document.write("<form  method=POST action=\"http://www.mediamessiah.com/cgi-scr"+"ipt/csFormbuilder/csFormbuilder.cgi\" name=\"form_240\"  >\n");
document.write("<input type=hidden name=form-id value=\"240\">\n");
document.write("<input type=hidden name=command value=\"mailform\">\n");
document.write("<link rel=\"stylesheet\" type=\"text/css\" href=\"http://www.mediamessiah.com/cgi-scr"+"ipt/csFormbuilder/forms/CammyAwards2023-SUMMER.css\">\n");
document.write("<table border=\"0\" cellspacing=\"0\" cellpadding=\"3\">\n");
document.write("<tr><td class=\"textLabel\" colspan=2>Models registration form (for model use only)</td></tr><tr><td class=\"textLabel\" colspan=2><hr width=\"100%\"   align=\"left\"></td></tr><tr><td nowrap class=\"textLabel\" align=\"left\" ></td><td align=left valign=top nowrap class=\"textLabel\"><table align=left border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n");
document.write("<tr>\n");
document.write("<td nowrap class=\"textLabel\" align=\"left\">*Email:</td>\n");
document.write("</tr>\n");
document.write("<tr>\n");
document.write("<td nowrap class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"Email\"  size=\"50\"  ></td>\n");
document.write("</tr>\n");
document.write("</table> <!-- tr ph 0--></td></tr>\n");
document.write("<tr><td class=\"textLabel\" colspan=2><hr width=\"100%\"   align=\"left\"></td></tr><tr><td nowrap class=\"textLabel\" align=\"left\" ></td><td align=left valign=top nowrap class=\"textLabel\"><table align=left border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n");
document.write("<tr>\n");
document.write("<td nowrap class=\"textLabel\" align=\"left\">*Twitter Username</td>\n");
document.write("</tr>\n");
document.write("<tr>\n");
document.write("<td nowrap class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"twitter\"  size=\"50\"   maxlength=\"50\" ></td>\n");
document.write("</tr>\n");
document.write("</table> <!-- tr ph 1--></td></tr>\n");
document.write("<tr><td class=\"textLabel\" colspan=2><hr width=\"100%\"   align=\"left\"></td></tr><tr><td nowrap class=\"textLabel\" align=\"left\"  valign=\"top\" ></td><td align=left valign=top nowrap class=\"textLabel\"><table align=left border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n");
document.write("<tr>\n");
document.write("<td nowrap class=\"textLabel\" align=\"left\">*Which best describes location </td>\n");
document.write("</tr>\n");
document.write("<tr>\n");
document.write("<td nowrap class=\"textLabel\"><table border=0 cellspacing=2 cellpadding=0><tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"region\" value=\"United States\" ></td><td class=\"textLabel\">United States</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"region\" value=\"Canada\" ></td><td class=\"textLabel\">Canada</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"region\" value=\"International\" ></td><td class=\"textLabel\">International</td></tr>\n");
document.write("</table>\n");
document.write("</td>\n");
document.write("</tr>\n");
document.write("</table> <!-- tr ph 2--></td></tr>\n");
document.write("<tr><td class=\"textLabel\" colspan=2><hr width=\"100%\"   align=\"left\"></td></tr><tr><td nowrap class=\"textLabel\" align=\"left\"  valign=\"top\" ></td><td align=left valign=top nowrap class=\"textLabel\"><table align=left border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n");
document.write("<tr>\n");
document.write("<td nowrap class=\"textLabel\" align=\"left\">What interests you (select all that apply)? *You will receive an e-mail before the next event with details! </td>\n");
document.write("</tr>\n");
document.write("<tr>\n");
document.write("<td nowrap class=\"textLabel\"><table border=0 cellspacing=2 cellpadding=0><tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"contests\" value=\"I want to be a guest host/ Trophy Girl via webcam for the awards shows!\"></td><td class=\"textLabel\">I want to be a guest host/ Trophy Girl via webcam for the awards shows!</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"contests\" value=\"Cammy Awards Magazine Cover Girl or feature + Promo graphics help (requires 5-10 featured photos, no nudity)!\"></td><td class=\"textLabel\">Cammy Awards Magazine Cover Girl or feature + Promo graphics help (requires 5-10 featured photos, no nudity)!