<table class="wdform_table1" style="border-top:0px solid black;" cellpadding="4" cellspacing="0"><tbody id="form_id_tempform_view1" class="wdform_tbody1" page_title="Untitled page" next_title="Next" next_type="button" next_class="wdform_page_button" next_checkable="false" previous_title="Previous" previous_type="button" previous_class="wdform_page_button" previous_checkable="false"><tr class="wdform_tr1"><td class="wdform_td1"><table class="wdform_table2"><tbody class="wdform_tbody2"><tr type="type_name" id="16"><td class="" id="16_label_sectionform_id_temp" align="left" valign="top"><span class="label" id="16_element_labelform_id_temp">Name:</span><span class="required" id="16_required_elementform_id_temp"> *</span></td><td class=" toolbar_padding" id="16_element_sectionform_id_temp" align="left" valign="top"><input id="16_typeform_id_temp" name="16_typeform_id_temp" value="type_name" type="hidden"><input id="16_requiredform_id_temp" name="16_requiredform_id_temp" value="yes" type="hidden"><input id="16_uniqueform_id_temp" name="16_uniqueform_id_temp" value="no" type="hidden"><table id="16_table_name" cellpadding="0" cellspacing="0"><tr id="16_tr_name1"><td id="16_td_name_input_first"><input onchange="change_value('16_element_firstform_id_temp')" onblur="return_value(&quot;16_element_firstform_id_temp&quot;)" onfocus="delete_value(&quot;16_element_firstform_id_temp&quot;)" title="" value="" name="16_element_firstform_id_temp" id="16_element_firstform_id_temp" style="margin-right: 10px; width: 100px;" class="input_deactive" type="text"></td><td id="16_td_name_input_last"><input onchange="change_value('16_element_lastform_id_temp')" onblur="return_value(&quot;16_element_lastform_id_temp&quot;)" onfocus="delete_value(&quot;16_element_lastform_id_temp&quot;)" title="" value="" name="16_element_lastform_id_temp" id="16_element_lastform_id_temp" style="margin-right: 10px; width: 100px;" class="input_deactive" type="text"></td></tr><tr id="16_tr_name2"><td id="16_td_name_label_first" align="left"><label id="16_mini_label_first" class="mini_label">First</label></td><td id="16_td_name_label_last" align="left"><label id="16_mini_label_last" class="mini_label">Last</label></td></tr></table></td><td class="element_toolbar" id="X_16" align="right" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;delete_el&quot;)" onmouseover="chnage_icons_src(this,&quot;delete_el&quot;)" onclick="remove_row(&quot;16&quot;)" style="cursor: pointer; margin: 2px;" title="Remove the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/delete_el.png"></td><td class="element_toolbar" id="left_16" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;left&quot;)" onmouseover="chnage_icons_src(this,&quot;left&quot;)" onclick="left_row(&quot;16&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the left" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/left.png"></td><td class="element_toolbar" id="up_16" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;up&quot;)" onmouseover="chnage_icons_src(this,&quot;up&quot;)" onclick="up_row(&quot;16&quot;)" style="cursor: pointer;" title="Move the field up" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/up_hover.png"></td><td class="element_toolbar" id="down_16" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;down&quot;)" onmouseover="chnage_icons_src(this,&quot;down&quot;)" onclick="down_row(&quot;16&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field down" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/down.png"></td><td class="element_toolbar" id="right_16" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;right&quot;)" onmouseover="chnage_icons_src(this,&quot;right&quot;)" onclick="right_row(&quot;16&quot;)" style="cursor: pointer;" title="Move the field to the right" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/right.png"></td><td class="element_toolbar" id="edit_16" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;edit&quot;)" onmouseover="chnage_icons_src(this,&quot;edit&quot;)" onclick="edit(&quot;16&quot;)" style="margin: 2px; cursor: pointer;" title="Edit the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/edit.png"></td><td class="element_toolbar" id="dublicate_16" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;dublicate&quot;)" onmouseover="chnage_icons_src(this,&quot;dublicate&quot;)" onclick="dublicate(&quot;16&quot;)" style="margin: 2px; cursor: pointer;" title="Duplicate the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/dublicate.png"></td><td class="element_toolbar" id="page_up_16" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;page_up&quot;)" onmouseover="chnage_icons_src(this,&quot;page_up&quot;)" onclick="page_up(&quot;16&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the upper page" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/page_up.png"></td><td class="element_toolbar" id="dublicate_16" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;page_down&quot;)" onmouseover="chnage_icons_src(this,&quot;page_down&quot;)" onclick="page_down(&quot;16&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the lower  page" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/page_down.png"></td></tr></tbody></table></td></tr><tr id="2" class="wdform_tr_section_break" type="type_section_break"><td class="toolbar_padding" colspan="100" id="2_element_sectionform_id_temp" align="left" valign="top"><hr></td><td class="element_toolbar" id="X_2" align="right" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;delete_el&quot;)" onmouseover="chnage_icons_src(this,&quot;delete_el&quot;)" onclick="remove_section_break(&quot;2&quot;)" style="cursor: