document.write('<!-- phpForms.net form BEGIN -->');document.write('<style>');document.write('<!--');document.write('.phpForms_pgtitle');document.write('{');document.write('    font-family : Arial;');document.write('    font-size   : 18px;');document.write('    color       : #1200d9;');document.write('    font-weight : bold;');document.write('}');document.write('.phpForms_btn');document.write('{');document.write('    border-top-width    : 1px;');document.write('    border-left-width   : 1px;');document.write('    border-bottom-width : 1px;');document.write('    border-right-width  : 1px;');document.write('    border-top-color    : #e4e4e4;');document.write('    border-left-color   : #e4e4e4;');document.write('    border-right-color  : #c1c1c1;');document.write('    border-bottom-color : #c1c1c1;');document.write('    font                : Verdana, Arial, Helvetica, sans-serif;');document.write('    color               : #000000;');document.write('}');document.write('-->');document.write('</style>');var aIds = Array( 'pg_4e0e8e192e' );var aId  = Array ();function ChangePage( to_hide, to_show ){   var tbl_hide = document.getElementById( aIds[to_hide] );   var tbl_show = document.getElementById( aIds[to_show] );   if ( typeof(tbl_hide)=='object' && tbl_hide!=null )    if ( typeof(tbl_show)=='object' && tbl_show!=null )    {       tbl_hide.style.display = 'none';       tbl_show.style.display = '';    }	}function NumbersOnly( old_res, id, field_title ){   if ( old_res==0 )   {      var el = document.getElementById( id );      if ( typeof(el)=='object' && el!=null )      {         var re = /^[0-9]+$/;         if (el.value.search(re) == -1 )         {            alert( '"' + field_title + '" must be a number' );            return 1;         }      }   }   return 0;}function Email( old_res, id, field_title ){    if ( old_res==0 )   {      var el = document.getElementById( id );      if ( typeof(el)=='object' && el!=null  )      {         var re = /^[a-zA-Z0-9_\.\-]+@([a-zA-Z0-9][a-zA-Z0-9-]+\.)+[a-zA-Z]{2,6}$/;         if (el.value.search(re) != -1 )  return 0;         else         {            alert( '"'+field_title+'" must be email' );            return 1;         }      }   }   return 0;}function CheckLeapYear( id ){   var aDaysNum = Array( 31, 28, 31, 30, 31, 30, 31, 31, 30, 31, 30, 31 );   var id_cut   = id.substr( 6, id.length-6 );   var day_sel   = document.getElementById( 'fld_d_' + id_cut );   var month_sel = document.getElementById( 'fld_m_' + id_cut );   var year_sel  = document.getElementById( 'fld_y_' + id_cut );   if ( typeof(day_sel)=='object' && day_sel!=null )    if ( typeof(month_sel)=='object' && month_sel!=null )     if ( typeof(year_sel)=='object' && year_sel!=null )     {        if ( month_sel.selectedIndex==1 )        {          if ( year_sel.value % 400==0 || (year_sel.value % 100!=0 && year_sel.value % 4==0) ) aDaysNum[1] = 29;        }        var day_sel_ix = day_sel.selectedIndex;        day_sel.options.length = 0;        for ( i=1; i<=aDaysNum[month_sel.selectedIndex]; i++ )        {           if ( document.createElement )           {              var newOpt = document.createElement( "OPTION" );              newOpt.text = i;              newOpt.value = i;              ( day_sel.options.add ) ? day_sel.options.add(newOpt) : day_sel.add(newOpt, null);           }           else           {              day_sel.options[i-1] = new Option( i, i, false, false );           }        }        if ( day_sel.options.length < (day_sel_ix+1) )           day_sel.selectedIndex = day_sel.options.length-1;        else day_sel.selectedIndex = day_sel_ix;     }}function CeckDis( ){    var fagr = document.getElementById('box_confirm');	if (fagr.checked)	{	   document.getElementById("subbut").disabled=false;	   document.getElementById("subbut").style.backgroundColor  = '#a2a2a2';       var subs = document.getElementById( "subbut_s" );       if ( typeof(subs)=='object' && subs!=null )       {          subs.disabled=false;		  subs.style.backgroundColor  = '#a2a2a2';	   }	}	else    {	  document.getElementById("subbut").disabled=true;      document.getElementById("subbut").style.backgroundColor  = '#FAEBD7';                var subs = document.getElementById( "subbut_s" );      if ( typeof(subs)=='object' && subs!