<div class='row-fluid'>

  <div class='span6'>

    <table class='table table-striped table-bordered'>

      <thead>

        <tr>

          <th>Business Name</th>

          <th>{{title}}</th>

        </tr>

      </thead>

      <tbody>

        <tr>

          <td>City</td>

          <td>{{city}}</td>

        </tr>

        <tr>

          <td>State</td>

          <td>{{state}}</td>

        </tr>

      </tbody>

    </table>

    <cml:html class="clicked">

      <a target="_blank" href="http://www.google.com/search?q={{ title | urlencode }}" class="clicked validates-clicked btn btn-info">Click here to search</a>

    </cml:html>

  </div>

  <div class='span6 well'>

    <cml:radios  label="Can you find the official website for &lt;span style='color:green'&gt;{{title}}&lt;/span&gt;?" name='website' validates="required" gold="true">

      <cml:radio label="Yes" value="yes" />

      <cml:radio label="No" value="no" />

    </cml:radios>

    <cml:select only-if='website:[yes]' label="What kind of business is &lt;span style='color:green'&gt;{{title}}&lt;/span&gt;" name='business_type' validates="required" gold="true">

      <cml:option label="Advertising" value="advertising" />

      <cml:option label="Automotive" value="automotive" />

      <cml:option label="Construction" value="construction" />

      <cml:option label="Medical" value="medical" />

      <cml:option label="Music" value="music" />

      <cml:option label="Non-Profit" value="nonprofit" />

      <cml:option label="Real Estate" value="real_estate" />

      <cml:option label="Retail" value="retail" />

      <cml:option label="Software" value="software" />

      <cml:option label="Other" value="other" />

    </cml:select>

    <cml:text only-if='website:[yes]' label="Copy and Paste the URL here:" validates="required url unique:['within_contributor']" gold="true" />

  </div>

</div>