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		<input type="hidden" id="num_questions" name="num_questions" value="11">
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			<input type="hidden" name="formtitle" value="Industry Recognition Registration Form">
		
	
<script>
	$(function () {
		// reset payment token in case user clicked Back button in browser
		$('#paymentToken').val('');
		
		//$('#business_radio').trigger('change');
		
		
			$('#formsPayment :input').each(function() {
				if ($(this).attr('id') != 'savePaymentProfile_yes' && $(this).attr('id') != 'usePaymentProfile_yes') {
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				}
			});
			$('#formsPayment').css('max-width', '100%');
		
	});
	
	function limitText(limitField, limitCount, limitNum) {
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			limitCount.value = limitNum - limitField.value.length;
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	function enable(obj) {
		obj.disabled = false;
		obj.style.backgroundColor = "white";
		obj.style.color = "black";
	}

	var validForm = false;
	var sent = 0;
	
	// Thibault 2/11/06 added init function called at page load, plus validation that required fields are completed before submit.  should help with problems with the back button and credit cards,  issue 30102
	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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		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\n\nAGC of Connecticut Industry Recognition Awards Dinner\r\n\r\n\n\nThursday, October 8, 2026\r\nAqua Turf Club, Plantsville, CT\r\n\r\n\n\n";
			
			
			var jsDesc = "Registration Contact";
			
			
			var jsDesc = "Name";
			
				obj = document.iform.response_3;
				val = "";
				
				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
				}
				
			
			var jsDesc = "Company";
			
				obj = document.iform.response_4;
				val = "";
				
				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
				}
				
			
			var jsDesc = "Email";
			
				obj = document.iform.response_5;
				val = "";
				
				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
				}
				
			
			var jsDesc = "Phone";
			
				obj = document.iform.response_6;
				val = "";
				
				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
				}
				
			
			var jsDesc = "Sponsorship Registration\r\n\r\n\n\n";
			
			
			var jsDesc = "";
			
				obj = document.iform.response_8;
				val = "";
				
					
						n = 0;
						if (obj.checked) {
							n = 1;
							val = obj.value;
						}
					
					if (n == 0) {
						arrReqMissing[arrReqMissing.length] = jsDesc;
					}
				
			
			var jsDesc = "Upload your preferred logo";
			
			
				docfilename = document.iform.response_9.value.toLowerCase();
				list = "doc,docx,docm,dotx,dotm,eps,epub,htm,ics,lit,mobi,msg,pdf,potx,potm,ppam,ppsx,ppsm,pps,ppt,pptm,pptx,pub,txt,xls,zip,xlsx,xlsm,xltx,xltm,xlsb,xlam,vcf,sgf,gif,jpg,jpeg,jpe,png";
				if (docfilename != '') {
					x = docfilename.length;
					y = docfilename.lastIndexOf(".") + 1;
					ext = docfilename.substr(y, x);
					extfound = listfind(list, ext, ',');
					if (extfound == 0) {
						allowedUploadsList = 'doc,docx,docm,dotx,dotm,eps,epub,htm,ics,lit,mobi,msg,pdf,potx,potm,ppam,ppsx,ppsm,pps,ppt,pptm,pptx,pub,txt,xls,zip,xlsx,xlsm,xltx,xltm,xlsb,xlam,vcf,sgf,gif,jpg,jpeg,jpe,png';
						allowedUploadsList = allowedUploadsList.replace(/,/g, ', ');

						swal({
				  			title: 'File types',
				  			html: true,
				  			text: 'Sorry, you can only upload files of the following types: ' + allowedUploadsList,
				  			animation: 'slide-from-top',
				  			type: 'info',
				  			confirmButtonText: 'Ok',
				  			confirmButtonColor: '#337ab7'
				  		});
						return false;
					}
				// Leaving this disabled since I am going to relax security checks a bit, but leaving here
				// in case we need to add specific strings to exlusion for file uploads.
				//if ( docfilename.toLowerCase().indexOf("sp_") > -1 ) {
				//	alert("Sorry, you cannot upload files that contain the string 'sp_', please rename your file before uploading it.");
				//	return false;
				//	}
				}
			
		
			var jsDesc = "Payment Information";
			
			
			var jsDesc = "Payment Options";
			
				obj = document.iform.response_11;
				val = "";
				
					
						n = 0;
						for (i=0;i<obj.length;i++) {
							if (obj[i].checked) {
								n = 1;
								val = obj[i].value;
							}
						}
					
					if (n == 0) {
						arrReqMissing[arrReqMissing.length] = jsDesc;
					}
				
			
		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-13303" class="layout form item outer row-1 item-13303 row_num-20 row_pos-1280 rowlength-1 type-None" style="clear:both;width:100%;position:relative;">

