inc_former_js =
'<style type="text/css">\n<!--\ntable {\n	font-family: Ve'
+ 'rdana, Arial, Helvetica, sans-serif;\n	font-size: xx-sma'
+ 'll;\n	color: #FFFFFF;\n}\ntextarea {\n	font-family: Verd'
+ 'ana, Arial, Helvetica, sans-serif;\n	font-size: xx-small'
+ ';\n	color: #000000;\n}\ninput {\n	font-family: Verdana, '
+ 'Arial, Helvetica, sans-serif;\n	font-size: xx-small;\n	c'
+ 'olor: #000000;\n}\nform {\n	font-family: Verdana, Arial,'
+ ' Helvetica, sans-serif;\n	font-size: xx-small;\n	color: '
+ '#FFFFFF;\n}\n.style1 {\n	color: #3399FF;\n	font-weight: '
+ 'bold;\n}\n-->\n</style>\n\n<table width="400" border="0"'
+ ' align="center" cellpadding="0" cellspacing="0">\n  <tr>'
+ '\n    <td width="1" nowrap><img src="images/former/tlc.g'
+ 'if" width="8" height="8"></td>\n    <td width="398" back'
+ 'ground="images/former/block.gif"><img src="images/former'
+ '/block.gif" width="8" height="8"></td>\n    <td width="1'
+ '" nowrap><img src="images/former/trc.gif" width="8" heig'
+ 'ht="8"></td>\n  </tr>\n</table>\n<TABLE width="400" bord'
+ 'er=0 align="center" cellPadding=0 cellSpacing=0>\n  <TBO'
+ 'DY>\n    <TR> \n      <TD width="1%" vAlign=top \n    ba'
+ 'ckground="images/bk_right.gif" bgcolor="#D8E4FC"><TABLE '
+ 'width="380" border=0 align="center" cellPadding=0 cellSp'
+ 'acing=0>\n          <TBODY>\n            <TR> \n        '
+ '      <TD width="1%" vAlign=top \n    background="bk_rig'
+ 'ht.gif"> <DIV id=right> \n                  <form name=r'
+ 'equest enctype="multipart/form-data" method=post action='
+ 'main_form.php >\n                    <div align="center"'
+ '>\n                      <table width="100%" border="0" '
+ 'cellspacing="0" cellpadding="4">\n                      '
+ '  <tr>\n                          <td width="65%"><span '
+ 'class="style1"><font size="1" face="Verdana, Arial, Helv'
+ 'etica, sans-serif">Name<br />\n                         '
+ '   <input name="name" id="name" size="30" />\n          '
+ '                </font></span></td>\n                   '
+ '       <td width="35%" rowspan="2">&nbsp;</td>\n        '
+ '                </tr>\n                        <tr>\n   '
+ '                       <td><span class="style1"><font si'
+ 'ze="1" face="Verdana, Arial, Helvetica, sans-serif">Emai'
+ 'l<br />\n                            <input  name="email'
+ '" id="email" size="30" />\n                          </f'
+ 'ont></span></td>\n                        </tr>\n       '
+ '                 <tr>\n                          <td val'
+ 'ign="top"><span class="style1"><font size="1" face="Verd'
+ 'ana, Arial, Helvetica, sans-serif">Street \n            '
+ '                1<br />\n                            <in'
+ 'put name="street1" id="street1" size="40" />\n          '
+ '                  <br />\n                            St'
+ 'reet 2<br />\n                            <input name="s'
+ 'treet2" id="street2" size="40" />\n                     '
+ '       <br />\n                            Town<br />\n '
+ '                           <input name="town" id="town" '
+ 'size="40" />\n                            <br />\n      '
+ '                      County<br />\n                    '
+ '        <input name="county" id="county" size="40" />\n '
+ '                           <br />\n                     '
+ '       Postcode<br />\n                            <inpu'
+ 't name="pcode" id="pcode" />\n                          '
+ '</font></span></td>\n                          <td valig'
+ 'n="top"><span class="style1"><font size="1" face="Verdan'
+ 'a, Arial, Helvetica, sans-serif">Home \n                '
+ '            tel<br />\n                            <inpu'
+ 't name="home_phone" id="home_phone" />\n                '
+ '            <br />\n                            Work tel'
+ '<br />\n                            <input name="work_ph'
+ 'one" />\n                            <br />\n           '
+ '                 Mobile tel<br />\n                     '
+ '       <input  name="mobile" />\n                       '
+ '     <br />\n                          </font></span></t'
+ 'd>\n                        </tr>\n                     '
+ ' </table>\n                      <font size="1" face="Ve'
+ 'rdana, Arial, Helvetica, sans-serif"><span class="style1'
+ '"><br>\n                      <input name="submit" type='
+ 'submit value="&nbsp;&nbsp;&nbsp;Continue&nbsp;&nbsp;&nb'
+ 'sp;">\n                      </span></font> </div>\n    '
+ '              </FORM>\n                </DIV></TD>\n    '
+ '        </TR>\n          </TBODY>\n        </TABLE> </TD'
+ '>\n    </TR>\n  </TBODY>\n</TABLE>\n<table width="400" b'
+ 'order="0" align="center" cellpadding="0" cellspacing="0"'
+ '>\n  <tr>\n    <td width="1" nowrap><img src="images/for'
+ 'mer/blc.gif" width="8" height="8"></td>\n    <td width="'
+ '398" background="images/former/block.gif"><img src="imag'
+ 'es/former/block.gif" width="8" height="8"></td>\n    <td'
+ ' width="1" nowrap><img src="images/former/brc.gif" width'
+ '="8" height="8"></td>\n  </tr>\n</table>';

// end_var_declaration
document.write(inc_former_js);