/*jslint nomen:false, debug:true, evil:true, vars:false, browser:true, forin:true, undef:false, white:false */
/**
* Includes a Form with javascript
* @param {Object} formId
* @param {Object} initialHeight
* @param {Object} iframeCode
*/
function FrameBuilder (formId, appendTo, initialHeight, iframeCode){
this.formId = formId;
this.initialHeight = initialHeight;
this.iframeCode = iframeCode;
this.frame = null;
this.timeInterval= 200;
this.appendTo = appendTo || false;
// initialize function for object
this.init = function(){
this.createFrame();
this.addFrameContent(this.iframeCode);
};
// Create the frame
this.createFrame = function(){
var htmlCode = "<"+"iframe src=\"\" allowtransparency=\"true\" frameborder=\"0\" name=\""+this.formId+"\" id=\""+this.formId+"\" style=\"width:100%; height:"+this.initialHeight+"px; border:none;\" scrolling=\"no\">";
if(this.appendTo === false){
document.write(htmlCode);
}else{
var tmp = document.createElement('div');
tmp.innerHTML = htmlCode;
var a = this.appendTo;
document.getElementById(a).appendChild(tmp.firstChild);
}
// also get the frame for future use.
this.frame = document.getElementById(this.formId);
// set the time on the on load event of the frame
this.addEvent(this.frame, 'load', this.bindMethod(this.setTimer, this));
};
// add event function for different browsers
this.addEvent = function( obj, type, fn ) {
if ( obj.attachEvent ) {
obj["e"+type+fn] = fn;
obj[type+fn] = function() { obj["e"+type+fn]( window.event ); };
obj.attachEvent( "on"+type, obj[type+fn] );
}
else{
obj.addEventListener( type, fn, false );
}
};
this.addFrameContent = function (string){
string = string.replace(new RegExp('src\\=\\"[^"]*captcha.php\"><\/scr'+'ipt>', 'gim'), 'src="http://api.recaptcha.net/js/recaptcha_ajax.js"><'+'div id="recaptcha_div"><'+'/div>'+
'<'+'style>#recaptcha_logo{ display:none;} #recaptcha_tagline{display:none;} #recaptcha_table{border:none !important;} .recaptchatable .recaptcha_image_cell, #recaptcha_table{ background-color:transparent !important; } <'+'/style>'+
'<'+'script defer="defer"> window.onload = function(){ Recaptcha.create("6Ld9UAgAAAAAAMon8zjt30tEZiGQZ4IIuWXLt1ky", "recaptcha_div", {theme: "clean",tabindex: 0,callback: function (){'+
'if (document.getElementById("uword")) { document.getElementById("uword").parentNode.removeChild(document.getElementById("uword")); } if (window["validate"] !== undefined) { if (document.getElementById("recaptcha_response_field")){ document.getElementById("recaptcha_response_field").onblur = function(){ validate(document.getElementById("recaptcha_response_field"), "Required"); } } } if (document.getElementById("recaptcha_response_field")){ document.getElementsByName("recaptcha_challenge_field")[0].setAttribute("name", "anum"); } if (document.getElementById("recaptcha_response_field")){ document.getElementsByName("recaptcha_response_field")[0].setAttribute("name", "qCap"); }}})'+
' }<'+'/script>');
string = string.replace(/(type="text\/javascript">)\s+(validate\(\"[^"]*"\);)/, '$1 jTime = setInterval(function(){if("validate" in window){$2clearTimeout(jTime);}}, 1000);');
var frameDocument = (this.frame.contentWindow) ? this.frame.contentWindow : (this.frame.contentDocument.document) ? this.frame.contentDocument.document : this.frame.contentDocument;
frameDocument.document.open();
frameDocument.document.write(string);
setTimeout( function(){
frameDocument.document.close();
try{
if('JotFormFrameLoaded' in window){
JotFormFrameLoaded();
}
}catch(e){}
},200);
};
this.setTimer = function(){
var self = this;
this.interval = setTimeout(function(){self.changeHeight();},this.timeInterval);
};
this.changeHeight = function (){
var actualHeight = this.getBodyHeight();
var currentHeight = this.getViewPortHeight();
if(actualHeight === undefined){
this.frame.style.height = "100%";
if(!this.frame.style.minHeight){
this.frame.style.minHeight = "300px";
}
}else if (Math.abs(actualHeight - currentHeight) > 18){
this.frame.style.height = (actualHeight)+"px";
}
this.setTimer();
};
this.bindMethod = function(method, scope) {
return function() {
method.apply(scope,arguments);
};
};
this.getBodyHeight = function (){
var height;
var scrollHeight;
var offsetHeight;
try{ // Prevent IE from throw errors
if (this.frame.contentWindow.document.height){
height = this.frame.contentWindow.document.height;
//Emre: to prevent "iframe height" problem (61059)
if (this.frame.contentWindow.document.body.scrollHeight){
height = scrollHeight = this.frame.contentWindow.document.body.scrollHeight;
}
if (this.frame.contentWindow.document.body.offsetHeight){
height = offsetHeight = this.frame.contentWindow.document.body.offsetHeight;
}
} else if (this.frame.contentWindow.document.body){
if (this.frame.contentWindow.document.body.scrollHeight){
height = scrollHeight = this.frame.contentWindow.document.body.scrollHeight;
}
if (this.frame.contentWindow.document.body.offsetHeight){
height = offsetHeight = this.frame.contentWindow.document.body.offsetHeight;
}
if (scrollHeight && offsetHeight){
height = Math.max(scrollHeight, offsetHeight);
}
}
}catch(e){ }
return height;
};
this.getViewPortHeight = function(){
var height = 0;
try{ // Prevent IE from throw errors
if (this.frame.contentWindow.window.innerHeight)
{
height = this.frame.contentWindow.window.innerHeight - 18;
}
else if ((this.frame.contentWindow.document.documentElement) &&
(this.frame.contentWindow.document.documentElement.clientHeight))
{
height = this.frame.contentWindow.document.documentElement.clientHeight;
}
else if ((this.frame.contentWindow.document.body) &&
(this.frame.contentWindow.document.body.clientHeight))
{
height = this.frame.contentWindow.document.body.clientHeight;
}
}catch(e){ }
