{"id":35625,"date":"2021-06-08T00:00:00","date_gmt":"2021-06-08T00:00:00","guid":{"rendered":"https:\/\/content-clean-final-4x5b57i-g3btmoeqpi2i4.us-4.platformsh.site\/digital-influencer-visit-request"},"modified":"2023-08-03T21:44:38","modified_gmt":"2023-08-03T21:44:38","slug":"solicitud-de-visita-de-un-influencer-digital","status":"publish","type":"page","link":"https:\/\/www.thepalmbeaches.com\/es\/media\/visit-request\/digital-influencer-visit-request","title":{"rendered":"Solicitud de visita de influyente digital"},"content":{"rendered":"\n<div class=\"wp-block-cover is-light is-style-wavy-line\" style=\"margin-top:0;margin-bottom:0;padding-top:0;padding-right:0;padding-bottom:0;padding-left:0;min-height:440px;aspect-ratio:unset;\"><span aria-hidden=\"true\" class=\"wp-block-cover__background has-background-dim-0 has-background-dim\"><\/span><img decoding=\"async\" class=\"wp-block-cover__image-background wp-image-20327\" alt=\"\" src=\"\/wp-content\/uploads\/2023\/05\/Final-Hero-Image.jpg\" data-object-fit=\"cover\"\/><div class=\"wp-block-cover__inner-container is-layout-flow wp-block-cover-is-layout-flow\">\n<p class=\"has-text-align-center has-large-font-size\"><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-group is-layout-constrained wp-container-core-group-is-layout-664dfb1f wp-block-group-is-layout-constrained\" style=\"margin-top:var(--wp--preset--spacing--70);margin-bottom:var(--wp--preset--spacing--70)\">\n<div class=\"wp-block-group is-layout-constrained wp-container-core-group-is-layout-85dd3f83 wp-block-group-is-layout-constrained\" style=\"margin-top:0;margin-bottom:var(--wp--preset--spacing--60)\">\n<h1 class=\"wp-block-heading has-text-align-center has-red-orange-color has-text-color has-x-large-font-size\" style=\"margin-bottom:0\">Digital Influencer Visit Request<\/h1>\n\n\n\n<p class=\"has-text-align-center\" style=\"margin-top:var(--wp--preset--spacing--20);font-style:normal;font-weight:600\">Thank you for your interest in visiting The Palm Beaches. If you are a digital media influencer, please fill out this form.\n<\/p>\n<\/div>\n<\/div>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\" style=\"justify-content:center\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n            <section class=\"wp-block-mmn-palmbeaches-simpleview-form \">\n            \n                            \r\n\t<form action=\"https:\/\/palmbeach.simpleviewcrm.com\/webapi\/forms\/sendform.cfm\" class=\"sv_api_form\" method=\"post\" id=\"frm_123\" name=\"frm_123\" onsubmit=\"return validateForm(this);\">\r\n\t<input id=\"formid\" name=\"formid\" type=\"hidden\" value=\"123\">\r\n\t<input id=\"groupid\" name=\"groupid\" type=\"hidden\" value=\"4\">\r\n\t\r\n\t<table border=\"0\" cellpadding=\"0\" cellspacing=\"1\" class=\"sv_api_main_tbl\">\r\n\t\t\r\n\t\t<tr>\r\n\t\t\t<td class=\"sv_api_section_head\">Influencer&#8217;s Information<\/td>\r\n\t\t<\/tr>\r\n\t\t<tr>\r\n\t\t\t<td class=\"sv_api_section_body\">\r\n\t\t\t<table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" class=\"sv_api_section_tbl\">\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_contact_fname\" class=\"sv_api_field_disp sv_api_field_required\">\r\n\t\t\t\t\t\t\t\t<label for=\"contact_fname\" id=\"label_contact_fname\" class=\"sv_api_label\">First Name (as per photo ID):<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"sv_api_input\" id=\"contact_fname\" name=\"contact_fname\" type=\"text\" maxlength=\"100\" size=\"25\" value=\"\">\r\n\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_contact_lname\" class=\"sv_api_field_disp sv_api_field_required\">\r\n\t\t\t\t\t\t\t\t<label for=\"contact_lname\" id=\"label_contact_lname\" class=\"sv_api_label\">Last Name (as per photo ID):<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"sv_api_input\" id=\"contact_lname\" name=\"contact_lname\" type=\"text\" maxlength=\"100\" size=\"25\" value=\"\">\r\n\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_udf_204\" class=\"sv_api_field_disp\">\r\n\t\t\t\t\t\t\t\t<label for=\"udf_204\" id=\"label_udf_204\" class=\"sv_api_label\">Date of Birth:<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t<input class=\"sv_api_input\" id=\"udf_204\" name=\"udf_204\" type=\"text\" maxlength=\"10\" size=\"8\" value=\"\" onblur=\"fmtDate(this, '\/'); \"> \r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_contact_email\" class=\"sv_api_field_disp sv_api_field_required\">\r\n\t\t\t\t\t\t\t\t<label for=\"contact_email\" id=\"label_contact_email\" class=\"sv_api_label\">Email:<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"sv_api_input\" value=\"\" id=\"contact_email\" name=\"contact_email\" type=\"text\" maxlength=\"200\" size=\"25\" value=\"\" onblur=\"checkEmail(this); \">\r\n\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_contact_cellphone\" class=\"sv_api_field_disp sv_api_field_required\">\r\n\t\t\t\t\t\t\t\t<label for=\"contact_cellphone\" id=\"label_contact_cellphone\" class=\"sv_api_label\">Mobile Phone:<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"sv_api_input\" id=\"contact_cellphone\" name=\"contact_cellphone\" type=\"text\" maxlength=\"40\" size=\"25\" value=\"\" onblur=\"checkPhone(this); fmtPhone(this,'(xxx) xxx-xxxx'); \">\r\n\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_contact_city\" class=\"sv_api_field_disp sv_api_field_required\">\r\n\t\t\t\t\t\t\t\t<label for=\"contact_city\" id=\"label_contact_city\" class=\"sv_api_label\">City:<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"sv_api_input\" id=\"contact_city\" name=\"contact_city\" type=\"text\" maxlength=\"100\" size=\"25\" value=\"\">\r\n\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_contact_state\" class=\"sv_api_field_disp sv_api_field_required\">\r\n\t\t\t\t\t\t\t\t<label for=\"contact_state\" id=\"label_contact_state\" class=\"sv_api_label\">State:<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<select class=\"sv_api_select\" id=\"contact_state\" name=\"contact_state\" >\r\n\t\t\t\t\t<option value=\"\">&#8211;None&#8211;<\/option> \r\n\t\t\t\t\t<option value=\"**\">** &#8211; **<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"AB\">AB &#8211; Alberta<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"AK\">AK &#8211; Alaska<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"AL\">AL &#8211; Alabama<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"AR\">AR &#8211; Arkansas<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"AZ\">AZ &#8211; Arizona<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BA\">BA &#8211; Bayern<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BC\">BC &#8211; British Columbia<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CA\">CA &#8211; California<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CO\">CO &#8211; Colorado<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CT\">CT &#8211; Connecticut<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"DC\">DC &#8211; District of Columbia<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"DE\">DE &#8211; Delaware<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"DK\">DK &#8211; Dnipropetrovsk<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ESS\">ESS &#8211; Essex<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"FL\">FL &#8211; Florida<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GA\">GA &#8211; Georgia<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"HI\">HI &#8211; Hawaii<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"HRT\">HRT &#8211; Herts<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"IA\">IA &#8211; Iowa<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ID\">ID &#8211; Idaho<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"IL\">IL &#8211; Illinois<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"IN\">IN &#8211; Indiana<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"KEN\">KEN &#8211; Kent<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"KS\">KS &#8211; Kansas<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"KY\">KY &#8211; Kentucky<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"LA\">LA &#8211; Louisiana<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"LAN\">LAN &#8211; Lancashire<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MA\">MA &#8211; Massachusetts<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MB\">MB &#8211; Manitoba<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MD\">MD &#8211; Maryland<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ME\">ME &#8211; Maine<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MH\">MH &#8211; Marshall Islands<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MI\">MI &#8211; Michigan<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MN\">MN &#8211; Minnesota<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MO\">MO &#8211; Missouri<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MS\">MS &#8211; Mississippi<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MT\">MT &#8211; Montana<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"N.P.\">N.P. &#8211; New Providence<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NB\">NB &#8211; New Brunswick<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NC\">NC &#8211; North Carolina<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ND\">ND &#8211; North Dakota<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NE\">NE &#8211; Nebraska<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NH\">NH &#8211; New Hampshire<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NJ\">NJ &#8211; New Jersey<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NL\">NL &#8211; Newfoundland and Labrador<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NM\">NM &#8211; New Mexico<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NS\">NS &#8211; Nova Scotia<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NSW\">NSW &#8211; New South Wales<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NT\">NT &#8211; Northwest Territory<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NU\">NU &#8211; Nunavut<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NV\">NV &#8211; Nevada<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"NY\">NY &#8211; New York<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"OH\">OH &#8211; Ohio<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"OK\">OK &#8211; Oklahoma<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ON\">ON &#8211; Ontario<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"OR\">OR &#8211; Oregon<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"PA\">PA &#8211; Pennsylvania<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"PE\">PE &#8211; Prince Edward Island<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"QC\">QC &#8211; Quebec<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"QLD\">QLD &#8211; Queensland<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"RI\">RI &#8211; Rhode Island<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SA\">SA &#8211; South Australia<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SC\">SC &#8211; South Carolina<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SD\">SD &#8211; South Dakota<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SFK\">SFK &#8211; Suffolk<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SK\">SK &#8211; Saskatchewan<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SRY\">SRY &#8211; Surrey<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SX\">SX &#8211; Sussex<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"SXW\">SXW &#8211; West Sussex<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"TAS\">TAS &#8211; Tasmania<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"TN\">TN &#8211; Tennessee<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"TX\">TX &#8211; Texas<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"UT\">UT &#8211; Utah<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"VA\">VA &#8211; Virginia<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"VIC\">VIC &#8211; Victoria<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"VT\">VT &#8211; Vermont<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"WA\">WA &#8211; Washington<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"WA\">WA &#8211; Western Australia<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"WI\">WI &#8211; Wisconsin<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"WV\">WV &#8211; West Virginia<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"WY\">WY &#8211; Wyoming<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"YT\">YT &#8211; Yukon<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<\/select>\r\n\t\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_contact_country\" class=\"sv_api_field_disp sv_api_field_required\">\r\n\t\t\t\t\t\t\t\t<label for=\"contact_country\" id=\"label_contact_country\" class=\"sv_api_label\">Country:<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<select class=\"sv_api_select\" id=\"contact_country\" name=\"contact_country\"  onchange=\"updReq();countryChanged(this);\">\r\n\t\t\t\t\t<option value=\"\">&#8211;None&#8211;<\/option> \r\n\t\t\t\t\t<option value=\"UNITED STATES\">UNITED STATES<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CANADA\">CANADA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MEXICO\">MEXICO<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"AFGHANISTAN\">AFGHANISTAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"\u00c5LAND ISLANDS\">\u00c5LAND ISLANDS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ALBANIA\">ALBANIA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ALGERIA\">ALGERIA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"AMERICAN SAMOA\">AMERICAN SAMOA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ANDORRA\">ANDORRA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ANGOLA\">ANGOLA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ANGUILLA\">ANGUILLA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ANTARCTICA\">ANTARCTICA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ANTIGUA AND BARBUDA\">ANTIGUA AND BARBUDA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ARGENTINA\">ARGENTINA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ARMENIA\">ARMENIA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ARUBA\">ARUBA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"AUSTRALIA\">AUSTRALIA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"AUSTRIA\">AUSTRIA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"AZERBAIJAN\">AZERBAIJAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BAHAMAS\">BAHAMAS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BAHRAIN\">BAHRAIN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BANGLADESH\">BANGLADESH<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BARBADOS\">BARBADOS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BELARUS\">BELARUS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BELGIUM\">BELGIUM<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BELIZE\">BELIZE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BENIN\">BENIN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BERMUDA\">BERMUDA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BHUTAN\">BHUTAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BOLIVIA, PLURINATIONAL STATE OF\">BOLIVIA, PLURINATIONAL STATE OF<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BOSNIA AND HERZEGOVINA\">BOSNIA AND HERZEGOVINA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BOTSWANA\">BOTSWANA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BOUVET ISLAND\">BOUVET ISLAND<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BRAZIL\">BRAZIL<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BRITISH INDIAN OCEAN TERRITORY\">BRITISH INDIAN OCEAN TERRITORY<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BRUNEI DARUSSALAM\">BRUNEI DARUSSALAM<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BULGARIA\">BULGARIA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BURKINA FASO\">BURKINA FASO<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"BURUNDI\">BURUNDI<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CAMBODIA\">CAMBODIA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CAMEROON\">CAMEROON<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CANARY ISLANDS\">CANARY ISLANDS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CAPE VERDE\">CAPE VERDE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CAYMAN ISLANDS\">CAYMAN ISLANDS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CENTRAL AFRICAN REPUBLIC\">CENTRAL AFRICAN REPUBLIC<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CHAD\">CHAD<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CHILE\">CHILE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CHINA\">CHINA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CHRISTMAS ISLAND\">CHRISTMAS ISLAND<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"COCOS (KEELING) ISLANDS\">COCOS (KEELING) ISLANDS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"COLOMBIA\">COLOMBIA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"COMOROS\">COMOROS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CONGO\">CONGO<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CONGO, THE DEMOCRATIC REPUBLIC OF THE\">CONGO, THE DEMOCRATIC REPUBLIC OF THE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"COOK ISLANDS\">COOK ISLANDS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"COSTA RICA\">COSTA RICA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"C\u00d4TE D'IVOIRE\">C\u00d4TE D&#8217;IVOIRE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CROATIA\">CROATIA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CUBA\">CUBA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CURACAO\">CURACAO<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CYPRUS\">CYPRUS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"CZECH REPUBLIC\">CZECH REPUBLIC<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"DENMARK\">DENMARK<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"DJIBOUTI\">DJIBOUTI<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"DOMINICA\">DOMINICA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"DOMINICAN REPUBLIC\">DOMINICAN REPUBLIC<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ECUADOR\">ECUADOR<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"EGYPT\">EGYPT<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"EL SALVADOR\">EL SALVADOR<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"EQUATORIAL GUINEA\">EQUATORIAL GUINEA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ERITREA\">ERITREA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ESTONIA\">ESTONIA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ETHIOPIA\">ETHIOPIA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"FALKLAND ISLANDS (MALVINAS)\">FALKLAND ISLANDS (MALVINAS)<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"FAROE ISLANDS\">FAROE ISLANDS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"FIJI\">FIJI<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"FINLAND\">FINLAND<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"FRANCE\">FRANCE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"FRENCH GUIANA\">FRENCH GUIANA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"FRENCH POLYNESIA\">FRENCH POLYNESIA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"FRENCH SOUTHERN TERRITORIES\">FRENCH SOUTHERN TERRITORIES<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GABON\">GABON<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GAMBIA\">GAMBIA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GEORGIA\">GEORGIA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GERMANY\">GERMANY<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GHANA\">GHANA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GIBRALTAR\">GIBRALTAR<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GREECE\">GREECE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GREENLAND\">GREENLAND<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GRENADA\">GRENADA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GUADELOUPE\">GUADELOUPE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GUAM\">GUAM<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GUATEMALA\">GUATEMALA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GUERNSEY\">GUERNSEY<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GUINEA\">GUINEA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GUINEA-BISSAU\">GUINEA-BISSAU<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"GUYANA\">GUYANA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"HAITI\">HAITI<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"HEARD ISLAND AND MCDONALD ISLANDS\">HEARD ISLAND AND MCDONALD ISLANDS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"HOLY SEE (VATICAN CITY STATE)\">HOLY SEE (VATICAN CITY STATE)<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"HONDURAS\">HONDURAS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"HONG KONG\">HONG KONG<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"HUNGARY\">HUNGARY<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ICELAND\">ICELAND<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"INDIA\">INDIA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"INDONESIA\">INDONESIA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"IRAN, ISLAMIC REPUBLIC OF\">IRAN, ISLAMIC REPUBLIC OF<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"IRAQ\">IRAQ<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"IRELAND\">IRELAND<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ISLE OF MAN\">ISLE OF MAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ISRAEL\">ISRAEL<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ITALY\">ITALY<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"JAMAICA\">JAMAICA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"JAPAN\">JAPAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"JERSEY\">JERSEY<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"JORDAN\">JORDAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"KAZAKHSTAN\">KAZAKHSTAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"KENYA\">KENYA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"KIRIBATI\">KIRIBATI<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF\">KOREA, DEMOCRATIC PEOPLE&#8217;S REPUBLIC OF<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"KOREA, REPUBLIC OF\">KOREA, REPUBLIC OF<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"KOSRAE\">KOSRAE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"KUWAIT\">KUWAIT<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"KYRGYZSTAN\">KYRGYZSTAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"LAO PEOPLE'S DEMOCRATIC REPUBLIC\">LAO PEOPLE&#8217;S DEMOCRATIC