<?xml version="1.0" encoding="UTF-8"?>
<page>
  <author>Jamie Sutton</author>
  <body-html>&lt;p&gt;Thanks for filling out our Logo Design Questionnaire! It is pretty detailed, but will give us a great idea of how to start on your project. Please be as thorough as possible so that we can quickly asses what your business logo needs are. Thanks!&lt;/p&gt;
&lt;h3&gt;Logo Questionnaire:&lt;/h3&gt;


&lt;table width=&quot;500&quot; cellpadding=&quot;2&quot; cellspacing=&quot;0&quot; class=&quot;large_tbmain&quot; summary=&quot;Logo Request Form&quot;&gt;
&lt;tr&gt;
&lt;td class=&quot;midmid&quot; valign=&quot;top&quot;&gt;




&lt;form enctype=&quot;multipart/form-data&quot;  action=&quot;http://jotform.com/submit.php&quot;  method=&quot;post&quot; name=&quot;q_form_82673545339&quot;&gt;
&lt;input type=&quot;hidden&quot; name=&quot;formID&quot; value=&quot;82673545339&quot; /&gt;
&lt;div id=&quot;main&quot;&gt; 
&lt;input type=&quot;hidden&quot; id=&quot;spc&quot; name=&quot;spc&quot; value=&quot;spc&quot; /&gt;
&lt;script type=&quot;text/javascript&quot;&gt;
   document.getElementById('spc').value = 'c1dcc38ffdd212908b2936f044b5719c';
&lt;/script&gt;




