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<iframe style="display:none;" name="ErrorRecord" id="ErrorRecord" src="" height="0" width="0" scrolling="no"></iframe>
<script type="text/javascript">
<!--

function isEmailAddr(email)
{
    var emailReg = "^[\\w-&_\.]*[\\w-&_\.]\@[\\w]\.+[\\w]+[\\w]$";
	var regex = new RegExp(emailReg);
	try
	{		
     return regex.test(email);
	}
	catch(ex) { loading=false;document.getElementById("ErrorRecord").src = "scripterror.asp?Page=/RequestShowing.asp&Error=isEmailAddr:" + ex.message + ""; }
}
/*
function isEmailAddr(email)
{
  var result = false;
  var theStr = new String(email);
  var index = theStr.indexOf("@");
	try
	{
	if (index > 0)
	{
		var pindex = theStr.indexOf(".",index);
		if ((pindex > index+1) && (theStr.length > pindex+1))
		result = true;
	}
	return result;
	}
	catch(ex) { loading=false;document.getElementById("ErrorRecord").src = "scripterror.asp?Page=/RequestShowing.asp&Error=isEmailAddr:" + ex.message + ""; }
}
*/

function isURL(url)
{
  var result = false;
  var theStr = new String(url);
  if (theStr != "")
    {
    var index = theStr.indexOf("http://");
    try
	  {
	  if (index == 0)
	  {
		var pindex = theStr.indexOf(".",index);
		if ((pindex > index+1) && (theStr.length > pindex+1))
		result = true;
	  }
	  return result;
	  }
	  catch(ex) { loading=false;document.getElementById("ErrorRecord").src = "scripterror.asp?Page=/RequestShowing.asp&Error=isURL:" + ex.message + ""; }
	}
}

function validRequired(formField,fieldLabel)
{
	var result = true;
	try
	{
	if (formField.value == "")
	{
		alert('Please enter a value for the "' + fieldLabel +'" field.');
		formField.focus();
		result = false;
	}
	
	return result;
	}
	catch(ex) { loading=false;document.getElementById("ErrorRecord").src = "scripterror.asp?Page=/RequestShowing.asp&Error=validRequired:" + ex.message + ""; }
	
}

function allDigits(str)
{
	try
	{
	return inValidCharSet(str,"0123456789");
	}
	catch(ex) { loading=false;document.getElementById("ErrorRecord").src = "scripterror.asp?Page=/RequestShowing.asp&Error=allDigits:" + ex.message + ""; }

}

function inValidCharSet(str,charset)
{
	var result = true;
	try
	{
	// Note: doesn't use regular expressions to avoid early Mac browser bugs	
	for (var i=0;i<str.length;i++)
		if (charset.indexOf(str.substr(i,1))<0)
		{
			result = false;
			break;
		}
	
	return result;
	}
	catch(ex) { loading=false;document.getElementById("ErrorRecord").src = "scripterror.asp?Page=/RequestShowing.asp&Error=inValidCharSet:" + ex.message + ""; }	
}

function validEmail(formField,fieldLabel, minLength, maxLength)
{
	var result = true;
	try
	{
	result = validText(formField, fieldLabel, minLength, maxLength);

	formField.value = trim(formField.value)
	if (result && formField.value.length > 0)
	{		
		if (!isEmailAddr(formField.value))
		{
		alert("Please enter a complete email address in the form: yourname@yourdomain.com");
		formField.focus();
		result = false;
		}
	}
   
	return result;
	}
	catch(ex) { loading=false;document.getElementById("ErrorRecord").src = "scripterror.asp?Page=/RequestShowing.asp&Error=validEmail:" + ex.message + ""; }	

}

function trim(s) {
  while (s.substring(0,1) == ' ') {
    s = s.substring(1,s.length);
  }
  while (s.substring(s.length-1,s.length) == ' ') {
    s = s.substring(0,s.length-1);
  }
  return s;
}

function validURL(formField,fieldLabel,minLength,maxLength)
{
	var result = true;
	try
	{
	result = validText(formField, fieldLabel, minLength, maxLength);

