document.write("<script language=\'javascript\'>function validate(){if(document.form1.txtFName.value==\'\'){alert(\'Please enter first name\');document.form1.txtFName.focus();return false;}if(document.form1.txtLName.value==\'\'){alert(\'Please enter last name\');document.form1.txtLName.focus();return false;}}<\/script><style type=\'text\/css\'>select { font-family: Verdana, Arial, Helvetica, sans-serif; font-size: 12px; border: #97a199; border-style: solid; border-top-width: 1px; border-right-width: 1px; border-bottom-width: 1px; border-left-width: 1px; width:159px;} select12{font-family: Verdana; font-size: 12px; border: 1px solid #97a199; height:17px; width:159px; margin-left:2px;padding-left: 4px;}.candidateName { font-family: Arial, Helvetica, sans-serif; font-size: 14px; color:#b50000; font-weight:bold;}.officeTitle { font-family: Arial, Helvetica, sans-serif; font-size: 11px; color:#b50000; font-weight:bold;}.website { font-family: verdana, Arial, Helvetica, sans-serif; font-size: 10px; color:#003471;font-weight:normal; text-decoration:none;}.txtlabel{font-family:Verdana, Arial, Helvetica, sans-serif; font-size:12px;}.txtFooter{font-family:Verdana, Arial, Helvetica, sans-serif; font-size:9px; color:#003471}.Duncan_Txtbox{background-color:#FFFFFF; border: 1px solid #97a199; FONT-FAMILY: verdana; FONT-SIZE: 12px;padding-left: 4px; vertical-align: middle; height:17px; width:159px; margin-left:2px;}.selBox { font-family: Verdana; font-size: 12px; border: 1px solid #97a199; height:17px; width:159px; margin-left:2px;padding-left: 4px;}<\/style><table border=\'0\' width=\'200\' align=\'center\' cellpadding=\'0\' cellspacing=\'0\'><form id=\'form1\' name=\'form1\' method=\'get\' action=\'https:\/\/www.fundraisingbynet.net\/fbn\/contributeFederal.asp?guidRegistration=575E565E\'><tr><td><table width=\'185\' height=\'238\' border=\'2\' align=\'center\' cellpadding=\'0\' cellspacing=\'0\' bordercolor=\'#b50000\'><tr><td valign=\'top\'><table width=\'90%\' border=\'0\' align=\'center\' cellpadding=\'0\' cellspacing=\'0\'><tr><td onClick=window.location.href=\'http:\/\/www.andreamiller.us\/info\' title=\'http:\/\/www.andreamiller.us\/info\'><a  style=\'text-align:left;cursor:hand\' href=\'http:\/\/www.andreamiller.us\/info\'><table align=\'center\' border=\'0\' cellpadding=\'0\' cellspacing=\'0\' width=\'90%\'><tbody><tr><td height=\'25\' align=\'center\' valign=\'bottom\' class=\'candidateName\' onClick=window.location.href=\'http:\/\/www.andreamiller.us\/info\'  title=\'http:\/\/www.andreamiller.us\/info\'>FRIENDS OF ANDREA MILLER<\/td><\/tr><tr><td align=\'center\' class=\'officeTitle\'> FOR U.S. CONGRESS<\/td><\/tr><\/tbody><\/table><\/a><\/td><\/tr><tr><td class=\'txtlabel\'>First Name:<\/td><\/tr><tr><td><input type=\'text\' name=\'txtFName\' class=\'Duncan_Txtbox\'\/><\/td><\/tr><tr><td height=\'11\'><\/td><\/tr><tr><td class=\'txtlabel\'>Last Name:<\/td><\/tr><tr><td><input type=\'text\' name=\'txtLName\' class=\'Duncan_Txtbox\' \/><\/td><\/tr><tr><td height=\'11\'><\/td><\/tr><tr><td class=\'txtlabel\'>Amount:<\/td><\/tr><tr><td><select name=\'amount\'><option value=\'25\'>25<\/option><option value=\'50\'>50<\/option><option value=\'75\'>75<\/option><option value=\'100\'>100<\/option><option value=\'250\'>250<\/option><option value=\'500\'>500<\/option><option value=\'1000\'>1000<\/option><option value=\'1500\'>1500<\/option><option value=\'2400\'>2400<\/option><option value=\'4800\'>4800<\/option><\/select><\/td><\/tr><tr><td height=\'11\'><\/td><\/tr><\/table><input name=\'Submit\' type=\'image\' title=\'Contribute Now\' src=\'http:\/\/www.donationpages.com\/images\/contribute.gif\' onClick=\'return validate();\'><\/td><\/tr><\/table><\/td><\/tr><tr><td height=\'3\'><\/td><\/tr><tr><td><table width=\'185\' height=\'37\' border=\'1\' align=\'center\' cellpadding=\'0\' cellspacing=\'0\' bordercolor=\'#adadad\'><tr><td class=\'txtFooter\' align=\'center\'>Paid for by Friends of Andrea Miller<\/td><\/tr><\/table><\/td><\/tr><input type=\'hidden\' name=\'guidRegistration\' value=\'575E565E\'><\/form><\/table>");