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  1. <style type="text/css">
  2.  /* LIGHTBOX */
  3.         .overlay{
  4.             display: none;
  5.             position: fixed;
  6.             top: 0%;
  7.             left: 0%;
  8.             width: 100%;
  9.             height: 100%;
  10.             background-color: black;
  11.             z-index:10001;
  12.             -moz-opacity: 0.8;
  13.             opacity:.80;
  14.             filter: alpha(opacity=80);
  15.         }
  16.  
  17.         .lightbox_content {
  18.             display: none;
  19.             position: fixed;
  20.         /* CENTER ON SCREEN */
  21.             top: 50%;
  22.             left: 50%;
  23.             width: 720px; /* width of content */
  24.             margin-left:-350px; /* half width of content */
  25.             height: 450px;  /* height of content */
  26.             margin-top:-240px; /* half height of content */
  27.             background-color: transparent;
  28.             z-index:10002;
  29.             overflow: none;     }
  30.        
  31.         .lightbox_content a,a:visited { font-size:18px; color:white; cursor: hand; cursor: pointer;}
  32.         /*.form-checkbox-item img { cursor: hand; cursor: pointer;} */
  33. </style>
  34.  
  35. <script src="http://www.jotform.com/min/g=jotform?3.0.2938" type="text/javascript"></script>
  36. <script type="text/javascript">
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  38.    JotForm.init(function(){
  39.       JotForm.description('input_47', 'You can pick multiple materials if you need to!<br /><br />Watch a video for more info!');
  40.       JotForm.description('input_48', 'What layout looks the most like your bathroom?');
  41.       JotForm.description('input_100', 'Urinals do not count as toilets!');
  42.       JotForm.description('input_51', 'What layout looks the most like your bathroom?');
  43.       JotForm.description('input_97', 'Urinals do not count as toilets!');
  44.       JotForm.description('input_69', 'What layout looks the most like your bathroom?');
  45.       JotForm.description('input_94', 'Urinals do not count as toilets!');
  46.       JotForm.description('input_53', 'What layout looks the most like your bathroom?');
  47.       JotForm.description('input_91', 'Urinals do not count as toilets!');
  48.       $('input_4').hint('ex: myname@example.com');
  49.       JotForm.description('input_6', 'Please enter the nearest zip code to where the partitions would ship.');
  50.    });
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  52. <link href="http://www.jotform.com/min/g=formCss?3.0.2938" rel="stylesheet" type="text/css" />
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  55.         width:250px !important;
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  57.     .form-label-left{
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  60.     .form-line{
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  72.    
  73.     #cid_47 .form-checkbox-item { width:185px; padding-right:10px; !important;}
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  75.    
  76.     .grayscale { -moz-opacity: 0.8; opacity:.80; filter: alpha(opacity=80);}
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  78. <link type="text/css" rel="stylesheet" href="http://www.jotform.com/css/styles/buttons/form-submit-button-simple_blue.css?3.0.2938"/>
  79. <form class="jotform-form" action="http://www.jotform.com/submit.php" method="post" enctype="multipart/form-data" name="form_20685329647968" id="20685329647968" accept-charset="utf-8">
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  84.         <div id="cid_55" class="form-input-wide">
  85.           <img alt="" class="form-image" border="0" src="http://www.jotform.com/uploads/onepoint/form_files/choose_a_new_material.png" height="71" width="980" />
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  90.         <div id="cid_47" class="form-input-wide">
  91.           <div class="form-multiple-column">
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  104.             <span class="form-checkbox-item">
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  107.                     <img src="http://www.jotform.com/uploads/onepoint/form_files/plasticbottom.png" height="200" width="192">
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  109.             <span class="clearfix"></span>
