<!-- 

function printForm()

{

var output    = ""

var blackHole = "text"

var options   = " WRAP="

blackHole += "area"

options   += " PHYSICAL "
options   += "NAME='L'"
options   += " COLS=60 "
options   += "ROWS=5"


<!-- output += "<form action='http://wahinkto.com/cvcbsa/summerCamp/campsiteReservation.php' "  -->

output += "<form action='campsiteReservation.php' "
output += "      onSubmit='return checkForm(this)' "
output += "      method='post'>"

output += "<table BORDER=0 "
output += "       CELLSPACING=0 "
output += "       CELLPADDING=0 "
output += "		  COLS=3 "
output += "       WIDTH='700' "
output += "  	  BGCOLOR='#E0D0B0' "
output += "		  align='center'> "   
output += "  <tr ALIGN=LEFT VALIGN='middle'>"
output += "    <td height='42'>"
output += "      <p align='center'>"
output += "        <font face='Verdana,Helvetica' color='#804848'>"
output += "          <span style='font-size:9pt;'>"
output += "            <b>NOTE: &nbsp;</b>"
output += "            <b>This form should be completed in full.&nbsp; "
output += "               The form cannot be processed with missing information.</b>"
output += "          </span>"
output += "        </font>"
output += "      </td>"
output += "    </tr>"
output += "    <tr bgcolor='#E0D0B0'>"
output += "      <td>"
output += "        <div align='right'>"
output += "          <!-- ********************************************************************* -->"
output += "            <table border='0' cellpadding='0' cellspacing='0' width='670'>"
output += "              <tr>"
output += "                <td width='57'>"
output += "                  <font face='Arial,Helvetica' color='#804848'>"
output += "                    <b><span style='font-size:10pt;'>"
output += "                      Council"
output += "                    </span></b>"
output += "                  </font>"
output += "                </td>"
output += "                <td width='617' height='32'>"
output += "                  <input name='A' value='Concho Valley' size=30 maxlength=60>"
output += "                </td>"
output += "              </tr>"
output += "            </table>"
output += "          <!-- ********************************************************************* -->"
output += "        </div>"
output += "      </td>"
output += "    </tr>"
output += "    <tr bgcolor='#E0D0B0'>"
output += "      <td>"
output += "        <div align='right'>"
output += "          <!-- ********************************************************************* -->"
output += "            <table border='0' cellpadding='0' cellspacing='0' width='670'>"
output += "              <tr>"
output += "                <td width='57' height='32'>"
output += "                  <p>&nbsp;</p>"
output += "                </td>"
output += "                <td width='617'>"
output += "                  <font color='#804848'>"
output += "                    <select NAME='unittype'>"
output += "                      <option selected>Troop</option>"
output += "                      <option>Crew/ Post</option>"
output += "                      <option>Pack</option>"
output += "                    </select>"
output += "                  </font>"
output += "                  <font face='Arial,Helvetica' color='#804848'>"
output += "                    <span style='font-size:10pt;'>"
output += "                      &nbsp; # "
output += "                    </span>"
output += "                  </font>"
output += "                  <font color='#804848'>"
output += "                    <input name='B' size=6 maxlength=6>"
output += "                  </font>"
output += "                </td>"
output += "              </tr>"
output += "            </table>"
output += "          <!-- ********************************************************************* -->"
output += "        </div>"
output += "      </td>"
output += "    </tr>"
output += "      <tr bgcolor='#E0D0B0'>"
output += "        <td>"
output += "          <!-- ********************************************************************* -->"
output += "            <table border='0' "
output += "                   cellpadding='0' "
output += "                   cellspacing='0' "
output += "                   width='100%' "
output += "                   bgcolor='#804848'>"
output += "              <tr>"
output += "                <td width='149' rowspan='3' bgcolor='#E0D0B0'>"
output += "                  <font face='Arial,Helvetica' color='#804848'>"
output += "                    <b><span style='font-size:10pt;'>"
output += "                      LEADER INFORMATION"
output += "                    </span></b>"
output += "                  </font>"
output += "                </td>"
output += "                <td width='534' bgcolor='#E0D0B0'>"
output += "                  <p>&nbsp;</p>"
output += "                </td>"
output += "              </tr>"
output += "              <tr>"
output += "                <td width='534' height='1'>"
output += "                  <p><img src='../images/space.gif' width='1' height='1' border='0'></p>"
output += "                </td>"
output += "              </tr>"
output += "              <tr>"
output += "                <td width='534' bgcolor='#E0D0B0'>"
output += "                  <p>&nbsp;</p>"
output += "                </td>"
output += "              </tr>"
output += "            </table>"
output += "          <!-- ********************************************************************* -->"
output += "        </td>"
output += "      </tr>"
output += "      <tr bgcolor='#E0D0B0'>"
