Test Contact Page 2
JotForm.newDefaultTheme = true;
JotForm.extendsNewTheme = false;
JotForm.singleProduct = false;
JotForm.newPaymentUIForNewCreatedForms = true;
JotForm.texts = {“confirmEmail”:”E-mail does not match”,”pleaseWait”:”Please wait…”,”validateEmail”:”You need to validate this e-mail”,”confirmClearForm”:”Are you sure you want to clear the form”,”lessThan”:”Your score should be less than or equal to”,”incompleteFields”:”There are incomplete required fields. Please complete them.”,”required”:”This field is required.”,”requireOne”:”At least one field required.”,”requireEveryRow”:”Every row is required.”,”requireEveryCell”:”Every cell is required.”,”email”:”Enter a valid e-mail address”,”alphabetic”:”This field can only contain letters”,”numeric”:”This field can only contain numeric values”,”alphanumeric”:”This field can only contain letters and numbers.”,”cyrillic”:”This field can only contain cyrillic characters”,”url”:”This field can only contain a valid URL”,”currency”:”This field can only contain currency values.”,”fillMask”:”Field value must fill mask.”,”uploadExtensions”:”You can only upload following files:”,”noUploadExtensions”:”File has no extension file type (e.g. .txt, .png, .jpeg)”,”uploadFilesize”:”File size cannot be bigger than:”,”uploadFilesizemin”:”File size cannot be smaller than:”,”gradingScoreError”:”Score total should only be less than or equal to”,”inputCarretErrorA”:”Input should not be less than the minimum value:”,”inputCarretErrorB”:”Input should not be greater than the maximum value:”,”maxDigitsError”:”The maximum digits allowed is”,”minCharactersError”:”The number of characters should not be less than the minimum value:”,”maxCharactersError”:”The number of characters should not be more than the maximum value:”,”freeEmailError”:”Free email accounts are not allowed”,”minSelectionsError”:”The minimum required number of selections is “,”maxSelectionsError”:”The maximum number of selections allowed is “,”pastDatesDisallowed”:”Date must not be in the past.”,”dateLimited”:”This date is unavailable.”,”dateInvalid”:”This date is not valid. The date format is {format}”,”dateInvalidSeparate”:”This date is not valid. Enter a valid {element}.”,”ageVerificationError”:”You must be older than {minAge} years old to submit this form.”,”multipleFileUploads_typeError”:”{file} has invalid extension. Only {extensions} are allowed.”,”multipleFileUploads_sizeError”:”{file} is too large, maximum file size is {sizeLimit}.”,”multipleFileUploads_minSizeError”:”{file} is too small, minimum file size is {minSizeLimit}.”,”multipleFileUploads_emptyError”:”{file} is empty, please select files again without it.”,”multipleFileUploads_uploadFailed”:”File upload failed, please remove it and upload the file again.”,”multipleFileUploads_onLeave”:”The files are being uploaded, if you leave now the upload will be cancelled.”,”multipleFileUploads_fileLimitError”:”Only {fileLimit} file uploads allowed.”,”dragAndDropFilesHere_infoMessage”:”Drag and drop files here”,”chooseAFile_infoMessage”:”Choose a file”,”maxFileSize_infoMessage”:”Max. file size”,”generalError”:”There are errors on the form. Please fix them before continuing.”,”generalPageError”:”There are errors on this page. Please fix them before continuing.”,”wordLimitError”:”Too many words. The limit is”,”wordMinLimitError”:”Too few words. The minimum is”,”characterLimitError”:”Too many Characters. The limit is”,”characterMinLimitError”:”Too few characters. The minimum is”,”ccInvalidNumber”:”Credit Card Number is invalid.”,”ccInvalidCVC”:”CVC number is invalid.”,”ccInvalidExpireDate”:”Expire date is invalid.”,”ccInvalidExpireMonth”:”Expiration month is invalid.”,”ccInvalidExpireYear”:”Expiration year is invalid.”,”ccMissingDetails”:”Please fill up the credit card details.”,”ccMissingProduct”:”Please select at least one product.”,”ccMissingDonation”:”Please enter numeric values for donation amount.”,”disallowDecimals”:”Please enter a whole number.”,”restrictedDomain”:”This domain is not allowed”,”ccDonationMinLimitError”:”Minimum amount is {minAmount} {currency}”,”requiredLegend”:”All fields marked with * are required and must be filled.”,”geoPermissionTitle”:”Permission Denied”,”geoPermissionDesc”:”Check your browser’s privacy settings.”,”geoNotAvailableTitle”:”Position Unavailable”,”geoNotAvailableDesc”:”Location provider not available. Please enter the address manually.”,”geoTimeoutTitle”:”Timeout”,”geoTimeoutDesc”:”Please check your internet connection and try again.”,”selectedTime”:”Selected Time”,”formerSelectedTime”:”Former Time”,”cancelAppointment”:”Cancel Appointment”,”cancelSelection”:”Cancel Selection”,”noSlotsAvailable”:”No slots available”,”slotUnavailable”:”{time} on {date} has been selected is unavailable. Please select another slot.”,”multipleError”:”There are {count} errors on this page. Please correct them before moving on.”,”oneError”:”There is {count} error on this page. Please correct it before moving on.”,”doneMessage”:”Well done! All errors are fixed.”,”invalidTime”:”Enter a valid time”,”doneButton”:”Done”,”reviewSubmitText”:”Review and Submit”,”nextButtonText”:”Next”,”prevButtonText”:”Previous”,”seeErrorsButton”:”See Errors”,”notEnoughStock”:”Not enough stock for the current selection”,”notEnoughStock_remainedItems”:”Not enough stock for the current selection ({count} items left)”,”soldOut”:”Sold Out”,”justSoldOut”:”Just Sold Out”,”selectionSoldOut”:”Selection Sold Out”,”subProductItemsLeft”:”({count} items left)”,”startButtonText”:”START”,”submitButtonText”:”Submit”,”submissionLimit”:”Sorry! Only one entry is allowed.