	if (result)
	{	
	  formField.value = trim(formField.value)
	  if (formField.value.length > 0)
	  {
		var index = formField.value.indexOf("http://");	
		if (index == -1)
		{
			if (formField.value.length > 0)
			{
				formField.value = "http://" + formField.value;
			}
		}
		if (!isURL(formField.value))
		{
			alert('Please enter a complete URL in the form: http://www.yourdomain.com "' + fieldLabel +'" field.');
			formField.focus();
			result = false;
		}
      }
	}   
	return result;
	}
	catch(ex) { loading=false;document.getElementById("ErrorRecord").src = "scripterror.asp?Page=/RequestShowing.asp&Error=validURL:" + ex.message + ""; }	
}

function validNum(formField,fieldLabel,required)
{
	var result = true;
	try
	{
	if (required && !validRequired(formField,fieldLabel))
		result = false;
  
 	if (result)
 	{
 		if (!allDigits(formField.value))
 		{
 			alert('Please enter a number for the "' + fieldLabel +'" field.');
			formField.focus();		
			result = false;
		}
	} 
	
	return result;
	}
	catch(ex) { loading=false;document.getElementById("ErrorRecord").src = "scripterror.asp?Page=/RequestShowing.asp&Error=validNum:" + ex.message + ""; }		
}


function validInt(formField,fieldLabel,required)
{
	var result = true;
	try
	{
	if (required && !validRequired(formField,fieldLabel))
		result = false;
  
 	if (result)
 	{
 		var num = parseInt(formField.value,10);
 		if (isNaN(num))
 		{
 			alert('Please enter a number for the "' + fieldLabel +'" field.');
			formField.focus();		
			result = false;
		}
	} 
	
	return result;
	}
	catch(ex) { loading=false;document.getElementById("ErrorRecord").src = "scripterror.asp?Page=/RequestShowing.asp&Error=validInt:" + ex.message + ""; }		
}


function validText(formField, fieldLabel, minLength, maxLength)
{
	var result = true;
	try
	{			
		result = formField.value.length >= parseInt(minLength,10) && formField.value.length <= parseInt(maxLength,10)
 		if (!result) 
 		{
 			alert('The "' + fieldLabel +'" field value should be within ' + minLength + ' and ' + maxLength + ' characters.');
			formField.focus();		
			result = false;
		}
		return result;
	}
	catch(ex) { loading=false;document.getElementById("ErrorRecord").src = "scripterror.asp?Page=/RequestShowing.asp&Error=validText:" + ex.message + ""; }		
}

function maxListSelected(field, max)
{
	hasEntry = 0;
	for(m=0; m<field.options.length; m++)
	{
		if(field.options[m].selected && field.options[m].value!="")
		{
			hasEntry += 1;	
			if (hasEntry > max)
			{
				field.options[m].selected = false;
			}
		}
	}
	if (hasEntry > max)
	{
		alert("You are only allowed to select up to " + max + " values.");
		return false;
	}
	return true;
}

function validList(formField,fieldLabel,AllowFirstSelection)
{
	var result = true;
	try
	{

	if (!AllowFirstSelection && formField.selectedIndex == 0)
	{
  		alert('Please select a value from the "' + fieldLabel +'" field other than the first selection.');
		formField.focus();		
		result = false;
	}
		
 	if (result)
 	{ 		
 		if (formField.selectedIndex < 0)
 		{
 			alert('Please select a value from the "' + fieldLabel +'" field.');
			formField.focus();		
			result = false;
		}
	} 
	
	return result;
	}
	catch(ex) { loading=false;document.getElementById("ErrorRecord").src = "scripterror.asp?Page=/RequestShowing.asp&Error=validList:" + ex.message + ""; }		
}

function validDate(formField,fieldLabel,required)
{
	var result = true;
	try
	{
	if (required && !validRequired(formField,fieldLabel))
		result = false;
  
 	if (result)
 	{
 		var elems = formField.value.split("/");
 		
 		result = (elems.length == 3); // should be three components
 		
 		if (result)
 		{
 			var month = parseInt(elems[0],10);
  			var day = parseInt(elems[1],10);
 			var year = parseInt(elems[2],10);
			result = allDigits(elems[0]) && (month > 0) && (month < 13) &&
					 allDigits(elems[1]) && (day > 0) && (day < 32) &&
					 allDigits(elems[2]) && ((elems[2].length == 2) || (elems[2].length == 4));
 		}
 		
  		if (!result)
 		{
 			alert('Please enter a date in the format MM/DD/YYYY for the "' + fieldLabel +'" field.');
			formField.focus();		
		}
	} 
	
	return result;
	}
	catch(ex) { loading=false;document.getElementById("ErrorRecord").src = "scripterror.asp?Page=/RequestShowing.asp&Error=validDate:" + ex.message + ""; }		
	
