/*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 i2494401114 = new FrameBuilder("2494401114", 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?3.0.2410\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<style type=\"text\/css\">\n    .form-label{\n        width:150px !important;\n    }\n    .form-label-left{\n        width:150px !important;\n    }\n    .form-line{\n        padding:10px;\n    }\n    .form-label-right{\n        width:150px !important;\n    }\n    body, html{\n        margin:0;\n        padding:0;\n        background:#FFFFFF;\n    }\n\n    .form-all{\n        margin:0px auto;\n        padding-top:0px;\n        width:650px;\n        background:#FFFFFF;\n        color:Black !important;\n        font-family:Verdana;\n        font-size:12px;\n    }\n<\/style>\n\n<script src=\"http:\/\/max.jotfor.ms\/min\/g=jotform?3.0.2410\" type=\"text\/javascript\"><\/script>\n<script type=\"text\/javascript\">\n var jsTime = setInterval(function(){try{\n   JotForm.jsForm = true;\n\n   JotForm.init(function(){\n      $('input_5').hint('ex: myname@example.com');\n      JotForm.setCalendar(\"16\");\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_2494401114\" id=\"2494401114\" accept-charset=\"utf-8\">\n  <input type=\"hidden\" name=\"formID\" value=\"2494401114\" \/>\n  <div class=\"form-all\">\n    <ul class=\"form-section\">\n      <li id=\"cid_3\" class=\"form-input-wide\">\n        <div class=\"form-header-group\">\n          <h2 id=\"header_3\" class=\"form-header\">\n            Booking of Escorts\n          <\/h2>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_19\">\n        <div id=\"cid_19\" class=\"form-input-wide\">\n          <div id=\"text_19\" class=\"form-html\">\n            <p>\n              Please fill out form below to book our sexy Escorts\n            <\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line form-line-column\" id=\"id_18\">\n        <div id=\"cid_18\" class=\"form-input-wide\">\n          <img alt=\"\" class=\"form-image\" border=\"0\" src=\"http:\/\/www.jotform.com\/uploads\/secretgardens\/form_files\/nudepack.jpg\" height=\"328\" width=\"523\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_4\">\n        <label class=\"form-label-left\" id=\"label_4\" for=\"input_4\">\n          Name of Escort<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_4\" class=\"form-input\">\n          <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_4_0\" name=\"q4_nameOf[]\" value=\"Passion\" \/>\n              <label for=\"input_4_0\"> Passion <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_4_1\" name=\"q4_nameOf[]\" value=\"Sexy K\" \/>\n              <label for=\"input_4_1\"> Sexy K <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_4_2\" name=\"q4_nameOf[]\" value=\"Patience\" \/>\n              <label for=\"input_4_2\"> Patience <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_4_3\" name=\"q4_nameOf[]\" value=\"Melicia\" \/>\n              <label for=\"input_4_3\"> Melicia <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_4_4\" name=\"q4_nameOf[]\" value=\"Hot Chocolate\" \/>\n              <label for=\"input_4_4\"> Hot Chocolate <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_4_5\" name=\"q4_nameOf[]\" value=\"Sweet Caramel\" \/>\n              <label for=\"input_4_5\"> Sweet Caramel <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_4_6\" name=\"q4_nameOf[]\" value=\"Blackberry\" \/>\n              <label for=\"input_4_6\"> Blackberry <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_4_7\" name=\"q4_nameOf[]\" value=\"Spice Girl\" \/>\n              <label for=\"input_4_7\"> Spice Girl <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_4_8\" name=\"q4_nameOf[]\" value=\"Miss Got it All\" \/>\n              <label for=\"input_4_8\"> Miss Got it All <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_4_9\" name=\"q4_nameOf[]\" value=\"Candy Apple\" \/>\n              <label for=\"input_4_9\"> Candy Apple <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_4_10\" name=\"q4_nameOf[]\" value=\"Sexy Diva\" \/>\n              <label for=\"input_4_10\"> Sexy Diva <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_4_11\" name=\"q4_nameOf[]\" value=\"Milan\" \/>\n              <label for=\"input_4_11\"> Milan <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_4_12\" name=\"q4_nameOf[]\" value=\"Paris\" \/>\n              <label for=\"input_4_12\"> Paris <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_4_13\" name=\"q4_nameOf[]\" value=\"Alex\" \/>\n              <label for=\"input_4_13\"> Alex <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_4_14\" name=\"q4_nameOf[]\" value=\"Mr.Smooth\" \/>\n              <label for=\"input_4_14\"> Mr.Smooth <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_4_15\" name=\"q4_nameOf[]\" value=\"Tiana\" \/>\n              <label for=\"input_4_15\"> Tiana <\/label><\/span><span class=\"clearfix\"><\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_6\">\n        <label