&lt;table width=&quot;520&quot; cellpadding=&quot;5&quot; cellspacing=&quot;0&quot; summary=&quot;Logo Request Form&quot;&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot;  valign=&quot;top&quot; &gt;
   &lt;label&gt;Time Range For Project&lt;/label&gt;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot;&gt;
   &lt;select class=&quot;other&quot; name=&quot;q31_TimeRangeForProject&quot; id=&quot;q31&quot; &gt;
    &lt;option&gt;1-2 Weeks&lt;/option&gt;
    &lt;option&gt;2-3 Weeks&lt;/option&gt;
    &lt;option&gt;3-4 Weeks&lt;/option&gt;
    &lt;option&gt;4 Weeks or Greater&lt;/option&gt;
   &lt;/select&gt;  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot;  valign=&quot;top&quot; &gt;
   &lt;label&gt;# of logo mockups required? &lt;span class=&quot;required&quot;&gt;*&lt;/span&gt;&lt;/label&gt;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot;&gt;
   &lt;select class=&quot;other&quot; name=&quot;q27_oflogomockupsrequire&quot; id=&quot;q27&quot;  onblur=&quot;validate(this,'Required')&quot; &gt;
    &lt;option&gt;1&lt;/option&gt;
    &lt;option&gt;2&lt;/option&gt;
    &lt;option&gt;3&lt;/option&gt;
    &lt;option&gt;4&lt;/option&gt;
   &lt;/select&gt;  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; valign=&quot;top&quot;  &gt;
   &lt;label&gt;What do you want you logo to convey about your company? &lt;span class=&quot;required&quot;&gt;*&lt;/span&gt;&lt;/label&gt;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot; &gt;
   &lt;textarea cols=&quot;45&quot; rows=&quot;6&quot; name=&quot;q25_Whatdoyouwantyoulogo&quot; class=&quot;text&quot; id=&quot;q25&quot;  onblur=&quot;validate(this,'Required')&quot; &gt;&lt;/textarea&gt;  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; valign=&quot;top&quot;  &gt;
   &lt;label&gt;Are there specific icons or images you wish to show in your logo? &lt;span class=&quot;required&quot;&gt;*&lt;/span&gt;&lt;/label&gt;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot; &gt;
   &lt;textarea cols=&quot;45&quot; rows=&quot;6&quot; name=&quot;q23_Aretherespecificicon&quot; class=&quot;text&quot; id=&quot;q23&quot;  onblur=&quot;validate(this,'Required')&quot; &gt;&lt;/textarea&gt;  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; valign=&quot;top&quot;  &gt;
   &lt;label&gt;What logos appeal to you and why?&lt;/label&gt;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot; &gt;
   &lt;textarea cols=&quot;45&quot; rows=&quot;6&quot; name=&quot;q15_Whatlogosappealtoyou&quot; class=&quot;text&quot; id=&quot;q15&quot; &gt;&lt;/textarea&gt;  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; valign=&quot;top&quot;  &gt;
   &lt;label&gt;Provide any additional details.&lt;/label&gt;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot; &gt;
   &lt;textarea cols=&quot;45&quot; rows=&quot;6&quot; name=&quot;q13_Provideanyadditional&quot; class=&quot;text&quot; id=&quot;q13&quot; &gt;&lt;/textarea&gt;  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; valign=&quot;top&quot;  &gt;
   &lt;label&gt;What Color ranges appeal to you?&lt;/label&gt;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot; &gt;
   &lt;textarea cols=&quot;45&quot; rows=&quot;4&quot; name=&quot;q19_WhatColorrangesappea&quot; class=&quot;text&quot; id=&quot;q19&quot; &gt;&lt;/textarea&gt;  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; &gt;
   &lt;label &gt;Your Name:&lt;/label&gt;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot; &gt;
   &lt;input type=&quot;text&quot; size=&quot;30&quot; name=&quot;q10_YourName&quot; class=&quot;text&quot; value=&quot;&quot; id=&quot;q10&quot;  maxlength=&quot;100&quot; /&gt;  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; &gt;
   &lt;label &gt;Your Email:&lt;/label&gt;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot; &gt;
   &lt;input type=&quot;text&quot; size=&quot;30&quot; name=&quot;q9_YourEmail&quot; class=&quot;text&quot; value=&quot;&quot; id=&quot;q9&quot;  maxlength=&quot;100&quot; /&gt;  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; &gt;
   &lt;label &gt;Your Phone #:&lt;/label&gt;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot; &gt;
   &lt;input type=&quot;text&quot; size=&quot;30&quot; name=&quot;q11_YourPhone&quot; class=&quot;text&quot; value=&quot;&quot; id=&quot;q11&quot;  maxlength=&quot;100&quot; /&gt;  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; &gt;
   &lt;label &gt;How did you hear about us?&lt;/label&gt;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot; &gt;
   &lt;input type=&quot;text&quot; size=&quot;30&quot; name=&quot;q33_Howdidyouhearaboutus&quot; class=&quot;text&quot; value=&quot;&quot; id=&quot;q33&quot;  maxlength=&quot;100&quot; /&gt;  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
  &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; &gt;
     &lt;label&gt;If you have any images that may help us please upload them here.&lt;/label&gt;
  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot;&gt;
     &lt;input type=&quot;file&quot; class=&quot;text&quot; size=&quot;20&quot; name=&quot;q34_Ifyouhaveanyimagesth&quot; id=&quot;q34&quot;   /&gt;
  &lt;/td&gt;
 &lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; &gt;
     &lt;label&gt;Additional Image&lt;/label&gt;
  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot;&gt;
     &lt;input type=&quot;file&quot; class=&quot;text&quot; size=&quot;20&quot; name=&quot;q35_AdditionalImage&quot; id=&quot;q35&quot;   /&gt;
  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; &gt;
     &lt;label&gt;Additional Image&lt;/label&gt;
  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot;&gt;
     &lt;input type=&quot;file&quot; class=&quot;text&quot; size=&quot;20&quot; name=&quot;q36_AdditionalImage&quot; id=&quot;q36&quot;   /&gt;
  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; &gt;&amp;nbsp;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot;&gt;
  &lt;input type=&quot;submit&quot; class=&quot;btn&quot; value=&quot;Submit&quot; /&gt; &lt;/td&gt;
 &lt;/tr&gt;
&lt;/table&gt;
&lt;/div&gt;
&lt;/form&gt;&lt;/td&gt;
&lt;/tr&gt;
&lt;/table&gt;
&lt;script type=&quot;text/javascript&quot;&gt;
validate(&quot;q_form_82673545339&quot;);
&lt;/script&gt;
</body-html>
  <created-at type="datetime">2008-09-24T14:01:36-04:00</created-at>
  <handle>logo-design-request</handle>
  <id type="integer">424482</id>
  <published-at type="datetime">2008-09-24T14:01:36-04:00</published-at>
  <shop-id type="integer">4536</shop-id>
  <template-suffix nil="true"></template-suffix>
  <title>Logo Design Request</title>
  <updated-at type="datetime">2009-06-12T15:36:05-04:00</updated-at>
  <body>Thanks for filling out our Logo Design Questionnaire! It is pretty detailed, but will give us a great idea of how to start on your project. Please be as thorough as possible so that we can quickly asses what your business logo needs are. Thanks!