REPUBLIC<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"LATVIA\">LATVIA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"LEBANON\">LEBANON<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"LESOTHO\">LESOTHO<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"LIBERIA\">LIBERIA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"LIBYAN ARAB JAMAHIRIYA\">LIBYAN ARAB JAMAHIRIYA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"LIECHTENSTEIN\">LIECHTENSTEIN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"LITHUANIA\">LITHUANIA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"LUXEMBOURG\">LUXEMBOURG<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MACAO\">MACAO<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF\">MACEDONIA, THE FORMER YUGOSLAV REPUBLIC 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value=\"UGANDA\">UGANDA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"UKRAINE\">UKRAINE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"UNION ISLAND\">UNION ISLAND<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"UNITED ARAB EMIRATES\">UNITED ARAB EMIRATES<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"UNITED KINGDOM\">UNITED KINGDOM<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"UNITED STATES MINOR OUTLYING ISLANDS\">UNITED STATES MINOR OUTLYING ISLANDS<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"URUGUAY\">URUGUAY<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"UZBEKISTAN\">UZBEKISTAN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"VANUATU\">VANUATU<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"VENEZUELA, BOLIVARIAN REPUBLIC OF\">VENEZUELA, BOLIVARIAN REPUBLIC OF<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"VIET NAM\">VIET NAM<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"VIRGIN ISLANDS, BRITISH\">VIRGIN ISLANDS, BRITISH<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"VIRGIN ISLANDS, U.S.\">VIRGIN ISLANDS, U.S.<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"WALES\">WALES<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"WALLIS AND FUTUNA\">WALLIS AND FUTUNA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"WESTERN SAHARA\">WESTERN SAHARA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"YAP\">YAP<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"YEMEN\">YEMEN<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ZAIRE\">ZAIRE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ZAMBIA\">ZAMBIA<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<option value=\"ZIMBABWE\">ZIMBABWE<\/option>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<\/select>\r\n\t\t\t\t\r\n\t\t\t\t\t<input id=\"statectry\" name=\"statectry\" type=\"hidden\" value=\"\">\r\n\t\t\t\t\t\r\n\t\t\t\t\t<input id=\"zipctry\" name=\"zipctry\" type=\"hidden\" value=\"UNITED STATES\">\r\n\t\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_udf_208\" class=\"sv_api_field_disp sv_api_field_required\">\r\n\t\t\t\t\t\t\t\t<label for=\"udf_208\" id=\"label_udf_208\" class=\"sv_api_label\">List any personal medical conditions\/allergies<br>If none, please write NONE:<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t<textarea class=\"sv_api_textarea\" id=\"udf_208\" name=\"udf_208\" cols=\"40\" rows=\"6\" ><\/textarea>\r\n\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t<\/table>\r\n\t\t\t<\/td>\r\n\t\t<\/tr>\r\n\t\t\r\n\t\t<tr>\r\n\t\t\t<td class=\"sv_api_section_head\">Emergency Contact<\/td>\r\n\t\t<\/tr>\r\n\t\t<tr>\r\n\t\t\t<td class=\"sv_api_section_body\">\r\n\t\t\t<table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" class=\"sv_api_section_tbl\">\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_udf_205\" class=\"sv_api_field_disp sv_api_field_required\">\r\n\t\t\t\t\t\t\t\t<label for=\"udf_205\" id=\"label_udf_205\" class=\"sv_api_label\">Emergency Contact Name:<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"sv_api_input\" id=\"udf_205\" name=\"udf_205\" type=\"text\" maxlength=\"200\" size=\"25\" value=\"\">\r\n\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_udf_206\" class=\"sv_api_field_disp sv_api_field_required\">\r\n\t\t\t\t\t\t\t\t<label for=\"udf_206\" id=\"label_udf_206\" class=\"sv_api_label\">Relationship to you:<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"sv_api_input\" id=\"udf_206\" name=\"udf_206\" type=\"text\" maxlength=\"200\" size=\"25\" value=\"\">\r\n\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_udf_207\" class=\"sv_api_field_disp sv_api_field_required\">\r\n\t\t\t\t\t\t\t\t<label for=\"udf_207\" id=\"label_udf_207\" class=\"sv_api_label\">Mobile Phone:<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"sv_api_input\" id=\"udf_207\" name=\"udf_207\" type=\"text\" maxlength=\"200\" size=\"25\" value=\"\">\r\n\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t<\/table>\r\n\t\t\t<\/td>\r\n\t\t<\/tr>\r\n\t\t\r\n\t\t<tr>\r\n\t\t\t<td class=\"sv_api_section_head\">Social Media<\/td>\r\n\t\t<\/tr>\r\n\t\t<tr>\r\n\t\t\t<td class=\"sv_api_section_body\">\r\n\t\t\t<table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" class=\"sv_api_section_tbl\">\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\t\t<td class=\"sv_api_section_note\" colspan=\"2\"><p>For the below, please provide direct links for each of the social media platforms you&#8217;d plan to utilize during your influencer visit to The Palm Beaches.<\/p><\/td>\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_udf_542\" class=\"sv_api_field_disp\">\r\n\t\t\t\t\t\t\t\t<label for=\"udf_542\" id=\"label_udf_542\" class=\"sv_api_label\">Facebook:<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"sv_api_input\" id=\"udf_542\" name=\"udf_542\" type=\"text\" maxlength=\"200\" size=\"25\" value=\"\">\r\n\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_udf_543\" class=\"sv_api_field_disp\">\r\n\t\t\t\t\t\t\t\t<label for=\"udf_543\" id=\"label_udf_543\" class=\"sv_api_label\">Twitter:<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"sv_api_input\" id=\"udf_543\" name=\"udf_543\" type=\"text\" maxlength=\"200\" size=\"25\" value=\"\">\r\n\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_udf_544\" class=\"sv_api_field_disp\">\r\n\t\t\t\t\t\t\t\t<label for=\"udf_544\" id=\"label_udf_544\" class=\"sv_api_label\">Instagram:<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"sv_api_input\" id=\"udf_544\" name=\"udf_544\" type=\"text\" maxlength=\"200\" size=\"25\" value=\"\">\r\n\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_udf_545\" class=\"sv_api_field_disp\">\r\n\t\t\t\t\t\t\t\t<label for=\"udf_545\" id=\"label_udf_545\" class=\"sv_api_label\">YouTube:<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"sv_api_input\" id=\"udf_545\" name=\"udf_545\" type=\"text\" maxlength=\"200\" size=\"25\" value=\"\">\r\n\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_udf_546\" class=\"sv_api_field_disp\">\r\n\t\t\t\t\t\t\t\t<label for=\"udf_546\" id=\"label_udf_546\" class=\"sv_api_label\">Pinterest:<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"sv_api_input\" id=\"udf_546\" name=\"udf_546\" type=\"text\" maxlength=\"200\" size=\"25\" value=\"\">\r\n\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_udf_548\" class=\"sv_api_field_disp\">\r\n\t\t\t\t\t\t\t\t<label for=\"udf_548\" id=\"label_udf_548\" class=\"sv_api_label\">TikTok:<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"sv_api_input\" id=\"udf_548\" name=\"udf_548\" type=\"text\" maxlength=\"200\" size=\"25\" value=\"\">\r\n\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_udf_547\" class=\"sv_api_field_disp\">\r\n\t\t\t\t\t\t\t\t<label for=\"udf_547\" id=\"label_udf_547\" class=\"sv_api_label\">Other:<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"sv_api_input\" id=\"udf_547\" name=\"udf_547\" type=\"text\" maxlength=\"200\" size=\"25\" value=\"\">\r\n\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t<\/table>\r\n\t\t\t<\/td>\r\n\t\t<\/tr>\r\n\t\t\r\n\t\t<tr>\r\n\t\t\t<td class=\"sv_api_section_head\">Trip Details<\/td>\r\n\t\t<\/tr>\r\n\t\t<tr>\r\n\t\t\t<td class=\"sv_api_section_body\">\r\n\t\t\t<table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" class=\"sv_api_section_tbl\">\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\t\t<td class=\"sv_api_section_note\" colspan=\"2\"><p>Fill out this section only if you need hotel accommodations.<\/p><\/td>\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_udf_127\" class=\"sv_api_field_disp sv_api_field_required\">\r\n\t\t\t\t\t\t\t\t<label for=\"udf_127\" id=\"label_udf_127\" class=\"sv_api_label\">Date of Arrival:<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t<input class=\"sv_api_input\" id=\"udf_127\" name=\"udf_127\" type=\"text\" maxlength=\"10\" size=\"8\" value=\"\" onblur=\"fmtDate(this, '\/'); \"> <span class=\"sv_api_hint\">MM\/DD\/YYYY   *Media Visits cannot be guaranteed for major holidays or holiday weekends including: Thanksgiving, Christmas, New Year&#8217;s, Labor Day, 4th of July and Memorial Day.<\/span>\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_udf_172\" class=\"sv_api_field_disp sv_api_field_required\">\r\n\t\t\t\t\t\t\t\t<label for=\"udf_172\" id=\"label_udf_172\" class=\"sv_api_label\">Expected time of departure:<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\r\n\t\t\t\r\n\t\t\t<input class=\"sv_api_input\" id=\"udf_172\" name=\"udf_172\" type=\"text\" maxlength=\"200\" size=\"25\" value=\"\">\r\n\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_udf_174\" class=\"sv_api_field_disp sv_api_field_required\">\r\n\t\t\t\t\t\t\t\t<label for=\"udf_174\" id=\"label_udf_174\" class=\"sv_api_label\">How will you be arriving to The Palm Beaches?:<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t<table border=\"0\" cellpadding=\"2\" cellspacing=\"0\" width=\"100%\">\r\n\t\t\t\t\t\t<tr valign=\"top\">\r\n\t\t\t\t\t\t\t<td width=\"100%\" nowrap>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<input class=\"sv_api_chkbox\" id=\"udf_174_1193\" name=\"udf_174\" type=\"checkbox\" value=\"1193\"><label class=\"sv_api_label \" for=\"udf_174_1193\"> Flying <\/label><br>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<input class=\"sv_api_chkbox\" id=\"udf_174_1194\" name=\"udf_174\" type=\"checkbox\" value=\"1194\"><label class=\"sv_api_label \" for=\"udf_174_1194\"> Driving <\/label><br>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<input class=\"sv_api_chkbox\" id=\"udf_174_1920\" name=\"udf_174\" type=\"checkbox\" value=\"1920\"><label class=\"sv_api_label \" for=\"udf_174_1920\"> Other (add details below) <\/label><br>\r\n\t\t\t\t\t\t\t\t\r\n\t\r\n\t\t\t\t\t\t<\/tr>\r\n\t\t\t\t\t<\/table>\r\n\t\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_udf_743\" class=\"sv_api_field_disp\">\r\n\t\t\t\t\t\t\t\t<label for=\"udf_743\" id=\"label_udf_743\" class=\"sv_api_label\">Other Arrival Details:<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t<textarea class=\"sv_api_textarea\" id=\"udf_743\" name=\"udf_743\" cols=\"40\" rows=\"6\" ><\/textarea>\r\n\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_udf_175\" class=\"sv_api_field_disp\">\r\n\t\t\t\t\t\t\t\t<label for=\"udf_175\" id=\"label_udf_175\" class=\"sv_api_label\">Which airport will you be flying in to?:<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t<table border=\"0\" cellpadding=\"2\" cellspacing=\"0\" width=\"100%\">\r\n\t\t\t\t\t\t<tr valign=\"top\">\r\n\t\t\t\t\t\t\t<td width=\"100%\" nowrap>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<input