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  1.  
  2. <div class='ufo-form' id='ufo-form-id-7'>
  3. <noscript>
  4.  
  5. <form method='POST'>
  6. <input type='hidden' name='cf-no-script' value='1'>
  7. </noscript>
  8. <input type='hidden' value='ufo-form-id-7' name='hidden-7' id='ufo-form-hidden-7'>{preview}
  9. <input type='hidden' value='{ufosignature}' name='ufo-sign' id='ufo-sign'>
  10.  
  11. <div>
  12. </div>
  13.  
  14. <div>
  15.  
  16. <div class='ufo-fieldtype-9 ufo-customform-row ufo-row-981' style='margin-top:2px;{display-981}'>
  17.  
  18. <div class='ufo-cell-981-2-row' id='ufo-cell-981-2'>
  19.  
  20. <span class='ufo-cell-center' style='width:20px' id='ufo-cell-981-2-center'>
  21.  
  22. <div value='{id-981}'  style='width:20px'>
  23. <input type='checkbox' id='ufo-field-id-981' value='{id-981}' name='id-981' class='ufo-cb' style='width:20px' onchange='this.value=(this.checked)?"on":"off";'>
  24. </div>
  25. </span>
  26.  
  27. <span class='ufo-cell-right' id='ufo-cell-981-2-right'>
  28. <label for='ufo-field-id-981'  style='width:200px;'>January, Hot Peppers
  29. </label>
  30. </span>
  31. </div>
  32. </div>
  33.  
  34. <div class='ufo-fieldtype-9 ufo-customform-row ufo-row-982' style='margin-top:2px;{display-982}'>
  35.  
  36. <div class='ufo-cell-982-2-row' id='ufo-cell-982-2'>
  37.  
  38. <span class='ufo-cell-center' style='width:20px' id='ufo-cell-982-2-center'>
  39.  
  40. <div value='{id-982}'  style='width:20px'>
  41. <input type='checkbox' id='ufo-field-id-982' value='{id-982}' name='id-982' class='ufo-cb' style='width:20px' onchange='this.value=(this.checked)?"on":"off";'>
  42. </div>
  43. </span>
  44.  
  45. <span class='ufo-cell-right' id='ufo-cell-982-2-right'>
  46. <label for='ufo-field-id-982'  style='width:200px;'>February, Peppercorn
  47. </label>
  48. </span>
  49. </div>
  50. </div>
  51.  
  52. <div class='ufo-fieldtype-9 ufo-customform-row ufo-row-983' style='margin-top:2px;{display-983}'>
  53.  
  54. <div class='ufo-cell-983-2-row' id='ufo-cell-983-2'>
  55.  
  56. <span class='ufo-cell-center' style='width:20px' id='ufo-cell-983-2-center'>
  57.  
  58. <div value='{id-983}'  style='width:20px'>
  59. <input type='checkbox' id='ufo-field-id-983' value='{id-983}' name='id-983' class='ufo-cb' style='width:20px' onchange='this.value=(this.checked)?"on":"off";'>
  60. </div>
  61. </span>
  62.  
  63. <span class='ufo-cell-right' id='ufo-cell-983-2-right'>
  64. <label for='ufo-field-id-983'  style='width:200px;'>March, Salmon Cheddar  
  65. </label>
  66. </span>
  67. </div>
  68. </div>
  69.  
  70. <div class='ufo-fieldtype-9 ufo-customform-row ufo-row-984' style='margin-top:2px;{display-984}'>
  71.  
  72. <div class='ufo-cell-984-2-row' id='ufo-cell-984-2'>
  73.  
  74. <span class='ufo-cell-center' style='width:20px' id='ufo-cell-984-2-center'>
  75.  
  76. <div value='{id-984}'  style='width:20px'>
  77. <input type='checkbox' id='ufo-field-id-984' value='{id-984}' name='id-984' class='ufo-cb' style='width:20px' onchange='this.value=(this.checked)?"on":"off";'>
  78. </div>
  79. </span>
  80.  
  81. <span class='ufo-cell-right' id='ufo-cell-984-2-right'>
  82. <label for='ufo-field-id-984'  style='width:200px;'>April, Swiss
  83. </label>
  84. </span>
  85. </div>
  86. </div>
  87.  