pointer; margin: 2px;" title="Remove the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/delete_el.png"></td><td class="element_toolbar" id="edit_2" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;edit&quot;)" onmouseover="chnage_icons_src(this,&quot;edit&quot;)" onclick="edit(&quot;2&quot;)" style="margin: 2px; cursor: pointer;" title="Edit the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/edit.png"><span style="display: none;" id="2_element_labelform_id_temp">custom_2</span></td><td class="element_toolbar" id="dublicate_2" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;dublicate&quot;)" onmouseover="chnage_icons_src(this,&quot;dublicate&quot;)" onclick="dublicate(&quot;2&quot;)" style="margin: 2px; cursor: pointer;" title="Duplicate the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/dublicate.png"></td></tr><tr class="wdform_tr1"><td class="wdform_td1"><table class="wdform_table2"><tbody class="wdform_tbody2"><tr id="3" type="type_editor"><td class="toolbar_padding" colspan="2" id="3_element_sectionform_id_temp" align="left" valign="top"><h3>            How do we contact you          </h3></td><td class="element_toolbar" id="X_3" align="right" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;delete_el&quot;)" onmouseover="chnage_icons_src(this,&quot;delete_el&quot;)" onclick="remove_row(&quot;3&quot;)" style="cursor: pointer; margin: 2px;" title="Remove the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/delete_el.png"></td><td class="element_toolbar" id="left_3" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;left&quot;)" onmouseover="chnage_icons_src(this,&quot;left&quot;)" onclick="left_row(&quot;3&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the left" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/left.png"></td><td class="element_toolbar" id="up_3" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;up&quot;)" onmouseover="chnage_icons_src(this,&quot;up&quot;)" onclick="up_row(&quot;3&quot;)" style="cursor: pointer;" title="Move the field up" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/up.png"></td><td class="element_toolbar" id="down_3" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;down&quot;)" onmouseover="chnage_icons_src(this,&quot;down&quot;)" onclick="down_row(&quot;3&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field down" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/down.png"></td><td class="element_toolbar" id="right_3" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;right&quot;)" onmouseover="chnage_icons_src(this,&quot;right&quot;)" onclick="right_row(&quot;3&quot;)" style="cursor: pointer;" title="Move the field to the right" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/right.png"></td><td class="element_toolbar" id="edit_3" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;edit&quot;)" onmouseover="chnage_icons_src(this,&quot;edit&quot;)" onclick="edit(&quot;3&quot;)" style="margin: 2px; cursor: pointer;" title="Edit the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/edit.png"><span style="display: none;" id="3_element_labelform_id_temp">custom_3</span></td><td class="element_toolbar" id="dublicate_3" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;dublicate&quot;)" onmouseover="chnage_icons_src(this,&quot;dublicate&quot;)" onclick="dublicate(&quot;3&quot;)" style="margin: 2px; cursor: pointer;" title="Duplicate the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/dublicate.png"></td><td class="element_toolbar" id="dublicate_3" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;page_down&quot;)" onmouseover="chnage_icons_src(this,&quot;page_down&quot;)" onclick="page_down(&quot;3&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the lower  page" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/page_down.png"></td><td class="element_toolbar" id="page_up_3" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;page_up&quot;)" onmouseover="chnage_icons_src(this,&quot;page_up&quot;)" onclick="page_up(&quot;3&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the upper page" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/page_up.png"></td></tr></tbody></table></td></tr><tr id="4" class="wdform_tr_section_break" type="type_section_break"><td class="toolbar_padding" colspan="100" id="4_element_sectionform_id_temp" align="left" valign="top"><hr></td><td class="element_toolbar" id="X_4" align="right" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;delete_el&quot;)" onmouseover="chnage_icons_src(this,&quot;delete_el&quot;)" onclick="remove_section_break(&quot;4&quot;)" style="cursor: pointer; margin: 2px;" title="Remove the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/delete_el.png"></td><td class="element_toolbar" id="edit_4" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;edit&quot;)" onmouseover="chnage_icons_src(this,&quot;edit&quot;)" onclick="edit(&quot;4&quot;)" style="margin: 2px; cursor: pointer;" title="Edit the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/edit.png"><span style="display: none;" id="4_element_labelform_id_temp">custom_4</span></td><td class="element_toolbar" id="dublicate_4" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;dublicate&quot;)" onmouseover="chnage_icons_src(this,&quot;dublicate&quot;)" onclick="dublicate(&quot;4&quot;)" style="margin: 2px; cursor: pointer;" title="Duplicate the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/dublicate.png"></td></tr><tr class="wdform_tr1"><td class="wdform_td1"><table