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					<label class="col-form-label" for="new_password2">Verify Password</label>
				    <input type="password" class="form-control" name="new_password2" id="new_password2" maxlength="100" placeholder="Password" required>
				</div>
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			<div class="form-row">
				<div class="col-md-3 form-group" id="prefix-group">
					<label class="col-form-label" for="prefix">Prefix</label>
				    <input type="text" class="form-control" name="prefix" id="prefix" maxlength="20" placeholder="Prefix">
				</div>
				<div class="col-md-3 form-group" id="firstname-group">
					<label class="col-form-label" for="firstname">First Name</label>
				    <input type="text" class="form-control" name="firstname" id="firstname" maxlength="100" placeholder="First Name" required>
				</div>
				<div class="col-md-6 form-group" id="lastname-group">
					<label class="col-form-label" for="lastname">Last Name</label>
				    <input type="text" class="form-control" name="lastname" id="lastname" maxlength="100" placeholder="Last Name" required>
				</div>
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			<div class="form-row">
				
					<div class="col-md-6 form-group" id="title-group">
						<label class="col-form-label" for="title">Title</label>
					    <input type="text" class="form-control" name="title" id="title" maxlength="100" placeholder="Title">
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				<div class="col-md-6 form-group" id="orgName-group">
					<label class="col-form-label" for="orgName">Company</label>
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					<label class="col-form-label" for="address1">Address</label>
				    <input type="text" class="form-control" name="address1" id="address1" maxlength="100" placeholder="Address" required>
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				<div class="col-md-3 form-group" id="address2-group">
					<label class="col-form-label" for="address2">Address 2</label>
				    <input type="text" class="form-control" name="address2" id="address2" maxlength="100" placeholder="Address 2">
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				<div class="col-md-3 form-group" id="address3-group">
					<label class="col-form-label" for="address3">Address 3</label>
				    <input type="text" class="form-control" name="address3" id="address3" maxlength="100" placeholder="Address 3">
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				    <input type="text" class="form-control" name="city" id="city" maxlength="100" placeholder="city" required>
				</div>
				<div class="col-md-6 form-group" id="state-group">
					<label class="col-form-label" for="state">State/Province</label>
					<select class="form-control" name="state" id="state">
						<option value="">please select one</option>
						