</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"contests\" value=\"Cammy Pep Rally (earn extra exposure + potential gifts while you cam on MFC, Chaturbate or CamSoda)!\"></td><td class=\"textLabel\">Cammy Pep Rally (earn extra exposure + potential gifts while you cam on MFC, Chaturbate or CamSoda)!</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"contests\" value=\"I want to be a guest DJ (playlist only)\"></td><td class=\"textLabel\">I want to be a guest DJ (playlist only)</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"contests\" value=\"I want to be a guest DJ (and mix it myself)\"></td><td class=\"textLabel\">I want to be a guest DJ (and mix it myself)</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"contests\" value=\"Cammy Cup: Video Game Challenge\"></td><td class=\"textLabel\">Cammy Cup: Video Game Challenge</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"contests\" value=\"2024 ASMR Performer Of The Year!\"></td><td class=\"textLabel\">2024 ASMR Performer Of The Year!</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"contests\" value=\"2024 BeatsBabe (for models that love house or hip hop music and culture)!\"></td><td class=\"textLabel\">2024 BeatsBabe (for models that love house or hip hop music and culture)!</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"contests\" value=\"2024 BJ Performer Of The Year (requires 45 second video clip)!\"></td><td class=\"textLabel\">2024 BJ Performer Of The Year (requires 45 second video clip)!</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"contests\" value=\"2024 Diva Of The Year!\"></td><td class=\"textLabel\">2024 Diva Of The Year!</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"contests\" value=\"2024 Girl Of Summer!\"></td><td class=\"textLabel\">2024 Girl Of Summer!</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"contests\" value=\"2024 Queen Of Cams!\"></td><td class=\"textLabel\">2024 Queen Of Cams!</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"contests\" value=\"2024 Cutest Cam Girl!\"></td><td class=\"textLabel\">2024 Cutest Cam Girl!</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"contests\" value=\"2024 Princess Of The Year!\"></td><td class=\"textLabel\">2024 Princess Of The Year!</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"contests\" value=\"2024 Miss Puck Bunny (for hockey fans or gals with bunny ears)!\"></td><td class=\"textLabel\">2024 Miss Puck Bunny (for hockey fans or gals with bunny ears)!</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=checkbox name=\"contests\" value=\"2025 Miss Super Sunday (for NFL fans only)!\"></td><td class=\"textLabel\">2025 Miss Super Sunday (for NFL fans only)!</td></tr>\n");
document.write("</table>\n");
document.write("</td>\n");
document.write("</tr>\n");
document.write("</table> <!-- tr ph 3--></td></tr>\n");
document.write("<tr><td class=\"textLabel\" colspan=2><hr width=\"100%\"   align=\"left\"></td></tr><tr><td nowrap class=\"textLabel\" align=\"left\"  valign=\"top\" ></td><td align=left valign=top nowrap class=\"textLabel\"><table align=left border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n");
document.write("<tr>\n");
document.write("<td nowrap class=\"textLabel\" align=\"left\">*Which award would you most like to be nominated for? </td>\n");
document.write("</tr>\n");
document.write("<tr>\n");
document.write("<td nowrap class=\"textLabel\"><table border=0 cellspacing=2 cellpadding=0><tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"award_selection\" value=\"Rookie Of The Year\" ></td><td class=\"textLabel\">Rookie Of The Year</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"award_selection\" value=\"Alternative Performer Of The Year\" ></td><td class=\"textLabel\">Alternative Performer Of The Year</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"award_selection\" value=\"Curvaceous Performer Of The Year\" ></td><td class=\"textLabel\">Curvaceous Performer Of The Year</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"award_selection\" value=\"Cosplay Performer Of The Year\" ></td><td class=\"textLabel\">Cosplay Performer Of The Year</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"award_selection\" value=\"Fetish Performer Of The Year\" ></td><td class=\"textLabel\">Fetish Performer Of The Year</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"award_selection\" value=\"MILF Performer Of The Year\" ></td><td class=\"textLabel\">MILF