var companyName = "The Levy Group of Tax Professionals";
var ppaPhone = "8009403414";
var loczoom = 13 ;
var loclat = "42.498075";
var loclon = "-83.222350";
var pgEmailFields =  new Array(); 
 pgEmailFields[0] = new emailFormField("Name","name","textfield","") ;
 pgEmailFields[1] = new emailFormField("Email","email","textfield","") ;
 pgEmailFields[2] = new emailFormField("Phone","phone","textfield","") ;
 pgEmailFields[3] = new emailFormField("Explain your tax problems","","label","") ;
 pgEmailFields[4] = new emailFormField("Total Debt","CV_debt","select","Select:5,000-10,000:10,000-20,000:20,000-30,000:40,000-50,000:50,000-75,000:75,000-100,000:100,000+") ;
 pgEmailFields[5] = new emailFormField("Federal or State","CV_agency","select","Select:Federal:State:State and Federal") ;
 pgEmailFields[6] = new emailFormField("Tax Problem","CV_problem","select","Select:Assets Seized:Bank Account Levy:Can't Pay Unpaid Taxes:Innocent Spouse:IRS Levy Against Customers:Lien Filed:Received Audit Notice:Unpaid Penalties &Interest:Wage Garnishment:Other") ;
 pgEmailFields[7] = new emailFormField("Address","","label","") ;
 pgEmailFields[8] = new emailFormField("Home Address","CV_address1","textfield","") ;
 pgEmailFields[9] = new emailFormField("City","CV_city","textfield","") ;
 pgEmailFields[10] = new emailFormField("State","CV_state","textfield","") ;
 pgEmailFields[11] = new emailFormField("Zip","CV_zip","textfield","") ;