							<option value="AA">Armed Forces America</option>
						
							<option value="AB">Alberta</option>
						
							<option value="ACT">Australian Capital Territory</option>
						
							<option value="AE">Armed Forces Europe</option>
						
							<option value="AK">Alaska</option>
						
							<option value="AL">Alabama</option>
						
							<option value="AP">Armed Forces Pacific</option>
						
							<option value="AR">Arkansas</option>
						
							<option value="AZ">Arizona</option>
						
							<option value="BC">British Columbia</option>
						
							<option value="CA">California</option>
						
							<option value="CO">Colorado</option>
						
							<option value="CT">Connecticut</option>
						
							<option value="DC">District of Columbia</option>
						
							<option value="DE">Delaware</option>
						
							<option value="FL">Florida</option>
						
							<option value="GA">Georgia</option>
						
							<option value="HI">Hawaii</option>
						
							<option value="IA">Iowa</option>
						
							<option value="ID">Idaho</option>
						
							<option value="IL">Illinois</option>
						
							<option value="IN">Indiana</option>
						
							<option value="KS">Kansas</option>
						
							<option value="KY">Kentucky</option>
						
							<option value="LA">Louisiana</option>
						
							<option value="MA">Massachusetts</option>
						
							<option value="MB">Manitoba</option>
						
							<option value="MD">Maryland</option>
						
							<option value="ME">Maine</option>
						
							<option value="MI">Michigan</option>
						
							<option value="MN">Minnesota</option>
						
							<option value="MO">Missouri</option>
						
							<option value="MS">Mississippi</option>
						
							<option value="MT">Montana</option>
						
							<option value="NB">New Brunswick</option>
						
							<option value="NC">North Carolina</option>
						
							<option value="ND">North Dakota</option>
						
							<option value="NE">Nebraska</option>
						
							<option value="NF">Newfoundland</option>
						
							<option value="NH">New Hampshire</option>
						
							<option value="NJ">New Jersey</option>
						
							<option value="NL">Newfoundland and Labrador</option>
						
							<option value="NM">New Mexico</option>
						
							<option value="NS">Nova Scotia</option>
						
							<option value="NSW">New South Wales</option>
						
							<option value="NT">Northern Territory</option>
						
							<option value="NU">Nunavut</option>
						
							<option value="NV">Nevada</option>
						
							<option value="NWT">Northwest Territories</option>
						
							<option value="NY">New York</option>
						
							<option value="OH">Ohio</option>
						
							<option value="OK">Oklahoma</option>
						
							<option value="ON">Ontario</option>
						
							<option value="OR">Oregon</option>
						
							<option value="PA">Pennsylvania</option>
						
							<option value="PE">Prince Edward Island</option>
						
							<option value="PR">Puerto Rico</option>
						
							<option value="QC">Quebec</option>
						
							<option value="QLD">Queensland</option>
						
							<option value="RE">Reggio Emilia</option>
						
							<option value="RI">Rhode Island</option>
						
							<option value="SA">South Australia</option>
						
							<option value="SC">South Carolina</option>
						
							<option value="SD">South Dakota</option>
						
							<option value="SK">Saskatchewan</option>
						
							<option value="TAS">Tasmania</option>
						
							<option value="TN">Tennessee</option>
						
							<option value="TX">Texas</option>
						
							<option value="TY">Tyrol</option>
						
							<option value="UT">Utah</option>
						
							<option value="VA">Virginia</option>
						
							<option value="VI">US Virgin Islands</option>
						
							<option value="VIC">Victoria</option>
						
							<option value="VT">Vermont</option>
						
							<option value="W A">Western Australia</option>
						
							<option value="WA">Washington</option>
						
							<option value="WI">Wisconsin</option>
						
							<option value="WV">West Virginia</option>
						
							<option value="WY">Wyoming</option>
						
							<option value="Yokohama">Yokohama</option>
						
							<option value="YT">Yukon Territories</option>
						
							<option value="YUCATAN">Yucatan</option>
						
					</select>
				</div>
			</div>
			<div class="form-row">
				<div class="col-md-6 form-group" id="zip-group">
					<label class="col-form-label" for="zip">Zip Code</label>
				    <input type="text" class="form-control" name="zip" id="zip" maxlength="10" placeholder="Zip Code">
				</div>
				<div class="col-md-6 form-group" id="country-group">
					<label class="col-form-label" for="country">Country</label>
					<select class="form-control" name="country" id="country" required>
						<option value="">please select one</option>
						