return height;
};
this.init();
}
FrameBuilder.get = [];
var i91902740213 = new FrameBuilder("91902740213", false, "", "\n\n\n\n\nForm<\/title>\n<link href=\"http:\/\/max.jotfor.ms\/min\/g=formCss?3.0.2435\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<style type=\"text\/css\">\n .form-label{\n width:150px !important;\n }\n .form-label-left{\n width:150px !important;\n }\n .form-line{\n padding:5px;\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:20px;\n width:690px;\n background:#ffffff;\n color:black !important;\n font-family:Arial;\n font-size:12px;\n }\n<\/style>\n\n<script src=\"http:\/\/max.jotfor.ms\/min\/g=jotform?3.0.2435\" type=\"text\/javascript\"><\/script>\n<script type=\"text\/javascript\">\n var jsTime = setInterval(function(){try{\n JotForm.jsForm = true;\n\n JotForm.init(function(){\n JotForm.description('input_20', 'Click \\\"Choose File\\\" to get your image for upload.');\n JotForm.description('input_26', 'Click \\\"Choose File\\\" to get your image for upload.');\n JotForm.description('input_27', 'Click \\\"Choose File\\\" to get your image for upload.');\n JotForm.description('input_28', 'Click \\\"Choose File\\\" to get your image for upload.');\n JotForm.description('input_29', 'Click \\\"Choose File\\\" to get your image for upload.');\n JotForm.description('input_30', 'Click \\\"Choose File\\\" to get your image for upload.');\n JotForm.description('input_130', 'Click \\\"Choose File\\\" to get your image for upload.');\n JotForm.description('input_94', 'Click \\\"Choose File\\\" to get your image for upload.');\n JotForm.description('input_95', 'Click \\\"Choose File\\\" to get your image for upload.');\n JotForm.description('input_96', 'Click \\\"Choose File\\\" to get your image for upload.');\n JotForm.totalCounter({\"input_129_100\":{\"price\":\"30\"},\"input_129_101\":{\"price\":\"35\"},\"input_129_102\":{\"price\":\"40\"},\"input_129_103\":{\"price\":\"45\"},\"input_129_104\":{\"price\":\"50\"},\"input_129_105\":{\"price\":\"55\"},\"input_129_106\":{\"price\":\"60\"},\"input_129_107\":{\"price\":\"65\"}});\n JotForm.initCaptcha('input_33');\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\" enctype=\"multipart\/form-data\" name=\"form_91902740213\" id=\"91902740213\" accept-charset=\"utf-8\">\n <input type=\"hidden\" name=\"formID\" value=\"91902740213\" \/>\n <div class=\"form-all\">\n <ul class=\"form-section\">\n <li class=\"form-line\" id=\"id_0\">\n <label class=\"form-label-left\" id=\"label_0\" for=\"input_0\">\n First Name<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_0\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_0\" name=\"q0_firstName\" size=\"30\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_1\">\n <label class=\"form-label-left\" id=\"label_1\" for=\"input_1\">\n Last Name<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_1\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_1\" name=\"q1_lastName\" size=\"30\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_2\">\n <label class=\"form-label-left\" id=\"label_2\" for=\"input_2\">\n E-mail<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_2\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_2\" name=\"q2_email\" size=\"30\" 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 Phone (with country code if outside the USA)<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_phonewith66\" size=\"30\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_3\">\n <label class=\"form-label-left\" id=\"label_3\" for=\"input_3\">\n Address<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_3\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_3\" name=\"q3_address\" size=\"30\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_132\">\n <label class=\"form-label-left\" id=\"label_132\" for=\"input_132\"> Address Optional (Apt.\/Suite) <\/label>\n <div id=\"cid_132\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_132\" name=\"q132_addressOptional\" size=\"30\" maxlength=\"100\" \/>\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 City<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_4\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_4\" name=\"q4_city\" size=\"30\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_131\">\n <label class=\"form-label-left\" id=\"label_131\" for=\"input_131\">\n State\/Province<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_131\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_131\" name=\"q131_stateprovince\" size=\"30\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_124\">\n <label class=\"form-label-left\" id=\"label_124\" for=\"input_124\">\n Zip or Postal Code<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_124\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_124\" name=\"q124_zipOr\" size=\"20\" maxlength=\"100\" \/>\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 Country<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_6\" class=\"form-input\">\n <select class=\"form-dropdown validate[required]\" style=\"width:150px\" id=\"input_6\" name=\"q6_country\">\n <option> <\/option>\n <option value=\"United States\"> United States <\/option>\n <option value=\"Abkhazia\"> Abkhazia <\/option>\n <option value=\"Afghanistan\"> Afghanistan <\/option>\n <option value=\"Albania\"> Albania <\/option>\n <option value=\"Algeria\"> Algeria <\/option>\n <option value=\"American Samoa\"> American Samoa <\/option>\n <option value=\"Andorra\"> Andorra <\/option>\n <option value=\"Angola\"> Angola <\/option>\n <option value=\"Anguilla\"> Anguilla <\/option>\n <option value=\"Antigua and Barbuda\"> Antigua and Barbuda <\/option>\n <option value=\"Argentina\"> Argentina <\/option>\n <option value=\"Armenia\"> Armenia <\/option>\n <option value=\"Aruba\"> Aruba <\/option>\n <option value=\"Australia\"> Australia <\/option>\n <option value=\"Austria\"> Austria <\/option>\n <option value=\"Azerbaijan\"> Azerbaijan <\/option>\n <option value=\"The Bahamas\"> The Bahamas <\/option>\n <option value=\"Bahrain\"> Bahrain <\/option>\n <option value=\"Bangladesh\"> Bangladesh <\/option>\n <option value=\"Barbados\"> Barbados <\/option>\n <option value=\"Belarus\"> Belarus <\/option>\n <option value=\"Belgium\"> Belgium <\/option>\n <option value=\"Belize\"> Belize <\/option>\n <option value=\"Benin\"> Benin <\/option>\n <option value=\"Bermuda\"> Bermuda <\/option>\n <option value=\"Bhutan\"> Bhutan <\/option>\n <option value=\"Bolivia\"> Bolivia <\/option>\n <option value=\"Bosnia and Herzegovina\"> Bosnia and Herzegovina <\/option>\n <option value=\"Botswana\"> Botswana <\/option>\n <option value=\"Brazil\"> Brazil <\/option>\n <option value=\"Brunei\"> Brunei <\/option>\n <option value=\"Bulgaria\"> Bulgaria <\/option>\n <option value=\"Burkina Faso\"> Burkina Faso <\/option>\n <option value=\"Burundi\"> Burundi <\/option>\n <option value=\"Cambodia\"> Cambodia <\/option>\n <option value=\"Cameroon\"> Cameroon <\/option>\n <option value=\"Canada\"> Canada <\/option>\n <option value=\"Cape Verde\"> Cape Verde <\/option>\n <option value=\"Cayman Islands\"> Cayman Islands <\/option>\n <option value=\"Central African Republic\"> Central African Republic <\/option>\n <option value=\"Chad\"> Chad <\/option>\n <option value=\"Chile\"> Chile <\/option>\n <option value=\"People's Republic of China\"> People's Republic of China <\/option>\n <option value=\"Republic of China\"> Republic of China <\/option>\n <option value=\"Christmas Island\"> Christmas Island <\/option>\n <option value=\"Cocos (Keeling) Islands\"> Cocos (Keeling) Islands <\/option>\n <option value=\"Colombia\"> Colombia <\/option>\n <option value=\"Comoros\"> Comoros <\/option>\n <option value=\"Congo\"> Congo <\/option>\n <option value=\"Cook Islands\"> Cook Islands <\/option>\n <option value=\"Costa Rica\"> Costa Rica <\/option>\n <option value=\"Cote d'Ivoire\"> Cote d'Ivoire <\/option>\n <option value=\"Croatia\"> Croatia <\/option>\n <option value=\"Cuba\"> Cuba <\/option>\n <option value=\"Cyprus\"> Cyprus <\/option>\n <option value=\"Czech Republic\"> Czech Republic <\/option>\n <option value=\"Denmark\"> Denmark <\/option>\n <option value=\"Djibouti\"> Djibouti <\/option>\n <option value=\"Dominica\"> Dominica <\/option>\n <option value=\"Dominican Republic\"> Dominican Republic <\/option>\n <option value=\"Ecuador\"> Ecuador <\/option>\n <option value=\"Egypt\"> Egypt <\/option>\n <option value=\"El Salvador\"> El Salvador <\/option>\n <option value=\"Equatorial Guinea\"> Equatorial Guinea <\/option>\n <option value=\"Eritrea\"> Eritrea <\/option>\n <option value=\"Estonia\"> Estonia <\/option>\n <option value=\"Ethiopia\"> Ethiopia <\/option>\n <option value=\"Falkland Islands\"> Falkland Islands <\/option>\n <option value=\"Faroe Islands\"> Faroe Islands <\/option>\n <option value=\"Fiji\"> Fiji <\/option>\n <option value=\"Finland\"> Finland <\/option>\n <option value=\"France\"> France <\/option>\n <option value=\"French Polynesia\"> French Polynesia <\/option>\n <option value=\"Gabon\"> Gabon <\/option>\n <option value=\"The Gambia\"> The Gambia <\/option>\n <option value=\"Georgia\"> Georgia <\/option>\n <option value=\"Germany\"> Germany <\/option>\n <option value=\"Ghana\"> Ghana <\/option>\n <option value=\"Gibraltar\"> Gibraltar <\/option>\n <option value=\"Greece\"> Greece <\/option>\n <option value=\"Greenland\"> Greenland <\/option>\n <option value=\"Grenada\"> Grenada <\/option>\n <option value=\"Guadeloupe\"> Guadeloupe <\/option>\n <option value=\"Guam\"> Guam <\/option>\n <option value=\"Guatemala\"> Guatemala <\/option>\n <option value=\"Guernsey\"> Guernsey <\/option>\n <option value=\"Guinea\"> Guinea <\/option>\n <option value=\"Guinea-Bissau\"> Guinea-Bissau <\/option>\n <option value=\"Guyana\"> Guyana <\/option>\n <option value=\"Haiti\"> Haiti <\/option>\n <option value=\"Honduras\"> Honduras <\/option>\n <option value=\"Hong Kong\"> Hong Kong <\/option>\n <option value=\"Hungary\"> Hungary <\/option>\n <option value=\"Iceland\"> Iceland <\/option>\n <option value=\"India\"> India <\/option>\n <option value=\"Indonesia\"> Indonesia <\/option>\n <option value=\"Iran\"> Iran <\/option>\n <option value=\"Iraq\"> Iraq <\/option>\n <option value=\"Ireland\"> Ireland <\/option>\n <option value=\"Israel\"> Israel <\/option>\n <option value=\"Italy\"> Italy <\/option>\n <option value=\"Jamaica\"> Jamaica <\/option>\n <option value=\"Japan\"> Japan <\/option>\n <option value=\"Jersey\"> Jersey <\/option>\n <option value=\"Jordan\"> Jordan <\/option>\n <option value=\"Kazakhstan\"> Kazakhstan <\/option>\n <option value=\"Kenya\"> Kenya <\/option>\n <option value=\"Kiribati\"> Kiribati <\/option>\n <option value=\"North Korea\"> North Korea <\/option>\n <option value=\"South Korea\"> South Korea <\/option>\n <option value=\"Kosovo\"> Kosovo <\/option>\n <option value=\"Kuwait\"> Kuwait <\/option>\n <option value=\"Kyrgyzstan\"> Kyrgyzstan <\/option>\n <option value=\"Laos\"> Laos <\/option>\n <option value=\"Latvia\"> Latvia <\/option>\n <option value=\"Lebanon\"> Lebanon <\/option>\n <option value=\"Lesotho\"> Lesotho <\/option>\n <option value=\"Liberia\"> Liberia <\/option>\n <option value=\"Libya\"> Libya <\/option>\n <option value=\"Liechtenstein\"> Liechtenstein <\/option>\n <option value=\"Lithuania\"> Lithuania <\/option>\n <option value=\"Luxembourg\"> Luxembourg <\/option>\n <option value=\"Macau\"> Macau <\/option>\n <option value=\"Macedonia\"> Macedonia <\/option>\n <option value=\"Madagascar\"> Madagascar <\/option>\n <option value=\"Malawi\"> Malawi <\/option>\n <option value=\"Malaysia\"> Malaysia <\/option>\n <option value=\"Maldives\"> Maldives <\/option>\n <option value=\"Mali\"> Mali <\/option>\n <option value=\"Malta\"> Malta <\/option>\n <option value=\"Marshall Islands\"> Marshall Islands <\/option>\n <option value=\"Martinique\"> Martinique <\/option>\n <option value=\"Mauritania\"> Mauritania <\/option>\n <option value=\"Mauritius\"> Mauritius <\/option>\n <option value=\"Mayotte\"> Mayotte <\/option>\n <option value=\"Mexico\"> Mexico <\/option>\n <option value=\"Micronesia\"> Micronesia <\/option>\n <option value=\"Moldova\"> Moldova <\/option>\n <option value=\"Monaco\"> Monaco <\/option>\n <option value=\"Mongolia\"> Mongolia <\/option>\n <option value=\"Montenegro\"> Montenegro <\/option>\n <option value=\"Montserrat\"> Montserrat <\/option>\n <option value=\"Morocco\"> Morocco <\/option>\n <option value=\"Mozambique\"> Mozambique <\/option>\n <option value=\"Myanmar\"> Myanmar <\/option>\n <option value=\"Nagorno-Karabakh\"> Nagorno-Karabakh <\/option>\n <option value=\"Namibia\"> Namibia <\/option>\n <option value=\"Nauru\"> Nauru <\/option>\n <option value=\"Nepal\"> Nepal <\/option>\n <option value=\"Netherlands\"> Netherlands <\/option>\n <option value=\"Netherlands Antilles\"> Netherlands Antilles <\/option>\n <option value=\"New Caledonia\"> New Caledonia <\/option>\n <option value=\"New Zealand\"> New Zealand <\/option>\n <option value=\"Nicaragua\"> Nicaragua <\/option>\n <option value=\"Niger\"> Niger <\/option>\n <option value=\"Nigeria\"> Nigeria <\/option>\n <option value=\"Niue\"> Niue <\/option>\n <option value=\"Norfolk Island\"> Norfolk Island <\/option>\n <option value=\"Turkish Republic of Northern Cyprus\"> Turkish Republic of Northern Cyprus <\/option>\n <option value=\"Northern Mariana\"> Northern Mariana <\/option>\n <option value=\"Norway\"> Norway <\/option>\n <option value=\"Oman\"> Oman <\/option>\n <option value=\"Pakistan\"> Pakistan <\/option>\n <option value=\"Palau\"> Palau <\/option>\n <option value=\"Palestine\"> Palestine <\/option>\n <option value=\"Panama\"> Panama <\/option>\n <option value=\"Papua New Guinea\"> Papua New Guinea <\/option>\n <option value=\"Paraguay\"> Paraguay <\/option>\n <option value=\"Peru\"> Peru <\/option>\n <option value=\"Philippines\"> Philippines <\/option>\n <option value=\"Pitcairn Islands\"> Pitcairn Islands <\/option>\n <option value=\"Poland\"> Poland <\/option>\n <option value=\"Portugal\"> Portugal <\/option>\n <option value=\"Puerto Rico\"> Puerto Rico <\/option>\n <option value=\"Qatar\"> Qatar <\/option>\n <option value=\"Romania\"> Romania <\/option>\n <option value=\"Russia\"> Russia <\/option>\n <option value=\"Rwanda\"> Rwanda <\/option>\n <option value=\"Saint Barthelemy\"> Saint Barthelemy <\/option>\n <option value=\"Saint Helena\"> Saint Helena <\/option>\n <option value=\"Saint Kitts and Nevis\"> Saint Kitts and Nevis <\/option>\n <option value=\"Saint Lucia\"> Saint Lucia <\/option>\n <option value=\"Saint Martin\"> Saint Martin <\/option>\n <option value=\"Saint Pierre and Miquelon\"> Saint Pierre and Miquelon <\/option>\n <option value=\"Saint Vincent and the Grenadines\"> Saint Vincent and the Grenadines <\/option>\n <option value=\"Samoa\"> Samoa <\/option>\n <option value=\"San Marino\"> San Marino <\/option>\n <option value=\"Sao Tome and Principe\"> Sao Tome and Principe <\/option>\n <option value=\"Saudi Arabia\"> Saudi Arabia <\/option>\n <option value=\"Senegal\"> Senegal <\/option>\n <option value=\"Serbia\"> Serbia <\/option>\n <option value=\"Seychelles\"> Seychelles <\/option>\n <option value=\"Sierra Leone\"> Sierra Leone <\/option>\n <option value=\"Singapore\"> Singapore <\/option>\n <option value=\"Slovakia\"> Slovakia <\/option>\n <option value=\"Slovenia\"> Slovenia <\/option>\n <option value=\"Solomon Islands\"> Solomon Islands <\/option>\n <option value=\"Somalia\"> Somalia <\/option>\n <option value=\"Somaliland\"> Somaliland <\/option>\n <option value=\"South Africa\"> South Africa <\/option>\n <option value=\"South Ossetia\"> South Ossetia <\/option>\n <option value=\"Spain\"> Spain <\/option>\n <option value=\"Sri Lanka\"> Sri Lanka <\/option>\n <option value=\"Sudan\"> Sudan <\/option>\n <option value=\"Suriname\"> Suriname <\/option>\n <option value=\"Svalbard\"> Svalbard <\/option>\n <option value=\"Swaziland\"> Swaziland <\/option>\n <option value=\"Sweden\"> Sweden <\/option>\n <option value=\"Switzerland\"> Switzerland <\/option>\n <option value=\"Syria\"> Syria <\/option>\n <option value=\"Taiwan\"> Taiwan <\/option>\n <option value=\"Tajikistan\"> Tajikistan <\/option>\n <option value=\"Tanzania\"> Tanzania <\/option>\n <option value=\"Thailand\"> Thailand <\/option>\n <option value=\"Timor-Leste\"> Timor-Leste <\/option>\n <option value=\"Togo\"> Togo <\/option>\n <option value=\"Tokelau\"> Tokelau <\/option>\n <option value=\"Tonga\"> Tonga <\/option>\n <option value=\"Transnistria Pridnestrovie\"> Transnistria Pridnestrovie <\/option>\n <option value=\"Trinidad and Tobago\"> Trinidad and Tobago <\/option>\n <option value=\"Tristan da Cunha\"> Tristan da Cunha <\/option>\n <option value=\"Tunisia\"> Tunisia <\/option>\n <option value=\"Turkey\"> Turkey <\/option>\n <option value=\"Turkmenistan\"> Turkmenistan <\/option>\n <option value=\"Turks and Caicos Islands\"> Turks and Caicos Islands <\/option>\n <option value=\"Tuvalu\"> Tuvalu <\/option>\n <option value=\"Uganda\"> Uganda <\/option>\n <option