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- <label class="form-label-right" id="label_48" for="input_48"> .... </label>
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- <li class="form-line" id="id_78">
- <label class="form-label-right" id="label_78" for="input_78"> What Type Of Bathoom Is Ths? </label>
- <div id="cid_78" class="form-input">
- <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio" id="input_78_0" name="q78_whatType78" value="Mens" />
- <label for="input_78_0"> Mens </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_78_1" name="q78_whatType78" value="Womens" />
- <label for="input_78_1"> Womens </label></span><span class="clearfix"></span>
- </div>
- </div>
- </li>
- <li class="form-line" id="id_97">
- <label class="form-label-right" id="label_97" for="input_97"> How Many Toilets Are There? </label>
- <div id="cid_97" class="form-input">
- <select class="form-dropdown" style="width:150px" id="input_97" name="q97_howMany97">
- <option> </option>
- <option value="1"> 1 </option>
- <option value="2"> 2 </option>
- <option value="3"> 3 </option>
- <option value="4"> 4 </option>
- <option value="5"> 5 </option>
- <option value="6"> 6 </option>
- <option value="7"> 7 </option>
- <option value="8"> 8 </option>
- </select>
- </div>
- </li>
- <li class="form-line" id="id_101">
- <label class="form-label-right" id="label_101" for="input_101"> How Many Of Those Are Handicap Stalls? </label>
- <div id="cid_101" class="form-input">
- <select class="form-dropdown" style="width:150px" id="input_101" name="q101_howMany101">
- <option> </option>
- <option value="1"> 1 </option>
- <option value="2"> 2 </option>
- <option value="3"> 3 </option>
- <option value="4"> 4 </option>
- <option value="5"> 5 </option>
- <option value="6"> 6 </option>
- <option value="7"> 7 </option>
- <option value="8"> 8 </option>
- </select>
- </div>
- </li>
- <li class="form-line" id="id_99">
- <label class="form-label-right" id="label_99" for="input_99"> How Many Urinal Divider Screens ? </label>
- <div id="cid_99" class="form-input">
- <select class="form-dropdown" style="width:150px" id="input_99" name="q99_howMany99">
- <option> </option>
- <option value="1"> 1 </option>
- <option value="2"> 2 </option>
- <option value="3"> 3 </option>
- <option value="4"> 4 </option>
- <option value="5"> 5 </option>
- <option value="6"> 6 </option>
- <option value="7"> 7 </option>
- <option value="8"> 8 </option>
- </select>
- </div>
- </li>
- <li class="form-line" id="id_75">
- <label class="form-label-right" id="label_75" for="input_75">
- Do You Have Another Bathroom<span class="form-required">*</span>
- </label>
- <div id="cid_75" class="form-input">
- <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_75_0" name="q75_doYou" value="No" />
- <label for="input_75_0"> No </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_75_1" name="q75_doYou" value="Yes" />
- <label for="input_75_1"> Yes </label></span><span class="clearfix"></span>
- </div>
- </div>
- </li>
- <li class="form-line" id="id_67">
- <div id="cid_67" class="form-input-wide">
- <img alt="" class="form-image" border="0" src="http://www.jotform.com/uploads/onepoint/form_files/Bathroom_3.png" height="71" width="980" />
- </div>
- </li>
- <li class="form-line" id="id_69">
- <label class="form-label-right" id="label_69" for="input_69"> .... </label>
- <div id="cid_69" class="form-input">
- <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio" id="input_69_0" name="q69_69" value="<img src="http://www.jotform.com/uploads/onepoint/form_files/IC_TILE.png" alt="In Corner">" />
- <label for="input_69_0"> <img src="http://www.jotform.com/uploads/onepoint/form_files/IC_TILE.png" alt="In Corner"> </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_69_1" name="q69_69" value="<img src="http://www.jotform.com/uploads/onepoint/form_files/BW_TILE.png" alt="Between Walls">" />
- <label for="input_69_1"> <img src="http://www.jotform.com/uploads/onepoint/form_files/BW_TILE.png" alt="Between Walls"> </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_69_2" name="q69_69" value="<img src="http://www.jotform.com/uploads/onepoint/form_files/ALC_TILE.png" alt="Alcove">" />