  88. <div class='ufo-fieldtype-9 ufo-customform-row ufo-row-985' style='margin-top:2px;{display-985}'>
  89.  
  90. <div class='ufo-cell-985-2-row' id='ufo-cell-985-2'>
  91.  
  92. <span class='ufo-cell-center' style='width:20px' id='ufo-cell-985-2-center'>
  93.  
  94. <div value='{id-985}'  style='width:20px'>
  95. <input type='checkbox' id='ufo-field-id-985' value='{id-985}' name='id-985' class='ufo-cb' style='width:20px' onchange='this.value=(this.checked)?"on":"off";'>
  96. </div>
  97. </span>
  98.  
  99. <span class='ufo-cell-right' id='ufo-cell-985-2-right'>
  100. <label for='ufo-field-id-985'  style='width:200px;'>May, Onion &amp; Chives
  101. </label>
  102. </span>
  103. </div>
  104. </div>
  105.  
  106. <div class='ufo-fieldtype-9 ufo-customform-row ufo-row-986' style='margin-top:2px;{display-986}'>
  107.  
  108. <div class='ufo-cell-986-2-row' id='ufo-cell-986-2'>
  109.  
  110. <span class='ufo-cell-center' style='width:20px' id='ufo-cell-986-2-center'>
  111.  
  112. <div value='{id-986}'  style='width:20px'>
  113. <input type='checkbox' id='ufo-field-id-986' value='{id-986}' name='id-986' class='ufo-cb' style='width:20px' onchange='this.value=(this.checked)?"on":"off";'>
  114. </div>
  115. </span>
  116.  
  117. <span class='ufo-cell-right' id='ufo-cell-986-2-right'>
  118. <label for='ufo-field-id-986'  style='width:200px;'>June, Smoke House
  119. </label>
  120. </span>
  121. </div>
  122. </div>
  123.  
  124. <div class='ufo-fieldtype-9 ufo-customform-row ufo-row-987' style='margin-top:2px;{display-987}'>
  125.  
  126. <div class='ufo-cell-987-2-row' id='ufo-cell-987-2'>
  127.  
  128. <span class='ufo-cell-center' style='width:20px' id='ufo-cell-987-2-center'>
  129.  
  130. <div value='{id-987}'  style='width:20px'>
  131. <input type='checkbox' id='ufo-field-id-987' value='{id-987}' name='id-987' class='ufo-cb' style='width:20px' onchange='this.value=(this.checked)?"on":"off";'>
  132. </div>
  133. </span>
  134.  
  135. <span class='ufo-cell-right' id='ufo-cell-987-2-right'>
  136. <label for='ufo-field-id-987'  style='width:200px;'>July, Medium Cheddar
  137. </label>
  138. </span>
  139. </div>
  140. </div>
  141.  
  142. <div class='ufo-fieldtype-9 ufo-customform-row ufo-row-988' style='margin-top:2px;{display-988}'>
  143.  
  144. <div class='ufo-cell-988-2-row' id='ufo-cell-988-2'>
  145.  
  146. <span class='ufo-cell-center' style='width:20px' id='ufo-cell-988-2-center'>
  147.  
  148. <div value='{id-988}'  style='width:20px'>
  149. <input type='checkbox' id='ufo-field-id-988' value='{id-988}' name='id-988' class='ufo-cb' style='width:20px' onchange='this.value=(this.checked)?"on":"off";'>
  150. </div>
  151. </span>
  152.  
  153. <span class='ufo-cell-right' id='ufo-cell-988-2-right'>
  154. <label for='ufo-field-id-988'  style='width:200px;'>August, Old Cheddar
  155. </label>
  156. </span>
  157. </div>
  158. </div>
  159.  
  160. <div class='ufo-fieldtype-9 ufo-customform-row ufo-row-989' style='margin-top:2px;{display-989}'>
  161.  
  162. <div class='ufo-cell-989-2-row' id='ufo-cell-989-2'>
  163.  
  164. <span class='ufo-cell-center' style='width:20px' id='ufo-cell-989-2-center'>
  165.  
  166. <div value='{id-989}'  style='width:20px'>
  167. <input type='checkbox' id='ufo-field-id-989' value='{id-989}' name='id-989' class='ufo-cb' style='width:20px' onchange='this.value=(this.checked)?"on":"off";'>
  168. </div>
  169. </span>
  170.  
