document.writeln('		<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">');
document.writeln('<style type="text/css">');
document.writeln('			<!--');
document.writeln('			#sitemason_gmczde {');
document.writeln('				width: 450px;');
document.writeln('				border-color: #FFFFFF;');
document.writeln('				border-width: 1px;');
document.writeln('				border-style: solid;');
document.writeln('			}');
document.writeln('			');
document.writeln('			#sitemason_gmczde .sitemason_title {');
document.writeln('				background-color: #FFFFFF;');
document.writeln('				border-color: #FFFFFF;');
document.writeln('				border-width: 0 0 1px 0;');
document.writeln('				border-style: none none solid none;');
document.writeln('				color: #FFFFFF;');
document.writeln('				font-family: Verdana, Arial, Helvetica, sans-serif;');
document.writeln('				font-size: 14px;');
document.writeln('				font-weight: bold;');
document.writeln('				text-align: center;');
document.writeln('				padding: 2px 4px 2px 4px;');
document.writeln('				margin: 0px;');
document.writeln('			}');
document.writeln('			');
document.writeln('			#sitemason_gmczde .sitemason_header {');
document.writeln('				background-color: #000033;');
document.writeln('				color: #ffffff;');
document.writeln('				font-family: Verdana, Arial, Helvetica, sans-serif;');
document.writeln('				font-size: 12px;');
document.writeln('				font-weight: bold;');
document.writeln('				padding: 2px 4px 2px 4px;');
document.writeln('				margin: 0px;');
document.writeln('				clear: both;');
document.writeln('			}');
document.writeln('			');
document.writeln('			#sitemason_gmczde .sitemason_body, #sitemason_gmczde .sitemason_error, #sitemason_gmczde .sitemason_notice {');
document.writeln('				background-color: #FFFFFF;');
document.writeln('				color: #000000;');
document.writeln('				font-family: Verdana, Arial, Helvetica, sans-serif;');
document.writeln('				font-size: 11px;');
document.writeln('				margin: 2px 8px 2px 8px;');
document.writeln('				min-height: 1px;');
document.writeln('			}');
document.writeln('			');
document.writeln('			#sitemason_gmczde .sitemason_error {');
document.writeln('				color: #CC0000;');
document.writeln('				margin: 8px 8px 2px 8px;');
document.writeln('			}');
document.writeln('			');
document.writeln('			#sitemason_gmczde .sitemason_notice {');
document.writeln('				font-weight: bold;');
document.writeln('				margin: 8px 8px 2px 8px;');
document.writeln('			}');
document.writeln('			');
document.writeln('			#sitemason_gmczde .sitemason_match {');
document.writeln('				font-weight: bold;');
document.writeln('			}');
document.writeln('			');
document.writeln('			-->');
document.writeln('		</style>');
document.writeln('		<form method="post" name="form1" enctype="multipart/form-data" action="http://www.sitemason.com/form/gmczde">');
document.writeln('<input type="hidden" name="form_session_id" value="3078208">');
document.writeln('<input type="hidden" name="form__current_page" value="1">		<table id="sitemason_gmczde" class="sitemason_form" border="0" cellspacing="0" cellpadding="0" style="width:450px;" align="center">');
document.writeln('					<tr>');
document.writeln('  <td>');
document.writeln('    <h1 class="sitemason_title">Form</h1>');
document.writeln('  </td>');
document.writeln('</tr>			<tr>');
document.writeln('					<td class="sitemason_body">');
document.writeln('		');
document.writeln('		<div>');
document.writeln('  <div class="sitemason_body" align="center">');
document.writeln('    <div class="sitemason_file" align="center" style="width:401px; margin-bottom:10px; margin-right:0; "><img src="http://www.sitemason.com/files/cdTu4E/req_form_header.jpg/main.jpg" alt="" width="401" height="67"></div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="margin-left:10px; text-align:left; float:left; ">');
document.writeln('    <div style="text-align:left; ">');
document.writeln('      <label class="label" for="date">Today\'s Date:</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="">');
document.writeln('      <input type="text" style="width:185px; " name="date" maxlength="10">');
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="margin-left:10px; text-align:left; float:left; ">');
document.writeln('    <div style="text-align:left; ">');
document.writeln('      <label class="label" for="contact">Contact Person: </label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="">');
document.writeln('      <input type="text" style="width:185px; " name="contact" maxlength="25">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="margin-left:5px; float:left; ">');
document.writeln('    <div style="text-align:left; ">');
document.writeln('      <label class="label" for="email">Email:</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="">');
document.writeln('      <input type="text" style="width:185px; " name="email">');
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="margin-left:10px; text-align:left; float:left; ">');
document.writeln('    <div style="text-align:left; ">');
document.writeln('      <label class="label" for="phone">Phone: </label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="">');
document.writeln('      <input type="text" style="width:185px; " name="phone">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="margin-left:5px; text-align:left; float:left; ">');
