document.write('<!-- phpForms.net form BEGIN -->');
document.write('<style>');
document.write('<!--');
document.write('.phpForms_pgtitle');
document.write('{');
document.write('    font-family : Arial;');
document.write('    font-size   : 18px;');
document.write('    color       : #1200d9;');
document.write('    font-weight : bold;');
document.write('}');
document.write('.phpForms_btn');
document.write('{');
document.write('    border-top-width    : 1px;');
document.write('    border-left-width   : 1px;');
document.write('    border-bottom-width : 1px;');
document.write('    border-right-width  : 1px;');
document.write('    border-top-color    : #e4e4e4;');
document.write('    border-left-color   : #e4e4e4;');
document.write('    border-right-color  : #c1c1c1;');
document.write('    border-bottom-color : #c1c1c1;');
document.write('    font-family         : Verdana, Arial, Helvetica, sans-serif;');
document.write('    color               : #000000;');
document.write('}');
document.write('-->');
document.write('</style>');


FPList_frm_4f33c9d72e = new Array();

   var aIds_frm_4f33c9d72e = Array( 'pg_d13378a438' );
   var aId_frm_4f33c9d72e  = Array ();
function ChangePage_frm_4f33c9d72e( to_hide, to_show )
{
   var tbl_hide = document.getElementById( aIds_frm_4f33c9d72e[to_hide] );
   var tbl_show = document.getElementById( aIds_frm_4f33c9d72e[to_show] );

   if ( typeof(tbl_hide)=='object' && tbl_hide!=null )
    if ( typeof(tbl_show)=='object' && tbl_show!=null )
    {
       tbl_hide.style.display = 'none';
       tbl_show.style.display = '';
    }
	
}
function Email_not_empty( old_res, id, field_title )
{ 
   if ( old_res==0 )
   {
      var el = document.getElementById( id );
      if ( typeof(el)=='object' && el!=null  )
      {
         var re = /^[a-zA-Z0-9_\.\-]+@([a-zA-Z0-9][a-zA-Z0-9-]+\.)+[a-zA-Z]{2,6}$/;

         if (el.value.search(re) != -1 )  return 0;
         else
         {
            alert( '"'+field_title+'" must be email' );
            return 1;
         }
      }
   }
   return 0;
}






document.write('<form name=\"frm_4f33c9d72e\" id=\"frm_4f33c9d72e\" method=\"POST\" enctype=\"multipart/form-data\" action=\"http://www.turbo.net.au/forms/index.php?sid=0\" onSubmit=\"return false;\">');
document.write('<input type=\"hidden\" name=\"act\" value=\"idx\">');
document.write('<input type=\"hidden\" name=\"code\" value=\"01\">');
document.write('<input type=\"hidden\" name=\"fid\" value=\"4f33c9d72e\">');
document.write('<input type=\"hidden\" name=\"redct\" id=\"redct\">');



function CheckPage_frm_4f33c9d72e_d13378a438()
{
   var nResult = 0;
      nResult += Email_not_empty( nResult, 'fld_2e015d09fa','E-Mail Address' );

   if ( nResult == 0 )
   {  
      document.getElementById('loading_frm_4f33c9d72e').style.display='inline';

                                              document.getElementById('imgcode_code_frm_4f33c9d72e').style.display='none';

											  if (arguments[0] == 1)
											  {
												window.temp_4f33c9d72e = 'yes';
											  } else
												{
													window.temp_4f33c9d72e = 'no';
												}
											  CheckImg_frm_4f33c9d72e();
											  return;
                                               

