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function toggle_it (id1,id2) {
$('#'+id2).hide('fast');
$('#'+id1).show('slow');
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function...
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<style type="text/css">
<!--
.form_main{}
.form_main td{ font-family:Arial, Helvetica, sans-serif; font-size:12p...
<td align="left" valign="top">Telephone</td>
<td height="25" align="left" valign="top"><input name="telephone2"
type="text...
<tr>
<td width="23%" align="center" valign="top"><input
name="pool_shading" type="radio" /></td>
<td width="77%" height="2...
<td width="61" align="left" valign="top">&nbsp;</td>
<td width="62" align="left" valign="top">&nbsp;</td>
<td width="248" ...
</tr>
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</tr>
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cellspacing="0" cellpaddi...
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<td align="left" valign="top">&nbsp;</t...
type="text" class="input opt1" /></td>
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</tr>
<tr>
<td height="30" align="left" valign="top">&nbsp;</td...
cellpadding="0">
<tr>
<td height="25" colspan="3" align="left" valign="top"
class="heaing_main">Pool Location</td>
<td wid...
<td height="25" align="left" valign="top"><table width="100%" border="0"
cellspacing="0" cellpadding="0">
<tr>
<td width="...
<tr>
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cellspacing="0" cellpadding="0">
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questionnaries-theme.tpl_.php_.txt

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Transcript of "questionnaries-theme.tpl_.php_.txt"

  1. 1. <script language="javascript"> function toggle_it (id1,id2) { $('#'+id2).hide('fast'); $('#'+id1).show('slow'); } function ventilation (r) { if(r=='y') { $('#ventilation').show('slow'); } if (r=='n') { $('#ventilation').hide('slow'); } } function space (r) { if(r=='y') { $('#space').show('slow'); } if (r=='n') { $('#space').hide('slow'); } } function solar (r) { if(r=='y') { $('#solar1').show('slow'); $('#solar2').show('slow'); } if (r=='n') { $('#solar1').hide('slow'); $('#solar2').hide('slow'); } } function formSend () { $.post("http://www.evoheat.com.au/process_form", $("#questionnaries- form").serialize(), function (data) { scroll(0,0); var frm = $("#questionnaries-form") ; clear_form_elements (frm); $("#message").html('Thank you ! Your request has been posted.'); $("#message").show('slow'); } ); } function clear_form_elements(ele) { $(ele).find(':input').each(function() { switch(this.type) { case 'password': case 'select-multiple': case 'select-one': case 'text': case 'textarea': $(this).val(''); break; case 'checkbox': case 'radio': this.checked = false; } }); }
  2. 2. </script> <style type="text/css"> <!-- .form_main{} .form_main td{ font-family:Arial, Helvetica, sans-serif; font-size:12px; color:#858585;} .form_main label{ font-family:Arial, Helvetica, sans-serif; font-size:12px; color:#858585; padding-right:5px;} .input{ border:1px solid #ccc;font-family:Arial, Helvetica, sans-serif; font- size:12px; color:#858585; padding:2px 4px 2px 4px} .input.opt1{ width:120px; border:1px solid #ccc;} .input.opt2{ width:200px; border:1px solid #ccc;} .input.opt4{ width:131px; border:1px solid #ccc;} .input.optlarge{ width:280px; border:1px solid #ccc;} .input.opt3{ width:25px; border:1px solid #ccc;} .form_main td.heaing_main{font-family:Arial, Helvetica, sans-serif; font- size:16px; color:#000; font-weight:bold;} --> </style> <div id="message" style="display:none;width:100%; margin-bottom:10px; color:red;text-align:center"></div> <table width="560" border="0" cellspacing="0" cellpadding="0" align="center" class="form_main" > <tr> <td align="left" valign="top"><table width="560" border="0" cellspacing="0" cellpadding="0"> <tr> <td align="left" valign="top" class="heaing_main">Pool Builder</td> <td height="25" align="left" valign="top">&nbsp;</td> <td align="left" valign="top">&nbsp;</td> <td align="left" valign="top">&nbsp;</td> </tr> <tr> <td align="left" valign="top">Pool Builder </td> <td height="25" align="left" valign="top"><input name="pool_builder" type="text" class="input