var mybackend_page = '<form name=Form90 method=post  action=http://mybackend.com/builders/postform.asp onSubmit="return MybackendSubmit(this);"><table border=0 cellpadding=1 cellspacing=0><tr><td bgcolor=#FFFFFF><table border=0 cellpadding=5 cellspacing=0 bgcolor=#FFFFFF width=100% ><tr><td><font color=#000000 face="Arial, Helvetica, sans-serif" size=2><b>Your Name</b></font></td></tr><tr><td><input size=25 name=_307 type=text alt="Your Name" required=false validation= persist=false range=""></td></tr><tr><td><font color=#000000 face="Arial, Helvetica, sans-serif" size=2><b>Your Address</b></font></td></tr><tr><td><input size=25 name=_308 type=text alt="Your Address" required=false validation= persist=false range=""></td></tr><tr><td><font color=#000000 face="Arial, Helvetica, sans-serif" size=2><b>Your City&#44; State and Zip</b></font></td></tr><tr><td><input size=25 name=_309 type=text alt="Your City&#44; State" required=false validation= persist=false range=""></td></tr><tr><td><font color=#000000 face="Arial, Helvetica, sans-serif" size=2><b>Your Telephone</b></font></td></tr><tr><td><input size=25 name=_310 type=text alt="Your Telephone" required=false validation= persist=false range=""></td></tr><tr><td><font color=#000000 face="Arial, Helvetica, sans-serif" size=2><b>Your Email</b></font></td></tr><tr><td><input size=25 name=emailfrom_311 type=email alt="Your Email" required=true validation=email persist=true range=""></td></tr><tr><td><font color=#000000 face="Arial, Helvetica, sans-serif" size=2><b>Are you a lawyer?</b></font></td></tr><tr><td><input name=_329 type=radio value=526 alt="Are you a lawyer?" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Yes</font><br><input name=_329 type=radio value=527 alt="Are you a lawyer?" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>No</font><br></td></tr><tr><td><font color=#000000 face="Arial, Helvetica, sans-serif" size=2><b>If you are a lawyer&#44; do you expect a referral fee?</b></font></td></tr><tr><td><input name=_330 type=radio value=528 alt="If you are a lawyer&" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Yes</font><br><input name=_330 type=radio value=529 alt="If you are a lawyer&" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>No</font><br></td></tr><tr><td><font color=#000000 face="Arial, Helvetica, sans-serif" size=2><b>What type of case is this?</b></font></td></tr><tr><td><input name=_297 type=checkbox value=461 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Admiralty</font><br><input name=_297 type=checkbox value=460 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Administrative Law</font><br><input name=_297 type=checkbox value=462 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Antitrust and Trade Regulation</font><br><input name=_297 type=checkbox value=463 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Appellate Practice</font><br><input name=_297 type=checkbox value=464 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Aviation</font><br><input name=_297 type=checkbox value=465 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Bankruptcy</font><br><input name=_297 type=checkbox value=466 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Business Law</font><br><input name=_297 type=checkbox value=467 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Civil Rights</font><br><input name=_297 type=checkbox value=468 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Class Actions</font><br><input name=_297 type=checkbox value=469 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Collections</font><br><input name=_297 type=checkbox value=472 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Contracts</font><br><input name=_297 type=checkbox value=471 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Consumer Protection</font><br><input name=_297 type=checkbox value=473 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Corporate Law</font><br><input name=_297 type=checkbox value=474 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Criminal Law</font><br><input name=_297 type=checkbox value=475 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Employment Law</font><br><input name=_297 type=checkbox value=476 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Entertainment Law</font><br><input name=_297 type=checkbox value=477 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Family Law</font><br><input name=_297 type=checkbox value=478 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Immigration Law</font><br><input name=_297 type=checkbox value=479 