1. <script language="javascript">
function toggle_it (id1,id2) {
$('#'+id2).hide('fast');
$('#'+id1).show('slow');
}
function ventilation (r) {
if(r=='y') {
$('#ventilation').show('slow');
}
if (r=='n') {
$('#ventilation').hide('slow');
}
}
function space (r) {
if(r=='y') {
$('#space').show('slow');
}
if (r=='n') {
$('#space').hide('slow');
}
}
function solar (r) {
if(r=='y') {
$('#solar1').show('slow');
$('#solar2').show('slow');
}
if (r=='n') {
$('#solar1').hide('slow');
$('#solar2').hide('slow');
}
}
function formSend () {
$.post("http://www.evoheat.com.au/process_form", $("#questionnaries-
form").serialize(), function (data) {
scroll(0,0);
var frm = $("#questionnaries-form") ;
clear_form_elements (frm);
$("#message").html('Thank you ! Your request has been posted.');
$("#message").show('slow');
} );
}
function clear_form_elements(ele) {
$(ele).find(':input').each(function() {
switch(this.type) {
case 'password':
case 'select-multiple':
case 'select-one':
case 'text':
case 'textarea':
$(this).val('');
break;
case 'checkbox':
case 'radio':
this.checked = false;
}
});
}

2. </script>
<style type="text/css">
<!--
.form_main{}
.form_main td{ font-family:Arial, Helvetica, sans-serif; font-size:12px;
color:#858585;}
.form_main label{ font-family:Arial, Helvetica, sans-serif; font-size:12px;
color:#858585; padding-right:5px;}
.input{ border:1px solid #ccc;font-family:Arial, Helvetica, sans-serif; font-
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.form_main td.heaing_main{font-family:Arial, Helvetica, sans-serif; font-
size:16px; color:#000; font-weight:bold;}
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</style>
<div id="message" style="display:none;width:100%; margin-bottom:10px;
color:red;text-align:center"></div>
<table width="560" border="0" cellspacing="0" cellpadding="0" align="center"
class="form_main" >
<tr>
<td align="left" valign="top"><table width="560" border="0" cellspacing="0"
cellpadding="0">
<tr>
<td align="left" valign="top" class="heaing_main">Pool Builder</td>
<td height="25" align="left" valign="top">&nbsp;</td>
<td align="left" valign="top">&nbsp;</td>
<td align="left" valign="top">&nbsp;</td>
</tr>
<tr>
<td align="left" valign="top">Pool Builder </td>
<td height="25" align="left" valign="top"><input name="pool_builder"
type="text" class="input opt1" /></td>
<td align="left" valign="top">Date</td>
<td align="left" valign="top"><input type="text" name="date"
class="input opt1" /></td>
</tr>
<tr>
<td align="left" valign="top">Telephone</td>
<td height="25" align="left" valign="top"><input type="text"
class="input opt1" name="telephone1" /></td>
<td align="left" valign="top">Fax</td>
<td height="25" align="left" valign="top"><input type="text"
class="input opt1" name="fax1" /></td>
<td align="left" valign="top">&nbsp;</td>
</tr>
<tr>
<td align="left" valign="top">Customer</td>
<td height="25" align="left" valign="top"><input type="text"
class="input opt1" name="customer" /></td>
<td align="left" valign="top">Pool Address</td>
<td align="left" valign="top"><input type="text" class="input opt1"
name="pool_address"/></td>
</tr>
<tr>

