document.write("");
document.write("		");
document.write("		<Br>");
document.write("		<!--");
document.write("		<img src=\"header.jpg\" width=\"640\" height=\"154\" alt=\"\" border=\"0\"><br>-->");
document.write("		<\/TD>");
document.write("	");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("	");
document.write("		<td bgcolor=\"#ffffff\" width=\"640\">");
document.write("			");
document.write("			<table style=\"margin: 0px 0px 0px 160px;\">");
document.write("			  <tr>");
document.write("            <td width=\"150\">First Name:<\/td>");
document.write("            <td width=\"300\">");
document.write("              <input type=\"text\" name=\"firstName\" style=\"background-color: #e7e7e7\"\/>");
document.write("              *<\/td>");
document.write("          	<\/tr>");
document.write("			 <tr>");
document.write("");
document.write("            <td width=\"150\">Last Name:<\/td>");
document.write("            <td>");
document.write("              <input type=\"text\" name=\"lastName\" style=\"background-color: #e7e7e7\"\/>");
document.write("              *<\/td>");
document.write("          <\/tr>");
document.write("          <tr>");
document.write("            <td width=\"150\">Street:<\/td>");
document.write("");
document.write("            <td>");
document.write("              <input type=\"text\" name=\"street\" style=\"background-color: #e7e7e7\" \/>");
document.write("              *<\/td>");
document.write("          <\/tr>");
document.write("          <tr>");
document.write("            <td width=\"150\">City\/Town:<\/td>");
document.write("            <td>");
document.write("              <font size=\"2\">");
document.write("");
document.write("              <select name=\"city\" style=\"font-size: 11px; width: 135px;\">");
document.write("                <option value=\"-1\" selected=\"selected\">Please select<\/option>");
document.write("                 <option>Acton<\/option>");
document.write("<option>Ajax<\/option>");
document.write("<option>Alliston<\/option>");
document.write("<option>Ancaster<\/option>");
document.write("<option>Arthur<\/option>");
document.write("<option>Aurora<\/option>");
document.write("<option>Aylmer<\/option>");
document.write("<option>Ayr<\/option>");
document.write("<option>Barrie<\/option>");
document.write("<option>Beamsville<\/option>");
document.write("<option>Belleville<\/option>");
document.write("<option>Blue Mountain<\/option>");
document.write("<option>Bluewater<\/option>");
document.write("<option>Bolton<\/option>");
document.write("<option>Bowmanville<\/option>");
document.write("<option>Bracebridge<\/option>");
document.write("<option>Bradford<\/option>");
document.write("<option>Bradford<\/option>");
document.write("<option>Bramalea<\/option>");
document.write("<option>Brampton<\/option>");
document.write("<option>Brant<\/option>");
document.write("<option>Brantford<\/option>");
document.write("<option>Brighton<\/option>");
document.write("<option>Brighton<\/option>");
document.write("<option>Brock<\/option>");
document.write("<option>Brockton<\/option>");
document.write("<option>Brockville<\/option>");
document.write("<option>Brooklin<\/option>");
document.write("<option>Burk's Falls<\/option>");
document.write("<option>Burlington<\/option>");
document.write("<option>Caledon<\/option>");
document.write("<option>Calgary<\/option>");
document.write("<option>Cambridge<\/option>");
document.write("<option>Carleton Place<\/option>");
document.write("<option>Carling<\/option>");
document.write("<option>Carlisle<\/option>");
document.write("<option>Chatham<\/option>");
document.write("<option>Cobourg<\/option>");
document.write("<option>Cochrane<\/option>");
document.write("<option>Collingwood<\/option>");
document.write("<option>Concord<\/option>");
document.write("<option>Cornwall<\/option>");
document.write("<option>Courtice<\/option>");
document.write("<option>Deseronto<\/option>");
document.write("<option>Dryden<\/option>");
document.write("<option>Dufferin<\/option>");
document.write("<option>Dundas<\/option>");
document.write("<option>Dunnville<\/option>");
document.write("<option>East Gwillimbury<\/option>");
document.write("<option>Edmonton<\/option>");
document.write("<option>Elliot Lake<\/option>");
document.write("<option>Elmira<\/option>");
document.write("<option>Elora<\/option>");
document.write("<option>Etobicoke<\/option>");
document.write("<option>Fenelon Falls<\/option>");
document.write("<option>Fergus<\/option>");
document.write("<option>Fort Erie<\/option>");
document.write("<option>Frontenac<\/option>");
document.write("<option>Gananoque<\/option>");
document.write("<option>Georgetown<\/option>");
document.write("<option>Georgian Bay<\/option>");