Multiple submissions are disabled for this form.”,”reviewBackText”:”Back to Form”,”seeAllText”:”See All”,”progressMiddleText”:”of”,”fieldError”:”field has an error.”,”error”:”Error”}; JotForm.newPaymentUI = true; JotForm.originalLanguage = “en”; JotForm.isFormViewTrackingAllowed = true; JotForm.replaceTagTest = true; JotForm.uploadServerURL = “https://upload.jotform.com/upload”; JotForm.clearFieldOnHide=”disable”; JotForm.submitError=”jumpToFirstError”; JotForm.isFullSource = true; JotForm.init(function(){ /*INIT-START*/ if (window.JotForm && JotForm.accessible) $(‘input_3’).setAttribute(‘tabindex’,0); if (window.JotForm && JotForm.accessible) $(‘input_4’).setAttribute(‘tabindex’,0); if (window.JotForm && JotForm.accessible) $(‘input_5’).setAttribute(‘tabindex’,0); if (window.JotForm && JotForm.accessible) $(‘input_8’).setAttribute(‘tabindex’,0); if (window.JotForm && JotForm.accessible) $(‘input_9’).setAttribute(‘tabindex’,0); if (window.JotForm && JotForm.accessible) $(‘input_11’).setAttribute(‘tabindex’,0); if (window.JotForm && JotForm.accessible) $(‘input_12’).setAttribute(‘tabindex’,0); if (window.JotForm && JotForm.accessible) $(‘input_13’).setAttribute(‘tabindex’,0); if (window.JotForm && JotForm.accessible) $(‘input_14’).setAttribute(‘tabindex’,0); JotForm.alterTexts({“ageVerificationError”:”You must be older than {minAge} years old to submit this form.”,”alphabetic”:”This field can only contain letters”,”alphanumeric”:”This field can only contain letters and numbers.”,”cancelAppointment”:”Cancel Appointment”,”cancelSelection”:”Cancel Selection”,”ccDonationMinLimitError”:”Minimum amount is {minAmount} {currency}”,”ccInvalidCVC”:”CVC number is invalid.”,”ccInvalidExpireDate”:”Expire date is invalid.”,”ccInvalidExpireMonth”:”Expiration month is invalid.”,”ccInvalidExpireYear”:”Expiration year is invalid.”,”ccInvalidNumber”:”Credit Card Number is invalid.”,”ccMissingDetails”:”Please fill up the credit card details.”,”ccMissingDonation”:”Please enter numeric values for donation amount.”,”ccMissingProduct”:”Please select at least one product.”,”characterLimitError”:”Too many Characters. The limit is”,”characterMinLimitError”:”Too few characters. The minimum is”,”chooseAFile_infoMessage”:”Choose a file”,”confirmClearForm”:”Are you sure you want to clear the form”,”confirmEmail”:”E-mail does not match”,”currency”:”This field can only contain currency values.”,”cyrillic”:”This field can only contain cyrillic characters”,”dateInvalid”:”This date is not valid. The date format is {format}”,”dateInvalidSeparate”:”This date is not valid. Enter a valid {element}.”,”dateLimited”:”This date is unavailable.”,”disallowDecimals”:”Please enter a whole number.”,”doneButton”:”Done”,”doneMessage”:”Well done! All errors are fixed.”,”dragAndDropFilesHere_infoMessage”:”Drag and drop files here”,”email”:”Enter a valid e-mail address”,”error”:”Error”,”fieldError”:”field has an error.”,”fillMask”:”Field value must fill mask.”,”formerSelectedTime”:”Former Time”,”freeEmailError”:”Free email accounts are not allowed”,”generalError”:”There are errors on the form. Please fix them before continuing.”,”generalPageError”:”There are errors on this page. Please fix them before continuing.”,”geoNotAvailableDesc”:”Location provider not available. Please enter the address manually.”,”geoNotAvailableTitle”:”Position Unavailable”,”geoPermissionDesc”:”Check your browser’s privacy settings.”,”geoPermissionTitle”:”Permission Denied”,”geoTimeoutDesc”:”Please check your internet connection and try again.”,”geoTimeoutTitle”:”Timeout”,”gradingScoreError”:”Score total should only be less than or equal to”,”incompleteFields”:”There are incomplete required fields. Please complete them.”,”inputCarretErrorA”:”Input should not be less than the minimum value:”,”inputCarretErrorB”:”Input should not be greater than the maximum value:”,”invalidTime”:”Enter a valid time”,”justSoldOut”:”Just Sold Out”,”lessThan”:”Your score should be less than or equal to”,”maxCharactersError”:”The number of characters should not be more than the maximum value:”,”maxDigitsError”:”The maximum digits allowed is”,”maxFileSize_infoMessage”:”Max. file size”,”maxSelectionsError”:”The maximum number of selections allowed is “,”minCharactersError”:”The number of characters should not be less than the minimum value:”,”minSelectionsError”:”The minimum required number of selections is “,”multipleError”:”There are {count} errors on this page. Please correct them before moving on.”,”multipleFileUploads_emptyError”:”{file} is empty, please select files again without it.”,”multipleFileUploads_fileLimitError”:”Only {fileLimit} file uploads allowed.”,”multipleFileUploads_minSizeError”:”{file} is too small, minimum file size is {minSizeLimit}.”,”multipleFileUploads_onLeave”:”The files are being uploaded, if you leave now the upload will be cancelled.”,”multipleFileUploads_sizeError”:”{file} is too large, maximum file size is {sizeLimit}.”,”multipleFileUploads_typeError”:”{file} has invalid extension. Only {extensions} are allowed.”,”multipleFileUploads_uploadFailed”:”File upload failed, please remove it and upload the file again.”,”nextButtonText”:”Next”,”noSlotsAvailable”:”No slots available”,”notEnoughStock”:”Not enough stock for