3. <td align="left" valign="top">Telephone</td>
<td height="25" align="left" valign="top"><input name="telephone2"
type="text" class="input opt1" id="telephone2" /></td>
<td align="left" valign="top">Fax</td>
<td align="left" valign="top"><input name="fax2" type="text"
class="input opt1" id="fax2" /></td>
</tr>
<tr>
<td width="140" align="left" valign="top"><span class="style4">
<label>Commercial Pool </label>
</span></td>
<td height="25" align="left" valign="top"><input name="commercial_pool"
type="checkbox" value="" /></td>
<td align="left" valign="top">&nbsp;</td>
<td align="left" valign="top">&nbsp;</td>
</tr>
</table>
<table width="560" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="169" align="left" valign="top"
class="heaing_main">&nbsp;</td>
<td width="59" height="25" align="left" valign="top">&nbsp;</td>
<td width="181" align="left" valign="top">&nbsp;</td>
<td width="151" align="left" valign="top">&nbsp;</td>
</tr>
<tr>
<td align="left" valign="top" class="heaing_main">Pool Location</td>
<td height="25" align="left" valign="top">&nbsp;</td>
<td align="left" valign="top">&nbsp;</td>
<td align="left" valign="top">&nbsp;</td>
</tr>
<tr>
<td height="25" colspan="4" align="left" valign="top"><table
width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="8%" height="40" align="left" valign="top"><input
name="pool_location" type="radio" onClick="toggle_it('indoor',
'outdoor')" /></td>
<td width="10%" valign="top">Indoor</td>
<td width="7%" valign="top"><input name="pool_location"
type="radio" onClick="toggle_it('outdoor','indoor')" /></td>
<td width="75%" valign="top">Outdoor</td>
</tr>
</table></td>
</tr>
</table></td>
</tr>
<tr>
<td align="left" valign="top"><div id="outdoor" style="display:none"><table
width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="40%" align="left" valign="top"><div><table border="0"
cellspacing="0" cellpadding="0" id="pr1" name="police_response1"
style="display:block;" >
<tr>
<td width="81" align="left" valign="top"><strong>Pool
Shading</strong></td>
<td width="59" align="left" valign="top"><table width="100%"
border="0" cellspacing="0" cellpadding="0" >

4. <tr>
<td width="23%" align="center" valign="top"><input
name="pool_shading" type="radio" /></td>
<td width="77%" height="25" align="left" valign="top">None</td>
</tr>
<tr>
<td width="23%" align="center" valign="top"><input
name="pool_shading" type="radio" /></td>
<td width="77%" height="25" align="left" valign="top">Minor</td>
</tr>
<tr>
<td width="23%" align="center" valign="top"><input
name="pool_shading" type="radio" /></td>
<td width="77%" height="25" align="left" valign="top">Major</td>
</tr>
</table></td>
</tr>
</table></td>
<td width="60%" align="left" valign="top"><table border="0"
cellspacing="0" cellpadding="0" id="pr2" name="police_response2"
style="display:block;">
<tr>
<td width="91" align="left" valign="top"><strong>Wind
Exposure</strong></td>
<td width="113" align="left" valign="top"><table width="140"
border="0" cellpadding="0" cellspacing="0" id="div3" style="display: block;">
<tr>
<td width="20" align="left" valign="top"><input
name="wind_exposure" type="radio" /></td>
<td width="120" height="25" align="left"
valign="top">Sheltered</td>
</tr>
<tr>
<td align="left" valign="top"><input name="wind_exposure"
type="radio" /></td>
<td height="25" align="left" valign="top">Normal Suburban</td>
</tr>
<tr>
<td align="left" valign="top"><input type="radio" /></td>
<td height="25" align="left" valign="top">High Wind</td>
</tr>
</table></td>
</tr>
</table></div></td>
</tr>
</table></div></td>
</tr>
<tr>
<td align="left" valign="top"><div id="indoor" style="display:none"><table
width="560" border="0" cellspacing="0" cellpadding="0">
<tr>
<td align="left" valign="top"><table border="0" cellspacing="0"
cellpadding="0" width="560">
<tr>
<td width="138" align="left" valign="top">&nbsp;</td>
<td width="51" align="left" valign="top">&nbsp;</td>