output += "        <td>"
output += "          <div align='right'>"
output += "            <!-- ******************************************************************* -->"
output += "              <table border='0' cellpadding='0' cellspacing='0' width='670'>"
output += "                <tr>"
output += "                  <td width='89'>"
output += "                    <font face='Arial,Helvetica' color='#804848'>"
output += "                      <b><span style='font-size:10pt;'>"
output += "                        Adult Leader"
output += "                      </span></b>"
output += "                    </font>"
output += "                  </td>"
output += "                  <td width='584' height='32'>"
output += "                    <input type=text size=30 maxlength=30 name='C'>"
output += "                  </td>"
output += "                </tr>"
output += "              </table>"
output += "            <!-- ******************************************************************* -->"
output += "          </div>"
output += "        </td>"
output += "      </tr>"
output += "      <tr bgcolor='#E0D0B0'>"
output += "        <td>"
output += "          <div align='right'>"
output += "            <!-- ******************************************************************* -->"
output += "              <table border='0' cellpadding='0' cellspacing='0' width='670'>"
output += "                <tr>"
output += "                  <td width='59' height='32'>"
output += "                    <font face='Arial,Helvetica' color='#804848'>"
output += "                      <b><span style='font-size:10pt;'>"
output += "                        Position"
output += "                      </span></b>"
output += "                      <span style='font-size:10pt;'>"
output += "                    </font>"
output += "                  </td>"
output += "                  <td width='614'>"
output += "                    <select NAME='position'>"
output += "                      <option selected>Scoutmaster</option>"
output += "                      <option>Assistant Scoutmaster</option>"
output += "                      <option>Post/ Crew Advisor</option>"
output += "                      <option>Committee Member</option>"
output += "                      <option>Other</option>"
output += "                    </select>"
output += "                  </td>"
output += "                </tr>"
output += "              </table>"
output += "            <!-- ******************************************************************* -->"
output += "          </div>"
output += "        </td>"
output += "      </tr>"
output += "      <tr bgcolor='#E0D0B0'>"
output += "        <td>"
output += "          <div align='right'>"
output += "            <!-- ******************************************************************* -->"
output += "              <table BORDER=0 CELLSPACING='0' CELLPADDING=0 width='670'>"
output += "                <caption>"
output += "                  <p align='right'>"
output += "                   <span style='font-size:8pt;'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span>"
output += "                  </p>"
output += "                </caption>"
output += "                <tr ALIGN=LEFT VALIGN=TOP>"
output += "                  <td WIDTH='60' height='28'>"
output += "                    <font face='Arial,Helvetica' color='#804848'>"
output += "                      <b><span style='font-size:10pt;'>"
output += "                        Address"
output += "                      </span></b>"
output += "                    </font>"
output += "                  </td>"
output += "                  <td width='590' height='28'>"
output += "                    <font color='#804848'>"
output += "                      <input type=text size=30 maxlength=30 name='D'>"
output += "                    </font>"
output += "                    <font face='Arial,Helvetica' color='#804848'>"
output += "                      <b><span style='font-size:10pt;'>"
output += "                        (Street)"
output += "                      </span></b>"
output += "                    </font>"
output += "                  </td>"
output += "                </tr>"
output += "                <tr>"
output += "                  <td WIDTH='60' height='28'>"
output += "                    <p>&nbsp;</p>"
output += "                  </td>"
output += "                  <td width='590' height='28'>"
output += "                    <font color='#804848'>"
output += "                      <input type=text size=30 maxlength=30 name='E'>"
output += "                    </font>"
output += "                    <font face='Arial,Helvetica' color='#804848'>"
output += "                      <b><span style='font-size:10pt;'>"
output += "                        (City)"
output += "                      </span></b>"
output += "                    </font>"
output += "                  </td>"
output += "                </tr>"
output += "                <tr>"
output += "                  <td WIDTH='60' height='28'>"
output += "                    <p>&nbsp;</p>"
output += "                  </td>"
output += "                  <td width='590' height='28'>"
output += "                    <font color='#804848'>"
output += "                      <input type=text size=2 maxlength=2 name='F' value='TX'>"
output += "                    </font>"
output += "                    <font face='Arial,Helvetica' color='#804848'>"
output += "                      <b><span style='font-size:10pt;'>"
output += "                        (State)"
