// JavaScript Document
function printForm() {
	var form = "<div id='colForm'> \
            <div id='form'> \
                <form method='post' action='http://www.aweber.com/scripts/addlead.pl'> \
                <input type='hidden' name='meta_web_form_id' value='1214064524'> \
                <input type='hidden' name='meta_split_id' value=''> \
                <input type='hidden' name='unit' value='rsi-request1'> \
                <input type='hidden' name='redirect' value='http://www.refrigerationschool.com/thankyou.htm'> \
                <input type='hidden' name='meta_adtracking' value=''> \
                <input type='hidden' name='meta_message' value='1'> \
                <input type='hidden' name='meta_required' value='from,custom Phone,name,custom Custom,custom Address,custom City,custom State,custom Zip,custom How did you hear about RSI'> \
                <input type='hidden' name='meta_forward_vars' value='0'> \
                <div class='notSelect'><input name='name' type='text' id='name'></div> \
                <div style='margin-top: 3px;' class='notSelect'><input name='custom Custom' type='text' id='custom Custom'></div> \
                <div style='margin-top: 3px;' class='notSelect'><input name='custom Phone' type='text' id='custom Phone'></div> \
                <div style='margin-top: 3px;' class='notSelect'><input name='from' type='text' id='from'></div> \
                <div style='margin-top: 3px;' class='notSelect'><input name='custom Address' type='text' id='custom Address'></div> \
                <div style='margin-top: 3px;' class='notSelect'><input name='custom City' type='text' id='custom City'></div> \
                <div id='stateDiv' style='height: 15px;'> \
                    <div class='notSelect' style=' float: right; height: auto; margin-right: 2px;'> \
					<input name='custom State' type='text' style='border: 1px solid; margin-top: 1px; width: 55px; margin-right: 22px;' > \
                    <input name='custom Zip' type='text' style='width: 55px;' id='custom Zip'> \
                  </div> \
                    <div style='clear: both;'></div> \
                </div> \
                <div id='tourDiv' style='height: 15px; margin-top: 3px;'> \
                	<select name='custom Tour' id='custom Tour' class='autocomplete'> \
                    	<option value='yes'>Yes</option> \
                        <option value='no'>No</option> \
                    </select> \
                    <div style='clear: both;'></div> \
                </div> \
                <div style='margin-top: 30px; height: 15px;'> \
                	<select name='custom How did you hear about RSI' id='hear' style='width: 208px;' class='autocomplete'> \
                    	<option value='internet_search'>Internet Search</option> \
                    	<option value='tv'>TV Commercial</option> \
                    	<option value='radio'>Radio</option> \
                    	<option value='friend'>Friend</option> \
                    	<option value='yellow_pages'>Yellow Pages</option> \
                    	<option value='referral'>Referral</option> \
                    	<option value='none'>None of the Above</option> \
                    </select> \
                    <div style='clear: both;'></div> \
                </div> \
                <div style='margin: 30px 0px 0px 0px; height: auto; padding: 0px; clear:both;' class='notSelect'><textarea name='custom Comments' cols='' rows='' style='width: 207px; height: 54px; border: 1px solid #000;' id='custom Comments'></textarea></div> \
                <div><input type='image' src='/images/submit-button.jpg' value='Submit' alt='Submit' style='width: 60px; height: 19px; margin-top: 5px;'></div> \
                </form> \
            </div> \
	<script type='text/javascript'> \
		new Autocompleter.SelectBox('custom Tour', {css : 'combo1'}); \
	</script> \
	<script type='text/javascript'> \
		new Autocompleter.SelectBox('hear', {css : 'combo3'}); \
	</script> \
          </div>"
	document.write(form); 
}