- <label for="input_69_2"> <img src="http://www.jotform.com/uploads/onepoint/form_files/ALC_TILE.png" alt="Alcove"> </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_69_3" name="q69_69" value="<img src="http://www.jotform.com/uploads/onepoint/form_files/AP_TILE.png" alt="Alcove Plus">" />
- <label for="input_69_3"> <img src="http://www.jotform.com/uploads/onepoint/form_files/AP_TILE.png" alt="Alcove Plus"> </label></span><span class="clearfix"></span>
- </div>
- </div>
- </li>
- <li class="form-line" id="id_79">
- <label class="form-label-right" id="label_79" for="input_79"> What Type Of Bathoom Is Ths? </label>
- <div id="cid_79" class="form-input">
- <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio" id="input_79_0" name="q79_whatType79" value="Mens" />
- <label for="input_79_0"> Mens </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_79_1" name="q79_whatType79" value="Womens" />
- <label for="input_79_1"> Womens </label></span><span class="clearfix"></span>
- </div>
- </div>
- </li>
- <li class="form-line" id="id_94">
- <label class="form-label-right" id="label_94" for="input_94"> How Many Toilets Are There? </label>
- <div id="cid_94" class="form-input">
- <select class="form-dropdown" style="width:150px" id="input_94" name="q94_howMany94">
- <option> </option>
- <option value="1"> 1 </option>
- <option value="2"> 2 </option>
- <option value="3"> 3 </option>
- <option value="4"> 4 </option>
- <option value="5"> 5 </option>
- <option value="6"> 6 </option>
- <option value="7"> 7 </option>
- <option value="8"> 8 </option>
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- </div>
- </li>
- <li class="form-line" id="id_98">
- <label class="form-label-right" id="label_98" for="input_98"> How Many Of Those Are Handicap Stalls? </label>
- <div id="cid_98" class="form-input">
- <select class="form-dropdown" style="width:150px" id="input_98" name="q98_howMany98">
- <option> </option>
- <option value="1"> 1 </option>
- <option value="2"> 2 </option>
- <option value="3"> 3 </option>
- <option value="4"> 4 </option>
- <option value="5"> 5 </option>
- <option value="6"> 6 </option>
- <option value="7"> 7 </option>
- <option value="8"> 8 </option>
- </select>
- </div>
- </li>
- <li class="form-line" id="id_96">
- <label class="form-label-right" id="label_96" for="input_96"> How Many Urinal Divider Screens ? </label>
- <div id="cid_96" class="form-input">
- <select class="form-dropdown" style="width:150px" id="input_96" name="q96_howMany96">
- <option> </option>
- <option value="1"> 1 </option>
- <option value="2"> 2 </option>
- <option value="3"> 3 </option>
- <option value="4"> 4 </option>
- <option value="5"> 5 </option>
- <option value="6"> 6 </option>
- <option value="7"> 7 </option>
- <option value="8"> 8 </option>
- </select>
- </div>
- </li>
- <li class="form-line" id="id_77">
- <label class="form-label-right" id="label_77" for="input_77">
- Do You Have Another Bathroom<span class="form-required">*</span>
- </label>
- <div id="cid_77" class="form-input">
- <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_77_0" name="q77_doYou77" value="No" />
- <label for="input_77_0"> No </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_77_1" name="q77_doYou77" value="Yes" />
- <label for="input_77_1"> Yes </label></span><span class="clearfix"></span>
- </div>
- </div>
- </li>
- <li class="form-line" id="id_68">
- <div id="cid_68" class="form-input-wide">
- <img alt="" class="form-image" border="0" src="http://www.jotform.com/uploads/onepoint/form_files/Bathroom_4.png" height="71" width="980" />
- </div>
- </li>
- <li class="form-line" id="id_53">
- <label class="form-label-right" id="label_53" for="input_53"> .... </label>
- <div id="cid_53" class="form-input">
- <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio" id="input_53_0" name="q53_53" value="<img src="http://www.jotform.com/uploads/onepoint/form_files/IC_TILE.png" alt="In Corner">" />
- <label for="input_53_0"> <img src="http://www.jotform.com/uploads/onepoint/form_files/IC_TILE.png" alt="In Corner"> </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_53_1" name="q53_53" value="<img src="http://www.jotform.com/uploads/onepoint/form_files/BW_TILE.png" alt="Between Walls">" />