output += "                      </span></b>"
output += "                    </font>"
output += "                    <font color='#804848'>"
output += "                      <input type=text size=5 maxlength=12 name='G'>"
output += "                    </font>"
output += "                    <font face='Arial,Helvetica' color='#804848'>"
output += "                      <b><span style='font-size:10pt;'>"
output += "                        (Zip Code)"
output += "                      </span></b>"
output += "                    </font>"
output += "                  </td>"
output += "                </tr>"
output += "              </table>"
output += "            <!-- ******************************************************************* -->"
output += "          </div>"
output += "        </td>"
output += "      </tr>"
output += "      <tr bgcolor='#E0D0B0'>"
output += "        <td>"
output += "          <div align='right'>"
output += "            <!-- ******************************************************************* -->"
output += "              <table BORDER=0 CELLSPACING='0' CELLPADDING=0 width='670'>"
output += "                <tr ALIGN=LEFT VALIGN='middle'>"
output += "                  <td WIDTH='66'>"
output += "                    <font face='Arial,Helvetica' color='#804848'>"
output += "                      <b><span style='font-size:10pt;'>"
output += "                        &nbsp;Phone # "
output += "                      </span></b>"
output += "                    </font>"
output += "                  </td>"
output += "                  <td height='32'>"
output += "                    <font color='#804848'>"
output += "                      <input name='H'  size=15 maxlength=20>"
output += "                    </font>"
output += "                  </td>"
output += "                </tr>"
output += "              </table>"
output += "            <!-- ******************************************************************* -->"
output += "          </div>"
output += "        </td>"
output += "      </tr>"
output += "      <tr bgcolor='#E0D0B0'>"
output += "        <td>"
output += "          <div align='right'>"
output += "            <!-- ******************************************************************* -->"
output += "              <table BORDER=0 CELLSPACING='0' CELLPADDING=0 width='670'>"
output += "                <tr ALIGN=LEFT VALIGN='middle'>"
output += "                  <td WIDTH='102' height='32'>"
output += "                    <font face='Arial,Helvetica' color='#804848'>"
output += "                      <b><span style='font-size:10pt;'>"
output += "                        e-mail Address"
output += "                      </span></b>"
output += "                    </font>"
output += "                  </td>"
output += "                  <td>"
output += "                    <font color='#804848'>"
output += "                      <input type=text size=30 maxlength=30 name='I'>"
output += "                    </font>"
output += "                  </td>"
output += "                </tr>"
output += "              </table>"
output += "            <!-- ******************************************************************* -->"  
output += "          </div>"
output += "        </td>"
output += "      </tr>"
output += "      <tr bgcolor='#E0D0B0'>"
output += "        <td>"
output += "          <!-- ********************************************************************* -->"
output += "            <table border='0' "
output += "                   cellpadding='0' "
output += "                   cellspacing='0' "
output += "                   width='100%' "
output += "                   bgcolor='#804848'>"
output += "              <tr>"
output += "                <td width='171' rowspan='3' bgcolor='#E0D0B0'>"
output += "                  <font face='Arial,Helvetica' color='#804848'>"
output += "                    <b><span style='font-size:10pt;'>"
output += "                      CAMPSITE&nbsp;INFORMATION"
output += "                    </span></b>"
output += "                  </font>"
output += "                </td>"
output += "                <td width='513' bgcolor='#E0D0B0'>"
output += "                  <p>&nbsp;</p>"
output += "                </td>"
output += "              </tr>"
output += "              <tr>"
output += "                <td width='513' height='1'>"
output += "                  <p><img src='../images/space.gif' width='1' height='1' border='0'></p>"
output += "                </td>"                
output += "              </tr>"
output += "              <tr>"
output += "                <td width='513' bgcolor='#E0D0B0'>"
output += "                  <p>&nbsp;</p>"
output += "                </td>"
output += "              </tr>"
output += "            </table>"
output += "          <!-- ********************************************************************* -->"
output += "        </td>"
output += "      </tr>"
output += "      <tr bgcolor='#E0D0B0'>"
output += "        <td>"
output += "          <div align='right'>"
output += "            <!-- ******************************************************************* -->"
output += "              <table BORDER=0 CELLSPACING='0' CELLPADDING=0 width='670'>"
output += "                <tr ALIGN=LEFT VALIGN=TOP>"
output += "                  <td WIDTH='79'>"
output += "                    <font face='Arial,Helvetica' color='#804848'>"
output += "                      <b><span style='font-size:10pt;'>"
output += "                        Select Date"
output += "                      </span></b>"
