Town Meeting Presentation Form

<div id="container" style=" width: 400px; height: 300px; margin: 0px; padding: 0px; border: 1px solid #CECECE;">
		<div id="containerTitle">
			PDF Options:
		</div>
		<div style="padding: 7px; ">
			Your PDF can be generated with custom <i>footer</i>.
			<hr style="background-color: black; height: 1px;"/>
		<form id="pdfoption" onsubmit="return false;">

<span class="fieldHeader">Custom Title: </span><br/>
			<input type="text" value="" id="txtCustomTitle" name="customTitle" style="width: 350px"><br/>
			<br/>
			<table style="width: 100%;">
			    <tr>
			    	<td>
			    	<span class="fieldHeader">Left:</span>
			    	</td>
			    	<td>
			    	<span class="fieldHeader">Center:</span>
			    	</td>
			    	<td>
			    	<span class="fieldHeader">Right:</span>
			    	</td>
			    </tr>
			    <tr>
			    	<td>
			    	<select name="leftOption" id="leftOption">
			    		<option value="title" selected>Title</option>
			    		<option value="pagecounter">Page Counter</option>
			    		<option value="date">Date</option>
			    		<option value="blank">Leave Blank</option>
			    	</select>
			    	</td>
			    	<td>
			    	<select name="centerOption" id="centerOption">
			    		<option value="title">Title</option>
			    		<option value="pagecounter" selected>Page Counter</option>
			    		<option value="date">Date</option>
			    		<option value="blank">Leave Blank</option>
			    	</select>
			    	</td>
			    	<td>
			    	<select name="rightOption" id="rightOption">
			    		<option value="title">Title</option>
			    		<option value="pagecounter">Page Counter</option>
			    		<option value="date" selected>Date</option>
			    		<option value="blank">Leave Blank</option>
			    	</select>
			    	</td>
			    </tr>
			</table>
			<br/>
			<input type="checkbox" id="nofooter" name="nofooter" value="nofooter"/>
			<label for="nofooter">Do not use footer</label><br/>
			<input type="checkbox" id="chkBlank" name="chkBlank" value="chkBlank"/>
			<label for="chkBlank">Print blank record</label>
			<br/><br/>
			<span style="float: right;">
				<input type="button" value="Create PDF" onClick="createPDF('blank'); return false;"/>
				<input type="button" value="Cancel" onClick="Modal.close()"/>
			</span>
		</form>
		</div>
	</div>