opt1" /></td> <td align="left" valign="top">Date</td> <td align="left" valign="top"><input type="text" name="date" class="input opt1" /></td> </tr> <tr> <td align="left" valign="top">Telephone</td> <td height="25" align="left" valign="top"><input type="text" class="input opt1" name="telephone1" /></td> <td align="left" valign="top">Fax</td> <td height="25" align="left" valign="top"><input type="text" class="input opt1" name="fax1" /></td> <td align="left" valign="top">&nbsp;</td> </tr> <tr> <td align="left" valign="top">Customer</td> <td height="25" align="left" valign="top"><input type="text" class="input opt1" name="customer" /></td> <td align="left" valign="top">Pool Address</td> <td align="left" valign="top"><input type="text" class="input opt1" name="pool_address"/></td> </tr> <tr>
  3. 3. <td align="left" valign="top">Telephone</td> <td height="25" align="left" valign="top"><input name="telephone2" type="text" class="input opt1" id="telephone2" /></td> <td align="left" valign="top">Fax</td> <td align="left" valign="top"><input name="fax2" type="text" class="input opt1" id="fax2" /></td> </tr> <tr> <td width="140" align="left" valign="top"><span class="style4"> <label>Commercial Pool </label> </span></td> <td height="25" align="left" valign="top"><input name="commercial_pool" type="checkbox" value="" /></td> <td align="left" valign="top">&nbsp;</td> <td align="left" valign="top">&nbsp;</td> </tr> </table> <table width="560" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="169" align="left" valign="top" class="heaing_main">&nbsp;</td> <td width="59" height="25" align="left" valign="top">&nbsp;</td> <td width="181" align="left" valign="top">&nbsp;</td> <td width="151" align="left" valign="top">&nbsp;</td> </tr> <tr> <td align="left" valign="top" class="heaing_main">Pool Location</td> <td height="25" align="left" valign="top">&nbsp;</td> <td align="left" valign="top">&nbsp;</td> <td align="left" valign="top">&nbsp;</td> </tr> <tr> <td height="25" colspan="4" align="left" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="8%" height="40" align="left" valign="top"><input name="pool_location" type="radio" onClick="toggle_it('indoor', 'outdoor')" /></td> <td width="10%" valign="top">Indoor</td> <td width="7%" valign="top"><input name="pool_location" type="radio" onClick="toggle_it('outdoor','indoor')" /></td> <td width="75%" valign="top">Outdoor</td> </tr> </table></td> </tr> </table></td> </tr> <tr> <td align="left" valign="top"><div id="outdoor" style="display:none"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="40%" align="left" valign="top"><div><table border="0" cellspacing="0" cellpadding="0" id="pr1" name="police_response1" style="display:block;" > <tr> <td width="81" align="left" valign="top"><strong>Pool Shading</strong></td> <td width="59" align="left" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0" >
  4. 4. <tr> <td width="23%" align="center" valign="top"><input name="pool_shading" type="radio" /></td> <td width="77%" height="25" align="left" valign="top">None</td> </tr> <tr> <td width="23%" align="center" valign="top"><input name="pool_shading" type="radio" /></td> <td width="77%" height="25" align="left" valign="top">Minor</td> </tr> <tr> <td width="23%" align="center" valign="top"><input name="pool_shading" type="radio" /></td> <td width="77%" height="25" align="left" valign="top">Major</td> </tr> </table></td> </tr> </table></td> <td width="60%" align="left" valign="top"><table border="0" cellspacing="0" cellpadding="0" id="pr2" name="police_response2" style="display:block;"> <tr> <td width="91" align="left" valign="top"><strong>Wind Exposure</strong></td> <td width="113" align="left" valign="top"><table width="140" border="0" cellpadding="0" cellspacing="0" id="div3" style="display: block;"> <tr> <td width="20" align="left" valign="top"><input name="wind_exposure" type="radio" /></td> <td width="120" height="25" align="left" valign="top">Sheltered</td> </tr> <tr> <td align="left" valign="top"><input name="wind_exposure" type="radio" /></td> <td height="25" align="left" valign="top">Normal Suburban</td> </tr> <tr> <td align="left" valign="top"><input type="radio" /></td> <td height="25" align="left" valign="top">High Wind</td> </tr> </table></td> </tr> </table></div></td> </tr> </table></div></td> </tr> <tr> <td align="left" valign="top"><div id="indoor" style="display:none"><table width="560" border="0" cellspacing="0" cellpadding="0"> <tr> <td align="left" valign="top"><table border="0" cellspacing="0" cellpadding="0" width="560"> <tr> <td width="138" align="left" valign="top">&nbsp;</td> <td width="51" align="left" valign="top">&nbsp;</td>
