350\" \/>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_82\">\n        <label class=\"form-label-left\" id=\"label_82\" for=\"input_82\"> 3\/8 paw prints <\/label>\n        <div id=\"cid_82\" 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_82_0\" name=\"q82_38Paw[]\" value=\"White\" \/>\n              <label for=\"input_82_0\"> White <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_82_1\" name=\"q82_38Paw[]\" value=\"green\" \/>\n              <label for=\"input_82_1\"> green <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_82_2\" name=\"q82_38Paw[]\" value=\"orange\" \/>\n              <label for=\"input_82_2\"> orange <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_82_3\" name=\"q82_38Paw[]\" value=\"tan\" \/>\n              <label for=\"input_82_3\"> tan <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_82_4\" name=\"q82_38Paw[]\" value=\"brown\" \/>\n              <label for=\"input_82_4\"> brown <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_82_5\" name=\"q82_38Paw[]\" value=\"red\" \/>\n              <label for=\"input_82_5\"> red <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_82_6\" name=\"q82_38Paw[]\" value=\"pink\" \/>\n              <label for=\"input_82_6\"> pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_82_7\" name=\"q82_38Paw[]\" value=\"blue\" \/>\n              <label for=\"input_82_7\"> blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_82_8\" name=\"q82_38Paw[]\" value=\"yellow\" \/>\n              <label for=\"input_82_8\"> yellow <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_82_9\" name=\"q82_38Paw[]\" value=\"purple\" \/>\n              <label for=\"input_82_9\"> purple <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_82_10\" name=\"q82_38Paw[]\" value=\"silver\" \/>\n              <label for=\"input_82_10\"> silver <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_131\">\n        <label class=\"form-label-left\" id=\"label_131\" for=\"input_131\"> 7\/8 paw prints <\/label>\n        <div id=\"cid_131\" 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_131_0\" name=\"q131_78Paw[]\" value=\"White\" \/>\n              <label for=\"input_131_0\"> White <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_131_1\" name=\"q131_78Paw[]\" value=\"green\" \/>\n              <label for=\"input_131_1\"> green <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_131_2\" name=\"q131_78Paw[]\" value=\"orange\" \/>\n              <label for=\"input_131_2\"> orange <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_131_3\" name=\"q131_78Paw[]\" value=\"tan\" \/>\n              <label for=\"input_131_3\"> tan <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_131_4\" name=\"q131_78Paw[]\" value=\"brown\" \/>\n              <label for=\"input_131_4\"> brown <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_131_5\" name=\"q131_78Paw[]\" value=\"red\" \/>\n              <label for=\"input_131_5\"> red <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_131_6\" name=\"q131_78Paw[]\" value=\"pink\" \/>\n              <label for=\"input_131_6\"> pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_131_7\" name=\"q131_78Paw[]\" value=\"blue\" \/>\n              <label for=\"input_131_7\"> blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_131_8\" name=\"q131_78Paw[]\" value=\"yellow\" \/>\n              <label for=\"input_131_8\"> yellow <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_131_9\" name=\"q131_78Paw[]\" value=\"purple\" \/>\n              <label for=\"input_131_9\"> purple <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_131_10\" name=\"q131_78Paw[]\" value=\"silver\" \/>\n              <label for=\"input_131_10\"> silver <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column\" id=\"id_132\">\n        <div id=\"cid_132\" class=\"form-input-wide\">\n          <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/i933.photobucket.com\/albums\/ad177\/pcaldwell9\/gymnastics.jpg\" height=\"325\" width=\"300\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_133\">\n        <label class=\"form-label-left\" id=\"label_133\" for=\"input_133\"> 3\/8 gymnastics <\/label>\n        <div id=\"cid_133\" 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_133_0\" name=\"q133_38Gymnastics[]\" value=\"white\" \/>\n              <label for=\"input_133_0\"> white <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_133_1\" name=\"q133_38Gymnastics[]\" value=\"pearl pink\" \/>\n              <label for=\"input_133_1\"> pearl pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_133_2\" name=\"q133_38Gymnastics[]\" value=\"hot pink\" \/>\n              <label for=\"input_133_2\"> hot pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_133_3\" name=\"q133_38Gymnastics[]\" value=\"lime green\" \/>\n              <label for=\"input_133_3\"> lime green <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_133_4\" name=\"q133_38Gymnastics[]\" value=\"blue\" \/>\n              <label for=\"input_133_4\"> blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_133_5\" name=\"q133_38Gymnastics[]\" value=\"lt. orchid\" \/>\n              <label for=\"input_133_5\"> lt. orchid <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_134\">\n        <label class=\"form-label-left\" id=\"label_134\" for=\"input_134\"> 7\/8 gymnastics <\/label>\n        <div id=\"cid_134\" 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_134_0\" name=\"q134_78Gymnastics[]\" value=\"white\" \/>\n              <label for=\"input_134_0\"> white <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_134_1\" name=\"q134_78Gymnastics[]\" value=\"pearl pink\" \/>\n              <label for=\"input_134_1\"> pearl pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_134_2\" name=\"q134_78Gymnastics[]\" value=\"hot pink\" \/>\n              <label for=\"input_134_2\"> hot pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_134_3\" name=\"q134_78Gymnastics[]\" value=\"lime green\" \/>\n              <label for=\"input_134_3\"> lime green <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_134_4\" name=\"q134_78Gymnastics[]\" value=\"blue\" \/>\n              <label for=\"input_134_4\"> blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_134_5\" name=\"q134_78Gymnastics[]\" value=\"lt. orchid\" \/>\n              <label for=\"input_134_5\"> lt. orchid <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column\" id=\"id_135\">\n        <div id=\"cid_135\" class=\"form-input-wide\">\n          <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/i933.photobucket.com\/albums\/ad177\/pcaldwell9\/reddiagonal.jpg\" height=\"325\" width=\"300\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_136\">\n        <label class=\"form-label-left\" id=\"label_136\" for=\"input_136\"> 3\/8 red jester diamonds <\/label>\n        <div id=\"cid_136\" 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_136_0\" name=\"q136_38Red[]\" value=\"pink\/red\" \/>\n              <label for=\"input_136_0\"> pink\/red <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_136_1\" name=\"q136_38Red[]\" value=\"purple\/red\" \/>\n              <label for=\"input_136_1\"> purple\/red <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_136_2\" name=\"q136_38Red[]\" value=\"blue\/red\" \/>\n              <label for=\"input_136_2\"> blue\/red <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_136_3\" name=\"q136_38Red[]\" value=\"apple\/red\" \/>\n              <label for=\"input_136_3\"> apple\/red <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_136_4\" name=\"q136_38Red[]\" value=\"black\/red\" \/>\n              <label for=\"input_136_4\"> black\/red <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_136_5\" name=\"q136_38Red[]\" value=\"white\/red\" \/>\n              <label for=\"input_136_5\"> white\/red <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column\" id=\"id_138\">\n        <div id=\"cid_138\" class=\"form-input-wide\">\n          <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/i933.photobucket.com\/albums\/ad177\/pcaldwell9\/purplediagonal.jpg\" height=\"325\" width=\"300\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_139\">\n        <label class=\"form-label-left\" id=\"label_139\" for=\"input_139\"> 3\/8 purple jester diamonds <\/label>\n        <div id=\"cid_139\" 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_139_0\" name=\"q139_38Purple[]\" value=\"red\/purple\" \/>\n              <label for=\"input_139_0\"> red\/purple <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_139_1\" name=\"q139_38Purple[]\" value=\"pink\/purple\" \/>\n              <label for=\"input_139_1\"> pink\/purple <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_139_2\" name=\"q139_38Purple[]\" value=\"hot pink\/purple\" \/>\n              <label for=\"input_139_2\"> hot pink\/purple <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_139_3\" name=\"q139_38Purple[]\" value=\"green\/purple\" \/>\n              <label for=\"input_139_3\"> green\/purple <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_139_4\" name=\"q139_38Purple[]\" value=\"yellow\/purple\" \/>\n              <label for=\"input_139_4\"> yellow\/purple <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_139_5\" name=\"q139_38Purple[]\" value=\"white\/purple\" \/>\n              <label for=\"input_139_5\"> white\/purple <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column\" id=\"id_141\">\n        <div id=\"cid_141\" class=\"form-input-wide\">\n          <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/i933.photobucket.com\/albums\/ad177\/pcaldwell9\/lisdefleur.jpg\" height=\"325\" width=\"300\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_142\">\n        <label class=\"form-label-left\" id=\"label_142\" for=\"input_142\"> 3\/8 fleur de lis <\/label>\n        <div id=\"cid_142\" 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_142_0\" name=\"q142_38Fleur[]\" value=\"white\" \/>\n              <label for=\"input_142_0\"> white <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_142_1\" name=\"q142_38Fleur[]\" value=\"pearl pink\" \/>\n              <label for=\"input_142_1\"> pearl pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_142_2\" name=\"q142_38Fleur[]\" value=\"hot pink\" \/>\n              <label for=\"input_142_2\"> hot pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_142_3\" name=\"q142_38Fleur[]\" value=\"yellow gold\" \/>\n              <label for=\"input_142_3\"> yellow gold <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_142_4\" name=\"q142_38Fleur[]\" value=\"regal purple\" \/>\n              <label for=\"input_142_4\"> regal purple <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_142_5\" name=\"q142_38Fleur[]\" value=\"red\" \/>\n              <label for=\"input_142_5\"> red <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_143\">\n        <label class=\"form-label-left\" id=\"label_143\" for=\"input_143\"> 7\/8 fleur de lis <\/label>\n        <div id=\"cid_143\" 