  171. <span class='ufo-cell-right' id='ufo-cell-989-2-right'>
  172. <label for='ufo-field-id-989'  style='width:200px;'>September, Garlic Cheddar
  173. </label>
  174. </span>
  175. </div>
  176. </div>
  177.  
  178. <div class='ufo-fieldtype-9 ufo-customform-row ufo-row-990' style='margin-top:2px;{display-990}'>
  179.  
  180. <div class='ufo-cell-990-2-row' id='ufo-cell-990-2'>
  181.  
  182. <span class='ufo-cell-center' style='width:20px' id='ufo-cell-990-2-center'>
  183.  
  184. <div value='{id-990}'  style='width:20px'>
  185. <input type='checkbox' id='ufo-field-id-990' value='{id-990}' name='id-990' class='ufo-cb' style='width:20px' onchange='this.value=(this.checked)?"on":"off";'>
  186. </div>
  187. </span>
  188.  
  189. <span class='ufo-cell-right' id='ufo-cell-990-2-right'>
  190. <label for='ufo-field-id-990'  style='width:200px;'>October, Konig Strasse
  191. </label>
  192. </span>
  193. </div>
  194. </div>
  195.  
  196. <div class='ufo-fieldtype-9 ufo-customform-row ufo-row-991' style='margin-top:2px;{display-991}'>
  197.  
  198. <div class='ufo-cell-991-2-row' id='ufo-cell-991-2'>
  199.  
  200. <span class='ufo-cell-center' style='width:20px' id='ufo-cell-991-2-center'>
  201.  
  202. <div value='{id-991}'  style='width:20px'>
  203. <input type='checkbox' id='ufo-field-id-991' value='{id-991}' name='id-991' class='ufo-cb' style='width:20px' onchange='this.value=(this.checked)?"on":"off";'>
  204. </div>
  205. </span>
  206.  
  207. <span class='ufo-cell-right' id='ufo-cell-991-2-right'>
  208. <label for='ufo-field-id-991'  style='width:200px;'>November, Maple Cheddar
  209. </label>
  210. </span>
  211. </div>
  212. </div>
  213.  
  214. <div class='ufo-fieldtype-9 ufo-customform-row ufo-row-992' style='margin-top:2px;{display-992}'>
  215.  
  216. <div class='ufo-cell-992-2-row' id='ufo-cell-992-2'>
  217.  
  218. <span class='ufo-cell-center' style='width:20px' id='ufo-cell-992-2-center'>
  219.  
  220. <div value='{id-992}'  style='width:20px'>
  221. <input type='checkbox' id='ufo-field-id-992' value='{id-992}' name='id-992' class='ufo-cb' style='width:20px' onchange='this.value=(this.checked)?"on":"off";'>
  222. </div>
  223. </span>
  224.  
  225. <span class='ufo-cell-right' id='ufo-cell-992-2-right'>
  226. <label for='ufo-field-id-992'  style='width:200px;'>December, Wine Cured
  227. </label>
  228. </span>
  229. </div>
  230. </div>
  231.  
  232. <div class='ufo-fieldtype-9 ufo-customform-row ufo-row-993' style='margin-top:2px;{display-993}'>
  233.  
  234. <div class='ufo-cell-993-2-row' id='ufo-cell-993-2'>
  235.  
  236. <span class='ufo-cell-center' style='width:20px' id='ufo-cell-993-2-center'>
  237.  
  238. <div value='{id-993}'  style='width:20px'>
  239. <input type='checkbox' id='ufo-field-id-993' value='{id-993}' name='id-993' class='ufo-cb' style='width:20px' onchange='this.value=(this.checked)?"on":"off";'>
  240. </div>
  241. </span>
  242.  
  243. <span class='ufo-cell-right' id='ufo-cell-993-2-right'>
  244. <label for='ufo-field-id-993'  style='width:200px;'>Birthday Card
  245. </label>
  246. </span>
  247. </div>
  248. </div>
  249.  
  250. <div class='ufo-fieldtype-4 ufo-customform-row ufo-row-994' style='margin-top:2px;{display-994}'>
  251.  
  252. <div class='ufo-cell-994-2-row' id='ufo-cell-994-2'>
  253.  
  254. <span class='ufo-cell-left' id='ufo-cell-994-2-left'>
  255. <label for='ufo-field-id-994'  style='text-align:left'>Month
  256. </label>
  257. </span>
  258.  