value=\"Ukraine\"> Ukraine <\/option>\n <option value=\"United Arab Emirates\"> United Arab Emirates <\/option>\n <option value=\"United Kingdom\"> United Kingdom <\/option>\n <option value=\"Uruguay\"> Uruguay <\/option>\n <option value=\"Uzbekistan\"> Uzbekistan <\/option>\n <option value=\"Vanuatu\"> Vanuatu <\/option>\n <option value=\"Vatican City\"> Vatican City <\/option>\n <option value=\"Venezuela\"> Venezuela <\/option>\n <option value=\"Vietnam\"> Vietnam <\/option>\n <option value=\"British Virgin Islands\"> British Virgin Islands <\/option>\n <option value=\"US Virgin Islands\"> US Virgin Islands <\/option>\n <option value=\"Wallis and Futuna\"> Wallis and Futuna <\/option>\n <option value=\"Western Sahara\"> Western Sahara <\/option>\n <option value=\"Yemen\"> Yemen <\/option>\n <option value=\"Zambia\"> Zambia <\/option>\n <option value=\"Zimbabwe\"> Zimbabwe <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_7\">\n <label class=\"form-label-left\" id=\"label_7\" for=\"input_7\"> Questions \/ Comments <\/label>\n <div id=\"cid_7\" class=\"form-input\">\n <textarea id=\"input_7\" class=\"form-textarea\" name=\"q7_questions\" cols=\"30\" rows=\"6\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_82\">\n <div id=\"cid_82\" class=\"form-input-wide\">\n <div id=\"text_82\" class=\"form-html\">\n Please provide the following information regarding the images you are submitting. Include all framing costs in the retail pricing. Images to be approx. 6\" x 9\" @ 125ppi (750 x 1125 pixels) for online submissions. Images to be in .jpg format. Thank you\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_20\">\n <label class=\"form-label-left\" id=\"label_20\" for=\"input_20\"> IMAGE #1 <\/label>\n <div id=\"cid_20\" class=\"form-input\">\n <input class=\"form-upload\" type=\"file\" id=\"input_20\" name=\"q20_image1\" file-accept=\"pdf, doc, xls, jpg, jpeg, gif, png, mp3, mpeg\" file-maxsize=\"2000\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_43\">\n <label class=\"form-label-left\" id=\"label_43\" for=\"input_43\"> #1 Title <\/label>\n <div id=\"cid_43\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_43\" name=\"q43_1Title\" size=\"30\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_42\">\n <label class=\"form-label-left\" id=\"label_42\" for=\"input_42\"> #1 Medium <\/label>\n <div id=\"cid_42\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_42\" name=\"q42_1Medium\" size=\"30\" maxlength=\"200\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_44\">\n <label class=\"form-label-left\" id=\"label_44\" for=\"input_44\"> #1 Image Size (hxwxd) <\/label>\n <div id=\"cid_44\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_44\" name=\"q44_1Image44\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_73\">\n <label class=\"form-label-left\" id=\"label_73\" for=\"input_73\"> #1 Paper Size (hxwxd) <\/label>\n <div id=\"cid_73\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_73\" name=\"q73_1Paper73\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_45\">\n <label class=\"form-label-left\" id=\"label_45\" for=\"input_45\"> #1 Retail Price (unframed) <\/label>\n <div id=\"cid_45\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_45\" name=\"q45_1Retail\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_26\">\n <label class=\"form-label-left\" id=\"label_26\" for=\"input_26\"> IMAGE #2 <\/label>\n <div id=\"cid_26\" class=\"form-input\">\n <input class=\"form-upload\" type=\"file\" id=\"input_26\" name=\"q26_Image\" file-accept=\"doc, xls, jpg, jpeg, gif, pdf, png, mp3, mpeg\" file-maxsize=\"2000\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_46\">\n <label class=\"form-label-left\" id=\"label_46\" for=\"input_46\"> #2 Title <\/label>\n <div id=\"cid_46\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_46\" name=\"q46_2Title\" size=\"30\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_47\">\n <label class=\"form-label-left\" id=\"label_47\" for=\"input_47\"> #2 Medium <\/label>\n <div id=\"cid_47\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_47\" name=\"q47_2Medium\" size=\"30\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_49\">\n <label class=\"form-label-left\" id=\"label_49\" for=\"input_49\"> #2 Image Size (hxwxd) <\/label>\n <div id=\"cid_49\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_49\" name=\"q49_2Image\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_74\">\n <label class=\"form-label-left\" id=\"label_74\" for=\"input_74\"> #2 Paper Size (hxwxd) <\/label>\n <div id=\"cid_74\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_74\" name=\"q74_2Paper\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_48\">\n <label class=\"form-label-left\" id=\"label_48\" for=\"input_48\"> #2 Retail Price (unframed) <\/label>\n <div id=\"cid_48\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_48\" name=\"q48_2Retail48\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_27\">\n <label class=\"form-label-left\" id=\"label_27\" for=\"input_27\"> IMAGE #3 <\/label>\n <div id=\"cid_27\" class=\"form-input\">\n <input class=\"form-upload\" type=\"file\" id=\"input_27\" name=\"q27_image3\" file-accept=\"doc, xls, jpg, jpeg, gif, pdf, png, mp3, mpeg\" file-maxsize=\"2000\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_50\">\n <label class=\"form-label-left\" id=\"label_50\" for=\"input_50\"> #3 Title <\/label>\n <div id=\"cid_50\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_50\" name=\"q50_3Title\" size=\"30\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_51\">\n <label class=\"form-label-left\" id=\"label_51\" for=\"input_51\"> #3 Medium <\/label>\n <div