document.writeln('		<form method="post" name="form1" enctype="multipart/form-data" action="http://sitemason.trevecca.edu/form/cSzB2E" onSubmit="javascript:window.open(\'\',\'submit\',\'width=300,height=300,resizable=yes,scrollbars=yes\');return true;" target="submit">');
document.writeln('<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">');
document.writeln('<input type="hidden" name="form__current_page" value="1">		<table id="sitemason_cSzB2E" class="sitemason_form" border="0" cellspacing="0" cellpadding="0">			<tr>');
document.writeln('					<td class="sitemason_body">');
document.writeln('		');
document.writeln('		<div>');
document.writeln('  <div class="sitemason_body" style="width:100%; margin:0px; float:left; ">');
document.writeln('    <div>');
document.writeln('      <label class="label" for="favWNAZ">Do you consider WNAZ to be your favorite radio station?</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:16px; width:80%; float:left; ">');
document.writeln('      <input type="radio" name="favWNAZ" value="yes" checked><span class="sitemason_body">yes</span><input type="radio" name="favWNAZ" value="no"><span class="sitemason_body">no</span><input type="hidden" name="favWNAZ">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div align="center" style="clear: both;" class="sitemason_body">');
document.writeln('				&nbsp;<br>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="width:90%; margin:0px; float:left; ">');
document.writeln('    <div>');
document.writeln('      <label class="label" for="otherstations">What other stations do you listen to?</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:16px; ">');
document.writeln('      <textarea rows="5" style="width:80%; " name="otherstations"></textarea>');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div align="center" style="clear: both;" class="sitemason_body">');
document.writeln('				&nbsp;<br>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="width:90%; margin:0px; float:left; ">');
document.writeln('    <div>');
document.writeln('      <label class="label" for="traffic">How do you feel about the traffic reports?</label>');
document.writeln('    </div>');
document.writeln('    <div class="value" align="left" style="margin-left:16px; width:80%; float:left; ">');
document.writeln('      <select name="traffic">');
document.writeln('        <option value="I like them">I like them</option>');
document.writeln('        <option value="They are okay">They are okay</option>');
document.writeln('        <option value="I don\'t like them">I don\'t like them</option>');
document.writeln('        <option value="No opinion">No opinion</option>');
document.writeln('      </select>');
document.writeln('    </div>');
document.writeln('    <input type="hidden" name="traffic">');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div align="center" style="clear: both;" class="sitemason_body">');
document.writeln('				&nbsp;<br>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="width:90%; margin:0px; float:left; ">');
document.writeln('    <div>');
document.writeln('      <label class="label" for="morningnews">How do you feel about the morning newscasts?</label>');
document.writeln('    </div>');
document.writeln('    <div class="value" align="left" style="margin-left:16px; width:80%; float:left; ">');
document.writeln('      <select name="morningnews">');
document.writeln('        <option value="I like them">I like them</option>');
document.writeln('        <option value="They are okay">They are okay</option>');
document.writeln('        <option value="I don\'t like them">I don\'t like them</option>');
document.writeln('        <option value="No opinion">No opinion</option>');
document.writeln('      </select>');
document.writeln('    </div>');
document.writeln('    <input type="hidden" name="morningnews">');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div align="center" style="clear: both;" class="sitemason_body">');
document.writeln('				&nbsp;<br>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="width:100%; margin:0px; float:left; ">');
document.writeln('    <div>');
document.writeln('      <label class="label" for="focus">How do you feel about Focus On The Family (weekdays @ 9:30am)?</label>');
document.writeln('    </div>');
document.writeln('    <div class="value" align="left" style="margin-left:16px; width:80%; float:left; ">');
document.writeln('      <select name="focus">');
document.writeln('        <option value="I like it">I like it</option>');
document.writeln('        <option value="It\'s okay">It\'s okay</option>');
document.writeln('        <option value="I don\'t like it">I don\'t like it</option>');
document.writeln('        <option value="No opinion">No opinion</option>');
document.writeln('      </select>');
document.writeln('    </div>');
document.writeln('    <input type="hidden" name="focus">');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div align="center" style="clear: both;" class="sitemason_body">');
document.writeln('				&nbsp;<br>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="width:100%; margin:0px; float:left; ">');
document.writeln('    <div>');
document.writeln('      <label class="label" for="bball">How do you feel about the Trevecca basketball broadcasts?</label>');
document.writeln('    </div>');
document.writeln('    <div class="value" align="left" style="margin-left:16px; width:80%; float:left; ">');
document.writeln('      <select name="bball">');
document.writeln('        <option value="I like them">I like them</option>');
document.writeln('        <option value="They are okay">They are okay</option>');
