This is the html code
<div class="form_item"><div class="form_element cf_heading"><h1 id="" class="cf_text">Snow Reports - Text Message (SMS)</h1></div><div class="clear"> </div></div><div class="form_item"><div class="form_element cf_text"><span class="cf_text">Complete the following form and submit it to receive your text message snow reports. Note that all fields are required.</span></div><div class="clear"> </div></div><div class="form_item"><div class="form_element cf_text"><span class="cf_text">Please take the time to read our Text Messaging Terms & Conditions, as submitting this forms implies that you accept them. (NOTE: MountainJunkee.ca is NOT responsible for ANY fees induced by your cell phone service provider)</span></div><div class="clear"> </div></div><div class="form_item"><div class="form_element cf_heading"><h4 id="" class="cf_text">Cell Phone Information</h4></div><div class="clear"> </div></div><div class="form_item"><div class="form_element cf_textbox"><label class="cf_label">Cell Phone Number</label><input class="cf_inputbox required validate-number" maxlength="10" size="10" id="text_5" name="text_5" type="text"><a onclick="return false;" class="tooltiplink"><img src="components/com_chronocontact/css/images/tooltip.png" class="tooltipimg" border="0" width="16" height="16"></a><div class="tooltipdiv">Cell Phone Number :: Cell Phone Number - Must be 10 digits, include an area code and omit any dashes or spaces.</div></div><div class="clear"> </div></div><div class="form_item"><div class="form_element cf_dropdown"><label class="cf_label">Carrier/Provider</label><select class="cf_inputbox" id="select_7" size="1" name="select_7"><option value="Rogers">Rogers</option><option value="Bell">Bell</option><option value="Telus">Telus</option><option value="Fido">Fido</option><option value="Solo">Solo</option><option value="Koodo">Koodo</option><option value="Virgin">Virgin</option><option value="PC Mobile">PC Mobile</option></select><a onclick="return false;" class="tooltiplink"><img src="components/com_chronocontact/css/images/tooltip.png" class="tooltipimg" border="0" width="16" height="16"></a><div class="tooltipdiv">Carrier/Provider :: If your carrier is not listed, it is unfortunately not supported by our system. However we are always working hard to extend our service and welcome any feedback.</div></div><div class="clear"> </div></div><div class="form_item"><div class="form_element cf_heading"><h4 id="" class="cf_text">Resorts</h4></div><div class="clear"> </div></div><div class="form_item"><div class="form_element cf_text"><span class="cf_text">(please select at least one, and note that our list will continue to expand) </span></div><div class="clear"> </div></div><div class="form_item"><div class="form_element cf_checkbox"><label class="cf_label">Ontario</label><div class="float_left"><input value="Blue Mountain" class="radio" id="Blue_Mountain" name="Blue_Mountain" type="checkbox"><label for="Blue_Mountain" class="check_label">Blue Mountain</label><br><input value="Mount St. Louis Moonstone" class="radio" id="Mount_St. Louis Moonstone" name="Mount_St. Louis Moonstone" type="checkbox"><label for="Mount_St. Louis Moonstone" class="check_label">Mount St. Louis Moonstone</label><br><input value="Horseshoe" class="radio" id="Horseshoe" name="Horseshoe" type="checkbox"><label for="Horseshoe" class="check_label">Horseshoe</label><br></div></div><div class="clear"> </div></div><div class="form_item"><div class="form_element cf_checkbox"><label class="cf_label">Québec</label><div class="float_left"><input value="Mont Tremblant" class="radio" id="Mont_Tremblant" name="Mont_Tremblant" type="checkbox"><label for="Mont_Tremblant" class="check_label">Mont Tremblant</label><br><input value="Mont Sainte-Anne" class="radio" id="Mont_Sainte-Anne" name="Mont_Sainte-Anne" type="checkbox"><label for="Mont_Sainte-Anne" class="check_label">Mont Sainte-Anne</label><br><input value="Mont Saint-Sauveur" class="radio" id="Mont_Saint-Sauveur" name="Mont_Saint-Sauveur" type="checkbox"><label for="Mont_Saint-Sauveur" class="check_label">Mont Saint-Sauveur</label><br></div></div><div class="clear"> </div></div><div class="form_item"><div class="form_element cf_checkbox"><label class="cf_label">BC</label><div class="float_left"><input value="Whistler" class="radio" id="Whistler" name="Whistler" type="checkbox"><label for="Whistler" class="check_label">Whistler</label><br><input value="Big White" class="radio" id="Big_White" name="Big_White" type="checkbox"><label for="Big_White" class="check_label">Big White</label><br><input value="Panorama Mountain" class="radio" id="Panorama_Mountain" name="Panorama_Mountain" type="checkbox"><label for="Panorama_Mountain" class="check_label">Panorama Mountain</label><br></div></div><div class="clear"> </div></div><div class="form_item"><div class="form_element cf_checkbox"><label class="cf_label">Alberta</label><div class="float_left"><input value="Lake Louise" class="radio" id="Lake_Louise" name="Lake_Louise" type="checkbox"><label for="Lake_Louise" class="check_label">Lake Louise</label><br><input value="Sunshine Village" class="radio" id="Sunshine_Village" name="Sunshine_Village" type="checkbox"><label for="Sunshine_Village" class="check_label">Sunshine Village</label><br><input value="Marmot Basin" class="radio" id="Marmot_Basin" name="Marmot_Basin" type="checkbox"><label for="Marmot_Basin" class="check_label">Marmot Basin</label><br></div></div><div class="clear"> </div></div><div class="form_item"><div class="form_element cf_button"><input value="Submit" name="undefined" type="submit"><input value="Reset" type="reset"><a onclick="return false;" class="tooltiplink"><img src="components/com_chronocontact/css/images/tooltip.png" class="tooltipimg" border="0" width="16" height="16"></a><div class="tooltipdiv">Submit :: Submitting this form confirms that you accept our terms and conditions!</div></div><div class="clear"> </div></div>
And this is the auto-generated code
<?php
if($paramsvalues->dbconnection == "Yes"){
$user = JFactory::getUser();
$row =& JTable::getInstance("chronoforms_TextMsg_Form_5", "Table");
srand((double)microtime()*10000);
$inum = "I" . substr(base64_encode(md5(rand())), 0, 16);
JRequest::setVar( "recordtime", JRequest::getVar( "recordtime", date("Y-m-d")." - ".date("H:i:s"), "post", "string", "" ));
JRequest::setVar( "ipaddress", JRequest::getVar( "ipaddress", $_SERVER["REMOTE_ADDR"], "post", "string", "" ));
JRequest::setVar( "uid", JRequest::getVar( "uid", $inum, "post", "string", "" ));
JRequest::setVar( "cf_user_id", JRequest::getVar( "cf_user_id", $user->id, "post", "int", "" ));
$post = JRequest::get( "post" , JREQUEST_ALLOWRAW );
if (!$row->bind( $post )) {
JError::raiseWarning(100, $row->getError());
}
if (!$row->store()) {
JError::raiseWarning(100, $row->getError());
}
global $row_jos_chronoforms_TextMsg_Form_5;
$row_jos_chronoforms_TextMsg_Form_5 = $row;
}
?>
Thanks for your help