=null )      {         subs.disabled=true;		 subs.style.backgroundColor  = '#FAEBD7';	  }	}    }document.write('<form name="frm_94f1c817c8" id="frm_94f1c817c8" method="POST" enctype="multipart/form-data" action="http://1-888-dr-move-1.com/phpforms/index.php?sid=0" onSubmit="return false;">');document.write('<input type="hidden" name="act" value="idx">');document.write('<input type="hidden" name="code" value="01">');document.write('<input type="hidden" name="fid" value="94f1c817c8">');function CheckPage4e0e8e192e(){   var nResult = 0;      nResult += NumbersOnly( nResult, 'fld_9f1295095f','Cell Phone' );   nResult += Email( nResult, 'fld_9010fc87f9','Email Address' );   if ( nResult == 0 )   {        document.getElementById('loading').style.display='inline';                                              document.getElementById('imgcode_code').style.display='none';                                              CheckImg(arguments[0]);                                              return;      if (1)      {         var el = document.getElementById( 'frm_94f1c817c8' );         if ( typeof(el)=='object' && el != null ) el.submit();      }      else ChangePage( 0, 1 );   }}      function formatCurrency(num) {      num = num.toString().replace(/\$|\,/g,'');      if(isNaN(num))      num = "0";      sign = (num == (num = Math.abs(num)));      num = Math.floor(num*100+0.50000000001);      cents = num%100;      num = Math.floor(num/100).toString();      if(cents<10)      cents = "0" + cents;      for (var i = 0; i < Math.floor((num.length-(1+i))/3); i++)      num = num.substring(0,num.length-(4*i+3))+','+      num.substring(num.length-(4*i+3));      return (((sign)?'':'-') + '' + num + '.' + cents);      }function paymentTotalbd9ad409c9(){ var products = new Array( new Array(),                              new Array() );var currency = 'USD';							     var price = 0;   for ( i=0; i<products[0].length; i++ )   {      if(document.getElementById(products[0][i]))	  {	    if(document.getElementById(products[0][i]).checked==true)		{		 price = parseFloat(price) + parseFloat(products[1][i]);		}	  }   }	        if ( parseFloat(price) > 0 )	  {	            document.getElementById('paymentTotal').innerHTML = ""+formatCurrency(parseFloat(price))+"";		document.getElementById('paymentCurrency').innerHTML = ""+currency+"";		document.getElementById('paymentPrevbd9ad409c9').value = ""+formatCurrency(parseFloat(price))+" "+currency+"";	  }	  else	  {	    document.getElementById('paymentTotal').innerHTML = "";		document.getElementById('paymentCurrency').innerHTML = "";		document.getElementById('paymentPrevbd9ad409c9').value = "";	  }   }document.write('     <!-- Page -->');document.write('     <table id="pg_4e0e8e192e" border="0" cellpadding="2" cellspacing="1" width="600" bgcolor="#efefef" class="phpForms_main" style="display:;border: solid 1px #777777;">');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Moving Plan Type</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <select name="fld_51ddc79f59" id="fld_51ddc79f59" style="width:100%;">');document.write('  <option value=\'Choose Plan\' selected>Choose Plan</option>');document.write('<option value=\'Plan#1, $69/hr &amp; one Time Fee $69. (16/ft Truck, 2 movers)\'>Plan#1, $69/hr &amp; one Time Fee $69. (16/ft Truck, 2 movers)</option>');document.write('<option value=\'Plan#2 $80/hr &amp; one Time Fee $80. (20/ft Truck, 2 movers)\'>Plan#2 $80/hr &amp; one Time Fee $80. (20/ft Truck, 2 movers)</option>');document.write('</select>');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Full Name</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_606ce32153"   id="fld_606ce32153" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Cell Phone</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_9f1295095f"   id="fld_9f1295095f" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Email Address</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_9010fc87f9"   