document.write("<option>Goderich<\/option>");
document.write("<option>Gravenhurst<\/option>");
document.write("<option>Grimsby<\/option>");
document.write("<option>Guelph<\/option>");
document.write("<option>Halton Hills<\/option>");
document.write("<option>Hamilton<\/option>");
document.write("<option>Huntsville<\/option>");
document.write("<option>Huron<\/option>");
document.write("<option>Ingersoll<\/option>");
document.write("<option>Innisfil<\/option>");
document.write("<option>Kapuskasing<\/option>");
document.write("<option>Kawartha Lakes<\/option>");
document.write("<option>Keswick<\/option>");
document.write("<option>Kincardine<\/option>");
document.write("<option>King<\/option>");
document.write("<option>Kingston<\/option>");
document.write("<option>Kirkland Lake<\/option>");
document.write("<option>Kitchener<\/option>");
document.write("<option>Kleinburg<\/option>");
document.write("<option>Lacombe<\/option>");
document.write("<option>Ladner<\/option>");
document.write("<option>Lake of Bays<\/option>");
document.write("<option>Lake of the Woods<\/option>");
document.write("<option>Leamington<\/option>");
document.write("<option>Leeds<\/option>");
document.write("<option>Lincoln<\/option>");
document.write("<option>Lindsay<\/option>");
document.write("<option>London<\/option>");
document.write("<option>Madoc<\/option>");
document.write("<option>Magnetawan<\/option>");
document.write("<option>Malahide<\/option>");
document.write("<option>Maple<\/option>");
document.write("<option>Maple Ridge<\/option>");
document.write("<option>Mapleton<\/option>");
document.write("<option>Marathon<\/option>");
document.write("<option>Markham<\/option>");
document.write("<option>McDougall<\/option>");
document.write("<option>Meadowvale<\/option>");
document.write("<option>Meaford<\/option>");
document.write("<option>Medicinehat<\/option>");
document.write("<option>Midland<\/option>");
document.write("<option>Milton<\/option>");
document.write("<option>Mississauga<\/option>");
document.write("<option>Mono<\/option>");
document.write("<option>Mount Albert<\/option>");
document.write("<option>Mount Hope<\/option>");
document.write("<option>Muskoka<\/option>");
document.write("<option>Muskoka Lakes<\/option>");
document.write("<option>Newcastle<\/option>");
document.write("<option>Newmarket<\/option>");
document.write("<option>Niagara Falls<\/option>");
document.write("<option>Niagara on the Lake<\/option>");
document.write("<option>Niagara Region<\/option>");
document.write("<option>Nipigon<\/option>");
document.write("<option>Nipissing<\/option>");
document.write("<option>Norfolk<\/option>");
document.write("<option>North Bay<\/option>");
document.write("<option>North Huron<\/option>");
document.write("<option>North York<\/option>");
document.write("<option>Oakville<\/option>");
document.write("<option>Orangeville<\/option>");
document.write("<option>Orillia<\/option>");
document.write("<option>Oro-Medonte<\/option>");
document.write("<option>Oshawa<\/option>");
document.write("<option>Ottawa<\/option>");
document.write("<option>Owen Sound<\/option>");
document.write("<option>Oxford<\/option>");
document.write("<option>Parry Sound<\/option>");
document.write("<option>Peel Pelham<\/option>");
document.write("<option>Pembroke<\/option>");
document.write("<option>Penetanguishene<\/option>");
document.write("<option>Perth<\/option>");
document.write("<option>Peterborough<\/option>");
document.write("<option>Pickering<\/option>");
document.write("<option>Port Colborne<\/option>");
document.write("<option>Port Edward<\/option>");
document.write("<option>Port Elgin<\/option>");
document.write("<option>Port Hope<\/option>");
document.write("<option>Port Perry<\/option>");
document.write("<option>Puslinch<\/option>");
document.write("<option>Renfrew<\/option>");
document.write("<option>Richmond Hill<\/option>");
document.write("<option>Sarnia<\/option>");
document.write("<option>Scarborough<\/option>");
document.write("<option>Schomberg<\/option>");
document.write("<option>Scugog<\/option>");
document.write("<option>Seguin<\/option>");
document.write("<option>Shelburne<\/option>");
document.write("<option>Simcoe<\/option>");
document.write("<option>Springwater<\/option>");
document.write("<option>St Catharines<\/option>");
document.write("<option>St George<\/option>");
document.write("<option>St. Clair<\/option>");
document.write("<option>St. Mary's<\/option>");
document.write("<option>St. Thomas<\/option>");
document.write("<option>Stayner<\/option>");
document.write("<option>Stoney Creek<\/option>");
document.write("<option>Stouffville<\/option>");
document.write("<option>Stratford<\/option>");
document.write("<option>Strathmore<\/option>");
document.write("<option>Strathroy<\/option>");