5. <td width="61" align="left" valign="top">&nbsp;</td>
<td width="62" align="left" valign="top">&nbsp;</td>
<td width="248" align="left" valign="top">&nbsp;</td>
</tr>
<tr>
<td align="left" valign="top"><strong>Room Size Length</strong></td>
<td align="left" valign="top">&nbsp;</td>
<td align="left" valign="top">&nbsp;</td>
<td align="left" valign="top">&nbsp;</td>
<td align="left" valign="top">&nbsp;</td>
</tr>
<tr>
<td height="25" align="left" valign="top">Width</td>
<td align="left" valign="top"><input name="width" type="text"
class="input opt1" id="width" /></td>
<td align="left" valign="top">&nbsp;</td>
<td align="left" valign="top">Height</td>
<td align="left" valign="top"><input name="height" type="text"
class="input opt1" id="height" /></td>
</tr>
<tr>
<td height="41" align="left" valign="top"><strong>R Value
Walls/Roof</strong></td>
<td align="left" valign="top"><input name="r_values_wall_roof"
type="text" class="input opt1" id="r_values_wall_roof" /></td>
<td align="left" valign="top">&nbsp;</td>
<td align="left" valign="top">&nbsp;</td>
<td align="left" valign="top">&nbsp;</td>
</tr>
</table></td>
</tr>
<tr>
<td height="25" align="left" valign="top"><table width="560" border="0"
cellspacing="0" cellpadding="0">
<tr>
<td width="217" height="40" align="left" valign="top"><strong>Does
Room have Ventilaton Fans?</strong></td>
<td width="28" align="left" valign="top"><input
name="ventilation_fan" type="radio" onclick="ventilation('y');"/></td>
<td width="29" align="left" valign="top">Yes</td>
<td width="30" align="left" valign="top"><input
name="ventilation_fan" type="radio" onclick="ventilation('n');"/></td>
<td width="256" align="left" valign="top">No</td>
</tr>
</table></td>
</tr>
<tr>
<td align="left" valign="top"><div id="ventilation"
style="display:none;"><table width="560" border="0" cellspacing="0"
cellpadding="0">
<tr>
<td width="118" height="25" align="left" valign="top">Ventilation
Min Rate</td>
<td width="152" align="left" valign="top"><input
name="ventilation_min_rate" type="text" class="input opt1"
id="ventilation_min_rate" /></td>
<td width="121" align="left" valign="top">Ventilation Max Rate</td>
<td width="169" align="left" valign="top"><input
name="ventilation_max_rate" type="text" class="input opt1"
id="ventilation_max_rate" /></td>

6. </tr>
</table></div></td>
</tr>
<tr>
<td align="left" valign="top"><table width="560" border="0"
cellspacing="0" cellpadding="0">
<tr>
<td width="218" height="50" align="left" valign="top"><strong>Does
Room have Space Heating?</strong></td>
<td width="29" align="left" valign="top"><input name="space_heating"
type="radio" onclick="space('y');"/></td>
<td width="27" align="left" valign="top">Yes</td>
<td width="29" align="left" valign="top"><input name="space_heating"
type="radio" onclick="space('n');"/></td>
<td width="257" align="left" valign="top">No</td>
</tr>
</table></td>
</tr>
<tr>
<td align="left" valign="top"><div id="space"
style="display:none;"><table width="560" border="0" cellspacing="0"
cellpadding="0">
<tr>
<td height="25" align="left"><table width="560" border="0"
cellspacing="0" cellpadding="0">
<tr>
<td width="29" height="25" align="left" valign="top"><input
name="operating" type="radio" /></td>
<td width="90" align="left" valign="top">Operating</td>
<td width="30" align="left" valign="top"><input name="operating"
type="radio" /></td>
<td width="411" align="left" valign="top"> Non-Operating</td>
</tr>
</table></td>
</tr>
<tr>
<td height="66" align="left"><table width="560" border="0"
cellspacing="0" cellpadding="0">
<tr>
<td width="129" height="20" align="left" valign="top">Space
heating Months</td>
<td width="431" align="left" valign="top"><div align="justify">
<select
id="space_heating_month" name ="space_heating_month[]" class="input opt1"
multiple>
<option value="January">January</option>
<option value="February">February</option>
<option value="March">March</option>
<option value="April">April</option>
<option value="May">May</option>
<option value="June">June</option>
<option value="July">July</option>
<option value="August">August</option>
<option value="September">September</option>
<option value="October">October</option>
<option value="November">November</option>
<option value="December">December</option> </select>
</div></td>

