document.write('<script type=\"text/javascript\" src=\"https://assets.bravenet.com/bn/js/emailfwd/bn_email_forms.min.js\"></script><link rel=\"stylesheet\" href=\"https://pub33.bravenet.com/emailfwd/v2/bnet-form.css.php?usernum=2798844518&formid=3861&formpadding=0\"><form method=\"post\" class=\"bnet-form\" enctype=\"multipart/form-data\" action=\"#bn-ajax-post:2798844518:33:3861\"><div class=\"bn-form-header\"><div class=\"bn-form-legend\"><div>Please complete the following form to have your show included on TXZC - The \'X\' Zone Channel</div></div> <div class=\"bn-form-desc\"><p>Please fill out the fields below.</p></div></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">Name <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><input name=\"Field-1\" placeholder=\"your first and last name\" validator=\"\" value=\"\" required=\"required\" type=\"text\"></span></label></div><div class=\"fields-wrapper 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rowcb\"><span class=\"bn-label\">What is the main topic of this show </span> <span class=\"bn-input\"><span class=\"bn-optionwrapper\"><label class=\"bn-radio\"><input name=\"Field-152493738364830\" value=\"UFOs, Aliens\" checked=\"checked\" type=\"radio\"> <span class=\"bn-inner-label\">UFOs, Aliens</span></label></span><span class=\"bn-optionwrapper\"><label class=\"bn-radio\"><input name=\"Field-152493738364830\" value=\"Ghosts, Haunting\" type=\"radio\"> <span class=\"bn-inner-label\">Ghosts, Haunting</span></label></span><span class=\"bn-optionwrapper\"><label class=\"bn-radio\"><input name=\"Field-152493738364830\" value=\"Conspiracies, New World Order\" type=\"radio\"> <span class=\"bn-inner-label\">Conspiracies, New World Order</span></label></span><span class=\"bn-optionwrapper\"><label class=\"bn-radio\"><input name=\"Field-152493738364830\" value=\"Bigfoot, Monsters\" type=\"radio\"> <span class=\"bn-inner-label\">Bigfoot, Monsters</span></label></span><span 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value=\"Time Travel\" type=\"radio\"> <span class=\"bn-inner-label\">Time Travel</span></label></span><span class=\"bn-optionwrapper\"><label class=\"bn-radio\"><input name=\"Field-152493738364830\" value=\"Demons / Demonology\" type=\"radio\"> <span class=\"bn-inner-label\">Demons / Demonology</span></label></span><span class=\"bn-optionwrapper\"><label class=\"bn-radio\"><input name=\"Field-152493738364830\" value=\"Space Exploration / Mysteries\" type=\"radio\"> <span class=\"bn-inner-label\">Space Exploration / Mysteries</span></label></span><span class=\"bn-optionwrapper\"><label class=\"bn-radio\"><input name=\"Field-152493738364830\" value=\"Other Parapsychology Subject\" type=\"radio\"> <span class=\"bn-inner-label\">Other Parapsychology Subject</span></label></span><span class=\"bn-optionwrapper\"><label class=\"bn-radio\"><input name=\"Field-152493738364830\" value=\"Other Paranormal Subject\" type=\"radio\"> <span class=\"bn-inner-label\">Other Paranormal Subject</span></label></span></span></div></div><div class=\"fields-wrapper\"><label class=\"bn-row\"><span class=\"bn-label\">Give us the general description of your show </span> <span class=\"bn-input\"><textarea name=\"Field-152493789563268\" placeholder=\"describe here\" validator=\"\"></textarea></span></label></div><div class=\"fields-wrapper\"><label class=\"bn-row\"><span class=\"bn-label\">Number of completed episodes </span> <span class=\"bn-input\"><input name=\"Field-152493676777084\" placeholder=\"example - 2 seasons, 6 episodes per season\" validator=\"\" value=\"\" type=\"text\"></span></label></div><div class=\"fields-wrapper\"><label class=\"bn-row\"><span class=\"bn-label\">Length of episodes without commercial content </span> <span class=\"bn-input\"><input name=\"Field-152493679761689\" placeholder=\"example - 4 segments, 6 minutes each segment\" validator=\"\" value=\"\" type=\"text\"></span></label></div><div class=\"fields-wrapper\"><label class=\"bn-row\"><span 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