document.writeln('<link href="/udf/btm-t20.css" rel="stylesheet" type="text/css" />');document.writeln('<style>');
				document.writeln('#artTopContent .articleContent{	');				
				document.writeln('padding-top: 10px;');
				document.writeln('padding-left: 10px;');					
				document.writeln('padding-right: 10px;');
				document.writeln('padding-bottom: 10px;		');
				document.writeln('}');
				document.writeln('#topContentCustom .contentLeftCustom .contentCustom{');
				document.writeln('width: 728px;');
				document.writeln('padding-left: 5px;');
				document.writeln('}		');	    
				document.writeln('#topContentCustom .contentCustom .formRowCustom{');
				document.writeln('padding: 5px;');
				document.writeln('}		');	    
				document.writeln('#topContentCustom .contentCustom .formRowCustomFive{');
				document.writeln('padding: 5px;');
				document.writeln('}		');
				document.writeln('#topContentCustom .contentCustom .formRowCustomThree{');
				document.writeln('padding-left: 4px;');
				document.writeln('}		');
				document.writeln('#topContentCustom .contentCustom .formRowCustomThree{');
				document.writeln('width: 355px;');	
				document.writeln('padding: 4px;');				
				document.writeln('margin-bottom: 8px;');
				document.writeln('}		');
			document.writeln('#topContent .contentLeft a{');
document.writeln('background-image: none;');
document.writeln('}		');	
document.writeln('.competition a{');
document.writeln('background-image: none;');
document.writeln('}		');	
document.writeln('</style>');
document.writeln('<div id="topContentCustom">');
document.writeln('<div class="contentLeftCustom">');
document.writeln('<div class="contentCustom">');
document.writeln('<div class="competition">');
document.writeln('<h5 class=title></h5>');

				document.writeln('</div>');
				
				function submitMyForm(){
					
				if(document.customForm22628.onsubmit())
					{
						ValidateCustomForm(document.customForm22628,0);
						document.customForm22628.submit();
					}
				}
				
				document.writeln('<scr' + 'ipt language="javascript" src="/jsfiles/incCustomFormValidate.js"></sc' + 'ript>');
				document.writeln('<scr' + 'ipt language="javascript" src="/jsfiles/incWsPafLookup.js"></sc' + 'ript>');
				document.writeln('		<scr'+'ipt language="Javascript">');
				document.writeln('	  		//Status for PAF Function');
				document.writeln('			function funPAFLookupStatus(sStatus){');
				document.writeln('				if (sStatus == "BEGIN") {');
				document.writeln('					document.getElementById("btnPostCodeLookup").value = "Please wait..";');
				document.writeln('				}');
				document.writeln('				else if (sStatus == "ERROR") {');
				document.writeln('					document.getElementById("btnPostCodeLookup").value = " Error.";');
				document.writeln('				}');
				document.writeln('				else {');
				document.writeln('					document.getElementById("btnPostCodeLookup").value = "Lookup Address";');
				document.writeln('				}');
				document.writeln('			}');
				document.writeln('			</scr'+'ipt>');						
				document.writeln('<div class="spacing">');
				document.writeln('<form name="customForm22628" action="/CustomFormProcess.asp" method="post" onsubmit="return ValidateCustomForm(this,0)">');
				document.writeln('<input type="hidden" name="Title" value="">');
				document.writeln('<input type="hidden" name="ID" value="22628">');
				document.writeln('<input type="hidden" name="nConfirmationNum" value="738">');
			 	document.writeln('<input type="hidden" name="NumQuestions" value="0">');
			 	document.writeln('<input type="hidden" name="NumFields" value="-1">');
			//</script>	 	
			
					
					  document.writeln('	<div class="formRowCustom" style="clear:both"><h4>');
					
						
					
							  document.writeln('*');
					