output += "                    </font>"
output += "                  </td>"
output += "                  <td WIDTH='591'>"
output += "                    <font color='#804848'>"
output += "                      <span style='font-size:10pt;'>"
output += "                        <input type=radio name='J' value='Week 1 (June 12-18)'>"
output += "                      </span>"
output += "                    </font>"
output += "                    <font face='Arial,Helvetica' color='#804848'>"
output += "                      <span style='font-size:10pt;'>"
output += "                        Week 1 (June 12-18)"
output += "                      </span>"
output += "                    </font>"
output += "                    <font color='#804848'>"
output += "                      <span style='font-size:10pt;'>"
output += "                        <br>"
output += "                      </span>"
output += "                        <input type=radio name='J' value='Week 2 (June 19-25)'>"
output += "                    </font>"
output += "                    <font face='Arial,Helvetica' color='#804848'>"
output += "                      <span style='font-size:10pt;'>"
output += "                        Week 2 (June 19-25)"
output += "                      <span style='font-size:10pt;'>"
output += "                        <br>"
output += "                      </span>"
output += "                    </font>"
output += "                        <input type=radio name='J' value='Week 3 (June 26-July 02)'>"
output += "                    </font>"
output += "                    <font face='Arial,Helvetica' color='#804848'>"
output += "                      <span style='font-size:10pt;'>"
output += "                        Week 3 (June 26-July 02)"
output += "                      </span>"
output += "                    </font>"
output += "                    <font color='#804848'>"
output += "                      <span style='font-size:10pt;'>"
output += "                        <br>"
output += "                        <br>"
output += "                      </span>"
output += "                  </td>"
output += "                </tr>"
output += "              </table>"
output += "            <!-- ****************************************************************** -->"
output += "          </div>"
output += "        </td>"
output += "      </tr>"
output += "      <tr bgcolor='#E0D0B0'>"
output += "        <td>"
output += "          <div align='right'>"
output += "            <!-- ******************************************************************* -->"
output += "              <table border='0' cellpadding='0' cellspacing='0' width='670'>"
output += "                <tr>"
output += "                  <td height='32'>"                            
output += "                    <p><font face='Arial' color='#804848'>"
output += "                      <b><span style='font-size:10pt;'>"
output += "                        Estimated number of scouts &nbsp;"
output += "                      </span></b>"
output += "                      <span style='font-size:10pt;'>"
output += "                        <input type='text' name='K' size='4'>"
output += "                      </span>"
output += "                    </font></p>"
output += "                  </td>"
output += "                  <td>"
output += "                    <p>&nbsp;</p>"
output += "                  </td>"
output += "                </tr>"
output += "              </table>"
output += "            <!-- ******************************************************************* -->"
output += "          </div>"
output += "        </td>"
output += "      </tr>"
output += "      <tr bgcolor='#E0D0B0'>"
output += "        <td>"
output += "          <div align='right'>"
output += "          <!-- *************************************************************-******* -->"
output += "            <table BORDER=0 CELLSPACING='0' CELLPADDING=0 COLS=2 WIDTH='670'>"
output += "              <tr ALIGN=LEFT VALIGN='middle'>"
output += "                <td ALIGN=LEFT VALIGN='middle' WIDTH='110' height='32'>"
output += "                  <font face='Arial,Helvetica' color='#804848'>"
output += "                    <b><span style='font-size:10pt;'>"
output += "                      Preferred Campsite"
output += "                    </span></b>"
output += "                  </font>"
output += "                </td>"
output += "                <td WIDTH='300'>"
output += "                  <font color='#804848'>"
output += "                    <select NAME='primary'>"
output += "                      <option selected></option>"
output += "                      <option value='Lonesome Pine'>Lonesome Pine</option>"
output += "                      <option value='Bowie'>Bowie</option>"
output += "                      <option value='Travis'>Travis</option>"
output += "                      <option value='Apache'>Apache</option>"
output += "                      <option value='Comanche'>Comanche</option>"
output += "                      <option value='Delaware'>Delaware</option>"
output += "                      <option value='Crockett'>Crockett</option>"
output += "                      <option value='Mohawk'>Mohawk</option>"
output += "                      <option value='Eagle'>Eagle</option>"
output += "                      <option value='Frontier'>Frontier</option>"
output += "                      <option value='Houston'>Houston</option>"
output += "                    </select>"
output += "                  </font>"
output += "                </td>"