the current selection”,”notEnoughStock_remainedItems”:”Not enough stock for the current selection ({count} items left)”,”noUploadExtensions”:”File has no extension file type (e.g. .txt, .png, .jpeg)”,”numeric”:”This field can only contain numeric values”,”oneError”:”There is {count} error on this page. Please correct it before moving on.”,”pastDatesDisallowed”:”Date must not be in the past.”,”pleaseWait”:”Please wait…”,”prevButtonText”:”Previous”,”progressMiddleText”:”of”,”required”:”This field is required.”,”requiredLegend”:”All fields marked with * are required and must be filled.”,”requireEveryCell”:”Every cell is required.”,”requireEveryRow”:”Every row is required.”,”requireOne”:”At least one field required.”,”restrictedDomain”:”This domain is not allowed”,”reviewBackText”:”Back to Form”,”reviewSubmitText”:”Review and Submit”,”seeAllText”:”See All”,”seeErrorsButton”:”See Errors”,”selectedTime”:”Selected Time”,”selectionSoldOut”:”Selection Sold Out”,”slotUnavailable”:”{time} on {date} has been selected is unavailable. Please select another slot.”,”soldOut”:”Sold Out”,”startButtonText”:”START”,”submissionLimit”:”Sorry! Only one entry is allowed. <br> Multiple submissions are disabled for this form.”,”submitButtonText”:”Submit”,”subProductItemsLeft”:”({count} items left)”,”uploadExtensions”:”You can only upload following files:”,”uploadFilesize”:”File size cannot be bigger than:”,”uploadFilesizemin”:”File size cannot be smaller than:”,”url”:”This field can only contain a valid URL”,”validateEmail”:”You need to validate this e-mail”,”wordLimitError”:”Too many words. The limit is”,”wordMinLimitError”:”Too few words. The minimum is”}); /*INIT-END*/ }); setTimeout(function() { JotForm.paymentExtrasOnTheFly([null,null,{“name”:”submit2″,”qid”:”2″,”text”:”Submit”,”type”:”control_button”},{“description”:””,”name”:”firstName”,”qid”:”3″,”subLabel”:””,”text”:”First Name”,”type”:”control_textbox”},{“description”:””,”name”:”lastName”,”qid”:”4″,”subLabel”:””,”text”:”Last Name”,”type”:”control_textbox”},{“description”:””,”name”:”title”,”qid”:”5″,”subLabel”:””,”text”:”Title”,”type”:”control_textbox”},{“description”:””,”name”:”email”,”qid”:”6″,”subLabel”:”[email protected]”,”text”:”Email”,”type”:”control_email”},null,{“description”:””,”name”:”city”,”qid”:”8″,”subLabel”:””,”text”:”City”,”type”:”control_textbox”},{“description”:””,”name”:”state”,”qid”:”9″,”subLabel”:””,”text”:”State”,”type”:”control_textbox”},{“description”:””,”name”:”country”,”qid”:”10″,”subLabel”:””,”text”:”Country”,”type”:”control_dropdown”},{“description”:””,”name”:”zip11″,”qid”:”11″,”subLabel”:””,”text”:”Zip”,”type”:”control_textbox”},{“description”:””,”name”:”phone”,”qid”:”12″,”subLabel”:””,”text”:”Phone”,”type”:”control_textbox”},{“description”:””,”name”:”company”,”qid”:”13″,”subLabel”:””,”text”:”Company”,”type”:”control_textbox”},{“description”:””,”mde”:”No”,”name”:”haveA”,”qid”:”14″,”subLabel”:””,”text”:”Have A Specific Question Or Need An RFQ?”,”type”:”control_textarea”,”wysiwyg”:”Disable”},null,null,{“description”:””,”name”:”pleaseVerify”,”qid”:”17″,”text”:”Please verify that you are human”,”type”:”control_captcha”},null,null,null,{“name”:”typeA21″,”qid”:”21″,”text”:”Terms and Conditions”,”type”:”control_widget”}]);}, 20); @media print{*{-webkit-print-color-adjust: exact !important;color-adjust: exact !important;}.form-section{display:inline!important}.form-pagebreak{display:none!important}.form-section-closed{height:auto!important}.page-section{position:initial!important}} /* Injected CSS Code */ /* Begining of advanced designer */ /*PREFERENCES STYLE*/ /* 1 – Preferences style */ /* 1 – FONT FAMILY */ .form-all { font-family: “Inter”, sans-serif; } /* 2 – FORM WIDTH */ .form-all { max-width: 752px; } /* 5 – FONT SIZE */ .form-all { font-size: 16px; } /* 5 – input bg color */ .form-textbox, .form-textarea, .form-radio-other-input, .form-checkbox-other-input, .form-captcha input, .form-spinner input { background-color: #ffffff; } /* 10 – LINE SPACING */ .form-line { margin-top: 12px; margin-bottom: 12px; } .supernova .form-all, .form-all { background-color: #ffffff; } .supernova { background-color: #f3f3fe; } .supernova body { background-color: transparent; } .form-all, .form-label-top, .form-label-left, .form-label-right, .form-html, .form-checkbox-item label, .form-radio-item label, span.FITB .qb-checkbox-label, span.FITB .qb-radiobox-label, span.FITB .form-radio label, span.FITB .form-checkbox label, [data-blotid][data-type=checkbox] [data-labelid], [data-blotid][data-type=radiobox] [data-labelid], span.FITB-inptCont[data-type=checkbox] label, span.FITB-inptCont[data-type=radiobox] label, .form-sub-label { color: #2c3345; } /*PREFERENCES STYLE*/ /* 17 – INPUT WIDTHS */ .form-line, .form-input, .form-input-wide, .form-dropdown, .form-sub-label-container, .form-matrix-table { width: 100%; max-width: none; } .form-textbox, .form-textarea, .form-radio-item, .form-checkbox-item, .form-captcha input, .form-spinner input, .form-error-message { width: 100%; max-width: none; } /* 20 – FORM PADDING */ ul.form-section { padding: 0px 38px; } /* Heights */ li[data-type=”control_textbox”] div[data-layout=”half”], li[data-type=”control_dropdown”] div[data-layout=”half”], li[data-type=”control_email”] div[data-layout=”half”], li[data-type=”control_number”] div[data-layout=”half”], li[data-type=”control_phone”] div[data-layout=”half”], li[data-type=”control_datetime”] div[data-layout=”half”] { width: 100% !important; max-width: 752px; } /* 11 – LINE PADDING */ /* LABEL STYLE */ [data-type=”control_dropdown”] .form-input, [data-type=”control_birthdate”] .form-input, [data-type=”control_time”] .form-input, [data-type=”control_dropdown”] .form-input-wide, [data-type=”control_birthdate”] .form-input-wide, [data-type=”control_time”] .form-input-wide { width: 100% !important; max-width: 752px; } [data-type=”control_dropdown”] .form-dropdown { width: 100% !important; max-width: 752px; } /* 12 – ROUNDED INPUTS */ .form-radio-item, .form-checkbox-item { padding-bottom: 0px; } .form-radio-item:last-child, .form-checkbox-item:last-child { padding-bottom: 0; } .form-checkbox-item .form-checkbox + label, .form-checkbox-item .form-checkbox + span { padding-left: 30px; } .form-radio-item .form-radio + label, .form-radio-item .form-radio + span { padding-left: 30px; } .form-single-column .form-checkbox-item, .form-single-column .form-radio-item { width: 100%; } .form-checkbox-item .editor-container div, .form-radio-item .editor-container div { position: relative; } .form-checkbox-item .editor-container div:before, .form-radio-item .editor-container div:before { display: inline-block; vertical-align: middle; left: 0; width: 20px; height: 20px; } .form-checkbox-item input, .form-radio-item input { margin-top: 2px; } .form-checkbox:checked + label:before, .form-checkbox:checked + span:before { background-color: #2e69ff; border-color: #2e69ff; } .form-radio:checked + label:before, .form-radio:checked + span:before { border-color: #2e69ff; } .form-radio:checked + label:after, .form-radio:checked + span:after { background-color: #2e69ff; } .form-checkbox:hover + label:before, .form-checkbox:hover + span:before, .form-radio:hover + label:before, .form-radio:hover + span:before { border-color: rgba(46, 105, 255, 0.5); box-shadow: 0 0 0 2px rgba(46, 105, 255, 0.25); } .form-checkbox:focus + label:before, .form-checkbox:focus + span:before, .form-radio:focus + label:before, .form-radio:focus + span:before { border-color: #2e69ff; box-shadow: 0 0 0 3px rgba(46, 105, 255, 0.25); } .submit-button { font-size: 16px; font-weight: normal; font-family: inherit; } .submit-button { min-width: 180px; } .form-all .form-pagebreak-back, .form-all .form-pagebreak-next { font-family: “Inter”, sans-serif; font-size: 16px; font-weight: normal; } .form-all .form-pagebreak-back, .form-all .form-pagebreak-next { min-width: 128px; } li[data-type=”control_image”] div { text-align: left; } li[data-type=”control_image”] img { border: none; border-width: 0px !important; border-style: solid !important; border-color: false !important; } .supernova { background-repeat: no-repeat; background-attachment: scroll; background-position: center top; background-attachment: fixed; background-size: auto; background-size: cover; } .supernova { background-image: none; } #stage { background-image: none; } /* | */ .form-all { background-repeat: no-repeat; background-attachment: scroll; background-position: center top; background-size: cover; } .form-header-group { background-repeat: no-repeat; background-attachment: scroll; background-position: center top; } .header-large h1.form-header { font-size: 2em; } .header-large h2.form-header { font-size: 1.5em; } .header-large h3.form-header { font-size: 1.17em; } .header-large h1 + .form-subHeader { font-size: 1em; } .header-large h2 + .form-subHeader { font-size: .875em; } .header-large h3 + .form-subHeader { font-size: .75em; } .header-default h1.form-header { font-size: 2em; } .header-default h2.form-header { font-size: 1.5em; } .header-default h3.form-header { font-size: 1.17em; } .header-default h1 + .form-subHeader { font-size: 1em; } .header-default h2 + .form-subHeader { font-size: .875em; } .header-default h3 + .form-subHeader { font-size: .75em; } .header-small h1.form-header { font-size: 2em; } .header-small h2.form-header { font-size: 1.5em; } .header-small h3.form-header { font-size: 1.17em; } .header-small h1 + .form-subHeader { font-size: 1em; } .header-small h2 + .form-subHeader { font-size: .875em; } .header-small h3 + .form-subHeader { font-size: .75em; } .form-header-group { text-align: left; } div.form-header-group.header-large, div.form-header-group.hasImage { margin: 0px -38px; } div.form-header-group.header-large, div.form-header-group.hasImage { padding: 40px 52px; } .form-header-group .form-header, .form-header-group .form-subHeader { color: -1; } .form-line-error { -webkit-transition-property: none; -moz-transition-property: none; -ms-transition-property: none; -o-transition-property: none; transition-property: none; -webkit-transition-duration: 0.3s; -moz-transition-duration: 0.3s; -ms-transition-duration: 0.3s; -o-transition-duration: 0.3s; transition-duration: 0.3s; -webkit-transition-timing-function: ease; -moz-transition-timing-function: ease; -ms-transition-timing-function: ease; -o-transition-timing-function: ease; transition-timing-function: ease; background-color: #fff4f4; } .form-line-error .form-error-message { background-color: #f23a3c; clear: both; float: none; } .form-line-error .form-error-message .form-error-arrow { border-bottom-color: #f23a3c; } .form-line-error input:not(#coupon-input), .form-line-error textarea, .form-line-error .form-validation-error { border: 1px solid #f23a3c; box-shadow: 0 0 3px #f23a3c; } .form-line-error { -webkit-transition-property: none; -moz-transition-property: none; -ms-transition-property: none; -o-transition-property: none; transition-property: none; -webkit-transition-duration: 0.3s; -moz-transition-duration: 0.3s; -ms-transition-duration: 0.3s; -o-transition-duration: 0.3s; transition-duration: 0.3s; -webkit-transition-timing-function: ease; -moz-transition-timing-function: ease; -ms-transition-timing-function: ease; -o-transition-timing-function: ease; transition-timing-function: ease; background-color: #fff4f4; } .form-line-active { background-color: #f1f5ff; } /* 29 – FORM COLUMNS */ .form-line-column { width: calc(100/3 * 1% – 8px); } /*__INSPECT_SEPERATOR__*/ .form-label.form-label-auto { display: block; float: none; text-align: left; width: 100%; } /* Injected CSS Code */
JotForm.showJotFormPowered = “0”;
JotForm.poweredByText = “Powered by Jotform”;
var all_spc = document.querySelectorAll(“form[id=’242383375842058′] .si” + “mple” + “_spc”);
for (var i = 0; i < all_spc.length; i++)
{
all_spc[i].value = "242383375842058-242383375842058";
}
JotForm.ownerView=true;JotForm.isNewSACL=true;
Multiple submissions are disabled for this form.”,”reviewBackText”:”Back to Form”,”seeAllText”:”See All”,”progressMiddleText”:”of”,”fieldError”:”field has an error.”,”error”:”Error”}; JotForm.newPaymentUI = true; JotForm.originalLanguage = “en”; JotForm.isFormViewTrackingAllowed = true; JotForm.replaceTagTest = true; JotForm.uploadServerURL = “https://upload.jotform.com/upload”; JotForm.clearFieldOnHide=”disable”; JotForm.submitError=”jumpToFirstError”; JotForm.isFullSource = true; JotForm.init(function(){ /*INIT-START*/ if (window.JotForm && JotForm.accessible) $(‘input_3’).setAttribute(‘tabindex’,0); if (window.JotForm && JotForm.accessible) $(‘input_4’).setAttribute(‘tabindex’,0); if (window.JotForm && JotForm.accessible) $(‘input_5’).setAttribute(‘tabindex’,0); if (window.JotForm && JotForm.accessible) $(‘input_8’).setAttribute(‘tabindex’,0); if (window.JotForm && JotForm.accessible) $(‘input_9’).setAttribute(‘tabindex’,0); if (window.JotForm && JotForm.accessible) $(‘input_11’).setAttribute(‘tabindex’,0); if (window.JotForm && JotForm.accessible) $(‘input_12’).setAttribute(‘tabindex’,0); if (window.JotForm && JotForm.accessible) $(‘input_13’).setAttribute(‘tabindex’,0); if (window.JotForm && JotForm.accessible) $(‘input_14’).setAttribute(‘tabindex’,0); JotForm.alterTexts({“ageVerificationError”:”You must be older than {minAge} years old to submit this form.”,”alphabetic”:”This field can only contain letters”,”alphanumeric”:”This field can only contain letters and numbers.”,”cancelAppointment”:”Cancel Appointment”,”cancelSelection”:”Cancel Selection”,”ccDonationMinLimitError”:”Minimum amount is {minAmount} {currency}”,”ccInvalidCVC”:”CVC number is invalid.”,”ccInvalidExpireDate”:”Expire date is invalid.”,”ccInvalidExpireMonth”:”Expiration month is invalid.”,”ccInvalidExpireYear”:”Expiration year is invalid.”,”ccInvalidNumber”:”Credit Card Number is invalid.”,”ccMissingDetails”:”Please fill up the credit card details.”,”ccMissingDonation”:”Please enter numeric values for donation amount.”,”ccMissingProduct”:”Please select at least one product.”,”characterLimitError”:”Too many Characters. The limit is”,”characterMinLimitError”:”Too few characters. The minimum is”,”chooseAFile_infoMessage”:”Choose a file”,”confirmClearForm”:”Are you sure you want to clear the form”,”confirmEmail”:”E-mail does not match”,”currency”:”This field can only contain currency values.”,”cyrillic”:”This field can only contain cyrillic characters”,”dateInvalid”:”This date is not valid. The date format is {format}”,”dateInvalidSeparate”:”This date is not valid. Enter a valid {element}.”,”dateLimited”:”This date is unavailable.”,”disallowDecimals”:”Please enter a whole number.”,”doneButton”:”Done”,”doneMessage”:”Well done! All errors are fixed.”,”dragAndDropFilesHere_infoMessage”:”Drag and drop files here”,”email”:”Enter a valid e-mail address”,”error”:”Error”,”fieldError”:”field has an error.”,”fillMask”:”Field value must fill mask.”,”formerSelectedTime”:”Former Time”,”freeEmailError”:”Free email accounts are not allowed”,”generalError”:”There are errors on the form. Please fix them before continuing.”,”generalPageError”:”There are errors on this page. Please fix them before continuing.”,”geoNotAvailableDesc”:”Location provider not available. Please enter the address manually.”,”geoNotAvailableTitle”:”Position Unavailable”,”geoPermissionDesc”:”Check your browser’s privacy settings.”,”geoPermissionTitle”:”Permission Denied”,”geoTimeoutDesc”:”Please check your internet connection and try again.”,”geoTimeoutTitle”:”Timeout”,”gradingScoreError”:”Score total should only be less than or equal to”,”incompleteFields”:”There are incomplete required fields. Please complete them.”,”inputCarretErrorA”:”Input should not be less than the minimum value:”,”inputCarretErrorB”:”Input