var folder = "http://www.va-mortgage.org/app_widget/";

// do not modify below this line

var apphandler = "app_widget_2.php";

var error_mssg = "";
var allFields = new Array(38);
allFields['pre_credit'] = "";
allFields['pre_type_of_loan'] = "";
allFields['pre_property_type'] = "";

allFields['quick_Name'] = "";
allFields['quick_Email'] = "";
allFields['quick_Phone'] = "";
allFields['quick_LoanAmount'] = "";
allFields['quick_Comments'] = "";

allFields['purch_home_will_be_used_for'] = "";
allFields['purch_first_time_buyer'] = "";
allFields['purch_purchase_price'] = "";
allFields['purch_estimated_down_payment'] = "";
allFields['purch_timeframe_for_purchase'] = "";
allFields['purch_email'] = "";

allFields['purch_annual_income'] = "";
allFields['purch_time_with_employer'] = "";
allFields['purch_day_phone'] = "";
allFields['purch_best_time'] = "";

allFields['purch_first_name'] = "";
allFields['purch_last_name'] = "";
allFields['purch_city'] = "";
allFields['purch_state'] = "";
allFields['purch_zip'] = "";

allFields['refi_estimated_home_value'] = "";
allFields['refi_current_balance'] = "";
allFields['refi_current_int_rate'] = "";
allFields['refi_loan_type'] = "";
allFields['refi_additional_cash'] = "";
allFields['refi_email'] = "";
allFields['refi_day_phone'] = "";
allFields['refi_eve_phone'] = "";

allFields['refi_annual_income'] = "";
allFields['refi_time_with_employer'] = "";
allFields['refi_first_name'] = "";
allFields['refi_last_name'] = "";
allFields['refi_city'] = "";
allFields['refi_state'] = "";
allFields['refi_zip'] = "";


function ftrim(stringToTrim) {return stringToTrim.replace(/^\s+|\s+$/g,"");}

function toggle(div_id)
{
   document.getElementById('div_pre').style.display = 'none';
   document.getElementById('div_refi_1').style.display = 'none';
   document.getElementById('div_purch_1').style.display = 'none';
   document.getElementById('div_submit').style.display = 'none';

   document.getElementById(div_id).style.display = 'block';
}
function appendHiddenFormField(formname, fieldname, fieldvalue)
{
   var myform = document.forms[formname];
   var el = document.createElement("input");
   el.type = "hidden";
   el.name = fieldname;
   el.value = fieldvalue;
   myform.appendChild(el);
}
function submit_purch()
{
	appendHiddenFormField('app_form', 'pre_credit', allFields['pre_credit']);
	appendHiddenFormField('app_form', 'pre_type_of_loan', allFields['pre_type_of_loan']);
	appendHiddenFormField('app_form', 'pre_property_type', allFields['pre_property_type']);
	
	appendHiddenFormField('app_form', 'purch_first_name', allFields['purch_first_name']);
	appendHiddenFormField('app_form', 'purch_last_name', allFields['purch_last_name']);	
	appendHiddenFormField('app_form', 'purch_email', allFields['purch_email']);
	appendHiddenFormField('app_form', 'purch_day_phone', allFields['purch_day_phone']);
	appendHiddenFormField('app_form', 'purch_zip', allFields['purch_zip']);
	appendHiddenFormField('app_form', 'purch_purchase_price', allFields['purch_purchase_price']);

	appendHiddenFormField('app_form', 'form_type', 'purch');

   var appform = document.forms['app_form'];
	appform.action = folder + apphandler;
	appform.submit();
}
function submit_refi()
{
	appendHiddenFormField('app_form', 'pre_credit', allFields['pre_credit']);
	appendHiddenFormField('app_form', 'pre_type_of_loan', allFields['pre_type_of_loan']);
	appendHiddenFormField('app_form', 'pre_property_type', allFields['pre_property_type']);
	