  5. 5. <td width="61" align="left" valign="top">&nbsp;</td> <td width="62" align="left" valign="top">&nbsp;</td> <td width="248" align="left" valign="top">&nbsp;</td> </tr> <tr> <td align="left" valign="top"><strong>Room Size Length</strong></td> <td align="left" valign="top">&nbsp;</td> <td align="left" valign="top">&nbsp;</td> <td align="left" valign="top">&nbsp;</td> <td align="left" valign="top">&nbsp;</td> </tr> <tr> <td height="25" align="left" valign="top">Width</td> <td align="left" valign="top"><input name="width" type="text" class="input opt1" id="width" /></td> <td align="left" valign="top">&nbsp;</td> <td align="left" valign="top">Height</td> <td align="left" valign="top"><input name="height" type="text" class="input opt1" id="height" /></td> </tr> <tr> <td height="41" align="left" valign="top"><strong>R Value Walls/Roof</strong></td> <td align="left" valign="top"><input name="r_values_wall_roof" type="text" class="input opt1" id="r_values_wall_roof" /></td> <td align="left" valign="top">&nbsp;</td> <td align="left" valign="top">&nbsp;</td> <td align="left" valign="top">&nbsp;</td> </tr> </table></td> </tr> <tr> <td height="25" align="left" valign="top"><table width="560" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="217" height="40" align="left" valign="top"><strong>Does Room have Ventilaton Fans?</strong></td> <td width="28" align="left" valign="top"><input name="ventilation_fan" type="radio" onclick="ventilation('y');"/></td> <td width="29" align="left" valign="top">Yes</td> <td width="30" align="left" valign="top"><input name="ventilation_fan" type="radio" onclick="ventilation('n');"/></td> <td width="256" align="left" valign="top">No</td> </tr> </table></td> </tr> <tr> <td align="left" valign="top"><div id="ventilation" style="display:none;"><table width="560" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="118" height="25" align="left" valign="top">Ventilation Min Rate</td> <td width="152" align="left" valign="top"><input name="ventilation_min_rate" type="text" class="input opt1" id="ventilation_min_rate" /></td> <td width="121" align="left" valign="top">Ventilation Max Rate</td> <td width="169" align="left" valign="top"><input name="ventilation_max_rate" type="text" class="input opt1" id="ventilation_max_rate" /></td>
  6. 6. </tr> </table></div></td> </tr> <tr> <td align="left" valign="top"><table width="560" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="218" height="50" align="left" valign="top"><strong>Does Room have Space Heating?</strong></td> <td width="29" align="left" valign="top"><input name="space_heating" type="radio" onclick="space('y');"/></td> <td width="27" align="left" valign="top">Yes</td> <td width="29" align="left" valign="top"><input name="space_heating" type="radio" onclick="space('n');"/></td> <td width="257" align="left" valign="top">No</td> </tr> </table></td> </tr> <tr> <td align="left" valign="top"><div id="space" style="display:none;"><table width="560" border="0" cellspacing="0" cellpadding="0"> <tr> <td height="25" align="left"><table width="560" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="29" height="25" align="left" valign="top"><input name="operating" type="radio" /></td> <td width="90" align="left" valign="top">Operating</td> <td width="30" align="left" valign="top"><input name="operating" type="radio" /></td> <td width="411" align="left" valign="top"> Non-Operating</td> </tr> </table></td> </tr> <tr> <td height="66" align="left"><table width="560" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="129" height="20" align="left" valign="top">Space heating Months</td> <td width="431" align="left" valign="top"><div align="justify"> <select id="space_heating_month" name ="space_heating_month[]" class="input opt1" multiple> <option value="January">January</option> <option value="February">February</option> <option value="March">March</option> <option value="April">April</option> <option value="May">May</option> <option value="June">June</option> <option value="July">July</option> <option value="August">August</option> <option value="September">September</option> <option value="October">October</option> <option value="November">November</option> <option value="December">December</option> </select> </div></td>