7. </tr>
</table></td>
</tr>
</table></div></td>
</tr>
</table></div></td>
</tr>
<tr>
<td align="left" valign="top">&nbsp;</td>
</tr>
<tr>
<td align="left" valign="top"><table width="560" border="0" cellspacing="0"
cellpadding="0">
<tr>
<td width="140" align="left" valign="top">Pool Surface Area m2</td>
<td width="146" height="25" align="left" valign="top"><input
name="pool_surface_area_m2" type="text" class="input opt1"
id="pool_surface_area_m2" /></td>
<td width="112" align="left" valign="top">Pool Volume litres</td>
<td width="162" align="left" valign="top"><input
name="pool_volume_litres" type="text" class="input opt1" id="pool_volume_litres"
/></td>
</tr>
<tr>
<td align="left" valign="top">Spa Surface Area m2</td>
<td height="25" align="left" valign="top"><input
name="spa_surface_area_m2" type="text" class="input opt1"
id="spa_surface_area_m2" /></td>
<td align="left" valign="top">Spa Volume litres</td>
<td align="left" valign="top"><input name="spa_volume_litres"
type="text" class="input opt1" id="spa_volume_litres" /></td>
</tr>
</table></td>
</tr>
<tr>
<td height="30" align="left" valign="top">&nbsp;</td>
</tr>
<tr>
<td align="left" valign="top"><table width="560" border="0" cellspacing="0"
cellpadding="0">
<tr>
<td height="25" colspan="3" align="left" valign="top"
class="heaing_main">Pool Cover</td>
<td align="left" valign="top">&nbsp;</td>
</tr>
<tr>
<td width="82" align="left" valign="top">None</td>
<td width="152" height="25" align="left" valign="top"><input
name="pool_cover" type="radio" /></td>
<td width="152" align="left" valign="top">Used when closed</td>
<td width="174" align="left" valign="top"><input name="pool_cover"
type="radio" /></td>
</tr>
<tr>
<td align="left" valign="top">Cover RValue</td>
<td height="25" align="left" valign="top"><input name="cover_r_value"
type="text" class="input opt1" /></td>
<td align="left" valign="top">Cover Solar Transmission</td>
<td align="left" valign="top"><input name="cover_solar_transmission"

8. type="text" class="input opt1" /></td>
</tr>
</table></td>
</tr>
<tr>
<td height="30" align="left" valign="top">&nbsp;</td>
</tr>
<tr>
<td><table width="560" border="0" cellspacing="0" cellpadding="0">
<tr>
<td height="25" colspan="2" align="left" valign="top"
class="heaing_main">Pool Usage</td>
<td align="left" valign="top">&nbsp;</td>
<td align="left" valign="top">&nbsp;</td>
</tr>
<tr>
<td width="91" align="left" valign="top">Swimmers/day</td>
<td width="234" height="25" align="left" valign="top"><input
name="pool_usage_swimmer" type="text" class="input opt1" id="pool_usage_swimmer"
/></td>
<td width="91" align="left" valign="top">Cover Off Time</td>
<td width="144" align="left" valign="top"><input name="cover_off_time"
type="text" class="input opt1" /></td>
</tr>
<tr>
<td align="left" valign="top">Cover On Time</td>
<td height="25" colspan="2" align="left" valign="top"><input
name="cover_on_time" type="text" class="input opt1" />
<em>(*24hr time format</em>)</td>
<td align="left" valign="top">&nbsp;</td>
</tr>
</table></td>
</tr>
<tr>
<td height="30">&nbsp;</td>
</tr>
<tr>
<td valign="top"><table width="560" border="0" cellspacing="0"
cellpadding="0">
<tr>
<td height="25" colspan="3" align="left" valign="top"
class="heaing_main">Pool Colour</td>
<td width="304" align="left" valign="top">&nbsp;</td>
</tr>
<tr>
<td width="42" align="left" valign="top"><input name="pool_colour_light"
type="radio" /></td>
<td width="176" height="25" align="left" valign="top">Light</td>
<td width="38" align="left" valign="top"><input name="pool_colour_light"
type="radio" /></td>
<td align="left" valign="top">Dark</td>
</tr>
</table></td>
</tr>
<tr>
<td height="30" valign="top">&nbsp;</td>
</tr>
<tr>
<td valign="top"><table width="560" border="0" cellspacing="0"

