document.write("<title>St. German Lodge Information Request 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></br>\n");
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document.write("<form  method=POST action=\"http://www.outnetwork.net/cgi-bin/FormBuilder/csFormbuilder.cgi\" name=\"form_537\"  >\n");
document.write("<input type=hidden name=form-id value=\"537\">\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/StGermainLodgeInfoRequestForm.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\" >*Telephone:</td><td align=left valign=top nowrap class=\"textLabel\"><input  onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"Telephone\"  size=\"35\"  > <!-- tr ph 5--></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 6--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\"  valign=\"top\" >Interested In: </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=\"InterestedIn\" value=\"Snowmobiling\"></td><td class=\"textLabel\">Snowmobiling</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"InterestedIn\" value=\"Fishing\"></td><td class=\"textLabel\">Fishing</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"InterestedIn\" value=\"Cross Country Skiing\"></td><td class=\"textLabel\">Cross Country Skiing</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"InterestedIn\" value=\"Hiking\"></td><td class=\"textLabel\">Hiking</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"InterestedIn\" value=\"Biking\"></td><td class=\"textLabel\">Biking</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"InterestedIn\" value=\"Boating\"></td><td class=\"textLabel\">Boating</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"InterestedIn\" value=\"Shopping\"></td><td class=\"textLabel\">Shopping</td></tr>\n");
document.write("</table>\n");
document.write(" <!-- 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=\"ArrivalDate\"  size=\"35\"  > <!-- tr ph 8--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\" >Number of Adults:</td><td align=left valign=top nowrap class=\"textLabel\"><input  onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"NumOfAdults\"   maxlength=\"35\" > <!-- tr ph 9--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\" >Number of Children:</td><td align=left valign=top nowrap class=\"textLabel\"><input  onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"NumOfChildren\"  size=\"35\"  > <!-- tr ph 10--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\" >Number of Nights:</td><td align=left valign=top nowrap class=\"textLabel\"><input  onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"NumOfNights\"  size=\"35\"  > <!-- tr ph 11--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\"  valign=\"top\" >Preferred Accomodations: </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=\"PreferredAccomodations\" value=\"Balcony Suite\"></td><td class=\"textLabel\">Balcony Suite</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"PreferredAccomodations\" value=\"Guest Room\"></td><td class=\"textLabel\">Guest Room</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"PreferredAccomodations\" value=\"Whirlpool Room\"></td><td class=\"textLabel\">Whirlpool Room</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"PreferredAccomodations\" value=\"2 Bedroom\"></td><td class=\"textLabel\">2 Bedroom</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"PreferredAccomodations\" value=\"3 Bedroom\"></td><td class=\"textLabel\">3 Bedroom</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"PreferredAccomodations\" value=\"4 Bedroom\"></td><td class=\"textLabel\">4 Bedroom</td></tr>\n");
document.write("</table>\n");
document.write(" <!-- tr ph 12--></td></tr>\n");
document.write("<tr><td class=\"textLabel\" colspan=2>If you have a vacation home preference please indicate cottage number in comments area below. Example (VH2 - VH14)</td></tr><tr><td nowrap class=\"textLabel\" align=\"right\" >Comment/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 13--></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");