  110.             <span class="form-checkbox-item">
  111.                     <input type="checkbox" class="form-checkbox" id="input_47_3" name="q47_47[]" value="">
  112.                     <img style="cursor: hand; cursor: pointer;" onmouseover="this.className='grayscale'" onmouseout="this.className=''" onClick="javascript:Lightbox_Show('gidumziw4JE');" src="http://www.jotform.com/uploads/onepoint/form_files/phenolictop.png" height="179" width="190">
  113.                     <img src="http://www.jotform.com/uploads/onepoint/form_files/phenolicbottom.png" height="200" width="192">
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  115.             <span class="clearfix"></span>
  116.             <span class="form-checkbox-item">
  117.                     <input type="checkbox" class="form-checkbox" id="input_47_4" name="q47_47[]" value="">                 
  118.                     <img style="cursor: hand; cursor: pointer;" onmouseover="this.className='grayscale'" onmouseout="this.className=''" onClick="javascript:Lightbox_Show('gidumziw4JE');" src="http://www.jotform.com/uploads/onepoint/form_files/stainlesstop.png" height="179" width="190">
  119.                     <img src="http://www.jotform.com/uploads/onepoint/form_files/stainlessbottom.png" height="200" width="192">
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  121.             <span class="clearfix"></span>
  122.           </div>
  123.         </div>
  124.       </li>
  125.       <li class="form-line" id="id_57">
  126.         <div id="cid_57" class="form-input-wide">
  127.           <img alt="" class="form-image" border="0" src="http://www.jotform.com/uploads/onepoint/form_files/I_Would_Like_To.png" height="72" width="994" />
  128.         </div>
  129.       </li>
  130.       <li class="form-line" id="id_38">
  131.         <label class="form-label-right" id="label_38" for="input_38"></label>
  132.         <div id="cid_38" class="form-input">
  133.           <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio" id="input_38_0" name="q38_38" value="Design Online" />
  134.               <label for="input_38_0"> Design Online </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_38_1" name="q38_38" value="Upload A Layout" />
  135.               <label for="input_38_1"> Upload A Layout </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_38_2" name="q38_38" value="Get More Info" />
  136.               <label for="input_38_2"> Get More Info </label></span><span class="clearfix"></span>
  137.           </div>
  138.         </div>
  139.       </li>
  140.       <li class="form-line" id="id_42">
  141.         <div id="cid_42" class="form-input-wide">
  142.           <div style="text-align:center;">
  143.             <img alt="" class="form-image" border="0" src="http://www.jotform.com/uploads/onepoint/form_files/bottomshadow.png" height="9" width="980" />
  144.           </div>
  145.         </div>
  146.       </li>
  147.       <li class="form-line" id="id_15">
  148.         <label class="form-label-right" id="label_15" for="input_15"> Upload Page 1 </label>
  149.         <div id="cid_15" class="form-input">
  150.           <input class="form-upload" type="file" id="input_15" name="q15_uploadPage" file-accept="pdf, doc, docx, xls, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif" file-maxsize="10240" />
  151.         </div>
  152.       </li>
  153.       <li class="form-line" id="id_20">
  154.         <label class="form-label-right" id="label_20" for="input_20"> Additional Page 1 </label>
  155.         <div id="cid_20" class="form-input">
  156.           <input class="form-upload" type="file" id="input_20" name="q20_additionalPage" file-accept="pdf, doc, docx, xls, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif" file-maxsize="10240" />
  157.         </div>
  158.       </li>
  159.       <li class="form-line" id="id_21">
  160.         <label class="form-label-right" id="label_21" for="input_21"> Additional Page 2 </label>
  161.         <div id="cid_21" class="form-input">
  162.           <input class="form-upload" type="file" id="input_21" name="q21_additionalPage21" file-accept="pdf, doc, docx, xls, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif" file-maxsize="10240" />
  163.         </div>
  164.       </li>
  165.       <li class="form-line" id="id_22">
