document.write('<!-- phpForms.net form BEGIN -->');document.write('<style>');document.write('<!--');document.write('.phpForms_pgtitle');document.write('{');document.write('    font-family : Arial;');document.write('    font-size   : 18px;');document.write('    color       : #1200d9;');document.write('    font-weight : bold;');document.write('}');document.write('.phpForms_btn');document.write('{');document.write('    border-top-width    : 1px;');document.write('    border-left-width   : 1px;');document.write('    border-bottom-width : 1px;');document.write('    border-right-width  : 1px;');document.write('    border-top-color    : #e4e4e4;');document.write('    border-left-color   : #e4e4e4;');document.write('    border-right-color  : #c1c1c1;');document.write('    border-bottom-color : #c1c1c1;');document.write('    font                : Verdana, Arial, Helvetica, sans-serif;');document.write('    color               : #000000;');document.write('}');document.write('-->');document.write('</style>');var aIds = Array( 'pg_d244dfec01' );var aId  = Array ('pg_d244dfec01qz', 'pg_d244dfec01');function ChangePage( to_hide, to_show ){   var tbl_hide = document.getElementById( aIds[to_hide] );   var tbl_show = document.getElementById( aIds[to_show] );   if ( typeof(tbl_hide)=='object' && tbl_hide!=null )    if ( typeof(tbl_show)=='object' && tbl_show!=null )    {       tbl_hide.style.display = 'none';       tbl_show.style.display = '';    }	tbl_pre=document.getElementById(aId[0]);    tbl_pre.style.display='none';;tbl_show.style.display = '';}document.write('<form name="frm_a95d0765ad" id="frm_a95d0765ad" method="POST" enctype="multipart/form-data" action="http://www.kaizenwebdesign.com/phpforms/index.php?sid=0" onSubmit="return false;">');document.write('<input type="hidden" name="act" value="idx">');document.write('<input type="hidden" name="code" value="01">');document.write('<input type="hidden" name="fid" value="a95d0765ad">');function CheckPaged244dfec01(){   var nResult = 0;      if ( nResult == 0 )   {              if (1)      {         var el = document.getElementById( 'frm_a95d0765ad' );         if ( typeof(el)=='object' && el != null ) if (arguments[0] == 1)                                     {		                                el.submit();                                     } 		                             else Preview(1,0);      }      else ChangePage( 0, 1 );   }}document.write('     <!-- Page -->');document.write('     <table id="pg_d244dfec01" border="0" cellpadding="2" cellspacing="1" width="450" bgcolor="#6CA6CD" class="phpForms_main" style="display:;border: solid 1px #777777;">');document.write('      <tr>  <!-- Page title -->');document.write('          <td colspan="2" align="center" vAlign="top">');document.write('             <span class="phpForms_pgtitle">Contact Form</span>');document.write('          </td>');document.write('      </tr> <!-- /Page title -->');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Surname</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_7544e37a6f"   id="fld_7544e37a6f" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Given Name(s)</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_770b1e7153"   id="fld_770b1e7153" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Phone #</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_df9ca7f849"   id="fld_df9ca7f849" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Email Address</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_0f425ff0c8"   id="fld_0f425ff0c8" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Preferred destination</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_c46397f695"   id="fld_c46397f695" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Preferred travel dates</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_f8dee967f2"   id="fld_f8dee967f2" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Additional Comments</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_122626943d"   id="fld_122626943d" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('<tr>');document.write('          <td colspan="2" align="center" class="phpForms_main">');document.write('            ');document.write('          </td>');document.write('      </tr>');document.write('<tr>');document.write('          <td colspan="2" align="center" class="phpForms_main">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <!-- Buttons -->');document.write('          <td colspan="2" align="center" class="phpForms_main">');document.write('<input type="button" id="subbut" value="Preview" onClick=\'CheckPaged244dfec01();\' style="width:30%; background-color : #a2a2a2" class="phpForms_btn">');document.write('<input type="button" id="subbut_s" value="Submit" onClick=\'CheckPaged244dfec01(1);\' style="width:30%; background-color : #a2a2a2" class="phpForms_btn">');document.write('          </td>');document.write('      </tr>');document.write('     </table>');document.write('     <!-- /Page -->');document.write('<!--preview js-->');  function Preview(to_show, to_hide ){   var tbl_hide = document.getElementById( aId[to_show] );   var tbl_show = document.getElementById( aId[to_hide] );checktags();   if ( typeof(tbl_hide)=='object' && tbl_hide!=null )    if ( typeof(tbl_show)=='object' && tbl_show!