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_143_0\" name=\"q143_78Fleur[]\" value=\"white\" \/>\n              <label for=\"input_143_0\"> white <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_143_1\" name=\"q143_78Fleur[]\" value=\"pearl pink\" \/>\n              <label for=\"input_143_1\"> pearl pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_143_2\" name=\"q143_78Fleur[]\" value=\"hot pink\" \/>\n              <label for=\"input_143_2\"> hot pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_143_3\" name=\"q143_78Fleur[]\" value=\"yellow gold\" \/>\n              <label for=\"input_143_3\"> yellow gold <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_143_4\" name=\"q143_78Fleur[]\" value=\"regal purple\" \/>\n              <label for=\"input_143_4\"> regal purple <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_143_5\" name=\"q143_78Fleur[]\" value=\"red\" \/>\n              <label for=\"input_143_5\"> red <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column\" id=\"id_152\">\n        <div id=\"cid_152\" class=\"form-input-wide\">\n          <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/i933.photobucket.com\/albums\/ad177\/pcaldwell9\/treefrogF.jpg\" height=\"400\" width=\"450\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_153\">\n        <label class=\"form-label-left\" id=\"label_153\" for=\"input_153\"> 7\/8 Tree Frog <\/label>\n        <div id=\"cid_153\" 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_153_0\" name=\"q153_78Tree[]\" value=\"white\" \/>\n              <label for=\"input_153_0\"> white <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_153_1\" name=\"q153_78Tree[]\" value=\"yellow\" \/>\n              <label for=\"input_153_1\"> yellow <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_153_2\" name=\"q153_78Tree[]\" value=\"pink\" \/>\n              <label for=\"input_153_2\"> pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_153_3\" name=\"q153_78Tree[]\" value=\"blue\" \/>\n              <label for=\"input_153_3\"> blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_153_4\" name=\"q153_78Tree[]\" value=\"green\" \/>\n              <label for=\"input_153_4\"> green <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column\" id=\"id_144\">\n        <div id=\"cid_144\" class=\"form-input-wide\">\n          <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/i933.photobucket.com\/albums\/ad177\/pcaldwell9\/dots78.jpg\" height=\"500\" width=\"600\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_145\">\n        <label class=\"form-label-left\" id=\"label_145\" for=\"input_145\"> 7\/8 dots <\/label>\n        <div id=\"cid_145\" class=\"form-input\">\n          <div class=\"form-multiple-column\"><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_145_0\" name=\"q145_78Dots[]\" value=\"baby maize\" \/>\n              <label for=\"input_145_0\"> baby maize <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_145_1\" name=\"q145_78Dots[]\" value=\"pastel green\" \/>\n              <label for=\"input_145_1\"> pastel green <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_145_2\" name=\"q145_78Dots[]\" value=\"sherbet\" \/>\n              <label for=\"input_145_2\"> sherbet <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_145_3\" name=\"q145_78Dots[]\" value=\"copen blue\" \/>\n              <label for=\"input_145_3\"> copen blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_145_4\" name=\"q145_78Dots[]\" value=\"tropic\" \/>\n              <label for=\"input_145_4\"> tropic <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_145_5\" name=\"q145_78Dots[]\" value=\"grape\" \/>\n              <label for=\"input_145_5\"> grape <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_145_6\" name=\"q145_78Dots[]\" value=\"cobalt\" \/>\n              <label for=\"input_145_6\"> cobalt <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_145_7\" name=\"q145_78Dots[]\" value=\"icy pink\" \/>\n              <label for=\"input_145_7\"> icy pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_145_8\" name=\"q145_78Dots[]\" value=\"nude\" \/>\n              <label for=\"input_145_8\"> nude <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_145_9\" name=\"q145_78Dots[]\" value=\"lt. orchid\" \/>\n              <label for=\"input_145_9\"> lt. orchid <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_145_10\" name=\"q145_78Dots[]\" value=\"deep sage\" \/>\n              <label for=\"input_145_10\"> deep sage <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_145_11\" name=\"q145_78Dots[]\" value=\"iris\" \/>\n              <label for=\"input_145_11\"> iris <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_145_12\" name=\"q145_78Dots[]\" value=\"mist turquoise\" \/>\n              <label for=\"input_145_12\"> mist turquoise <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_145_13\" name=\"q145_78Dots[]\" value=\"emerald\" \/>\n              <label for=\"input_145_13\"> emerald <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column\" id=\"id_146\">\n        <div id=\"cid_146\" class=\"form-input-wide\">\n          <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/i933.photobucket.com\/albums\/ad177\/pcaldwell9\/dots15.jpg\" height=\"600\" width=\"525\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_147\">\n        <label class=\"form-label-left\" id=\"label_147\" for=\"input_147\"> 1.5 dots <\/label>\n        <div id=\"cid_147\" class=\"form-input\">\n          <div