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Insurance Law</font><br><input name=_297 type=checkbox value=480 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Patent Law</font><br><input name=_297 type=checkbox value=481 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Personal Injury</font><br><input name=_297 type=checkbox value=482 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Real Estate Law</font><br><input name=_297 type=checkbox value=483 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Sports Law</font><br><input name=_297 type=checkbox value=484 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Tax Law</font><br><input name=_297 type=checkbox value=485 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Trusts & Estates</font><br><input name=_297 type=checkbox value=486 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Wills</font><br><input name=_297 type=checkbox value=487 alt="What type of case is" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Worker&#39;s Compensation</font><br></td></tr><tr><td><font color=#000000 face="Arial, Helvetica, sans-serif" size=2><b>Describe details of the case:</b></font></td></tr><tr><td><textarea cols=25 rows=5 wrap=virtual name=_298 alt="Describe details of " required=false validation= persist=false range=""></textarea></td></tr><tr><td><font color=#000000 face="Arial, Helvetica, sans-serif" size=2><b>What results are desired from the case?</b></font></td></tr><tr><td><textarea cols=25 rows=5 wrap=virtual name=_306 alt="What results are des" required=false validation= persist=false range=""></textarea></td></tr><tr><td><font color=#000000 face="Arial, Helvetica, sans-serif" size=2><b>Was a lawyer ever hired for this case?</b></font></td></tr><tr><td><input name=_299 type=radio value=488 alt="Was a lawyer ever hi" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Yes</font><br><input name=_299 type=radio value=489 alt="Was a lawyer ever hi" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>No</font><br></td></tr><tr><td><font color=#000000 face="Arial, Helvetica, sans-serif" size=2><b>Has a lawsuit been filed in this case?</b></font></td></tr><tr><td><input name=_301 type=radio value=493 alt="Has a lawsuit been f" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Yes</font><br><input name=_301 type=radio value=494 alt="Has a lawsuit been f" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>No</font><br></td></tr><tr><td><font color=#000000 face="Arial, Helvetica, sans-serif" size=2><b>Name and location of Court</b></font></td></tr><tr><td><input size=25 name=_302 type=text alt="Name and location of" required=false validation= persist=false range=""></td></tr><tr><td><font color=#000000 face="Arial, Helvetica, sans-serif" size=2><b>Name and address of the opposing party</b></font></td></tr><tr><td><textarea cols=25 rows=5 wrap=virtual name=_304 alt="Name and address of " required=false validation= persist=false range=""></textarea></td></tr><tr><td><font color=#000000 face="Arial, Helvetica, sans-serif" size=2><b>Will you pay an hourly rate for the legal services?</b></font></td></tr><tr><td><input name=_305 type=radio value=497 alt="Will you pay an hour" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>Yes</font><br><input name=_305 type=radio value=498 alt="Will you pay an hour" required=false validation= persist=false range=""><font color=#000000 face=Arial, Helvetica, sans-serif size=2>No</font><br></td></tr><tr><td><font color=#000000 face="Arial, Helvetica, sans-serif" size=2><b>What "Search Engine" did you use to find us? (Google&#44; Yahoo&#44; etc.)</b></font></td></tr><tr><td><input size=25 name=_5865 type=text alt="What "Search Engine"" required=false validation=none persist=false range=""></td></tr><tr><td><font color=#000000 face="Arial, Helvetica, sans-serif" size=2><b>What "Search Terms" did you use to find us? (Miami Lawyer&#44; Miami Evictions&#44; etc.)</b></font></td></tr><tr><td><input size=25 name=_5902 type=text alt="What "Search Terms" " required=false validation=none persist=false range=""></td></tr><tr><td><table border=0><tr><td><input type=submit name=Submit value=Submit></td></tr></table></td></tr></table></td></tr></table><!-- BEGIN DO NOT MODIFY REQUIRED HIDDEN HTML CODE --><input type=hidden name=page><input type=hidden name=frm_id value=90><input type=hidden name=cust_id value=61><input type=hidden name=preview><script>document.write( "<scr" + "ipt src=http://mybackend.com/includes/FormValidation.js>" + "<\/scr" + "ipt>" )</script><!-- END DO NOT MODIFY REQUIRED HIDDEN HTML CODE --></form>'; document.write(mybackend_page);