class="wdform_table2"><tbody class="wdform_tbody2"><tr id="5" type="type_submitter_mail"><td class="toolbar_padding" id="5_label_and_element_sectionform_id_temp" colspan="2"><table id="5_elemet_tableform_id_temp"><tbody><tr><td class="" id="5_label_sectionform_id_temp" align="left" valign="middle"><span class="label" id="5_element_labelform_id_temp">E-mail:</span><span class="required" id="5_required_elementform_id_temp"> *</span></td></tr><tr><td class="" id="5_element_sectionform_id_temp" align="left" valign="middle"><input id="5_typeform_id_temp" name="5_typeform_id_temp" value="type_submitter_mail" type="hidden"><input id="5_requiredform_id_temp" name="5_requiredform_id_temp" value="yes" type="hidden"><input id="5_sendform_id_temp" name="5_sendform_id_temp" value="no" type="hidden"><input id="5_uniqueform_id_temp" name="5_uniqueform_id_temp" value="" type="hidden"><input onchange="change_value('5_elementform_id_temp')" onblur="return_value('5_elementform_id_temp')" onfocus="delete_value('5_elementform_id_temp')" title="ex: myname@example.com" value="ex: myname@example.com" name="5_elementform_id_temp" id="5_elementform_id_temp" class="input_deactive" style="width: 200px;" type="text"></td></tr></tbody></table></td><td class="element_toolbar" id="X_5" align="right" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;delete_el&quot;)" onmouseover="chnage_icons_src(this,&quot;delete_el&quot;)" onclick="remove_row(&quot;5&quot;)" style="cursor: pointer; margin: 2px;" title="Remove the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/delete_el.png"></td><td class="element_toolbar" id="left_5" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;left&quot;)" onmouseover="chnage_icons_src(this,&quot;left&quot;)" onclick="left_row(&quot;5&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the left" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/left.png"></td><td class="element_toolbar" id="up_5" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;up&quot;)" onmouseover="chnage_icons_src(this,&quot;up&quot;)" onclick="up_row(&quot;5&quot;)" style="cursor: pointer;" title="Move the field up" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/up.png"></td><td class="element_toolbar" id="down_5" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;down&quot;)" onmouseover="chnage_icons_src(this,&quot;down&quot;)" onclick="down_row(&quot;5&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field down" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/down.png"></td><td class="element_toolbar" id="right_5" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;right&quot;)" onmouseover="chnage_icons_src(this,&quot;right&quot;)" onclick="right_row(&quot;5&quot;)" style="cursor: pointer;" title="Move the field to the right" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/right.png"></td><td class="element_toolbar" id="edit_5" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;edit&quot;)" onmouseover="chnage_icons_src(this,&quot;edit&quot;)" onclick="edit(&quot;5&quot;)" style="margin: 2px; cursor: pointer;" title="Edit the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/edit.png"></td><td class="element_toolbar" id="dublicate_5" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;dublicate&quot;)" onmouseover="chnage_icons_src(this,&quot;dublicate&quot;)" onclick="dublicate(&quot;5&quot;)" style="margin: 2px; cursor: pointer;" title="Duplicate the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/dublicate.png"></td><td class="element_toolbar" id="page_up_5" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;page_up&quot;)" onmouseover="chnage_icons_src(this,&quot;page_up&quot;)" onclick="page_up(&quot;5&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the upper page" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/page_up.png"></td><td class="element_toolbar" id="dublicate_5" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;page_down&quot;)" onmouseover="chnage_icons_src(this,&quot;page_down&quot;)" onclick="page_down(&quot;5&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the lower  page" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/page_down.png"></td></tr><tr type="type_phone" id="17"><td class="toolbar_padding" id="17_label_and_element_sectionform_id_temp" colspan="2"><table id="17_elemet_tableform_id_temp"><tbody><tr><td class="" id="17_label_sectionform_id_temp" align="left" valign="top"><span class="label" id="17_element_labelform_id_temp">Phone:</span><span class="required" id="17_required_elementform_id_temp"></span></td></tr><tr><td class="" id="17_element_sectionform_id_temp" align="left" valign="top"><input id="17_typeform_id_temp" name="17_typeform_id_temp" value="type_phone" type="hidden"><input id="17_requiredform_id_temp" name="17_requiredform_id_temp" value="no" type="hidden"><input id="17_uniqueform_id_temp" name="17_uniqueform_id_temp" value="no" type="hidden"><table id="17_table_name" cellpadding="0" cellspacing="0"><tr id="17_tr_name1"><td id="17_td_name_input_first"><input onkeypress="return check_isnum(event)" onchange="change_value('17_element_firstform_id_temp')" onblur="return_value(&quot;17_element_firstform_id_temp&quot;)" onfocus="delete_value(&quot;17_element_firstform_id_temp&quot;)" title="" value="" name="17_element_firstform_id_temp" id="17_element_firstform_id_temp" style="width: 50px;" class="input_deactive" type="text"><span style="margin: 0px 4px; padding: 0px;" class="wdform_line">-</span></td><td id="17_td_name_input_last"><input onkeypress="return