// JavaScript Document


document.write('<form name="frmContact" action="contactus-contact.asp" method="post" onSubmit="return validateForm(\'frmContact\');">');
document.write('<table width="100%">');
document.write('<tr>');
document.write('<td class="contact_us_field_descriptions">Name: *</td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td><input type="text" name="field_name" id="field_name" style="width:200px;" class="contact_us_fields"/></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td class="contact_us_field_descriptions">Telephone: *</td>');
document.write('</tr>');
document.write('<tr>')
document.write('<td><input type="text" name="field_telephone" id="field_telephone" style="width:200px;" class="contact_us_fields"/></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td class="contact_us_field_descriptions">Email: *</td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td><label>');
document.write('<input type="text" name="field_email" id="field_email" style="width:200px;" class="contact_us_fields" />');
document.write('</label></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td class="contact_us_field_descriptions">Facts About Your Case:</td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td class="contact_us_field_descriptions"><label>');
document.write('<textarea name="field_case_facts" id="field_case_facts" cols="32" rows="4" style="width:200px;resize:none" class="contact_us_fields"></textarea>');
document.write('<textarea name="mySpamTrap" id="mySpamTrapper" cols="15" rows="3" style="display:none" class="contact_us_fields"></textarea>');                                                                                                                 
document.write('</label></td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td class="contact_us_field_descriptions" style="padding-top:10px;line-height:18px;">Please help us avoid spam by answering this question - What is 2 plus two?: <input type="text" name="field_blockthebots" id="field_blockthebots" style="width:30px;" class="contact_us_fields" />');
document.write('</td>');
document.write('</tr>');
document.write('<tr>');
document.write('<td class="contact_us_field_descriptions" style="padding-top:5px"><input type="submit" name="Submit" id="Submit" value="Submit" style="font-size:9px; color: #683D1B"/>');
document.write('<div id="validationError" class="small_validation_error" style="display: none;"><br /><br />** Please Check Entries - Missing or <br />Invalid Information in Required Fields **</div><div id="emailValidationError" class="small_validation_error" style="display: none;"><br>** Please Check Entries - The Email <br />Address Entered is Invalid **</div>');
document.write('<div id="phoneValidationError" class="small_validation_error" style="display: none;"><br /><br />** Please Check Entries - <br />Invalid Information in Phone Field **</div><div id="emailValidationError" class="small_validation_error" style="display: none;"><br>** Please Check Entries - The Email <br />Address Entered is Invalid **</div></td>');
document.write('</tr>');
document.write('</table>');
document.write('</form>');