Contact form

<link rel="stylesheet" type="text/css" href="http://www.emailmeform.com/builder/styles/dynamic.php?t=post" /> <link rel="stylesheet" type="text/css" href="http://www.emailmeform.com/builder/theme_css/WpNK1Fd2eqcMufI78sl" /> <script type="text/javascript" src="https://ajax.googleapis.com/ajax/libs/jquery/1.4.4/jquery.min.js"></script> <script type="text/javascript"> if (typeof jQuery == 'undefined'){ document.write(unescape("%3Cscript src='http://www.emailmeform.com/builder/js/jquery-1.4.4.min.js' type='text/javascript'%3E%3C/script%3E")); } </script> <script type="text/javascript" src="https://ajax.googleapis.com/ajax/libs/jqueryui/1.7.2/jquery-ui.min.js"></script> <script type="text/javascript"> if (typeof $.ui == 'undefined'){ document.write(unescape("%3Cscript src='http://www.emailmeform.com/builder/js/jquery-ui-1.7.2.custom.min.js' type='text/javascript'%3E%3C/script%3E")); } </script> <script type="text/javascript" src="http://www.emailmeform.com/builder/js/dynamic.php?t=post&t2=0&use_CDN=true"></script> <div id="emf-container-outer"> <div id="emf-container"> <div id="emf-logo"> <a>EmailMeForm</a> </div> <form id="emf-form" class="topLabel" enctype="multipart/form-data" method="post" action="http://www.emailmeform.com/builder/form/WpNK1Fd2eqcMufI78sl" name="emf-form"> <div id="emf-form-instruction" class="emf-head-widget"> <div id="emf-form-title" class="emf-bold"> Contact Form </div> <div id="emf-form-description"></div> </div> <ul> <li id="emf-li-0" class="emf-li-field emf-field-text data_container" style="text-align:"> <label class="emf-label-desc" for="element_0">Name <span>*</span></label> <div class="emf-div-field">

<input id="element_0" name="element_0" value="" size="30" type="text" class="validate[required]" /> </div> <div class="emf-clear"></div> </li> <li id="emf-li-1" class="emf-li-field emf-field-email data_container" style="text-align:"> <label class="emf-label-desc" for="element_1">Email <span>*</span></label> <div class="emf-div-field"> <input id="element_1" name="element_1" class="validate[required,custom[email]]" value="" size="30" type="text" /> </div> <div class="emf-clear"></div> </li> <li id="emf-li-2" class="emf-li-field emf-field-text data_container" style="text-align:"> <label class="emf-label-desc" for="element_2">Subject <span>*</span></label> <div class="emf-div-field"> <input id="element_2" name="element_2" value="" size="30" type="text" class="validate[required]" /> </div> <div class="emf-clear"></div> </li> <li id="emf-li-3" class="emf-li-field emf-field-textarea data_container" style="text-align:"> <label class="emf-label-desc" for="element_3">Message <span>*</span></label> <div class="emf-div-field"> <textarea id="element_3" name="element_3" cols="60" rows="10" class="validate[required]"> </textarea> </div> <div class="emf-clear"></div> </li> <li id="emf-li-recaptcha"> <script type="text/javascript"> //<![CDATA[

$(function(){ $('#recaptcha_response_field').addClass('validate[required]'); }); //]]>

</script> <div> <script type="text/javascript"> //<![CDATA[ var RecaptchaOptions = { theme: 'clean', custom_theme_widget: 'emf-recaptcha_widget' }; //]]> </script> <script type="text/javascript" src="https://www.google.com/recaptcha/api/challenge?k=6LchicQSAAAAAGksQmNaDZMw3aQITPqZEsX77lT9"> </script> <noscript><iframe src="https://www.google.com/recaptcha/api/noscript?k=6LchicQSAAAAAGksQmNaDZMw3aQITPqZEsX77lT9" height="300" width="500" frameborder="0"></iframe><br /> <textarea name="recaptcha_challenge_field" rows="3" cols="40"> </textarea> <input type="hidden" name="recaptcha_response_field" value="manual_challenge" /></noscript> </div> </li> <li id="emf-li-post-button" class="right"> <input value="Send email" type="submit" /> </li> </ul><input name="element_counts" value="4" type="hidden" /> <input name="embed" value="forms" type="hidden" /> </form> </div> </div><br /> <div style="text-align:center"> <font face="Verdana" size="2" color="#000000">Powered by</font><span style="position: relative; padding-left: 3px; bottom: -5px;"><img src= "http://www.emailmeform.com/builder/images/footer-logo.png" /></span><font face="Verdana" size="2" color="#000000">EMF</font> <a style="text-decoration:none;" href="http://www.emailmeform.com/" target="_blank"><font face="Verdana" size="2" color="#000000">HTML Form Builder</font></a><br /> <a style="line-height:20px;font-size:70%;text-decoration:none;" href="http://www.emailmeform.com/reportabuse.html?http://www.emailmeform.com/builder/form/WpNK1Fd2eqcMufI78sl" target= "_blank"><font face="Verdana" size="2" color="#000000">Report Abuse</font></a> </div><script type="text/javascript"> //<![CDATA[ var EMF_Safari_Captcha = (function(){