check_isnum(event)" onchange="change_value('17_element_lastform_id_temp')" onblur="return_value(&quot;17_element_lastform_id_temp&quot;)" onfocus="delete_value(&quot;17_element_lastform_id_temp&quot;)" title="" value="" name="17_element_lastform_id_temp" id="17_element_lastform_id_temp" style="width: 135px;" class="input_deactive" type="text"></td></tr><tr id="17_tr_name2"><td id="17_td_name_label_first" align="left"><label id="17_mini_label_area_code" class="mini_label">Area Code</label></td><td id="17_td_name_label_last" align="left"><label id="17_mini_label_phone_number" class="mini_label">Phone Number</label></td></tr></table></td></tr></tbody></table></td><td class="element_toolbar" id="X_17" align="right" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;delete_el&quot;)" onmouseover="chnage_icons_src(this,&quot;delete_el&quot;)" onclick="remove_row(&quot;17&quot;)" style="cursor: pointer; margin: 2px;" title="Remove the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/delete_el.png"></td><td class="element_toolbar" id="left_17" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;left&quot;)" onmouseover="chnage_icons_src(this,&quot;left&quot;)" onclick="left_row(&quot;17&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the left" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/left.png"></td><td class="element_toolbar" id="up_17" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;up&quot;)" onmouseover="chnage_icons_src(this,&quot;up&quot;)" onclick="up_row(&quot;17&quot;)" style="cursor: pointer;" title="Move the field up" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/up.png"></td><td class="element_toolbar" id="down_17" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;down&quot;)" onmouseover="chnage_icons_src(this,&quot;down&quot;)" onclick="down_row(&quot;17&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field down" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/down.png"></td><td class="element_toolbar" id="right_17" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;right&quot;)" onmouseover="chnage_icons_src(this,&quot;right&quot;)" onclick="right_row(&quot;17&quot;)" style="cursor: pointer;" title="Move the field to the right" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/right.png"></td><td class="element_toolbar" id="edit_17" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;edit&quot;)" onmouseover="chnage_icons_src(this,&quot;edit&quot;)" onclick="edit(&quot;17&quot;)" style="margin: 2px; cursor: pointer;" title="Edit the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/edit.png"></td><td class="element_toolbar" id="dublicate_17" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;dublicate&quot;)" onmouseover="chnage_icons_src(this,&quot;dublicate&quot;)" onclick="dublicate(&quot;17&quot;)" style="margin: 2px; cursor: pointer;" title="Duplicate the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/dublicate.png"></td><td class="element_toolbar" id="page_up_17" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;page_up&quot;)" onmouseover="chnage_icons_src(this,&quot;page_up&quot;)" onclick="page_up(&quot;17&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the upper page" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/page_up.png"></td><td class="element_toolbar" id="dublicate_17" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;page_down&quot;)" onmouseover="chnage_icons_src(this,&quot;page_down&quot;)" onclick="page_down(&quot;17&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the lower  page" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/page_down.png"></td></tr><tr type="type_phone" id="18"><td class="toolbar_padding" id="18_label_and_element_sectionform_id_temp" colspan="2"><table id="18_elemet_tableform_id_temp"><tbody><tr><td class="" id="18_label_sectionform_id_temp" align="left" valign="top"><span class="label" id="18_element_labelform_id_temp">Mobile Phone Number:</span><span class="required" id="18_required_elementform_id_temp"></span></td></tr><tr><td class="" id="18_element_sectionform_id_temp" align="left" valign="top"><input id="18_typeform_id_temp" name="18_typeform_id_temp" value="type_phone" type="hidden"><input id="18_requiredform_id_temp" name="18_requiredform_id_temp" value="no" type="hidden"><input id="18_uniqueform_id_temp" name="18_uniqueform_id_temp" value="no" type="hidden"><table id="18_table_name" cellpadding="0" cellspacing="0"><tr id="18_tr_name1"><td id="18_td_name_input_first"><input onkeypress="return check_isnum(event)" onchange="change_value('18_element_firstform_id_temp')" onblur="return_value(&quot;18_element_firstform_id_temp&quot;)" onfocus="delete_value(&quot;18_element_firstform_id_temp&quot;)" title="" value="" name="18_element_firstform_id_temp" id="18_element_firstform_id_temp" style="width: 50px;" class="input_deactive" type="text"><span style="margin: 0px 4px; padding: 0px;" class="wdform_line">-</span></td><td id="18_td_name_input_last"><input onkeypress="return check_isnum(event)" onchange="change_value('18_element_lastform_id_temp')" onblur="return_value(&quot;18_element_lastform_id_temp&quot;)" onfocus="delete_value(&quot;18_element_lastform_id_temp&quot;)" title="" value="" name="18_element_lastform_id_temp" id="18_element_lastform_id_temp" style="width: 135px;" class="input_deactive" type="text"></td></tr><tr id="18_tr_name2"><td id="18_td_name_label_first" align="left"><label id="18_mini_label_area_code" class="mini_label">Area Code</label></td><td id="18_td_name_label_last" align="left"><label id="18_mini_label_phone_number" class="mini_label">Phone