<!-- #include file="include/headermain.asp" -->
<%
	if request("submit") > "" then
	' send form

	ConnectDBFile "iwight", cn

	'response.Write("!" & request.Form("interest1"))

	if request.Form("interest1") <> "" then
		interest1 = 1
	else
		interest1 = 0
	end if

	if request.Form("interest2") <> "" then
		interest2 = 1
	else
		interest2 = 0
	end if

	if request.Form("interest3") <> "" then
		interest3 = 1
	else
		interest3 = 0
	end if

	if request.Form("interest4") <> "" then
		interest4 = 1
	else
		interest4 = 0
	end if

	if request.Form("interest5") <> "" then
		interest5 = 1
	else
		interest5 = 0
	end if

	if request.Form("interest6") <> "" then
		interest6 = 1
	else
		interest6 = 0
	end if

	if request.Form("interest7") <> "" then
		interest7 = 1
	else
		interest7 = 0
	end if

	if request.Form("interest8") <> "" then
		interest8 = 1
	else
		interest8 = 0
	end if

	if request.Form("interest9") <> "" then
		interest9 = 1
	else
		interest9 = 0
	end if
	if request.Form("interest10") <> "" then
		interest10 = 1
	else
		interest10 = 0
	end if
	if request.Form("interest11") <> "" then
		interest11 = 1
	else
		interest11 = 0
	end if
	if request.Form("interest12") <> "" then
		interest12 = 1
	else
		interest12 = 0
	end if
	if request.Form("interest13") <> "" then
		interest13 = 1
	else
		interest13 = 0
	end if
	if request.Form("interest14") <> "" then
		interest14 = 1
	else
		interest14 = 0
	end if
	if request.Form("interest15") <> "" then
		interest15 = 1
	else
		interest15 = 0
	end if
	if request.Form("interest16") <> "" then
		interest16 = 1
	else
		interest16 = 0
	end if

	if request.Form("interest17") <> "" then
		interest17 = 1
	else
		interest17 = 0
	end if

	if request.Form("interest18") <> "" then
		interest18 = 1
	else
		interest18 = 0
	end if

	if request.Form("interest19") <> "" then
		interest19 = 1
	else
		interest19 = 0
	end if

	if request.Form("interest20") <> "" then
		interest20 = 1
	else
		interest20 = 0
	end if

	if request.Form("interest21") <> "" then
		interest21 = 1
	else
		interest21 = 0
	end if

	if request.Form("interest22") <> "" then
		interest22 = 1
	else
		interest22 = 0
	end if

	if request.Form("HappyToEmail") <> "" then
		toemail = 1
	else
		toemail = 0
	end if

	if request.Form("HappyToPost")  <> "" then
		topost = 1
	else
		topost = 0
	end if

	if request.Form("HappyTo3rdParty") <> "" then
		thirdparty = 1
	else
		thirdparty = 0
	end if

	if Request.Form("rememberme") <> "" then
		remember = 1
	else
		remember = 0
	end if

	if request.Form("brochure1") <> "" then
		brochure1 = 1
	else
		brochure1 = 0
	end if

	if request.Form("brochure2") <> "" then
		brochure2 = 1
	else
		brochure2 = 0
	end if

	SQLQuery = "INSERT INTO officalguide ([2006], [2007], guide_title, guide_first, guide_last, guide_email, guide_ad1, guide_ad2, guide_ad3, guide_town, guide_county, guide_post, guide_country, guide_arts, guide_cowes, guide_culture, guide_cycle, guide_eating, guide_enviro, guide_equestrian, guide_extreme, [guide-familyact], guide_friends, guide_green, guide_heritage, guide_maritine, guide_music, guide_mfestivals, guide_nightlife, guide_sailing, guide_school, guide_shop, guide_special, guide_sports, guide_walk, guide_specofferemail, guide_specofferpost, guide_selectpartners, guide_rememberme) VALUES ('" & brochure1 & "', '" & brochure2 & "', '" & request.Form("title") & "', '" & request.Form("forename") & "', '" & request.Form("surname") & "', '" & request.Form("email") & "', '" & request.Form("address1") & "', '" & request.Form("address2") & "', '" & request.Form("address3") & "', '" & request.Form("address4") & "', '" & request.Form("address5") & "', '" & request.Form("postcode") & "', '" & request.Form("country") & "', " & interest1 & ", " & interest2 & ", "& interest3 & ", " & interest4 & ", " & interest5 & ", " & interest6 & ", " & interest7 & ", " & interest8 & ", " & interest9 & ", " & interest10 & ", " & interest11 & ", " & interest12 & ", " & interest13 & ", " & interest14 & ", " & interest15 & ", " & interest16 & ", " &  interest17 & ", " & interest18 & ", " & interest19 & ", "& interest20 & ", " & interest21 & ", " & interest22 & ", " & toemail & ", " & topost & ", " & thirdparty & ", " & remember & ")"