=null )    {       tbl_hide.style.display = 'none';       tbl_show.style.display = '';    }    tbl_pre=document.getElementById(aId[1]);    tbl_pre.style.display='none';	}function submit(){  var el = document.getElementById(  );  if ( typeof(el)=='object' && el != null )    el.submit();}function checktags(){  var inputList = document.getElementsByTagName("INPUT");  for(i=0; i<inputList.length; i++)  {      if(inputList[i].type=='checkbox')    {        if(inputList[i].checked==true)        {           if (inputList[i].name == "box_confirm") continue;           var nn=inputList[i].name.substr(0, inputList[i].name.lastIndexOf("["));           document.getElementById(nn+'qz').innerHTML=" ";        }	    }  }  for(i=0; i<inputList.length; i++)  {    if (inputList[i].name == "imgcode_code") continue;    if (inputList[i].name == "box_confirm") continue;	if (inputList[i].id.lastIndexOf('paymentPrev')!=-1)	{  	   var pn=inputList[i].id.substr(11);	   document.getElementById('fld_'+pn+'qz').innerHTML=inputList[i].value;	}    if(inputList[i].type=='text' )    {	    if ( (inputList[i].name.lastIndexOf('other')!=-1) && (inputList[i].value != ''))        {		   var other_n=inputList[i].name.substr(6);           document.getElementById('fld_'+other_n+'qz').innerHTML=inputList[i].value;        }  		        if(inputList[i].id!='' && (inputList[i].name.lastIndexOf('other')==-1))        {            document.getElementById(inputList[i].id+'qz').innerHTML=inputList[i].value;        }    }	 if(inputList[i].type=='file')    {        if(inputList[i].id!='')        {            document.getElementById(inputList[i].id+'qz').innerHTML=inputList[i].value;			if ( ((inputList[i].value.search('.jpg') != -1)                    ||(inputList[i].value.search('.gif') != -1)                   ||(inputList[i].value.search('.bmp') != -1)                   ||(inputList[i].value.search('.png') != -1)) &&			(navigator.userAgent.indexOf("MSIE")>=0))			{			   document.getElementById(inputList[i].id+'qzimg').style.display="";               document.getElementById(inputList[i].id+'qzimg').src='file:///'+inputList[i].value;			}        }    }    if(inputList[i].type=='checkbox')    {                if(inputList[i].checked==true)        {           var nn=inputList[i].name.substr(0, inputList[i].name.lastIndexOf("["));           document.getElementById(nn+'qz').innerHTML+=(inputList[i].value+" ");        }	    }    if(inputList[i].type=='radio')    {        if(inputList[i].checked==true)        {           document.getElementById(inputList[i].name+'qz').innerHTML=inputList[i].value;        }    }  }  var selectList = document.getElementsByTagName("SELECT");  for(i=0; i<selectList.length; i++)  {    var id=selectList[i].id.replace(/(_d_)|(_y_)|(_m_)/, "_");	document.getElementById(id+'qz').innerHTML=" ";  }  for(i=0; i<selectList.length; i++)  {    var selectTag=document.getElementById(selectList[i].id);    if(selectList[i].multiple==true)    {        for(j=0; j<selectTag.options.length; j++)        {            if(selectTag[j].selected==true)            {                document.getElementById(selectList[i].id+'qz').innerHTML+=(selectTag[j].value+' ');            }        }    }    else    {        var id=selectList[i].id.replace(/(_d_)|(_y_)|(_m_)/, "_");        document.getElementById(id+'qz').innerHTML+=(selectTag.options[selectTag.selectedIndex].text+" ");    }  }  var textareaList = document.getElementsByTagName("TEXTAREA");  for(i=0; i<textareaList.length; i++)  {      document.getElementById(textareaList[i].id+'qz').innerHTML=textareaList[i].value;  }}document.write('<!--/preview js-->');document.write('<!--preview-->');document.write('     <table id="pg_d244dfec01qz" border="0" cellpadding="2" cellspacing="1" width="450" bgcolor="#6CA6CD" class="phpForms_main" style="display:none;border: solid 1px #777777;">');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Surname</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_7544e37a6fqz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Given Name(s)</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_770b1e7153qz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Phone #</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_df9ca7f849qz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Email Address</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_0f425ff0c8qz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Preferred destination</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_c46397f695qz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Preferred travel dates</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_f8dee967f2qz"></span>');document.write('          </td>');document.write('      </tr>      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Additional Comments</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <span id="fld_122626943dqz"></span>');document.write('          </td>');document.write('      </tr>');document.write('     <tr>');document.write('          <!-- Buttons -->');document.write('          <td colspan="2" align="center" class="phpForms_main">');document.write('            <input type=\'button\' value="Back" onClick=\'ChangePage(1,0)\' style="width:30%; background-color : #a2a2a2" class="phpForms_btn">');document.write('            <input type="button" value="Submit" style="width:30%; background-color : #a2a2a2" class="phpForms_btn" OnClick="submit()">');document.write('			<input type="button" value="Print" style="display:;width:30%; background-color : #a2a2a2" class="phpForms_btn" OnClick="window.print();return false;">');document.write('          </td>');document.write('      </tr>');document.write('     </table>');document.write('<!--/preview-->');document.write('</form>');document.write('<!-- /phpForms.net form END -->');