class=\"form-multiple-column\"><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_147_0\" name=\"q147_15Dots147[]\" value=\"white\" \/>\n              <label for=\"input_147_0\"> white <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_147_1\" name=\"q147_15Dots147[]\" value=\"nude\" \/>\n              <label for=\"input_147_1\"> nude <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_147_2\" name=\"q147_15Dots147[]\" value=\"grape\" \/>\n              <label for=\"input_147_2\"> grape <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_147_3\" name=\"q147_15Dots147[]\" value=\"electric blue\" \/>\n              <label for=\"input_147_3\"> electric blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_147_4\" name=\"q147_15Dots147[]\" value=\"cappuccino\" \/>\n              <label for=\"input_147_4\"> cappuccino <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_147_5\" name=\"q147_15Dots147[]\" value=\"cream\" \/>\n              <label for=\"input_147_5\"> cream <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_147_6\" name=\"q147_15Dots147[]\" value=\"blue topaz\" \/>\n              <label for=\"input_147_6\"> blue topaz <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_147_7\" name=\"q147_15Dots147[]\" value=\"icy pink\" \/>\n              <label for=\"input_147_7\"> icy pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_147_8\" name=\"q147_15Dots147[]\" value=\"parrot green\" \/>\n              <label for=\"input_147_8\"> parrot green <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_147_9\" name=\"q147_15Dots147[]\" value=\"old gold\" \/>\n              <label for=\"input_147_9\"> old gold <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_79\">\n        <div id=\"cid_79\" class=\"form-input-wide\">\n          <div id=\"text_79\" class=\"form-html\">\n            <p>\n              These ribbons are all previously printed ribbons.&nbsp; If you would like to see more colors than what is provided in the picture some of them are on my website.&nbsp; pjsribbonsandmore.com\n            <\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column\" id=\"id_84\">\n        <div id=\"cid_84\" class=\"form-input-wide\">\n          <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/i933.photobucket.com\/albums\/ad177\/pcaldwell9\/rshoe.jpg\" height=\"375\" width=\"325\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_85\">\n        <label class=\"form-label-left\" id=\"label_85\" for=\"input_85\"> 3\/8 Horseshoe <\/label>\n        <div id=\"cid_85\" 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_85_0\" name=\"q85_38Horseshoe[]\" value=\"White\" \/>\n              <label for=\"input_85_0\"> White <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_85_1\" name=\"q85_38Horseshoe[]\" value=\"Tan\" \/>\n              <label for=\"input_85_1\"> Tan <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_85_2\" name=\"q85_38Horseshoe[]\" value=\"Hot Pink\" \/>\n              <label for=\"input_85_2\"> Hot Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_85_3\" name=\"q85_38Horseshoe[]\" value=\"Copen Blue\" \/>\n              <label for=\"input_85_3\"> Copen Blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_85_4\" name=\"q85_38Horseshoe[]\" value=\"Lt. Orchid\" \/>\n              <label for=\"input_85_4\"> Lt. Orchid <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_85_5\" name=\"q85_38Horseshoe[]\" value=\"lime juice\" \/>\n              <label for=\"input_85_5\"> lime juice <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_85_6\" name=\"q85_38Horseshoe[]\" value=\"pearl pink\" \/>\n              <label for=\"input_85_6\"> pearl pink <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column\" id=\"id_86\">\n        <div id=\"cid_86\" class=\"form-input-wide\">\n          <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/i933.photobucket.com\/albums\/ad177\/pcaldwell9\/zoomflamingo-1.jpg\" height=\"75\" width=\"400\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_87\">\n        <label class=\"form-label-left\" id=\"label_87\" for=\"input_87\"> 3\/8 flamingos <\/label>\n        <div id=\"cid_87\" 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_87_0\" name=\"q87_38Flamingos[]\" value=\"White\" \/>\n              <label for=\"input_87_0\"> White <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_87_1\" name=\"q87_38Flamingos[]\" value=\"Pearl Pink\" \/>\n              <label for=\"input_87_1\"> Pearl Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_87_2\" name=\"q87_38Flamingos[]\" value=\"misty turquoise\" \/>\n              <label for=\"input_87_2\"> misty turquoise <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_87_3\" name=\"q87_38Flamingos[]\" value=\"light blue\" \/>\n              <label for=\"input_87_3\"> light blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_87_4\" name=\"q87_38Flamingos[]\" value=\"light orchid\" \/>\n              <label for=\"input_87_4\"> light orchid <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_87_5\" name=\"q87_38Flamingos[]\" value=\"yellow\" \/>\n              <label for=\"input_87_5\"> yellow <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_87_6\" name=\"q87_38Flamingos[]\" value=\"sherbet pink\" \/>\n              <label for=\"input_87_6\"> sherbet pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_87_7\" name=\"q87_38Flamingos[]\" value=\"lime juice\" \/>\n              <label for=\"input_87_7\"> lime juice <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column\" id=\"id_95\">\n        <div id=\"cid_95\" class=\"form-input-wide\">\n          <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/i933.photobucket.com\/albums\/ad177\/pcaldwell9\/daisy38.jpg\" height=\"75\" width=\"325\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_96\">\n        <label class=\"form-label-left\" id=\"label_96\" for=\"input_96\"> 3\/8 daisies <\/label>\n        <div id=\"cid_96\" 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_96_0\" name=\"q96_38Daisies[]\" value=\"black\" \/>\n              <label for=\"input_96_0\"> black <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_96_1\" name=\"q96_38Daisies[]\" value=\"Lime Juice\" \/>\n              <label for=\"input_96_1\"> Lime Juice <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_96_2\" name=\"q96_38Daisies[]\" value=\"yellow\" \/>\n              <label for=\"input_96_2\"> yellow <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_96_3\" name=\"q96_38Daisies[]\" value=\"Pearl Pink\" \/>\n              <label for=\"input_96_3\"> Pearl Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_96_4\" name=\"q96_38Daisies[]\" value=\"Hot Pink\" \/>\n              <label for=\"input_96_4\"> Hot Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_96_5\" name=\"q96_38Daisies[]\" value=\"light blue\" \/>\n              <label for=\"input_96_5\"> light blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_96_6\" name=\"q96_38Daisies[]\" value=\"island blue\" \/>\n              <label for=\"input_96_6\"> island blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_96_7\" name=\"q96_38Daisies[]\" value=\"light orchid\" \/>\n              <label for=\"input_96_7\"> light orchid <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_96_8\" name=\"q96_38Daisies[]\" value=\"light navy\" \/>\n              <label for=\"input_96_8\"> light navy <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_96_9\" name=\"q96_38Daisies[]\" value=\"green apple\" \/>\n              <label for=\"input_96_9\"> green apple <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column\" id=\"id_88\">\n        <div id=\"cid_88\" class=\"form-input-wide\">\n          <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/i933.photobucket.com\/albums\/ad177\/pcaldwell9\/buyballerina.jpg\" height=\"425\" width=\"350\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_89\">\n        <label class=\"form-label-left\" id=\"label_89\" for=\"input_89\"> 3\/8 ballerina <\/label>\n        <div id=\"cid_89\" 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_89_0\" name=\"q89_38Ballerina[]\" value=\"White\" \/>\n              <label for=\"input_89_0\"> White <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_89_1\" name=\"q89_38Ballerina[]\" value=\"Pearl Pink\" \/>\n              <label for=\"input_89_1\"> Pearl Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_89_2\" name=\"q89_38Ballerina[]\" value=\"Hot Pink\" \/>\n              <label for=\"input_89_2\"> Hot Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_89_3\" name=\"q89_38Ballerina[]\" value=\"Lt. Orchid\" \/>\n              <label for=\"input_89_3\"> Lt. Orchid <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_89_4\" name=\"q89_38Ballerina[]\" value=\"lime juice\" \/>\n              <label for=\"input_89_4\"> lime juice <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_89_5\" name=\"q89_38Ballerina[]\" value=\"light blue\" \/>\n              <label for=\"input_89_5\"> light blue <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_150\">\n        <label class=\"form-label-left\" id=\"label_150\" for=\"input_150\"> 1.5 ballerina <\/label>\n        <div id=\"cid_150\" 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_150_0\" name=\"q150_15Ballerina[]\" value=\"White\" \/>\n              <label for=\"input_150_0\"> White <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_150_1\" name=\"q150_15Ballerina[]\" value=\"Pearl Pink\" \/>\n              <label for=\"input_150_1\"> Pearl Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_150_2\" name=\"q150_15Ballerina[]\" value=\"Hot Pink\" \/>\n              <label for=\"input_150_2\"> Hot Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_150_3\" name=\"q150_15Ballerina[]\" value=\"Lt. Orchid\" \/>\n              <label for=\"input_150_3\"> Lt. Orchid <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_90\">\n        <div id=\"cid_90\" class=\"form-input-wide\">\n          <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/i933.photobucket.com\/albums\/ad177\/pcaldwell9\/waterjungle.jpg\" height=\"275\" width=\"350\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_92\">\n        <label class=\"form-label-left\" id=\"label_92\" for=\"input_92\"> 3\/8 Jungle <\/label>\n        <div id=\"cid_92\" 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_92_0\" name=\"q92_38Jungle[]\" value=\"White\" \/>\n              <label for=\"input_92_0\"> White <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_92_1\" name=\"q92_38Jungle[]\" value=\"Pearl Pink\" \/>\n              <label for=\"input_92_1\"> Pearl Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_92_2\" name=\"q92_38Jungle[]\" value=\"Hot Pink\" \/>\n              <label for=\"input_92_2\"> Hot Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_92_3\" name=\"q92_38Jungle[]\" value=\"Lime Juice\" \/>\n              <label for=\"input_92_3\"> Lime Juice <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_92_4\" name=\"q92_38Jungle[]\" value=\"Blue\" \/>\n              <label