document.write("<option>Sunderland<\/option>");
document.write("<option>Tay<\/option>");
document.write("<option>Tecumseh<\/option>");
document.write("<option>Temagami<\/option>");
document.write("<option>The Blue Mountains<\/option>");
document.write("<option>Thornbury<\/option>");
document.write("<option>Thornhill<\/option>");
document.write("<option>Tillsonburg<\/option>");
document.write("<option>Toronto<\/option>");
document.write("<option>Tottenham<\/option>");
document.write("<option>Tweed<\/option>");
document.write("<option>Unionville<\/option>");
document.write("<option>Uxbridge<\/option>");
document.write("<option>Vancouver<\/option>");
document.write("<option>Vaughan<\/option>");
document.write("<option>Victoria<\/option>");
document.write("<option>Vineland<\/option>");
document.write("<option>Wainfleet<\/option>");
document.write("<option>Wasaga Beach<\/option>");
document.write("<option>Waterdown<\/option>");
document.write("<option>Waterloo<\/option>");
document.write("<option>Welland<\/option>");
document.write("<option>Wellesley<\/option>");
document.write("<option>Wellington<\/option>");
document.write("<option>Whistler<\/option>");
document.write("<option>Whitby<\/option>");
document.write("<option>Windsor<\/option>");
document.write("<option>Woodbridge<\/option>");
document.write("<option>Woodstock<\/option>");
document.write("<option>York<\/option>");
document.write("<option>Other<\/option>");
document.write("              <\/select>");
document.write("              <\/font>              *<\/td>");
document.write("          <\/tr>");
document.write("");
document.write("          <tr>");
document.write("            <td width=\"150\">Postal Code:<\/td>");
document.write("            <td>");
document.write("              <input type=\"text\" name=\"zipCode\" maxlength=\"10\" style=\"background-color: #e7e7e7\"\/>");
document.write("              *<\/td>");
document.write("          <\/tr>");
document.write("          <tr>");
document.write("            <td width=\"150\">Phone(Day):<\/td>");
document.write("");
document.write("            <td>");
document.write("              <input type=\"text\" name=\"phoneDay\" onKeyUp=\"this.value=nhbnFormat(this.value,'(###)###-#### Ex:####');\" maxlength=\"21\" style=\"background-color: #e7e7e7\"\/>");
document.write("              *<\/td>");
document.write("          <\/tr>");
document.write("          <tr>");
document.write("            <td width=\"150\">Phone(Evening):<\/td>");
document.write("            <td>");
document.write("              <input type=\"text\" name=\"phoneEvening\"  onkeyup=\"this.value=nhbnFormat(this.value);\" maxlength=\"13\" style=\"background-color: #e7e7e7\"\/>");
document.write("");
document.write("              *<\/td>");
document.write("          <\/tr>");
document.write("          <tr>");
document.write("            <td width=\"150\">E-Mail Address:<\/td>");
document.write("            <td>");
document.write("              <input type=\"text\" name=\"email\" style=\"background-color: #e7e7e7\"\/>");
document.write("              *<\/td>");
document.write("          <\/tr>");
document.write("			<\/table>");
document.write("			<hr style=\"width: 620px; height: 1px; color: #e7e7e7; background-color: #e7e7e7;\">");
document.write("				<Center>");
document.write("				  <p align=\"center\" style=\"font-family: arial; font-size: 13px; font-weight: bold; color: #5a9a98;\">TO ASSIST US IN UNDERSTANDING YOUR NEEDS,");
document.write("          PLEASE TAKE A MOMENT<br \/>");
document.write("");
document.write("        TO COMPLETE THE FOLLOWING INFORMATION (OPTIONAL)<\/p>");
document.write("		 <p align=\"center\" style=\"font-family: arial; font-size: 13px; font-weight: bold; color: #5a9a98;\">WE CURRENTLY HAVE MIDRISE CONDO\/APARTMENTS AVALAIBLE<\/p>");
document.write("<!-- Content-->");
document.write("									<Center>");
document.write("<table width=\"600\" cellpadding=\"0\" cellspacing=\"0\" border=\"0\">");
document.write("	<tr>");
document.write("		<td width=\"100%\" colspan=\"6\">");
document.write("			");
document.write("			<br>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"350\">");
document.write("			");
document.write("			<b>What Sq. Ft. are you interested in:<\/b>");
document.write("		<\/td>");
document.write("		<td width=\"220\">");
document.write("			<select name=\"Home Size\" style=\"font-size: 11px;\">");
document.write("    		<option selected>Please select<\/option>");
document.write("			<option>1200-2000<\/option>");
document.write("			<option>2000-2500<\/option>");
document.write("			<option>2500-3000<\/option>");
document.write("			<option>3000+<\/option>");
document.write("			<\/select> ");
document.write("		<\/td>	");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"100%\" colspan=\"2\">");