should not be greater than the maximum value:”,”invalidTime”:”Enter a valid time”,”justSoldOut”:”Just Sold Out”,”lessThan”:”Your score should be less than or equal to”,”maxCharactersError”:”The number of characters should not be more than the maximum value:”,”maxDigitsError”:”The maximum digits allowed is”,”maxFileSize_infoMessage”:”Max. file size”,”maxSelectionsError”:”The maximum number of selections allowed is “,”minCharactersError”:”The number of characters should not be less than the minimum value:”,”minSelectionsError”:”The minimum required number of selections is “,”multipleError”:”There are {count} errors on this page. Please correct them before moving on.”,”multipleFileUploads_emptyError”:”{file} is empty, please select files again without it.”,”multipleFileUploads_fileLimitError”:”Only {fileLimit} file uploads allowed.”,”multipleFileUploads_minSizeError”:”{file} is too small, minimum file size is {minSizeLimit}.”,”multipleFileUploads_onLeave”:”The files are being uploaded, if you leave now the upload will be cancelled.”,”multipleFileUploads_sizeError”:”{file} is too large, maximum file size is {sizeLimit}.”,”multipleFileUploads_typeError”:”{file} has invalid extension. Only {extensions} are allowed.”,”multipleFileUploads_uploadFailed”:”File upload failed, please remove it and upload the file again.”,”nextButtonText”:”Next”,”noSlotsAvailable”:”No slots available”,”notEnoughStock”:”Not enough stock for the current selection”,”notEnoughStock_remainedItems”:”Not enough stock for the current selection ({count} items left)”,”noUploadExtensions”:”File has no extension file type (e.g. .txt, .png, .jpeg)”,”numeric”:”This field can only contain numeric values”,”oneError”:”There is {count} error on this page. Please correct it before moving on.”,”pastDatesDisallowed”:”Date must not be in the past.”,”pleaseWait”:”Please wait…”,”prevButtonText”:”Previous”,”progressMiddleText”:”of”,”required”:”This field is required.”,”requiredLegend”:”All fields marked with * are required and must be filled.”,”requireEveryCell”:”Every cell is required.”,”requireEveryRow”:”Every row is required.”,”requireOne”:”At least one field required.”,”restrictedDomain”:”This domain is not allowed”,”reviewBackText”:”Back to Form”,”reviewSubmitText”:”Review and Submit”,”seeAllText”:”See All”,”seeErrorsButton”:”See Errors”,”selectedTime”:”Selected Time”,”selectionSoldOut”:”Selection Sold Out”,”slotUnavailable”:”{time} on {date} has been selected is unavailable. Please select another slot.”,”soldOut”:”Sold Out”,”startButtonText”:”START”,”submissionLimit”:”Sorry! Only one entry is allowed. <br> Multiple submissions are disabled for this form.”,”submitButtonText”:”Submit”,”subProductItemsLeft”:”({count} items left)”,”uploadExtensions”:”You can only upload following files:”,”uploadFilesize”:”File size cannot be bigger than:”,”uploadFilesizemin”:”File size cannot be smaller than:”,”url”:”This field can only contain a valid URL”,”validateEmail”:”You need to validate this e-mail”,”wordLimitError”:”Too many words. The limit is”,”wordMinLimitError”:”Too few words. The minimum is”}); /*INIT-END*/ }); setTimeout(function() { JotForm.paymentExtrasOnTheFly([null,null,{“name”:”submit2″,”qid”:”2″,”text”:”Submit”,”type”:”control_button”},{“description”:””,”name”:”firstName”,”qid”:”3″,”subLabel”:””,”text”:”First Name”,”type”:”control_textbox”},{“description”:””,”name”:”lastName”,”qid”:”4″,”subLabel”:””,”text”:”Last Name”,”type”:”control_textbox”},{“description”:””,”name”:”title”,”qid”:”5″,”subLabel”:””,”text”:”Title”,”type”:”control_textbox”},{“description”:””,”name”:”email”,”qid”:”6″,”subLabel”:”[email protected]”,”text”:”Email”,”type”:”control_email”},null,{“description”:””,”name”:”city”,”qid”:”8″,”subLabel”:””,”text”:”City”,”type”:”control_textbox”},{“description”:””,”name”:”state”,”qid”:”9″,”subLabel”:””,”text”:”State”,”type”:”control_textbox”},{“description”:””,”name”:”country”,”qid”:”10″,”subLabel”:””,”text”:”Country”,”type”:”control_dropdown”},{“description”:””,”name”:”zip11″,”qid”:”11″,”subLabel”:””,”text”:”Zip”,”type”:”control_textbox”},{“description”:””,”name”:”phone”,”qid”:”12″,”subLabel”:””,”text”:”Phone”,”type”:”control_textbox”},{“description”:””,”name”:”company”,”qid”:”13″,”subLabel”:””,”text”:”Company”,”type”:”control_textbox”},{“description”:””,”mde”:”No”,”name”:”haveA”,”qid”:”14″,”subLabel”:””,”text”:”Have A Specific Question Or Need An RFQ?”,”type”:”control_textarea”,”wysiwyg”:”Disable”},null,null,{“description”:””,”name”:”pleaseVerify”,”qid”:”17″,”text”:”Please verify that you are human”,”type”:”control_captcha”},null,null,null,{“name”:”typeA21″,”qid”:”21″,”text”:”Terms and Conditions”,”type”:”control_widget”}]);}, 20); @media print{*{-webkit-print-color-adjust: exact !important;color-adjust: exact !important;}.form-section{display:inline!important}.form-pagebreak{display:none!important}.form-section-closed{height:auto!important}.page-section{position:initial!important}} /* Injected CSS Code */ /* Begining of advanced designer */ /*PREFERENCES STYLE*/ /* 1 – Preferences style */ /* 1 – FONT FAMILY */ .form-all { font-family: “Inter”, sans-serif; } /* 2 – FORM WIDTH */ .form-all { max-width: 752px; } /* 5 – FONT SIZE */ .form-all { font-size: 16px; } /* 5 – input bg color */ .form-textbox, .form-textarea, .form-radio-other-input, .form-checkbox-other-input, .form-captcha input, .form-spinner input { background-color: #ffffff; } /* 10 – LINE SPACING */ .form-line { margin-top: 12px; margin-bottom: 12px; } .supernova .form-all, .form-all { background-color: #ffffff; } .supernova { background-color: #f3f3fe; } .supernova body { background-color: transparent; } .form-all, .form-label-top, .form-label-left, .form-label-right, .form-html, .form-checkbox-item label, .form-radio-item label, span.FITB .qb-checkbox-label, span.FITB .qb-radiobox-label, span.FITB .form-radio label, span.FITB .form-checkbox label, [data-blotid][data-type=checkbox] [data-labelid], [data-blotid][data-type=radiobox] [data-labelid], span.FITB-inptCont[data-type=checkbox] label, span.FITB-inptCont[data-type=radiobox] label, .form-sub-label { color: #2c3345; } /*PREFERENCES STYLE*/ /* 17 – INPUT WIDTHS */ .form-line, .form-input, .form-input-wide, .form-dropdown, .form-sub-label-container, .form-matrix-table { width: 100%; max-width: none; } .form-textbox, .form-textarea, .form-radio-item, .form-checkbox-item, .form-captcha input, .form-spinner input, .form-error-message { width: 100%; max-width: none; } /* 20 – FORM PADDING */ ul.form-section { padding: 0px 38px; } /* Heights */ li[data-type=”control_textbox”] div[data-layout=”half”], li[data-type=”control_dropdown”] div[data-layout=”half”], li[data-type=”control_email”] div[data-layout=”half”], li[data-type=”control_number”] div[data-layout=”half”], li[data-type=”control_phone”] div[data-layout=”half”], li[data-type=”control_datetime”] div[data-layout=”half”] { width: 100% !important; max-width: 752px; } /* 11 – LINE PADDING */ /* LABEL STYLE */ [data-type=”control_dropdown”] .form-input, [data-type=”control_birthdate”] .form-input, [data-type=”control_time”] .form-input, [data-type=”control_dropdown”] .form-input-wide, [data-type=”control_birthdate”] .form-input-wide, [data-type=”control_time”] .form-input-wide { width: 100% !important; max-width: 752px; } [data-type=”control_dropdown”] .form-dropdown { width: 100% !important; max-width: 752px; } /* 12 – ROUNDED INPUTS */ .form-radio-item, .form-checkbox-item { padding-bottom: 0px; } .form-radio-item:last-child, .form-checkbox-item:last-child { padding-bottom: 0; } .form-checkbox-item .form-checkbox + label, .form-checkbox-item .form-checkbox + span { padding-left: 30px; } .form-radio-item .form-radio + label, .form-radio-item .form-radio + span { padding-left: 30px; } .form-single-column .form-checkbox-item, .form-single-column .form-radio-item { width: 100%; } .form-checkbox-item .editor-container div, .form-radio-item .editor-container div { position: relative; } .form-checkbox-item .editor-container div:before, .form-radio-item .editor-container div:before { display: inline-block; vertical-align: middle; left: 0; width: 20px; height: 20px; } .form-checkbox-item input, .form-radio-item input { margin-top: 2px; } .form-checkbox:checked + label:before, .form-checkbox:checked + span:before { background-color: #2e69ff; border-color: #2e69ff; } .form-radio:checked + label:before, .form-radio:checked + span:before { border-color: #2e69ff; } .form-radio:checked + label:after, .form-radio:checked + span:after { background-color: #2e69ff; } .form-checkbox:hover + label:before, .form-checkbox:hover + span:before, .form-radio:hover + label:before, .form-radio:hover + span:before { border-color: rgba(46, 105, 255, 0.5); box-shadow: 0 0 0 2px rgba(46, 105, 255, 0.25); } .form-checkbox:focus + label:before, .form-checkbox:focus + span:before, .form-radio:focus + label:before, .form-radio:focus + span:before { border-color: #2e69ff; box-shadow: 0 0 0 3px rgba(46, 105, 255, 0.25); } .submit-button { font-size: 16px; font-weight: normal; font-family: inherit; } .submit-button { min-width: 180px; } .form-all .form-pagebreak-back, .form-all .form-pagebreak-next { font-family: “Inter”, sans-serif; font-size: 16px; font-weight: normal; } .form-all .form-pagebreak-back, .form-all .form-pagebreak-next { min-width: 128px; } li[data-type=”control_image”] div { text-align: left; } li[data-type=”control_image”] img { border: none; border-width: 0px !important; border-style: solid !important; border-color: false !important; } .supernova { background-repeat: no-repeat; background-attachment: scroll; background-position: center top; background-attachment: fixed; background-size: auto; background-size: cover; } .supernova { background-image: none; } #stage { background-image: none; } /* | */ .form-all { background-repeat: no-repeat; background-attachment: scroll; background-position: center top; background-size: cover; } .form-header-group { background-repeat: no-repeat; background-attachment: scroll; background-position: center top; } .header-large h1.form-header { font-size: 2em; } .header-large h2.form-header { font-size: 1.5em; } .header-large h3.form-header { font-size: 1.17em; } .header-large h1 + .form-subHeader { font-size: 1em; } .header-large h2 + .form-subHeader { font-size: .875em; } .header-large h3 + .form-subHeader { font-size: .75em; } .header-default h1.form-header { font-size: 2em; } .header-default h2.form-header { font-size: 1.5em; } .header-default h3.form-header { font-size: 1.17em; } .header-default h1 + .form-subHeader { font-size: 1em; } .header-default h2 + .form-subHeader { font-size: .875em; } .header-default h3 + .form-subHeader { font-size: .75em; } .header-small h1.form-header { font-size: 2em; } .header-small h2.form-header { font-size: 1.5em; } .header-small h3.form-header { font-size: 1.17em; } .header-small h1 + .form-subHeader { font-size: 1em; } .header-small h2 + .form-subHeader { font-size: .875em; } .header-small h3 + .form-subHeader { font-size: .75em; } .form-header-group { text-align: left; } div.form-header-group.header-large, div.form-header-group.hasImage { margin: 0px -38px; } div.form-header-group.header-large, div.form-header-group.hasImage { padding: 40px 52px; } .form-header-group .form-header, .form-header-group .form-subHeader { color: -1; } .form-line-error { -webkit-transition-property: none; -moz-transition-property: none; -ms-transition-property: none; -o-transition-property: none; transition-property: none; -webkit-transition-duration: 0.3s; -moz-transition-duration: 0.3s; -ms-transition-duration: 0.3s; -o-transition-duration: 0.3s; transition-duration: 0.3s; -webkit-transition-timing-function: ease; -moz-transition-timing-function: ease; -ms-transition-timing-function: ease; -o-transition-timing-function: ease; transition-timing-function: ease; background-color: #fff4f4; } .form-line-error .form-error-message { background-color: #f23a3c; clear: both; float: none; } .form-line-error .form-error-message .form-error-arrow { border-bottom-color: #f23a3c; } .form-line-error input:not(#coupon-input), .form-line-error textarea, .form-line-error .form-validation-error { border: 1px solid #f23a3c; box-shadow: 0 0 3px #f23a3c; } .form-line-error { -webkit-transition-property: none; -moz-transition-property: none; -ms-transition-property: none; -o-transition-property: none; transition-property: none; -webkit-transition-duration: 0.3s; -moz-transition-duration: 0.3s; -ms-transition-duration: 0.3s; -o-transition-duration: 0.3s; transition-duration: 0.3s; -webkit-transition-timing-function: ease; -moz-transition-timing-function: ease; -ms-transition-timing-function: ease; -o-transition-timing-function: ease; transition-timing-function: ease; background-color: #fff4f4; } .form-line-active { background-color: #f1f5ff; } /* 29 – FORM COLUMNS */ .form-line-column { width: calc(100/3 * 1% – 8px); } /*__INSPECT_SEPERATOR__*/ .form-label.form-label-auto { display: block; float: none; text-align: left; width: 100%; } /* Injected CSS Code */
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Please Select United States Afghanistan Albania Algeria Andorra Angola Antigua and Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belgium Belize Benin Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Chad Chile China Colombia Comoros Costa Rica Croatia Cyprus Czech Republic (Czechia) Denmark Djibouti Dominica Dominican Republic DR Congo Ecuador Egypt El Salvador Equatorial Guinea Estonia Eswatini Ethiopia Fiji Finland France Gabon Gambia Georgia Germany Ghana Greece Grenada Guatemala Guinea Guinea-Bissau Guyana Haiti Holy See Honduras Hungary Iceland India Indonesia Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lesotho Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria North Macedonia Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Qatar Romania Russia Rwanda Saint Kitts & Nevis Saint Lucia Samoa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka St. Vincent & Grenadines State of Palestine Sudan Suriname Sweden Switzerland Tajikistan Tanzania Thailand Taiwan Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vietnam Zambia
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var recaptchaLoadedinput_17 = function() { window.grecaptcha.render($(“recaptcha_input_17”), { sitekey: ‘6LdU3CgUAAAAAB0nnFM3M3T0sy707slYYU51RroJ’, }); var grecaptchaBadge = document.querySelector(‘.grecaptcha-badge’); if (grecaptchaBadge) { grecaptchaBadge.style.boxShadow = ‘gray 0px 0px 2px’; } }; /** * Called when the reCaptcha verifies the user is human * For invisible reCaptcha; * Submit event is stopped after validations and recaptcha is executed. * If a challenge is not displayed, this will be called right after grecaptcha.execute() * If a challenge is displayed, this will be called when the challenge is solved successfully * Submit is triggered to actually submit the form since it is stopped before. */ var recaptchaCallbackinput_17 = function() { var isInvisibleReCaptcha = false; var hiddenInput = $(“input_17”); hiddenInput.setValue(1); if (!isInvisibleReCaptcha) { if (hiddenInput.validateInput) { hiddenInput.validateInput(); } } else { triggerSubmit(hiddenInput.form) } function triggerSubmit(formElement) { var button = formElement.ownerDocument.createElement(‘input’); button.style.display = ‘none’; button.type = ‘submit’; formElement.appendChild(button).click(); formElement.removeChild(button); } } // not really required for invisible recaptcha var recaptchaExpiredCallbackinput_17 = function() { var hiddenInput = $(“input_17”); hiddenInput.writeAttribute(“value”, false); if (hiddenInput.validateInput) { hiddenInput.validateInput(); } } -
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