	appendHiddenFormField('app_form', 'refi_first_name', allFields['refi_first_name']);
	appendHiddenFormField('app_form', 'refi_last_name', allFields['refi_last_name']);	
	appendHiddenFormField('app_form', 'refi_email', allFields['refi_email']);
	appendHiddenFormField('app_form', 'refi_day_phone', allFields['refi_day_phone']);
	appendHiddenFormField('app_form', 'refi_zip', allFields['refi_zip']);
	appendHiddenFormField('app_form', 'refi_current_balance', allFields['refi_current_balance']);
	appendHiddenFormField('app_form', 'refi_estimated_home_value', allFields['refi_estimated_home_value']);
	
	appendHiddenFormField('app_form', 'form_type', 'refi');

   var appform = document.forms['app_form'];
	appform.action = folder + apphandler;
	appform.submit();
}
function errbk(element)
{
	document.getElementById(element).style.backgroundColor = '#FA5151';
}
function populate(type)
{
   if(type == 'pre')
   {
      allFields['pre_credit'] = document.getElementById('credit').value;
      allFields['pre_type_of_loan'] = document.getElementById('type_of_loan').value;
      allFields['pre_property_type'] = document.getElementById('property_type').value;
      
      error_mssg = "Please select:\n\n";
      var err = 'false';
      if(allFields['pre_type_of_loan'] == 'blank') {error_mssg += 'Type of Loan\n'; errbk('type_of_loan'); err = 'true';}
      if(allFields['pre_property_type'] == 'blank') {error_mssg += 'Property State\n'; errbk('property_type'); err = 'true';}
      if(err == 'true') return false;

      return true;
   }

	if(type == 'purch_1')
	{
		allFields['purch_first_name'] = document.getElementById('first_name_p').value;
		allFields['purch_last_name'] = document.getElementById('last_name_p').value;
		allFields['purch_email'] = document.getElementById('email_p').value;
		allFields['purch_day_phone'] = document.getElementById('day_phone_p').value;
		allFields['purch_zip'] = document.getElementById('zip_p').value;
		allFields['purch_purchase_price'] = document.getElementById('purchase_price_p').value;

		error_mssg = "Please select:\n\n";
		var err = 'false';

		if(ftrim(allFields['purch_first_name']) == '') {error_mssg += 'Your first name\n'; errbk('first_name_p'); err = 'true';}
		if(ftrim(allFields['purch_last_name']) == '') {error_mssg += 'Your last name\n'; errbk('last_name_p'); err = 'true';}
		if(allFields['purch_email'] == 'blank') {error_mssg += 'Your email\n'; errbk('email_p'); err = 'true';}
		if(ftrim(allFields['purch_day_phone']) == '') {error_mssg += 'Your daytime phone\n'; errbk('day_phone_p'); err = 'true';}
		if(ftrim(allFields['purch_zip']) == '') {error_mssg += 'Your zip\n'; errbk('zip_p'); err = 'true';}
		if(allFields['purch_purchase_price'] == 'blank') {error_mssg += 'Purchase Price\n'; errbk('purchase_price_p'); err = 'true';}

		if(err == 'true') return false;

		return true;
	}
	if(type == 'refi_1')
	{
		allFields['refi_first_name'] = document.getElementById('first_name_r').value;
		allFields['refi_last_name'] = document.getElementById('last_name_r').value;	
		allFields['refi_email'] = document.getElementById('email_r').value;
		allFields['refi_day_phone'] = document.getElementById('day_phone_r').value;
		allFields['refi_zip'] = document.getElementById('zip_r').value;
		allFields['refi_current_balance'] = document.getElementById('current_balance_r').value;
		allFields['refi_estimated_home_value'] = document.getElementById('estimated_home_value_r').value;


		error_mssg = "Please enter:\n\n";
		var err = 'false';
		if(ftrim(allFields['refi_first_name']) == '') {error_mssg += 'Your first name\n'; errbk('first_name_r'); err = 'true';}
		if(ftrim(allFields['refi_last_name']) == '') {error_mssg += 'Your last name\n'; errbk('last_name_r'); err = 'true';}	  
		if(ftrim(allFields['refi_email']) == '') {error_mssg += 'Your email\n'; errbk('email_r'); err = 'true';}
		if(ftrim(allFields['refi_day_phone']) == '') {error_mssg += 'Your daytime phone\n'; errbk('day_phone_r'); err = 'true';}
		if(ftrim(allFields['refi_zip']) == '') {error_mssg += 'Your zip\n'; errbk('zip_r'); err = 'true';}
		if(err == 'true') return false;