for=\"input_92_4\"> Blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_92_5\" name=\"q92_38Jungle[]\" value=\"Yellow\" \/>\n              <label for=\"input_92_5\"> Yellow <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_151\">\n        <label class=\"form-label-left\" id=\"label_151\" for=\"input_151\"> 7\/8 Jungle <\/label>\n        <div id=\"cid_151\" 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_151_0\" name=\"q151_78Jungle[]\" value=\"White\" \/>\n              <label for=\"input_151_0\"> White <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_151_1\" name=\"q151_78Jungle[]\" value=\"Pearl Pink\" \/>\n              <label for=\"input_151_1\"> Pearl Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_151_2\" name=\"q151_78Jungle[]\" value=\"Hot Pink\" \/>\n              <label for=\"input_151_2\"> Hot Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_151_3\" name=\"q151_78Jungle[]\" value=\"Lime Juice\" \/>\n              <label for=\"input_151_3\"> Lime Juice <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_151_4\" name=\"q151_78Jungle[]\" value=\"Blue\" \/>\n              <label for=\"input_151_4\"> Blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_151_5\" name=\"q151_78Jungle[]\" value=\"Yellow\" \/>\n              <label for=\"input_151_5\"> Yellow <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column\" id=\"id_93\">\n        <div id=\"cid_93\" class=\"form-input-wide\">\n          <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/i933.photobucket.com\/albums\/ad177\/pcaldwell9\/freindeer.jpg\" height=\"325\" width=\"350\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_94\">\n        <label class=\"form-label-left\" id=\"label_94\" for=\"input_94\"> 7\/8 Reindeer <\/label>\n        <div id=\"cid_94\" 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_94_0\" name=\"q94_78Reindeer[]\" value=\"White\" \/>\n              <label for=\"input_94_0\"> White <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_94_1\" name=\"q94_78Reindeer[]\" value=\"Pearl Pink\" \/>\n              <label for=\"input_94_1\"> Pearl Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_94_2\" name=\"q94_78Reindeer[]\" value=\"red\" \/>\n              <label for=\"input_94_2\"> red <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_94_3\" name=\"q94_78Reindeer[]\" value=\"green\" \/>\n              <label for=\"input_94_3\"> green <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_97\">\n        <div id=\"cid_97\" class=\"form-input-wide\">\n          <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/i933.photobucket.com\/albums\/ad177\/pcaldwell9\/fskate.jpg\" height=\"275\" width=\"325\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_98\">\n        <label class=\"form-label-left\" id=\"label_98\" for=\"input_98\"> 3\/8 ice skates <\/label>\n        <div id=\"cid_98\" 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_98_0\" name=\"q98_38Ice[]\" value=\"White\" \/>\n              <label for=\"input_98_0\"> White <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_98_1\" name=\"q98_38Ice[]\" value=\"pearl pink\" \/>\n              <label for=\"input_98_1\"> pearl pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_98_2\" name=\"q98_38Ice[]\" value=\"winter blue\" \/>\n              <label for=\"input_98_2\"> winter blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_98_3\" name=\"q98_38Ice[]\" value=\"Red\" \/>\n              <label for=\"input_98_3\"> Red <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_100\">\n        <div id=\"cid_100\" class=\"form-input-wide\">\n          <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/i933.photobucket.com\/albums\/ad177\/pcaldwell9\/fsnowman.jpg\" height=\"275\" width=\"300\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_101\">\n        <label class=\"form-label-left\" id=\"label_101\" for=\"input_101\"> 3\/8 snowman <\/label>\n        <div id=\"cid_101\" 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_101_0\" name=\"q101_38Snowman[]\" value=\"white\" \/>\n              <label for=\"input_101_0\"> white <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_101_1\" name=\"q101_38Snowman[]\" value=\"Blue\" \/>\n              <label for=\"input_101_1\"> Blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_101_2\" name=\"q101_38Snowman[]\" value=\"Green\" \/>\n              <label for=\"input_101_2\"> Green <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_101_3\" name=\"q101_38Snowman[]\" value=\"Pearl Pink\" \/>\n              <label for=\"input_101_3\"> Pearl Pink <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_148\">\n        <label class=\"form-label-left\" id=\"label_148\" for=\"input_148\"> 7\/8 snowman <\/label>\n        <div id=\"cid_148\" 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_148_0\" name=\"q148_78Snowman[]\" value=\"white\" \/>\n              <label for=\"input_148_0\"> white <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_148_1\" name=\"q148_78Snowman[]\" value=\"Blue\" \/>\n              <label for=\"input_148_1\"> Blue <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_148_2\" name=\"q148_78Snowman[]\" value=\"Green\" \/>\n              <label for=\"input_148_2\"> Green <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_148_3\" name=\"q148_78Snowman[]\" value=\"Pearl Pink\" \/>\n              <label for=\"input_148_3\"> Pearl Pink <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_102\">\n        <div id=\"cid_102\" class=\"form-input-wide\">\n          <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/i933.photobucket.com\/albums\/ad177\/pcaldwell9\/fsanta.jpg\" height=\"275\" width=\"300\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_103\">\n        <label class=\"form-label-left\" id=\"label_103\" for=\"input_103\"> 3\/8 Santa <\/label>\n        <div id=\"cid_103\" 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_103_0\" name=\"q103_38Santa[]\" value=\"White\" \/>\n              <label for=\"input_103_0\"> White <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_103_1\" name=\"q103_38Santa[]\" value=\"Red\" \/>\n              <label for=\"input_103_1\"> Red <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_103_2\" name=\"q103_38Santa[]\" value=\"Pearl Pink\" \/>\n              <label for=\"input_103_2\"> Pearl Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_103_3\" name=\"q103_38Santa[]\" value=\"green\" \/>\n              <label for=\"input_103_3\"> green <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_149\">\n        <label class=\"form-label-left\" id=\"label_149\" for=\"input_149\"> 7\/8 Santa <\/label>\n        <div id=\"cid_149\" 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_149_0\" name=\"q149_78Santa[]\" value=\"White\" \/>\n              <label for=\"input_149_0\"> White <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_149_1\" name=\"q149_78Santa[]\" value=\"Red\" \/>\n              <label for=\"input_149_1\"> Red <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_149_2\" name=\"q149_78Santa[]\" value=\"Pearl Pink\" \/>\n              <label for=\"input_149_2\"> Pearl Pink <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_149_3\" name=\"q149_78Santa[]\" value=\"green\" \/>\n              <label for=\"input_149_3\"> green <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_154\">\n        <div id=\"cid_154\" class=\"form-input-wide\">\n          <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/i933.photobucket.com\/albums\/ad177\/pcaldwell9\/moredots.jpg\" height=\"300\" width=\"575\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_155\">\n        <label class=\"form-label-left\" id=\"label_155\" for=\"input_155\"> 3\/8 - 10 yards $3.25 <\/label>\n        <div id=\"cid_155\" 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_155_0\" name=\"q155_38[]\" value=\"white with green and rose dots\" \/>\n              <label for=\"input_155_0\"> white with green and rose dots <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_155_1\" name=\"q155_38[]\" value=\"tan with hot pink and white dots\" \/>\n              <label for=\"input_155_1\"> tan with hot pink and white dots <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_155_2\" name=\"q155_38[]\" value=\"carmandy with brown and pearl pink dots\" \/>\n              <label for=\"input_155_2\"> carmandy with brown and pearl pink dots <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_155_3\" name=\"q155_38[]\" value=\"lt. orchid with purple and white dots\" \/>\n              <label for=\"input_155_3\"> lt. orchid with purple and white dots <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_155_4\" name=\"q155_38[]\" value=\"apple with lemon and white dots\" \/>\n              <label for=\"input_155_4\"> apple with lemon and white dots <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_155_5\" name=\"q155_38[]\" value=\"black with hot pink and white dots\" \/>\n              <label for=\"input_155_5\"> black with hot pink and white dots <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_158\">\n        <label class=\"form-label-left\" id=\"label_158\" for=\"input_158\"> 5\/8 - 10 yards $3.75 <\/label>\n        <div id=\"cid_158\" 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_158_0\" name=\"q158_58[]\" value=\"white with green and rose dots\" \/>\n              <label for=\"input_158_0\"> white with green and rose dots <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_158_1\" name=\"q158_58[]\" value=\"tan with hot pink and white dots\" \/>\n              <label for=\"input_158_1\"> tan with hot pink and white dots <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_158_2\" name=\"q158_58[]\" value=\"carmandy with brown and pearl pink dots\" \/>\n              <label for=\"input_158_2\"> carmandy with brown and pearl pink dots <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_158_3\" name=\"q158_58[]\" value=\"lt. orchid with purple and white dots\" \/>\n              <label for=\"input_158_3\"> lt. orchid with purple and white dots <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_158_4\" name=\"q158_58[]\" value=\"apple with lemon and white dots\" \/>\n              <label for=\"input_158_4\"> apple with lemon and white dots <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_158_5\" name=\"q158_58[]\" value=\"black with hot pink and white dots\" \/>\n              <label for=\"input_158_5\"> black with hot pink and white dots <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_157\">\n        <label class=\"form-label-left\" id=\"label_157\" for=\"input_157\"> 1\" - 10 yards $4.50 <\/label>\n        <div id=\"cid_157\" 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_157_0\" name=\"q157_1[]\" value=\"white with green and rose dots\" \/>\n              <label for=\"input_157_0\"> white with green and rose dots <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_157_1\" name=\"q157_1[]\" value=\"tan with hot pink and white dots\" \/>\n              <label for=\"input_157_1\"> tan with hot pink and white dots <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_157_2\" name=\"q157_1[]\" value=\"carmandy