document.writeln('    <div style="text-align:left; ">');
document.writeln('      <label class="label" for="department">University Department: </label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="">');
document.writeln('      <input type="text" style="width:185px; " name="department" maxlength="25">');
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="margin-left:10px; text-align:left; float:left; ">');
document.writeln('    <div style="text-align:left; ">');
document.writeln('      <label class="label" for="jobname">Job Name: </label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="">');
document.writeln('      <input type="text" style="width:390px; " name="jobname" maxlength="30">');
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="margin-left:10px; text-align:left; float:left; ">');
document.writeln('    <div style="text-align:left; ">');
document.writeln('      <label class="label" for="description">Brief Job Description or Comments (no more than 100 characters):</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="">');
document.writeln('      <textarea rows="4" style="width:390px; " name="description" maxlength="105"></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="margin-left:10px; text-align:left; float:left; ">');
document.writeln('    <div style="text-align:left; ">');
document.writeln('      <label class="label" for="quantity">Quantity (if applicable): </label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="">');
document.writeln('      <input type="text" style="width:150px; " name="quantity">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="margin-left:5px; text-align:left; float:left; ">');
document.writeln('    <div style="text-align:left; ">');
document.writeln('      <label class="label" for="budget">Estimated project budget (if applicable): </label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="">');
document.writeln('      <input type="text" style="width:185px; " name="budget">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="&#10;&#9;&#9;&#9;clear: both;&#10;&#9;&#9;&#9;margin-top:15px; margin-bottom:15px; ">');
document.writeln('    <hr noshade style="height:1px;" width="75%" align="center">');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="width:300px; text-align:left; border-style:none; margin-top:7px; margin-bottom:14px; margin-right:50px; margin-left:50px; ">');
document.writeln('    <div><strong>Budget Numbers for Project Funding</strong><br /><br clear="all">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="margin-left:50px; text-align:left; float:left; ">');
document.writeln('    <div style="text-align:right; width:100px; float:left;">');
document.writeln('      <label class="label" for="fund">Fund no. : </label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:5px; float:left; ">');
document.writeln('      <input type="text" style="width:100px; " name="fund">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="margin-left:50px; text-align:left; float:left; ">');
document.writeln('    <div style="text-align:right; width:100px; float:left;">');
document.writeln('      <label class="label" for="org_no">Org. no. : </label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:5px; float:left; ">');
document.writeln('      <input type="text" style="width:100px; " name="org_no">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="margin-left:50px; text-align:left; float:left; ">');
document.writeln('    <div style="text-align:right; width:100px; float:left;">');
document.writeln('      <label class="label" for="account">Acct. no. : </label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:5px; float:left; ">');
document.writeln('      <input type="text" style="width:100px; " name="account" maxlength="35">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="margin-left:50px; text-align:left; float:left; ">');
document.writeln('    <div style="text-align:right; width:100px; float:left;">');
document.writeln('      <label class="label" for="prog_np">Program no. : </label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:5px; float:left; ">');
document.writeln('      <input type="text" style="width:100px; " name="prog_np">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="margin-left:50px; text-align:left; float:left; ">');
document.writeln('    <div style="text-align:right; width:150px; float:left;">');
document.writeln('      <label class="label" for="activity_no">Activity no. (optional): </label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:5px; float:left; ">');
document.writeln('      <input type="text" style="width:100px; " name="activity_no">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="&#10;&#9;&#9;&#9;clear: both;&#10;&#9;&#9;&#9;margin-top:15px; margin-bottom:15px; ">');
document.writeln('    <hr noshade style="height:1px;" width="75%" align="center">');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="margin-left:10px; text-align:left; float:left; ">');
document.writeln('    <div style="text-align:left; width:150px; ">');
document.writeln('      <label class="label" for="jobstatus">This job is: </label>');
document.writeln('    </div>');
document.writeln('    <div class="value" align="left" style="">');
document.writeln('      <select name="jobstatus">');
document.writeln('        <option value="new">New Job</option>');