  166.         <label class="form-label-right" id="label_22" for="input_22"> Additional Page 3 </label>
  167.         <div id="cid_22" class="form-input">
  168.           <input class="form-upload" type="file" id="input_22" name="q22_additionalPage22" file-accept="pdf, doc, docx, xls, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif" file-maxsize="10240" />
  169.         </div>
  170.       </li>
  171.       <li class="form-line" id="id_64">
  172.         <div id="cid_64" class="form-input-wide">
  173.           <img alt="" class="form-image" border="0" src="http://www.jotform.com/uploads/onepoint/form_files/bathroom1.png" height="71" width="980" />
  174.         </div>
  175.       </li>
  176.       <li class="form-line" id="id_48">
  177.         <label class="form-label-right" id="label_48" for="input_48"> .... </label>
  178.         <div id="cid_48" class="form-input">
  179.           <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio" id="input_48_0" name="q48_48" value="<img src=&quot;http://www.jotform.com/uploads/onepoint/form_files/IC_TILE.png&quot; alt=&quot;In Corner&quot;>" />
  180.               <label for="input_48_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_48_1" name="q48_48" value="<img src=&quot;http://www.jotform.com/uploads/onepoint/form_files/BW_TILE.png&quot; alt=&quot;Between Walls&quot;>" />
  181.               <label for="input_48_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_48_2" name="q48_48" value="<img src=&quot;http://www.jotform.com/uploads/onepoint/form_files/ALC_TILE.png&quot; alt=&quot;Alcove&quot;>" />
  182.               <label for="input_48_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_48_3" name="q48_48" value="<img src=&quot;http://www.jotform.com/uploads/onepoint/form_files/AP_TILE.png&quot; alt=&quot;Alcove Plus&quot;>" />
  183.               <label for="input_48_3"> <img src="http://www.jotform.com/uploads/onepoint/form_files/AP_TILE.png" alt="Alcove Plus"> </label></span><span class="clearfix"></span>
  184.           </div>
  185.         </div>
  186.       </li>
  187.       <li class="form-line" id="id_72">
  188.         <label class="form-label-right" id="label_72" for="input_72"> What Type Of Bathoom Is This? </label>
  189.         <div id="cid_72" class="form-input">
  190.           <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio" id="input_72_0" name="q72_whatType72" value="Mens" />
  191.               <label for="input_72_0"> Mens </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_72_1" name="q72_whatType72" value="Womens" />
  192.               <label for="input_72_1"> Womens </label></span><span class="clearfix"></span>
  193.           </div>
  194.         </div>
  195.       </li>
  196.       <li class="form-line" id="id_100">
  197.         <label class="form-label-right" id="label_100" for="input_100"> How Many Toilets Are There? </label>
  198.         <div id="cid_100" class="form-input">
  199.           <select class="form-dropdown" style="width:150px" id="input_100" name="q100_howMany">
  200.             <option>  </option>
  201.             <option value="1"> 1 </option>
  202.             <option value="2"> 2 </option>
  203.             <option value="3"> 3 </option>
  204.             <option value="4"> 4 </option>
  205.             <option value="5"> 5 </option>
  206.             <option value="6"> 6 </option>
  207.             <option value="7"> 7 </option>
  208.             <option value="8"> 8 </option>
  209.           </select>
  210.         </div>
  211.       </li>
  212.       <li class="form-line" id="id_95">
  213.         <label class="form-label-right" id="label_95" for="input_95"> How Many Of Those Are Handicap Stalls? </label>
  214.         <div id="cid_95" class="form-input">
  215.           <select class="form-dropdown" style="width:150px" id="input_95" name="q95_howMany95">
  216.             <option>  </option>
  217.             <option value="1"> 1 </option>
  218.             <option value="2"> 2 </option>
  219.             <option value="3"> 3 </option>
  220.             <option value="4"> 4 </option>
  221.             <option value="5"> 5 </option>
  222.             <option value="6"> 6 </option>
  223.             <option value="7"> 7 </option>
  224.             <option value="8"> 8 </option>
  225.           </select>
  226.         </div>
  227.       </li>