}

function DateBlur(T, e) {
	
	var m = "";
	var d = "";
	var y = "";
	var newDate = "";
	var invalidMsg = "Please enter a valid date. (MM/DD/YYYY)";
	
	switch (T.value.length) {
		case 0:
			T.value = "MM/DD/YYYY";
			return true;
			break;
		case 8:
		case 9:
			var arr = T.value.split("/");
			
			switch (arr.length) {
				case 1:  // no slashes
					m = T.value.substring(0,2);
					d = T.value.substring(2,4);
					y = T.value.substring(4,8);
					break;
				case 3:  // 2 slashes - interpret as M/D/YYYY
					m = arr[0];
					d = arr[1];
					y = arr[2];
					break;
				default:  // invalid date
					alert(invalidMsg);
					T.select();
					return false;
					break;
			}
			break;
			
		case 10:
			// assume date with slashes
			var arr = T.value.split("/");
			if (arr.length == 3) {
				m = arr[0];
				d = arr[1];
				y = arr[2];
			} else {
				alert(invalidMsg);
				T.select();
				return false;
			}
			
			break;
			
		default:
			alert(invalidMsg);
			T.select();
			return false;
			break;
	
	}
	
	// Make sure month day and year are not blank
	if (m == "" || d == "" || y == "") {
		alert(invalidMsg);
		T.select();
		return false;
	}
	
	// Check to make sure that month, day and year are valid numbers
	if ((isNaN(Number(m)) || isNaN(Number(d)) || isNaN(Number(y))) ) {
		alert(invalidMsg);
		T.select();
		return false;
	}
	
	// Check the range of the month
	if (Number(m) < 1 || Number(m) > 12) {
		alert(invalidMsg);
		T.select();
		return false;
	}
	
	var isValid = true;
	
	switch (Number(m)) {
		case 1:
			if (Number(d) < 1 || Number(d) > 31) isValid = false;
			break;
		case 2:
			if (Number(d) < 1 || Number(d) > 29) isValid = false;
			break;
		case 3:
			if (Number(d) < 1 || Number(d) > 31) isValid = false;
			break;
		case 4:
			if (Number(d) < 1 || Number(d) > 30) isValid = false;
			break;
		case 5:
			if (Number(d) < 1 || Number(d) > 31) isValid = false;
			break;
		case 6:
			if (Number(d) < 1 || Number(d) > 30) isValid = false;
			break;
		case 7:
			if (Number(d) < 1 || Number(d) > 31) isValid = false;
			break;
		case 8:
			if (Number(d) < 1 || Number(d) > 31) isValid = false;
			break;
		case 9:
			if (Number(d) < 1 || Number(d) > 30) isValid = false;
			break;
		case 10:
			if (Number(d) < 1 || Number(d) > 31) isValid = false;
			break;
		case 11:
			if (Number(d) < 1 || Number(d) > 30) isValid = false;
			break;
		case 12:
			if (Number(d) < 1 || Number(d) > 31) isValid = false;
			break;
		
	}
	
	if (!isValid) {
		alert(invalidMsg);
		T.select();
		return false;
	}
	
	
	// Reformat the date to be MM/DD/YYYY
	if (m.length == 1) m = "0" + m;
	if (d.length == 1) d = "0" + d;
	
	if (m != "" && d != "" && y != "")
		newDate = m + "/" + d + "/" + y;
	else
		newDate = "";
		
	if (newDate != "") T.value = newDate;
	return true;
	
	
}

function DateFocus(T) {
	if (T.value == "MM/DD/YYYY") T.value = "";
}

//-->
</script>
<script type="text/javascript" src="BotDetectScript.js"></script>
<script type="text/javascript" src="BotDetectAjaxValidation.js"></script> 
<script type="text/javascript" src="browserdetect.js"></script>
<script type="text/javascript" language="javascript">
	
	var now = new Date();
	
	
	
	function SetupCalendar(txtfield, imgfield) {
		//alert(txtfield + ":" + imgfield);
		
