<script src="http://jotform.com/js/form.js?v2.0.741" type="text/javascript"> <style type="text/css">html,body{height:100%; margin:0;} .tbmain{ /* changes on the form */ background: #d7e9f3 !important; } .left{ /* changes on the form */ color: #394f5f !important; font-family: tahoma !important; font-size: 11px !important; } td.left { font-family: tahoma; font-size: 11px; font-weight:bold; color:#394f5f; vertical-align: top; text-align: left; } .pagebreak{ font-family: tahoma; font-size: 11px; font-weight:bold; color:black; } td.right { font-family: tahoma; font-size: 11px; font-weight: normal; color:#394f5f; vertical-align: top; text-align: left; } .tbmain{ height:100%; color:#394f5f; background: #d7e9f3; } .head{ font-family: tahoma; font-size:medium; font-weight:bold; color:#394f5f; vertical-align: top; text-align: left; } .notvalid{ border:2px red solid; font-family:tahoma; } .text{ color:#394f5f; font-family: tahoma; font-size: 11px; font-weight:normal; border:0px;
background:#abcadb; } select.other{ color:#394f5f; font-family: tahoma; font-size: 11px; font-weight:normal; border:0px; background:#abcadb; } .btn{ color:#ffffff; font-family: tahoma; font-size: 11px; font-weight:bold; border:1px #8aaabc solid; background: url(http://jotform.com/images/styles/style5_btn_bg.gif) #9bbed0 top repeat-x; } span.required{ font-size: 13px !important; color: red !important; }
<script type="text/javascript"> validate("q_form_82382129202");