class=\"form-label-left\" id=\"label_6\" for=\"input_6\">\n          Name<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_6\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_6\" name=\"q6_name\" size=\"20\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_5\">\n        <label class=\"form-label-left\" id=\"label_5\" for=\"input_5\">\n          E-mail<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_5\" class=\"form-input\">\n          <input type=\"email\" class=\"form-textbox validate[required, Email]\" id=\"input_5\" name=\"q5_email5\" size=\"30\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_7\">\n        <label class=\"form-label-left\" id=\"label_7\" for=\"input_7\">\n          Location of where the Escort will meet you (e.g. hotel name and address)<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_7\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_7\" name=\"q7_locationOf\" size=\"20\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_16\">\n        <label class=\"form-label-left\" id=\"label_16\" for=\"input_16\">\n          Date and time you will need escort<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_16\" class=\"form-input\"><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" id=\"month_16\" name=\"q16_dateAnd16[month]\" type=\"text\" size=\"2\" maxlength=\"2\" value=\"02\" \/><span class=\"date-separate\">&nbsp;-<\/span>\n            <label class=\"form-sub-label\" for=\"month_16\" id=\"sublabel_month\"> Month <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" id=\"day_16\" name=\"q16_dateAnd16[day]\" type=\"text\" size=\"2\" maxlength=\"2\" value=\"05\" \/><span class=\"date-separate\">&nbsp;-<\/span>\n            <label class=\"form-sub-label\" for=\"day_16\" id=\"sublabel_day\"> Day <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" id=\"year_16\" name=\"q16_dateAnd16[year]\" type=\"text\" size=\"4\" maxlength=\"4\" value=\"2012\" \/>\n            <label class=\"form-sub-label\" for=\"year_16\" id=\"sublabel_year\"> Year <\/label><\/span><span class=\"form-sub-label-container\"><div id=\"at_16\">\n              at\n            <\/div>\n            <label class=\"form-sub-label\" for=\"at_16\"> &nbsp;&nbsp;&nbsp; <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" id=\"hour_16\" name=\"q16_dateAnd16[hour]\" type=\"text\" size=\"2\" maxlength=\"2\" value=\"14\" \/><span class=\"date-separate\">&nbsp;\/<\/span>\n            <label class=\"form-sub-label\" for=\"hour_16\" id=\"sublabel_hour\"> Hour <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" id=\"min_16\" name=\"q16_dateAnd16[min]\" type=\"text\" size=\"2\" maxlength=\"2\" value=\"47\" \/>\n            <label class=\"form-sub-label\" for=\"min_16\" id=\"sublabel_minutes\"> Minutes <\/label><\/span><span class=\"form-sub-label-container\"><select class=\"form-dropdown validate[required]\" id=\"ampm_16\" name=\"q16_dateAnd16[ampm]\">\n              <option value=\"AM\"> AM <\/option>\n              <option value=\"PM\"> PM <\/option>\n            <\/select>\n            <label class=\"form-sub-label\" for=\"ampm_16\"> &nbsp;&nbsp;&nbsp; <\/label><\/span><span class=\"form-sub-label-container\"><img alt=\"Pick a Date\" id=\"input_16_pick\" src=\"http:\/\/www.jotform.com\/images\/calendar.png\" align=\"absmiddle\" \/>\n            <label class=\"form-sub-label\" for=\"input_16_pick\"> &nbsp;&nbsp;&nbsp; <\/label><\/span>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_10\">\n        <label class=\"form-label-left\" id=\"label_10\" for=\"input_10\">\n          Services you would like?<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_10\" class=\"form-input\">\n          <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_10_0\" name=\"q10_servicesYou[]\" value=\"CIM\" \/>\n              <label for=\"input_10_0\"> CIM <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_10_1\" name=\"q10_servicesYou[]\" value=\"A-Level\" \/>\n              <label for=\"input_10_1\"> A-Level <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_10_2\" name=\"q10_servicesYou[]\" value=\"Normal Service\" \/>\n              <label for=\"input_10_2\"> Normal Service <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_10_3\" name=\"q10_servicesYou[]\" value=\"Russian\" \/>\n              <label for=\"input_10_3\"> Russian <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_10_4\" name=\"q10_servicesYou[]\" value=\"DUO (2 escort to one Client)\" \/>\n              <label for=\"input_10_4\"> DUO (2 escort to one Client) <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_10_5\" name=\"q10_servicesYou[]\" value=\"Couples (1 Escort to a couple)\" \/>\n              <label for=\"input_10_5\"> Couples (1 Escort to a couple) <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_10_6\" name=\"q10_servicesYou[]\" value=\"DT\" \/>\n              <label for=\"input_10_6\"> DT <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_10_7\" name=\"q10_servicesYou[]\" value=\"MSOG\" \/>\n              <label for=\"input_10_7\"> MSOG <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_10_8\" name=\"q10_servicesYou[]\" value=\"Full Service (CIM, A-Level,DT, O-Level, Russian, Normal Service and More)\" \/>\n              <label for=\"input_10_8\"> Full Service (CIM, A-Level,DT, O-Level, Russian, Normal Service and More) <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_10_9\" name=\"q10_servicesYou[]\" value=\"Strip Tease\" \/>\n              <label for=\"input_10_9\"> Strip Tease <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_10_10\" name=\"q10_servicesYou[]\" value=\"Bachelor Party\" \/>\n              <label for=\"input_10_10\"> Bachelor Party <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_10_11\" name=\"q10_servicesYou[]\" value=\"One of our Vacation Packages\" \/>\n              <label for=\"input_10_11\"> One of our Vacation Packages <\/label><\/span><span class=\"clearfix\"><\/span>\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\">\n          How long will you want the escort to stay?<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_11\" class=\"form-input\">\n          <select class=\"form-dropdown validate[required]\" style=\"width:150px\" id=\"input_11\" name=\"q11_howLong\">\n            <option>  <\/option>\n            <option value=\"1 Hour\"> 1 Hour <\/option>\n            <option value=\"2 Hour\"> 2 Hour <\/option>\n            <option value=\"3 Hour\"> 3 Hour <\/option>\n            <option value=\"Dinner Date (4hrs)\"> Dinner Date (4hrs) <\/option>\n            <option value=\"Overnight Stay (8-10hrs)\"> Overnight Stay (8-10hrs) <\/option>\n            <option value=\"12 Hours\"> 12 Hours <\/option>\n            <option value=\"24 Hours\"> 24 Hours <\/option>\n            <option value=\"48 Hours\"> 48 Hours <\/option>\n            <option value=\"Weekend Stay (3 Days)\"> Weekend Stay (3 Days) <\/option>\n            <option value=\"1 Weeks\"> 1 Weeks <\/option>\n            <option value=\"2 Weeks\"> 2 Weeks <\/option>\n            <option value=\"3 Weeks\"> 3 Weeks <\/option>\n            <option value=\"1 Month\"> 1 Month <\/option>\n          <\/select>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_12\">\n        <label class=\"form-label-left\" id=\"label_12\" for=\"input_12\">\n          How Would you like the escort to dress?<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_12\" class=\"form-input\">\n          <select class=\"form-dropdown validate[required]\" style=\"width:150px\" id=\"input_12\" name=\"q12_howWould12\">\n            <option>  <\/option>\n            <option value=\"Exotic Wear\"> Exotic Wear <\/option>\n            <option value=\"Club Wear\"> Club Wear <\/option>\n            <option value=\"Formal Wear\"> Formal Wear <\/option>\n            <option value=\"Semi-Formal Wear\"> Semi-Formal Wear <\/option>\n            <option value=\"Business Wear\"> Business Wear <\/option>\n            <option value=\"Dinner Wear\"> Dinner Wear <\/option>\n          <\/select>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_13\">\n        <label class=\"form-label-left\" id=\"label_13\" for=\"input_13\">\n          What country are you from<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_13\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_13\" name=\"q13_whatCountry13\" size=\"20\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_14\">\n        <label class=\"form-label-left\" id=\"label_14\" for=\"input_14\">\n          Have you used our services before?<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_14\" class=\"form-input\">\n          <select class=\"form-dropdown validate[required]\" style=\"width:150px\" id=\"input_14\" name=\"q14_haveYou\">\n            <option>  <\/option>\n            <option value=\"Yes\"> Yes <\/option>\n            <option value=\"No\"> No <\/option>\n          <\/select>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_15\">\n        <label class=\"form-label-left\" id=\"label_15\" for=\"input_15\">\n          Where did you hear about us?<span class=\"form-required\">*<\/span>\n        <\/label>\n        <div id=\"cid_15\" class=\"form-input\">\n          <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_15\" name=\"q15_whereDid15\" size=\"20\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" id=\"id_17\">\n        <div id=\"cid_17\" class=\"form-input-wide\">\n          <div style=\"margin-left:156px\" class=\"form-buttons-wrapper\">\n            <button id=\"input_17\" type=\"submit\" class=\"form-submit-button\">\n              Submit Form\n            <\/button>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li style=\"display:none\">\n        Should be Empty:\n        <input type=\"text\" name=\"website\" value=\"\" \/>\n      <\/li>\n    <\/ul>\n  <\/div>\n  <input type=\"hidden\" id=\"simple_spc\" name=\"simple_spc\" value=\"2494401114\" \/>\n  <script type=\"text\/javascript\">\n  document.getElementById(\"si\" + \"mple\" + \"_spc\").value = \"2494401114-2494401114\";\n  <\/script>\n<\/form><\/body>\n<\/html>\n");