- <label for="input_53_1"> <img src="http://www.jotform.com/uploads/onepoint/form_files/BW_TILE.png" alt="Between Walls"> </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_53_2" name="q53_53" value="<img src="http://www.jotform.com/uploads/onepoint/form_files/ALC_TILE.png" alt="Alcove">" />
- <label for="input_53_2"> <img src="http://www.jotform.com/uploads/onepoint/form_files/ALC_TILE.png" alt="Alcove"> </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_53_3" name="q53_53" value="<img src="http://www.jotform.com/uploads/onepoint/form_files/AP_TILE.png" alt="Alcove Plus">" />
- <label for="input_53_3"> <img src="http://www.jotform.com/uploads/onepoint/form_files/AP_TILE.png" alt="Alcove Plus"> </label></span><span class="clearfix"></span>
- </div>
- </div>
- </li>
- <li class="form-line" id="id_80">
- <label class="form-label-right" id="label_80" for="input_80"> What Type Of Bathoom Is Ths? </label>
- <div id="cid_80" class="form-input">
- <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio" id="input_80_0" name="q80_whatType80" value="Mens" />
- <label for="input_80_0"> Mens </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_80_1" name="q80_whatType80" value="Womens" />
- <label for="input_80_1"> Womens </label></span><span class="clearfix"></span>
- </div>
- </div>
- </li>
- <li class="form-line" id="id_91">
- <label class="form-label-right" id="label_91" for="input_91"> How Many Toilets Are There? </label>
- <div id="cid_91" class="form-input">
- <select class="form-dropdown" style="width:150px" id="input_91" name="q91_howMany91">
- <option> </option>
- <option value="1"> 1 </option>
- <option value="2"> 2 </option>
- <option value="3"> 3 </option>
- <option value="4"> 4 </option>
- <option value="5"> 5 </option>
- <option value="6"> 6 </option>
- <option value="7"> 7 </option>
- <option value="8"> 8 </option>
- </select>
- </div>
- </li>
- <li class="form-line" id="id_92">
- <label class="form-label-right" id="label_92" for="input_92"> How Many Of Those Are Handicap Stalls? </label>
- <div id="cid_92" class="form-input">
- <select class="form-dropdown" style="width:150px" id="input_92" name="q92_howMany92">
- <option> </option>
- <option value="1"> 1 </option>
- <option value="2"> 2 </option>
- <option value="3"> 3 </option>
- <option value="4"> 4 </option>
- <option value="5"> 5 </option>
- <option value="6"> 6 </option>
- <option value="7"> 7 </option>
- <option value="8"> 8 </option>
- </select>
- </div>
- </li>
- <li class="form-line" id="id_93">
- <label class="form-label-right" id="label_93" for="input_93"> How Many Urinal Divider Screens ? </label>
- <div id="cid_93" class="form-input">
- <select class="form-dropdown" style="width:150px" id="input_93" name="q93_howMany93">
- <option> </option>
- <option value="1"> 1 </option>
- <option value="2"> 2 </option>
- <option value="3"> 3 </option>
- <option value="4"> 4 </option>
- <option value="5"> 5 </option>
- <option value="6"> 6 </option>
- <option value="7"> 7 </option>
- <option value="8"> 8 </option>
- </select>
- </div>
- </li>
- <li class="form-line" id="id_43">
- <div id="cid_43" class="form-input-wide">
- <div style="text-align:center;">
- <img alt="" class="form-image" border="0" src="http://www.jotform.com/uploads/onepoint/form_files/Tell_Us_About_Yourself.png" height="71" width="980" />
- </div>
- </div>
- </li>
- <li class="form-line" id="id_3">
- <label class="form-label-right" id="label_3" for="input_3">
- Full Name<span class="form-required">*</span>
- </label>
- <div id="cid_3" class="form-input"><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q3_fullName3[first]" id="first_3" />
- <label class="form-sub-label" for="first_3" id="sublabel_first"> First Name </label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q3_fullName3[last]" id="last_3" />
- <label class="form-sub-label" for="last_3" id="sublabel_last"> Last Name </label></span>
- </div>
- </li>
- <li class="form-line" id="id_13">
- <label class="form-label-right" id="label_13" for="input_13"> Company Name </label>
- <div id="cid_13" class="form-input"><span class="form-sub-label-container"><input type="text" class="form-textbox" id="input_13" name="q13_companyName13" size="20" />
- <label class="form-sub-label" for="input_13"> Business Name </label></span>
