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		<input type="hidden" id="num_questions" name="num_questions" value="8">
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	$(function () {
		// reset payment token in case user clicked Back button in browser
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		//$('#business_radio').trigger('change');
		
		
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	}

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	var sent = 0;
	
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	function init() {
		frm = document.iform;

		
	}

	window.onload = new Function("init()"); //set init function to run at page load

	function lcase(mystring)  {
		return mystring.toLowerCase()
	}

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		if(!delimiters){var delimiters=','}
		_TempListSplitArray = list.split(delimiters)
		FoundIdx = 0;
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			if(_TempListSplitArray[i]==value){
				FoundIdx= i+1;
				break
			}
		}
		return FoundIdx;
	}

	function startValidate() {
		// this will kick off validation, but since we need to validate the captcha
		// we have to wait for that to finish first...
		var iForm = document.getElementById('iform');
		var fld_ss_form_testid = document.getElementById('fld_ss_form_testid');
		var mainV = validateFrm();
		fld_ss_form_testid.value = 1;
		if (mainV) {
			
				iForm.submit();
			
		}
	}

	function validateFrm() {
		if(!sent) sent = 0;  //make sure we have this!
		if (!validForm) validForm = false;
		arrReqMissing = new Array();
		
			
			var jsDesc = "\n\n\r\n\r\n\r\nRelease-Based Cleanup Regulations Breakfast Registration\r\n\r\n\n\nDate Friday, September 18, 2026\r\nLocation Kay&#39;s Pier South, Aqua Turf Club, Plantsville, CT\r\nRegistration &amp; Breakfast 700 am\r\nProgram 800 am\r\nAdjournment Noon\r\n\r\nAgenda\r\n\r\n\r\n\tOverview of Transition to Release-Based Cleanup Program and Release-Based Cleanup Regulations\r\n\tDiscovery of Releases at Construction Sites and Next Steps\r\n\t\r\n\t\tExisting Pollution\r\n\t\tNew Spills\r\n\t\r\n\t\r\n\tSpill Cleanup Contractor Permits\r\n\t\r\n\t\tIndividual permits\r\n\t\tGeneral Permits\r\n\t\r\n\t\r\n\tImporting/Exporting Materials\r\n\r\n\r\n\r\n\r\nPresentations by\r\n\r\n\r\n\r\n\r\n\n\nView the Flyer\r\n";
			
			
			var jsDesc = "Company";
			
				obj = document.iform.response_2;
				val = "";
				
				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
				}
				
			
			var jsDesc = "Registration Contact";
			
				obj = document.iform.response_3;
				val = "";
				
				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
				}
				
			
			var jsDesc = "Confirmation Email";
			
				obj = document.iform.response_4;
				val = "";
				
				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
				}
				
			
			var jsDesc = "\n\nPlease let us know how many attendees you are registering and their names below.";
			
			
			var jsDesc = "Count";
			
				obj = document.iform.response_6;
				val = "";
				
				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
				}
				
			
			var jsDesc = "Attendee Name";
			
				obj = document.iform.response_7;
				val = "";
				
				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
				}
				
			
			var jsDesc = "Additional Attendees";
			
			
		if(arrReqMissing.length > 0) {
			//errStr = "We're sorry, but the following fields are required before you can submit this form. Please click OK, then correct these entries.<br>";
			errStr = "";
			for(i=0; i<arrReqMissing.length; i++) {
				errStr += arrReqMissing[i] + "<br>";
			}
			swal({
	  			title: 'Missing required fields',
	  			html: true,
	  			text: errStr,
	  			animation: 'slide-from-top',
	  			type: 'info',
	  			confirmButtonText: 'Ok',
	  			confirmButtonColor: '#337ab7'
	  		});
			return false;
		}