output += "              </tr>"
output += "              <tr ALIGN=LEFT VALIGN='middle'>"
output += "                <td height='32' valign='middle'>"
output += "                  <font face='Arial,Helvetica' color='#804848'>"
output += "                    <b><span style='font-size:10pt;'>"
output += "                      Alternate Campsite"
output += "                    </span></b>"
output += "                  </font>"
output += "                </td>"
output += "                <td>"
output += "                  <font color='#804848'>"
output += "                    <select NAME='alternate'>"
output += "                      <option selected></option>"
output += "                      <option value='Lonesome Pine'>Lonesome Pine</option>"
output += "                      <option value='Bowie'>Bowie</option>"
output += "                      <option value='Travis'>Travis</option>"
output += "                      <option value='Apache'>Apache</option>"
output += "                      <option value='Comanche'>Comanche</option>"
output += "                      <option value='Delaware'>Delaware</option>"
output += "                      <option value='Crockett'>Crockett</option>"
output += "                      <option value='Mohawk'>Mohawk</option>"
output += "                      <option value='Eagle'>Eagle</option>"
output += "                      <option value='Frontier'>Frontier</option>"
output += "                      <option value='Houston'>Houston</option>"
output += "                    </select>"
output += "                  </font>"
output += "                </td>"
output += "              </tr>"
output += "            </table>"
output += "          <!-- ********************************************************************* -->"
output += "        </div>"
output += "      </td>"
output += "    </tr>"
output += "    <tr bgcolor='#E0D0B0'>"
output += "      <td>"
output += "        <!-- *********************************************************************** -->"
output += "          <table border='0' "
output += "                 cellpadding='0' "
output += "                 cellspacing='0' "
output += "                 width='100%' "
output += "                 bgcolor='#804848'>"
output += "            <tr>"
output += "              <td width='513' height='5' bgcolor='#E0D0B0'>"
output += "                <p><img src='../images/space.gif' width='1' height='1' border='0'></p>"
output += "              </td>"
output += "            </tr>"
output += "            <tr>"
output += "              <td width='513' height='1'>"
output += "               <p><img src='../images/space.gif' width='1' height='1' border='0'></p>"
output += "              </td>"
output += "            </tr>"
output += "            <tr>"
output += "              <td width='513' height='5' bgcolor='#E0D0B0'>"
output += "                <p><img src='../images/space.gif' width='1' height='1' border='0'></p>"
output += "              </td>"
output += "            </tr>"
output += "          </table>"
output += "        <!-- *********************************************************************** -->"
output += "      </td>"
output += "    </tr>"
output += "    <tr bgcolor='#E0D0B0'>"
output += "      <td>"
output += "        <div align='right'>"
output += "          <!-- ********************************************************************* -->"
output += "            <table border='0' cellpadding='0' cellspacing='0' width='670'>"
output += "              <tr>"
output += "                <td height='30'>"
output += "                  <font color='#804848'>"
output += "                    <input type=checkbox "
output += "                           name='info' "
output += "                           value='Please send me more information'>"
output += "                  </font>"
output += "                  <font face='Arial,Helvetica' color='#804848'>"
output += "                    <b><span style='font-size:10pt;'>"
output += "                      Please send me more information"
output += "                    </span></b>"
output += "                  </font>"
output += "                </td>"
output += "                <td>"
output += "                  <p>&nbsp;</p>"
output += "                </td>"
output += "              </tr>"
output += "            </table>"
output += "          <!-- ********************************************************************* -->"
output += "        </div>"
output += "      </td>"
output += "    </tr>"
output += "    <tr bgcolor='#E0D0B0'>"
output += "      <td>"
output += "        <div align='right'>"
output += "          <!-- ********************************************************************* -->"
output += "            <table border='0' cellpadding='0' cellspacing='0' width='670'>"
output += "              <tr>"
output += "                <td height='30'>"
output += "                  <p><font face='Arial,Helvetica' color='#804848'>"
output += "                    <b><span style='font-size:10pt;'>"
output += "                      Additional Comments:"
output += "                    </span></b>"
output += "                  </font>"
output += "                  <font color='#804848'>"
output += "                    <span style='font-size:10pt;'>"
output += "                      <br>"
output += "                    </span>"
output += "                  </font>"
output += "                </td>"
output += "              </tr>"
output += "              <tr>"
output += "                <td>"
output += "                  <p><font color='#804848'><"