			<div class="inner">

				
						<p><img alt="" src="/images/header_1.png" style="width: 900px; height: 235px;" /></p>

<p><strong>AGC of Connecticut Industry Recognition Awards Dinner</strong></p>

<p>Thursday, October 8, 2026<br />
Aqua Turf Club, Plantsville, CT</p>

<p></p>
					

				<input type="hidden" name="question_1" value="&lt;p&gt;&lt;img alt=&quot;&quot; src=&quot;/images/header_1.png&quot; style=&quot;width: 900px; height: 235px;&quot; /&gt;&lt;/p&gt;

&lt;p&gt;&lt;strong&gt;AGC of Connecticut Industry Recognition Awards Dinner&lt;/strong&gt;&lt;/p&gt;

&lt;p&gt;Thursday, October 8, 2026&lt;br /&gt;
Aqua Turf Club, Plantsville, CT&lt;/p&gt;

&lt;p&gt;&lt;/p&gt;">
				<INPUT TYPE="hidden" NAME="response_1_question_id" VALUE="13303">
				<INPUT TYPE="hidden" NAME="question_type_1" value="None">
				<INPUT TYPE="hidden" NAME="label_1" 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-13305" class="layout form item outer row-2 item-13305 row_num-40 row_pos-1280 rowlength-1 type-None" style="clear:both;width:100%;position:relative;">

			<div class="inner">

				
						<h5>Registration Contact:</h5>
					

				<input type="hidden" name="question_2" value="&lt;h5&gt;Registration Contact:&lt;/h5&gt;">
				<INPUT TYPE="hidden" NAME="response_2_question_id" VALUE="13305">
				<INPUT TYPE="hidden" NAME="question_type_2" value="None">
				<INPUT TYPE="hidden" NAME="label_2" 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-13306" class="layout form item outer row-3 item-13306 row_num-60 row_pos-1280 rowlength-2 type-Text" style="clear:both;;position:relative;">

			<div class="inner">

				
							Name:<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_3"
									name="response_3"
								
								
								 style="width:200px;"
								
									
                                            value=""
									    
										
								class="form-control type-Text row-3 item-13306"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_3_required"
							VALUE="The field Name: is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_3" value="Name:">
				<INPUT TYPE="hidden" NAME="response_3_question_id" VALUE="13306">
				<INPUT TYPE="hidden" NAME="question_type_3" value="Text">
				<INPUT TYPE="hidden" NAME="label_3" value="Name">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
		<div id="form-item-13307" class="layout form item outer row-4 item-13307 row_num-60 row_pos-2560 rowlength-2 type-Text" style=";position:relative;">

			<div class="inner">

				
							Company:<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_4"
									name="response_4"
								
								
								 style="width:300px;"
								
									
                                            value=""
									    
										
								class="form-control type-Text row-4 item-13307"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_4_required"
							VALUE="The field Company: is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_4" value="Company:">
				<INPUT TYPE="hidden" NAME="response_4_question_id" VALUE="13307">
				<INPUT TYPE="hidden" NAME="question_type_4" value="Text">
				<INPUT TYPE="hidden" NAME="label_4" value="Company">

				
			</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-13334" class="layout form item outer row-5 item-13334 row_num-80 row_pos-1280 rowlength-2 type-Email" style="clear:both;;position:relative;">

			<div class="inner">

				
							Email:<span class="text-danger"> *</span>
					

								<script type="text/javascript" src="/i4a/ams/include/checkemail.js"></script>
							

							<input type="text"
								
									id="response_5"
									name="response_5"
								
								
								 style="width:300px;"
								
									
										onchange="VerifyEmailAddress('iform', this.name,'Email:')" value=""
									
								
								class="form-control type-Email row-5 item-13334"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_5_required"
							VALUE="The field Email: is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_5" value="Email:">
				<INPUT TYPE="hidden" NAME="response_5_question_id" VALUE="13334">
				<INPUT TYPE="hidden" NAME="question_type_5" value="Email">
				<INPUT TYPE="hidden" NAME="label_5" value="Email:">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
		<div id="form-item-13309" class="layout form item outer row-6 item-13309 row_num-80 row_pos-2560 rowlength-2 type-Text" style=";position:relative;">

			<div class="inner">

				
							Phone:<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_6"
									name="response_6"
								
								
								 style="width:200px;"
								
