document.write("<title>Oak Haven Resort Reservation Form</title>\n");
document.write("<center><font face=\"Verdana,Arial, Helvetica, sans-serif\" size=\"2\">Please fill out the following information and then click 'Submit'.<br>Required fields have * next to them and must be filled in.</font><br></center>\n");
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document.write("<form  method=POST action=\"http://www.outnetwork.net/cgi-bin/FormBuilder/csFormbuilder.cgi\" name=\"form_34\"  >\n");
document.write("<input type=hidden name=form-id value=\"34\">\n");
document.write("<input type=hidden name=command value=\"mailform\">\n");
document.write("<link rel=\"stylesheet\" type=\"text/css\" href=\"http://www.outnetwork.net/FormBuilder/forms/OakHavenResortReservationForm.css\">\n");
document.write("<table border=\"0\" cellspacing=\"0\" cellpadding=\"3\">\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\" >*Name:</td><td align=left valign=top nowrap class=\"textLabel\"><input  onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"Name\"  size=\"35\"  > <!-- tr ph 0--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\" >Address:</td><td align=left valign=top nowrap class=\"textLabel\"><input  onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"Address\"  size=\"35\"  > <!-- tr ph 1--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\" >City:</td><td align=left valign=top nowrap class=\"textLabel\"><input  onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"City\"  size=\"35\"  > <!-- tr ph 2--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\" >State:</td><td align=left valign=top nowrap class=\"textLabel\"><input  onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"State\"  size=\"35\"  > <!-- tr ph 3--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\" >Zipcode:</td><td align=left valign=top nowrap class=\"textLabel\"><input  onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"Zipcode\"  size=\"35\"  > <!-- tr ph 4--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\" >*Daytime Phone:</td><td align=left valign=top nowrap class=\"textLabel\"><input  onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"Daytime_Phone\"  size=\"35\"  > <!-- tr ph 5--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\" >Evening Phone:</td><td align=left valign=top nowrap class=\"textLabel\"><input  onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"Evening_Phone\"  size=\"35\"  > <!-- tr ph 6--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\" >*Email:</td><td align=left valign=top nowrap class=\"textLabel\"><input  onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"Email\"  size=\"35\"  > <!-- tr ph 7--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\" >*Arrival Date:</td><td align=left valign=top nowrap class=\"textLabel\"><input  onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"Arrival_Date\"  size=\"35\"  > <!-- tr ph 8--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\" >*Departure Date:</td><td align=left valign=top nowrap class=\"textLabel\"><input  onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"Departure_Date\"  size=\"35\"  > <!-- tr ph 9--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\" >Cabin Number(s)</td><td align=left valign=top nowrap class=\"textLabel\"><input  onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"Cabin_Numbers\"  size=\"35\"  > <!-- tr ph 10--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\" >How Many Adults:</td><td align=left valign=top nowrap class=\"textLabel\"><input  onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"How_Many_Adults\"  size=\"35\"  > <!-- tr ph 11--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\" >How Many School Age Kids (under 18)</td><td align=left valign=top nowrap class=\"textLabel\"><input  onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"How_Many_School_Age_Kids\"  > <!-- tr ph 12--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\" >How Many Pre School Age Kids (under 4)</td><td align=left valign=top nowrap class=\"textLabel\"><input  onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"How_Many_Pre_School_Age_Kids\"  size=\"35\"  > <!-- tr ph 13--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\"  valign=\"top\" >We Need To Rent A Boat(s) </td><td align=left valign=top nowrap class=\"textLabel\"><table border=0 cellspacing=2 cellpadding=0><tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"Boat_Rentals\" value=\"16' w/50hp motor\"></td><td class=\"textLabel\">16' w/50hp motor</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"Boat_Rentals\" value=\"16' w/40hp motor\"></td><td class=\"textLabel\">16' w/40hp motor</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"Boat_Rentals\" value=\"14' w/25hp (#1)\"></td><td class=\"textLabel\">14' w/25hp (#1)</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"Boat_Rentals\" value=\"14' w/25hp (#2)\"></td><td class=\"textLabel\">14' w/25hp (#2)</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"Boat_Rentals\" value=\"Pontoon Boat (Day)\"></td><td class=\"textLabel\">Pontoon Boat (Day)</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"Boat_Rentals\" value=\"Pontoon (Week)\"></td><td class=\"textLabel\">Pontoon (Week)</td></tr>\n");
document.write("</table>\n");
document.write(" <!-- tr ph 14--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\"  valign=\"top\" ># Of Boats We Will Be Bringing: </td><td align=left valign=top nowrap class=\"textLabel\"><table border=0 cellspacing=2 cellpadding=0><tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"Number_Of_Boats_We_Will_Bring\" value=\"1\"></td><td class=\"textLabel\">1</td>\n");
document.write("<td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"Number_Of_Boats_We_Will_Bring\" value=\"2\"></td><td class=\"textLabel\">2</td>\n");
document.write("<td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"Number_Of_Boats_We_Will_Bring\" value=\"3\"></td><td class=\"textLabel\">3</td>\n");
document.write("<td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"Number_Of_Boats_We_Will_Bring\" value=\"4\"></td><td class=\"textLabel\">4</td>\n");
document.write("<td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"Number_Of_Boats_We_Will_Bring\" value=\"5\"></td><td class=\"textLabel\">5</td>\n");
document.write("<td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"Number_Of_Boats_We_Will_Bring\" value=\"6\"></td><td class=\"textLabel\">6</td>\n");
document.write("</tr></table>\n");
document.write(" <!-- tr ph 15--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\" >How Did You First Find Us?</td><td align=left valign=top nowrap class=\"textLabel\"><input  onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"How_Did_You_Find_Us\"  size=\"35\"  > <!-- tr ph 16--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\" >Comments/Request/Question</td><td align=left valign=top nowrap class=\"textLabel\"><textarea  onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" name=\"Request\"  rows=\"5\" cols=\"35\"  ></textarea>  <a href=\"javascr"+"ipt:void(0);\" tabindex=999><img src=\"http://www.outnetwork.net/FormBuilder/images/desc.gif\" width=16 height=16 alt=\"Please enter the information interested in or\n");
document.write("question we might answer for you.\" border=0 align=top></a> <!-- tr ph 17--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\"  valign=\"top\" >*This is a..... </td><td align=left valign=top nowrap class=\"textLabel\"><table border=0 cellspacing=2 cellpadding=0><tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"RequestorReservation\" value=\"Information Request\"></td><td class=\"textLabel\">Information Request</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"RequestorReservation\" value=\"Reservation\"></td><td class=\"textLabel\">Reservation</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"RequestorReservation\" value=\"\"></td><td class=\"textLabel\">Other: <input type=text name=\"RequestorReservation\"  size=\"40\"  ></td></tr>\n");
document.write("</table>\n");
document.write(" <!-- tr ph 18--></td></tr>\n");
document.write("<tr><td colspan=2 align=\"center\"><input onmouseover=\"className='buttonfieldFocus'\" onmouseout=\"className='buttonfield'\" class=\"buttonfield\" type=submit value=\"Submit My Request\"><input onmouseover=\"className='buttonfieldFocus'\" onmouseout=\"className='buttonfield'\" class=\"buttonfield\" type=reset value=\"Reset Form\"></td></tr>\n");
document.write("</table>\n");
document.write("</form>\n");