  7. 7. </tr> </table></td> </tr> </table></div></td> </tr> </table></div></td> </tr> <tr> <td align="left" valign="top">&nbsp;</td> </tr> <tr> <td align="left" valign="top"><table width="560" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="140" align="left" valign="top">Pool Surface Area m2</td> <td width="146" height="25" align="left" valign="top"><input name="pool_surface_area_m2" type="text" class="input opt1" id="pool_surface_area_m2" /></td> <td width="112" align="left" valign="top">Pool Volume litres</td> <td width="162" align="left" valign="top"><input name="pool_volume_litres" type="text" class="input opt1" id="pool_volume_litres" /></td> </tr> <tr> <td align="left" valign="top">Spa Surface Area m2</td> <td height="25" align="left" valign="top"><input name="spa_surface_area_m2" type="text" class="input opt1" id="spa_surface_area_m2" /></td> <td align="left" valign="top">Spa Volume litres</td> <td align="left" valign="top"><input name="spa_volume_litres" type="text" class="input opt1" id="spa_volume_litres" /></td> </tr> </table></td> </tr> <tr> <td height="30" align="left" valign="top">&nbsp;</td> </tr> <tr> <td align="left" valign="top"><table width="560" border="0" cellspacing="0" cellpadding="0"> <tr> <td height="25" colspan="3" align="left" valign="top" class="heaing_main">Pool Cover</td> <td align="left" valign="top">&nbsp;</td> </tr> <tr> <td width="82" align="left" valign="top">None</td> <td width="152" height="25" align="left" valign="top"><input name="pool_cover" type="radio" /></td> <td width="152" align="left" valign="top">Used when closed</td> <td width="174" align="left" valign="top"><input name="pool_cover" type="radio" /></td> </tr> <tr> <td align="left" valign="top">Cover RValue</td> <td height="25" align="left" valign="top"><input name="cover_r_value" type="text" class="input opt1" /></td> <td align="left" valign="top">Cover Solar Transmission</td> <td align="left" valign="top"><input name="cover_solar_transmission"
  8. 8. type="text" class="input opt1" /></td> </tr> </table></td> </tr> <tr> <td height="30" align="left" valign="top">&nbsp;</td> </tr> <tr> <td><table width="560" border="0" cellspacing="0" cellpadding="0"> <tr> <td height="25" colspan="2" align="left" valign="top" class="heaing_main">Pool Usage</td> <td align="left" valign="top">&nbsp;</td> <td align="left" valign="top">&nbsp;</td> </tr> <tr> <td width="91" align="left" valign="top">Swimmers/day</td> <td width="234" height="25" align="left" valign="top"><input name="pool_usage_swimmer" type="text" class="input opt1" id="pool_usage_swimmer" /></td> <td width="91" align="left" valign="top">Cover Off Time</td> <td width="144" align="left" valign="top"><input name="cover_off_time" type="text" class="input opt1" /></td> </tr> <tr> <td align="left" valign="top">Cover On Time</td> <td height="25" colspan="2" align="left" valign="top"><input name="cover_on_time" type="text" class="input opt1" /> <em>(*24hr time format</em>)</td> <td align="left" valign="top">&nbsp;</td> </tr> </table></td> </tr> <tr> <td height="30">&nbsp;</td> </tr> <tr> <td valign="top"><table width="560" border="0" cellspacing="0" cellpadding="0"> <tr> <td height="25" colspan="3" align="left" valign="top" class="heaing_main">Pool Colour</td> <td width="304" align="left" valign="top">&nbsp;</td> </tr> <tr> <td width="42" align="left" valign="top"><input name="pool_colour_light" type="radio" /></td> <td width="176" height="25" align="left" valign="top">Light</td> <td width="38" align="left" valign="top"><input name="pool_colour_light" type="radio" /></td> <td align="left" valign="top">Dark</td> </tr> </table></td> </tr> <tr> <td height="30" valign="top">&nbsp;</td> </tr> <tr> <td valign="top"><table width="560" border="0" cellspacing="0"