      if (1)
      {
         var el = document.getElementById( 'frm_4f33c9d72e' );
         if ( typeof(el)=='object' && el != null )
		 {
			el.submit()
		}
      }
      else 
        {
            ChangePage_frm_4f33c9d72e( 0, 1 );
            document.location.href="#";
        }
   } 
}
function SetFDate(fld_id)
{
	var cur_date = new Date();
	var minutes = cur_date.getMinutes();
	var hour= cur_date.getHours();
	var day = cur_date.getDate();
	var month = cur_date.getMonth();
	var year = cur_date.getFullYear();
	var eDay = document.getElementById('fld_d_' + fld_id);
	if ( typeof(eDay )=='object' && eDay != null )
	{
		eDay.options[day].selected = 'selected';
	}
	var eHour= document.getElementById('fld_h_' + fld_id);
	if ( typeof(eHour)=='object' && eHour != null )
	{
		eHour.options[hour].selected = 'selected';
	}
	var eMinutes = document.getElementById('fld_i_' + fld_id);
	if ( typeof(eMinutes)=='object' && eMinutes != null )
	{
		eMinutes.options[minutes].selected = 'selected';
	}
	var eMonth = document.getElementById('fld_m_' + fld_id);
	if ( typeof(eMonth)=='object' && eMonth != null )
	{
		eMonth.options[month].selected = 'selected';
	}
	var eYear = document.getElementById('fld_y_' + fld_id);
	if ( typeof(eYear)=='object' && eYear != null )
	{
		for(i=0;i<eYear.length; i++)
		{
			if (eYear.options[i].value == year)
			{
				eYear.options[i].selected = 'selected';
			}
		}
	}
}



document.write('     <!-- Page -->');
document.write('     <table id=\"pg_d13378a438\" border=\"0\" cellpadding=\"2\" cellspacing=\"1\" width=\"400\" bgcolor=\"#efefef\" class=\"phpForms_main\" style=\"display:table;border: solid 1px #777777;\">');
document.write('      <tr>  <!-- Page title -->');
document.write('          <td colspan=\"2\" align=\"center\" vAlign=\"top\">');
document.write('             <span class=\"phpForms_pgtitle\"></span>');
document.write('          </td>');
document.write('      </tr> <!-- /Page title -->');

document.write('      <tr>  <!-- Page top text -->');
document.write('          <td colspan=\"2\" align=\"center\">');
document.write('          ');
document.write('          </td>');
document.write('      </tr> <!-- /Page top text -->');

document.write('      <tr>');
document.write('          <td width=\"30%\" align=\"left\" bgcolor=\"#cdcdcd\" valign=\"top\">');
document.write('             <span style=\"\">Name</span>');
document.write('          </td>');
document.write('          <td width=\"70%\" align=\"left\" bgcolor=\"#cdcdcd\">');
document.write('             <input type=\"text\" name=\"fld_28169a5707\"   id=\"fld_28169a5707\" value=\"\" style=\"width:100%;\">');
document.write('          </td>');
document.write('      </tr>');
document.write('      <tr>');
document.write('          <td width=\"30%\" align=\"left\" bgcolor=\"#cdcdcd\" valign=\"top\">');
document.write('             <span style=\"\">Address</span>');
document.write('          </td>');
document.write('          <td width=\"70%\" align=\"left\" bgcolor=\"#cdcdcd\">');
document.write('             <textarea name=\"fld_5567164760\" id=\"fld_5567164760\" rows=\"5\" style=\"width:100%;\"></textarea>');