document.write("			");
document.write("			<br>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"350\">");
document.write("			");
document.write("			<b>What price range are you interested in:<\/b>");
document.write("		<\/td>");
document.write("		<td width=\"250\">");
document.write("			<select name=\"Price Range\" style=\"font-size: 11px;\">");
document.write("    		<option selected>Please select<\/option>");
document.write("			<option>$200,000-$250,000<\/option>");
document.write("			<option>$250,000-$300,000<\/option>");
document.write("			<option>$300,000-$350,000<\/option>");
document.write("			<option>$350,000-$400,000<\/option>");
document.write("			<option>$400,000+<\/option>");
document.write("			<\/select> ");
document.write("");
document.write("		<\/td>	");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"100%\" colspan=\"2\">");
document.write("			");
document.write("			<br>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"100%\" colspan=\"2\">");
document.write("			");
document.write("			<b>What type of home are you interested in?:<\/b>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"100%\" colspan=\"2\">");
document.write("			");
document.write("			<br>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"600\" colspan=\"2\">");
document.write("			<table width=\"600\" cellpadding=\"0\" cellspacing=\"0\" border=\"0\">");
document.write("				<tr>");
document.write("					");
document.write("				");
document.write("					<td width=\"275\">");
document.write("						<input type=\"checkbox\" name=\"Type of Home\" value=\"2 Storey\">");
document.write("						");
document.write("						2 Storey");
document.write("					<\/td>");
document.write("					<td width=\"150\">");
document.write("						<input type=\"checkbox\" name=\"Type of Home\" value=\"Bungalow\">");
document.write("						");
document.write("						Bungalow");
document.write("					<\/td><td width=\"175\">");
document.write("						<input type=\"checkbox\" name=\"Type of Home\" value=\"Bungalow with Loft\">");
document.write("						");
document.write("						Bungalow with Loft");
document.write("					<\/td>");
document.write("					");
document.write("				<\/tr>");
document.write("			");
document.write("			<\/table>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"100%\" colspan=\"2\">");
document.write("			");
document.write("			<br>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"100%\" colspan=\"2\">");
document.write("			");
document.write("			<b>How many bedrooms do you need:<\/b>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"100%\" colspan=\"2\">");
document.write("			");
document.write("			<br>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"600\" colspan=\"2\">");
document.write("			<table width=\"600\" cellpadding=\"0\" cellspacing=\"0\" border=\"0\">");
document.write("				<tr>");
document.write("					");
document.write("					");
document.write("					<td width=\"100\">");
document.write("						<input type=\"radio\" name=\"Bedrooms\" value=\"2 bed\">");
document.write("						");
document.write("						2 bed");
document.write("					<\/td>");
document.write("					<td width=\"100\">");
document.write("						<input type=\"radio\" name=\"Bedrooms\" value=\"3 bed\">");
document.write("						");
document.write("						3 bed");
document.write("					<\/td>");
document.write("					<td width=\"100\">");
document.write("						<input type=\"radio\" name=\"Bedrooms\" value=\"4 bed\">");
document.write("						");
document.write("						4 bed");
document.write("					<\/td>");
document.write("					<td width=\"100\">");
document.write("");
document.write("					<\/td>");
document.write("					<td width=\"100\">");
document.write("						");
document.write("					<\/td>");
document.write("					<td width=\"100\">");
document.write("						");
document.write("					<\/td>");
document.write("				<\/tr>");
document.write("				<tr>");
document.write("					<tr><\/tr>");
document.write("				");
document.write("				<\/tr>");
document.write("			<\/table>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"100%\" colspan=\"2\">");
document.write("			");
document.write("			<br>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"100%\" colspan=\"2\">");
document.write("			");
document.write("			<b>How many bathrooms do you need:<\/b>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"100%\" colspan=\"2\">");
document.write("			");
document.write("			<br>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"600\" colspan=\"2\">");
document.write("			<table width=\"600\" cellpadding=\"0\" cellspacing=\"0\" border=\"0\">");
document.write("				<tr>");
document.write("");
document.write("					<td width=\"100\">");