		return true;
	}
}
function full_click()
{
   if(populate('pre'))
	{
		var type = document.getElementById('type_of_loan').value;
		if(type == 'Purchase') {toggle('div_purch_1'); document.getElementById('intro_mssg').style.display = 'none';}
		if(type == 'Refinance') {toggle('div_refi_1'); document.getElementById('intro_mssg').style.display = 'none';}
	}
	else
		alert(error_mssg);
}

function purch_1_click()
{
   if(populate('purch_1'))
	{
		toggle('div_submit');
		submit_purch();
	}
	else
		alert(error_mssg);
}

function refi_1_click()
{
   if(populate('refi_1'))
	{
		toggle('div_submit');
		submit_refi();
	}
	else
		alert(error_mssg);
}


document.write("");
document.write("<!-- Application Form Begins Here --><!-- Application Form Begins Here --><!-- Application Form Begins Here -->");
document.write("<div style=\"width: 100%;\">");



document.write("<div id=\"div_pre\" style=\"padding-bottom: 10px; width: 100%;\">");
document.write("<div style=\"position: relative; width: 600px; background: url(" + folder + "app3.jpg) repeat scroll 0% 0% transparent; height: 254px; border: 0px solid #c0c0c0;\">");
document.write("<div style=\"position: absolute; width: 472px; height: 189px; top: 69px; padding-top: 27px; left: 41px;\">");
document.write("<table border=\"0\" cellspacing=\"0\" cellpadding=\"4\" align='left'>");
document.write("<tbody>");
document.write("<tr>");
document.write("<td class=\"formlabel_pre\" valign='middle' style='width: 127px;'>Credit Rating:<\/td>");
document.write("<td valign='middle'><select id=\"credit\" name=\"credit\" style='width: 125px;'> <option selected=\"selected\" value=\"blank\">Select one:<\/option> <option value=\"Excellent\">Excellent<\/option> <option value=\"Good\">Good<\/option> <option value=\"Fair\">Fair<\/option> <option value=\"Not Sure\">Not Sure<\/option> <\/select><\/td>");

document.write("<\/tr>");
document.write("<tr>");
document.write("<td class=\"formlabel_pre\" valign='middle' style='width: 127px;'>Type of Loan:<\/td>");
document.write("<td valign='middle'><select id=\"type_of_loan\" name=\"type_of_loan\" style='width: 125px;'> <option selected=\"selected\" value=\"blank\">Select one:<\/option> <option value=\"Purchase\">Purchase<\/option> <option value=\"Refinance\">Refinance<\/option> <\/select><\/td>");

document.write("<\/tr>");

document.write("<tr>");
document.write("<td class=\"formlabel_pre\" valign='middle' style='width: 127px;'>Property Type:<\/td>");
document.write("<td valign='middle'><select id=\"property_type\" name=\"property_type\" style='width: 125px;'> <option selected=\"selected\" value=\"blank\">Select one:<\/option> <option value=\"Single Family\">Single Family<\/option> <option value=\"Townhouse\">Townhouse<\/option><option value=\"Condominium\">Condominium<\/option> <\/select><\/td>");
document.write("<\/tr>");

document.write("<tr>");
document.write("<td style='width: 127px;'><\/td>");
document.write("<td align='right'><input onclick=\"full_click(); return true;\" name=\"full_b\" src=\"" + folder + "orangego.jpg\" type=\"image\" \/></td>");
document.write("<\/tr>");

document.write("<\/tbody>");
document.write("<\/table>");
document.write("<\/div>");
document.write("<\/div>");
document.write("<\/div>");