document.write('          </td>');
document.write('      </tr>');
document.write('      <tr>');
document.write('          <td width=\"30%\" align=\"left\" bgcolor=\"#cdcdcd\" valign=\"top\">');
document.write('             <span style=\"\">Home Phone</span>');
document.write('          </td>');
document.write('          <td width=\"70%\" align=\"left\" bgcolor=\"#cdcdcd\">');
document.write('             <input type=\"text\" name=\"fld_39fe47824e\"   id=\"fld_39fe47824e\" value=\"\" style=\"width:100%;\">');
document.write('          </td>');
document.write('      </tr>');
document.write('      <tr>');
document.write('          <td width=\"30%\" align=\"left\" bgcolor=\"#cdcdcd\" valign=\"top\">');
document.write('             <span style=\"\">Mobile Phone</span>');
document.write('          </td>');
document.write('          <td width=\"70%\" align=\"left\" bgcolor=\"#cdcdcd\">');
document.write('             <input type=\"text\" name=\"fld_48b7767b5c\"   id=\"fld_48b7767b5c\" value=\"\" style=\"width:100%;\">');
document.write('          </td>');
document.write('      </tr>');
document.write('      <tr>');
document.write('          <td width=\"30%\" align=\"left\" bgcolor=\"#cdcdcd\" valign=\"top\">');
document.write('             <span style=\"\">E-Mail Address</span>');
document.write('          </td>');
document.write('          <td width=\"70%\" align=\"left\" bgcolor=\"#cdcdcd\">');
document.write('             <input type=\"text\" name=\"fld_2e015d09fa\"   id=\"fld_2e015d09fa\" value=\"\" style=\"width:100%;\">');
document.write('          </td>');
document.write('      </tr>');
document.write('      <tr>');
document.write('          <td width=\"30%\" align=\"left\" bgcolor=\"#cdcdcd\" valign=\"top\">');
document.write('             <span style=\"\">Number of Horses</span>');
document.write('          </td>');
document.write('          <td width=\"70%\" align=\"left\" bgcolor=\"#cdcdcd\">');
document.write('             <input type=\"text\" name=\"fld_15cd281bd4\"   id=\"fld_15cd281bd4\" value=\"\" style=\"width:100%;\">');
document.write('          </td>');
document.write('      </tr>');
document.write('      <tr>');
document.write('          <td width=\"30%\" align=\"left\" bgcolor=\"#cdcdcd\" valign=\"top\">');
document.write('             <span style=\"\">Type of Agistment</span>');
document.write('          </td>');
document.write('          <td width=\"70%\" align=\"left\" bgcolor=\"#cdcdcd\">');
document.write('             <input type=\"checkbox\" name=\"fld_52bf1eaf98[]\" id=\"d582920fd0\"   value=\"Dry Mare\" style=\"\"><label for=\"d582920fd0\">Dry Mare</label><br />');
document.write('<input type=\"checkbox\" name=\"fld_52bf1eaf98[]\" id=\"0d85cbaeda\"   value=\"Wet Mare\" style=\"\"><label for=\"0d85cbaeda\">Wet Mare</label><br />');
document.write('<input type=\"checkbox\" name=\"fld_52bf1eaf98[]\" id=\"873cc76337\"   value=\"Weanling\" style=\"\"><label for=\"873cc76337\">Weanling</label><br />');
document.write('<input type=\"checkbox\" name=\"fld_52bf1eaf98[]\" id=\"9c99a1bb5e\"   value=\"Yearling\" style=\"\"><label for=\"9c99a1bb5e\">Yearling</label><br />');
document.write('<input type=\"checkbox\" name=\"fld_52bf1eaf98[]\" id=\"0d48029be3\"   value=\"Racehorse\" style=\"\"><label for=\"0d48029be3\">Racehorse</label>');
document.write('          </td>');
document.write('      </tr>');
document.write('      <tr>');
document.write('          <td width=\"30%\" align=\"left\" bgcolor=\"#cdcdcd\" valign=\"top\">');
