<form name="form1"><input type="checkbox" name="inclusion_program" id="inclusion_program_960d" value="Inclusion Report" checked/> <label for="inclusion_program_960d">Check here if you would like this program to be considered for inclusion to the Monthly HTA Report (maximum of three programs per department per month)</label><br /><input type="checkbox" name="inclusion_program" id="inclusion_program_553d" value="Inclusion E-bulletint" checked/> <label for="inclusion_program_553d">Check here if you would like this program to be considered for inclusion in HTA´s monthly e-bulletin (maximum of one program per department per month)</label><br /></form> <script type="text/javascript"> var algo = true; if ( algo ){document.form1.inclusion_program[0].checked = false;document.form1.inclusion_program[1].checked = false;}</script></body>