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- </li>
- <li class="form-line" id="id_5">
- <label class="form-label-right" id="label_5" for="input_5">
- Phone Number<span class="form-required">*</span>
- </label>
- <div id="cid_5" class="form-input"><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="tel" name="q5_phoneNumber[area]" id="input_5_area" size="3">
- -
- <label class="form-sub-label" for="input_5_area" id="sublabel_area"> Area Code </label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="tel" name="q5_phoneNumber[phone]" id="input_5_phone" size="8">
- <label class="form-sub-label" for="input_5_phone" id="sublabel_phone"> Phone Number </label></span>
- </div>
- </li>
- <li class="form-line" id="id_23">
- <label class="form-label-right" id="label_23" for="input_23"> Fax Number </label>
- <div id="cid_23" class="form-input"><span class="form-sub-label-container"><input class="form-textbox" type="tel" name="q23_faxNumber[area]" id="input_23_area" size="3">
- -
- <label class="form-sub-label" for="input_23_area" id="sublabel_area"> Area Code </label></span><span class="form-sub-label-container"><input class="form-textbox" type="tel" name="q23_faxNumber[phone]" id="input_23_phone" size="8">
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- </li>
- <li class="form-line" id="id_4">
- <label class="form-label-right" id="label_4" for="input_4"> E-mail </label>
- <div id="cid_4" class="form-input">
- <input type="email" class="form-textbox validate[Email]" id="input_4" name="q4_email4" size="30" />
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- </li>
- <li class="form-line" id="id_6">
- <label class="form-label-right" id="label_6" for="input_6">
- Ship To Zip:<span class="form-required">*</span>
- </label>
- <div id="cid_6" class="form-input">
- <input type="text" class="form-textbox validate[required]" id="input_6" name="q6_shipTo" size="20" maxlength="20" />
- </div>
- </li>
- <li class="form-line" id="id_29">
- <label class="form-label-right" id="label_29" for="input_29"> How Do You Want Us To Send Your Quote </label>
- <div id="cid_29" class="form-input">
- <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio" id="input_29_0" name="q29_howDo29" checked="checked" value="By Email" />
- <label for="input_29_0"> By Email </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_29_1" name="q29_howDo29" value="By Fax" />
- <label for="input_29_1"> By Fax </label></span><span class="clearfix"></span>
- </div>
- </div>
- </li>
- <li class="form-line" id="id_40">
- <div id="cid_40" class="form-input-wide">
- <div style="margin-left:256px" class="form-buttons-wrapper">
- <button id="input_40" type="submit" class="form-submit-button form-submit-button-simple_blue">
- Submit
- </button>
- </div>
- </div>
- </li>
- <li class="form-line" id="id_49">
- <div id="cid_49" class="form-input-wide">
- <div style="text-align:center;">
- <img alt="" class="form-image" border="0" src="http://www.jotform.com/uploads/onepoint/form_files/shaddowupsidedown.jpg" height="90" width="980" />
- </div>
- </div>
- </li>
- <li style="display:none">
- Should be Empty:
- <input type="text" name="website" value="" />
- </li>
- </ul>
- </div>
- <input type="hidden" id="simple_spc" name="simple_spc" value="20685329647968" />
- <script type="text/javascript">
- document.getElementById("si" + "mple" + "_spc").value = "20685329647968-20685329647968";
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- </form>
- <!-- LIGHTBOX CONTENT DIV !-->
- <div id="lightbox" class="lightbox_content">
- <iframe id="youtube" allowfullscreen="" frameborder="0" height="360" src="" width="640"></iframe>
- <a onClick="document.getElementById('lightbox').style.display='none'; document.getElementById('fade').style.display='none';iframe.src = '';">
- Close
- </a>
- </div>
- <div id="fade" class="overlay"></div>
- <script type="text/javascript">
- var iframe = document.getElementById('youtube');
- function Lightbox_Show(video) {
- iframe.src = 'http://www.youtube.com/embed/'+video+'?rel=0&autoplay=1';
- document.getElementById('lightbox').style.display='block';
- document.getElementById('fade').style.display='block';
- }
- </script>
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