document.write('             <span style=\"\">Services</span>');
document.write('          </td>');
document.write('          <td width=\"70%\" align=\"left\" bgcolor=\"#cdcdcd\">');
document.write('             <input type=\"checkbox\" name=\"fld_a6c48f8bfa[]\" id=\"f26e4245bd\"   value=\"Foaling\" style=\"\"><label for=\"f26e4245bd\">Foaling</label><br />');
document.write('<input type=\"checkbox\" name=\"fld_a6c48f8bfa[]\" id=\"c151737b15\"   value=\"Weaning\" style=\"\"><label for=\"c151737b15\">Weaning</label><br />');
document.write('<input type=\"checkbox\" name=\"fld_a6c48f8bfa[]\" id=\"eb42585e7c\"   value=\"Branding\" style=\"\"><label for=\"eb42585e7c\">Branding</label><br />');
document.write('<input type=\"checkbox\" name=\"fld_a6c48f8bfa[]\" id=\"96704a6392\"   value=\"Yearling Preparation\" style=\"\"><label for=\"96704a6392\">Yearling Preparation</label><br />');
document.write('<input type=\"checkbox\" name=\"fld_a6c48f8bfa[]\" id=\"5294f8b6ff\"   value=\"Breaking\" style=\"\"><label for=\"5294f8b6ff\">Breaking</label><br />');
document.write('<input type=\"checkbox\" name=\"fld_a6c48f8bfa[]\" id=\"7d2a5f0eb0\"   value=\"Pre Training\" style=\"\"><label for=\"7d2a5f0eb0\">Pre Training</label><br />');
document.write('<input type=\"checkbox\" name=\"fld_a6c48f8bfa[]\" id=\"380947651f\"   value=\"Training\" style=\"\"><label for=\"380947651f\">Training</label>');
document.write('          </td>');
document.write('      </tr>');
document.write('      <tr>');
document.write('          <td width=\"30%\" align=\"left\" bgcolor=\"#cdcdcd\" valign=\"top\">');
document.write('             <span style=\"\">Term of Agistment</span>');
document.write('          </td>');
document.write('          <td width=\"70%\" align=\"left\" bgcolor=\"#cdcdcd\">');
document.write('             <input type=\"checkbox\" name=\"fld_020b850298[]\" id=\"a245101df1\"   value=\"Short Term\" style=\"\"><label for=\"a245101df1\">Short Term</label><br />');
document.write('<input type=\"checkbox\" name=\"fld_020b850298[]\" id=\"0aaae962b4\"   value=\"Long Term\" style=\"\"><label for=\"0aaae962b4\">Long Term</label><br />');
document.write('<input type=\"checkbox\" name=\"fld_020b850298[]\" id=\"3577e222fa\"   value=\"Permanent\" style=\"\"><label for=\"3577e222fa\">Permanent</label>');
document.write('          </td>');
document.write('      </tr>');
document.write('      <tr>');
document.write('          <td width=\"30%\" align=\"left\" bgcolor=\"#cdcdcd\" valign=\"top\">');
document.write('             <span style=\"\">Approx. time of Agistment</span>');
document.write('          </td>');
document.write('          <td width=\"70%\" align=\"left\" bgcolor=\"#cdcdcd\">');
document.write('             <input type=\"text\" name=\"fld_b140c76b98\"   id=\"fld_b140c76b98\" value=\"Weeks, Months, Years? - Enter here\" style=\"width:100%;\">');
document.write('          </td>');
document.write('      </tr>');
document.write('      <tr>');
document.write('          <td width=\"30%\" align=\"left\" bgcolor=\"#cdcdcd\" valign=\"top\">');
document.write('             <span style=\"\">Questions, Comments or Additional Services?</span>');
document.write('          </td>');
document.write('          <td width=\"70%\" align=\"left\" bgcolor=\"#cdcdcd\">');
document.write('             <textarea name=\"fld_d414c85f95\" id=\"fld_d414c85f95\" rows=\"5\" style=\"width:100%;\"></textarea>');