		for(i=0; i<document.iform.elements.length; i++) {
		 	if (document.iform.elements[i].type == 'textarea' || document.iform.elements[i].type == 'text') {
		 		if (document.iform.elements[i].value.length > 2147483647) {
		 			swal({
			  			title: 'Maximum allowable length',
			  			html: true,
			  			text: "One or more field responses exceeds the maximum allowable length of 2147483647 characters. Please adjust your responses and re-submit.",
			  			animation: 'slide-from-top',
			  			type: 'info',
			  			confirmButtonText: 'Ok',
			  			confirmButtonColor: '#337ab7'
			  		});
		 			return false;
		 		}
		 	}
		}

		if (sent == 1) {
	          swal({
	  			title: 'Processing..',
	  			html: true,
	  			text: "Your request is processing. Please do not click Submit more than once.",
	  			animation: 'slide-from-top',
	  			type: 'info',
	  			confirmButtonText: 'Ok',
	  			confirmButtonColor: '#337ab7'
	  		  });
	          return false;
	    }
		
			bOK = true;
		
		if (bOK) {
			var btn = $('#submitBtn');
			btn.button('loading');
			btn.prop('disabled', true);
			sent = 1;
			validForm = true;
			return true;
		}
		else {
			return false;
		}
	}

	function IsNumeric(sText) {
	   var ValidChars = "0123456789.";
	   var IsNumber=true;
	   var Char;

	   for (i = 0; i < sText.length && IsNumber == true; i++) {
	      Char = sText.charAt(i);
	      if (ValidChars.indexOf(Char) == -1) {
	         IsNumber = false;
	      }
	   }
	   return IsNumber;
	}

	function setButtonVal(el, itemID, price) {
		// first set the price attribute on the element
		el.price = price;
		// now set the value of a hidden field for the associated radio button
		document.getElementById(itemID).price = price;
		document.getElementById(itemID).value = 1;
		// now call the calcTotalFix function to recaculate the total amount due
		calcTotalFix();
	}

	function getRadioButtonValForTotal(radioName){
		var rads = document.getElementsByName(radioName);
		var selectedPrice = 0;
		for(i=0; i < rads.length; i++) {
		  if(rads[i].checked == true){
		    selectedPrice = rads[i].getAttribute('price');
		  }
		}

		selectedPrice = parseFloat(selectedPrice);
		return selectedPrice;
	}

	function calcTotalFix() {
		var priceFields = $(".calculateTotal");
		// console.log('priceFields length: ' + priceFields.length);
		var updateTotal = 0; // initialize total before looping over array
		var processedRadioButtons = [];	/// reset array every time this function is called
		for (var i=0; i < priceFields.length; i++) {
			myFieldObj = priceFields[i];
			if (myFieldObj.value == '') { myFieldObj.value = 0; }
			fieldName = myFieldObj.name;
			value = myFieldObj.value;
			fieldID = myFieldObj.getAttribute('id');
			price = myFieldObj.getAttribute('price');

			// check to see if this is a radioVal by the item id
			if(fieldID != undefined){
				var nRadioVal = fieldID.indexOf("radioVal");
				if(nRadioVal > -1){
					fieldtype = 'radioval';
				} else {
					fieldtype = 'notradioval';
				}
			} else {
				fieldtype = 'nofieldid';
			}