//////////////////////
// refi form
document.write("<div id=\"div_refi_1\" style=\"width: 100%; display: none;\">");
document.write("<div style=\"position: relative; width: 600px; background: url(" + folder + "page2backgroundrefi.jpg) no-repeat scroll 0% 0% transparent; height: 415px; border: 0px solid #c0c0c0;\">");

document.write("<table style=\"width: 100%;\" align=\"left\">");
document.write("<tbody>");
document.write("<tr>");
document.write("<td class=\"titlebar\"><strong> <\/td>");
document.write("<\/tr>");
document.write("<\/tbody>");
document.write("<\/table>");
document.write("<br clear=\"all\" \/>");
document.write("<table border=\"0\" cellspacing=\"0\" cellpadding=\"8\" align=\"center\">");
document.write("<tbody>");
document.write("<tr>");
document.write("<td class=\"formtext\">First Name:<\/td>");
document.write("<td class=\"formelement\"><input id=\"first_name_r\" name=\"first_name_r\" type=\"text\" \/><\/td>");
document.write("<\/tr>");
document.write("<tr>");
document.write("<td class=\"formtext\">Last Name:<\/td>");
document.write("<td class=\"formelement\"><input id=\"last_name_r\" name=\"last_name_r\" type=\"text\" \/><\/td>");
document.write("<\/tr>");
document.write("<tr>");
document.write("<td class=\"formtext\">Email Address:<\/td>");
document.write("<td class=\"formelement\"><input id=\"email_r\" style=\"width: 250px;\" name=\"email_r\" type=\"text\" \/><\/td>");
document.write("<\/tr>");
document.write("<tr>");
document.write("<td class=\"formtext\">Phone Number:<\/td>");
document.write("<td class=\"formelement\"><input id=\"day_phone_r\" name=\"day_phone_r\" type=\"text\" \/><\/td>");
document.write("<\/tr>");
document.write("<tr>");
document.write("<td class=\"formtext\">Property Zip Code:<\/td>");
document.write("<td class=\"formelement\"><input id=\"zip_r\" name=\"zip_r\" type=\"text\" \/><\/td>");
document.write("<\/tr>");
document.write("<tr>");
document.write("<td class=\"formtext\">Current Balance:<\/td>");
document.write("<td class=\"formelement\"><select id=\"current_balance_r\" name=\"current_balance_r\"> <option selected=\"selected\" value=\"blank\">Select one:<\/option> <option value=\"50,000-75,000\">$50,000 - $75,000<\/option> <option value=\"75,001-100,000\">$75,001 - $100,000<\/option> <option value=\"101,001-125,000\">$101,001 - $125,000<\/option> <option value=\"125,001-150,000\">$125,001 - $150,000<\/option> <option value=\"150,001-175,000\">$150,001 - $175,000<\/option> <option value=\"175,001-200,000\">$175,001 - $200,000<\/option> <option value=\"200,001-225,000\">$200,001 - $225,000<\/option> <option value=\"225,001-250,000\">$225,001 - $250,000<\/option> <option value=\"250,001-275,000\">$250,001 - $275,000<\/option> <option value=\"275,001-300,000\">$275,001 - $300,000<\/option> <option value=\"300,001-325,000\">$300,001 - $325,000<\/option> <option value=\"325,001-350,000\">$325,001 - $350,000<\/option> <option value=\"350,001-375,000\">$350,001 - $375,000<\/option> <option value=\"375,001-400,000\">$375,001 - $400,000<\/option> <option value=\"400,001-425,000\">$400,001 - $425,000<\/option> <option value=\"425,001-450,000\">$425,001 - $450,000<\/option> <option value=\"450,001-475,000\">$450,001 - $475,000<\/option> <option value=\"475,001-500,000\">$475,001 - $500,000<\/option> <option value=\"500,001-525,000\">$500,001 - $525,000<\/option> <option value=\"525,001-550,000\">$525,001 - $550,000<\/option> <option value=\"550,001-575,000\">$550,001 - $575,000<\/option> <option value=\"575,001-600,000\">$575,001 - $600,000<\/option> <option value=\"600,001-625,000\">$600,001 - $625,000<\/option> <option value=\"625,001-650,000\">$625,001 - $650,000<\/option> <option value=\"650,001-675,000\">$650,001 - $675,000<\/option> <option value=\"675,001-700,000\">$675,001 - $700,000<\/option> <option value=\"700,001-725,000\">$700,001 - $725,000<\/option> <option value=\"725,001-750,000\">$725,001 - $750,000<\/option> <option value=\"750,001-775,000\">$750,001 - $775,000<\/option> <option value=\"775,001-800,000\">$775,001 - $800,000<\/option> <option value=\"800,001-825,000\">$800,001 - $825,000<\/option> <option