  228.       <li class="form-line" id="id_102">
  229.         <label class="form-label-right" id="label_102" for="input_102"> How Many Urinal Divider Screens ? </label>
  230.         <div id="cid_102" class="form-input">
  231.           <select class="form-dropdown" style="width:150px" id="input_102" name="q102_howMany102">
  232.             <option>  </option>
  233.             <option value="1"> 1 </option>
  234.             <option value="2"> 2 </option>
  235.             <option value="3"> 3 </option>
  236.             <option value="4"> 4 </option>
  237.             <option value="5"> 5 </option>
  238.             <option value="6"> 6 </option>
  239.             <option value="7"> 7 </option>
  240.             <option value="8"> 8 </option>
  241.           </select>
  242.         </div>
  243.       </li>
  244.       <li class="form-line" id="id_74">
  245.         <label class="form-label-right" id="label_74" for="input_74">
  246.           Do You Have Another Bathroom<span class="form-required">*</span>
  247.         </label>
  248.         <div id="cid_74" class="form-input">
  249.           <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_74_0" name="q74_doYou74" value="No" />
  250.               <label for="input_74_0"> No </label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_74_1" name="q74_doYou74" value="Yes" />
  251.               <label for="input_74_1"> Yes </label></span><span class="clearfix"></span>
  252.           </div>
  253.         </div>
  254.       </li>
  255.       <li class="form-line" id="id_65">
  256.         <div id="cid_65" class="form-input-wide">
  257.           <img alt="" class="form-image" border="0" src="http://www.jotform.com/uploads/onepoint/form_files/Bathroom_2.png" height="71" width="980" />
  258.         </div>
  259.       </li>
  260.       <li class="form-line" id="id_51">
  261.         <label class="form-label-right" id="label_51" for="input_51"> .... </label>
  262.         <div id="cid_51" class="form-input">
  263.           <div class="form-multiple-column"><span class="form-radio-item"><input type="radio" class="form-radio" id="input_51_0" name="q51_51" value="<img src=&quot;http://www.jotform.com/uploads/onepoint/form_files/IC_TILE.png&quot; alt=&quot;In Corner&quot;>" />
  264.               <label for="input_51_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_51_1" name="q51_51" value="<img src=&quot;http://www.jotform.com/uploads/onepoint/form_files/BW_TILE.png&quot; alt=&quot;Between Walls&quot;>" />
  265.               <label for="input_51_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_51_2" name="q51_51" value="<img src=&quot;http://www.jotform.com/uploads/onepoint/form_files/ALC_TILE.png&quot; alt=&quot;Alcove&quot;>" />
  266.               <label for="input_51_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_51_3" name="q51_51" value="<img src=&quot;http://www.jotform.com/uploads/onepoint/form_files/AP_TILE.png&quot; alt=&quot;Alcove Plus&quot;>" />
  267.               <label for="input_51_3"> <img src="http://www.jotform.com/uploads/onepoint/form_files/AP_TILE.png" alt="Alcove Plus"> </label></span><span class="clearfix"></span>
  268.           </div>
  269.         </div>
  270.       </li>
  271.       <li class="form-line" id="id_78">
  272.         <label class="form-label-right" id="label_78" for="input_78"> What Type Of Bathoom Is Ths? </label>
  273.         <div id="cid_78" class="form-input">
  274.           <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" />
  275.               <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" />
  276.               <label for="input_78_1"> Womens </label></span><span class="clearfix"></span>
  277.           </div>
  278.         </div>
  279.       </li>
  280.       <li class="form-line" id="id_97">
  281.         <label class="form-label-right" id="label_97" for="input_97"> How Many Toilets Are There? </label>
  282.         <div id="cid_97" class="form-input">
  283.           <select class="form-dropdown" style="width:150px" id="input_97" name="q97_howMany97">
  284.             <option>  </option>
  285.             <option value="1"> 1 </option>
  286.             <option value="2"> 2 </option>
  287.             <option value="3"> 3 </option>
  288.             <option value="4"> 4 </option>
  289.             <option value="5"> 5 </option>
