document.write("Community Fitness Request Form\n"); document.write(" \n"); document.write(" \n"); document.write(" \n"); document.write(" \n"); document.write("\n"); document.write("function TAMax( ta, countspan, maxlength ) {\n"); document.write(" if (ta.value.length > maxlength){\n"); document.write(" ta.value = ta.value.substring( 0, maxlength );\n"); document.write(" ta.blur();\n"); document.write(" ta.focus();\n"); document.write(" return false;\n"); document.write(" }\n"); document.write(" else {\n"); document.write(" countspan.innerHTML = maxlength - ta.value.length;\n"); document.write(" }\n"); document.write("}\n"); document.write("\n"); document.write("
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*How you heard about us:
*Full Name:
Organization:
*Address:
*City:
*State:  
*Zip:
*Phone:\n"); document.write(" \n"); document.write(" \n"); document.write(" \n"); document.write(" \n"); document.write(" \n"); document.write(" \n"); document.write(" \n"); document.write(" \n"); document.write(" \n"); document.write(" \n"); document.write("
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*Best time to call: \n"); document.write("\n"); document.write("\n"); document.write("
Morning
Afternoon
Evening
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*Email:
*Anticipated service start date:
Your Comments:
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