									
                                            value=""
									    
										
								class="form-control type-Text row-6 item-13309"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_6_required"
							VALUE="The field Phone: is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_6" value="Phone:">
				<INPUT TYPE="hidden" NAME="response_6_question_id" VALUE="13309">
				<INPUT TYPE="hidden" NAME="question_type_6" value="Text">
				<INPUT TYPE="hidden" NAME="label_6" value="Phone">

				
			</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-13313" class="layout form item outer row-7 item-13313 row_num-100 row_pos-1280 rowlength-1 type-None" style="clear:both;width:100%;position:relative;">

			<div class="inner">

				
						<h5>Sponsorship Registration:</h5>

<p></p>
					

				<input type="hidden" name="question_7" value="&lt;h5&gt;Sponsorship Registration:&lt;/h5&gt;

&lt;p&gt;&lt;/p&gt;">
				<INPUT TYPE="hidden" NAME="response_7_question_id" VALUE="13313">
				<INPUT TYPE="hidden" NAME="question_type_7" value="None">
				<INPUT TYPE="hidden" NAME="label_7" 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-13326" class="layout form item outer row-8 item-13326 row_num-120 row_pos-1280 rowlength-2 type-Radio" style="clear:both;max-width:50%;position:relative;">

			<div class="inner">

				
							<span class="text-danger"> *</span>
					

						        <div class="radio">
							        <label>
										<input
											type="radio"
											name="response_8"
											id="radioVal_13326_1"
											fieldtype="radioprice"
											price="0"
											value="$3,000 Event Sponsorship"

											
											class="item type-radio type-Radio row-8 item-13326 "
											>
											

													$3,000 Event Sponsorship

												
										</label>
									</div>
							
							
									<br /><a href="javascript:void(0);" onclick="clearRadio('response_8');">Clear Selection</a>
								
							
						<INPUT
							TYPE="hidden"
							NAME="response_8_required"
							VALUE="The field  is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_8" value="">
				<INPUT TYPE="hidden" NAME="response_8_question_id" VALUE="13326">
				<INPUT TYPE="hidden" NAME="question_type_8" value="Radio">
				<INPUT TYPE="hidden" NAME="label_8" value="event sponsor">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
		<div id="form-item-13327" class="layout form item outer row-9 item-13327 row_num-120 row_pos-1282 rowlength-2 type-File" style="max-width:50%;position:relative;">

			<div class="inner">

				
							Upload your preferred logo:
					

							<input type="file" accept="*" 
								
									id="response_9"
									name="response_9"
								
								
									onchange="checkInvalidCharacter('response_9');"
								

                                            value=""
									    
										
								class="type-File row-9 item-13327"
							><!-- input -->

							
				<input type="hidden" name="question_9" value="Upload your preferred logo:">
				<INPUT TYPE="hidden" NAME="response_9_question_id" VALUE="13327">
				<INPUT TYPE="hidden" NAME="question_type_9" value="File">
				<INPUT TYPE="hidden" NAME="label_9" value="logo">

				
			</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-13317" class="layout form item outer row-10 item-13317 row_num-140 row_pos-1280 rowlength-1 type-None" style="clear:both;width:100%;position:relative;">

			<div class="inner">

				
						<h5>Payment Information:</h5>
					

				<input type="hidden" name="question_10" value="&lt;h5&gt;Payment Information:&lt;/h5&gt;">
				<INPUT TYPE="hidden" NAME="response_10_question_id" VALUE="13317">
				<INPUT TYPE="hidden" NAME="question_type_10" value="None">
				<INPUT TYPE="hidden" NAME="label_10" 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-13322" class="layout form item outer row-11 item-13322 row_num-160 row_pos-1280 rowlength-1 type-Radio" style="clear:both;width:100%;position:relative;">

			<div class="inner">

				
							Payment Options:<span class="text-danger"> *</span>
					

						        <div class="radio">
							        <label>
										<input
											type="radio"
											name="response_11"
											id="radioVal_13322_1"
											fieldtype="radioprice"
											price="0"
											value="Check (To AGC of Connecticut,an invoice will be sent to the email provided)"

											
											class="item type-radio type-Radio row-11 item-13322 "
											>
											

													Check (To AGC of Connecticut,an invoice will be sent to the email provided)

												
													<br />
												
												
										</label>
									</div>
							
								
						        <div class="radio">
							        <label>
										<input
											type="radio"
											name="response_11"
											id="radioVal_13322_2"
											fieldtype="radioprice"
											price="0"
											value="Online with Credit Card (After you click "submit form," click the "pay now" button on the next screen.)"

											
											class="item type-radio type-Radio row-11 item-13322 "
											>
											

													Online with Credit Card (After you click "submit form," click the "pay now" button on the next screen.)