Number</label></td></tr></table></td></tr></tbody></table></td><td class="element_toolbar" id="X_18" align="right" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;delete_el&quot;)" onmouseover="chnage_icons_src(this,&quot;delete_el&quot;)" onclick="remove_row(&quot;18&quot;)" style="cursor: pointer; margin: 2px;" title="Remove the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/delete_el.png"></td><td class="element_toolbar" id="left_18" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;left&quot;)" onmouseover="chnage_icons_src(this,&quot;left&quot;)" onclick="left_row(&quot;18&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the left" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/left.png"></td><td class="element_toolbar" id="up_18" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;up&quot;)" onmouseover="chnage_icons_src(this,&quot;up&quot;)" onclick="up_row(&quot;18&quot;)" style="cursor: pointer;" title="Move the field up" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/up_hover.png"></td><td class="element_toolbar" id="down_18" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;down&quot;)" onmouseover="chnage_icons_src(this,&quot;down&quot;)" onclick="down_row(&quot;18&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field down" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/down.png"></td><td class="element_toolbar" id="right_18" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;right&quot;)" onmouseover="chnage_icons_src(this,&quot;right&quot;)" onclick="right_row(&quot;18&quot;)" style="cursor: pointer;" title="Move the field to the right" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/right.png"></td><td class="element_toolbar" id="edit_18" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;edit&quot;)" onmouseover="chnage_icons_src(this,&quot;edit&quot;)" onclick="edit(&quot;18&quot;)" style="margin: 2px; cursor: pointer;" title="Edit the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/edit.png"></td><td class="element_toolbar" id="dublicate_18" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;dublicate&quot;)" onmouseover="chnage_icons_src(this,&quot;dublicate&quot;)" onclick="dublicate(&quot;18&quot;)" style="margin: 2px; cursor: pointer;" title="Duplicate the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/dublicate.png"></td><td class="element_toolbar" id="page_up_18" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;page_up&quot;)" onmouseover="chnage_icons_src(this,&quot;page_up&quot;)" onclick="page_up(&quot;18&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the upper page" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/page_up.png"></td><td class="element_toolbar" id="dublicate_18" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;page_down&quot;)" onmouseover="chnage_icons_src(this,&quot;page_down&quot;)" onclick="page_down(&quot;18&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the lower  page" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/page_down.png"></td></tr><tr type="type_address" id="19"><td class="toolbar_padding" id="19_label_and_element_sectionform_id_temp" colspan="2"><table id="19_elemet_tableform_id_temp"><tbody><tr><td class="wdform_address" id="19_label_sectionform_id_temp" align="left" valign="top"><span class="label" id="19_element_labelform_id_temp">Address:</span><span class="required" id="19_required_elementform_id_temp"></span></td></tr><tr><td class="wdform_address" id="19_element_sectionform_id_temp" align="left" valign="top"><input id="19_typeform_id_temp" name="19_typeform_id_temp" value="type_address" type="hidden"><input id="19_requiredform_id_temp" name="19_requiredform_id_temp" value="no" type="hidden"><input country="no" postal="no" state="no" city="no" street2="no" street1="no" id="19_disable_fieldsform_id_temp" name="19_disable_fieldsform_id_temp" type="hidden"><div style="width: 300px;" id="19_div_address"><span style="float: left; width: 100%; padding-bottom: 8px; display: block;"><input onchange="change_value('19_street1form_id_temp')" name="19_street1form_id_temp" id="19_street1form_id_temp" style="width: 100%;" type="text"><label style="display: block;" id="19_mini_label_street1" class="mini_label">Street Address</label></span><span style="float: left; width: 100%; padding-bottom: 8px; display: block;"><input onchange="change_value('19_street2form_id_temp')" name="20_street2form_id_temp" id="19_street2form_id_temp" style="width: 100%;" type="text"><label style="display: block;" id="19_mini_label_street2" class="mini_label">Street Address Line 2</label></span><span style="float: left; width: 48%; padding-bottom: 8px;"><input onchange="change_value('19_cityform_id_temp')" name="21_cityform_id_temp" id="19_cityform_id_temp" style="width: 100%;" type="text"><label style="display: block;" id="19_mini_label_city" class="mini_label">City</label></span><span style="float: right; width: 48%; padding-bottom: 8px;"><input onchange="change_value('19_stateform_id_temp')" name="22_stateform_id_temp" id="19_stateform_id_temp" style="width: 100%;" type="text"><label style="display: block;" id="19_mini_label_state" class="mini_label">State / Province / Region</label></span><span style="float: left; width: 48%; padding-bottom: 8px;"><input onchange="change_value('19_postalform_id_temp')" name="23_postalform_id_temp" id="19_postalform_id_temp" style="width: 100%;" type="text"><label style="display: block;" id="19_mini_label_postal" class="mini_label">Postal / Zip Code</label></span><span style="float: right; width: 48%; padding-bottom: 