	'response.Write(sqlquery)
	'response.End()

	Set rsInsert = Server.CreateObject("ADODB.Recordset")
	Set rsInsert = cn.execute(SQLQuery)

	' Submit nomination
	Set objCDOMail = Server.CreateObject("CDO.Message")
	objCDOMail.From = "info@isleofwight.net"
	objCDOMail.To = "info@islandbreaks.co.uk"
	'objCDOMail.To = "James@InnoCreate.com"
	objCDOMail.Subject = "Isleofwight.net - brochure request"

		body = "Name: " & request("forename") & " " & request("surname") & vbcrlf & _
				"Email address: " & request("email") & vbcrlf & _
				"Address: " & request("address1") & vbcrlf & _
				request("address2") & vbcrlf & _
				request("address3") & vbcrlf & _
				request("address4") & vbcrlf & _
				request("address5") & vbcrlf & _
				request("postcode") & vbcrlf & _
				request("country") & vbcrlf & vbcrlf & _
				"Send Brochures: " & request.Form("Brochure1") & "," & request.Form("Brochure2") & _
				"Interests: "

	for i = 1 to 22
		if request.Form("interest" & i) <> "" then
			body = body & " " & request.Form("interest" & i)
		end if
	next

	if toemail = 1 then
		body = body & vbcrlf & vbcrlf & "Email me special offers"
	end if

	if topost = 1 then
		body = body & vbcrlf & vbcrlf & "Post me special offers"
	end if

	if thirdparty = 1 then
		body = body & vbcrlf & vbcrlf & "Send me 3rd party offers"
	end if

	if remember = 1 then
		body = body & vbcrlf & vbcrlf & "Remember me"
	end if

	objCDOMail.TextBody = body
	objCDOMail.Send
	SET objCDOMail = nothing
	msgErr = "Thank you. Your brochure request has been submitted."
	end if
%>
  <tr>
		<!-- #include file="include/leftmenumain.asp" -->
        <td width="569px" valign="top">
          <p class="welcome">Request brochure </p>
		  <% if msgErr <> "" then %>
		  	<% = response.Write("<p><strong>" & msgErr & "</strong></p>") %>
		<% end if %>
		  <script language="JavaScript" src="gen_validatorv2.js" type="text/javascript"></script>
          <form action="guiderequest.asp" method="post" name="guide" id="guide">