												
										</label>
									</div>
							
							
									<br /><a href="javascript:void(0);" onclick="clearRadio('response_11');">Clear Selection</a>
								
							
						<INPUT
							TYPE="hidden"
							NAME="response_11_required"
							VALUE="The field Payment Options: is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_11" value="Payment Options:">
				<INPUT TYPE="hidden" NAME="response_11_question_id" VALUE="13322">
				<INPUT TYPE="hidden" NAME="question_type_11" value="Radio">
				<INPUT TYPE="hidden" NAME="label_11" value="Payment Options:">

				
			</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="9">
			<input type="hidden" id="fld_id_column" name="id_column" value="ID">
			<input type="hidden" id="fld_id_value" name="id_value" value="">
			<input type="hidden" id="fld_form_overrideid" name="form_overrideID" value="0">
			
			<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_zipcode" value="" /></p>
			</div>
		</div>
		
			<input type="hidden" name="form_isEdit" value="0">
		
	
		<div id="div_bottom" style="clear:both;">
			
			
				<br /><br />
				
					<style>
						iframe[title="reCAPTCHA"] {
							height: 78px !important;
							margin-top: 0px !important;
						}
					</style>
					

				<style>
				div.g-recaptcha > div > div > iframe {
					height: 78px !important;
				}
				
				@media screen and (max-width: 575px) {
					#rc-imageselect, .g-recaptcha  {
						transform:scale(0.77);
						-webkit-transform:scale(0.77);transform-origin:0 0;
						-webkit-transform-origin:0 0;
					}
				}
				</style>
				
				<script src="https://www.recaptcha.net/recaptcha/api.js" async defer></script>
				<div class="g-recaptcha" data-sitekey="6LcqNb4lAAAAAKLbLdD1GKtZ6j-41fF5_3xJnzTu"></div>
			
			
					<br/>
					<input type="hidden" name="use_ssl" value="1">
				
			
				<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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								</td>
							

								<td class="text-center">14</td>
							

								<td class="text-center">15</td>
							

								</tr>
								
									
									<tr>
								
							
								<td class="text-center">16</td>
							

								<td class="text-center">17</td>
							

								<td class="text-center">18</td>
							

								<td class="text-center">19</td>
							

								<td class="text-center">20</td>
							

								<td class="text-center">21</td>
							

								<td class="text-center">22</td>
							

								</tr>
								
									
									<tr>
								
							
								<td class="text-center">23</td>
							

								<td class="text-center">24</td>
							

								<td class="text-center">25</td>
							

								<td class="text-center">26</td>
							

								<td class="text-center">27</td>
							

								<td class="text-center">28</td>
							

								<td class="text-center">29</td>
							

								</tr>
								
									
									<tr>
								
							
								<td class="text-center">30</td>
							

								<td class="text-center">31</td>
							

								<td></td>
							
								<td></td>
							
								<td></td>
							
								<td></td>
							
								<td></td>
							
						
                </tbody>
            </table>
        </div>
	</div>

	
</div>


<script>
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		window.location.href = url+ 'themonth='+month+'&theyear='+year;
	}

	function getUrlVars() {
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	    var parts = window.location.href.replace(/[?&]+([^=&]+)=([^&]*)/gi, function(m,key,value) {
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	    return vars;
	}

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		if (i4acontainer) {
			var headerContainer = document.getElementById('header-container');

			//get the top offset of the target anchor
        	var target_top = $("a[name='calendarLocation']").offset().top;

		    // Some themes have a fixed header that remains in view when scrolling the page.
		    // we will check for a custom DOM paramter and if present, adjust the scroll accordingly.
		    var adjustment = 0;
		    if (headerContainer) {
		    	if (typeof headerContainer.attributes.fixedheader !== 'undefined') {
		    		if (headerContainer.attributes.fixedheader.value == 'true') {
		    			adjustment = headerContainer.offsetHeight;
	    			}
	    		}
	    	}
	    	else {
	    		// look for fixed header of a responsive template
	    		headerContainer = $('.fixed-top');
	    		if (headerContainer && headerContainer[0]) {
	    			adjustment = headerContainer[0].clientHeight;
	    		}
	    	}
		 	$('html,body').animate({
        	 	//scrollTop: i4acontainer.offsetTop - adjustment
        	 	scrollTop: target_top - adjustment
   		 	}, 200);
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	}

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		$('[data-toggle="tooltip"]').tooltip({
			container: 'body'
		});

		var urlVars = getUrlVars();
		// if month and year are in the URL, then user clicked previous/next month button
		// so we need to scroll back to this widget
		if (urlVars.themonth && urlVars.theyear) {
			scrollTo();
		}
	});
</script>


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