with brown and pearl pink dots\" \/>\n              <label for=\"input_157_2\"> carmandy with brown and pearl pink dots <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_157_3\" name=\"q157_1[]\" value=\"lt. orchid with purple and white dots\" \/>\n              <label for=\"input_157_3\"> lt. orchid with purple and white dots <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_157_4\" name=\"q157_1[]\" value=\"apple with lemon and white dots\" \/>\n              <label for=\"input_157_4\"> apple with lemon and white dots <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_157_5\" name=\"q157_1[]\" value=\"black with hot pink and white dots\" \/>\n              <label for=\"input_157_5\"> black with hot pink and white dots <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_156\">\n        <label class=\"form-label-left\" id=\"label_156\" for=\"input_156\"> 1.5\" - 10 yards $5.00 <\/label>\n        <div id=\"cid_156\" 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_156_0\" name=\"q156_15[]\" value=\"white with green and rose dots\" \/>\n              <label for=\"input_156_0\"> white with green and rose dots <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_156_1\" name=\"q156_15[]\" value=\"tan with hot pink and white dots\" \/>\n              <label for=\"input_156_1\"> tan with hot pink and white dots <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_156_2\" name=\"q156_15[]\" value=\"carmandy with brown and pearl pink dots\" \/>\n              <label for=\"input_156_2\"> carmandy with brown and pearl pink dots <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_156_3\" name=\"q156_15[]\" value=\"lt. orchid with purple and white dots\" \/>\n              <label for=\"input_156_3\"> lt. orchid with purple and white dots <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_156_4\" name=\"q156_15[]\" value=\"apple with lemon and white dots\" \/>\n              <label for=\"input_156_4\"> apple with lemon and white dots <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_156_5\" name=\"q156_15[]\" value=\"black with hot pink and white dots\" \/>\n              <label for=\"input_156_5\"> black with hot pink and white dots <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_159\">\n        <label class=\"form-label-left\" id=\"label_159\" for=\"input_159\">\n          Referred by:<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_159\" class=\"form-input\">\n          <select class=\"form-dropdown validate[required]\" style=\"width:150px\" id=\"input_159\" name=\"q159_referredBy\">\n            <option>  <\/option>\n            <option value=\"Be a pro hair bow maker group\"> Be a pro hair bow maker group <\/option>\n            <option value=\"Angel of Friends group\"> Angel of Friends group <\/option>\n            <option value=\"Little Bow Peeps Hair bow group\"> Little Bow Peeps Hair bow group <\/option>\n            <option value=\"Little Pampered Princess group\"> Little Pampered Princess group <\/option>\n            <option value=\"The New Coop group\"> The New Coop group <\/option>\n            <option value=\"The Ebay Ladies group\"> The Ebay Ladies group <\/option>\n            <option value=\"Made to Match group\"> Made to Match group <\/option>\n            <option value=\"Current customer\"> Current customer <\/option>\n            <option value=\"other\"> other <\/option>\n          <\/select>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_61\">\n        <label class=\"form-label-left\" id=\"label_61\" for=\"input_61\">\n          First Name<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_61\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_61\" name=\"q61_firstName\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_62\">\n        <label class=\"form-label-left\" id=\"label_62\" for=\"input_62\">\n          Last Name<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_62\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_62\" name=\"q62_lastName\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_63\">\n        <label class=\"form-label-left\" id=\"label_63\" for=\"input_63\">\n          Email Address<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_63\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_63\" name=\"q63_emailAddress\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_64\">\n        <label class=\"form-label-left\" id=\"label_64\" for=\"input_64\">\n          Street Address<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_64\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_64\" name=\"q64_streetAddress\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_65\">\n        <label class=\"form-label-left\" id=\"label_65\" for=\"input_65\">\n          City<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_65\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_65\" name=\"q65_city\" size=\"20\" maxlength=\"100\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_66\">\n        <label class=\"form-label-left\" id=\"label_66\" for=\"input_66\">\n          Zip Code<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_66\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_66\" name=\"q66_zipCode\" size=\"20\" maxlength=\"100\" \/>\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=\"1810956760\" \/>\n  <script type=\"text\/javascript\">\n  document.getElementById(\"si\" + \"mple\" + \"_spc\").value = \"1810956760-1810956760\";\n  <\/script>\n<\/form><\/body>\n<\/html>\n");