Out ('<script language="Javascript" type="text/Javascript">');
Out ('function valCoupon() { ');
Out ('var oForm=document.forms.form1; ');
Out ('var sError=""; ');
Out ('var nID=0;')
Out ('for (var i=0;i<oForm.radCoup.length;i++){');
Out ('if (oForm.radCoup[i].checked==true) {');
Out ('nID=oForm.radCoup[i].value; }}')
Out ('if (nID==0) {sError="'+ErrorOut2(73)+'"; alert(sError); }');
Out ('else {oForm.submit();} ');
Out ('} </script>');
Out ('<table cellspacing="0" cellpadding="0" width="745" align="left" border="0"><tbody><tr><td class="header" valign="top" background="images/Community/graphic_com_creambkg.gif" colspan="3"><img alt="SOTA Referral Number" width="643" height="40" src="images/Community/graphic_com_header_referral_number.gif" /><p></p></td></tr>');
Out ('<tr><td valign="top" background="images/Community/graphic_com_creambkg.gif" colspan="3"><table cellpadding="0" width="655" align="center" border="0"><tbody><tr><td class="content" valign="top" background="images/Public/graphic_pub_rightcontent_bkg.gif">');
Out ('<div class="subheader_sec">Where did you discover your Referral Number?</div><br />');
Out ('<p>We love to know how our customers are discovering our Referral Numbers - it\'s such a great way to see how word of our products grows and spreads. We appreciate you taking the time to let us know which of the following options <strong>best applies</strong> to where you found our Referral Number:</p><div style="PADDING-LEFT: 100px">');
Out ('<p><br /><span style="FONT-WEIGHT: bold; COLOR: #793626"><font color="#000000">The Referral Number you entered is:</font> '+sCoup+'</span></p><br />');
Out ('<form id="form1" method="post" action="'+ThisPage()+'" name="form1"><input type="hidden" name="hidContinue" value="Save">');
for (var i=0;i<rCoups.length;i++)
{
Out ('<label><input id="radCoup" type="radio" name="radCoup" value="'+rCoups[i][0]+'" /> '+rCoups[i][1]+'</label><br />');
}
Out ('<br /><div style="PADDING-LEFT: 200px"><img onmouseover="MM_swapImage(\'continue\',\'\',\'images/Community/graphic_com_continue_btn_y.gif\',1)" onmouseout="MM_swapImgRestore()" id="continue" border="0" name="continue" alt="Continue" width="162" height="31" src="images/Community/graphic_com_continue_btn_n.gif" onClick="Javascript:valCoupon();"/></div></form></div></td></tr></tbody></table><br /></td></tr></tbody></table>');
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