document.writeln('        <option value="update">Update (printed in last 18 months)</option>');
document.writeln('        <option value="reprint">Reprint (no changes)</option>');
document.writeln('      </select>');
document.writeln('    </div>');
document.writeln('    <input type="hidden" name="fieldname">');
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="margin-left:10px; float:left; ">');
document.writeln('    <div style="text-align:left; width:400px; ">');
document.writeln('      <label class="label" for="copytype">How will this job be printed?</label>');
document.writeln('    </div>');
document.writeln('    <div class="value" align="left" style="">');
document.writeln('      <select name="copytype">');
document.writeln('        <option value="Blk&amp;white">Blk&white copies</option>');
document.writeln('        <option value="shortruncolor">Short run color copies</option>');
document.writeln('        <option value="4colorprint">4 color print</option>');
document.writeln('        <option value="other">Other</option>');
document.writeln('      </select>');
document.writeln('    </div>');
document.writeln('    <input type="hidden" name="fieldname">');
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="margin-left:10px; float:left; ">');
document.writeln('    <div style="text-align:left; float:left;">');
document.writeln('      <label class="label" for="writing">Will it require copywriting?</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:10px; float:left; ">');
document.writeln('      <input type="radio" name="writing" value="yes"><span class="sitemason_body">Yes</span><input type="radio" name="writing" value="no"><span class="sitemason_body">No</span><input type="hidden" name="writing">');
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="margin-left:10px; float:left; ">');
document.writeln('    <div style="text-align:left; float:left;">');
document.writeln('      <label class="label" for="photography">Will it require photography?</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:10px; float:left; ">');
document.writeln('      <input type="radio" name="photography" value="yes"><span class="sitemason_body">Yes</span><input type="radio" name="photography" value="no"><span class="sitemason_body">No</span><input type="hidden" name="photography">');
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="margin-left:10px; text-align:left; float:left; ">');
document.writeln('    <div style="text-align:left; width:390px; ">');
document.writeln('      <label class="label" for="mailing">Will this job require mailing assistance? If yes, contact Veronica Smith at 460-6636</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:170px; ">');
document.writeln('      <input type="radio" name="mailing" value="yes"><span class="sitemason_body">Yes</span><input type="radio" name="mailing" value="no"><span class="sitemason_body">No</span><input type="hidden" name="mailing">');
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="margin-left:10px; text-align:left; float:left; ">');
document.writeln('    <div style="text-align:left; width:400px; ">');
document.writeln('      <label class="label" for="AdPlacement">Will this require assistance with ad placement? Note: If yes, contact Mia Hughes at 460-5067</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="margin-left:170px; ">');
document.writeln('      <input type="radio" name="AdPlacement" value="yes"><span class="sitemason_body">Yes</span><input type="radio" name="AdPlacement" value="no"><span class="sitemason_body">No</span><input type="hidden" name="AdPlacement">');
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="margin-left:10px; float:left; ">');
document.writeln('    <div style="text-align:left; width:390px; ">');
document.writeln('      <label class="label" for="printtype">If this is a print project, please select the description that best fits the job: </label>');
document.writeln('    </div>');
document.writeln('    <div class="value" align="left" style="margin-left:170px; ">');
document.writeln('      <select name="printtype">');
document.writeln('        <option value="P11x17">Poster 11x17 </option>');
document.writeln('        <option value="P8.5x11">Poster 8.5 x11 </option>');
document.writeln('        <option value="postcard1">Postcard 8.5 x 5.5</option>');
document.writeln('        <option value="postcard2">Postcard 6.25 x 4</option>');
document.writeln('        <option value="postcard3">Postcard 3.5 x 5</option>');
document.writeln('        <option value="booklet">Booklet </option>');
document.writeln('        <option value="brochure">Brochure </option>');
document.writeln('        <option value="tshirt">T-shirt design</option>');
document.writeln('        <option value="event">Event logo </option>');
document.writeln('        <option value="ad">Ad </option>');
document.writeln('        <option value="promoItem">Promotional item</option>');
document.writeln('      </select>');
document.writeln('    </div>');
document.writeln('    <input type="hidden" name="fieldname">');
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" align="center" style="text-align:center; ">');
document.writeln('    <input type="submit" name="submit" value="Submit Project Request Form">');
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>');