document.write("						<input type=\"radio\" name=\"Bathrooms\" value=\"1.5 Baths\">");
document.write("						");
document.write("						1.5 Baths");
document.write("					<\/td>");
document.write("					<td width=\"100\">");
document.write("						<input type=\"radio\" name=\"Bathrooms\" value=\"2 Baths\">");
document.write("						");
document.write("						2 Baths");
document.write("					<\/td>");
document.write("					<td width=\"100\">");
document.write("						<input type=\"radio\" name=\"Bathrooms\" value=\"2.5 Baths\">");
document.write("						");
document.write("						2.5 Baths");
document.write("					<\/td>");
document.write("					<td width=\"100\">");
document.write("						");
document.write("					<\/td>");
document.write("					<td width=\"100\">");
document.write("						");
document.write("					<\/td>");
document.write("					<td width=\"100\">");
document.write("");
document.write("					<\/td>");
document.write("				<\/tr>");
document.write("				");
document.write("			<\/table>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"100%\" colspan=\"2\">");
document.write("			");
document.write("			<br>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"100%\" colspan=\"2\">");
document.write("			");
document.write("			<b>What garage size do you need:<\/b>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"100%\" colspan=\"6\">");
document.write("			");
document.write("			<br>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"600\" colspan=\"2\">");
document.write("			<table width=\"600\" cellpadding=\"0\" cellspacing=\"0\" border=\"0\">");
document.write("				<tr>");
document.write("					<td width=\"100\">");
document.write("						<input type=\"radio\" name=\"Garage\" value=\"1 Car\">");
document.write("						");
document.write("						1 Car");
document.write("					<\/td>");
document.write("					<td width=\"100\">");
document.write("						<input type=\"radio\" name=\"Garage\" value=\"2 Car\">");
document.write("						");
document.write("						2 Car");
document.write("					<\/td>");
document.write("					<td width=\"100\">");
document.write("				");
document.write("					<\/td>");
document.write("					<td width=\"100\">");
document.write("");
document.write("					<\/td>");
document.write("					<td width=\"100\">");
document.write("		");
document.write("					<\/td>");
document.write("					<td width=\"100\">");
document.write("						");
document.write("					<\/td>");
document.write("				<\/tr>");
document.write("				");
document.write("			<\/table>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"100%\" colspan=\"6\">");
document.write("			");
document.write("			<br>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"100%\" colspan=\"2\">");
document.write("			");
document.write("			<b>Do you currently:<\/b>");
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document.write("			");
document.write("			<br>");
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document.write("	<tr>");
document.write("		<td width=\"600\" colspan=\"2\">");
document.write("			<table width=\"600\" cellpadding=\"0\" cellspacing=\"0\" border=\"0\">");
document.write("				<tr>");
document.write("					<td width=\"150\">");
document.write("						<input type=\"radio\" name=\"Status\" value=\"Rent\">");
document.write("						");
document.write("						Rent");
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document.write("					<td width=\"150\">");
document.write("						<input type=\"radio\" name=\"Status\" value=\"Own\">");
document.write("						");
document.write("						Own");
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document.write("					<td width=\"150\">");
document.write("						<input type=\"radio\" name=\"Status\" value=\"Live with family\">");
document.write("						");
document.write("						Live with Family");
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document.write("					<td width=\"150\">");
document.write("					");
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document.write("					");
document.write("				<\/tr>");
document.write("				");
document.write("			<\/table>");
document.write("		<\/td>");
document.write("	<\/tr>");
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document.write("		<td width=\"100%\" colspan=\"6\">");
document.write("			");
document.write("			<br>");
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document.write("		<td width=\"100%\" colspan=\"2\">");
document.write("			");
document.write("			<b>What is your age group:<\/b>");
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document.write("		<td width=\"100%\" colspan=\"6\">");
document.write("			");
document.write("			<br>");
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document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"600\" colspan=\"2\">");
