<table align="center" width="100%" cellpadding="25" cellspacing="0" border="1" style="border-collapse: collapse" bordercolor="#111111">
{CHECKJAVASCRIPT}
	<tr>
		<td align="left" bgcolor="#17479E">
			<font size="4" color="#E5E5E5"><b>{SURVEYNAME}</b></font><br />
			<font size="2" color="#CCCCCC">{SURVEYDESCRIPTION}</font>
		</td>
	</tr>
	<tr>
		<td align="left" bgcolor="#E5E5E5">
			<font size="2">{WELCOME}<br /><br />
			<i><br /><br />
			{CLEARALL}
		</td>
	</tr>
</table>