9. cellpadding="0">
<tr>
<td height="25" colspan="3" align="left" valign="top"
class="heaing_main">Pool Location</td>
<td width="304" align="left" valign="top">&nbsp;</td>
</tr>
<tr>
<td width="42" align="left" valign="top"><input name="pool_location_grd"
type="radio" /></td>
<td width="176" height="25" align="left" valign="top">Above Ground</td>
<td width="38" align="left" valign="top"><input name="pool_location_grd"
type="radio" /></td>
<td align="left" valign="top">Inground</td>
</tr>
</table></td>
</tr>
<tr>
<td height="30">&nbsp;</td>
</tr>
<tr>
<td><table width="560" border="0" cellspacing="0" cellpadding="0">
<tr>
<td height="25" colspan="3" align="left" valign="top"
class="heaing_main">Pool Features </td>
<td width="304" align="left" valign="top">&nbsp;</td>
</tr>
<tr>
<td width="42" align="left" valign="top"><input
name="pool_features_bubblers" type="radio" /></td>
<td width="176" height="25" align="left" valign="top">Blade
Waterfalls(W)</td>
<td width="38" align="left" valign="top"><input
name="pool_features_bubblers" type="radio" /></td>
<td align="left" valign="top">Bubblers</td>
</tr>
<tr>
<td height="25" colspan="4" align="left" valign="top"><table
width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td width="21%" align="left" valign="top">Infinity Edge (L)</td>
<td width="25%" height="25" align="left" valign="top"><input
name="pool_features_infinity_edge" type="text" class="input opt1"
id="pool_features_infinity_edge" /></td>
<td width="18%" align="left" valign="top">Surface (M2)</td>
<td width="36%" align="left" valign="top"><input
name="pool_features_surface" type="text" class="input opt1"
id="pool_features_surface" /></td>
</tr>
</table></td>
</tr>
</table></td>
</tr>
<tr>
<td height="30">&nbsp;</td>
</tr>
<tr>
<td><table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>

10. <td height="25" align="left" valign="top"><table width="100%" border="0"
cellspacing="0" cellpadding="0">
<tr>
<td width="21%" align="left" valign="top">Pool/Spa Swim
Temperature</td>
<td width="79%" align="left" valign="top"><input
name="pool_spa_swim_temperature" type="text" class="input opt1"
id="pool_spa_swim_temperature" /></td>
</tr>
</table></td>
</tr>
<tr>
<td height="25" align="left" valign="top"><table width="100%" border="0"
cellspacing="0" cellpadding="0">
<tr>
<td width="21%" height="40" align="left" valign="bottom">Heat Pump
Operation Times</td>
<td width="7%" align="left" valign="middle"><input
name="heat_pump_operation_times" type="radio" /></td>
<td width="12%" align="left" valign="middle">Day only</td>
<td width="7%" align="left" valign="middle"><input
name="heat_pump_operation_times" type="radio" /></td>
<td width="53%" align="left" valign="middle">24hrs</td>
</tr>
</table></td>
</tr>
<tr>
<td height="25" align="left" valign="top"><table width="560" border="0"
cellspacing="0" cellpadding="0">
<tr>
<td width="119" height="30" align="left" valign="top">Pool
heating Months</td>
<td width="441" align="left" valign="middle"><select
name="pool_heating_months[]" id="pool_heating_months" class="input opt1"
multiple/>
<option value="January">January</option>
<option value="February">February</option>
<option value="March">March</option>
<option value="April">April</option>
<option value="May">May</option>
<option value="June">June</option>
<option value="July">July</option>
<option value="August">August</option>
<option value="September">September</option>
<option value="October">October</option>
<option value="November">November</option>
<option value="December">December</option> </select></td>
</tr>
</table></td>
</tr>
<tr>
<td height="30" align="left" valign="top">&nbsp;</td>
</tr>
</table></td>
</tr>
<tr>
<td><table width="100%" border="0" cellspacing="0" cellpadding="0">
<tr>
<td height="25" align="left" valign="top"
class="heaing_main">Solar/Other heating?</td>
</tr>