document.write("			<table width=\"600\" cellpadding=\"0\" cellspacing=\"0\" border=\"0\">");
document.write("				<tr>");
document.write("					");
document.write("					<td width=\"86\">");
document.write("					");
document.write("					<input type=\"radio\" name=\"Age\" value=\"25-34\">25-34");
document.write("					<\/td>");
document.write("					<td width=\"86\">");
document.write("					");
document.write("					<input type=\"radio\" name=\"Age\" value=\"35-44\">35-44");
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document.write("					<td width=\"86\">");
document.write("					");
document.write("					<input type=\"radio\" name=\"Age\" value=\"45-54\">45-54");
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document.write("					<td width=\"86\">");
document.write("					");
document.write("					<input type=\"radio\" name=\"Age\" value=\"55-64\">55-64");
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document.write("					<td width=\"86\">");
document.write("					");
document.write("				<input type=\"radio\" name=\"Age\" value=\"Over 65\">Over 65");
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document.write("					<td width=\"84\">");
document.write("					");
document.write("					");
document.write("					<\/td>");
document.write("					<td width=\"84\">");
document.write("					");
document.write("					");
document.write("					<\/td>");
document.write("				<\/tr>");
document.write("				");
document.write("			<\/table>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"100%\" colspan=\"6\">");
document.write("			");
document.write("			<br>");
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document.write("		<td width=\"100%\" colspan=\"2\">");
document.write("			");
document.write("			<b>When you move, it will be a:<\/b>");
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document.write("		<td width=\"100%\" colspan=\"6\">");
document.write("			");
document.write("			<br>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"600\" colspan=\"2\">");
document.write("			<table width=\"600\" cellpadding=\"0\" cellspacing=\"0\" border=\"0\">");
document.write("				<tr>");
document.write("					<td width=\"120\">");
document.write("						<input type=\"radio\" name=\"Home Intent\" value=\"First Move\">");
document.write("						");
document.write("						First Move");
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document.write("					<td width=\"120\">");
document.write("						<input type=\"radio\" name=\"Home Intent\" value=\"Move-up\">");
document.write("						");
document.write("						Move-up");
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document.write("					<td width=\"120\">");
document.write("						<input type=\"radio\" name=\"Home Intent\" value=\"Down-size\">");
document.write("						");
document.write("						Down-size");
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document.write("					<td width=\"240\">");
document.write("					<input type=\"radio\" name=\"Home Intent\" value=\"Other\">");
document.write("						");
document.write("						Other &nbsp;<input type=\"text\" name=\"Other Home Intent\" style=\"width: 140px;\">");
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document.write("						");
document.write("					<\/td>");
document.write("				<\/tr>");
document.write("				<\/table>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"100%\" colspan=\"6\">");
document.write("			");
document.write("			<br>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("");
document.write("	<tr>");
document.write("		<td width=\"350\">");
document.write("			");
document.write("			<b>When do you want to move?:<\/b>");
document.write("		<\/td>");
document.write("		<td width=\"250\">");
document.write("			<select name=\"Move Time\" style=\"font-size: 11px;\">");
document.write("    		<option selected>Please select<\/option>");
document.write("			<option>3 Months<\/option>");
document.write("			<option>6 Months<\/option>");
document.write("			<option>1 Year<\/option>");
document.write("			<\/select> ");
document.write("		<\/td>	");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"100%\" colspan=\"6\">");
document.write("			");
document.write("			<br>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"350\">");
document.write("			");
document.write("			<b>What is the intended use for your new home:<\/b>");
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document.write("		<td width=\"220\">");
document.write("			<select name=\"Use for Home\" style=\"font-size: 11px;\">");
document.write("			<option value=\"-1\" selected=\"selected\">Please select<\/option>");
document.write("    		<option>Primary Residence<\/option>");
document.write("			<option>Seasonal or Vacation Residence<\/option>");