id=\"cid_51\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_51\" name=\"q51_3Medium\" size=\"30\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_52\">\n <label class=\"form-label-left\" id=\"label_52\" for=\"input_52\"> #3 Image Size (hxwxd) <\/label>\n <div id=\"cid_52\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_52\" name=\"q52_3Image\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_75\">\n <label class=\"form-label-left\" id=\"label_75\" for=\"input_75\"> #3 Paper Size (hxwxd) <\/label>\n <div id=\"cid_75\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_75\" name=\"q75_3Paper\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_53\">\n <label class=\"form-label-left\" id=\"label_53\" for=\"input_53\"> #3 Retail Price (unframed) <\/label>\n <div id=\"cid_53\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_53\" name=\"q53_3Retail53\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_28\">\n <label class=\"form-label-left\" id=\"label_28\" for=\"input_28\"> IMAGE #4 <\/label>\n <div id=\"cid_28\" class=\"form-input\">\n <input class=\"form-upload\" type=\"file\" id=\"input_28\" name=\"q28_image4\" file-accept=\"doc, xls, jpg, jpeg, gif, pdf, png, mp3, mpeg\" file-maxsize=\"2000\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_54\">\n <label class=\"form-label-left\" id=\"label_54\" for=\"input_54\"> #4 Title <\/label>\n <div id=\"cid_54\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_54\" name=\"q54_4Title\" size=\"30\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_55\">\n <label class=\"form-label-left\" id=\"label_55\" for=\"input_55\"> #4 Medium <\/label>\n <div id=\"cid_55\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_55\" name=\"q55_4Medium\" size=\"30\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_56\">\n <label class=\"form-label-left\" id=\"label_56\" for=\"input_56\"> #4 Image Size (hxwxd) <\/label>\n <div id=\"cid_56\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_56\" name=\"q56_4Image\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_72\">\n <label class=\"form-label-left\" id=\"label_72\" for=\"input_72\"> #4 Paper Size (hxwxd) <\/label>\n <div id=\"cid_72\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_72\" name=\"q72_4Paper\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_57\">\n <label class=\"form-label-left\" id=\"label_57\" for=\"input_57\"> #4 Retail Price (unframed) <\/label>\n <div id=\"cid_57\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_57\" name=\"q57_4Retail57\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_29\">\n <label class=\"form-label-left\" id=\"label_29\" for=\"input_29\"> IMAGE #5 <\/label>\n <div id=\"cid_29\" class=\"form-input\">\n <input class=\"form-upload\" type=\"file\" id=\"input_29\" name=\"q29_image5\" file-accept=\"doc, xls, jpg, jpeg, gif, pdf, png, mp3, mpeg\" file-maxsize=\"2000\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_58\">\n <label class=\"form-label-left\" id=\"label_58\" for=\"input_58\"> #5 Title <\/label>\n <div id=\"cid_58\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_58\" name=\"q58_5Title\" size=\"30\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_59\">\n <label class=\"form-label-left\" id=\"label_59\" for=\"input_59\"> #5 Medium <\/label>\n <div id=\"cid_59\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_59\" name=\"q59_5Medium\" size=\"30\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_60\">\n <label class=\"form-label-left\" id=\"label_60\" for=\"input_60\"> #5 Image Size (hxwxd) <\/label>\n <div id=\"cid_60\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_60\" name=\"q60_5Image60\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_71\">\n <label class=\"form-label-left\" id=\"label_71\" for=\"input_71\"> #5 Paper Size (hxwxd) <\/label>\n <div id=\"cid_71\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_71\" name=\"q71_5Paper\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_61\">\n <label class=\"form-label-left\" id=\"label_61\" for=\"input_61\"> #5 Retail Price (unframed) <\/label>\n <div id=\"cid_61\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_61\" name=\"q61_5Retail61\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_30\">\n <label class=\"form-label-left\" id=\"label_30\" for=\"input_30\"> IMAGE #6 <\/label>\n <div id=\"cid_30\" class=\"form-input\">\n <input class=\"form-upload\" type=\"file\" id=\"input_30\" name=\"q30_image6\" file-accept=\"doc, xls, jpg, jpeg, gif, pdf, png, mp3, mpeg\" file-maxsize=\"2000\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_62\">\n <label class=\"form-label-left\" id=\"label_62\" for=\"input_62\"> #6 Title <\/label>\n <div id=\"cid_62\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_62\" name=\"q62_6Title\" size=\"30\" 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\"> #6 Medium <\/label>\n <div id=\"cid_63\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_63\" name=\"q63_6Medium\" size=\"30\" 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\"> #6 Image Size (hxwxd) <\/label>\n <div id=\"cid_64\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_64\" name=\"q64_6Image64\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_70\">\n <label class=\"form-label-left\" id=\"label_70\" for=\"input_70\"> #6 Paper Size (hxwxd) <\/label>\n <div id=\"cid_70\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_70\" name=\"q70_6Paper\" 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\"> #6 Retail Price (unframed) <\/label>\n <div id=\"cid_65\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_65\" name=\"q65_6Retail65\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_130\">\n <label class=\"form-label-left\" id=\"label_130\" for=\"input_130\"> IMAGE #7 <\/label>\n <div id=\"cid_130\" class=\"form-input\">\n <input class=\"form-upload\" type=\"file\" id=\"input_130\" name=\"q130_image7\" file-accept=\"doc, xls, jpg, jpeg, gif, png, mp3, mpeg\" file-maxsize=\"5000\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_101\">\n <label class=\"form-label-left\" id=\"label_101\" for=\"input_101\"> #7 Title <\/label>\n <div id=\"cid_101\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_101\" name=\"q101_7Title\" size=\"30\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_102\">\n <label class=\"form-label-left\" id=\"label_102\" for=\"input_102\"> #7 Medium <\/label>\n <div id=\"cid_102\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_102\" name=\"q102_7Medium\" size=\"30\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_105\">\n <label class=\"form-label-left\" id=\"label_105\" for=\"input_105\"> #7 Image Size (hxwxd) <\/label>\n <div id=\"cid_105\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_105\" name=\"q105_7Image\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_106\">\n <label class=\"form-label-left\" id=\"label_106\" for=\"input_106\"> #7 Paper Size (hxwxd) <\/label>\n <div id=\"cid_106\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_106\" name=\"q106_7Paper106\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_107\">\n <label class=\"form-label-left\" id=\"label_107\" for=\"input_107\"> #7 Retail Price (unframed) <\/label>\n <div id=\"cid_107\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_107\" name=\"q107_7Retail107\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_94\">\n <label class=\"form-label-left\" id=\"label_94\" for=\"input_94\"> IMAGE #8 <\/label>\n <div id=\"cid_94\" class=\"form-input\">\n <input class=\"form-upload\" type=\"file\" id=\"input_94\" name=\"q94_image8\" file-accept=\"doc, xls, jpg, jpeg, gif, png, mp3, mpeg\" file-maxsize=\"5000\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_108\">\n <label class=\"form-label-left\" id=\"label_108\" for=\"input_108\"> #8 Title <\/label>\n <div id=\"cid_108\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_108\" name=\"q108_8Title\" size=\"30\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_109\">\n <label class=\"form-label-left\" id=\"label_109\" for=\"input_109\"> #8 Medium <\/label>\n <div id=\"cid_109\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_109\" name=\"q109_8Medium\" size=\"30\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_110\">\n <label class=\"form-label-left\" id=\"label_110\" for=\"input_110\"> #8 Image Size (hxwxd) <\/label>\n <div id=\"cid_110\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_110\" name=\"q110_8Image\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_111\">\n <label class=\"form-label-left\" id=\"label_111\" for=\"input_111\"> #8 Paper Size (hxwxd) <\/label>\n <div id=\"cid_111\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_111\" name=\"q111_8Paper\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_112\">\n <label class=\"form-label-left\" id=\"label_112\" for=\"input_112\"> #8 Retail Price (unframed) <\/label>\n <div id=\"cid_112\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_112\" name=\"q112_8Retail112\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_95\">\n <label class=\"form-label-left\" id=\"label_95\" for=\"input_95\"> IMAGE #9 <\/label>\n <div id=\"cid_95\" class=\"form-input\">\n <input class=\"form-upload\" type=\"file\" id=\"input_95\" name=\"q95_image9\" file-accept=\"doc, xls, jpg, jpeg, gif, png, mp3, mpeg\" file-maxsize=\"5000\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_113\">\n <label class=\"form-label-left\" id=\"label_113\" for=\"input_113\"> #9 Title <\/label>\n <div id=\"cid_113\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_113\" name=\"q113_9Title\" size=\"30\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_114\">\n <label class=\"form-label-left\" id=\"label_114\" for=\"input_114\"> #9 Medium <\/label>\n <div id=\"cid_114\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_114\" name=\"q114_9Medium\" size=\"30\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_117\">\n <label class=\"form-label-left\" id=\"label_117\" for=\"input_117\"> #9 Image Size (hxwxd) <\/label>\n <div id=\"cid_117\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_117\" name=\"q117_9Image\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_116\">\n <label class=\"form-label-left\" id=\"label_116\" for=\"input_116\"> #9 Paper Size (hxwxd) <\/label>\n <div id=\"cid_116\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_116\" name=\"q116_9Paper\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_115\">\n <label class=\"form-label-left\" id=\"label_115\" for=\"input_115\"> #9 Retail Price (unframed) <\/label>\n <div id=\"cid_115\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_115\" name=\"q115_9Retail115\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_96\">\n <label class=\"form-label-left\" id=\"label_96\" for=\"input_96\"> IMAGE #10 <\/label>\n <div id=\"cid_96\" class=\"form-input\">\n <input class=\"form-upload\" type=\"file\" id=\"input_96\" name=\"q96_image10\" file-accept=\"doc, xls, jpg, jpeg, gif, png, mp3, mpeg\" file-maxsize=\"5000\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_118\">\n <label class=\"form-label-left\" id=\"label_118\" for=\"input_118\"> #10 Title <\/label>\n <div id=\"cid_118\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_118\" name=\"q118_10Title\" size=\"30\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_122\">\n <label class=\"form-label-left\" id=\"label_122\" for=\"input_122\"> #10 Medium <\/label>\n <div