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document.write("<input type=hidden name=form-id value=\"354\">\n");
document.write("<input type=hidden name=command value=\"mailform\">\n");
document.write("<link rel=\"stylesheet\" type=\"text/css\" href=\"https://cincilocal.com/cgi-scr"+"ipt/csFormBuilder/forms/OBryan_Upload.css\">\n");
document.write("<table border=\"0\" cellspacing=\"0\" cellpadding=\"3\">\n");
document.write("<tr><td class=\"textLabel\" colspan=2><P><FONT face=Verdana size=3><STRONG>O'Bryan Gallery Picture Uploads</STRONG></FONT></P></td></tr><tr><td class=\"textLabel\" colspan=2>Please fill out the following information and click the submit button. \"*\" indicates mandatory fields.</td></tr><tr><td class=\"textLabel\" colspan=2><hr width=\"100%\" size=\"1\" color=\"black\" align=\"left\"></td></tr><tr><td nowrap class=\"textLabel\" align=\"left\" >*First 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\"   maxlength=\"50\" > <!-- tr ph 0--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"left\" >*Last Name</td><td align=left valign=top nowrap class=\"textLabel\"><input  onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"LastName\"  size=\"35\"   maxlength=\"50\" > <!-- tr ph 1--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"left\" >*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\"   maxlength=\"100\" > <!-- tr ph 2--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"left\"  valign=\"top\" >*Upload Files (10 pics max)</td><td align=left valign=top nowrap class=\"textLabel\">\n");
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document.write("<tr><td class=\"textLabel\">\n");
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document.write("File(s) selected for upload:\n");
document.write("<table border=\"1\" cellpadding=\"3\"  cellspacing=\"0\" style=\"border-collapse: collapse\" bordercolor=\"#C0C0C0\" width=500 height=100>\n");
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document.write("		<div id=fuploads_192 class=\"textLabel\">\n");
document.write("		</div>\n");
document.write("		</td>\n");
document.write("	</tr>\n");
document.write("	</table>\n");
document.write("<br>\n");
document.write("<table border=0 width=500>\n");
document.write("	<tr>\n");
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document.write("	</tr>\n");
document.write("</table>\n");
document.write("<br>\n");
document.write("<div id=tmpfs_192 style=\"display:none\">\n");
document.write("</div>\n");
document.write("<div id=xyz_192 style=\"display:none\">\n");
document.write("<input type=file id=tmpf_192 name=test size=40>\n");
document.write("</div>\n");
document.write("</span>\n");
document.write("</td></tr>\n");
document.write("</table>\n");
document.write("<scr"+"ipt language=javascr"+"ipt>\n");
document.write("var nid_192=1;\n");
document.write("var m_192=0;\n");
document.write("var udone_192=0;\n");
document.write("var msgelem_192;\n");
document.write("function AddFile_192(){\n");
document.write("var cup = document.getElementById('cup_192');\n");
document.write("var au = document.getElementById('au_192');\n");
document.write("var fn = au.value;\n");
document.write("if(!fn){\n");
document.write("	alert(\"Please select a file\");\n");
document.write("	return false;\n");
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document.write("			if(elem2.value == fn){\n");
document.write("				alert(\"File already selected for upload\");\n");
document.write("				return false;\n");
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document.write("au.name = \"UploadFile_\"+nid_192;\n");
document.write("fuploads.innerHTML = fuploads.innerHTML + \"<span id=ds_192_\"+nid_192+\"><input type=checkbox id=\\\"cb_192_\"+nid_192+\"\\\">\"+fn + \"<br></span>\";\n");
document.write("document.getElementById(\"UploadFile_192\").value=nid_192;\n");
document.write("}\n");
document.write("function RmSel_192(){\n");
document.write("for(var x=1;x<=nid_192;x=x+1){\n");
document.write("var elem;\n");
document.write("var mycb = \"cb_192_\"+x;\n");
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document.write("	if(elem.checked){\n");
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document.write("		elem3.removeNode(true);\n");
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document.write("	}\n");
document.write("}\n");
document.write("}\n");
document.write("document.getElementById(\"UploadFile_192\").value=nid_192;\n");
document.write("}\n");
document.write("function DoUpload_192(){\n");
document.write("	document.form_192.UploadFile.value=nid_192;\n");
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document.write("</scr"+"ipt>\n");
document.write(" <!-- tr ph 3--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"left\" >Comments</td><td align=left valign=top nowrap class=\"textLabel\"><textarea  onfocus=\"className='textFieldFocus'\" name=\"Comments\"  rows=\"5\" cols=\"50\"   maxlength=\"1000\"  ONCHANGE=\"TAMax(this,document.getElementById('Comments_D'),1000);\" ONBLUR=\"TAMax(this,document.getElementById('Comments_D'),1000);className='textField';\" ONKEYUP=\"TAMax(this,document.getElementById('Comments_D'),1000);\"></textarea><br><span id=\"Comments_D\">1000</span>&nbsp;characters remaining.   <!-- tr ph 4--></td></tr>\n");
document.write("<tr><td nowrap class=\"textLabel\" align=\"right\" >Verify Authentication Code:</td><td align=left valign=top nowrap class=\"textLabel\"><img id=\"Verification_img\" align=absmiddle border=0 width=59 height=15 src=\"\"><input type=hidden id=\"Verification_sid\" name=\"Verification_sid\" value=\"\"> <scr"+"ipt language=javascr"+"ipt src=\"https://cincilocal.com/cgi-bin/csFormbuilder/vimage.cgi?command=g&f=Verification\"></scr"+"ipt>&nbsp;<input  onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"Verification\"  size=\"30\"   maxlength=\"5\" > <!-- tr ph 5--></td></tr>\n");
document.write("<tr><td colspan=2 align=\"left\"><input onmouseover=\"className='buttonfieldFocus'\" onmouseout=\"className='buttonfield'\" class=\"buttonfield\" type=submit value=\":: Submit ::\"></td></tr>\n");
document.write("</table>\n");
document.write("</form>\n");