output +=                      blackHole

output +=                      options

output += "                    ></"

output +=                      blackHole

output += "                  ></font></p>"
output += "                </td>"
output += "              </tr>"
output += "            </table>"
output += "          <!-- ********************************************************************* -->"
output += "        </div>"
output += "      </td>"
output += "    </tr>"
output += "    <tr bgcolor='#E0D0B0'>"
output += "      <td>"
output += "        <!-- *********************************************************************** -->"
output += "          <table BORDER=0 CELLSPACING=0 CELLPADDING=0 WIDTH='680' align='center'>"
output += "            <caption>"
output += "              <p><span style='font-size:8pt;'>&nbsp;&nbsp;&nbsp;&nbsp;</span></p>"
output += "            </caption>"
output += "            <tr>"
output += "              <td WIDTH='1'><img src='../images/space.gif' width='1' height='1' border='0'></td>"
output += "              <td WIDTH='9' HEIGHT='9'><img SRC='../images/topLeft.gif' BORDER=0 height=9 width='9'></td>"
output += "              <td VALIGN=TOP HEIGHT='9'><img SRC='../images/vertical.gif' BORDER=0 height=1 width='100%'></td>"
output += "              <td WIDTH='9' HEIGHT='9'><img SRC='../images/topRight.gif' BORDER=0 height=9 width='9'></td>"
output += "              <td WIDTH='1' HEIGHT='9'><img src='../images/space.gif' width='1' height='1' border='0'></td>"
output += "            </tr>"
output += "            <tr ALIGN=LEFT VALIGN=TOP>"
output += "              <td width='1' bgcolor='#680030'>"
output += "                <p><img src='../images/space.gif' width='1' height='1' border='0'></p>"
output += "              </td>"
output += "              <td width='9'>"
output += "                &nbsp;"
output += "              </td>"
output += "              <td>"
output += "                <!-- *************************************************************** -->"
output += "                  <table border='0' cellpadding='0' cellspacing='0' width='100%'>"
output += "                    <tr>"
output += "                      <td>"
output += "                        <p align='justify'>"
output += "                          <font face='Verdana,Helvetica' color='#804848'>"
output += "                            <span style='font-size:10pt;'>"
output += "                              ALTHOUGH NO DEPOSIT IS REQUIRED TO HOLD A RESERVATION, A "
output += "                              $50 NON-REFUNDABLE DEPOSIT "			
output += "                              <b>GUARANTEES </b>YOUR CHOICE OF CAMPSITES."
output += "                                <br>"
output += "                                <br>"
output += "                              I understand that submitting this form doesn't constitute "
output += "                              a confirmation of my campsite reservation.&nbsp; "
output += "                              Confirmation will be based on the validity of the "
output += "                              information provided as well as the availability "
output += "                              of the campsites at the time of this submission.&nbsp; "
output += "                              Your confirmation from the Council will come either by "
output += "                              e-mail, phone or by US mail."
output += "                            </span>"
output += "                          </font>"
output += "                        </p>"
output += "                      </td>"
output += "                    </tr>"
output += "                    <tr>"
output += "                      <td>"
output += "                        <!-- ******************************************************* -->"
output += "                          <table cellpadding='2' "
output += "                                 cellspacing='0' "
output += "                                 width='420' "
output += "                                 bgcolor='#CC9966'>"
output += "                            <caption>"
output += "                              <p><span style='font-size:8pt;'>&nbsp;&nbsp;</span></p>"
output += "                            </caption>"
output += "                            <tr>"
output += "                              <td>"
output += "                                <div align='left'>"
output += "                                  <!-- ********************************************* -->"
output += "                                    <table cellpadding='8' "
output += "                                           cellspacing='0' "
output += "                                           width='100%' "
output += "                                           bgcolor='#E0D0B0' "
output += "                                           bordercolordark='white' "
output += "                                           bordercolorlight='black'>"
output += "                                      <tr>"
output += "                                        <td width='98%' height='80'>"
output += "                                          <table cellpadding='1' "
output += "                                                 cellspacing='0' "
output += "                                                 width='100%' "
output += "                                                 bordercolordark='white' "
output += "                                                 bordercolorlight='black'>"
output += "                                            <tr>"
output += "                                              <td width='98%'>"
output += "                                                <font color='#804848' face='Verdana'>"
output += "                                                  <span style='font-size:10pt;'>"
output += "                                                    <input type='checkbox' "
output += "                                                           name='privacy' "
output += "                                                           value='checked'>"
output += "                                                  </span>"
output += "                                                </font>"
output += "                                                <font face='Verdana' "
output += "                                                      color='#804848'>"
output += "                                                  <span style='font-size:10pt;'>"
output += "                                                    I have read and understand "
output += "                                                    the Council's"
output += "                                                  </span>"
output += "                                                </font>"