		  <table width="100%" border="0" cellpadding="0" cellspacing="0" align="center">
		  	<tr>
				<td colspan="2"><strong>Please send me the following brochures:</strong></td>
			</tr>
			<tr>
				<td width="28%">&nbsp;</td>
				<td width="72%"></td>
			</tr>
			<tr>
				<td colspan="2">
				<ul><li><input type="checkbox" name="brochure1" id="brochure37961" value="37961" />
				<label for="brochure37961">2009 Accommodation Guide</label>
				</li><li><input type="checkbox" name="brochure2" id="brochure42211" value="42211" />
				<label for="brochure42211">2010 Isle of Wight Accommodation guide</label>
				</li></ul>
				</td>
			</tr>
			<tr><td colspan="2">&nbsp;</td></tr>
			<tr>
				<td colspan="2"><strong>Personal Details:</strong></td>
			</tr>
			<tr>
				<td><label for="title">
				<div align="right">Title:&nbsp; </div>
				</label></td>
				<td><input name="title" id="title" value="" maxlength="20"/> <span>*</span></td>
			</tr>
			<tr>
				<td><label for="forename">
				<div align="right">First Name:&nbsp;</div>
				</label></td>
				<td><input name="forename" id="forename" value="" maxlength="20"/> <span>*</span></td>
			</tr>
			<tr>
				<td><label for="surname">
				<div align="right">Last Name:&nbsp;</div>
				</label></td>
				<td><input name="surname" id="surname" value="" maxlength="20"/> <span class="mandatory">*</span></td>
			</tr>
			<tr>
				<td><label for="email">
				<div align="right">Email Address:&nbsp;</div>
				</label></td>
				<td><input name="email" id="email" value="" maxlength="60"/> <span class="mandatory">*</span></td>
			</tr>
			<tr>
				<td><label for="address1">
				<div align="right">Address:&nbsp;</div>
				</label></td>
				<td><input name="address1" id="address1" value="" maxlength="100"/> <span class="mandatory">*</span></td>
			</tr>
			<tr>
				<td><label for="address2" class="hidden">
				<div align="right"><!-- Address Line 2:&nbsp; --></div>
				</label></td>
				<td><input name="address2" id="address2" value=""  maxlength="100"/></td>
			</tr>
			<tr>
				<td><label for="address3" class="hidden">
				<div align="right"><!-- Address Line 3: -->&nbsp;</div>
				</label></td>
				<td><input name="address3" id="address3" value=""   maxlength="100"/></td>
			</tr>
			<tr>
				<td><label for="address4">
				<div align="right">Town/City:&nbsp;</div>
				</label></td>
				<td><input name="address4" id="address4" value=""  maxlength="100"/></td>
			</tr>
			<tr>
				<td><label for="address5">
				<div align="right">County / State:&nbsp;</div>
				</label></td>
				<td><input name="address5" id="address5" value="" maxlength="100"/></td>
			</tr>
			<tr>
				<td><label for="postcode">
				<div align="right">Postcode / Zip Code:&nbsp;</div>
				</label></td>
				<td><input name="postcode" id="postcode" value=""  maxlength="255"/><span class="mandatory">*</span></td>
			</tr>
			<tr>
				<td><label for="country">
				<div align="right">Country:&nbsp;</div>
				</label></td>
				<td><select name="country" id="country"><option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua And Barbuda">Antigua And Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bosnia And Herzegovina">Bosnia And Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo, The Democratic Republic Of the">Congo, The Democratic Republic Of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Cote D'Ivoire">Cote D'Ivoire</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="East Timor">East Timor</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard Island And Mcdonald Islands">Heard Island And Mcdonald Islands</option>
<option value="Holy See (Vatican City State)">Holy See (Vatican City State)</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran, Islamic Republic Of">Iran, Islamic Republic Of</option>
<option value="Iraq">Iraq</option>
<option value="Ireland (Republic of)">Ireland (Republic of)</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jordan">Jordan</option>
<option value="Kazakstan">Kazakstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Korea, Democratic People'S Republic Of">Korea, Democratic People'S Republic Of</option>
<option value="Korea, Republic Of">Korea, Republic Of</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People'S Democratic Republic">Lao People'S Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macau">Macau</option>
<option value="Macedonia, The Former Yugoslav Republic Of">Macedonia, The Former Yugoslav Republic Of</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia, Federated States Of">Micronesia, Federated States Of</option>
<option value="Moldova, Republic Of">Moldova, Republic Of</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands (Holland)">Netherlands (Holland)</option>
<option value="Netherlands Antilles">Netherlands Antilles</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestinian Territory, Occupied">Palestinian Territory, Occupied</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Reunion">Reunion</option>
<option value="Romania">Romania</option>
<option value="Russian Federation">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts And Nevis">Saint Kitts And Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Pierre And Miquelon">Saint Pierre And Miquelon</option>
<option value="Saint Vincent And The Grenadines">Saint Vincent And The Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome And Principe">Sao Tome And Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia and Montenegro">Serbia and Montenegro</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia And The South Sandwich Islands">South Georgia And The South Sandwich Islands</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard And Jan Mayen">Svalbard And Jan Mayen</option>
<option value="Swaziland">Swaziland</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syrian Arab Republic">Syrian Arab Republic</option>
<option value="Taiwan, Province Of China">Taiwan, Province Of China</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania, United Republic Of">Tanzania, United Republic Of</option>
<option value="Thailand">Thailand</option>
<option value="Timor-Leste">Timor-Leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad And Tobago">Trinidad And Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks And Caicos Islands">Turks And Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom" selected="selected">United Kingdom</option>
<option value="United States">United States</option>
<option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Viet Nam">Viet Nam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
<option value="Wallis And Futuna">Wallis And Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Yugoslavia">Yugoslavia</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option></select>
					<span class="mandatory">*</span></td>
			</tr>
		  </table>