class=\"sv_api_chkbox\" id=\"udf_175_1189\" name=\"udf_175\" type=\"checkbox\" value=\"1189\"><label class=\"sv_api_label \" for=\"udf_175_1189\"> Palm Beach International Airport (PBI) <\/label><br>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<input class=\"sv_api_chkbox\" id=\"udf_175_1190\" name=\"udf_175\" type=\"checkbox\" value=\"1190\"><label class=\"sv_api_label \" for=\"udf_175_1190\"> Fort Lauderdale International Airport (FLL) <\/label><br>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<input class=\"sv_api_chkbox\" id=\"udf_175_1191\" name=\"udf_175\" type=\"checkbox\" value=\"1191\"><label class=\"sv_api_label \" for=\"udf_175_1191\"> Miami International Airport (MIA) <\/label><br>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<input class=\"sv_api_chkbox\" id=\"udf_175_1192\" name=\"udf_175\" type=\"checkbox\" value=\"1192\"><label class=\"sv_api_label \" for=\"udf_175_1192\"> Southwest Florida International Airport (RSW) <\/label><br>\r\n\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<input class=\"sv_api_chkbox\" id=\"udf_175_1296\" name=\"udf_175\" type=\"checkbox\" value=\"1296\"><label class=\"sv_api_label \" for=\"udf_175_1296\"> Orlando International Airport (MCO) <\/label><br>\r\n\t\t\t\t\t\t\t\t\r\n\t\r\n\t\t\t\t\t\t<\/tr>\r\n\t\t\t\t\t<\/table>\r\n\t\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t<td id=\"td_udf_187\" class=\"sv_api_field_disp\">\r\n\t\t\t\t\t\t\t\t<label for=\"udf_187\" id=\"label_udf_187\" class=\"sv_api_label\">Is there anything else you would like to <br \/>share with us?:<\/label>\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t<textarea class=\"sv_api_textarea\" id=\"udf_187\" name=\"udf_187\" cols=\"40\" rows=\"6\" ><\/textarea>\r\n\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t<\/table>\r\n\t\t\t<\/td>\r\n\t\t<\/tr>\r\n\t\t\r\n\t\t<tr>\r\n\t\t\t<td class=\"sv_api_section_head\">Terms and Conditions<\/td>\r\n\t\t<\/tr>\r\n\t\t<tr>\r\n\t\t\t<td class=\"sv_api_section_body\">\r\n\t\t\t<table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" class=\"sv_api_section_tbl\">\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t\t\t<td id=\"td_contact_sendemail\" class=\"sv_api_field_disp sv_api_field_required\">\r\n\t\t\t\t\t\t\t\t\t\t<label for=\"contact_sendemail\" id=\"label_contact_sendemail\" class=\"sv_api_label\">I am agreeing to receive email communication from DTPB.:<\/label>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t\t<fieldset style='border:0px;'>\r\n\t\t\t\t\t\t\t<legend style=\"display:none;\">contact_sendemail<\/legend>\r\n\t\t\t\t\t<input  class=\"sv_api_radio\" id=\"contact_sendemail_1\" name=\"contact_sendemail\" type=\"radio\" value=\"1\"><label class=\"sv_api_label sv_api_field_required\" for=\"contact_sendemail_1\"> Yes <\/label>\r\n\t\t\t\t\t<input  class=\"sv_api_radio\" id=\"contact_sendemail_0\" name=\"contact_sendemail\" type=\"radio\" value=\"0\"><label class=\"sv_api_label sv_api_field_required\" for=\"contact_sendemail_0\"> No <\/label>\r\n\t\t\t\t\t\t<\/fieldset>\r\n\t\t\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t\t<td id=\"td_udf_689\" class=\"sv_api_field_disp\">\u00a0<\/td>\r\n\t\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t<input class=\"sv_api_chkbox\" id=\"udf_689\" name=\"udf_689\" type=\"checkbox\" value=\"1\"><label class=\"sv_api_label sv_api_field_required\" for=\"udf_689\"> I understand that by clicking I am agreeing to DTPB&#8217;s <a href=\"https:\/\/www.thepalmbeaches.com\/privacy-policy\">Privacy Policy<\/a>. By completing this form, you may receive future emails from DTPB. <\/label>\r\n\t\t\t\t\t<input type=\"hidden\" name=\"udf_689_checkbox_hidden\" value=\"0\">\r\n\t\t\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t\t<tr>\r\n\t\t\t\r\n\t\t\t\t\t\t\t\t<td id=\"td_udf_716\" class=\"sv_api_field_disp\">\u00a0<\/td>\r\n\t\t\t\t\t\t\t\r\n\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t<input class=\"sv_api_chkbox\" id=\"udf_716\" name=\"udf_716\" type=\"checkbox\" value=\"1\"><label class=\"sv_api_label sv_api_field_required\" for=\"udf_716\"> I acknowledge that I have reviewed the <a href=\"https:\/\/www.thepalmbeaches.com\/privacy-policy\"> EU GDPR information<\/a> <\/label>\r\n\t\t\t\t\t<input type=\"hidden\" name=\"udf_716_checkbox_hidden\" value=\"0\">\r\n\t\t\t\t\t\r\n\t\t\t\t\t<\/td>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t<\/tr>\r\n\t\t\r\n\t\t\t<\/table>\r\n\t\t\t<\/td>\r\n\t\t<\/tr>\r\n\t\r\n\t\t<tr>\r\n\t\t\t<td class=\"sv_api_section_body\">\r\n\t\t\t<table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" class=\"sv_api_section_tbl\">\r\n\t\t\t\t<tr>\r\n\t\t\t\t\t<td class=\"sv_api_field_disp sv_api_field_required\" nowrap><label for=\"captcha_code\" id=\"label_captcha\" class=\"label_hidden\">Verification:<\/label><\/td>\r\n\t\t\t\t\t<td class=\"sv_api_field_val\">\r\n                    <div id=\"g-recaptcha\" class=\"g-recaptcha\" data-sitekey=\"6LfF94YUAAAAAK8RzEhJTtUhPBtGmkpvyEf8BdZf\"><\/div>\r\n                \r\n            \r\n            <input type=\"hidden\" name=\"code\" id=\"code\" value=\"1234\" \/>\r\n            <input type=\"hidden\" name=\"code_key\" id=\"code_key\" value=\"rO0ABXQABDEyMzQ=\" \/>\r\n            <\/td>\r\n\t\t\t\t<\/tr>\r\n\t\t\t<\/table>\r\n\t\t\t<\/td>\r\n\t\t<\/tr>\r\n\t\t<tr>\r\n\t\t\t<td class=\"sv_api_reqhint\">Red fields are required.<\/td>\r\n\t\t<\/tr>\r\n\t\t<tr>\r\n\t\t\t<td class=\"sv_api_submit\"><label for=\"savefrm_button\" class=\"label_hidden\">Submit<\/label><input class=\"sv_api_button\" id=\"savefrm_button\" name=\"savefrm\" type=\"Submit\" value=\"Submit\"> <label for=\"resetfrm_button\" class=\"label_hidden\">Reset<\/label><input class=\"sv_api_button\" id=\"resetfrm_button\" type=\"Reset\" value=\"Reset\"><\/td>\r\n\t\t<\/tr>\t\r\n\t<\/table>\r\n\t<\/form>\r\n\t\r\n\t\r\n\t\t\t<script type=\"text\/javascript\">\r\n\t\t\t\t\/*\tIP Address Tracking enabled.  IP addresses are being tracked in order to ensure compliance with local privacy laws\t*\/\r\n\t\t\t\tvar __sv = __sv || {};\r\n\t\t\t\t\r\n\t\t\t\t\t\r\n\t\t\t\t(function(){\r\n\t\t\t\t\tfunction ___onload_function(){\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t};\r\n\t\t\t\t\t\r\n\t\t\t\t\t\r\n\t\t\t\t\t\r\n\t\t\t\t\tif(window.addEventListener){\r\n\t\t\t\t\t\twindow.addEventListener('load',___onload_function,false);\r\n\t\t\t\t\t}else if(window.attachEvent){\r\n\t\t\t\t\t\twindow.attachEvent('onload',___onload_function);\r\n\t\t\t\t\t}\r\n\t\t\t\t})();\r\n\t\t\t<\/script>\r\n\t\t\t\r\n\t\t\t <script type=\"text\/javascript\">\r\n\t\t\tfunction AoProcessForm(frm){\r\n\t\t\t\tvar changeSaveFrmButtonTypeAndSubmit = function(frm){\r\n\t\t\t\t\ttry{\r\n\t\t\t\t\t\tif(frm && 'savefrm' in frm && 'type' in frm.savefrm){\r\n\t\t\t\t\t\t\tfrm.savefrm.style.opacity = '0';\r\n\t\t\t\t\t\t\tfrm.savefrm.setAttribute(\"type\",\"input\");\r\n\t\t\t\t\t\t}\r\n\t\t\t\t\t\tfrm.submit();\r\n\t\t\t\t\t}catch(e){\r\n\t\t\t\t\t\tif(console && 'log' in console){\r\n\t\t\t\t\t\t\tconsole.log(\"Error trying to pass the save button\", e);\r\n\t\t\t\t\t\t}\r\n\t\t\t\t\t}\r\n\t\t\t\t};\r\n\t\t\t\t\r\n\t\t\t\t\tchangeSaveFrmButtonTypeAndSubmit(frm);\r\n\t\t\t\t\r\n\t\t\t}\r\n\t\t<\/script>\t\t\r\n\t\t\t<script type=\"text\/javascript\">\r\n\t\t\t\t\tfunction chkBoxes(fld) {\r\n\t\t\t\t\tvar i = 0;\r\n\t\t\t\t\tvar cnt = 0;\r\n\t\r\n\t\t\t\t\tif(fld.length==undefined && fld.checked == true) return true;\r\n\t\r\n\t\t\t\t\tfor (i = 0; i < fld.length; i++) {\r\n\t\t\t\t\t\tif (fld[i].checked) {\r\n\t\t\t\t\t\t\tcnt++;\r\n\t\t\t\t\t\t\tbreak;\r\n\t\t\t\t\t\t}\r\n\t\t\t\t\t}\r\n\t\t\t\t\tif (cnt == 0)\r\n\t\t\t\t\t\treturn false;\r\n\t\t\t\t\telse\r\n\t\t\t\t\t\treturn true;\r\n\t\t\t\t}\r\n\t\r\n\t\t\t\tfunction updReq() {\r\n\t\t\t\t\tvar i = 0;\r\n\t\t\t\t\tvar st = new Array();\r\n\t\t\t\t\tvar zp = new Array();\r\n\t\r\n\t\t\t\t\t\r\n\t\t\t\t\t\t\tvar cty = document.getElementById('contact_country').options[document.getElementById('contact_country').selectedIndex].value;\r\n\t\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\tst = document.getElementById('statectry').value.split(',');\r\n\t\t\t\t\t\t\tfor (i = 0; i < st.length; i++) {\r\n\t\t\t\t\t\t\t\tif (st[i] == cty) break;\r\n\t\t\t\t\t\t\t}\r\n\t\r\n\t\t\t\t\t\t\tif (i == st.length &#038;&#038; cty.length > 0)\r\n\t\t\t\t\t\t\t\tdocument.getElementById('td_contact_state').className = 'sv_api_field_disp';\r\n\t\t\t\t\t\t\telse\r\n\t\t\t\t\t\t\t\tdocument.getElementById('td_contact_state').className = 'sv_api_field_disp sv_api_field_required';\r\n\t\t\t\t\t\t\t\r\n\t\r\n\t\t\t\t\treturn true;\r\n\t\t\t\t}\r\n\t\r\n\t\t\t\t\/\/ removes the leading and trailing spaces from a string,\r\n\t\t\t\t\/\/ similar to the java.lang.String.trim() function\r\n\t\t\t\t\/\/ added by lturetsky, taken from http:\/\/www.voy.com\/1888\/58.html\r\n\t\t\t\tfunction trim(st) {\r\n\t\t\t\t\tvar len = st.length\r\n\t\t\t\t\tvar begin = 0, end = len - 1;\r\n\t\t\t\t\twhile (st.charAt(begin) == \" \" && begin < len) {\r\n\t\t\t\t\t\tbegin++;\r\n\t\t\t\t\t}\r\n\t\t\t\t\twhile (st.charAt(end) == \" \" &#038;&#038; begin < end) {\r\n\t\t\t\t\t\tend--;\r\n\t\t\t\t\t}\r\n\t\t\t\t\treturn st.substring(begin, end+1);\r\n\t\t\t\t}\r\n\t\r\n\t\t\t\tfunction validateForm(frm) {\r\n\t\t\t\t\tvar errMsg = '', reqMsg = '', fmtMsg = '';\t\t\t\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\tif (trim(document.getElementById('contact_fname').value).length == 0)\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\treqMsg += '    First Name (as per photo ID)\\n';\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\tif (trim(document.getElementById('contact_lname').value).length == 0)\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\treqMsg += '    Last Name (as per photo ID)\\n';\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\tif (!fmtDate(document.getElementById('udf_204'), '\/'))\r\n\t\t\t\t\t\t\t\t\tfmtMsg += '    Please Enter a Valid date for Date of Birth\\n';\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\tif (trim(document.getElementById('contact_email').value).length == 0)\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\treqMsg += '    Email\\n';\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\tif (!checkEmail(document.getElementById('contact_email')))\r\n\t\t\t\t\t\t\t\t\tfmtMsg += '    Please enter a valid email address for: Email\\n';\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\tif (trim(document.getElementById('contact_cellphone').value).length == 0)\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\treqMsg += '    Mobile Phone\\n';\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\tif (!checkPhone(document.getElementById('contact_cellphone')))\r\n\t\t\t\t\t\t\t\t\tfmtMsg += '    Please enter a valid phone number for : Mobile Phone\\n';\r\n\t\t\t\t\t\t\t\telse\r\n\t\t\t\t\t\t\t\t\tfmtPhone(document.getElementById('contact_cellphone'));\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\tif (trim(document.getElementById('contact_city').value).length == 0)\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\treqMsg += '    City\\n';\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\tif (document.getElementById('td_contact_state').className == 'sv_api_field_disp sv_api_field_required' &#038;&#038; document.getElementById('contact_state').selectedIndex == 0)\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\treqMsg += '    State\\n';\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\tif (document.getElementById('contact_country').selectedIndex == 0)\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\treqMsg += '    Country\\n';\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\tif (trim(document.getElementById('udf_208').value).length == 0)\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\treqMsg += '    List any personal medical conditions\/allergies<br>If none, please write NONE\\n';\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\tif (trim(document.getElementById('udf_205').value).length == 0)\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\treqMsg += '    Emergency Contact Name\\n';\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\tif (trim(document.getElementById('udf_206').value).length == 0)\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\treqMsg += '    Relationship to you\\n';\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\tif (trim(document.getElementById('udf_207').value).length == 0)\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\treqMsg += '    Mobile Phone\\n';\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\tif (trim(document.getElementById('udf_127').value).length == 0)\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\treqMsg += '    Date of Arrival\\n';\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\tif (!fmtDate(document.getElementById('udf_127'), '\/'))\r\n\t\t\t\t\t\t\t\t\tfmtMsg += '    Please Enter a Valid date for Date of Arrival\\n';\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\tif (trim(document.getElementById('udf_172').value).length == 0)\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\treqMsg += '    Expected time of departure\\n';\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\tif (!chkBoxes(document.getElementsByName('udf_174')))\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\treqMsg += '    How will you be arriving to The Palm Beaches?\\n';\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\tif (!document.getElementById('contact_sendemail_0').checked && !document.getElementById('contact_sendemail_1').checked)\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\treqMsg += '    I am agreeing to receive email communication from DTPB.\\n';\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\tif (!document.getElementById('udf_689').checked)\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\treqMsg += '    I understand that by clicking I am agreeing to DTPB\\'s <a href=\\\"https:\/\/www.thepalmbeaches.com\/privacy-policy\\\">Privacy Policy<\/a>. By completing this form, you may receive future emails from DTPB.\\n';\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\tif (!document.getElementById('udf_716').checked)\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\treqMsg += '    I acknowledge that I have reviewed the <a href=\\\"https:\/\/www.thepalmbeaches.com\/privacy-policy\\\"> EU GDPR information<\/a>\\n';\r\n\t\t\t\t\t\t\t\r\n\t\r\n\t\t\t\t\t\r\n\t\t\t\t\t\/\/only validate the captcha if it is there\r\n\t\t\t\t\tvar cdElm = document.getElementById('code');\r\n\t\t\t\t\tif (cdElm !== null && cdElm.value.length == 0){\r\n\t\t\t\t\t\treqMsg += '    Verification Code\\n';\r\n\t\t\t\t\t}\r\n\t\t\t\t\t\r\n\t\t\t\t\t\/\/allow a hook in for custom validations\r\n\t\t\t\t\tvar customValidations = processCustomValidations();\r\n\t\t\t\t\tif('reqMsg' in customValidations && customValidations.reqMsg.length){\r\n\t\t\t\t\t\treqMsg += customValidations.reqMsg;\r\n\t\t\t\t\t}\r\n\t\t\t\t\tif('fmtMsg' in customValidations && customValidations.fmtMsg.length){\r\n\t\t\t\t\t\tfmtMsg += customValidations.fmtMsg;\r\n\t\t\t\t\t}\r\n\t\t\t\t\t\r\n\t\t\t\t\treturn processValidationMessages(reqMsg,fmtMsg,frm);\r\n\t\t\t\t}\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t\t\/\/core will do nothing but gives devs a hook\r\n\t\t\t\tfunction processCustomValidations(){\r\n\t\t\t\t\tvar rtnvar = {reqMsg:'',fmtMsg:''};\r\n\t\t\t\t\treturn rtnvar;\r\n\t\t\t\t}\r\n\t\t\t\t\r\n\t\t\t\t\/\/might as well split this out so customizations can be made\r\n\t\t\t\tfunction processValidationMessages(reqMsg,fmtMsg,frm){\r\n\t\t\t\t\tvar errMsg = '';\r\n\t\t\t\t\tif ((reqMsg.length + fmtMsg.length) != 0) {\r\n\t\t\t\t\t\terrMsg = 'This information cannot be sent at this time!\\n\\n';\r\n\t\t\t\t\t\tif (reqMsg.length > 0)\r\n\t\t\t\t\t\t\terrMsg += 'The following fields are required!\\n' + reqMsg + '\\n';\r\n\t\r\n\t\t\t\t\t\tif (fmtMsg.length > 0)\r\n\t\t\t\t\t\t\terrMsg += 'The following information is invalid!\\n' + fmtMsg + '\\n';\r\n\t\r\n\t\t\t\t\t\tshowValidationErrorMsg(errMsg);\r\n\t\t\t\t\t\treturn false;\r\n\t\t\t\t\t}else{\r\n\t\t\t\t\t\tAoProcessForm(frm);\r\n\t\t\t\t\t\treturn false;\r\n\t\t\t\t\t}\r\n\t\t\t\t}\r\n\t\t\t\t\r\n\t\t\t\t\/\/why not :)\r\n\t\t\t\tfunction showValidationErrorMsg(msg){\r\n\t\t\t\t\talert(msg);\r\n\t\t\t\t}\r\n\t\r\n\t\t\t\tfunction updateDOB(monthFld,dayFld) {\r\n\t\t\t\t\tvar days = 0;\r\n\t\t\t\t\tif (monthFld.selectedIndex == 0) return true;\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\tswitch (monthFld.selectedIndex) {\r\n\t\t\t\t\t\tcase 2:\r\n\t\t\t\t\t\t\tdays = 30;\r\n\t\t\t\t\t\t\tbreak;\r\n\t\t\t\t\t\tcase 4:\r\n\t\t\t\t\t\tcase 6:\r\n\t\t\t\t\t\tcase 9:\r\n\t\t\t\t\t\tcase 11:\r\n\t\t\t\t\t\t\tdays = 31;\r\n\t\t\t\t\t\t\tbreak;\r\n\t\t\t\t\t\tdefault:\r\n\t\t\t\t\t\t\tdays = 32;\r\n\t\t\t\t\t\t\tbreak;\r\n\t\t\t\t\t}\r\n\t\t\t\t\t\r\n\t\t\t\t\tif (dayFld.options[dayFld.selectedIndex].value >= days)\r\n\t\t\t\t\t\tdayFld.selectedIndex = days - 1;\r\n\t\t\t\t\t\r\n\t\t\t\t\tdayFld.length = days;\r\n\t\t\t\t\tfor (var i = 28; i < days; i++) {\r\n\t\t\t\t\t\tdayFld.options[i].value = String(i);\r\n\t\t\t\t\t\tdayFld.options[i].text = String(i);\t\r\n\t\t\t\t\t}\r\n\t\t\t\t\treturn true;\r\n\t\t\t\t}\r\n\t\t\t<\/script>\r\n\t\t\r\n\t\t\t<script type=\"text\/javascript\">\r\n\t\r\n\t\t\t\t\r\n\t\r\n\t\t\t\t\twindow.states = [{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"AFGHANISTAN\",\"COUNTRYID\":239},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"\u00c5LAND ISLANDS\",\"COUNTRYID\":272},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"ALBANIA\",\"COUNTRYID\":1},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"ALGERIA\",\"COUNTRYID\":2},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"AMERICAN SAMOA\",\"COUNTRYID\":3},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"ANDORRA\",\"COUNTRYID\":4},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"ANGOLA\",\"COUNTRYID\":250},{\"STATES\":\"\u001f**\u001f** - 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**\",\"COUNTRYNAME\":\"THAILAND\",\"COUNTRYID\":201},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"TIMOR-LESTE\",\"COUNTRYID\":257},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"TINIAN\",\"COUNTRYID\":202},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"TOGO\",\"COUNTRYID\":203},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"TOKELAU\",\"COUNTRYID\":270},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"TONGA\",\"COUNTRYID\":204},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"TORTOLA\",\"COUNTRYID\":205},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"TRINIDAD AND TOBAGO\",\"COUNTRYID\":206},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"TRUK\",\"COUNTRYID\":207},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"TUNISIA\",\"COUNTRYID\":208},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"TURKEY\",\"COUNTRYID\":209},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"TURKMENISTAN\",\"COUNTRYID\":271},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"TURKS AND CAICOS ISLANDS\",\"COUNTRYID\":210},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"TUVALU\",\"COUNTRYID\":211},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"UGANDA\",\"COUNTRYID\":212},{\"STATES\":\"\u001f**\u001f** - ** \u001fDK\u001fDK - Dnipropetrovsk\",\"COUNTRYNAME\":\"UKRAINE\",\"COUNTRYID\":213},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"UNION ISLAND\",\"COUNTRYID\":214},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"UNITED ARAB EMIRATES\",\"COUNTRYID\":215},{\"STATES\":\"\u001f**\u001f** - ** \u001fESS\u001fESS - Essex \u001fHRT\u001fHRT - Herts \u001fKEN\u001fKEN - Kent \u001fLAN\u001fLAN - Lancashire \u001fSFK\u001fSFK - Suffolk \u001fSRY\u001fSRY - Surrey \u001fSX\u001fSX - Sussex \u001fSXW\u001fSXW - West Sussex\",\"COUNTRYNAME\":\"UNITED KINGDOM\",\"COUNTRYID\":57},{\"STATES\":\"\u001f**\u001f** - ** \u001fAL\u001fAL - Alabama \u001fAK\u001fAK - Alaska \u001fAZ\u001fAZ - Arizona \u001fAR\u001fAR - Arkansas \u001fCA\u001fCA - California \u001fCO\u001fCO - Colorado \u001fCT\u001fCT - Connecticut \u001fDE\u001fDE - Delaware \u001fDC\u001fDC - District of Columbia \u001fFL\u001fFL - Florida \u001fGA\u001fGA - Georgia \u001fHI\u001fHI - Hawaii \u001fID\u001fID - Idaho \u001fIL\u001fIL - Illinois \u001fIN\u001fIN - Indiana \u001fIA\u001fIA - Iowa \u001fKS\u001fKS - Kansas \u001fKY\u001fKY - Kentucky \u001fLA\u001fLA - Louisiana \u001fME\u001fME - Maine \u001fMD\u001fMD - Maryland \u001fMA\u001fMA - Massachusetts \u001fMI\u001fMI - Michigan \u001fMN\u001fMN - Minnesota \u001fMS\u001fMS - Mississippi \u001fMO\u001fMO - Missouri \u001fMT\u001fMT - Montana \u001fNE\u001fNE - Nebraska \u001fNV\u001fNV - Nevada \u001fNH\u001fNH - New Hampshire \u001fNJ\u001fNJ - New Jersey \u001fNM\u001fNM - New Mexico \u001fNY\u001fNY - New York \u001fNC\u001fNC - North Carolina \u001fND\u001fND - North Dakota \u001fOH\u001fOH - Ohio \u001fOK\u001fOK - Oklahoma \u001fOR\u001fOR - Oregon \u001fPA\u001fPA - Pennsylvania \u001fRI\u001fRI - Rhode Island \u001fSC\u001fSC - South Carolina \u001fSD\u001fSD - South Dakota \u001fTN\u001fTN - Tennessee \u001fTX\u001fTX - Texas \u001fUT\u001fUT - Utah \u001fVT\u001fVT - Vermont \u001fVA\u001fVA - Virginia \u001fWA\u001fWA - Washington \u001fWV\u001fWV - West Virginia \u001fWI\u001fWI - Wisconsin \u001fWY\u001fWY - Wyoming\",\"COUNTRYNAME\":\"UNITED STATES\",\"COUNTRYID\":217},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"UNITED STATES MINOR OUTLYING ISLANDS\",\"COUNTRYID\":225},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"URUGUAY\",\"COUNTRYID\":218},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"UZBEKISTAN\",\"COUNTRYID\":220},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"VANUATU\",\"COUNTRYID\":221},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"VENEZUELA, BOLIVARIAN REPUBLIC OF\",\"COUNTRYID\":222},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"VIET NAM\",\"COUNTRYID\":223},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"VIRGIN ISLANDS, BRITISH\",\"COUNTRYID\":26},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"VIRGIN ISLANDS, U.S.