id="fld_9010fc87f9" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Moving Date</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <select onChange="" name="fld_d_b529ea5295" id="fld_d_b529ea5295" style="">');document.write(' <option value=\'1\' selected>1</option>');document.write('<option value=\'2\'>2</option>');document.write('<option value=\'3\'>3</option>');document.write('<option value=\'4\'>4</option>');document.write('<option value=\'5\'>5</option>');document.write('<option value=\'6\'>6</option>');document.write('<option value=\'7\'>7</option>');document.write('<option value=\'8\'>8</option>');document.write('<option value=\'9\'>9</option>');document.write('<option value=\'10\'>10</option>');document.write('<option value=\'11\'>11</option>');document.write('<option value=\'12\'>12</option>');document.write('<option value=\'13\'>13</option>');document.write('<option value=\'14\'>14</option>');document.write('<option value=\'15\'>15</option>');document.write('<option value=\'16\'>16</option>');document.write('<option value=\'17\'>17</option>');document.write('<option value=\'18\'>18</option>');document.write('<option value=\'19\'>19</option>');document.write('<option value=\'20\'>20</option>');document.write('<option value=\'21\'>21</option>');document.write('<option value=\'22\'>22</option>');document.write('<option value=\'23\'>23</option>');document.write('<option value=\'24\'>24</option>');document.write('<option value=\'25\'>25</option>');document.write('<option value=\'26\'>26</option>');document.write('<option value=\'27\'>27</option>');document.write('<option value=\'28\'>28</option>');document.write('<option value=\'29\'>29</option>');document.write('<option value=\'30\'>30</option>');document.write('<option value=\'31\'>31</option>');document.write('</select>');document.write('&nbsp;');document.write('<select onChange="CheckLeapYear(\'fld_m_b529ea5295\')" name="fld_m_b529ea5295" id="fld_m_b529ea5295" style="">');document.write(' <option value=\'Jan\' selected>Jan</option>');document.write('<option value=\'Feb\'>Feb</option>');document.write('<option value=\'Mar\'>Mar</option>');document.write('<option value=\'Apr\'>Apr</option>');document.write('<option value=\'May\'>May</option>');document.write('<option value=\'Jun\'>Jun</option>');document.write('<option value=\'Jul\'>Jul</option>');document.write('<option value=\'Aug\'>Aug</option>');document.write('<option value=\'Sep\'>Sep</option>');document.write('<option value=\'Oct\'>Oct</option>');document.write('<option value=\'Nov\'>Nov</option>');document.write('<option value=\'Dec\'>Dec</option>');document.write('</select>');document.write('&nbsp;');document.write('<select onChange="CheckLeapYear(\'fld_y_b529ea5295\')" name="fld_y_b529ea5295" id="fld_y_b529ea5295" style="">');document.write(' <option value=\'2010\' selected>2010</option>');document.write('<option value=\'2009\'>2009</option>');document.write('<option value=\'2008\'>2008</option>');document.write('<option value=\'2007\'>2007</option>');document.write('<option value=\'2006\'>2006</option>');document.write('<option value=\'2005\'>2005</option>');document.write('<option value=\'2004\'>2004</option>');document.write('<option value=\'2003\'>2003</option>');document.write('<option value=\'2002\'>2002</option>');document.write('<option value=\'2001\'>2001</option>');document.write('<option value=\'2000\'>2000</option>');document.write('<option value=\'1999\'>1999</option>');document.write('<option value=\'1998\'>1998</option>');document.write('<option value=\'1997\'>1997</option>');document.write('<option value=\'1996\'>1996</option>');document.write('<option value=\'1995\'>1995</option>');document.write('<option value=\'1994\'>1994</option>');document.write('<option value=\'1993\'>1993</option>');document.write('<option value=\'1992\'>1992</option>');document.write('<option value=\'1991\'>1991</option>');document.write('<option value=\'1990\'>1990</option>');document.write('<option value=\'1989\'>1989</option>');document.write('<option value=\'1988\'>1988</option>');document.write('<option value=\'1987\'>1987</option>');document.write('<option