<script src="http://www.jotform.com/js/form.js?v2.0.789" type="text/javascript"></script>
<style type="text/css">
.tbmain{
/* Changes on the form */
background: white !important;
}
.left{
/* Changes on the form */
color: black !important;
font-family: Verdana !important;
font-size: 12px !important;
}
.head{
color:#333333;
font-size:20px;;
text-decoration:underline;
font-family:"Verdana";
}
td.left {
font-family:"Verdana";
font-size:12px;
color:black;
}
.pagebreak{
font-family:"Verdana";
font-size:12px;
color:black;
}
.tbmain{
height:100%;
background:white;
}
span.required{
font-size: 13px !important;
color: red !important;
}
div.backButton{
background: transparent url("http://www.jotform.com//images/btn_back.gif") no-repeat scroll 0 0;
height:16px;
width:53px;
float:left;
margin-bottom:15px;
padding-right:5px;
}
div.backButton:hover{
background: transparent url("http://www.jotform.com//images/btn_back_over.gif") no-repeat scroll 0 0;
}
div.backButton:active{
background: transparent url("http://www.jotform.com//images/btn_back_down.gif") no-repeat scroll 0 0;
}
div.nextButton{
background: transparent url("http://www.jotform.com//images/btn_next.gif") no-repeat scroll 0 0;
height:16px;
width:53px;
float: left;
margin-bottom:15px;
padding-right:5px;
}
div.nextButton:hover{
background: transparent url("http://www.jotform.com//images/btn_next_over.gif") no-repeat scroll 0 0;
}
div.nextButton:active{
background: transparent url("http://www.jotform.com//images/btn_next_down.gif") no-repeat scroll 0 0;
}
.pageinfo{
padding-right:5px;
margin-bottom:15px;
float:left;
}
</style>
<table width="100%" cellpadding="2" cellspacing="0" class="tbmain">
<tr><td class="topleft" width="10" height="10"> </td>
<td class="topmid"> </td>
<td class="topright" width="10" height="10"> </td>
</tr>
<tr>
<td class="midleft" width="10"> </td>
<td class="midmid" valign="top">
<form action="http://www.jotform.com/submit.php" method="post" name="q_form_83425527619">
<input type="hidden" name="formID" value="83425527619" />
<div id="main">
<div class="pagebreak">
<input type="hidden" id="spc" name="spc" value="spc" />
<script type="text/javascript">
document.getElementById('spc').value = 'c2ef975c607a17fdd0722a832d5ec76a';
</script>
<table width="520" cellpadding="5" cellspacing="0">
<tr >
<td width="150" class="left" >
<label >Nombre</label>
</td>
<td class="right" >
<input type="text" size="20" name="q0_Nombre" class="text" value="" id="q0" maxlength="100" maxsize="100" />
</td>
</tr>
<tr >
<td width="150" class="left" >
<label >Apellidos</label>
</td>
<td class="right" >
<input type="text" size="20" name="q1_Apellidos" class="text" value="" id="q1" maxlength="100" maxsize="100" />
</td>
</tr>
<tr >
<td width="150" class="left" >
<label >Nick del foro (si estas registrado)</label>
</td>
<td class="right" >
<input type="text" size="20" name="q3_Nickdelforosiestasre" class="text" value="" id="q3" maxlength="100" maxsize="100" />
</td>
</tr>
<tr >
<td width="150" class="left" >
<label >E-mail</label>
</td>
<td class="right" >
<input type="text" size="20" name="q2_Email" class="text" value="" id="q2" maxlength="100" maxsize="100" />
</td>
</tr>
<tr >
<td width="150" class="left" valign="top" >
<label>Tu duda, sugerencia, critica..</label>
</td>
<td class="right" >
<textarea cols="30" rows="2" name="q8_Tududasugerenciacrit" class="text" id="q8" ></textarea>
</td>
</tr>
<tr >
<td width="150" class="left" >
</td>
<td class="right">
<input type="submit" class="btn" value="Submit" />
</td>
</tr>
</table>
</div>
</div>
</form>
</td>
<td class="midright" width="10"> </td>
</tr>
<tr>
<td class="bottomleft" width="10" height="10"> </td>
<td class="bottommid"> </td>
<td class="bottomright" width="10" height="10"> </td>
</tr>
</table>
<script type="text/javascript">
validate("q_form_83425527619");
</script>