			// if this is just an open price field, there is no notion of quantity times price, so the price to the value of the field
			if(fieldtype === 'radioval'){
				// radio price field - use "price" attribute since we have funky stuff in the "value" attribute that we can't parse easily
				arrNum = $.inArray(fieldName, processedRadioButtons);
				if(arrNum > -1) {
					// set price and calcualted value to zero for the rest of the checkboxes in this array because don't want to keep adding to price
					price = 0;
					calculatedValue = parseFloat(0);
				} else {
					price = getRadioButtonValForTotal(fieldName);
					calculatedValue = parseFloat(price);
					// add radio button field name to array of radio fields processed so we don't check again
					processedRadioButtons.push(fieldName);
				}
				// console.log('fieldName: ' + fieldName + ' / value: ' + value + ' fieldID: ' + fieldID + ' / price: ' + price + ' / calculatedValue: ' + calculatedValue);
			} else {
				if (price === undefined || price === null) {
				// check to see if it's a radio price field first
					// open price field - use "value" attribute
					if (!IsNumeric(value)) {
						//alert("Open Prices must be numbers only, no formatting is allowed.");
						swal({
				  			title: 'Numbers only',
				  			html: true,
				  			text: "Open Prices must be numbers only, no formatting is allowed.",
				  			animation: 'slide-from-top',
				  			type: 'info',
				  			confirmButtonText: 'Ok',
				  			confirmButtonColor: '#337ab7'
				  		});
						myFieldObj.value = 0;
						return;
					}
					calculatedValue = parseFloat(value);
					// console.log('fieldName: ' + fieldName + ' / value: ' + value + ' fieldID: ' + fieldID + ' / price: ' + price + ' / calculatedValue: ' + calculatedValue);
				} else {
					if (!IsNumeric(value)) {
						//alert("Price fields only allow numbers.");
						swal({
				  			title: 'Price fields',
				  			html: true,
				  			text: "Price fields only allow numbers.",
				  			animation: 'slide-from-top',
				  			type: 'info',
				  			confirmButtonText: 'Ok',
				  			confirmButtonColor: '#337ab7'
				  		});
						myFieldObj.value = 0;
						return;
					}
					myVal = parseFloat(value);
					// console.log('in parseint with 10 - fieldName: ' + fieldName + ' / value: ' + value + ' fieldID: ' + fieldID + ' / price: ' + price + ' / myVal: ' + myVal);
					calculatedValue = myVal * parseFloat(price);

				}
			}


			// console.log('Field id: ' + fieldID + ' / Fieldtype: ' + fieldtype + ' / Field name: ' + fieldName + ' / value: ' + value + ' / Price: ' + price + ' / Calculated Field Total: ' + calculatedValue);
			updateTotal = updateTotal + calculatedValue;
		}

		// update hidden total amount
		if (document.iform.hiddentotal) { document.iform.hiddentotal.value = updateTotal; }
		// console.log('The updateTotal is now: ' + updateTotal);
		
		
		// update total value with formatted amount
		if (typeof(formatCurrency) == "function") { document.iform.total.value = formatCurrency(updateTotal); }
		
		if ($('#ordertotal_work').length > 0) {
            $('#ordertotal_work').val(updateTotal.toFixed(2));
        }
        
        if ($('#pmt_method').length > 0) {
        	$('#pmt_method').val('');
        }
        $('.paymentProfileRadio').prop('checked', false);
        $('.card').removeClass('active');
        
		// need to update the cc_info tag fields...
		if (typeof(checkTotal) == "function") { checkTotal(); }
	}

	/* remove after confirming ok without it - 8/8/13 CJV */
	function calcTotal(myField){
		thisVal = myField.value;
		// alert(thisVal);
		if (thisVal == '') {
			thisVal = 0;
			myField.value = 0;
			}
			if (!IsNumeric(myField.value)) {
				//alert('Please enter only numbers or decimal points in a price field');
				swal({
		  			title: 'Price field',
		  			html: true,
		  			text: "Please enter only numbers or decimal points in a price field.",
		  			animation: 'slide-from-top',
		  			type: 'info',
		  			confirmButtonText: 'Ok',
		  			confirmButtonColor: '#337ab7'
		  		});
				myField.value = 0;
				thisVal = 0;
				}
				// get the current total
				var origTotal = document.iform.hiddentotal.value;
				// now backout the prior value from the total
				var priorTotal = origTotal - myField.priorval;
				if(priorTotal == ''){
					priorTotal = 0;
					}
				// add the open price to the total
				updateTotal = parseFloat(eval(priorTotal)) + parseFloat(eval(thisVal));
				// update hidden total amount
				document.iform.hiddentotal.value = updateTotal;
				
					
				// update total value with formatted amount
				document.iform.total.value = formatCurrency(updateTotal);
		checkTotal(); // need to update the cc_info tag fields...
	}
	/* */

	function setOpenPriceInput(thisField,thisPrice){
		if(thisPrice == ''){
			thisField.priorval = 0;
		} else {
			thisField.priorval = thisPrice;
		}
	}

	
		var div_bottom_moved = false;

		function addLoadEvent(func) {
 			var oldonload = window.onload;
  			if (typeof window.onload != 'function') {
    			window.onload = func;
  			}
  			else {
    			window.onload = function() {
      				if (oldonload) {
        				oldonload();
      				}
      				func();
    			}
  			}
 		}

		addLoadEvent(calcTotalFix);
	