  259. <span class='ufo-cell-center' style='width:70px' id='ufo-cell-994-2-center'>
  260. <input type='text' id='ufo-field-id-994' value='{id-994}' name='id-994'  style='width:70px'>
  261. </span>
  262. </div>
  263. </div>
  264.  
  265. <div class='ufo-fieldtype-9 ufo-customform-row ufo-row-995' style='margin-top:2px;{display-995}'>
  266.  
  267. <div class='ufo-cell-995-2-row' id='ufo-cell-995-2'>
  268.  
  269. <span class='ufo-cell-center' style='width:20px' id='ufo-cell-995-2-center'>
  270.  
  271. <div value='{id-995}'  style='width:20px'>
  272. <input type='checkbox' id='ufo-field-id-995' value='{id-995}' name='id-995' class='ufo-cb' style='width:20px' onchange='this.value=(this.checked)?"on":"off";'>
  273. </div>
  274. </span>
  275.  
  276. <span class='ufo-cell-right' id='ufo-cell-995-2-right'>
  277. <label for='ufo-field-id-995'  style='width:200px;'>Valentines Card
  278. </label>
  279. </span>
  280. </div>
  281. </div>
  282.  
  283. <div class='ufo-fieldtype-9 ufo-customform-row ufo-row-996' style='margin-top:2px;{display-996}'>
  284.  
  285. <div class='ufo-cell-996-2-row' id='ufo-cell-996-2'>
  286.  
  287. <span class='ufo-cell-center' style='width:20px' id='ufo-cell-996-2-center'>
  288.  
  289. <div value='{id-996}'  style='width:20px'>
  290. <input type='checkbox' id='ufo-field-id-996' value='{id-996}' name='id-996' class='ufo-cb' style='width:20px' onchange='this.value=(this.checked)?"on":"off";'>
  291. </div>
  292. </span>
  293.  
  294. <span class='ufo-cell-right' id='ufo-cell-996-2-right'>
  295. <label for='ufo-field-id-996'  style='width:200px;'>Mother&#39;s Day Card
  296. </label>
  297. </span>
  298. </div>
  299. </div>
  300.  
  301. <div class='ufo-fieldtype-9 ufo-customform-row ufo-row-997' style='margin-top:2px;{display-997}'>
  302.  
  303. <div class='ufo-cell-997-2-row' id='ufo-cell-997-2'>
  304.  
  305. <span class='ufo-cell-center' style='width:20px' id='ufo-cell-997-2-center'>
  306.  
  307. <div value='{id-997}'  style='width:20px'>
  308. <input type='checkbox' id='ufo-field-id-997' value='{id-997}' name='id-997' class='ufo-cb' style='width:20px' onchange='this.value=(this.checked)?"on":"off";'>
  309. </div>
  310. </span>
  311.  
  312. <span class='ufo-cell-right' id='ufo-cell-997-2-right'>
  313. <label for='ufo-field-id-997'  style='width:200px;'>Father&#39;s Day Card
  314. </label>
  315. </span>
  316. </div>
  317. </div>
  318.  
  319. <div class='ufo-fieldtype-9 ufo-customform-row ufo-row-998' style='margin-top:2px;{display-998}'>
  320.  
  321. <div class='ufo-cell-998-2-row' id='ufo-cell-998-2'>
  322.  
  323. <span class='ufo-cell-center' style='width:20px' id='ufo-cell-998-2-center'>
  324.  
  325. <div value='{id-998}'  style='width:20px'>
  326. <input type='checkbox' id='ufo-field-id-998' value='{id-998}' name='id-998' class='ufo-cb' style='width:20px' onchange='this.value=(this.checked)?"on":"off";'>
  327. </div>
  328. </span>
  329.  
  330. <span class='ufo-cell-right' id='ufo-cell-998-2-right'>
  331. <label for='ufo-field-id-998'  style='width:200px;'>Christmas Card
  332. </label>
  333. </span>
  334. </div>
  335. </div>
  336.  
  337. <div class='ufo-fieldtype-9 ufo-customform-row ufo-row-999' style='margin-top:2px;{display-999}'>
  338.  
  339. <div class='ufo-cell-999-2-row' id='ufo-cell-999-2'>
  340.  