  290.             <option value="6"> 6 </option>
  291.             <option value="7"> 7 </option>
  292.             <option value="8"> 8 </option>
  293.           </select>
  294.         </div>
  295.       </li>
  296.       <li class="form-line" id="id_101">
  297.         <label class="form-label-right" id="label_101" for="input_101"> How Many Of Those Are Handicap Stalls? </label>
  298.         <div id="cid_101" class="form-input">
  299.           <select class="form-dropdown" style="width:150px" id="input_101" name="q101_howMany101">
  300.             <option>  </option>
  301.             <option value="1"> 1 </option>
  302.             <option value="2"> 2 </option>
  303.             <option value="3"> 3 </option>
  304.             <option value="4"> 4 </option>
  305.             <option value="5"> 5 </option>
  306.             <option value="6"> 6 </option>
  307.             <option value="7"> 7 </option>
  308.             <option value="8"> 8 </option>
  309.           </select>
  310.         </div>
  311.       </li>
  312.       <li class="form-line" id="id_99">
  313.         <label class="form-label-right" id="label_99" for="input_99"> How Many Urinal Divider Screens ? </label>
  314.         <div id="cid_99" class="form-input">
  315.           <select class="form-dropdown" style="width:150px" id="input_99" name="q99_howMany99">
  316.             <option>  </option>
  317.             <option value="1"> 1 </option>
  318.             <option value="2"> 2 </option>
  319.             <option value="3"> 3 </option>
  320.             <option value="4"> 4 </option>
  321.             <option value="5"> 5 </option>
  322.             <option value="6"> 6 </option>
  323.             <option value="7"> 7 </option>
  324.             <option value="8"> 8 </option>
  325.           </select>
  326.         </div>
  327.       </li>
  328.       <li class="form-line" id="id_75">
  329.         <label class="form-label-right" id="label_75" for="input_75">
  330.           Do You Have Another Bathroom<span class="form-required">*</span>
  331.         </label>
  332.         <div id="cid_75" class="form-input">
  333.           <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" />
  334.               <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" />
  335.               <label for="input_75_1"> Yes </label></span><span class="clearfix"></span>
  336.           </div>
  337.         </div>
  338.       </li>
  339.       <li class="form-line" id="id_67">
  340.         <div id="cid_67" class="form-input-wide">
  341.           <img alt="" class="form-image" border="0" src="http://www.jotform.com/uploads/onepoint/form_files/Bathroom_3.png" height="71" width="980" />
  342.         </div>
  343.       </li>
  344.       <li class="form-line" id="id_69">
  345.         <label class="form-label-right" id="label_69" for="input_69"> .... </label>
  346.         <div id="cid_69" class="form-input">
  347.           <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=&quot;http://www.jotform.com/uploads/onepoint/form_files/IC_TILE.png&quot; alt=&quot;In Corner&quot;>" />
  348.               <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=&quot;http://www.jotform.com/uploads/onepoint/form_files/BW_TILE.png&quot; alt=&quot;Between Walls&quot;>" />
  349.               <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=&quot;http://www.jotform.com/uploads/onepoint/form_files/ALC_TILE.png&quot; alt=&quot;Alcove&quot;>" />
  350.               <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=&quot;http://www.jotform.com/uploads/onepoint/form_files/AP_TILE.png&quot; alt=&quot;Alcove Plus&quot;>" />
  351.               <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>
  352.           </div>
  353.         </div>
  354.       </li>
  355.       <li class="form-line" id="id_79">
  356.         <label class="form-label-right" id="label_79" for="input_79"> What Type Of Bathoom Is Ths? </label>
  357.         <div id="cid_79" class="form-input">
  358.           <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" />
  359.               <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" />
  360.               <label for="input_79_1"> Womens </label></span><span class="clearfix"></span>
  361.           </div>
  362.         </div>
  363.       </li>
  364.       <li class="form-line" id="id_94">