  9. 9. cellpadding="0"> <tr> <td height="25" colspan="3" align="left" valign="top" class="heaing_main">Pool Location</td> <td width="304" align="left" valign="top">&nbsp;</td> </tr> <tr> <td width="42" align="left" valign="top"><input name="pool_location_grd" type="radio" /></td> <td width="176" height="25" align="left" valign="top">Above Ground</td> <td width="38" align="left" valign="top"><input name="pool_location_grd" type="radio" /></td> <td align="left" valign="top">Inground</td> </tr> </table></td> </tr> <tr> <td height="30">&nbsp;</td> </tr> <tr> <td><table width="560" border="0" cellspacing="0" cellpadding="0"> <tr> <td height="25" colspan="3" align="left" valign="top" class="heaing_main">Pool Features </td> <td width="304" align="left" valign="top">&nbsp;</td> </tr> <tr> <td width="42" align="left" valign="top"><input name="pool_features_bubblers" type="radio" /></td> <td width="176" height="25" align="left" valign="top">Blade Waterfalls(W)</td> <td width="38" align="left" valign="top"><input name="pool_features_bubblers" type="radio" /></td> <td align="left" valign="top">Bubblers</td> </tr> <tr> <td height="25" colspan="4" align="left" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="21%" align="left" valign="top">Infinity Edge (L)</td> <td width="25%" height="25" align="left" valign="top"><input name="pool_features_infinity_edge" type="text" class="input opt1" id="pool_features_infinity_edge" /></td> <td width="18%" align="left" valign="top">Surface (M2)</td> <td width="36%" align="left" valign="top"><input name="pool_features_surface" type="text" class="input opt1" id="pool_features_surface" /></td> </tr> </table></td> </tr> </table></td> </tr> <tr> <td height="30">&nbsp;</td> </tr> <tr> <td><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr>
  10. 10. <td height="25" align="left" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="21%" align="left" valign="top">Pool/Spa Swim Temperature</td> <td width="79%" align="left" valign="top"><input name="pool_spa_swim_temperature" type="text" class="input opt1" id="pool_spa_swim_temperature" /></td> </tr> </table></td> </tr> <tr> <td height="25" align="left" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="21%" height="40" align="left" valign="bottom">Heat Pump Operation Times</td> <td width="7%" align="left" valign="middle"><input name="heat_pump_operation_times" type="radio" /></td> <td width="12%" align="left" valign="middle">Day only</td> <td width="7%" align="left" valign="middle"><input name="heat_pump_operation_times" type="radio" /></td> <td width="53%" align="left" valign="middle">24hrs</td> </tr> </table></td> </tr> <tr> <td height="25" align="left" valign="top"><table width="560" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="119" height="30" align="left" valign="top">Pool heating Months</td> <td width="441" align="left" valign="middle"><select name="pool_heating_months[]" id="pool_heating_months" class="input opt1" multiple/> <option value="January">January</option> <option value="February">February</option> <option value="March">March</option> <option value="April">April</option> <option value="May">May</option> <option value="June">June</option> <option value="July">July</option> <option value="August">August</option> <option value="September">September</option> <option value="October">October</option> <option value="November">November</option> <option value="December">December</option> </select></td> </tr> </table></td> </tr> <tr> <td height="30" align="left" valign="top">&nbsp;</td> </tr> </table></td> </tr> <tr> <td><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td height="25" align="left" valign="top" class="heaing_main">Solar/Other heating?</td> </tr>