		Calendar.setup({
			inputField     :    txtfield,     // id of the input field        
			button         :    imgfield,  // trigger for the calendar (button ID)
			ifFormat	   :	"%m/%d/%Y",
			daFormat	   :    "%m/%d/%Y",        
			singleClick    :    true,
			range		   :	[1900, 2500],
			weekNumbers	   :    false,
			dateStatusFunc :	dateStatusHandler
		});
		

	}
	
	function dateStatusHandler(date, y, m, d) 
	{	
		//alert(date);
		var nowDate = new Date();
		nowDate.setDate(nowDate.getDate())
		if (date < nowDate) 
		{
			return false;
		}
		else
		{
			return false;
		}					
	}
	
	function CenterDiv() {
		var div = document.getElementById("divPrivacy");
		var ifrm = document.getElementById("ifrmPrivacy");
		
		if (BrowserDetect.browser == "Explorer" || BrowserDetect.browser == "Firefox") {
			var w = Number(document.documentElement.clientWidth);
			var h = Number(document.documentElement.clientHeight);
			var sl = Number(document.documentElement.scrollLeft);
			var st = Number(document.documentElement.scrollTop);
		} else {
			var w = Number(document.documentElement.clientWidth);
			var h = Number(document.documentElement.clientHeight);
			var sl = Number(document.body.scrollLeft);
			var st = Number(document.body.scrollTop);
		}
		
		var l = (w - 500) / 2;
		if (l < 0) l = 0;
		var t = (h - 400) / 2;
		if (t < 0) t = 0;
		
		t += st
		l += sl
		
		div.style.top = t + "px";
		div.style.left = l + "px";
		ifrm.style.top = t + "px";
		ifrm.style.left = l + "px";
		
	}
	function ShowPrivacy(showaccept) {
		if (showaccept) {
			if (document.getElementById("privacyaccept"))
				document.getElementById("privacyaccept").style.display = "";
			document.getElementById("privacycancel").value = "Cancel";
		} else {
			if (document.getElementById("privacyaccept"))
				document.getElementById("privacyaccept").style.display = "none";
			document.getElementById("privacycancel").value = "Close";
		}
		
		document.getElementById("divPrivacy").style.display = "";
		document.getElementById("ifrmPrivacy").style.display = "";
		CenterDiv();
	}
	
	function HidePrivacy() {
		document.getElementById("divPrivacy").style.display = "none";
		document.getElementById("ifrmPrivacy").style.display = "none";
	}
	
	window.onresize = CenterDiv;
	window.onscroll = CenterDiv;
	var PrivacyViewed = false;
</script>

<script type="text/javascript">
	function Validator(theForm) {
		
		try {
			var req = false;
			
		
					req = true
				
					
					var txt = document.getElementById("WFQ_3790_15_");
					if (txt.value == "MM/DD/YYYY") {
						alert("Please enter a date for the question \"Desired Date:\"");
						txt.focus();
						return false;
					} else {
						if (validDate(txt,'Desired Date:',req));
					}
					req = false
			
					if (!validRequired(document.getElementById("WFQ_3792_1_firstname"), "First Name:"))
						return false;
				
					if (!validText(document.getElementById("WFQ_3792_1_firstname"), "First Name:", 0, 50))
						return false;
				
					if (!validRequired(document.getElementById("WFQ_3793_2_lastname"), "Last Name:"))
						return false;
				
					if (!validText(document.getElementById("WFQ_3793_2_lastname"), "Last Name:", 0, 50))
						return false;
				
					if (!validRequired(document.getElementById("WFQ_lw123_3_email"), "Email:"))
						return false;
				
					if (!validEmail(document.getElementById("WFQ_lw123_3_email"), "Email:", 0, 50))
						return false;
				
					if (!validText(document.getElementById("WFQ_3795_4_homephone"), "Phone:", 0, 50))
						return false;
				

			return (true);
		} catch(ex) {
			alert(ex.message);
			loading=false;
			document.getElementById("ErrorRecord").src = "scripterror.asp?Page=/RequestShowing.asp&Error=FormValidation:" + ex.message + "";
		}
	}

	function CheckboxClicked(T, id) {
		var elem = document.getElementById(id);
		
		if (T.checked) {
			elem.value = "Y";
		} else {
			elem.value = "N";
		}
	}
</script>