  365.         <label class="form-label-right" id="label_94" for="input_94"> How Many Toilets Are There? </label>
  366.         <div id="cid_94" class="form-input">
  367.           <select class="form-dropdown" style="width:150px" id="input_94" name="q94_howMany94">
  368.             <option>  </option>
  369.             <option value="1"> 1 </option>
  370.             <option value="2"> 2 </option>
  371.             <option value="3"> 3 </option>
  372.             <option value="4"> 4 </option>
  373.             <option value="5"> 5 </option>
  374.             <option value="6"> 6 </option>
  375.             <option value="7"> 7 </option>
  376.             <option value="8"> 8 </option>
  377.           </select>
  378.         </div>
  379.       </li>
  380.       <li class="form-line" id="id_98">
  381.         <label class="form-label-right" id="label_98" for="input_98"> How Many Of Those Are Handicap Stalls? </label>
  382.         <div id="cid_98" class="form-input">
  383.           <select class="form-dropdown" style="width:150px" id="input_98" name="q98_howMany98">
  384.             <option>  </option>
  385.             <option value="1"> 1 </option>
  386.             <option value="2"> 2 </option>
  387.             <option value="3"> 3 </option>
  388.             <option value="4"> 4 </option>
  389.             <option value="5"> 5 </option>
  390.             <option value="6"> 6 </option>
  391.             <option value="7"> 7 </option>
  392.             <option value="8"> 8 </option>
  393.           </select>
  394.         </div>
  395.       </li>
  396.       <li class="form-line" id="id_96">
  397.         <label class="form-label-right" id="label_96" for="input_96"> How Many Urinal Divider Screens ? </label>
  398.         <div id="cid_96" class="form-input">
  399.           <select class="form-dropdown" style="width:150px" id="input_96" name="q96_howMany96">
  400.             <option>  </option>
  401.             <option value="1"> 1 </option>
  402.             <option value="2"> 2 </option>
  403.             <option value="3"> 3 </option>
  404.             <option value="4"> 4 </option>
  405.             <option value="5"> 5 </option>
  406.             <option value="6"> 6 </option>
  407.             <option value="7"> 7 </option>
  408.             <option value="8"> 8 </option>
  409.           </select>
  410.         </div>
  411.       </li>
  412.       <li class="form-line" id="id_77">
  413.         <label class="form-label-right" id="label_77" for="input_77">
  414.           Do You Have Another Bathroom<span class="form-required">*</span>
  415.         </label>
  416.         <div id="cid_77" class="form-input">
  417.           <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" />
  418.               <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" />
  419.               <label for="input_77_1"> Yes </label></span><span class="clearfix"></span>
  420.           </div>
  421.         </div>
  422.       </li>
  423.       <li class="form-line" id="id_68">
  424.         <div id="cid_68" class="form-input-wide">
  425.           <img alt="" class="form-image" border="0" src="http://www.jotform.com/uploads/onepoint/form_files/Bathroom_4.png" height="71" width="980" />
  426.         </div>
  427.       </li>
  428.       <li class="form-line" id="id_53">
  429.         <label class="form-label-right" id="label_53" for="input_53"> .... </label>
  430.         <div id="cid_53" class="form-input">
  431.           <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=&quot;http://www.jotform.com/uploads/onepoint/form_files/IC_TILE.png&quot; alt=&quot;In Corner&quot;>" />
  432.               <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=&quot;http://www.jotform.com/uploads/onepoint/form_files/BW_TILE.png&quot; alt=&quot;Between Walls&quot;>" />
  433.               <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=&quot;http://www.jotform.com/uploads/onepoint/form_files/ALC_TILE.png&quot; alt=&quot;Alcove&quot;>" />
  434.               <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=&quot;http://www.jotform.com/uploads/onepoint/form_files/AP_TILE.png&quot; alt=&quot;Alcove Plus&quot;>" />
  435.               <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>
  436.           </div>
  437.         </div>
  438.       </li>
  439.       <li class="form-line" id="id_80">