value=\"825,001-850,000\">$825,001 - $850,000<\/option> <option value=\"850,001-875,000\">$850,001 - $875,000<\/option> <option value=\"875,001-900,000\">$875,001 - $900,000<\/option> <option value=\"900,001-925,000\">$900,001 - $925,000<\/option> <option value=\"925,001-950,000\">$925,001 - $950,000<\/option> <option value=\"950,001-975,000\">$950,001 - $975,000<\/option> <option value=\"975,001-1,000,000\">$975,001 - $1,000,000<\/option> <option value=\"1,000,001-1,250,000\">$1,000,001 - $1,250,000<\/option> <option value=\"1,250,001-1,500,000\">$1,250,001 - $1,500,000<\/option> <option value=\"1,500,001-2,000,000\">$1,500,001 - $2,000,000<\/option> <option value=\"over 2,000,000\">over $2,000,000<\/option> <\/select><\/td>");
document.write("<\/tr>");
document.write("<tr>");
document.write("<td class=\"formtext\">Estimated home value:<\/td>");
document.write("<td class=\"formelement\"><select id=\"estimated_home_value_r\" name=\"estimated_home_value_r\"> <option selected=\"selected\" value=\"blank\">Select one:<\/option> <option value=\"50,000-75,000\">$50,000 - $75,000<\/option><option value=\"75,001-100,000\">$75,001 - $100,000<\/option> <option value=\"101,001-125,000\">$101,001 - $125,000<\/option> <option value=\"125,001-150,000\">$125,001 - $150,000<\/option> <option value=\"150,001-175,000\">$150,001 - $175,000<\/option> <option value=\"175,001-200,000\">$175,001 - $200,000<\/option> <option value=\"200,001-225,000\">$200,001 - $225,000<\/option> <option value=\"225,001-250,000\">$225,001 - $250,000<\/option> <option value=\"250,001-275,000\">$250,001 - $275,000<\/option> <option value=\"275,001-300,000\">$275,001 - $300,000<\/option> <option value=\"300,001-325,000\">$300,001 - $325,000<\/option> <option value=\"325,001-350,000\">$325,001 - $350,000<\/option> <option value=\"350,001-375,000\">$350,001 - $375,000<\/option> <option value=\"375,001-400,000\">$375,001 - $400,000<\/option> <option value=\"400,001-425,000\">$400,001 - $425,000<\/option> <option value=\"425,001-450,000\">$425,001 - $450,000<\/option> <option value=\"450,001-475,000\">$450,001 - $475,000<\/option> <option value=\"475,001-500,000\">$475,001 - $500,000<\/option> <option value=\"500,001-525,000\">$500,001 - $525,000<\/option> <option value=\"525,001-550,000\">$525,001 - $550,000<\/option> <option value=\"550,001-575,000\">$550,001 - $575,000<\/option> <option value=\"575,001-600,000\">$575,001 - $600,000<\/option> <option value=\"600,001-625,000\">$600,001 - $625,000<\/option> <option value=\"625,001-650,000\">$625,001 - $650,000<\/option> <option value=\"650,001-675,000\">$650,001 - $675,000<\/option> <option value=\"675,001-700,000\">$675,001 - $700,000<\/option> <option value=\"700,001-725,000\">$700,001 - $725,000<\/option> <option value=\"725,001-750,000\">$725,001 - $750,000<\/option> <option value=\"750,001-775,000\">$750,001 - $775,000<\/option> <option value=\"775,001-800,000\">$775,001 - $800,000<\/option> <option value=\"800,001-825,000\">$800,001 - $825,000<\/option> <option value=\"825,001-850,000\">$825,001 - $850,000<\/option> <option value=\"850,001-875,000\">$850,001 - $875,000<\/option> <option value=\"875,001-900,000\">$875,001 - $900,000<\/option> <option value=\"900,001-925,000\">$900,001 - $925,000<\/option> <option value=\"925,001-950,000\">$925,001 - $950,000<\/option> <option value=\"950,001-975,000\">$950,001 - $975,000<\/option> <option value=\"975,001-1,000,000\">$975,001 - $1,000,000<\/option> <option value=\"1,000,001-1,250,000\">$1,000,001 - $1,250,000<\/option> <option value=\"1,250,001-1,500,000\">$1,250,001 - $1,500,000<\/option> <option value=\"1,500,001-2,000,000\">$1,500,001 - $2,000,000<\/option> <option value=\"over 2,000,000\">over $2,000,000<\/option> <\/select><\/td>");
document.write("<\/tr>");
document.write("<tr>");
document.write("<td colspan=\"2\" align=\"left\" style='padding-left:  50px;'><input onclick=\"refi_1_click(); return true;\" name=\"full_b\" src=\"" + folder + "orangesubmit.jpg\" type=\"image\" \/><\/td>");
document.write("<\/tr>");
document.write("<\/tbody>");
document.write("<\/table>");
document.write("<\/div>");
document.write("<\/div>");





