//-->Contact form for Restoring Listed Buildings - IGWM - 2007
document.write ('<form action="http://www.restoringlistedbuildings.co.uk/cgi-bin/FormMail.cgi" method=\'POST\'>');
document.write ('<input type="hidden" name="subject" value="Restoring Listed Buildings: Online Enquiry Form">');
document.write ('<input type="hidden" name="recipient" value="rcaj@restoringlistedbuildings.co.uk">');
document.write ('<input type="hidden" name="redirect" value="http://www.restoringlistedbuildings.co.uk/done.html">');
document.write ('<input type="hidden" name="required" value="name,email,contact,postcode,enquiry,budgetgrp">');
document.write ('<tr><td width="100%" colspan="2"><span class="maintext"><b>Your details:</b></span></td></tr>');
document.write ('<tr><td width="25%" align="right"></td>');
document.write ('<td width="75%"><span class="formtext">* Required fields</span></td></tr>');
document.write ('<tr><td width="25%" align="right" class="formtext">Full Name:*</td>');
document.write ('<td width="75%"><input class=global_textbox type="text" name="name" size=35 ></td></tr>');
document.write ('<tr><td width="25%" align="right" class="formtext">Email:*</td>');
document.write ('<td width="75%"><input class=global_textbox type="text" name="email" size=35 ></td></tr>');
document.write ('<tr><td width="25%" align="right" class="formtext">Contact No.</td>');
document.write ('<td width="75%"><input class=global_textbox type="text" name="contact" size=35 ></td></tr>');
document.write ('<tr><td width="25%" align="right" class="formtext">Postcode:*</td>');
document.write ('<td width="75%"><input class=global_textbox type="text" name="postcode" size=10 ></td></tr>');
document.write ('<tr><td width="100%" colspan="2"><span class="maintext"><b>Type of work:</b>&nbsp;&nbsp;<span class="formtext">(brief description of works required, age and period of house, location)</span></span></td></tr>');
document.write ('<tr><td width="25%" align="right" valign="top" class="formtext">Work:*</td>');
document.write ('<td width="75%"><textarea class=global_textarea rows=4 cols=37 name="enquiry" ></textarea></td></tr>');
document.write ('<tr><td width="25%" align="right" valign="top" class="formtext">Budget:*</td>');
document.write ('<td width="75%"><label><span class="formtext"><input type="radio" name="budgetgrp" value="0-50" checked>0 - £50,000</label><br><label><input type="radio" name="budgetgrp" value="50-100">£50,001 - £100,000</label><br><label><input type="radio" name="budgetgrp" value="100-250">£100,001 - £250,000</label><br><label><input type="radio" name="budgetgrp" value="250-500">£250,001 - £500,000</label><br><label><input type="radio" name="budgetgrp" value="500-1m">£500,001 - £1m</label><br><label><input type="radio" name="budgetgrp" value="gt1m">> £1m</label></span></td></tr>');
document.write ('<tr><td width="25%" align="right"></td>');
document.write ('<td width="75%">');
document.write ('<p align="left"><br>');
document.write ('<input class=global_submit type="submit" value="Send" name="submit" >&nbsp;<input class=global_submit type="reset" value="Reset" name="reset" >');
document.write ('</td>');
document.write ('</tr><tr>');
document.write ('<td width="100%" colspan="2" align="left" class="maintext">');
document.write ('<p align="center">&nbsp;&nbsp;<br>Thank you very much for contacting us.<br>');
document.write ('</td></tr></form>');