\",\"COUNTRYID\":219},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"WALES\",\"COUNTRYID\":226},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"WALLIS AND FUTUNA\",\"COUNTRYID\":227},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"WESTERN SAHARA\",\"COUNTRYID\":246},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"YAP\",\"COUNTRYID\":229},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"YEMEN\",\"COUNTRYID\":247},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"ZAIRE\",\"COUNTRYID\":231},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"ZAMBIA\",\"COUNTRYID\":232},{\"STATES\":\"\u001f**\u001f** - **\",\"COUNTRYNAME\":\"ZIMBABWE\",\"COUNTRYID\":233}];\r\n\t\r\n\t\t\t\t\tfunction countryChanged(domElm){\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t\tvar state = document.getElementById('contact_state');\r\n\t\t\t\t\t\t\t\r\n\t\r\n\t\t\t\t\t\tvar oldSelIndexVal = state.value;  \/\/$F('contact_state');\r\n\t\t\t\t\t\tvar myStates = new Array();\r\n\t\r\n\t\t\t\t\t\t \/\/ $('contact_state').options.length = 0;\r\n\t\t\t\t\t\tstate.options.length = 0;\r\n\t\r\n\t\t\t\t\t\tfor (var i = 0; i < window.states.length; i++) {\r\n\t\t\t\t\t\t\tif (window.states[i].COUNTRYNAME == domElm.options[domElm.selectedIndex].value || window.states[i].COUNTRYNAME == '') {\r\n\t\t\t\t\t\t\t\tvar myObj = new Object();\r\n\t\r\n\t\t\t\t\t\t\t\tvar tmp = window.states[i].STATES.split('\u001f');\r\n\t\t\t\t\t\t\t\tfor (var x = 0; x < tmp.length; x = x + 2) {\r\n\t\t\t\t\t\t\t\t\tvar myObj = new Object();\r\n\t\t\t\t\t\t\t\t\tmyObj.statecode = tmp[x - 1];\r\n\t\t\t\t\t\t\t\t\tmyObj.statename = tmp[x];\r\n\t\t\t\t\t\t\t\t\tif (tmp[x - 1] == oldSelIndexVal) {\r\n\t\t\t\t\t\t\t\t\t\tmyObj.selected = true;\r\n\t\t\t\t\t\t\t\t\t} else {\r\n\t\t\t\t\t\t\t\t\t\tmyObj.selected = false;\r\n\t\t\t\t\t\t\t\t\t}\r\n\t\r\n\t\t\t\t\t\t\t\t\tif(!myObj.statecode){\r\n\t\t\t\t\t\t\t\t\t\tmyObj.statecode = '';\r\n\t\t\t\t\t\t\t\t\t}\r\n\t\t\t\t\t\t\t\t\tmyStates.push(myObj);\r\n\t\t\t\t\t\t\t\t}\r\n\t\t\t\t\t\t\t}\r\n\t\t\t\t\t\t}\r\n\t\r\n\t\t\t\t\t\tif (myStates.length > 0) {\r\n\t\t\t\t\t\t\tfor (var i = 0; i < myStates.length; i++) {\r\n\t\t\t\t\t\t\t\t \/\/ $('contact_state').options[$('state').options.length] = new Option(myStates[i].statename, myStates[i].statecode, myStates[i].selected, myStates[i].selected);\r\n\t\t\t\t\t\t\t\t state.options[state.options.length] = new Option(myStates[i].statename, myStates[i].statecode, myStates[i].selected, myStates[i].selected);\r\n\t\r\n\t\t\t\t\t\t\t}\r\n\t\t\t\t\t\t} else {\r\n\t\t\t\t\t\t\t\/\/ $('contact_state').options.length = 0;\r\n\t\t\t\t\t\t\tstate.options.length = 0;\r\n\t\t\t\t\t\t\t\/\/$('contact_state').options[$('contact_state').options.length] = new Option(\"** - **\", \"\");\r\n\t\t\t\t\t\t\tstate.options[state.options.length] = new Option(\"** - **\", \"\");\r\n\t\t\t\t\t\t}\r\n\t\t\t\t\t}\r\n\t\r\n\t\t\t\t\r\n\t\t\t<\/script>\r\n\t\t\r\n\t\t\t<script type=\"text\/javascript\">\r\n\t\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t\t\t\twindow._____fileInpElmsRemoved = {}; \/\/being lazy, need a place to store the file inputs that get removed from the form\r\n\t\t\t\t\t\twindow._____filesUploading = 0; \/\/if this is greater than 0, a file is still uploading.\r\n\t\t\t\t\r\n\t\t\t\t\t\t\/\/this function is called when a file upload input has a file selected\r\n\t\t\t\t\t\twindow.submitFileUpload = function(frmname,fldname){\r\n\t\t\t\t\t\t\t\/\/kill off the old temp input that is used by formbuilder_fileAdd.cfm to know which form element to upload\r\n\t\t\t\t\t\t\tvar oldinp = document.getElementById('thefileweneedtoupload');\r\n\t\t\t\t\t\t\tif(oldinp){ oldinp.parentNode.removeChild(oldinp); }\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\/\/create the temp input that is used by formbuilder_fileAdd.cfm to know which form element to upload\r\n\t\t\t\t\t\t\tvar inp = document.createElement('input'); inp.type = 'hidden'; inp.name = 'thefileweneedtoupload'; inp.id = 'thefileweneedtoupload'; inp.value = fldname;\r\n\t\t\t\t\t\t\tdocument[frmname].appendChild(inp);\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\/\/need to get some things from this input before it is killed so we will it so we can recreate it\r\n\t\t\t\t\t\t\tvar fld = document.getElementById(fldname);\r\n\t\t\t\t\t\t\twindow._____fileInpElmsRemoved[fldname] = { id:fld.id, name:fld.name, className:fld.className, tabIndex:fld.tabIndex, onchange:fld.onchange };\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\/\/kill iframe element if one exists\r\n\t\t\t\t\t\t\twindow.killFileInputIframeElm(fldname);\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\/\/create iframe to submit to\r\n\t\t\t\t\t\t\tvar iframe = document.createElement('iframe'); iframe.id = 'fileUploaderIframe_'+fldname; iframe.name = 'fileUploaderIframe_'+fldname; iframe.style.display = 'none';\r\n\t\t\t\t\t\t\tdocument.body.appendChild(iframe);\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\/\/store the form action before it is changed\r\n\t\t\t\t\t\t\tvar origFormAttributes = {action: document[frmname].action, enctype: document[frmname].enctype};\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\/\/change the form so that it will submit to the webapi and iframe target\r\n\t\t\t\t\t\t\tdocument[frmname].action = 'https:\/\/PalmBeach.simpleviewcrm.com\/webapi\/formbuilder\/formbuilder_fileAdd.cfm';\r\n\t\t\t\t\t\t\tdocument[frmname].target = 'fileUploaderIframe_'+fldname;\r\n\t\t\t\t\t\t\tdocument[frmname].enctype = 'multipart\/form-data';\r\n\t\t\t\t\t\t\tdocument[frmname].submit();\r\n\r\n\t\t\t\t\t\t\t\/\/add to filesUploading so we don't allow form submissions while files are uploading\r\n\t\t\t\t\t\t\twindow._____filesUploading = window._____filesUploading + 1;\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\/\/reset the form to submit to where it was originally intended to submit to and remove the target so it doesn't go to the iframe\r\n\t\t\t\t\t\t\tdocument[frmname].setAttribute('action',origFormAttributes.action);\r\n\t\t\t\t\t\t\tdocument[frmname].setAttribute('enctype',origFormAttributes.enctype);\r\n\t\t\t\t\t\t\tdocument[frmname].removeAttribute('target');\r\n\r\n\t\t\t\t\t\t\t\/\/ Disable the submit button and add a tool tip to the disabled element so it is clear why you can't submit yet -- useful for large files or slow connections\r\n\t\t\t\t\t\t\tdocument.getElementById('savefrm_button').disabled = true;\r\n\t\t\t\t\t\t\tvar tt = document.getElementById('submit_tooltiptext');\r\n\t\t\t\t\t\t\tif(tt){\r\n\t\t\t\t\t\t\t\t\/\/Make the tool tip show up\r\n\t\t\t\t\t\t\t\ttt.style.visibility = 'visible';\r\n\t\t\t\t\t\t\t} else {\r\n\t\t\t\t\t\t\t\t\/\/ create a new element\r\n\t\t\t\t\t\t\t\tvar toolTip = document.createElement(\"span\");\r\n\t\t\t\t\t\t\t\tvar newContent = document.createTextNode(\"Unable to submit, file upload in progress.\");\r\n\t\t\t\t\t\t\t\ttoolTip.appendChild(newContent);\r\n\t\t\t\t\t\t\t\ttoolTip.style.backgroundColor = \"black\";\r\n\t\t\t\t\t\t\t\ttoolTip.style.color = \"white\";\r\n\t\t\t\t\t\t\t\ttoolTip.style.textAlign = \"center\";\r\n\t\t\t\t\t\t\t\ttoolTip.style.borderRadius = \"6px\";\r\n\t\t\t\t\t\t\t\ttoolTip.style.padding = \"4px 2px\";\r\n\t\t\t\t\t\t\t\ttoolTip.setAttribute('id', 'submit_tooltiptext');\r\n\r\n\t\t\t\t\t\t\t\t\/\/ add the newly created element and its content into the DOM\r\n\t\t\t\t\t\t\t\tcurrentDiv = document.getElementById('resetfrm_button');\r\n\t\t\t\t\t\t\t\tvar br = document.createElement(\"br\"); \/\/ but put it on a new line first\r\n\t\t\t\t\t\t\t\tcurrentDiv.parentElement.insertBefore(br, null);\r\n\t\t\t\t\t\t\t\tcurrentDiv.parentElement.insertBefore(toolTip, null);\r\n\t\t\t\t\t\t\t}\r\n\t\t\t\t\t\t};\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t\t\/\/this function is called by either the formbuilder_fileAdd.cfm window.parent.addFile() call or from the _handlePostMessage() function\r\n\t\t\t\t\t\t\/\/it will take the filename that is returned and set it in the display element and hidden input\r\n\t\t\t\t\t\t\/\/if success==true is not returned we will try to grab the message from errorMsg if passed otherwise will display a generic error message and will try to remove the file input and recreate it\r\n\t\t\t\t\t\t\/\/it is possible that the IIS request filtering will kick in and prevent us from knowing if it failed but the overall submission will end up getting blocked because the file inputs will still exist\r\n\t\t\t\t\t\twindow.addFile = function(addFileArgs){\r\n\t\t\t\t\t\t\tif(typeof addFileArgs.success && addFileArgs.success){\r\n\t\t\t\t\t\t\t\t\/\/set the hidden input with the new filename so we can process upon save\r\n\t\t\t\t\t\t\t\tdocument.getElementById(addFileArgs.fldname+'_formbuilder_hidden').value = addFileArgs.newfilename;\r\n\r\n\t\t\t\t\t\t\t\t\/\/subtract from filesUploading, if we're at 0 all files are finished\r\n\t\t\t\t\t\t\t\twindow._____filesUploading = window._____filesUploading - 1;\r\n\t\t\t\t\t\t\t\tif (window._____filesUploading <= 0) {\r\n\t\t\t\t\t\t\t\t\t\/\/Re-enable submit button\r\n\t\t\t\t\t\t\t\t\tdocument.getElementById('savefrm_button').disabled = false;\r\n\t\t\t\t\t\t\t\t\t\/\/hide tooltip\r\n\t\t\t\t\t\t\t\t\tvar ttip = document.getElementById('submit_tooltiptext');\r\n\t\t\t\t\t\t\t\t\tif (ttip) {\r\n\t\t\t\t\t\t\t\t\t\tttip.style.visibility = \"hidden\";\r\n\t\t\t\t\t\t\t\t\t}\r\n\t\t\t\t\t\t\t\t}\r\n\r\n\t\t\t\t\t\t\t\t\/\/create the delete button for this file\r\n\t\t\t\t\t\t\t\tvar newBtn = document.createElement('img');\r\n\t\t\t\t\t\t\t\tnewBtn.src = 'https:\/\/PalmBeach.simpleviewcrm.com\/core_crm\/webapi\/forms\/images\/delete.png';\r\n\t\t\t\t\t\t\t\tnewBtn.onclick = function(){window.removeFile(addFileArgs.fldname);};\r\n\t\t\t\t\t\t\t\tnewBtn.alt = 'Remove File?';\r\n\t\t\t\t\t\t\t\tnewBtn.title = 'Remove File?';\r\n\t\t\t\t\t\t\t\tnewBtn.style.paddingTop = '5px';\r\n\t\t\t\t\t\t\t\tnewBtn.style.paddingRight = '5px';\r\n\t\t\t\t\t\t\t\tnewBtn.style.float = 'left';\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\/\/create the element that will show the file name\r\n\t\t\t\t\t\t\t\tvar newDiv = document.createElement('div');\r\n\t\t\t\t\t\t\t\tnewDiv.innerHTML = addFileArgs.newfilename;\r\n\t\t\t\t\t\t\t\tnewDiv.style.paddingTop = '4px';\r\n\t\t\t\t\t\t\t\tnewDiv.style.float = 'left';\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\/\/get this file inputs display element and append the delete button and name display elements in it\r\n\t\t\t\t\t\t\t\tvar dispElm = document.getElementById(addFileArgs.fldname+'_display');\r\n\t\t\t\t\t\t\t\tdispElm.appendChild(newBtn);\r\n\t\t\t\t\t\t\t\tdispElm.appendChild(newDiv);\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\/\/create an empty div to fix the float for the delete and filename element\r\n\t\t\t\t\t\t\t\tvar newDiv2 = document.createElement('div');\r\n\t\t\t\t\t\t\t\tnewDiv2.style.clear = 'both';\r\n\t\t\t\t\t\t\t\tdispElm.appendChild(newDiv2);\r\n\t\t\t\t\t\t\t\tdispElm.style.display = 'block';\t\/\/turn on the display element\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\/\/kill the file input we don't want it anymore unless they remove this file\r\n\t\t\t\t\t\t\t\twindow.killFileInputElm(addFileArgs.fldname);\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t}else{\r\n\t\t\t\t\t\t\t\t\/\/kill and recreate the element if we can\r\n\t\t\t\t\t\t\t\tif(typeof addFileArgs.fldname &#038;&#038; addFileArgs.fldname.length){\r\n\t\t\t\t\t\t\t\t\twindow.killFileInputElm(addFileArgs.fldname);\r\n\t\t\t\t\t\t\t\t\twindow.recreateFileInputElm(addFileArgs.fldname);\r\n\t\t\t\t\t\t\t\t}\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\/\/if we have a good message display it\r\n\t\t\t\t\t\t\t\talert('There was a problem uploading your file:\\n'+((typeof addFileArgs.errorMsg != 'undefined') ? addFileArgs.errorMsg : 'There was a problem uploading your file!' ) );\r\n\r\n\t\t\t\t\t\t\t\t\/\/subtract from filesUploading, if we're at 0 all files are finished\r\n\t\t\t\t\t\t\t\twindow._____filesUploading = window._____filesUploading - 1;\r\n\r\n                                \/\/Need to make sure that we re-enable the submit button in case it didn't happen above in the IF block\r\n                                \/\/ otherwise, they can't submit until they fix the issue; we should give them the option to abandon the file upload.