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</div>

<div class="form_label float_left"><vllabel for="form_captcha" cerrclass="errorInput textinput" errclass="errorText" validators="form_captcha">Image Verification</vllabel></div>
    <div class="form_required float_left"><i class="icon-asterisk small-icon"></i></div>
    <div class="form_field float_left imageVerification">
        <img src="/captcha/captchac_code.php" id="captcha" alt="Captcha Code" />
        <a href="#" onclick=" document.getElementById('captcha').src = document.getElementById('captcha').src + '?' + (new Date()).getMilliseconds();return false;"><i class="icon-refresh medium-icon"></i></a>
        <a href="/captcha/whatisturing.html" class="captchafaq colorbox"><i class="icon-question-sign medium-icon"></i></a>
        <input name="form_captcha" class="textinput" type="text" />
        
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	<div class="text_align_right"><input type="submit" value="Submit" /></div>
    
    <br class="clear" />
</form>		        
    <script>
    /*  ============================================
        FAQ Drop Down - put this into script.js for consistency
        ============================================ */
        $(function () {
            // Hide the FAQ Content on page load
            $('.faq_content').slideUp();

// Show the FAQ Content on click of question
            $('.faq_title').click(function(){
                faqContent =  $(this).closest('li').find('.faq_content');
                
                if(!faqContent.hasClass('active_faq')){
                    // Open and Close respective content areas
                    $('.faq_content').removeClass('active_faq').slideUp();
                    faqContent.addClass('active_faq').slideDown('fast');
                    
                    // Switch the carets
                    $('.close_faq').hide(); $('.open_faq').show();
                    $(this).children('.open_faq').hide();
                    $(this).children('.close_faq').show();
                } else {
                    $('.faq_content').removeClass('active_faq').slideUp();
                    $('.close_faq').hide(); $('.open_faq').show();
                }
                return false;
            });
        });
    </script>
			</div>
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			<ul id="subNav"><li class='subNavHeading'><a href='/testimonials'>Testimonials</a></li>					<li class="down"><a href="/submit-feedback">Provide Feedback</a></li>
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<div class="required_fields_heading float_right"><i class="icon-asterisk small-icon"></i> = Required Fields</div>
    <h2>Your Details</h2>
    
    <div class="form_label float_left"><label for="form_name" id="VDaemonID_6">Name</label></div>
    <div class="form_required float_left"><i class="icon-asterisk small-icon"></i></div>
    <div class="form_field float_left">
    	<input name="form_name" type="text" class="textinput" value="" />
        
    </div>
    
    <div class="form_label float_left"><label for="form_email" id="VDaemonID_7">Email</label></div>
    <div class="form_required float_left"><i class="icon-asterisk small-icon"></i></div>
    <div class="form_field float_left">
    	<input name="form_email" type="email" class="textinput" value="" />
        
    	
    </div>
    
    <div class="form_label float_left"><label for="form_nature_of_enquiry" id="VDaemonID_8">Nature of Enquiry</label></div>
    <div class="form_required float_left"><i class="icon-asterisk small-icon"></i></div>
    <div class="form_field float_left">
        <textarea class="textinput" name="form_nature_of_enquiry" rows="6" cols="30">

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