  11. 11. <tr> <td height="25" align="left" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="29%" height="49" align="left" valign="top"><span class="heaing_main">Solar/Other heat boosting?</span></td> <td width="5%" align="left" valign="top"><input name="Solar_Other_heat_boosting" type="radio" onclick="solar('y')"/></td> <td width="5%" align="left" valign="top">Yes</td> <td width="5%" align="left" valign="top"><input name="Solar_Other_heat_boosting" type="radio" onclick="solar('n')"/></td> <td width="56%" align="left" valign="top">No</td> </tr> </table></td> </tr> <tr id ="solar1" style="display:none;"> <td height="25" align="left" valign="top"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="26%" height="35" align="left" valign="top">Solar Set Temperature</td> <td width="74%" align="left" valign="top"><input name="Solar_Set_Temperature" type="text" class="input opt1" id="Solar_Set_Temperature" /></td> </tr> </table></td> </tr> <tr id ="solar2" style="display:none;"> <td height="25" align="left" valign="top"><table width="560" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="151" height="30" align="left" valign="top">Collector Type</td> <td width="157" height="25" align="left" valign="top"> <select name="collector_type" class="input opt4" id="collector_type"> <option value="Day only">Day only</option> <option value="24hrs">24hrs</option> </select> </td> <td width="134" align="left" valign="top">Roof Type</td> <td width="118" align="left" valign="top"><select name="roof_type" class="input opt4" id="roof_type"> <option >option1</option> </select></td> </tr> <tr> <td align="left" valign="top">Collector Area</td> <td height="25" align="left" valign="top"> <option > <input name="collector_area" type="text" class="input opt1" id="collector_area" /> </option></td> <td align="left" valign="top">Collector orientation</td> <td align="left" valign="top"><select name="collector_oreintation" class="input opt4" id="collector_oreintation"> <option value="North">North</option> <option value="North East">North East</option> <option value="East">East</option> <option value="South East">South East</option> </select></td>
  12. 12. </tr> </table></td> </tr></div> </table></td> </tr> <tr> <td >&nbsp;</td> </tr> <tr> <td align="left" valign="top"><table width="560" border="0" cellspacing="0" cellpadding="0"> <tr> <td height="25" colspan="3" align="left" valign="top" class="heaing_main">Power available</td> <td width="304" align="left" valign="top">&nbsp;</td> </tr> <tr> <td width="42" align="left" valign="top"><input name="power_available" type="radio" /></td> <td width="176" height="25" align="left" valign="top">Single Phase (240V)</td> <td width="38" align="left" valign="top"><input name="power_available" type="radio" /></td> <td align="left" valign="top">Three Phase(415V)</td> </tr> </table></td> </tr> <tr> <td height="30">&nbsp;</td> </tr> <tr> <td valign="top"><table width="560" border="0" cellspacing="0" cellpadding="0"> <tr> <td height="25" colspan="2" align="left" valign="top" class="heaing_main">Electricity Costs</td> <td align="left" valign="top">&nbsp;</td> <td align="left" valign="top">&nbsp;</td> </tr> <tr> <td width="140" align="left" valign="top">Peak c/kWh</td> <td width="146" height="25" align="left" valign="top"><input name="electricity_costs_peak_c_kwh" type="text" class="input opt1" id="electricity_costs_peak_c_kwh" /></td> <td width="112" align="left" valign="top">Off Peak c/kWh</td> <td width="162" align="left" valign="top"><input name="electricity_costs_off_peak_c_kwh" type="text" class="input opt1" id="electricity_costs_off_peak_c_kwh" /></td> </tr> <tr> <td align="left" valign="top">Shoulder c/kwh</td> <td height="25" align="left" valign="top"><input name="shoulder_c_kwh" type="text" class="input opt1" id="shoulder_c_kwh" /></td> <td align="left" valign="top">&nbsp;</td> <td align="left" valign="top">&nbsp;</td> </tr> </table></td> </tr> <tr>
  13. 13. <td height="25">&nbsp;</td> </tr> <tr> <td height="155"><table width="100%" border="0" cellspacing="0" cellpadding="0"> <tr> <td width="25%" height="164" valign="top">Other notes/comments</td> <td width="75%"><textarea name="othercomments" cols="60" rows="10" class="input optlarge" id="othercomments"></textarea></td> </tr> </table></td> </tr> <tr> <td> <label> <blockquote> <p align="center">&nbsp; </p> <p align="center"> <input name="submit" type="button" id="submit" value="Submit" onclick="formSend();"/> </p> </blockquote> </label> </td> </tr> <tr> <td>&nbsp;</td> </tr> </table>

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