Performer Of The Year</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"award_selection\" value=\"Most Creative Performer\" ></td><td class=\"textLabel\">Most Creative Performer</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"award_selection\" value=\"4:20 Model Of The Year\" ></td><td class=\"textLabel\">4:20 Model Of The Year</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"award_selection\" value=\"Gamer Girl Of The Year\" ></td><td class=\"textLabel\">Gamer Girl Of The Year</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"award_selection\" value=\"Cam Girl Duo Of The Year (2 girls)\" ></td><td class=\"textLabel\">Cam Girl Duo Of The Year (2 girls)</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"award_selection\" value=\"Cam Couple Of The Year (boy/girl)\" ></td><td class=\"textLabel\">Cam Couple Of The Year (boy/girl)</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"award_selection\" value=\"Pornstar Performer Of The Year\" ></td><td class=\"textLabel\">Pornstar Performer Of The Year</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"award_selection\" value=\"Pornstar Cammer, Crossover Performer Of The Year\" ></td><td class=\"textLabel\">Pornstar Cammer, Crossover Performer Of The Year</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"award_selection\" value=\"Best Body\" ></td><td class=\"textLabel\">Best Body</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"award_selection\" value=\"Best Butt\" ></td><td class=\"textLabel\">Best Butt</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"award_selection\" value=\"Best Boobs\" ></td><td class=\"textLabel\">Best Boobs</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"award_selection\" value=\"Best Smile\" ></td><td class=\"textLabel\">Best Smile</td></tr>\n");
document.write("<tr><td class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=radio name=\"award_selection\" value=\"None Of The Above\" ></td><td class=\"textLabel\">None Of The Above</td></tr>\n");
document.write("</table>\n");
document.write("</td>\n");
document.write("</tr>\n");
document.write("</table> <!-- tr ph 4--></td></tr>\n");
document.write("<tr><td class=\"textLabel\" colspan=2><hr width=\"100%\"   align=\"left\"></td></tr><tr><td nowrap class=\"textLabel\" align=\"left\" ></td><td align=left valign=top nowrap class=\"textLabel\"><table align=left border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n");
document.write("<tr>\n");
document.write("<td nowrap class=\"textLabel\" align=\"left\">Cammiversary Date (Your anniversary date in becoming a cam model) MM/DD/YEAR</td>\n");
document.write("</tr>\n");
document.write("<tr>\n");
document.write("<td nowrap class=\"textLabel\"><input onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"Date\"  size=\"40\"   maxlength=\"40\" ></td>\n");
document.write("</tr>\n");
document.write("</table> <!-- tr ph 5--></td></tr>\n");
document.write("<tr><td class=\"textLabel\" colspan=2><hr width=\"100%\"   align=\"left\"></td></tr><tr><td nowrap class=\"textLabel\" align=\"left\" ></td><td align=left valign=top nowrap class=\"textLabel\"><table align=left border=\"0\" cellspacing=\"0\" cellpadding=\"0\">\n");
document.write("<tr>\n");
document.write("<td nowrap class=\"textLabel\">Verify Authentication Code:</td>\n");
document.write("</tr>\n");
document.write("<tr>\n");
document.write("<td nowrap class=\"textLabel\"><img id=\"Verification_img\" align=absmiddle border=0 width=59 height=15 src=\"\"><input type=hidden id=\"Verification_sid\" name=\"Verification_sid\" value=\"\"> <scr"+"ipt language=javascr"+"ipt src=\"http://www.mediamessiah.com/cgi-scr"+"ipt/csFormbuilder/vimage.cgi?command=g&f=Verification\"></scr"+"ipt>&nbsp;<input  onfocus=\"className='textFieldFocus'\" onblur=\"className='textField'\" class=\"textField\" type=\"text\" name=\"Verification\"  ></td>\n");
document.write("</tr>\n");
document.write("</table> <!-- tr ph 6--></td></tr>\n");
document.write("<tr><td colspan=2 align=\"left\"><input onmouseover=\"className='buttonfieldFocus'\" onmouseout=\"className='buttonfield'\" class=\"buttonfield\" type=button value=\"Back\" onClick=\"history.back();\"><input onmouseover=\"className='buttonfieldFocus'\" onmouseout=\"className='buttonfield'\" class=\"buttonfield\" type=submit value=\"Submit\"></td></tr>\n");
document.write("</table>\n");
document.write("</form>\n");