h3. Logo Questionnaire:


 

&lt;notextile&gt;

&lt;table width=&quot;500&quot; cellpadding=&quot;2&quot; cellspacing=&quot;0&quot; class=&quot;large_tbmain&quot; summary=&quot;Logo Request Form&quot;&gt;
&lt;tr&gt;
&lt;td class=&quot;midmid&quot; valign=&quot;top&quot;&gt;




&lt;form enctype=&quot;multipart/form-data&quot;  action=&quot;http://jotform.com/submit.php&quot;  method=&quot;post&quot; name=&quot;q_form_82673545339&quot;&gt;
&lt;input type=&quot;hidden&quot; name=&quot;formID&quot; value=&quot;82673545339&quot; /&gt;
&lt;div id=&quot;main&quot;&gt; 
&lt;input type=&quot;hidden&quot; id=&quot;spc&quot; name=&quot;spc&quot; value=&quot;spc&quot; /&gt;
&lt;script type=&quot;text/javascript&quot;&gt;
   document.getElementById('spc').value = 'c1dcc38ffdd212908b2936f044b5719c';
&lt;/script&gt;




&lt;table width=&quot;520&quot; cellpadding=&quot;5&quot; cellspacing=&quot;0&quot; summary=&quot;Logo Request Form&quot;&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot;  valign=&quot;top&quot; &gt;
   &lt;label&gt;Time Range For Project&lt;/label&gt;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot;&gt;
   &lt;select class=&quot;other&quot; name=&quot;q31_TimeRangeForProject&quot; id=&quot;q31&quot; &gt;
    &lt;option&gt;1-2 Weeks&lt;/option&gt;
    &lt;option&gt;2-3 Weeks&lt;/option&gt;
    &lt;option&gt;3-4 Weeks&lt;/option&gt;
    &lt;option&gt;4 Weeks or Greater&lt;/option&gt;
   &lt;/select&gt;  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot;  valign=&quot;top&quot; &gt;
   &lt;label&gt;# of logo mockups required? &lt;span class=&quot;required&quot;&gt;*&lt;/span&gt;&lt;/label&gt;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot;&gt;
   &lt;select class=&quot;other&quot; name=&quot;q27_oflogomockupsrequire&quot; id=&quot;q27&quot;  onblur=&quot;validate(this,'Required')&quot; &gt;
    &lt;option&gt;1&lt;/option&gt;
    &lt;option&gt;2&lt;/option&gt;
    &lt;option&gt;3&lt;/option&gt;
    &lt;option&gt;4&lt;/option&gt;
   &lt;/select&gt;  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; valign=&quot;top&quot;  &gt;
   &lt;label&gt;What do you want you logo to convey about your company? &lt;span class=&quot;required&quot;&gt;*&lt;/span&gt;&lt;/label&gt;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot; &gt;
   &lt;textarea cols=&quot;45&quot; rows=&quot;6&quot; name=&quot;q25_Whatdoyouwantyoulogo&quot; class=&quot;text&quot; id=&quot;q25&quot;  onblur=&quot;validate(this,'Required')&quot; &gt;&lt;/textarea&gt;  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; valign=&quot;top&quot;  &gt;
   &lt;label&gt;Are there specific icons or images you wish to show in your logo? &lt;span class=&quot;required&quot;&gt;*&lt;/span&gt;&lt;/label&gt;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot; &gt;
   &lt;textarea cols=&quot;45&quot; rows=&quot;6&quot; name=&quot;q23_Aretherespecificicon&quot; class=&quot;text&quot; id=&quot;q23&quot;  onblur=&quot;validate(this,'Required')&quot; &gt;&lt;/textarea&gt;  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; valign=&quot;top&quot;  &gt;
   &lt;label&gt;What logos appeal to you and why?&lt;/label&gt;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot; &gt;
   &lt;textarea cols=&quot;45&quot; rows=&quot;6&quot; name=&quot;q15_Whatlogosappealtoyou&quot; class=&quot;text&quot; id=&quot;q15&quot; &gt;&lt;/textarea&gt;  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; valign=&quot;top&quot;  &gt;
   &lt;label&gt;Provide any additional details.&lt;/label&gt;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot; &gt;