  341. <span class='ufo-cell-center' style='width:20px' id='ufo-cell-999-2-center'>
  342.  
  343. <div value='{id-999}'  style='width:20px'>
  344. <input type='checkbox' id='ufo-field-id-999' value='{id-999}' name='id-999' class='ufo-cb' style='width:20px' onchange='this.value=(this.checked)?"on":"off";'>
  345. </div>
  346. </span>
  347.  
  348. <span class='ufo-cell-right' id='ufo-cell-999-2-right'>
  349. <label for='ufo-field-id-999'  style='width:200px;'>Thanksgiving Card
  350. </label>
  351. </span>
  352. </div>
  353. </div>
  354.  
  355. <div class='ufo-fieldtype-9 ufo-customform-row ufo-row-1000' style='margin-top:2px;{display-1000}'>
  356.  
  357. <div class='ufo-cell-1000-2-row' id='ufo-cell-1000-2'>
  358.  
  359. <span class='ufo-cell-center' style='width:20px' id='ufo-cell-1000-2-center'>
  360.  
  361. <div value='{id-1000}'  style='width:20px'>
  362. <input type='checkbox' id='ufo-field-id-1000' value='{id-1000}' name='id-1000' class='ufo-cb' style='width:20px' onchange='this.value=(this.checked)?"on":"off";'>
  363. </div>
  364. </span>
  365.  
  366. <span class='ufo-cell-right' id='ufo-cell-1000-2-right'>
  367. <label for='ufo-field-id-1000'  style='width:200px;'>Easter Carde
  368. </label>
  369. </span>
  370. </div>
  371. </div>
  372.  
  373. <div class='ufo-fieldtype-9 ufo-customform-row ufo-row-1001' style='margin-top:2px;{display-1001}'>
  374.  
  375. <div class='ufo-cell-1001-2-row' id='ufo-cell-1001-2'>
  376.  
  377. <span class='ufo-cell-center' style='width:20px' id='ufo-cell-1001-2-center'>
  378.  
  379. <div value='{id-1001}'  style='width:20px'>
  380. <input type='checkbox' id='ufo-field-id-1001' value='{id-1001}' name='id-1001' class='ufo-cb' style='width:20px' onchange='this.value=(this.checked)?"on":"off";'>
  381. </div>
  382. </span>
  383.  
  384. <span class='ufo-cell-right' id='ufo-cell-1001-2-right'>
  385. <label for='ufo-field-id-1001'  style='width:200px;'>Certificate Letter
  386. </label>
  387. </span>
  388. </div>
  389. </div>
  390.  
  391. <div class='ufo-fieldtype-4 ufo-customform-row ufo-row-1002' style='margin-top:2px;{display-1002}'>
  392.  
  393. <div class='ufo-cell-1002-2-row' id='ufo-cell-1002-2'>
  394.  
  395. <span class='ufo-cell-left' id='ufo-cell-1002-2-left'>
  396. <label for='ufo-field-id-1002'  style='text-align:left'>Desired Date
  397. </label>
  398. </span>
  399.  
  400. <span class='ufo-cell-center' style='width:70px' id='ufo-cell-1002-2-center'>
  401. <input type='text' id='ufo-field-id-1002' value='{id-1002}' name='id-1002'  style='width:70px'>
  402. </span>
  403. </div>
  404. </div>
  405.  
  406. <div class='ufo-fieldtype-6 ufo-customform-row ufo-row-1004' style='margin-top:2px;{display-1004}'>
  407.  
  408. <div class='ufo-cell-1004-2-row' id='ufo-cell-1004-2'>
  409.  
  410. <span class='ufo-cell-center' id='ufo-cell-1004-2-center'>
  411. <script type='text/javascript'>var c = {};c.id = 'ufo-field-id-1004';c.form = 'ufo-form-id-7';c.Label = 'Submit';ufoFormsConfig.submits.push(c);
  412. </script>
  413.  
  414. <span id='ufo-field-id-1004-span'>
  415. <noscript><button type='submit' id='ufo-field-id-1004' name='id-1004' >Submit</button>
  416. </noscript>
  417. </span>
  418. </span>
  419. </div>
  420. </div>
  421. </div>
  422.  
  423. <div id='ufo-form-id-7-message'>
  424. </div>
  425. <noscript>
  426. </form>
  427. </noscript>
  428. </div>
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