document.write("			<option>Transitional Residence (Seasonal to become Primary)<\/option>");
document.write("			<option>Investment<\/option>");
document.write("			<\/select> ");
document.write("		<\/td>	");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"100%\" colspan=\"6\">");
document.write("			");
document.write("			<br>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"350\">");
document.write("			");
document.write("			<b>Where did you hear about this project:<\/b>");
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document.write("		<td width=\"220\">");
document.write("			<select name=\"Source\" style=\"font-size: 11px;\">");
document.write("			<option value=\"-1\" selected=\"selected\">Please select<\/option>");
document.write("    		<option>Collingwood Enterprise<\/option>");
document.write("			<option>On The Bay Magazine<\/option>");
document.write("			<option>Collingwood Herald<\/option>");
document.write("			<option>Our Homes Magazine<\/option>");
document.write("			<option>Website<\/option>");
document.write("			<option>Signage<\/option>");
document.write("			<option>Friends & Family<\/option>");
document.write("			<option>newinhomes.com<\/option>");
document.write("			<option>specnewhomes.com<\/option>");
document.write("			<option>mercurynewhomes.com<\/option>");
document.write("			<option>reidsheritagehomes.com<\/option>");
document.write("			<\/select>* ");
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document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"100%\" colspan=\"6\">");
document.write("			");
document.write("			<br>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("	");
document.write("<tr>");
document.write("		<td width=\"350\">");
document.write("			");
document.write("			<b>Would you like to receive more information about<br>other Reid's Heritage Homes Projects?:<\/b>");
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document.write("		<td width=\"220\">");
document.write("			<select name=\"More Info\" style=\"font-size: 11px;\">");
document.write("			<option value=\"-1\" selected=\"selected\">Please select<\/option>");
document.write("			<option>Yes<\/option>");
document.write("			<option>No<\/option>");
document.write("			<\/select>* ");
document.write("		<\/td>	");
document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"100%\" colspan=\"6\">");
document.write("			");
document.write("			<br>");
document.write("		<\/td>");
document.write("	<\/tr><tr>");
document.write("		<td width=\"350\">");
document.write("			");
document.write("			<b>Are you a realtor?:<\/b>");
document.write("		<\/td>");
document.write("		<td width=\"220\">");
document.write("			<input type=\"radio\" name=\"realtor\" value=\"no\" checked>No <input type=\"radio\" name=\"realtor\" value=\"yes\">Yes");
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document.write("	<\/tr>");
document.write("	<tr>");
document.write("		<td width=\"100%\" colspan=\"6\">");
document.write("			");
document.write("			<br>");
document.write("		<\/td>");
document.write("	<\/tr>");
document.write("<\/table>");
document.write("	<table width=\"500\" border=\"0\" cellspacing=\"0\" cellpadding=\"0\" align=\"center\">");
document.write("          <tr>");
document.write("            <td><p align=\"center\" style=\"font-family: arial; font-size: 13px; font-weight: bold; color: #5a9a98;\">WE WELCOME YOUR SUGGESTIONS AS TO ANY OTHER AMENITIES<br \/>");
document.write("            AND FEATURES YOU WOULD LIKE TO SEE IN YOUR NEW HOME.<\/p><\/td>");
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document.write("          <tr>");
document.write("            <td><div align=\"center\">");
document.write("");
document.write("              <textarea name=\"comment\" cols=\"50\" rows=\"4\" style=\"background-color: #e7e7e7;\"><\/textarea>");
document.write("            <\/div><\/td>");
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document.write("            <td><label>");
document.write("			<br>");
document.write("              <div align=\"center\">");
document.write("                <input type=\"submit\" name=\"Submit\" value=\"Submit\" class=\"buttons\"  onMouseOver=\"this.className='buttons2'\" onMouseOut=\"this.className='buttons'\"\/>");
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document.write("                <input name=\"Reset\" type=\"reset\" id=\"Reset\" value=\"Reset\" class=\"buttons\" onMouseOver=\"this.className='buttons2'\" onMouseOut=\"this.className='buttons'\"\/>");
document.write("              <\/div>");
document.write("            <\/label><\/td>");
document.write("          <\/tr>");
document.write("        <\/table>");
document.write("		<br><br>		<\/td>");
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