this.isChrome = (/chrome/.test(navigator.userAgent.toLowerCase())); this.isSafari = !this.isChrome && (/safari/.test(navigator.userAgent.toLowerCase())); this.process_captcha = function(){ EMF_jQuery('a#captcha_code_refresh').trigger('click'); get_valid_captcha(); } this.firstTimeSession = true; this.safari_submit_session_form = function(){ if (this.firstTimeSession) { this.firstTimeSession = false; EMF_jQuery("#safari_sessionform").submit(); setTimeout('process_captcha()',2000); } } return this; })(); EMF_jQuery(function(){ EMF_jQuery("#emf-form").validationEngine({ validationEventTriggers:"blur", scroll:true });

if(document.getElementById('captcha_image')!=null){ if(EMF_Safari_Captcha.isSafari){ EMF_jQuery("body").append('<iframe id="safari_sessionframe" name="safari_sessionframe" onload="EMF_Safari_Captcha.safari_submit_session_form();" src="http://www.emailmeform.com/get_safari_cookies.php" style="display:none;"><\/iframe><form id="safari_sessionform" enctype="application/x-www-form-urlencoded" action="http://www.emailmeform.com/get_safari_cookies.php" target="safari_sessionframe" action="post"><\/form>'); }else{ get_valid_captcha(); } }

EMF_jQuery("#emf-form ul li").mousedown(highlight_field_on_mousedown); EMF_jQuery("#emf-form ul li input, #emf-form ul li textarea, #emf-form ul li select").focus(highlight_field_on_focus);

var form_obj=EMF_jQuery("#emf-container form"); if(form_obj.length>0 && form_obj.attr('action').indexOf('#')==-1){ form_obj.attr('action', form_obj.attr('action')+document.location.hash); }

});

EMF_jQuery(window).load(function(){ post_message_for_frame_height();

});

var emf_widgets={text : function(index){ return $("#element_"+index).val(); } ,number : function(index){ return $("#element_"+index).val(); } ,textarea : function(index){ return $("#element_"+index).val(); } ,checkbox : function(index){ var arr=new Array(); $("input[name='element_"+index+"[]']:checked").each(function(){ arr[arr.length]=this.value;

}); var result=arr.join(", "); return result; } ,radio : function(index){ var result=""; $("input[name=element_"+index+"]:checked").each(function(){ result=this.value; }); return result; } ,select : function(index){ return $("#element_"+index).val(); } ,name : function(index){ var arr=new Array(); $("input[id^=element_"+index+"_]").each(function(){ arr[arr.length]=this.value; }); var result=arr.join(" "); return result; } ,email : function(index){ return $("#element_"+index).val(); } ,address : function(index){ var result=""; var element_arr=$("input,select").filter("[name='element_"+index+"[]']").toArray(); result=element_arr[0].value+" "+element_arr[1].value+"\n"

+element_arr[2].value+","+element_arr[3].value+" "+element_arr[4].value+"\n" +element_arr[5].value return result; } ,phone : function(index){ var arr=new Array(); $("input[id^=element_"+index+"_]").each(function(){ arr[arr.length]=this.value; });

var result=""; if(arr.length>0){ result=arr.join("-"); }else{ result=$("#element_"+index).val(); } return result; } ,datetime : function(index){ var result="";

var date_part=""; if($("#element_"+index+"_year").length==1){ date_part=$("#element_"+index+"_year-mm").val()+"/"+$("#element_"+index+"_yeardd").val()+"/"+$("#element_"+index+"_year").val(); }

var time_part=""; if($("#element_"+index+"_hour").length==1){ time_part=$("#element_"+index+"_hour").val()+":"+$("#element_"+index+"_minute").val()+" "+$("#element_"+index+"_ampm").val(); }

if(date_part && time_part){ result=date_part+" "+time_part; }else{ result=date_part ? date_part : time_part; }

return result; } ,url : function(index){ return $("#element_"+index).val(); } ,file : function(index){ return $("#element_"+index).val(); } ,select_multiple : function(index){ return $("#element_"+index).val(); } ,price : function(index){ var result=""; var arr=new Array(); $("input[id^=element_"+index+"_]").each(function(){ arr[arr.length]=this.value; }); result=arr.join("."); return result; } ,hidden : function(index){ return $("#element_"+index).val(); }

,section_break : function(index){ return ""; } ,page_break : function(index){ return ""; } ,deprecated : function(index){ return $("#element_"+index).val(); } };

var emf_condition_id_to_js_map={1 : function(field_value, value){ return field_value.indexOf(value)>-1; } ,2 : function(field_value, value){ return field_value.indexOf(value)==-1; } ,3 : function(field_value, value){ return field_value.indexOf(value)==0; } ,4 : function(field_value, value){ return field_value.indexOf(value)==field_value.length-value.length; } ,5 : function(field_value, value){ return field_value==value; }

,6 : function(field_value, value){ return field_value!=value; } ,7 : function(field_value, value){ return field_value==value; } ,8 : function(field_value, value){ return field_value>value; } ,9 : function(field_value, value){ return field_value<value; } ,10 : function(field_value, value){ var date_for_field_value=Date.parse(field_value); var date_for_value=Date.parse(value); if(date_for_field_value && date_for_value){ return date_for_field_value == date_for_value; } return false; } ,11 : function(field_value, value){ var date_for_field_value=Date.parse(field_value); var date_for_value=Date.parse(value); if(date_for_field_value && date_for_value){ return date_for_field_value < date_for_value; } return false; }

,12 : function(field_value, value){ var date_for_field_value=Date.parse(field_value); var date_for_value=Date.parse(value); if(date_for_field_value && date_for_value){ return date_for_field_value > date_for_value; } return false; } }; var emf_group_to_field_rules_map=[];

//]]> </script>