\r\n\t\t\t\t\t\t\t\tif (window._____filesUploading <= 0) {\r\n\t\t\t\t\t\t\t\t\t\/\/Re-enable submit button\r\n\t\t\t\t\t\t\t\t\tdocument.getElementById('savefrm_button').disabled = false;\r\n\t\t\t\t\t\t\t\t\t\/\/hide tooltip\r\n\t\t\t\t\t\t\t\t\tvar ttip = document.getElementById('submit_tooltiptext');\r\n\t\t\t\t\t\t\t\t\tif (ttip) {\r\n\t\t\t\t\t\t\t\t\t\tttip.style.visibility = \"hidden\";\r\n\t\t\t\t\t\t\t\t\t}\r\n\t\t\t\t\t\t\t\t}\r\n\t\t\t\t\t\t\t}\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\/\/kill iframe element if it is still around\r\n\t\t\t\t\t\t\twindow.killFileInputIframeElm(addFileArgs.fldname);\t\t\t\r\n\t\t\t\t\t\t};\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t\t\/\/this function will delete the file input element from the form, it is called when a file input is selected and the form submitted off to the iframe\r\n\t\t\t\t\t\twindow.killFileInputElm = function(fldId){\r\n\t\t\t\t\t\t\tvar fileInpElmToRemove = document.getElementById(fldId);\r\n\t\t\t\t\t\t\tfileInpElmToRemove.parentNode.removeChild(fileInpElmToRemove);\r\n\t\t\t\t\t\t};\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t\t\/\/this function will re-create the file input element that was removed when a file was uploaded, this is called when a user clicks the delete button on an image or if we had an erorr upon file upload we wipe the input and recreate so it is empty\r\n\t\t\t\t\t\twindow.recreateFileInputElm = function(fldId){\r\n\t\t\t\t\t\t\tvar elmstored = window._____fileInpElmsRemoved[fldId];\r\n\t\t\t\t\t\t\tvar recreatedElm = document.createElement('input');\r\n\t\t\t\t\t\t\trecreatedElm.type = 'file';\r\n\t\t\t\t\t\t\trecreatedElm.id = elmstored.id;\r\n\t\t\t\t\t\t\trecreatedElm.name = elmstored.name;\r\n\t\t\t\t\t\t\trecreatedElm.className = elmstored.className;\r\n\t\t\t\t\t\t\trecreatedElm.tabIndex = elmstored.tabIndex;\r\n\t\t\t\t\t\t\trecreatedElm.onchange = function(){\r\n\t\t\t\t\t\t\t\tdocument.getElementById(fldId +  '_formbuilder_hidden').value = this.value; \r\n\t\t\t\t\t\t\t\twindow.submitFileUpload('frm_'+document.getElementById('formid').value, fldId);\r\n\t\t\t\t\t\t\t};\r\n\t\t\t\t\t\t\tdocument.getElementById(fldId+'_container').appendChild(recreatedElm);\r\n\t\t\t\t\t\t}\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t\t\/\/this function will kill off the iframe element if it exists\r\n\t\t\t\t\t\twindow.killFileInputIframeElm = function(fldname){\r\n\t\t\t\t\t\t\tvar iframeElm = document.getElementById('fileUploaderIframe_'+fldname);\r\n\t\t\t\t\t\t\tif(iframeElm){iframeElm.parentNode.removeChild(iframeElm);}\r\n\t\t\t\t\t\t};\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t\t\/\/this function will remove the file it will wipe the display and hidden input and recreate the file upload input element\r\n\t\t\t\t\t\twindow.removeFile = function(fldId){\r\n\t\t\t\t\t\t\t\/\/try to remove delete this file from temp if exists\r\n\t\t\t\t\t\t\ttry{\r\n\t\t\t\t\t\t\t\t\/\/create an iframe and form with a hidden input field that has the name of the file we are trying to wipe\r\n\t\t\t\t\t\t\t\tvar html = '<html><body onload=\"document.fileDeleterIframeForm.submit();\">';\r\n\t\t\t\t\t\t\t\thtml += '<form name=\"fileDeleterIframeForm\" action=\"https:\/\/PalmBeach.simpleviewcrm.com\/webapi\/formbuilder\/formbuilder_fileDelete.cfm\" method=\"post\">';\r\n\t\t\t\t\t\t\t\thtml += '<input type=\"hidden\" name=\"filenamevalue\" id=\"filenamevalue\" value=\"'+document.getElementById(fldId+'_formbuilder_hidden').value+'\" \/>';\r\n\t\t\t\t\t\t\t\thtml += '<\/form>';\r\n\t\t\t\t\t\t\t\thtml += '<' + '\/' + 'body' + '>' + '<' + '\/' + 'html' + '>';\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\tvar iframeElm = document.getElementById('fileDeleterIframe_'+fldId);\r\n\t\t\t\t\t\t\t\tif(iframeElm){iframeElm.parentNode.removeChild(iframeElm);}\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\tvar iframe = document.createElement('iframe');\r\n\t\t\t\t\t\t\t\tiframe.id = 'fileDeleterIframe_'+fldId;\r\n\t\t\t\t\t\t\t\tiframe.style.display = 'none';\r\n\t\t\t\t\t\t\t\tdocument.body.appendChild(iframe);\r\n\t\t\t\t\t\t\t\tiframe.contentWindow.document.open();\r\n\t\t\t\t\t\t\t\tiframe.contentWindow.document.write(html);\r\n\t\t\t\t\t\t\t\tiframe.contentWindow.document.close();\r\n\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t}catch(e){\r\n\t\t\t\t\t\t\t\t\/\/nothing for now\r\n\t\t\t\t\t\t\t}\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\tdocument.getElementById(fldId+'_formbuilder_hidden').value = '';\r\n\t\t\t\t\t\t\tvar dispElm = document.getElementById(fldId+'_display');\r\n\t\t\t\t\t\t\tdispElm.innerHTML = '';\r\n\t\t\t\t\t\t\tdispElm.style.display = 'none';\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\/\/recreate the element\r\n\t\t\t\t\t\t\twindow.recreateFileInputElm(fldId);\r\n\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t};\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t\t\/\/this function will handle the postMessage's it will make sure that it is coming from the valid crm domain, it will then call the addFile() function passing along the returned json object\r\n\t\t\t\t\t\tvar _handlePostMessage = function(evt){\r\n\t\t\t\t\t\t\t\/\/check for correct postMessage source\r\n\t\t\t\t\t\t\tif(typeof evt.origin != 'undefined'){\r\n\t\t\t\t\t\t\t\t\/\/only run this if we are from the correct domain\r\n\t\t\t\t\t\t\t\tvar _fixedOrigin = evt.origin + ( (evt.origin.substring(evt.origin.length-1,evt.origin.length) != '\/') ? '\/' : '');\r\n\t\t\t\t\t\t\t\tvar crmappurl = 'https:\/\/PalmBeach.simpleviewcrm.com\/';\r\n\t\t\t\t\t\t\t\tif(_fixedOrigin.toLowerCase().indexOf(crmappurl.toLowerCase()) != -1){\t\t\t\r\n\t\t\t\t\t\t\t\t\tvar _postMsgRtn = {};\r\n\t\t\t\t\t\t\t\t\ttry {\r\n\t\t\t\t\t\t\t\t\t\t_postMsgRtn = JSON.parse(evt.data); \/\/json parse the returned data\r\n\t\t\t\t\t\t\t\t\t} catch (e) {\r\n\t\t\t\t\t\t\t\t\t\treturn false;\r\n\t\t\t\t\t\t\t\t\t}\r\n\t\t\t\t\t\t\t\t\twindow.addFile(_postMsgRtn);\t\/\/we will let the addFile handle any errors the same way as call from within crm form\r\n\t\t\t\t\t\t\t\t}\r\n\t\t\t\t\t\t\t}\r\n\t\t\t\t\t\t};\t\t\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\tif (window.addEventListener) {\r\n\t\t\t\t\t\t\twindow.addEventListener('message', _handlePostMessage, false);\r\n\t\t\t\t\t\t} else if (window.attachEvent) {\r\n\t\t\t\t\t\t\twindow.attachEvent('onmessage', _handlePostMessage);\r\n\t\t\t\t\t\t}\r\n\t\r\n\t\t\t\t\r\n\t\t\t<\/script>\r\n\t\t\r\n                <script type=\"text\/javascript\">\r\n                    var onloadCallback = function() {\r\n                       if( document.getElementById('formid').value != 93 ){\r\n                        \/\/   white listing 93 - no recaptcha\r\n                        grecaptcha.render('g-recaptcha',{'sitekey':'6LfF94YUAAAAAK8RzEhJTtUhPBtGmkpvyEf8BdZf'});\r\n                       }\r\n                        \/\/$.fn.matchHeight._update();\r\n                    }\r\n                    \r\n                    var loadRecaptcha = function() {\r\n                        \r\n                        if (document.getElementById('g-recaptcha') && document.getElementById('formid').value != 93 ) {\r\n                            var gscript = document.createElement(\"script\");\r\n                            gscript.setAttribute('src', \"https:\/\/www.google.com\/recaptcha\/api.js?onload=onloadCallback&render=explicit\");\r\n                            var recap = document.getElementById('g-recaptcha');\r\n                            var recapParent = recap.parentNode;\r\n\r\n                            recapParent.insertBefore(gscript, recap);\r\n                        }\r\n                        \/\/ I know that I should probably rename this - proper programming practices etc...\r\n                        \/\/ But I'm gonna tack on a couple listeners that I want attaching on load\r\n                        if( document.getElementById( 'udf_127' ) ) {\r\n                           document.getElementById( 'udf_127' ).addEventListener( 'blur', function() {\r\n                              if( !validDate( this, '\/' ) ) {\r\n                                 if( !document.getElementById( 'valid_udf_127' ) ) {\r\n                                    var hintSpan = document.createElement( 'span' );\r\n                                    hintSpan.setAttribute( 'id', 'valid_udf_127' );\r\n                                    hintSpan.style.color = 'red';\r\n                                    hintSpan.style.fontStyle = 'italic';\r\n                                    hintSpan.style.fontSize = '0.7em';\r\n                                    hintSpan.innerHTML = 'The date entered is invalid.';\r\n                                    this.parentNode.lastElementChild.prepend(hintSpan);\r\n                                    \r\n                                 }\r\n                              }\r\n                              if( validDate( this ) && document.getElementById( 'valid_udf_127' ) ) {\r\n                                 document.getElementById( 'valid_udf_127' ).remove();\r\n                              }\r\n                           } );\r\n                        }\r\n                        if( document.getElementById( 'udf_128' ) ) {\r\n                           document.getElementById( 'udf_128' ).addEventListener( 'blur', function() {\r\n                              if( !validDate( this, '\/' ) ) {\r\n                                 if( !document.getElementById( 'valid_udf_128' ) ) {\r\n                                    var hintSpan = document.createElement( 'span' );\r\n                                    hintSpan.setAttribute( 'id', 'valid_udf_128' );\r\n                                    hintSpan.style.color = 'red';\r\n                                    hintSpan.style.fontStyle = 'italic';\r\n                                    hintSpan.style.fontSize = '0.7em';\r\n                                    hintSpan.innerHTML = 'The date entered is invalid.';\r\n                                    this.parentNode.lastElementChild.prepend(hintSpan);\r\n                                 }\r\n                                 \r\n                              }\r\n                              if( validDate( this ) && document.getElementById( 'valid_udf_128' ) ) {\r\n                                 document.getElementById( 'valid_udf_128' ).remove();\r\n                              }\r\n                           } );\r\n                        }\r\n\r\n                        \/\/ SF07508177 - Form ID 121 throwing error due to invalid date value \r\n                        if( document.getElementById( 'udf_204' ) ) {\r\n                           document.getElementById( 'udf_204' ).addEventListener( 'blur', function() {\r\n                              if( !validDate( this, '\/' ) ) {\r\n                                 if( !document.getElementById( 'valid_udf_204' ) ) {\r\n                                    var hintSpan = document.createElement( 'span' );\r\n                                    hintSpan.setAttribute( 'id', 'valid_udf_204' );\r\n                                    hintSpan.style.color = 'red';\r\n                                    hintSpan.style.fontStyle = 