  440.         <label class="form-label-right" id="label_80" for="input_80"> What Type Of Bathoom Is Ths? </label>
  441.         <div id="cid_80" class="form-input">
  442.           <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" />
  443.               <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" />
  444.               <label for="input_80_1"> Womens </label></span><span class="clearfix"></span>
  445.           </div>
  446.         </div>
  447.       </li>
  448.       <li class="form-line" id="id_91">
  449.         <label class="form-label-right" id="label_91" for="input_91"> How Many Toilets Are There? </label>
  450.         <div id="cid_91" class="form-input">
  451.           <select class="form-dropdown" style="width:150px" id="input_91" name="q91_howMany91">
  452.             <option>  </option>
  453.             <option value="1"> 1 </option>
  454.             <option value="2"> 2 </option>
  455.             <option value="3"> 3 </option>
  456.             <option value="4"> 4 </option>
  457.             <option value="5"> 5 </option>
  458.             <option value="6"> 6 </option>
  459.             <option value="7"> 7 </option>
  460.             <option value="8"> 8 </option>
  461.           </select>
  462.         </div>
  463.       </li>
  464.       <li class="form-line" id="id_92">
  465.         <label class="form-label-right" id="label_92" for="input_92"> How Many Of Those Are Handicap Stalls? </label>
  466.         <div id="cid_92" class="form-input">
  467.           <select class="form-dropdown" style="width:150px" id="input_92" name="q92_howMany92">
  468.             <option>  </option>
  469.             <option value="1"> 1 </option>
  470.             <option value="2"> 2 </option>
  471.             <option value="3"> 3 </option>
  472.             <option value="4"> 4 </option>
  473.             <option value="5"> 5 </option>
  474.             <option value="6"> 6 </option>
  475.             <option value="7"> 7 </option>
  476.             <option value="8"> 8 </option>
  477.           </select>
  478.         </div>
  479.       </li>
  480.       <li class="form-line" id="id_93">
  481.         <label class="form-label-right" id="label_93" for="input_93"> How Many Urinal Divider Screens ? </label>
  482.         <div id="cid_93" class="form-input">
  483.           <select class="form-dropdown" style="width:150px" id="input_93" name="q93_howMany93">
  484.             <option>  </option>
  485.             <option value="1"> 1 </option>
  486.             <option value="2"> 2 </option>
  487.             <option value="3"> 3 </option>
  488.             <option value="4"> 4 </option>
  489.             <option value="5"> 5 </option>
  490.             <option value="6"> 6 </option>
  491.             <option value="7"> 7 </option>
  492.             <option value="8"> 8 </option>
  493.           </select>
  494.         </div>
  495.       </li>
  496.       <li class="form-line" id="id_43">
  497.         <div id="cid_43" class="form-input-wide">
  498.           <div style="text-align:center;">
  499.             <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" />
  500.           </div>
  501.         </div>
  502.       </li>
  503.       <li class="form-line" id="id_3">
  504.         <label class="form-label-right" id="label_3" for="input_3">
  505.           Full Name<span class="form-required">*</span>
  506.         </label>
  507.         <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" />
  508.             <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" />
  509.             <label class="form-sub-label" for="last_3" id="sublabel_last"> Last Name </label></span>
  510.         </div>
  511.       </li>
  512.       <li class="form-line" id="id_13">
  513.         <label class="form-label-right" id="label_13" for="input_13"> Company Name </label>
  514.         <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" />
  515.             <label class="form-sub-label" for="input_13"> Business Name </label></span>
  516.         </div>
  517.       </li>
  518.       <li class="form-line" id="id_5">
  519.         <label class="form-label-right" id="label_5" for="input_5">
  520.           Phone Number<span class="form-required">*</span>
  521.         </label>
  522.         <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">