document.writeln('        <option value="I don\'t like them">I don\'t like them</option>');
document.writeln('        <option value="No opinion">No opinion</option>');
document.writeln('      </select>');
document.writeln('    </div>');
document.writeln('    <input type="hidden" name="bball">');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div align="center" style="clear: both;" class="sitemason_body">');
document.writeln('				&nbsp;<br>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="width:100%; margin:0px; float:left; ">');
document.writeln('    <div>');
document.writeln('      <label class="label" for="sundaychurch">How do you feel about the Sunday church service broadcasts?</label>');
document.writeln('    </div>');
document.writeln('    <div class="value" align="left" style="margin-left:16px; width:80%; float:left; ">');
document.writeln('      <select name="sundaychurch">');
document.writeln('        <option value="I like them">I like them</option>');
document.writeln('        <option value="They are okay">They are okay</option>');
document.writeln('        <option value="I don\'t like them">I don\'t like them</option>');
document.writeln('        <option value="No opinion">No opinion</option>');
document.writeln('      </select>');
document.writeln('    </div>');
document.writeln('    <input type="hidden" name="sundaychurch">');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div align="center" style="clear: both;" class="sitemason_body">');
document.writeln('				&nbsp;<br>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="width:90%; margin:0px; float:left; ">');
document.writeln('    <div>');
document.writeln('      <label class="label" for="things_liked">Some things I would like WNAZ to add are...</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:16px; ">');
document.writeln('      <textarea rows="5" style="width:80%; " name="things_liked"></textarea>');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div align="center" style="clear: both;" class="sitemason_body">');
document.writeln('				&nbsp;<br>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="width:90%; margin:0px; float:left; ">');
document.writeln('    <div>');
document.writeln('      <label class="label" for="things_disliked">Some things I would like WNAZ to do less or discontinue are...</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:16px; ">');
document.writeln('      <textarea rows="5" style="width:80%; " name="things_disliked"></textarea>');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div align="center" style="clear: both;" class="sitemason_body">');
document.writeln('				&nbsp;<br>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="width:90%; margin:0px; float:left; ">');
document.writeln('    <div>');
document.writeln('      <label class="label" for="agegroup">What age group do you belong to? </label>');
document.writeln('    </div>');
document.writeln('    <div class="value" align="left" style="margin-left:16px; width:80%; ">');
document.writeln('      <select multiple name="agegroup">');
document.writeln('        <option value="- 18 or younger">- 18 or younger</option>');
document.writeln('        <option value="- 19 to 25">- 19 to 25</option>');
document.writeln('        <option value="- 26 to 30">- 26 to 30</option>');
document.writeln('        <option value="- 31 to 35">- 31 to 35</option>');
document.writeln('        <option value="- 36 to 40">- 36 to 40</option>');
document.writeln('        <option value="- 41 to 50">- 41 to 50</option>');
document.writeln('        <option value="- 51 to 60">- 51 to 60</option>');
document.writeln('        <option value="- 61 and up">- 61 and up</option>');
document.writeln('      </select>');
document.writeln('    </div>');
document.writeln('    <input type="hidden" name="agegroup">');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div align="center" style="clear: both;" class="sitemason_body">');
document.writeln('				&nbsp;<br>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body">');
document.writeln('    <hr noshade>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body">');
document.writeln('    <div><b>:: You will not be added to any mailing lists ::</b><br clear="all">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="width:50%; margin:0px; float:left; ">');
document.writeln('    <div>');
document.writeln('      <label class="label" for="first_name">First Name</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:6px; float:left; ">');
document.writeln('      <input type="text" style="width:120px; " name="first_name">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="width:50%; margin:0px; float:left; ">');
document.writeln('    <div>');
document.writeln('      <label class="label" for="last_name">Last Name</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:6px; float:left; ">');
document.writeln('      <input type="text" style="width:120px; " name="last_name">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="width:50%; margin:0px; float:left; ">');
document.writeln('    <div>');
document.writeln('      <label class="label" for="city">City</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:6px; float:left; ">');
document.writeln('      <input type="text" style="width:120px; " name="city">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="width:50%; margin:0px; float:left; ">');
document.writeln('    <div>');
document.writeln('      <label class="label" for="state">State</label>');
document.writeln('    </div>');
document.writeln('    <div class="value" align="left" style="margin-left:6px; float:left; ">');