'italic';\r\n                                    hintSpan.style.fontSize = '0.7em';\r\n                                    hintSpan.innerHTML = 'The date entered is invalid.';\r\n                                    this.parentNode.appendChild(hintSpan);\r\n                                 }\r\n                                 \r\n                              }\r\n                              if( validDate( this ) && document.getElementById( 'valid_udf_204' ) ) {\r\n                                 document.getElementById( 'valid_udf_204' ).remove();\r\n                              }\r\n                           } );\r\n                        }\r\n\r\n                        if( document.getElementById( 'udf_125' ) ) {\r\n                           document.getElementById( 'udf_125' ).addEventListener( 'blur', function() {\r\n                              if( !validDate( this, '\/' ) ) {\r\n                                 if( !document.getElementById( 'valid_udf_125' ) ) {\r\n                                    var hintSpan = document.createElement( 'span' );\r\n                                    hintSpan.setAttribute( 'id', 'valid_udf_125' );\r\n                                    hintSpan.style.color = 'red';\r\n                                    hintSpan.style.fontStyle = 'italic';\r\n                                    hintSpan.style.fontSize = '0.7em';\r\n                                    hintSpan.innerHTML = 'The date entered is invalid.';\r\n                                    this.parentNode.appendChild(hintSpan);\r\n                                 }\r\n                                 \r\n                              }\r\n                              if( validDate( this ) && document.getElementById( 'valid_udf_125' ) ) {\r\n                                 document.getElementById( 'valid_udf_125' ).remove();\r\n                              }\r\n                           } );\r\n                        }\r\n                        \/\/ SF07508177 Ends\r\n                         \r\n                    }\r\n\r\n                     function validDate(fld,sep) {\r\n                        var len = fld.value.length;\r\n                        var seps = new Array('-','.','\/',':','_',',',' ');  \/\/ Array of seperators.\r\n                        var d = '', m = '', y = ''; \/\/ date part holders\r\n                        \/\/var div = ''; \/\/ divider holder\r\n                        \/\/var outdate1 = null; \/\/ formatted date to send back to calling field holder\r\n                        var sepholder = new Array('0','0','0'); \/\/ array to hold positions of dividers in dates\r\n                        var s = String(fld.value);\r\n                        var outdate = '';\r\n\r\n                        if (len == 0 ) return true;\r\n\r\n                        \/\/ Accept 'today' or 'now'\r\n                        if (fld.value.toUpperCase() == 'NOW' || fld.value.toUpperCase() == 'TODAY' ) {\r\n                           var newDate = new Date();\r\n                           var myDay = newDate.getDate();\r\n                           var myMonth = newDate.getMonth() + 1;\r\n                           if (navigator.appName == 'Netscape')\r\n                              var myYear = newDate.getYear() + 2000;\r\n                           else\r\n                           var myYear = newDate.getYear();\r\n\r\n                           fld.value = myMonth + \"-\" + myDay + \"-\" + myYear;\r\n                           \/\/ update string info\r\n                           len = fld.value.length;\r\n                           s = String(fld.value);\r\n                        }\r\n\r\n                        \/\/ Check the date is a valid length\r\n                        if (len < 4 || len > 11) return false;\r\n\r\n                        \/\/ Find positions of divider in the date\r\n                        var cnt = 0;\r\n                        for (var i = 0; i < 3; i++) {\r\n                           for (var j = 0; j < seps.length; j++) {\r\n                              if (s.indexOf(seps[j],cnt) != -1) {\r\n                                 div = seps[j];\r\n                                 sepholder[i] = s.indexOf(seps[j],cnt);\r\n                                 cnt = sepholder[i] + 1;\r\n                                 break;\r\n                              }\r\n                           }\r\n                        }\r\n\r\n                        \/\/ If element 2 is not 0 then more than 2 dividers have been found so date is invalid.\r\n                        if (sepholder[2] != 0) return false;\r\n                        \r\n                        \/\/ if no dividers are found strip out date parts\r\n                        if (sepholder[0] == 0 &#038;&#038; sepholder[1] == 0) {\r\n                           switch (len) {\r\n                           case 4: \/\/ mdyy\r\n                           m = '0' + s.substring(0,1);\r\n                              d = '0' + s.substring(1,2);\r\n                           y = s.substring(2,4);\r\n                           if ((y = svcrm.formBuilderScripts.chkYear(y)) == false) return false;\r\n                              break;\r\n                           case 5: \/\/ mmdyy\r\n                           m = s.substring(0,2);\r\n                              d = '0' + s.substring(2,3);\r\n                           y = s.substring(3,5);\r\n                           if ((y = svcrm.formBuilderScripts.chkYear(y)) == false) return false;\r\n                              break;\r\n                           case 6: \/\/ mmddyy\r\n                           m = s.substring(0,2);\r\n                              d = s.substring(2,4);\r\n                           y = s.substring(4,6);\r\n                           if ((y = svcrm.formBuilderScripts.chkYear(y)) == false) return false;\r\n                              break;\r\n                           case 7: \/\/mmmddyy\r\n                              m = s.substring(0,3);\r\n                           d = s.substring(3,5);\r\n                           y = s.substring(5,7);\r\n                           if ((m = svcrm.formBuilderScripts.chkMonth(m)) == false) return false;\r\n                              if ((y = svcrm.formBuilderScripts.chkYear(y)) == false) return false;\r\n                              break;\r\n                           case 8: \/\/mmddyyyy\r\n                              m = s.substring(0,2);\r\n                           d = s.substring(2,4);\r\n                           y = s.substring(4,8);\r\n                              break;\r\n                           case 9: \/\/mmmddyyyy\r\n                              m = s.substring(0,3);\r\n                           d = s.substring(3,5);\r\n                           y = s.substring(5,9);\r\n                           if ((m = svcrm.formBuilderScripts.chkMonth(m)) == false) return false;\r\n                              break;\r\n                           default:\r\n                              return false;\r\n                           }\r\n                           \r\n                           if ((outdate = svcrm.formBuilderScripts.chkDate(m,d,y,sep)) == false) return false;\r\n\r\n                           \/\/ valid date\r\n                           \/\/ fld.value = outdate;\r\n                           return true;\r\n                        } else if (sepholder[0] != 0 &#038;&#038; sepholder[1] != 0) {\r\n                           \/\/ process with dividers\r\n                        m = s.substring(0, sepholder[0]);\r\n                        d = s.substring(sepholder[0] + 1, sepholder[1]);\r\n                        y = s.substring(sepholder[1] + 1, s.length);\r\n                        } else\r\n                           \/\/ Only one divider\r\n                           return false;\r\n\r\n                        \/\/ Check day and year are numeric\r\n                        if (isNaN(d) &#038;&#038; isNaN(y)) return false;\r\n\r\n                        \/\/ Make d day dd\r\n                        if (d.length == 1) d = '0' + d;\r\n                        \/\/ Make m month mm\r\n                        if (m.length == 1) m = '0' + m;\r\n                        \/\/ Make yy year yyyy\r\n                        if (y.length == 2)\r\n                        if ((y = svcrm.formBuilderScripts.chkYear(y)) == false ) return false;\r\n\r\n                        \/\/ Make mmm month mm\r\n                        if (m.length == 3 || m.length == 4) {\r\n                        if ((m = svcrm.formBuilderScripts.chkMonth(m)) == false) return false;\r\n                        }\r\n\r\n                        \/\/ Date components are OK\r\n                        if (d.length != 2 || m.length != 2 || y.length != 4) return false;\r\n\r\n                        \/\/ Validate the date\r\n                        if ((outdate = svcrm.formBuilderScripts.chkDate(m,d,y,sep)) == false) return false;\r\n\r\n                        \/\/ Valid date\r\n                        \/\/ fld.value = outdate;\r\n                        return true;\r\n                     }\r\n\r\n                    \/\/ attach the function to load script to the page load event\r\n                    if (window.addEventListener) {\r\n                        window.addEventListener('load', loadRecaptcha, false);\r\n                    } else if (window.attachEvent) {\r\n                        window.attachEvent('onload', loadRecaptcha);\r\n                    }\r\n\r\n\t\t\t\t\t\/\/ Validate that recaptcha has been checked, then do 'regular' validations.\r\n                    var oldValidate = validateForm;\r\n                    validateForm = function(frm) {\r\n                        console.dir(frm);\r\n                        if (grecaptcha.getResponse() == '') {\r\n                            return processValidationMessages(' Captcha\\n', '');\r\n                        }\r\n                        if( document.getElementById('udf_127') ){\r\n                           if (!validDate(document.getElementById('udf_127'),'\/')){\r\n                              return 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Si es usted una persona influyente en los medios digitales, rellene este formulario.<\/p>","protected":false},"author":1,"featured_media":0,"parent":34312,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[],"class_list":["post-35625","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.thepalmbeaches.com\/es\/wp-json\/wp\/v2\/pages\/35625","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.thepalmbeaches.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.thepalmbeaches.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.thepalmbeaches.com\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.thepalmbeaches.com\/es\/wp-json\/wp\/v2\/comments?post=35625"}],"version-history":[{"count":0,"href":"https:\/\/www.thepalmbeaches.com\/es\/wp-json\/wp\/v2\/pages\/35625\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.thepalmbeaches.com\/es\/wp-json\/wp\/v2\/pages\/34312"}],"wp:attachment":[{"href":"https:\/\/www.thepalmbeaches.com\/es\/wp-json\/wp\/v2\/media?parent=35625"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.thepalmbeaches.com\/es\/wp-json\/wp\/v2\/categories?post=35625"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.thepalmbeaches.com\/es\/wp-json\/wp\/v2\/tags?post=35625"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}