</script>

	
<style>
.has-error {
	color: #f70404 !important;
}
.has-error input {
	border: 1px solid #f70404 !important;
}
</style>


<script>
	function checkInvalidCharacter(objName){
		var obj = document.iform[objName];
		var strFileName = obj.value.replace('C:\\fakepath\\','');
		iTemp = strFileName.indexOf(":");
		
		if (iTemp > -1) {
			swal({
	  			title: 'Invalid character',
	  			html: true,
	  			text: "Invalid character ':' found in file name. Please change the file name before attempting to upload this file.",
	  			animation: 'slide-from-top',
	  			type: 'info',
	  			confirmButtonText: 'Ok',
	  			confirmButtonColor: '#337ab7'
	  		});
			obj.value = '';
			return false;
		}
		else {
			iTemp = obj.value.indexOf(",");
			if (iTemp > -1) {
				swal({
		  			title: 'Invalid character',
		  			html: true,
		  			text: "Invalid character ',' found in file name. Please change the file name before attempting to upload this file.",
		  			animation: 'slide-from-top',
		  			type: 'info',
		  			confirmButtonText: 'Ok',
		  			confirmButtonColor: '#337ab7'
		  		});
				obj.value = '';
				return false;
			}
		}
	}
	function clearRadio(rd) {
		if (document.iform) {
			var v;
			var ln;
			var ev;
			submitted = 0;
			v = "document.iform." + rd + ".length";
			ln = eval(v);
			// This will ensure we uncheck if there is only 1 radio button..
			v = "document.iform." + rd + ".checked = false;";
			ev = eval(v);
			// Now loop through the list of radio buttons and uncheck them all
			for (i=0;i<ln;i++) {
				v = "document.iform." + rd + "[" + i + "].checked = false;";
				//console.log(v);
				ev = eval(v);
			}
			calcTotalFix();
		}
	}
</script>


<div class="form_layout_wrapper" style="max-width:940px;" >

	
			<!-- The inner div, for the sake of IE -->
			<div id="layout_form_item" style="clear:both;border:0px solid orange;margin:0 0 0px 0;padding:0;min-height:0px;">
		

		<div id="form-item-13097" class="layout form item outer row-1 item-13097 row_num-20 row_pos-16384 rowlength-1 type-None" style="clear:both;width:100%;position:relative;">

			<div class="inner">

				
						<p><img alt="" src="/images/RBCR_brkfst_web_header.png" style="width: 900px; height: 217px;" /></p>

<div class="i4a_ck_halfleft">
<h2><strong>Release-Based Cleanup Regulations Breakfast Registration</strong></h2>

<p>Date: Friday, September 18, 2026<br />
Location: Kay&#39;s Pier South, Aqua Turf Club, Plantsville, CT<br />
Registration &amp; Breakfast: 7:00 am<br />
Program: 8:00 am<br />
Adjournment: Noon</p>

<h2>Agenda</h2>

<ul>
	<li>Overview of Transition to Release-Based Cleanup Program and Release-Based Cleanup Regulations</li>
	<li>Discovery of Releases at Construction Sites and Next Steps
	<ul>
		<li>Existing Pollution</li>
		<li>New Spills</li>
	</ul>
	</li>
	<li>Spill Cleanup Contractor Permits
	<ul>
		<li>Individual permits</li>
		<li>General Permits</li>
	</ul>
	</li>
	<li>Importing/Exporting Materials</li>
</ul>
</div>

<div class="i4a_ck_halfright">
<h2>Presentations by:</h2>

<h2><br />
<img alt="" src="/images/headshot_combo.png" style="width: 300px; height: 293px;" /></h2>