document.writeln('      <select name="state">');
document.writeln('        <option value="AL">AL</option>');
document.writeln('        <option value="AK">AK</option>');
document.writeln('        <option value="AZ">AZ</option>');
document.writeln('        <option value="AR">AR</option>');
document.writeln('        <option value="CA">CA</option>');
document.writeln('        <option value="CO">CO</option>');
document.writeln('        <option value="CT">CT</option>');
document.writeln('        <option value="DE">DE</option>');
document.writeln('        <option value="DC">DC</option>');
document.writeln('        <option value="FL">FL</option>');
document.writeln('        <option value="GA">GA</option>');
document.writeln('        <option value="HI">HI</option>');
document.writeln('        <option value="ID">ID</option>');
document.writeln('        <option value="IL">IL</option>');
document.writeln('        <option value="IN">IN</option>');
document.writeln('        <option value="IA">IA</option>');
document.writeln('        <option value="KS">KS</option>');
document.writeln('        <option value="KY">KY</option>');
document.writeln('        <option value="LA">LA</option>');
document.writeln('        <option value="ME">ME</option>');
document.writeln('        <option value="MD">MD</option>');
document.writeln('        <option value="MA">MA</option>');
document.writeln('        <option value="MI">MI</option>');
document.writeln('        <option value="MN">MN</option>');
document.writeln('        <option value="MS">MS</option>');
document.writeln('        <option value="MO">MO</option>');
document.writeln('        <option value="MT">MT</option>');
document.writeln('        <option value="NE">NE</option>');
document.writeln('        <option value="NV">NV</option>');
document.writeln('        <option value="NH">NH</option>');
document.writeln('        <option value="NJ">NJ</option>');
document.writeln('        <option value="NM">NM</option>');
document.writeln('        <option value="NY">NY</option>');
document.writeln('        <option value="NC">NC</option>');
document.writeln('        <option value="ND">ND</option>');
document.writeln('        <option value="OH">OH</option>');
document.writeln('        <option value="OK">OK</option>');
document.writeln('        <option value="OR">OR</option>');
document.writeln('        <option value="PA">PA</option>');
document.writeln('        <option value="RI">RI</option>');
document.writeln('        <option value="SC">SC</option>');
document.writeln('        <option value="SD">SD</option>');
document.writeln('        <option value="TN" selected>TN</option>');
document.writeln('        <option value="TX">TX</option>');
document.writeln('        <option value="UT">UT</option>');
document.writeln('        <option value="VT">VT</option>');
document.writeln('        <option value="VA">VA</option>');
document.writeln('        <option value="WA">WA</option>');
document.writeln('        <option value="WV">WV</option>');
document.writeln('        <option value="WI">WI</option>');
document.writeln('        <option value="WY">WY</option>');
document.writeln('      </select>');
document.writeln('    </div>');
document.writeln('    <input type="hidden" name="state">');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="width:50%; margin:0px; float:left; ">');
document.writeln('    <div>');
document.writeln('      <label class="label" for="email">eMail Address</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:6px; float:left; ">');
document.writeln('      <input type="text" style="width:120px; " name="email">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="width:50%; margin:0px; float:left; ">');
document.writeln('    <div>');
document.writeln('      <label class="label" for="phone">Phone</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:6px; float:left; ">');
document.writeln('      <input type="text" style="width:96px; " name="phone">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="width:100%; margin:0px; float:left; ">');
document.writeln('    <div>');
document.writeln('      <label class="label" for="church">Church</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:6px; float:left; ">');
document.writeln('      <input type="text" style="width:225px; " name="church">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="width:100%; margin:0px; float:left; ">');
document.writeln('    <div>');
document.writeln('      <label class="label" for="gender">Gender</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:6px; float:left; ">');
document.writeln('      <input type="radio" name="gender" value="male" checked><span class="sitemason_body">male</span><input type="radio" name="gender" value="female"><span class="sitemason_body">female</span><input type="hidden" name="gender">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="width:90%; margin:0px; float:left; ">');
document.writeln('    <div>');
document.writeln('      <label class="label" for="comments">Comments...</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:16px; ">');
document.writeln('      <textarea rows="5" style="width:80%; " name="comments"></textarea>');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" align="center" style="text-align:center; width:50%; ">');
document.writeln('    <input type="submit" name="button" value="Submit" style="width:50%;">');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('</div>');
document.writeln('');
document.writeln('				</td>');
document.writeln('			</tr>');
document.writeln('			</table>');
document.writeln('		</form>');
