width: 100%">

<fieldset>

<legend class="strong"><label for="core--contact--verify">Image Verification*</label></legend>

<p class="formfieldleg">Image Verification*</p>


<p><img src="media/core/captcha/10cf1fdf6ad958eeffa9853f6885cec9.png" width="150" height="50" alt="Image Verification" /></p>

<p>Enter the text from the image above to help combat spam.  Validation of your entry is case-sensitive.  If you cannot read the text above, refresh this page to view a different image.</p>

<p class