////////////////////////////
// purchase form
document.write("<div id=\"div_purch_1\" style=\"width: 100%; display: none;\">");
document.write("<div style=\"position: relative; width: 600px; background: url(" + folder + "page2background1.jpg) no-repeat scroll 0% 0% transparent; height: 390px; border: 0px solid #c0c0c0;\">");
document.write("<table style=\"width: 100%;\" align=\"left\">");
document.write("<tbody>");
document.write("<tr>");
document.write("<td class=\"titlebar\"><strong><\/strong><\/td>");
document.write("<\/tr>");
document.write("<\/tbody>");
document.write("<\/table>");
document.write("<br clear=\"all\" \/>");
document.write("<table border=\"0\" cellspacing=\"0\" cellpadding=\"8\" align=\"center\">");
document.write("<tbody>");
document.write("<tr>");
document.write("<td class=\"formtext\">First Name:<\/td>");
document.write("<td class=\"formelement\"><input id=\"first_name_p\" name=\"first_name_p\" type=\"text\" \/><\/td>");
document.write("<\/tr>");
document.write("<tr>");
document.write("<td class=\"formtext\">Last Name:<\/td>");
document.write("<td class=\"formelement\"><input id=\"last_name_p\" name=\"last_name_p\" type=\"text\" \/><\/td>");
document.write("<\/tr>");
document.write("<tr>");
document.write("<td class=\"formtext\">Email Address:<\/td>");
document.write("<td class=\"formelement\"><input id=\"email_p\" style=\"width: 250px;\" name=\"email_p\" type=\"text\" \/><\/td>");
document.write("<\/tr>");
document.write("<tr>");
document.write("<td class=\"formtext\">Phone Number:<\/td>");
document.write("<td class=\"formelement\"><input id=\"day_phone_p\" name=\"day_phone_p\" type=\"text\" \/><\/td>");
document.write("<\/tr>");
document.write("<tr>");
document.write("<td class=\"formtext\">Property Zip Code:<\/td>");
document.write("<td class=\"formelement\"><input id=\"zip_p\" name=\"zip_p\" type=\"text\" \/><\/td>");
document.write("<\/tr>");
document.write("<tr>");
document.write("<td class=\"formtext\">Purchase Price:<\/td>");
document.write("<td class=\"formelement\"><select id=\"purchase_price_p\" name=\"purchase_price_p\"> <option selected=\"selected\" value=\"blank\">Select one:<\/option> <option value=\"75,001-100,000\">$75,001 - $100,000<\/option> <option value=\"101,001-125,000\">$101,001 - $125,000<\/option> <option value=\"125,001-150,000\">$125,001 - $150,000<\/option> <option value=\"150,001-175,000\">$150,001 - $175,000<\/option> <option value=\"175,001-200,000\">$175,001 - $200,000<\/option> <option value=\"200,001-225,000\">$200,001 - $225,000<\/option> <option value=\"225,001-250,000\">$225,001 - $250,000<\/option> <option value=\"250,001-275,000\">$250,001 - $275,000<\/option> <option value=\"275,001-300,000\">$275,001 - $300,000<\/option> <option value=\"300,001-325,000\">$300,001 - $325,000<\/option> <option value=\"325,001-350,000\">$325,001 - $350,000<\/option> <option value=\"350,001-375,000\">$350,001 - $375,000<\/option> <option value=\"375,001-400,000\">$375,001 - $400,000<\/option> <option value=\"400,001-425,000\">$400,001 - $425,000<\/option> <option value=\"425,001-450,000\">$425,001 - $450,000<\/option> <option value=\"450,001-475,000\">$450,001 - $475,000<\/option> <option value=\"475,001-500,000\">$475,001 - $500,000<\/option> <option value=\"500,001-525,000\">$500,001 - $525,000<\/option> <option value=\"525,001-550,000\">$525,001 - $550,000<\/option> <option value=\"550,001-575,000\">$550,001 - $575,000<\/option> <option value=\"575,001-600,000\">$575,001 - $600,000<\/option> <option value=\"600,001-625,000\">$600,001 - $625,000<\/option> <option value=\"625,001-650,000\">$625,001 - $650,000<\/option> <option value=\"650,001-675,000\">$650,001 - $675,000<\/option> <option value=\"675,001-700,000\">$675,001 - $700,000<\/option> <option value=\"700,001-725,000\">$700,001 - $725,000<\/option> <option value=\"725,001-750,000\">$725,001 - $750,000<\/option> <option value=\"750,001-775,000\">$750,001 - $775,000<\/option> <option value=\"775,001-800,000\">$775,001 - $800,000<\/option> <option value=\"800,001-825,000\">$800,001 - $825,000<\/option> <option value=\"825,001-850,000\">$825,001 - $850,000<\/option> <option value=\"850,001-875,000\">$850,001 - $875,000<\/option> <option value=\"875,001-900,000\">$875,001 - $900,000<\/option> <option value=\"900,001-925,000\">$900,001 - $925,000<\/option> <option value=\"925,001-950,000\">$925,001 - $950,000<\/option> <option value=\"950,001-975,000\">$950,001 - $975,000<\/option> <option value=\"975,001-1,000,000\">$975,001 - $1,000,000<\/option> <option value=\"1,000,001-1,250,000\">$1,000,001 - $1,250,000<\/option> <option value=\"1,250,001-1,500,000\">$1,250,001 - $1,500,000<\/option> <option value=\"1,500,001-2,000,000\">$1,500,001 - $2,000,000<\/option> <option value=\"over 2,000,000\">over $2,000,000<\/option> <\/select><\/td>");
document.write("<\/tr>");
document.write("<tr>");
document.write("<td colspan=\"2\" align=\"left\" style='padding-left: 30px;' ><input onclick=\"purch_1_click(); return true;\" name=\"full_b\" src=\"" + folder + "orangesubmit.jpg\" type=\"image\" \/><\/td>");
document.write("<\/tr>");
document.write("<\/tbody>");
document.write("<\/table>");
document.write("<\/div>");
document.write("<\/div>");