   &lt;textarea cols=&quot;45&quot; rows=&quot;6&quot; name=&quot;q13_Provideanyadditional&quot; class=&quot;text&quot; id=&quot;q13&quot; &gt;&lt;/textarea&gt;  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; valign=&quot;top&quot;  &gt;
   &lt;label&gt;What Color ranges appeal to you?&lt;/label&gt;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot; &gt;
   &lt;textarea cols=&quot;45&quot; rows=&quot;4&quot; name=&quot;q19_WhatColorrangesappea&quot; class=&quot;text&quot; id=&quot;q19&quot; &gt;&lt;/textarea&gt;  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; &gt;
   &lt;label &gt;Your Name:&lt;/label&gt;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot; &gt;
   &lt;input type=&quot;text&quot; size=&quot;30&quot; name=&quot;q10_YourName&quot; class=&quot;text&quot; value=&quot;&quot; id=&quot;q10&quot;  maxlength=&quot;100&quot; /&gt;  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; &gt;
   &lt;label &gt;Your Email:&lt;/label&gt;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot; &gt;
   &lt;input type=&quot;text&quot; size=&quot;30&quot; name=&quot;q9_YourEmail&quot; class=&quot;text&quot; value=&quot;&quot; id=&quot;q9&quot;  maxlength=&quot;100&quot; /&gt;  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; &gt;
   &lt;label &gt;Your Phone #:&lt;/label&gt;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot; &gt;
   &lt;input type=&quot;text&quot; size=&quot;30&quot; name=&quot;q11_YourPhone&quot; class=&quot;text&quot; value=&quot;&quot; id=&quot;q11&quot;  maxlength=&quot;100&quot; /&gt;  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; &gt;
   &lt;label &gt;How did you hear about us?&lt;/label&gt;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot; &gt;
   &lt;input type=&quot;text&quot; size=&quot;30&quot; name=&quot;q33_Howdidyouhearaboutus&quot; class=&quot;text&quot; value=&quot;&quot; id=&quot;q33&quot;  maxlength=&quot;100&quot; /&gt;  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
  &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; &gt;
     &lt;label&gt;If you have any images that may help us please upload them here.&lt;/label&gt;
  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot;&gt;
     &lt;input type=&quot;file&quot; class=&quot;text&quot; size=&quot;20&quot; name=&quot;q34_Ifyouhaveanyimagesth&quot; id=&quot;q34&quot;   /&gt;
  &lt;/td&gt;
 &lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; &gt;
     &lt;label&gt;Additional Image&lt;/label&gt;
  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot;&gt;
     &lt;input type=&quot;file&quot; class=&quot;text&quot; size=&quot;20&quot; name=&quot;q35_AdditionalImage&quot; id=&quot;q35&quot;   /&gt;
  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; &gt;
     &lt;label&gt;Additional Image&lt;/label&gt;
  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot;&gt;
     &lt;input type=&quot;file&quot; class=&quot;text&quot; size=&quot;20&quot; name=&quot;q36_AdditionalImage&quot; id=&quot;q36&quot;   /&gt;
  &lt;/td&gt;
 &lt;/tr&gt;
&lt;tr&gt;&lt;td&gt;&amp;nbsp;&lt;/td&gt;&lt;/tr&gt;
 &lt;tr &gt;
  &lt;td width=&quot;150&quot; class=&quot;large_form_td_left&quot; &gt;&amp;nbsp;  &lt;/td&gt;
  &lt;td class=&quot;large_form_td_right&quot;&gt;
  &lt;input type=&quot;submit&quot; class=&quot;btn&quot; value=&quot;Submit&quot; /&gt; &lt;/td&gt;
 &lt;/tr&gt;
&lt;/table&gt;
&lt;/div&gt;
&lt;/form&gt;&lt;/td&gt;
&lt;/tr&gt;
&lt;/table&gt;
&lt;script type=&quot;text/javascript&quot;&gt;
validate(&quot;q_form_82673545339&quot;);
&lt;/script&gt;

&lt;/notextile&gt;</body>
</page>