						
					
					  document.writeln('Please add your message here');
					  document.writeln('</h4>');
					  document.writeln('	<input type="hidden" name="Question0" value="Please add your message here">');
					  document.writeln('	<input type="hidden" name="QuestionRequired0" value="1">');
					
				document.writeln('<textarea style="margin-left:5px;border: 1px solid #000000;width: 283px; float:left"  Name=Question0answer cols=60 rows="5"></textarea><div class=footer></div>');document.writeln('</div>');
		document.writeln('	  <div class="formRowCustom" style="clear:both">');
	
	document.writeln('  <h4>*First Name:</h4>');
	
		document.writeln('<input type="hidden" name="FirstNameRequired" value>');
	
			document.writeln('       <input type="text" id="txtFirstName" name="txtFirstName" value=""  class="gInputFieldsNS" size="30" maxLength="80">');
		
	document.writeln('    <input type="hidden" name="FirstNameLabel" value="First Name">');
	document.writeln('		<div class="footer"></div>');
	document.writeln('	  </div>');

		document.writeln('	  <div class="formRowCustom" style="clear:both">');
	
	document.writeln('  <h4>*Surname:</h4>');
	
		document.writeln('<input type="hidden" name="LastNameRequired" value>');
	
			document.writeln('       <input type="text" id="txtLastName" name="txtLastName" value=""  class="gInputFieldsNS" size="30" maxLength="80">');
		
	document.writeln('    <input type="hidden" name="LastNameLabel" value="Surname">');
	document.writeln('		<div class="footer"></div>');
	document.writeln('	  </div>');

		document.writeln('	  <div class="formRowCustom" style="clear:both">');
	
	document.writeln('  <h4>*Email address:</h4>');
	
		document.writeln('<input type="hidden" name="EmailRequired" value>');
	
			document.writeln('       <input type="text" id="txtEmail" name="txtEmail" class="gInputFieldsNS" size="30" maxLength="80">');
		
	document.writeln('    <input type="hidden" name="EmailLabel" value="Email address">');
	document.writeln('		<div class="footer"></div>');
	document.writeln('	  </div>');

		document.writeln('	  <div class="formRowCustom" style="clear:both">');
	
	document.writeln('  <h4>Mobile:</h4>');
	
			document.writeln('       <input type="text" id="txtMobile" name="txtMobile" class="gInputFieldsNS" size="30" maxLength="30">');
		
	document.writeln('    <input type="hidden" name="MobileLabel" value="Mobile">');
	document.writeln('		<div class="footer"></div>');
	document.writeln('	  </div>');

		document.writeln('	  <div class="formRowCustomThree" style="clear:both">');
	
	document.writeln('  <h4>*Postcode:</h4>');
	
		document.writeln('<input type="hidden" name="PostcodeRequired" value>');
	
			document.writeln('    <input type="text" id="txtPostcode" name="txtPostcode" maxLength="30">');
			
	document.writeln('    <input type="hidden" name="PostcodeLabel" value="Postcode">');
	document.writeln('		<div class="footer"></div>');
	document.writeln('	  </div>');

		document.writeln('	  <div class="formRowCustom" style="clear:both">');
	
	document.writeln('  <h4>*Gender:</h4>');
	
		document.writeln('<input type="hidden" name="GenderRequired" value>');
	
		document.writeln('  	<p style="padding-left:20px;">Male<input class="radio" type="radio" name="txtGender" value="Male" id="txtGender">');
		document.writeln('  	Female<input class="radio" type="radio" name="txtGender" value="Female" id="txtGender">');
  
	document.writeln('    <input type="hidden" name="GenderLabel" value="Gender">');
	document.writeln('		<div class="footer"></div>');
	document.writeln('	  </div>');

					//<SCRIPT LANGUAGE="JAVASCRIPT">		
					document.writeln('		<div class=formRowCustomFive  style="clear:both">');
					document.writeln('		  <input class=checkbox type="checkbox" name="AgreeCheckBox" value="1" id="AgreeCheckBox">');
					document.writeln('		  <input type="hidden" name="AgreeRequired" value="">');
					document.writeln('		  <input type="hidden" name="AgreeLabel" value="Please tick the box agreeing to the station\'s privacy policy">');
					document.writeln('		  <h4>*Yes, I agree to the <a target="_blank" href="/article.asp?id=136748">privacy policy</a>:</h4>');	
					document.writeln('		<div class=footer></div></div>');
					//</script>
				
				
				//<script LANGUAGE="JAVASCRIPT">				
				document.writeln('	 <div class="competition"><a href="javascript:submitMyForm();"><img src="/images/btm_button_send.gif" border=0 width=49 height=20></a></div>');
				document.writeln('</form>');
				document.writeln('	</div>');
				document.writeln('  </div>');
				document.writeln('  </div>');	
				document.writeln('  </div>');			
				//</script>