value=\'1986\'>1986</option>');document.write('<option value=\'1985\'>1985</option>');document.write('<option value=\'1984\'>1984</option>');document.write('<option value=\'1983\'>1983</option>');document.write('<option value=\'1982\'>1982</option>');document.write('<option value=\'1981\'>1981</option>');document.write('<option value=\'1980\'>1980</option>');document.write('<option value=\'1979\'>1979</option>');document.write('<option value=\'1978\'>1978</option>');document.write('<option value=\'1977\'>1977</option>');document.write('<option value=\'1976\'>1976</option>');document.write('<option value=\'1975\'>1975</option>');document.write('<option value=\'1974\'>1974</option>');document.write('<option value=\'1973\'>1973</option>');document.write('<option value=\'1972\'>1972</option>');document.write('<option value=\'1971\'>1971</option>');document.write('<option value=\'1970\'>1970</option>');document.write('<option value=\'1969\'>1969</option>');document.write('<option value=\'1968\'>1968</option>');document.write('<option value=\'1967\'>1967</option>');document.write('<option value=\'1966\'>1966</option>');document.write('<option value=\'1965\'>1965</option>');document.write('<option value=\'1964\'>1964</option>');document.write('<option value=\'1963\'>1963</option>');document.write('<option value=\'1962\'>1962</option>');document.write('<option value=\'1961\'>1961</option>');document.write('<option value=\'1960\'>1960</option>');document.write('<option value=\'1959\'>1959</option>');document.write('<option value=\'1958\'>1958</option>');document.write('<option value=\'1957\'>1957</option>');document.write('<option value=\'1956\'>1956</option>');document.write('<option value=\'1955\'>1955</option>');document.write('<option value=\'1954\'>1954</option>');document.write('<option value=\'1953\'>1953</option>');document.write('<option value=\'1952\'>1952</option>');document.write('<option value=\'1951\'>1951</option>');document.write('<option value=\'1950\'>1950</option>');document.write('<option value=\'1949\'>1949</option>');document.write('<option value=\'1948\'>1948</option>');document.write('<option value=\'1947\'>1947</option>');document.write('<option value=\'1946\'>1946</option>');document.write('<option value=\'1945\'>1945</option>');document.write('<option value=\'1944\'>1944</option>');document.write('<option value=\'1943\'>1943</option>');document.write('<option value=\'1942\'>1942</option>');document.write('<option value=\'1941\'>1941</option>');document.write('<option value=\'1940\'>1940</option>');document.write('<option value=\'1939\'>1939</option>');document.write('<option value=\'1938\'>1938</option>');document.write('<option value=\'1937\'>1937</option>');document.write('<option value=\'1936\'>1936</option>');document.write('<option value=\'1935\'>1935</option>');document.write('<option value=\'1934\'>1934</option>');document.write('<option value=\'1933\'>1933</option>');document.write('<option value=\'1932\'>1932</option>');document.write('<option value=\'1931\'>1931</option>');document.write('<option value=\'1930\'>1930</option>');document.write('<option value=\'1929\'>1929</option>');document.write('<option value=\'1928\'>1928</option>');document.write('<option value=\'1927\'>1927</option>');document.write('<option value=\'1926\'>1926</option>');document.write('<option value=\'1925\'>1925</option>');document.write('<option value=\'1924\'>1924</option>');document.write('<option value=\'1923\'>1923</option>');document.write('<option value=\'1922\'>1922</option>');document.write('<option value=\'1921\'>1921</option>');document.write('<option value=\'1920\'>1920</option>');document.write('<option value=\'1919\'>1919</option>');document.write('<option value=\'1918\'>1918</option>');document.write('<option value=\'1917\'>1917</option>');document.write('<option value=\'1916\'>1916</option>');document.write('<option value=\'1915\'>1915</option>');document.write('<option value=\'1914\'>1914</option>');document.write('<option value=\'1913\'>1913</option>');document.write('<option value=\'1912\'>1912</option>');document.write('<option value=\'1911\'>1911</option>');document.write('<option