<p><a href="/files/RBCR_Flyer.pdf"><strong>View the Flyer</strong></a></p>
</div>
					

				<input type="hidden" name="question_1" value="&lt;p&gt;&lt;img alt=&quot;&quot; src=&quot;/images/RBCR_brkfst_web_header.png&quot; style=&quot;width: 900px; height: 217px;&quot; /&gt;&lt;/p&gt;

&lt;div class=&quot;i4a_ck_halfleft&quot;&gt;
&lt;h2&gt;&lt;strong&gt;Release-Based Cleanup Regulations Breakfast Registration&lt;/strong&gt;&lt;/h2&gt;

&lt;p&gt;Date: Friday, September 18, 2026&lt;br /&gt;
Location: Kay&amp;#39;s Pier South, Aqua Turf Club, Plantsville, CT&lt;br /&gt;
Registration &amp;amp; Breakfast: 7:00 am&lt;br /&gt;
Program: 8:00 am&lt;br /&gt;
Adjournment: Noon&lt;/p&gt;

&lt;h2&gt;Agenda&lt;/h2&gt;

&lt;ul&gt;
	&lt;li&gt;Overview of Transition to Release-Based Cleanup Program and Release-Based Cleanup Regulations&lt;/li&gt;
	&lt;li&gt;Discovery of Releases at Construction Sites and Next Steps
	&lt;ul&gt;
		&lt;li&gt;Existing Pollution&lt;/li&gt;
		&lt;li&gt;New Spills&lt;/li&gt;
	&lt;/ul&gt;
	&lt;/li&gt;
	&lt;li&gt;Spill Cleanup Contractor Permits
	&lt;ul&gt;
		&lt;li&gt;Individual permits&lt;/li&gt;
		&lt;li&gt;General Permits&lt;/li&gt;
	&lt;/ul&gt;
	&lt;/li&gt;
	&lt;li&gt;Importing/Exporting Materials&lt;/li&gt;
&lt;/ul&gt;
&lt;/div&gt;

&lt;div class=&quot;i4a_ck_halfright&quot;&gt;
&lt;h2&gt;Presentations by:&lt;/h2&gt;

&lt;h2&gt;&lt;br /&gt;
&lt;img alt=&quot;&quot; src=&quot;/images/headshot_combo.png&quot; style=&quot;width: 300px; height: 293px;&quot; /&gt;&lt;/h2&gt;

&lt;p&gt;&lt;a href=&quot;/files/RBCR_Flyer.pdf&quot;&gt;&lt;strong&gt;View the Flyer&lt;/strong&gt;&lt;/a&gt;&lt;/p&gt;
&lt;/div&gt;">
				<INPUT TYPE="hidden" NAME="response_1_question_id" VALUE="13097">
				<INPUT TYPE="hidden" NAME="question_type_1" value="None">
				<INPUT TYPE="hidden" NAME="label_1" value="">

				
			</div> <!-- /inner -->

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			<!-- The inner div, for the sake of IE -->
			<div id="layout_form_item" style="clear:both;border:0px solid orange;margin:0 0 0px 0;padding:0;min-height:0px;">
		

		<div id="form-item-13098" class="layout form item outer row-2 item-13098 row_num-40 row_pos-16384 rowlength-2 type-Text" style="clear:both;;position:relative;">

			<div class="inner">

				
							Company:<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_2"
									name="response_2"
								
								
								 style="width:300px;"
								
									
                                            value=""
									    
										
								class="form-control type-Text row-2 item-13098"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_2_required"
							VALUE="The field Company: is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_2" value="Company:">
				<INPUT TYPE="hidden" NAME="response_2_question_id" VALUE="13098">
				<INPUT TYPE="hidden" NAME="question_type_2" value="Text">
				<INPUT TYPE="hidden" NAME="label_2" value="Company:">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
		<div id="form-item-13099" class="layout form item outer row-3 item-13099 row_num-40 row_pos-20480 rowlength-2 type-Text" style=";position:relative;">

			<div class="inner">

				
							Registration Contact:<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_3"
									name="response_3"
								
								
								 style="width:300px;"
								