  523.             -
  524.             <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">
  525.             <label class="form-sub-label" for="input_5_phone" id="sublabel_phone"> Phone Number </label></span>
  526.         </div>
  527.       </li>
  528.       <li class="form-line" id="id_23">
  529.         <label class="form-label-right" id="label_23" for="input_23"> Fax Number </label>
  530.         <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">
  531.             -
  532.             <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">
  533.             <label class="form-sub-label" for="input_23_phone" id="sublabel_phone"> Phone Number </label></span>
  534.         </div>
  535.       </li>
  536.       <li class="form-line" id="id_4">
  537.         <label class="form-label-right" id="label_4" for="input_4"> E-mail </label>
  538.         <div id="cid_4" class="form-input">
  539.           <input type="email" class="form-textbox validate[Email]" id="input_4" name="q4_email4" size="30" />
  540.         </div>
  541.       </li>
  542.       <li class="form-line" id="id_6">
  543.         <label class="form-label-right" id="label_6" for="input_6">
  544.           Ship To Zip:<span class="form-required">*</span>
  545.         </label>
  546.         <div id="cid_6" class="form-input">
  547.           <input type="text" class="form-textbox validate[required]" id="input_6" name="q6_shipTo" size="20" maxlength="20" />
  548.         </div>
  549.       </li>
  550.       <li class="form-line" id="id_29">
  551.         <label class="form-label-right" id="label_29" for="input_29"> How Do You Want Us To Send Your Quote </label>
  552.         <div id="cid_29" class="form-input">
  553.           <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" />
  554.               <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" />
  555.               <label for="input_29_1"> By Fax </label></span><span class="clearfix"></span>
  556.           </div>
  557.         </div>
  558.       </li>
  559.       <li class="form-line" id="id_40">
  560.         <div id="cid_40" class="form-input-wide">
  561.           <div style="margin-left:256px" class="form-buttons-wrapper">
  562.             <button id="input_40" type="submit" class="form-submit-button form-submit-button-simple_blue">
  563.               Submit
  564.             </button>
  565.           </div>
  566.         </div>
  567.       </li>
  568.       <li class="form-line" id="id_49">
  569.         <div id="cid_49" class="form-input-wide">
  570.           <div style="text-align:center;">
  571.             <img alt="" class="form-image" border="0" src="http://www.jotform.com/uploads/onepoint/form_files/shaddowupsidedown.jpg" height="90" width="980" />
  572.           </div>
  573.         </div>
  574.       </li>
  575.       <li style="display:none">
  576.         Should be Empty:
  577.         <input type="text" name="website" value="" />
  578.       </li>
  579.     </ul>
  580.   </div>
  581.   <input type="hidden" id="simple_spc" name="simple_spc" value="20685329647968" />
  582.   <script type="text/javascript">
  583.   document.getElementById("si" + "mple" + "_spc").value = "20685329647968-20685329647968";
  584.   </script>
  585. </form>
  586.  
  587.  
  588.  
  589. <!-- LIGHTBOX CONTENT DIV !-->
  590.  
  591. <div id="lightbox" class="lightbox_content">               
  592.              <iframe id="youtube" allowfullscreen="" frameborder="0" height="360" src="" width="640"></iframe>
  593.              <a onClick="document.getElementById('lightbox').style.display='none'; document.getElementById('fade').style.display='none';iframe.src = '';">
  594.                 Close
  595.              </a>
  596. </div>
  597.        
  598.        
  599. <div id="fade" class="overlay"></div>
  600.        
  601. <script type="text/javascript">
  602. var iframe = document.getElementById('youtube');
  603.  
  604.         function Lightbox_Show(video) {
  605.              
  606.         iframe.src = 'http://www.youtube.com/embed/'+video+'?rel=0&autoplay=1';
  607.             document.getElementById('lightbox').style.display='block';
  608.             document.getElementById('fade').style.display='block';                         
  609.         }
  610. </script>
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