id=\"cid_122\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_122\" name=\"q122_10Medium\" size=\"30\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_120\">\n <label class=\"form-label-left\" id=\"label_120\" for=\"input_120\"> #10 Image Size (hxwxd) <\/label>\n <div id=\"cid_120\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_120\" name=\"q120_10Image120\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_121\">\n <label class=\"form-label-left\" id=\"label_121\" for=\"input_121\"> #10 Paper Size (hxwxd) <\/label>\n <div id=\"cid_121\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_121\" name=\"q121_10Paper\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_119\">\n <label class=\"form-label-left\" id=\"label_119\" for=\"input_119\"> #10 Retail Price (unframed) <\/label>\n <div id=\"cid_119\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_119\" name=\"q119_10Retail119\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_125\">\n <div id=\"cid_125\" class=\"form-input-wide\">\n <div id=\"text_125\" class=\"form-html\">\n PAYMENT: We accept payments via PayPal accounts or major credit cards processed through PayPal from those without a PayPal account. You DO NOT need a PayPal account to use your credit card on this site.\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\">\n ENTRY FEE<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_129\" class=\"form-input\"><span class=\"form-product-item\"><input class=\"form-radio validate[required]\" type=\"radio\" id=\"input_129_100\" name=\"q129_entryFee[][id]\" value=\"100\" \/>\n <label for=\"input_129_100\">\n 1 to 3 Entries<span class=\"form-product-details\"><b>\n $<span id=\"\">30.00<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/><span class=\"form-product-item\"><input class=\"form-radio validate[required]\" type=\"radio\" id=\"input_129_101\" name=\"q129_entryFee[][id]\" value=\"101\" \/>\n <label for=\"input_129_101\">\n 4 Entries<span class=\"form-product-details\"><b>\n $<span id=\"\">35.00<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/><span class=\"form-product-item\"><input class=\"form-radio validate[required]\" type=\"radio\" id=\"input_129_102\" name=\"q129_entryFee[][id]\" value=\"102\" \/>\n <label for=\"input_129_102\">\n 5 Entries<span class=\"form-product-details\"><b>\n $<span id=\"\">40.00<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/><span class=\"form-product-item\"><input class=\"form-radio validate[required]\" type=\"radio\" id=\"input_129_103\" name=\"q129_entryFee[][id]\" value=\"103\" \/>\n <label for=\"input_129_103\">\n 6 Entries<span class=\"form-product-details\"><b>\n $<span id=\"\">45.00<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/><span class=\"form-product-item\"><input class=\"form-radio validate[required]\" type=\"radio\" id=\"input_129_104\" name=\"q129_entryFee[][id]\" value=\"104\" \/>\n <label for=\"input_129_104\">\n 7 Entries<span class=\"form-product-details\"><b>\n $<span id=\"\">50.00<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/><span class=\"form-product-item\"><input class=\"form-radio validate[required]\" type=\"radio\" id=\"input_129_105\" name=\"q129_entryFee[][id]\" value=\"105\" \/>\n <label for=\"input_129_105\">\n 8 Entries<span class=\"form-product-details\"><b>\n $<span id=\"\">55.00<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/><span class=\"form-product-item\"><input class=\"form-radio validate[required]\" type=\"radio\" id=\"input_129_106\" name=\"q129_entryFee[][id]\" value=\"106\" \/>\n <label for=\"input_129_106\">\n 9 Entries<span class=\"form-product-details\"><b>\n $<span id=\"\">60.00<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/><span class=\"form-product-item\"><input class=\"form-radio validate[required]\" type=\"radio\" id=\"input_129_107\" name=\"q129_entryFee[][id]\" value=\"107\" \/>\n <label for=\"input_129_107\">\n 10 Entries<span class=\"form-product-details\"><b>\n $<span id=\"\">65.00<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_33\">\n <label class=\"form-label-left\" id=\"label_33\" for=\"input_33\">\n Enter the code as it is shown and click Submit:<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_33\" class=\"form-input\">\n <div class=\"form-captcha\">\n <label for=\"input_33\"> <img alt=\"Captcha - Reload if it's not displayed\" id=\"input_33_captcha\" class=\"form-captcha-image\" style=\"background:url(http:\/\/www.jotform.com\/images\/loader-big.gif) no-repeat center;\" src=\"http:\/\/www.jotform.com\/images\/blank.gif\" width=\"150\" height=\"41\" \/> <\/label>\n <div style=\"white-space:nowrap;\">\n <input type=\"text\" id=\"input_33\" class=\"form-textbox validate[required]\" name=\"captcha\" style=\"width:130px;\" \/>\n <img src=\"http:\/\/www.jotform.com\/images\/reload.png\" alt=\"Reload\" align=\"absmiddle\" style=\"cursor:pointer\" onclick=\"JotForm.reloadCaptcha('input_33');\" \/>\n <input type=\"hidden\" name=\"captcha_id\" id=\"input_33_captcha_id\" value=\"0\">\n <\/div>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_10\">\n <div id=\"cid_10\" class=\"form-input-wide\">\n <div style=\"margin-left:156px\" class=\"form-buttons-wrapper\">\n <button id=\"input_10\" type=\"submit\" class=\"form-submit-button\">\n Submit\n <\/button>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_69\">\n <div id=\"cid_69\" class=\"form-input-wide\">\n <div id=\"text_69\" class=\"form-html\">\n Thank you,\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=\"91902740213\" \/>\n <script type=\"text\/javascript\">\n document.getElementById(\"si\" + \"mple\" + \"_spc\").value = \"91902740213-91902740213\";\n <\/script>\n<\/form><\/body>\n<\/html>\n");