									
                                            value=""
									    
										
								class="form-control type-Text row-3 item-13099"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_3_required"
							VALUE="The field Registration Contact: is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_3" value="Registration Contact:">
				<INPUT TYPE="hidden" NAME="response_3_question_id" VALUE="13099">
				<INPUT TYPE="hidden" NAME="question_type_3" value="Text">
				<INPUT TYPE="hidden" NAME="label_3" value="RegistrationContact:">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
				</div> <!-- /The inner div, for the sake of IE -->
			
			<!-- The inner div, for the sake of IE -->
			<div id="layout_form_item" style="clear:both;border:0px solid orange;margin:0 0 0px 0;padding:0;min-height:0px;">
		

		<div id="form-item-13100" class="layout form item outer row-4 item-13100 row_num-60 row_pos-16384 rowlength-1 type-Email" style="clear:both;;position:relative;">

			<div class="inner">

				
							Confirmation Email:<span class="text-danger"> *</span>
					

								<script type="text/javascript" src="/i4a/ams/include/checkemail.js"></script>
							

							<input type="text"
								
									id="response_4"
									name="response_4"
								
								
								 style="width:300px;"
								
									
										onchange="VerifyEmailAddress('iform', this.name,'Confirmation Email:')" value=""
									
								
								class="form-control type-Email row-4 item-13100"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_4_required"
							VALUE="The field Confirmation Email: is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_4" value="Confirmation Email:">
				<INPUT TYPE="hidden" NAME="response_4_question_id" VALUE="13100">
				<INPUT TYPE="hidden" NAME="question_type_4" value="Email">
				<INPUT TYPE="hidden" NAME="label_4" value="Confirmation Email:">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
				</div> <!-- /The inner div, for the sake of IE -->
			
			<!-- The inner div, for the sake of IE -->
			<div id="layout_form_item" style="clear:both;border:0px solid orange;margin:0 0 0px 0;padding:0;min-height:0px;">
		

		<div id="form-item-13102" class="layout form item outer row-5 item-13102 row_num-80 row_pos-16384 rowlength-1 type-None" style="clear:both;width:100%;position:relative;">

			<div class="inner">

				
						<p>Please let us know how many attendees you are registering and their names below.</p>
					

				<input type="hidden" name="question_5" value="&lt;p&gt;Please let us know how many attendees you are registering and their names below.&lt;/p&gt;">
				<INPUT TYPE="hidden" NAME="response_5_question_id" VALUE="13102">
				<INPUT TYPE="hidden" NAME="question_type_5" value="None">
				<INPUT TYPE="hidden" NAME="label_5" value="">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
				</div> <!-- /The inner div, for the sake of IE -->
			
			<!-- The inner div, for the sake of IE -->
			<div id="layout_form_item" style="clear:both;border:0px solid orange;margin:0 0 0px 0;padding:0;min-height:0px;">
		

		<div id="form-item-13103" class="layout form item outer row-6 item-13103 row_num-100 row_pos-16384 rowlength-2 type-Text" style="clear:both;;position:relative;">

			<div class="inner">

				
							Count:<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_6"
									name="response_6"
								
								
								 style="width:80px;"
								
									
                                            value=""
									    
										
								class="form-control type-Text row-6 item-13103"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_6_required"
							VALUE="The field Count: is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_6" value="Count:">
				<INPUT TYPE="hidden" NAME="response_6_question_id" VALUE="13103">
				<INPUT TYPE="hidden" NAME="question_type_6" value="Text">
				<INPUT TYPE="hidden" NAME="label_6" value="Count:">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
		<div id="form-item-13104" class="layout form item outer row-7 item-13104 row_num-100 row_pos-16388 rowlength-2 type-Text" style=";position:relative;">

			<div class="inner">

				
							Attendee Name:<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_7"
									name="response_7"
								
								
								 style="width:300px;"
								