document.write("<div id=\"div_submit\" style=\"width: 100%; display: none;\">");
document.write("<table align=\"center\">");
document.write("<tbody>");
document.write("<tr>");
document.write("<td class=\"mssgsubmit\" style=\"height: 150px;\" valign=\"middle\">Submitting application. Please wait...<\/td>");
document.write("<\/tr>");
document.write("<\/tbody>");
document.write("<\/table>");
document.write("<\/div>");


document.write("<div id=\"div_submitquick\" style=\"width: 100%; display: none;\">");
document.write("<table align=\"center\">");
document.write("<tbody>");
document.write("<tr>");
document.write("<td class=\"mssgsubmit\" style=\"height: 150px;\" valign=\"middle\">Sending information. Please wait...<\/td>");
document.write("<\/tr>");
document.write("<\/tbody>");
document.write("<\/table>");
document.write("<\/div>");


document.write("<div id=\"div_form\" style=\"display: none;\"><form id=\"app_form\" style=\"margin: 0px;\" action=\".\/\" enctype=\"multipart\/form-data\" method=\"post\"><\/form><\/div>");
document.write("<\/div>");

document.write("<\/div>");

if (navigator.userAgent.indexOf("Firefox")!=-1)
	document.write("<br clear=\"all\" \/>");
document.write("<!-- Application Form Ends Here --><!-- Application Form Ends Here --><!-- Application Form Ends Here -->");