8px;"><select onchange="change_value('19_countryform_id_temp')" name="24_countryform_id_temp" id="19_countryform_id_temp" style="width: 100%;" type="text"><option value=""></option><option value="Afghanistan">Afghanistan</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Antigua and Barbuda">Antigua and Barbuda</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</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="Bhutan">Bhutan</option><option value="Bolivia">Bolivia</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Brazil">Brazil</option><option value="Brunei">Brunei</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="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Chile">Chile</option><option value="China">China</option><option value="Colombi">Colombi</option><option value="Comoros">Comoros</option><option value="Congo (Brazzaville)">Congo (Brazzaville)</option><option value="Congo">Congo</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 (Timor Timur)">East Timor (Timor Timur)</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="Fiji">Fiji</option><option value="Finland">Finland</option><option value="France">France</option><option value="Gabon">Gabon</option><option value="Gambia, The">Gambia, The</option><option value="Georgia">Georgia</option><option value="Germany">Germany</option><option value="Ghana">Ghana</option><option value="Greece">Greece</option><option value="Grenada">Grenada</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="Honduras">Honduras</option><option value="Hungary">Hungary</option><option value="Iceland">Iceland</option><option value="India">India</option><option value="Indonesia">Indonesia</option><option value="Iran">Iran</option><option value="Iraq">Iraq</option><option value="Ireland">Ireland</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="Kazakhstan">Kazakhstan</option><option value="Kenya">Kenya</option><option value="Kiribati">Kiribati</option><option value="Korea, North">Korea, North</option><option value="Korea, South">Korea, South</option><option value="Kuwait">Kuwait</option><option value="Kyrgyzstan">Kyrgyzstan</option><option value="Laos">Laos</option><option value="Latvia">Latvia</option><option value="Lebanon">Lebanon</option><option value="Lesotho">Lesotho</option><option value="Liberia">Liberia</option><option value="Libya">Libya</option><option value="Liechtenstein">Liechtenstein</option><option value="Lithuania">Lithuania</option><option value="Luxembourg">Luxembourg</option><option value="Macedonia">Macedonia</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="Mauritania">Mauritania</option><option value="Mauritius">Mauritius</option><option value="Mexico">Mexico</option><option value="Micronesia">Micronesia</option><option value="Moldova">Moldova</option><option value="Monaco">Monaco</option><option value="Mongolia">Mongolia</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="Nepa">Nepa</option><option value="Netherlands">Netherlands</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="Norway">Norway</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palau">Palau</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="Poland">Poland</option><option value="Portugal">Portugal</option><option value="Qatar">Qatar</option><option value="Romania">Romania</option><option value="Russia">Russia</option><option value="Rwanda">Rwanda</option><option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option><option value="Saint Lucia">Saint Lucia</option><option value="Saint Vincent">Saint Vincent</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="Spain">Spain</option><option value="Sri Lanka">Sri Lanka</option><option value="Sudan">Sudan</option><option value="Suriname">Suriname</option><option value="Swaziland">Swaziland</option><option value="Sweden">Sweden</option><option value="Switzerland">Switzerland</option><option value="Syria">Syria</option><option value="Taiwan">Taiwan</option><option value="Tajikistan">Tajikistan</option><option value="Tanzania">Tanzania</option><option value="Thailand">Thailand</option><option value="Togo">Togo</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="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">United Kingdom</option><option value="United States">United States</option><option value="Uruguay">Uruguay</option><option value="Uzbekistan">Uzbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Vatican City">Vatican City</option><option value="Venezuela">Venezuela</option><option value="Vietnam">Vietnam</option><option value="Yemen">Yemen</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option></select><label style="display: block;" id="19_mini_label_country" class="mini_label">Country</label></span></div></td></tr></tbody></table></td><td class="element_toolbar" id="X_19" align="right" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;delete_el&quot;)" onmouseover="chnage_icons_src(this,&quot;delete_el&quot;)" onclick="remove_row(&quot;19&quot;)" style="cursor: pointer; margin: 2px;" title="Remove the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/delete_el.png"></td><td class="element_toolbar" id="left_19" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;left&quot;)" onmouseover="chnage_icons_src(this,&quot;left&quot;)" onclick="left_row(&quot;19&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the left" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/left.png"></td><td class="element_toolbar" id="up_19" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;up&quot;)" onmouseover="chnage_icons_src(this,&quot;up&quot;)" onclick="up_row(&quot;19&quot;)" style="cursor: pointer;" title="Move the field up" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/up.png"></td><td class="element_toolbar" id="down_19" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;down&quot;)" onmouseover="chnage_icons_src(this,&quot;down&quot;)" onclick="down_row(&quot;19&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field down" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/down.png"></td><td class="element_toolbar" id="right_19" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;right&quot;)" onmouseover="chnage_icons_src(this,&quot;right&quot;)" onclick="right_row(&quot;19&quot;)" style="cursor: pointer;" title="Move the field to the right" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/right.png"></td><td class="element_toolbar" id="edit_19" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;edit&quot;)" onmouseover="chnage_icons_src(this,&quot;edit&quot;)" onclick="edit(&quot;19&quot;)" style="margin: 2px; cursor: pointer;" title="Edit the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/edit.png"></td><td class="element_toolbar" id="dublicate_19" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;dublicate&quot;)" onmouseover="chnage_icons_src(this,&quot;dublicate&quot;)" onclick="dublicate(&quot;19&quot;)" style="margin: 2px; cursor: pointer;" title="Duplicate the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/dublicate.png"></td><td class="element_toolbar" id="page_up_19" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;page_up&quot;)" onmouseover="chnage_icons_src(this,&quot;page_up&quot;)" onclick="page_up(&quot;19&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the upper page" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/page_up.png"></td><td class="element_toolbar" id="dublicate_19" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;page_down&quot;)" onmouseover="chnage_icons_src(this,&quot;page_down&quot;)" onclick="page_down(&quot;19&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the lower  page" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/page_down.png"></td></tr><tr id="14" type="type_textarea"><td class="toolbar_padding" id="14_label_and_element_sectionform_id_temp" colspan="2"><table id="14_elemet_tableform_id_temp"><tbody><tr><td class="" id="14_label_sectionform_id_temp" align="left" valign="top"><span class="label" id="14_element_labelform_id_temp">Message Inquiry / Comments</span><span class="required" id="14_required_elementform_id_temp"></span></td></tr><tr><td class="" id="14_element_sectionform_id_temp" align="left" valign="top"><input id="14_typeform_id_temp" name="14_typeform_id_temp" value="type_textarea" type="hidden"><input id="14_requiredform_id_temp" name="14_requiredform_id_temp" value="no" type="hidden"><input id="14_uniqueform_id_temp" name="14_uniqueform_id_temp" value="no" type="hidden"><textarea onchange="change_value('14_elementform_id_temp')" onblur="return_value('14_elementform_id_temp')" onfocus="delete_value('14_elementform_id_temp')" value="" title="" name="14_elementform_id_temp" id="14_elementform_id_temp" class="input_deactive" style="width: 400px; height: 100px;"></textarea></td></tr></tbody></table></td><td class="element_toolbar" id="X_14" align="right" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;delete_el&quot;)" onmouseover="chnage_icons_src(this,&quot;delete_el&quot;)" onclick="remove_row(&quot;14&quot;)" style="cursor: pointer; margin: 2px;" title="Remove the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/delete_el.png"></td><td class="element_toolbar" id="left_14" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;left&quot;)" onmouseover="chnage_icons_src(this,&quot;left&quot;)" onclick="left_row(&quot;14&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the left" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/left.png"></td><td class="element_toolbar" id="up_14" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;up&quot;)" onmouseover="chnage_icons_src(this,&quot;up&quot;)" onclick="up_row(&quot;14&quot;)" style="cursor: pointer;" title="Move the field up" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/up.png"></td><td class="element_toolbar" id="down_14" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;down&quot;)" onmouseover="chnage_icons_src(this,&quot;down&quot;)" onclick="down_row(&quot;14&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field down" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/down.png"></td><td class="element_toolbar" id="right_14" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;right&quot;)" onmouseover="chnage_icons_src(this,&quot;right&quot;)" onclick="right_row(&quot;14&quot;)" style="cursor: pointer;" title="Move the field to the right" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/right.png"></td><td class="element_toolbar" id="edit_14" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;edit&quot;)" onmouseover="chnage_icons_src(this,&quot;edit&quot;)" onclick="edit(&quot;14&quot;)" style="margin: 2px; cursor: pointer;" title="Edit the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/edit.png"></td><td class="element_toolbar" id="dublicate_14" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;dublicate&quot;)" onmouseover="chnage_icons_src(this,&quot;dublicate&quot;)" onclick="dublicate(&quot;14&quot;)" style="margin: 2px; cursor: pointer;" title="Duplicate the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/dublicate.png"></td><td