document.writeln('<form action="http://s2.lodgon.com/indigov2/servlet/form" name="daliform12"  method="post" enctype="multipart/form-data" onsubmit="return v12.exec();"> <table>  <tr>   <td class="form_fieldlabel" valign="top">Name: (*)</td>   <td><input class="form_text" type="text" name="FM0011"></td>  </tr>  <tr>   <td class="form_fieldlabel" valign="top">First name: (*)</td>   <td><input class="form_text" type="text" name="FM0022"></td>  </tr>  <tr>   <td class="form_fieldlabel" valign="top">Address:</td>   <td><input class="form_text" type="text" name="FM0033"></td>  </tr>  <tr>   <td class="form_fieldlabel" valign="top">City:</td>   <td><input class="form_text" type="text" name="FM0044"></td>  </tr>  <tr>   <td class="form_fieldlabel" valign="top">Postal code:</td>   <td><input class="form_text" type="text" name="FM0055"></td>  </tr>  <tr>   <td class="form_fieldlabel" valign="top">E-mail: (*)</td>   <td><input class="form_text" type="text" name="FM0066"></td>  </tr>  <tr>   <td class="form_fieldlabel" valign="top">Presentation: (*)</td>   <td><textarea class="form_textarea" name="FM0077"></textarea></td>  </tr>  <tr>   <td class="form_fieldlabel" valign="top">Insert resume: (*)</td>   <td><input class="form_file" type="file" name="FM0088"></td>  </tr> </table> <input type="hidden" name="formid" class="hidden_form_field" value="12"> <input name="Submit" class="form_submit" type="submit" value="Submit"></form>');var a12_fields = {
  "FM0011" : {"l": "Name:","f": "","r": true},
  "FM0022" : {"l": "First name:","f": "","r": true},
  "FM0033" : {"l": "Address:","f": "","r": false},
  "FM0044" : {"l": "City:","f": "","r": false},
  "FM0055" : {"l": "Postal code:","f": "","r": false},
  "FM0066" : {"l": "E-mail:","f": "","r": true},
  "FM0077" : {"l": "Presentation:","f": "","r": true},
  "FM0088" : {"l": "Insert resume:","f": "","r": true}
 };
 var o12_config = { "to_disable" : ["Submit"], "alert" : 1 };
 var v12 = new validator("daliform12", a12_fields, o12_config);