document.write('          </td>');
document.write('      </tr>');

document.write('<tr>');
document.write('    <td>');
document.write('     <img src=\"http://www.turbo.net.au/forms/index.php?frm=4f33c9d72e&randm=\"+ randim_frm_4f33c9d72e + \"\" name=\"captcha_frm_4f33c9d72e\"><br>');
document.write('     <input type=\"hidden\" name=\"imgcode_id_frm_4f33c9d72e\" value=\'\'>');
document.write('     <a href=\"javascript:changeAccessCodeImg_frm_4f33c9d72e();\">Reload image</a>');
document.write('    </td>');
document.write('    <td>');
document.write('	 <img src=\"http://www.turbo.net.au/forms/img-code/loading.gif\" id=\"loading_frm_4f33c9d72e\" name=\"loading\" style=\"display: none\"><br>');
document.write('	 <b>Enter the code you see on the image:</b><br />');
document.write('     <input type=\"text\" name=\"imgcode_code\" id=\"imgcode_code_frm_4f33c9d72e\" value=\'\' style=\"width:220px;\">');
document.write('    </td>	 ');
document.write('</tr>');
document.write('&nbsp;');


function changeAccessCodeImg_frm_4f33c9d72e()
{
   var randim_frm_4f33c9d72e = Math.random();
   document.images.captcha_frm_4f33c9d72e.src = "http://www.turbo.net.au/forms/index.php?frm=4f33c9d72e&randm="+ randim_frm_4f33c9d72e + "";
   document.forms['frm_4f33c9d72e'].imgcode_id_frm_4f33c9d72e.value =+ randim_frm_4f33c9d72e + "";
 }
 changeAccessCodeImg_frm_4f33c9d72e();

 function CheckImg_frm_4f33c9d72e()
{  
   var s = document.createElement('script');
   s.setAttribute('type','text/javascript');
   var cl_code = document.getElementById('imgcode_code_frm_4f33c9d72e');
   checimg_frm_4f33c9d72e = cl_code.value;
   randim_frm_4f33c9d72e = document.forms['frm_4f33c9d72e'].imgcode_id_frm_4f33c9d72e.value;
   document.documentElement.firstChild.appendChild(s);

    ff_onload_called_frm_4f33c9d72e=false;
	s.setAttribute('src', "http://www.turbo.net.au/forms/index.php?frm=4f33c9d72e&chrandm=" + randim_frm_4f33c9d72e + "&checimg=" + checimg_frm_4f33c9d72e + "");
	s.setAttribute('onload', "ff1_frm_4f33c9d72e()"); 

}

var ff_onload_called_frm_4f33c9d72e=false;

function ff1_frm_4f33c9d72e()
{  
    if(ff_onload_called_frm_4f33c9d72e)
        return;
    ff_onload_called_frm_4f33c9d72e=true;
    
   document.getElementById('loading_frm_4f33c9d72e').style.display='none';
   document.getElementById('imgcode_code_frm_4f33c9d72e').style.display='';
   
   if (ci == 3)
    {
      alert("Sorry, the code you've entered is invalid. Please try again.");
      return 1;
    }
	
    if (ci == 2 )
    {
         var el = document.getElementById('frm_4f33c9d72e');
         if ( typeof(el)=='object' && el != null )
         {
            el.submit()
         }
    }
	
}



document.write('&nbsp;');
document.write('<tr>');
document.write('          <td colspan=\"2\" align=\"center\" class=\"phpForms_main\">');
document.write('            ');
document.write('          </td>');
document.write('      </tr>');
document.write('<tr>');
document.write('          <td colspan=\"2\" align=\"center\" class=\"phpForms_main\">');

document.write('          </td>');
document.write('      </tr>');
document.write('      <tr>');
document.write('          <!-- Buttons -->');
document.write('          <td colspan=\"2\" align=\"center\" class=\"phpForms_main\">');
document.write('<input type=\"button\" id=\"subbut_4f33c9d72e\" value=\"Submit\" onClick=\'CheckPage_frm_4f33c9d72e_d13378a438(0);\' style=\"width:30%; background-color : #a2a2a2\" class=\"phpForms_btn\">');

document.write('          </td>');
document.write('      </tr>');
document.write('      <tr>  <!-- Page bottom text -->');
document.write('          <td colspan=\"2\" align=\"center\">');
document.write('          <hr>');
document.write('              ');
document.write('          </td>');
document.write('      </tr> <!-- /Page bottom text -->');

document.write('     </table>');
document.write('     <!-- /Page -->');


document.write('</form>');


             
 document.forms["frm_4f33c9d72e"].redct.value =document.referrer;
  

document.write('             ');


document.write('<!-- /phpForms.net form END -->');