class="element_toolbar" id="page_up_14" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;page_up&quot;)" onmouseover="chnage_icons_src(this,&quot;page_up&quot;)" onclick="page_up(&quot;14&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the upper page" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/page_up.png"></td><td class="element_toolbar" id="dublicate_14" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;page_down&quot;)" onmouseover="chnage_icons_src(this,&quot;page_down&quot;)" onclick="page_down(&quot;14&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the lower  page" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/page_down.png"></td></tr><tr id="15" type="type_submit_reset"><td id="15_label_and_element_sectionform_id_temp" class="toolbar_padding" colspan="2"><table id="15_elemet_tableform_id_temp"><tr><td class="" style="display: none;" id="15_label_sectionform_id_temp" align="left" valign="middle"><span style="display: none;" id="15_element_labelform_id_temp">type_submit_reset_15</span></td><td class="" id="15_element_sectionform_id_temp" align="left" valign="middle"><input id="15_typeform_id_temp" name="15_typeform_id_temp" value="type_submit_reset" type="hidden"><button onclick="check_required('submit', 'form_id_temp');" value="Submit" id="15_element_submitform_id_temp" class="button_submit" type="button">Submit</button><button onclick="check_required('reset');" value="Reset" id="15_element_resetform_id_temp" style="display: none;" class="button_reset" type="button">Reset</button></td></tr></table></td><td class="element_toolbar" id="X_15" align="right" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;delete_el&quot;)" onmouseover="chnage_icons_src(this,&quot;delete_el&quot;)" onclick="remove_row(&quot;15&quot;)" style="cursor: pointer; margin: 2px;" title="Remove the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/delete_el.png"></td><td class="element_toolbar" id="left_15" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;left&quot;)" onmouseover="chnage_icons_src(this,&quot;left&quot;)" onclick="left_row(&quot;15&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the left" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/left.png"></td><td class="element_toolbar" id="up_15" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;up&quot;)" onmouseover="chnage_icons_src(this,&quot;up&quot;)" onclick="up_row(&quot;15&quot;)" style="cursor: pointer;" title="Move the field up" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/up.png"></td><td class="element_toolbar" id="down_15" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;down&quot;)" onmouseover="chnage_icons_src(this,&quot;down&quot;)" onclick="down_row(&quot;15&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field down" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/down.png"></td><td class="element_toolbar" id="right_15" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;right&quot;)" onmouseover="chnage_icons_src(this,&quot;right&quot;)" onclick="right_row(&quot;15&quot;)" style="cursor: pointer;" title="Move the field to the right" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/right.png"></td><td class="element_toolbar" id="edit_15" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;edit&quot;)" onmouseover="chnage_icons_src(this,&quot;edit&quot;)" onclick="edit(&quot;15&quot;)" style="margin: 2px; cursor: pointer;" title="Edit the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/edit.png"></td><td class="element_toolbar" id="dublicate_15" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;dublicate&quot;)" onmouseover="chnage_icons_src(this,&quot;dublicate&quot;)" onclick="dublicate(&quot;15&quot;)" style="margin: 2px; cursor: pointer;" title="Duplicate the field" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/dublicate.png"></td><td class="element_toolbar" id="page_up_15" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;page_up&quot;)" onmouseover="chnage_icons_src(this,&quot;page_up&quot;)" onclick="page_up(&quot;15&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the upper page" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/page_up.png"></td><td class="element_toolbar" id="dublicate_15" valign="middle"><img onmouseout="chnage_icons_src(this,&quot;page_down&quot;)" onmouseover="chnage_icons_src(this,&quot;page_down&quot;)" onclick="page_down(&quot;15&quot;)" style="margin: 2px; cursor: pointer;" title="Move the field to the lower  page" src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/page_down.png"></td></tr></tbody></table></td></tr><tr class="wdform_footer"><td colspan="100" valign="top"><table style="padding-right:170px" width="100%"><tbody><tr id="form_id_temppage_nav1"></tr></tbody></table></td></tr></tbody><tbody id="form_id_tempform_view_img1" style="float:right !important ;"><tr><td width="0%"></td><td align="right"><img src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/minus.png" title="Show or hide the page" class="page_toolbar" onclick="show_or_hide('1')" id="show_page_img_1"></td><td><img src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/page_delete.png" title="Delete the page" class="page_toolbar" onclick="remove_page('1')"></td><td><img src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/page_delete_all.png" title="Delete the page with fields" class="page_toolbar" onclick="remove_page_all('1')"></td><td><img src="http://www.puertobarillas.com/welcome/wp-content/plugins/contact-form-maker/images/page_edit.png" title="Edit the page" class="page_toolbar" onclick="edit_page_break('1')"></td></tr></tbody></table>