value=\'1910\'>1910</option>');document.write('</select>');document.write('&nbsp;');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Moving Time Perferd</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <input type="text" name="fld_68d542ba0d"   id="fld_68d542ba0d" value="" style="width:100%;">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Moving FROM ADDRESS</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <textarea name="fld_f4a4676a0b" id="fld_f4a4676a0b" rows="5" style="width:100%;"></textarea>');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Moving To Address</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <textarea name="fld_b478f417f3" id="fld_b478f417f3" rows="5" style="width:100%;"></textarea>');document.write('          </td>');document.write('      </tr>');document.write('<tr>');document.write('    <td>');document.write('     <img src="http://1-888-dr-move-1.com/phpforms/index.php?frm=94f1c817c8&randm="+ randim + "" name="captcha"><br>');document.write('     <input type="hidden" name="imgcode_id" value=\'\'>');document.write('     <a href="javascript:changeAccessCodeImg();">Reload image</a>');document.write('    </td>');document.write('    <td>');document.write('	 <img src="http://1-888-dr-move-1.com/phpforms/img-code/loading.gif" id="loading" name="loading" style="display: none"><br>');document.write('     <input type="text" name="imgcode_code" id="imgcode_code" value=\'\' style="width:220px;">');document.write('    </td>	 ');document.write('</tr>');document.write('&nbsp;');function changeAccessCodeImg(){   var randim = Math.random();   document.images.captcha.src = "http://1-888-dr-move-1.com/phpforms/index.php?frm=94f1c817c8&randm="+ randim + "";   document.forms['frm_94f1c817c8'].imgcode_id.value =+ randim + ""; } changeAccessCodeImg(); function CheckImg(){     arg_ff1=arguments[0];   var s = document.createElement('script');   s.setAttribute('type','text/javascript');   cl_code = document.getElementById('imgcode_code');   checimg = cl_code.value;   randim = document.forms['frm_94f1c817c8'].imgcode_id.value;   document.documentElement.firstChild.appendChild(s);    ff_onload_called=false;    s.setAttribute('src', "http://1-888-dr-move-1.com/phpforms/index.php?frm=94f1c817c8&chrandm=" + randim + "&checimg=" + checimg + "");    s.setAttribute('onload', "ff1()"); }var ff_onload_called=false;var arg_ff1;function ff1(){      if(ff_onload_called)        return;            ff_onload_called=true;       document.getElementById('loading').style.display='none';   document.getElementById('imgcode_code').style.display='';      if (ci == 3)    {      alert("Sorry, the code you've entered is invalid. Please try again.");      return 1;    }    if (ci == 2 )    {               var el = document.getElementById('frm_94f1c817c8');         if ( typeof(el)=='object' && el != null )         {            el.submit()         }    }}document.write('&nbsp;');document.write('<tr>');document.write('          <td colspan="2" align="center" class="phpForms_main">');document.write('            ');document.write('<iframe src="http://1-888-dr-move-1.com/phpforms/index.php?ifm=94f1c817c8" width="100%" height = "40" align="middle"></iframe>');document.write('          </td>');document.write('      </tr>');document.write('<tr>');document.write('          <td colspan="2" align="center" class="phpForms_main">');document.write('<input type="checkbox" id="box_confirm" name="box_confirm" onClick=\'CeckDis();\' style=""><label for="box_confirm">I accept</label>');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <!-- Buttons -->');document.write('          <td colspan="2" align="center" class="phpForms_main">');document.write('<input type="button" id="subbut" value="Submit" onClick=\'CheckPage4e0e8e192e();\' style="width:30%; background-color : #a2a2a2" class="phpForms_btn">');document.write('          </td>');document.write('      </tr>');document.write('     </table>');document.write('     <!-- /Page -->');document.write('</form>');                 CeckDis();  document.write('                ');document.write('<!-- /phpForms.net form END -->');