									
                                            value=""
									    
										
								class="form-control type-Text row-7 item-13104"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_7_required"
							VALUE="The field Attendee Name: is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_7" value="Attendee Name:">
				<INPUT TYPE="hidden" NAME="response_7_question_id" VALUE="13104">
				<INPUT TYPE="hidden" NAME="question_type_7" value="Text">
				<INPUT TYPE="hidden" NAME="label_7" value="Attendee Name:">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
				</div> <!-- /The inner div, for the sake of IE -->
			
			<!-- The inner div, for the sake of IE -->
			<div id="layout_form_item" style="clear:both;border:0px solid orange;margin:0 0 0px 0;padding:0;min-height:0px;">
		

		<div id="form-item-13105" class="layout form item outer row-8 item-13105 row_num-120 row_pos-16384 rowlength-1 type-Textarea" style="clear:both;;position:relative;">

			<div class="inner">

				
							Additional Attendees
					

							<textarea
								
									onKeyDown="limitText(response_8, countdown_8, 2000);"
									onKeyUp="limitText(response_8, countdown_8, 2000);"
								
								id="response_8"
								name="response_8"
								rows="5"
								class="form-control type-Textarea row-8 item-13105"
								
								
									style="width:200px;"
								

								></textarea>
								
									
										<br />
										<font size="1">(Maximum characters: 2000)
										<br />
										You have <input readonly type="text" name="countdown_8" size="5" value="2000" > characters left.</font>
									
								
				<input type="hidden" name="question_8" value="Additional Attendees">
				<INPUT TYPE="hidden" NAME="response_8_question_id" VALUE="13105">
				<INPUT TYPE="hidden" NAME="question_type_8" value="Textarea">
				<INPUT TYPE="hidden" NAME="label_8" value="Additional Attendees">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
	</div><!-- /The inner div, for the sake of IE -->

	
	<input type="hidden" id="hasOpenPriceField" name="hasOpenPriceField" value="0">

	
</div><!-- /form_layout_wrapper -->


		<div id="_ssdiv2" style="display:none">
			<input type="hidden" id="fld_uploadfields" name="UploadFields" value="">
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			<input type="hidden" id="fld_ss_form_testid" name="ss_form_testid" value="0" />
			<div id="_ssdiv">
				<p style="background-color: blue"><input type="text" name="ss_firstname" value="" /></p>
			</div>
		</div>
		
			<input type="hidden" name="form_isEdit" value="0">
		
	
		<div id="div_bottom" style="clear:both;">
			
			
				<input type="hidden" name="useCaptcha" value="0">
			
			
				<INPUT TYPE="hidden" NAME="send_mail_ind" VALUE="0">
				<INPUT TYPE="hidden" NAME="no_opt_out" VALUE="1">
			
	
			<div id="frm_submit_button">
				<br />
				<button class="btn btn-primary" type="button" data-loading-text="Please wait..." id="submitBtn"
					
						onclick="startValidate();"
					
				>Submit Form</button>
				<br /><br />
			</div>
	
			
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	<!-- display verisign seal if SSL connection -->
	
		
		<img alt="void" src="/i4a/sysimages/blank.gif" width="98" height="102" border="0">
	

			</div>
			
	
				<div id="frm_required_copy_bottom">
					<p>Fields marked with <span class="text-danger">*</span> are required.</p>
				</div>
			
	
				<div id="frm_ssl_copy_bottom"><p>Your form submission WILL be encrypted using SSL to ensure your privacy.</p></div>
			
	
		</div><!-- div_bottom -->
	
		
	</form>
</div>


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	});
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AdButler.ads.push({handler: function(opt){ AdButler.register(178303, 844160, [300,250], 'placement_844160_'+opt.place, opt); }, opt: { place: plc844160++, keywords: abkw, domain: 'servedbyadbutler.com', click: 'CLICK_MACRO_PLACEHOLDER' }});
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var abkw = window.abkw || '';
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AdButler.ads.push({handler: function(opt){ AdButler.register(178303, 844161, [300,250], 'placement_844161_'+opt.place, opt); }, opt: { place: plc844161++, keywords: abkw, domain: 'servedbyadbutler.com', click: 'CLICK_MACRO_PLACEHOLDER' }});
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