output += "<a href=\"javascript:na_open_window('win', 'http://cvcbsa.org/privacy.htm', 0, 0, 600, 450, 0, 0, 0, 1, 0)\" target='_self'>"


output += "                                                  <span style='font-size:11pt;'>"
output += "                                                    <font face='Times New Roman' "
output += "                                                          color='#804848'>"
output += "                                                      <i>privacy policy</i>"
output += "                                                </font></span>"


output += "</a>"
	
			
output += "                                              </td>"
output += "                                            </tr>"
output += "                                            <tr>"
output += "                                              <td width='98%'>"
output += "                                                <p><span style='font-size:10pt;'>"
output += "                                                  <font face='Verdana' "
output += "                                                        color='#804848'>"
output += "                                                    <input type='text' "
output += "                                                           name='age' "
output += "                                                           maxlength='6' "
output += "                                                           size='4'>"
output += "                                                      Age"
output += "                                                  </font>"
output += "                                                </span></p>"				  
output += "                                              </td>"
output += "                                            </tr>"
output += "                                            <tr valign='bottom'>"
output += "                                              <td width='98%' height='36'>"
output += "                                                <!-- ******************************* -->"
output += "                                                  <input type='hidden' "
output += "                                                         name='process' "
output += "                                                         value='true'>"
output += "                                                <!-- ******************************* -->"
output += "                                                <p>"
output += "                                                  <input type=submit "
output += "                                                         value='Submit'>"
output += "                                                    &nbsp;&nbsp;"
output += "                                                  <input type=reset "
output += "                                                         value='Reset'>"
output += "                                                </p>"
output += "                                              </td>"
output += "                                            </tr>"
output += "                                          </table>"
output += "                                        </td>"
output += "                                      </tr>"
output += "                                    </table>"
output += "                                  <!-- ********************************************* -->"
output += "                                </div>"
output += "                              </td>"
output += "                            </tr>"
output += "                          </table>"
output += "                        <!-- ******************************************************* -->"
output += "                      </td>"
output += "                    </tr>"
output += "                  </table>"
output += "                <!-- *************************************************************** -->"
output += "              </td>"
output += "              <td HEIGHT='100%' width='9'>"
output += "                <div align=right>"
output += "                </div>"
output += "              </td>"
output += "              <td HEIGHT='100%' width='1' bgcolor='#680030'><img src='../images/space.gif' width='1' height='1' border='0'></td>"
output += "            </tr>"
output += "            <tr>"
output += "              <td WIDTH='1'><img src='../images/space.gif' width='1' height='1' border='0'></td>"
output += "              <td WIDTH='9' HEIGHT='9'><img SRC='../images/bottomLeft.gif' BORDER=0 height=9 width='9'></td>"
output += "              <td VALIGN=BOTTOM><img SRC='../images/vertical.gif' BORDER=0 height=1 width='100%'></td>"
output += "              <td WIDTH='9' HEIGHT='9'><img SRC='../images/bottomRight.gif' BORDER=0 height=9 width='9'></td>"
output += "              <td WIDTH='1' HEIGHT='9'><img src='../images/space.gif' width='1' height='1' border='0'></td>"
output += "            </tr>"
output += "          </table>"
output += "        <!-- *********************************************************************** -->"
output += "      </td>"
output += "    </tr>"
output += "  </table>"

output += "</form>"

document.write (output)

}

//-->
