hi,
I understand, so I had to write the form myself – you can see it here. u can test it but please don’t send the form – it’s for a client. Also, it’s in Hebrew 🙂 the upload box is the big gray button at the bottom.
http://pozetiv.com/%D7%94%D7%A2%D7%9C%D7%90%D7%AA-%D7%AA%D7%9E%D7%95%D7%A0%D7%95%D7%AA/
Best,
Omer