					<div>
						<p><br />
					    <span><strong>I am interested in:</strong></span>			            </p>
					</div>
					<div>
						<span>
		<ul><li>
		<input type="checkbox" name="interest1" id="interest1" class="checkbox" value="Arts & Crafts" />
		<label for="interest37621">Arts &amp; Crafts</label> 
		<input type="checkbox" name="interest2" id="interest2" class="checkbox" value="Cowes Week" />
		<label for="interest37641">Cowes Week</label> 
		<input type="checkbox" name="interest3" id="interest3" class="checkbox" value="Culture & Heritage" />
		<label for="interest42131">Culture and Heritage</label></li><li>
		<input type="checkbox" name="interest4" id="interest4" class="checkbox" value="Cycling" />
		<label for="interest37571">Cycling</label> 
		<input type="checkbox" name="interest5" id="interest5" class="checkbox" value="Eating Out" />
		<label for="interest37551">Eating Out</label> 
		<input type="checkbox" name="interest6" id="interest6" class="checkbox" value="Environment" />
		<label for="interest42141">Environment</label> 
		<input type="checkbox" name="interest7" id="interest7" class="checkbox" value="Equestrian" />
		<label for="interest37601">Equestrian</label></li><li>
		<input type="checkbox" name="interest8" id="interest8" class="checkbox" value="Extreme/Water Sports" />
		<label for="interest37591">Extreme/Water Sports</label> 
		<input type="checkbox" name="interest9" id="interest9" class="checkbox" value="Family Activities" />
		<label for="interest37661">Family Activities</label> 
		<input type="checkbox" name="interest10" id="interest10" class="checkbox" value="Friends & Family" />
		<label for="interest42151">Friends and Family</label></li><li>
		<input type="checkbox" name="interest11" id="interest11" class="checkbox" value="Green Tourism" />
		<label for="interest37631">Green Tourism</label> 
		<input type="checkbox" name="interest12" id="interest12" class="checkbox" value="Heritage" />
		<label for="interest37561">Heritage</label> 
		<input type="checkbox" name="interest13" id="interest13" class="checkbox" value="Maritime" />
		<label for="interest42161">Maritime</label> 
		<input type="checkbox" name="interest14" id="interest14" class="checkbox" value="Music" />
		<label for="interest42171">Music</label> 
		<input type="checkbox" name="interest15" id="interest15" class="checkbox" value="Music Festivals" />
		<label for="interest37651">Music Festivals</label>
		</li><li>
		<input type="checkbox" name="interest16" id="interest16" class="checkbox" value="Night Life" />
		<label for="interest42181">Nightlife and Dining</label> 
		<input type="checkbox" name="interest17" id="interest17" class="checkbox" value="Sailing" />
		<label for="interest37581">Sailing</label> 
		<input type="checkbox" name="interest18" id="interest18" class="checkbox" value="School Groups" />
		<label for="interest37671">School Groups </label>
		<input type="checkbox" name="interest19" id="interest19" class="checkbox" value="Shopping" />
		<label for="interest42191">Shopping</label>
		</li><li>
		<input type="checkbox" name="interest20" id="interest20" class="checkbox" value="Special Occasions" />
		<label for="interest37611">Special Occasions</label> 
		<input type="checkbox" name="interest21" id="interest21" class="checkbox" value="Sports" />
		<label for="interest42201">Sports</label> 
		<input type="checkbox" name="interest22" id="interest22" class="checkbox"  value="Walking"/>
		<label for="interest37541">Walking</label>
		</li></ul>
					  </span>
					</div>
				</div>

				<div>
					<div>
						<span><hr/><strong>Options:</strong></span>
					</div>
					<div>
						<span><input name="HappyToEmail" id="HappyToEmail" type="checkbox" value="yes" /><label for="HappyToEmail">Please send me information and special offers via e-mail.</label></span>
					</div>

						<div>
							<span><input name="HappyToPost" id="HappyToPost" type="checkbox" value="yes" /><label for="HappyToPost">Please send me information and special offers via the postal service.</label></span>
						</div>

					<div>
						<span><input name="HappyTo3rdParty" id="HappyTo3rdParty" type="checkbox" value="yes"  /><label for="HappyTo3rdParty">I would like to receive information from carefully selected partners in the future.</label></span>
					</div>
					<div>
						<span><input name="RememberMe" id="RememberMe" type="checkbox" value="yes" /><label for="RememberMe">Remember me.</label></span>
					</div>
				</div>


			<div>
				<p><br />
				  <span>
				  <input type="submit" value="Request Information" name="submit" id="submit"/>
				  </span>		          </p>
				</div>

			<div></div>
		</div>
	</form>
	<script language="JavaScript" type="text/javascript">
		 var frmvalidator = new Validator("guide");
		 frmvalidator.addValidation("title","req","Please enter your title");
		 frmvalidator.addValidation("forename", "req", "Please enter your name");
		 frmvalidator.addValidation("surname", "req", "Please enter your surname");
		 frmvalidator.addValidation("address1", "req", "Please enter your address");
 		 //frmvalidator.addValidation("address2", "req", "Please enter your address");
 		 //frmvalidator.addValidation("address3", "req", "Please enter your address");
		 //frmvalidator.addValidation("address4", "req", "Please enter your town/ city");
		 //frmvalidator.addValidation("address5", "req", "Please enter your county/ state");

		 frmvalidator.addValidation("email", "req", "Please enter your email address");
		 frmvalidator.addValidation("email", "email", "The email address you entered does not appear to be a valid email address");

		 frmvalidator.addValidation("postcode", "req","Please enter your postcode");
		</script>
          <p>&nbsp; </p></td>
      </tr>
    </table>
      </td>
  </tr>
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