document.write('<style>\n#flexiform dt { margin: 0px; padding: 0px; float: none; width: auto; text-align: left; font-weight: bold; }\n#flexiform dd { margin: 0px 0px 0px 0px; padding: 0px; float: none; width: auto; }\n\n\n#flexiform { background-color: #FFFFFF; }\n#flexiform { color: #000000; }\n#flexiform, #flexiform input, #flexiform select, #flexiform textarea\n  {\n  font-family: Arial;\n  font-size: ;\n  }\n\n\n</style>\n<div id=\"flexiform\">\n\n  <p><h4>Please complete the form below and we will contact you as soon as possible. Thank you.</h4>\n<font color=\"#ff0000\" size\"26\">*</font>denotes a required field</p>\n\n  <form method=\"post\" action=\"http://forms.flexikit.net/public/javascript_collect/7869054\">\n\n    <dl>\n    \n      \n      <dt>\n        Company Name<font color=\"#ff0000\">*</font>\n        <div style=\"color: #777; font-weight: normal; font-size: 98%;\"></div>\n      </dt>\n      <dd>\n        \n        \n        \n          <input type=\"text\" name=\"results[438]\" size=\"30\" value=\"\" class=\"flexiform-text\" />\n          \n        \n        \n      </dd>\n    \n      \n      <dt>\n        Contact Name<font color=\"#ff0000\">*</font>\n        <div style=\"color: #777; font-weight: normal; font-size: 98%;\"></div>\n      </dt>\n      <dd>\n        \n        \n        \n          <input type=\"text\" name=\"results[439]\" size=\"30\" value=\"\" class=\"flexiform-text\" />\n          \n        \n        \n      </dd>\n    \n      \n      <dt>\n        Telephone Number\n        <div style=\"color: #777; font-weight: normal; font-size: 98%;\"></div>\n      </dt>\n      <dd>\n        \n        \n        \n          <input type=\"text\" name=\"results[440]\" size=\"30\" value=\"\" class=\"flexiform-text\" />\n          \n        \n        \n      </dd>\n    \n      \n      <dt>\n        Email Address<font color=\"#ff0000\">*</font>\n        <div style=\"color: #777; font-weight: normal; font-size: 98%;\"></div>\n      </dt>\n      <dd>\n        \n        \n        \n          <input type=\"text\" name=\"results[441]\" size=\"30\" value=\"\" class=\"flexiform-text\" />\n          \n        \n        \n      </dd>\n    \n      \n      <dt>\n        How do you currently process your payroll?\n        <div style=\"color: #777; font-weight: normal; font-size: 98%;\"></div>\n      </dt>\n      <dd>\n        \n          \n          \n          \n          \n          \n          <input name=\"results[442][]\" type=\"radio\" value=\"New Payroll\" class=\"flexiform-radio\" /> New Payroll<br />\n          \n          <input name=\"results[442][]\" type=\"radio\" value=\"In-House\" class=\"flexiform-radio\" /> In-House<br />\n          \n          <input name=\"results[442][]\" type=\"radio\" value=\"Bureau/Accountant\" class=\"flexiform-radio\" /> Bureau/Accountant<br />\n          \n          \n          \n        \n        \n      </dd>\n    \n      \n      <dt>\n        What is the frequency of your payroll? (You can select more than one choice)\n        <div style=\"color: #777; font-weight: normal; font-size: 98%;\"></div>\n      </dt>\n      <dd>\n        \n           \n          \n          \n          <input name=\"results[443][]\" type=\"checkbox\" value=\"Weekly\" class=\"flexiform-check\" /> Weekly<br />\n          \n          <input name=\"results[443][]\" type=\"checkbox\" value=\"Fortnightly\" class=\"flexiform-check\" /> Fortnightly<br />\n          \n          <input name=\"results[443][]\" type=\"checkbox\" value=\"Monthly\" class=\"flexiform-check\" /> Monthly<br />\n          \n          <input name=\"results[443][]\" type=\"checkbox\" value=\"Other\" class=\"flexiform-check\" /> Other<br />\n          \n          \n          \n        \n      </dd>\n    \n      \n      <dt>\n        How many employees are on your Payroll?\n        <div style=\"color: #777; font-weight: normal; font-size: 98%;\"></div>\n      </dt>\n      <dd>\n        \n        \n        \n          <input type=\"text\" name=\"results[444]\" size=\"8\" value=\"\" class=\"flexiform-text\" />\n          \n        \n        \n      </dd>\n    \n      \n      <dt>\n        How would you like us to contact you?\n        <div style=\"color: #777; font-weight: normal; font-size: 98%;\"></div>\n      </dt>\n      <dd>\n        \n          \n          \n          \n          \n          \n          <input name=\"results[445][]\" type=\"radio\" value=\"Telephone\" class=\"flexiform-radio\" /> Telephone<br />\n          \n          <input name=\"results[445][]\" type=\"radio\" value=\"Email\" class=\"flexiform-radio\" /> Email<br />\n          \n          \n          \n        \n        \n      </dd>\n    \n      \n      <dt>\n        <u>Would you be interested in more information on the following services:</u>\n        <div style=\"color: #777; font-weight: normal; font-size: 98%;\"></div>\n      </dt>\n      <dd>\n        \n           \n          \n          \n          \n          \n        \n      </dd>\n    \n      \n      <dt>\n        HR Outsourced Services?\n        <div style=\"color: #777; font-weight: normal; font-size: 98%;\"></div>\n      </dt>\n      <dd>\n        \n          \n          \n          \n          \n          \n          <input name=\"results[447][]\" type=\"radio\" value=\"Yes\" class=\"flexiform-radio\" /> Yes<br />\n          \n          <input name=\"results[447][]\" type=\"radio\" value=\"No\" class=\"flexiform-radio\" /> No<br />\n          \n          \n          \n        \n        \n      </dd>\n    \n      \n      <dt>\n        Completion of P11D’s?\n        <div style=\"color: #777; font-weight: normal; font-size: 98%;\"></div>\n      </dt>\n      <dd>\n        \n          \n          \n          \n          \n          \n          <input name=\"results[448][]\" type=\"radio\" value=\"Yes\" class=\"flexiform-radio\" /> Yes<br />\n          \n          <input name=\"results[448][]\" type=\"radio\" value=\"No\" class=\"flexiform-radio\" /> No<br />\n          \n          \n          \n        \n        \n      </dd>\n    \n      \n      <dt>\n        Outsourced Book-keeping and Management Accounts? \n        <div style=\"color: #777; font-weight: normal; font-size: 98%;\"></div>\n      </dt>\n      <dd>\n        \n          \n          \n          \n          \n          \n          <input name=\"results[449][]\" type=\"radio\" value=\"Yes\" class=\"flexiform-radio\" /> Yes<br />\n          \n          <input name=\"results[449][]\" type=\"radio\" value=\"No\" class=\"flexiform-radio\" /> No<br />\n          \n          \n          \n        \n        \n      </dd>\n    \n      \n      <dt>\n        If you would like to add any further details, please do so in the space below\n        <div style=\"color: #777; font-weight: normal; font-size: 98%;\"></div>\n      </dt>\n      <dd>\n        \n        \n        \n          <textarea name=\"results[450]\" rows=\"4\" cols=\"70\" /></textarea>\n        \n        \n        \n      </dd>\n    \n    </dl>\n\n    <p><input type=\"submit\" value=\"Submit Form\" id=\"flexiform-submit\" /></p>\n  </form>\n\n  <p></p>\n\n</div>');