	<form name="formwcaptcha" id="formwcaptcha" method="post" action="inc_webform_submit.asp" onSubmit="return Validator(this);">
	
	<input type="hidden" name="FormMLSArea" value="RAHB_REM046" />
	<input type="hidden" name="FormMLSNumber" value="H3031788" />
	<input type="hidden" name="ListingAgentID" value="" />
	
	<iframe id="ifrmPrivacy" class="Popup_Main" src="javascript:'';" style="border: 0px; display: none;" frameborder="0" ></iframe>
	<div id="divPrivacy" class="Popup_Main" style="display: none;" >
		<div class="stab Popup_Padding">Terms and Conditions</div>
		<div class="Popup_Content">
		
		</div>
		<br>
		<div class="Popup_Buttons">
		
			<input type="button" name="privacycancel" id="privacycancel" value="Close" onclick="HidePrivacy();" class="field_box_send" style="width: 75px;" />
		
		</div>
	</div>
	<input type="hidden" name="WebFormID" value="8" />
	<input type="hidden" name="AgentRuleID" value="8" />
	<input type="hidden" name="OfficeRuleID" value="1" />
	
	<div class="form_box">
	<table width="100%" cellpadding="0" cellspacing="0" border="0">
	

			<tr>
				<td valign="top"><span class="web_form_label" >Desired Date:</span><span class="red_asterix" >*</span></td>
				<td valign="top">
				<div class="web_form_cal">
					<input  type="text" value="MM/DD/YYYY" name="WFQ_3790_15_" id="WFQ_3790_15_" value="" maxlength="10" style="width: 80px;" onfocus="this.style.backgroundColor='#fff1c1'; DateFocus(this);" onblur="this.style.backgroundColor='#fff'; DateBlur(this);" style="border:1px solid #7f9db9; font-size: 12px;" /> 
					<img id="WFQ_3790_15__Cal" src="images/popup_calendar.gif" alt="Date/Time Picker" width="21" height="16" />
					<script type="text/javascript">
						SetupCalendar("WFQ_3790_15_", "WFQ_3790_15__Cal");
					</script>
				</div>
				</td>
			</tr>

			<tr>
				<td valign="top"><span class="web_form_label" >Preferred Time of Day:</span><span class="red_asterix" >*</span></td>
				<td>
					
					<select class="web_form_ddl" name="WFQ_3791_16_" id="WFQ_3791_16_"
					
					size="1"
					
					>
					
						<option value="-- Choose One --">-- Choose One --</option>
					
						<option value="Morning">Morning</option>
					
						<option value="Afternoon">Afternoon</option>
					
						<option value="Evening">Evening</option>
					
						<option value="Any Time">Any Time</option>
					
					</select>
					
				
				</td>
			</tr>

			<tr>
				<td valign="top" class="web_form_left"><span class="web_form_label" >First Name:</span><span class="red_asterix" >*</span></td>
				<td class="web_form_right"><input  class="web_form_input" type="text" name="WFQ_3792_1_firstname" id="WFQ_3792_1_firstname" value="" maxlength="50" size="50" style="border:1px solid #7f9db9;" onfocus="this.style.backgroundColor='#fff1c1';" onblur="this.style.backgroundColor='#fff';" /></td>
			</tr>

			<tr>
				<td valign="top" class="web_form_left"><span class="web_form_label" >Last Name:</span><span class="red_asterix" >*</span></td>
				<td class="web_form_right"><input  class="web_form_input" type="text" name="WFQ_3793_2_lastname" id="WFQ_3793_2_lastname" value="" maxlength="50" size="50" style="border:1px solid #7f9db9;" onfocus="this.style.backgroundColor='#fff1c1';" onblur="this.style.backgroundColor='#fff';" /></td>
			</tr>

			<tr>
				<td valign="top" class="web_form_left"><span class="web_form_label" >Email:</span><span class="red_asterix" >*</span></td>
				<td class="web_form_right"><input  class="web_form_input" type="text" name="WFQ_lw123_3_email" id="WFQ_lw123_3_email" value="" maxlength="50" size="50" style="border:1px solid #7f9db9;" onfocus="this.style.backgroundColor='#fff1c1';" onblur="this.style.backgroundColor='#fff';" /></td>
			</tr>

