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               : 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document.getElementById( id );      if ( typeof(el)=='object' && el!=null )        if ( el.value=='' )        {           alert( 'You should fill "' + field_title + '"' );           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;}document.write('<form name="frm_aa540b9810" id="frm_aa540b9810" 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="aa540b9810">');function CheckPage9815f6e3af(){   var nResult = 0;      nResult += NotEmpty( nResult, 'fld_8646e538b1','Moving From City' );   if ( nResult == 0 )   {              if (0)      {         var el = document.getElementById( 'frm_aa540b9810' );         if ( typeof(el)=='object' && el != null ) el.submit();      }      else ChangePage( 0, 1 );   }}document.write('     <!-- Page -->');document.write('     <table id="pg_9815f6e3af" border="0" cellpadding="2" cellspacing="1" width="600" bgcolor="#efefef" class="phpForms_main" style="display:;border: solid 1px #777777;">');document.write('      <tr>  <!-- Page title -->');document.write('          <td colspan="2" align="center" vAlign="top">');document.write('             <span class="phpForms_pgtitle">Start the Moving Bid, and save money!</span>');document.write('          </td>');document.write('      </tr> <!-- /Page title -->');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">Moving Date</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <select onChange="" name="fld_d_4729654659" id="fld_d_4729654659" style="">');document.write(' <option value=\'1\'>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\' selected>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_4729654659\')" name="fld_m_4729654659" id="fld_m_4729654659" style="">');document.write(' <option value=\'Jan\'>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\' selected>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_4729654659\')" name="fld_y_4729654659" id="fld_y_4729654659" 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;');function Sel_currd(){    currd = new Date();   var sel_Year = document.getElementById("fld_y_4729654659");   var sel_Month = document.getElementById("fld_m_4729654659");   var sel_Day  = document.getElementById("fld_d_4729654659");   for (i=0; i<sel_Year.length; i++)   {      if ( sel_Year[i].value == currd.getYear() + 1900 )      {        sel_Year.options[i].selected = true;		break;      }   }   if ( typeof(sel_Month)=='object' && sel_Month!=null )   sel_Month.options[currd.getMonth()].selected = true;   if ( typeof(sel_Day)=='object' && sel_Day!=null )   sel_Day.options[currd.getDate()-1].selected = true;} Sel_currd();document.write(' ');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 City</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_8646e538b1"   id="fld_8646e538b1" 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="">What Floor are you moving FROM?</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <select name="fld_4a848f30ea" id="fld_4a848f30ea" style="width:100%;">');document.write('  <option value=\'-----\'>----</option>');document.write('<option value=\'1st Floor\'>1st Floor</option>');document.write('<option value=\'2nd Floor\'>2nd Floor</option>');document.write('<option value=\'3rd\'>3rd</option>');document.write('<option value=\'4th\'>4th</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('</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="">What is the walking distance from your door to the parking lot?</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <select name="fld_4f57222411" id="fld_4f57222411" style="width:100%;">');document.write('  <option value=\'------\' selected>-----</option>');document.write('<option value=\'0-75FT\'>0-75FT</option>');document.write('<option value=\'76/FT-176/FT\'>76/FT-176/FT</option>');document.write('<option value=\'177/FT - 227/FT\'>177/FT - 227/FT</option>');document.write('<option value=\'278+/FT\'>278+/FT</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="">Moving To City</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_6f50740672"   id="fld_6f50740672" 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="">What Floor are you moving TO?</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <select name="fld_fe9f416e56" id="fld_fe9f416e56" style="width:100%;">');document.write('  <option value=\'----\'>---</option>');document.write('<option value=\'1st Floor\'>1st Floor</option>');document.write('<option value=\'2nd Floor\'>2nd Floor</option>');document.write('<option value=\'3rd Floor\'>3rd Floor</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('</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="">What is the walking distance from your door to the parking lot? </span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#cdcdcd">');document.write('             <select name="fld_dc50122774" id="fld_dc50122774" style="width:100%;">');document.write('  <option value=\'----\' selected>----</option>');document.write('<option value=\'0/FT-75/FT\'>0/FT-75/FT</option>');document.write('<option value=\'76/FT-176/FT\'>76/FT-176/FT</option>');document.write('<option value=\'177/FT-227/FT\'>177/FT-227/FT</option>');document.write('<option value=\'278+/FT\'>278+/FT</option>');document.write('</select>');document.write('          </td>');document.write('      </tr>');document.write('<tr>');document.write('          <td colspan="2" align="center" class="phpForms_main">');document.write('            ');document.write('          </td>');document.write('      </tr>');document.write('<tr>');document.write('          <td colspan="2" 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                                      return;      if (1)      {         var el = document.getElementById( 'frm_aa540b9810' );         if ( typeof(el)=='object' && el != null ) el.submit();      }      else ChangePage( 1, 2 );   }}document.write('     <!-- Page -->');document.write('     <table id="pg_3bb96925ea" border="0" cellpadding="2" cellspacing="1" width="600" bgcolor="#efefef" class="phpForms_main" style="display:none;border: solid 1px #777777;">');document.write('      <tr>  <!-- Page title -->');document.write('          <td colspan="2" align="center" vAlign="top">');document.write('             <span class="phpForms_pgtitle">YOUR CONTACT INFORMATION</span>');document.write('          </td>');document.write('      </tr> <!-- /Page title -->');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#cdcdcd" valign="top">');document.write('             <span style="">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_41c717baa0"   id="fld_41c717baa0" 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_f476b3b08d"   id="fld_f476b3b08d" 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</span>&nbsp;<font 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</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=aa540b9810&randm="+ randim + "";   document.forms['frm_aa540b9810'].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_aa540b9810'].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=aa540b9810&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_aa540b9810');         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('          </td>');document.write('      </tr>');document.write('<tr>');document.write('          <td colspan="2" align="center" class="phpForms_main">');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"  value="Previous" onClick=\'ChangePage(1,0)\' style="width:30%; background-color : #a2a2a2" class="phpForms_btn">');document.write('<input type="button" id="subbut" value="Submit" onClick=\'CheckPage3bb96925ea();\' style="width:30%; background-color : #a2a2a2" class="phpForms_btn">');document.write('          </td>');document.write('      </tr>');document.write('     </table>');document.write('     <!-- /Page -->');document.write('</form>');document.write('<!-- /phpForms.net form END -->');