11. <tr>
<td height="25" align="left" valign="top"><table width="100%" border="0"
cellspacing="0" cellpadding="0">
<tr>
<td width="29%" height="49" align="left" valign="top"><span
class="heaing_main">Solar/Other heat boosting?</span></td>
<td width="5%" align="left" valign="top"><input
name="Solar_Other_heat_boosting" type="radio" onclick="solar('y')"/></td>
<td width="5%" align="left" valign="top">Yes</td>
<td width="5%" align="left" valign="top"><input
name="Solar_Other_heat_boosting" type="radio" onclick="solar('n')"/></td>
<td width="56%" align="left" valign="top">No</td>
</tr>
</table></td>
</tr>
<tr id ="solar1" style="display:none;">
<td height="25" align="left" valign="top"><table width="100%" border="0"
cellspacing="0" cellpadding="0">
<tr>
<td width="26%" height="35" align="left" valign="top">Solar Set
Temperature</td>
<td width="74%" align="left" valign="top"><input
name="Solar_Set_Temperature" type="text" class="input opt1"
id="Solar_Set_Temperature" /></td>
</tr>
</table></td>
</tr>
<tr id ="solar2" style="display:none;">
<td height="25" align="left" valign="top"><table width="560" border="0"
cellspacing="0" cellpadding="0">
<tr>
<td width="151" height="30" align="left" valign="top">Collector
Type</td>
<td width="157" height="25" align="left" valign="top">
<select name="collector_type" class="input opt4" id="collector_type">
<option value="Day only">Day only</option>
<option value="24hrs">24hrs</option>
</select> </td>
<td width="134" align="left" valign="top">Roof Type</td>
<td width="118" align="left" valign="top"><select name="roof_type"
class="input opt4" id="roof_type">
<option >option1</option>
</select></td>
</tr>
<tr>
<td align="left" valign="top">Collector Area</td>
<td height="25" align="left" valign="top"> <option >
<input name="collector_area" type="text" class="input opt1"
id="collector_area" />
</option></td>
<td align="left" valign="top">Collector orientation</td>
<td align="left" valign="top"><select name="collector_oreintation"
class="input opt4" id="collector_oreintation">
<option value="North">North</option>
<option value="North East">North East</option>
<option value="East">East</option>
<option value="South East">South East</option>
</select></td>

12. </tr>
</table></td>
</tr></div>
</table></td>
</tr>
<tr>
<td >&nbsp;</td>
</tr>
<tr>
<td align="left" valign="top"><table width="560" border="0" cellspacing="0"
cellpadding="0">
<tr>
<td height="25" colspan="3" align="left" valign="top"
class="heaing_main">Power available</td>
<td width="304" align="left" valign="top">&nbsp;</td>
</tr>
<tr>
<td width="42" align="left" valign="top"><input name="power_available"
type="radio" /></td>
<td width="176" height="25" align="left" valign="top">Single Phase
(240V)</td>
<td width="38" align="left" valign="top"><input name="power_available"
type="radio" /></td>
<td align="left" valign="top">Three Phase(415V)</td>
</tr>
</table></td>
</tr>
<tr>
<td height="30">&nbsp;</td>
</tr>
<tr>
<td valign="top"><table width="560" border="0" cellspacing="0"
cellpadding="0">
<tr>
<td height="25" colspan="2" align="left" valign="top"
class="heaing_main">Electricity Costs</td>
<td align="left" valign="top">&nbsp;</td>
<td align="left" valign="top">&nbsp;</td>
</tr>
<tr>
<td width="140" align="left" valign="top">Peak c/kWh</td>
<td width="146" height="25" align="left" valign="top"><input
name="electricity_costs_peak_c_kwh" type="text" class="input opt1"
id="electricity_costs_peak_c_kwh" /></td>
<td width="112" align="left" valign="top">Off Peak c/kWh</td>
<td width="162" align="left" valign="top"><input
name="electricity_costs_off_peak_c_kwh" type="text" class="input opt1"
id="electricity_costs_off_peak_c_kwh" /></td>
</tr>
<tr>
<td align="left" valign="top">Shoulder c/kwh</td>
<td height="25" align="left" valign="top"><input name="shoulder_c_kwh"
type="text" class="input opt1" id="shoulder_c_kwh" /></td>
<td align="left" valign="top">&nbsp;</td>
<td align="left" valign="top">&nbsp;</td>
</tr>
</table></td>
</tr>
<tr>

13. <td height="25">&nbsp;</td>
</tr>
<tr>
<td height="155"><table width="100%" border="0" cellspacing="0"
cellpadding="0">
<tr>
<td width="25%" height="164" valign="top">Other notes/comments</td>
<td width="75%"><textarea name="othercomments" cols="60" rows="10"
class="input optlarge" id="othercomments"></textarea></td>
</tr>
</table></td>
</tr>
<tr>
<td>
<label>
<blockquote>
<p align="center">&nbsp; </p>
<p align="center">
<input name="submit" type="button" id="submit" value="Submit"
onclick="formSend();"/>
</p>
</blockquote>
</label>
</td>
</tr>
<tr>
<td>&nbsp;</td>
</tr>
</table>