			<tr>
				<td valign="top" class="web_form_left"><span class="web_form_label" >Phone:</span></td>
				<td class="web_form_right"><input  class="web_form_input" type="text" name="WFQ_3795_4_homephone" id="WFQ_3795_4_homephone" value="" maxlength="50" size="50" style="border:1px solid #7f9db9;" onfocus="this.style.backgroundColor='#fff1c1';" onblur="this.style.backgroundColor='#fff';" /></td>
			</tr>

			<tr>
				<td valign="top"><span class="web_form_label" >How would you like to be contacted?</span></td>
				<td>
					
					<select class="web_form_ddl" name="WFQ_3796_23_" id="WFQ_3796_23_"
					
					size="1"
					
					>
					
						<option value="-- Choose One --">-- Choose One --</option>
					
						<option value="Email">Email</option>
					
						<option value="Phone">Phone</option>
					
					</select>
					
				
				</td>
			</tr>

			<tr>
				<td valign="top"><span >Comments:</span></td>
				<td><textarea class="web_form_text_area" name="WFQ_3797_18_" id="WFQ_3797_18_" cols="30" style="border:1px solid #7f9db9;" onfocus="this.style.backgroundColor='#fff1c1';" onblur="this.style.backgroundColor='#fff';" ></textarea></td>
			</tr>

	</table>
	

	<div>
		<p>
		<fieldset id="CaptchaValidation">
			<legend  id="Captcha_legend">Security Check</legend>
			<div id="PromptDiv">Retype the code from the picture</div>
			<div id="CaptchaDiv">
				<div id="CaptchaImage">
					<img id="SampleForm_CaptchaImage" src="LanapBotDetectHandler.asp?Command=CreateImage&amp;TextStyle=4&amp;ImageWidth=238&amp;imageHeight=50&amp;CodeLength=5&amp;CodeType=0" alt='CAPTCHA Code Image' height="50" width="238"/>
				</div>
				<div id="CaptchaIcons">
					<div class="CaptchaIcon_Row_1">
						<div class="Captcha_vision">
							<a href='LanapBotDetectHandler.asp?Command=CreateSound' onclick='LBD_LoadSound("SampleForm_SoundPlaceholder", "LanapBotDetectHandler.asp?Command=CreateSound");return false;' title="Speak the code"><img src="/images/speaker.gif" alt="Speak the code" border="0"/></a> 
						</div>
						<div class="Captcha_vision_text"> 
							<a href='LanapBotDetectHandler.asp?Command=CreateSound' onclick='LBD_LoadSound("SampleForm_SoundPlaceholder", "LanapBotDetectHandler.asp?Command=CreateSound");return false;' title="Speak the code">Vision Impaired</a>
						</div>
					</div>
					<div class="CaptchaIcon_Row_2">
					<div class="Captcha_refresh"> 
						<a href='#' onclick='LBD_ReloadImage("SampleForm_CaptchaImage"); return false;' title="Change the code"><img src="/images/reload.gif" alt="Change the code" border="0" /></a>
					</div>
					<div class="Captcha_refresh_text"> 
						<a href='#' onclick='LBD_ReloadImage("SampleForm_CaptchaImage"); return false;' title="Change the code">Try Another Code</a></div>
					</div>    
					<div id='SampleForm_SoundPlaceholder' class="placeholder">&nbsp;</div>
				</div>
			</div>
			<div class="Captcha_input">
				<label for="CaptchaCode">Code:</label>
				<input name="CaptchaCode" id="CaptchaCode" type="text" class="textbox" maxlength="5" style="border:1px solid #7f9db9;" onfocus="this.style.backgroundColor='#fff1c1';" onblur="this.style.backgroundColor='#fff';" />
			</div>
			<div class='CodeIncorrectLabel_red'><span id='CodeIncorrectLabel' style='visibility:hidden;'>Incorrect code!</span></div>
		</fieldset>               
		</p>
	</div>
	
	
	
	<div class="field_box_buttons">
		
			<input type="button" value="Send" NAME="Submit1" onclick="LBD_Validate();" class="field_box_send" style="width: 75px;" />
			
		<input TYPE="reset" VALUE=" Reset " id="reset1" name="reset1" class="field_box_reset" style="width: 75px;" >
		<input type="button" name="cmdPrivacy" value="Terms and Conditions" onclick="ShowPrivacy(false);" style="width: 150px;" />
	</div>
	
	</form>
	</div>


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