							<option value="US">United States</option>
						
							<option value="GE-AB">Abkhazia</option>
						
							<option value="AF">Afghanistan</option>
						
							<option value="AX">Åland Islands</option>
						
							<option value="AL">Albania</option>
						
							<option value="DZ">Algeria</option>
						
							<option value="AS">American Samoa</option>
						
							<option value="AD">Andorra</option>
						
							<option value="AO">Angola</option>
						
							<option value="AI">Anguilla</option>
						
							<option value="AQ">Antarctica</option>
						
							<option value="AG">Antigua And Barbuda</option>
						
							<option value="AR">Argentina</option>
						
							<option value="AM">Armenia</option>
						
							<option value="AW">Aruba</option>
						
							<option value="AU">Australia</option>
						
							<option value="AT">Austria</option>
						
							<option value="AZ">Azerbaijan</option>
						
							<option value="BS">Bahamas</option>
						
							<option value="BH">Bahrain</option>
						
							<option value="BD">Bangladesh</option>
						
							<option value="BB">Barbados</option>
						
							<option value="BY">Belarus</option>
						
							<option value="BE">Belgium</option>
						
							<option value="BZ">Belize</option>
						
							<option value="BJ">Benin</option>
						
							<option value="BM">Bermuda</option>
						
							<option value="BT">Bhutan</option>
						
							<option value="BO">Bolivia, Plurinational State of</option>
						
							<option value="BA">Bosnia And Herzegovina</option>
						
							<option value="BW">Botswana</option>
						
							<option value="BV">Bouvet Island</option>
						
							<option value="BR">Brazil</option>
						
							<option value="IO">British Indian Ocean Territory</option>
						
							<option value="BN">Brunei Darussalam</option>
						
							<option value="BG">Bulgaria</option>
						
							<option value="BF">Burkina Faso</option>
						
							<option value="BI">Burundi</option>
						
							<option value="KH">Cambodia</option>
						
							<option value="CM">Cameroon</option>
						
							<option value="CA">Canada</option>
						
							<option value="CV">Cape Verde</option>
						
							<option value="KY">Cayman Islands</option>
						
							<option value="CF">Central African Republic</option>
						
							<option value="TD">Chad</option>
						
							<option value="CL">Chile</option>
						
							<option value="CN">China</option>
						
							<option value="CX">Christmas Island</option>
						
							<option value="CC">Cocos (Keeling) Islands</option>
						
							<option value="CO">Colombia</option>
						
							<option value="KM">Comoros</option>
						
							<option value="CG">Congo</option>
						
							<option value="CD">Congo, the Democratic Republic of the</option>
						
							<option value="CK">Cook Islands</option>
						
							<option value="CR">Costa Rica</option>
						
							<option value="CI">Cote d'Ivoire</option>
						
							<option value="HR">Croatia</option>
						
							<option value="CU">Cuba</option>
						
							<option value="CW">Curacao</option>
						
							<option value="CY">Cyprus</option>
						
							<option value="CZ">Czech Republic</option>
						
							<option value="DK">Denmark</option>
						
							<option value="DJ">Djibouti</option>
						
							<option value="DM">Dominica</option>
						
							<option value="DO">Dominican Republic</option>
						
							<option value="EC">Ecuador</option>
						
							<option value="EG">Egypt</option>
						
							<option value="SV">El Salvador</option>
						
							<option value="GQ">Equatorial Guinea</option>
						
							<option value="ER">Eritrea</option>
						
							<option value="EE">Estonia</option>
						
							<option value="SZ">Eswatini</option>
						
							<option value="ET">Ethiopia</option>
						
							<option value="FK">Falkland Islands (Malvinas)</option>
						
							<option value="FO">Faroe Islands</option>
						
							<option value="FJ">Fiji</option>
						
							<option value="FI">Finland</option>
						
							<option value="FR">France</option>
						
							<option value="GF">French Guiana</option>
						
							<option value="PF">French Polynesia</option>
						
							<option value="TF">French Southern Territories</option>
						
							<option value="GA">Gabon</option>
						
							<option value="GM">Gambia</option>
						
							<option value="GE">Georgia</option>
						
							<option value="DE">Germany</option>
						
							<option value="GH">Ghana</option>
						
							<option value="GI">Gibraltar</option>
						
							<option value="GR">Greece</option>
						
							<option value="GL">Greenland</option>
						
							<option value="GD">Grenada</option>
						
							<option value="GP">Guadeloupe</option>
						
							<option value="GU">Guam</option>
						
							<option value="GT">Guatemala</option>
						
							<option value="GN">Guinea</option>
						
							<option value="GW">Guinea-Bissau</option>
						
							<option value="GY">Guyana</option>
						
							<option value="HT">Haiti</option>
						
							<option value="HM">Heard Island And Mcdonald Islands</option>
						
							<option value="VA">Holy See (Vatican City State)</option>
						
							<option value="HN">Honduras</option>
						
							<option value="HK">Hong Kong (SAR)</option>
						
							<option value="HU">Hungary</option>
						
							<option value="IS">Iceland</option>
						
							<option value="IN">India</option>
						
							<option value="ID">Indonesia</option>
						
							<option value="IR">Iran, Islamic Republic of</option>
						
							<option value="IQ">Iraq</option>
						
							<option value="IE">Ireland</option>
						
							<option value="IM">Isle of Man</option>
						
							<option value="IL">Israel</option>
						
							<option value="IT">Italy</option>
						
							<option value="JM">Jamaica</option>
						
							<option value="JP">Japan</option>
						
							<option value="JO">Jordan</option>
						
							<option value="KZ">Kazakhstan</option>
						
							<option value="KE">Kenya</option>
						
							<option value="KI">Kiribati</option>
						
							<option value="KP">Korea, Democratic People's Republic Of</option>
						
							<option value="KR">Korea, Republic of</option>
						
							<option value="XK">Kosovo</option>
						
							<option value="KW">Kuwait</option>
						
							<option value="KG">Kyrgyzstan</option>
						
							<option value="LA">Lao People's Democratic Republic</option>
						
							<option value="LV">Latvia</option>
						
							<option value="LB">Lebanon</option>
						
							<option value="LS">Lesotho</option>
						
							<option value="LR">Liberia</option>
						
							<option value="LY">Libya</option>
						
							<option value="LI">Liechtenstein</option>
						
							<option value="LT">Lithuania</option>
						
							<option value="LU">Luxembourg</option>
						
							<option value="MO">Macao</option>
						
							<option value="MG">Madagascar</option>
						
							<option value="MW">Malawi</option>
						
							<option value="MY">Malaysia</option>
						
							<option value="MV">Maldives</option>
						
							<option value="ML">Mali</option>
						
							<option value="MT">Malta</option>
						
							<option value="MH">Marshall Islands</option>
						
							<option value="MQ">Martinique</option>
						
							<option value="MR">Mauritania</option>
						
							<option value="MU">Mauritius</option>
						
							<option value="YT">Mayotte</option>
						
							<option value="MX">Mexico</option>
						
							<option value="FM">Micronesia, Federated States Of</option>
						
							<option value="MD">Moldova, Republic Of</option>
						
							<option value="MC">Monaco</option>
						
							<option value="MN">Mongolia</option>
						
							<option value="ME">Montenegro</option>
						
							<option value="MS">Montserrat</option>
						
							<option value="MA">Morocco</option>
						
							<option value="MZ">Mozambique</option>
						
							<option value="MM">Myanmar</option>
						
							<option value="NA">Namibia</option>
						
							<option value="NR">Nauru</option>
						
							<option value="NP">Nepal</option>
						
							<option value="NL">Netherlands</option>
						
							<option value="AN">Netherlands Antilles</option>
						
							<option value="NC">New Caledonia</option>
						
							<option value="NZ">New Zealand</option>
						
							<option value="NI">Nicaragua</option>
						
							<option value="NE">Niger</option>
						
							<option value="NG">Nigeria</option>
						
							<option value="NU">Niue</option>
						
							<option value="NF">Norfolk Island</option>
						
							<option value="MK">North Macedonia</option>
						
							<option value="MP">Northern Mariana Islands</option>
						
							<option value="NO ">Norway</option>
						
							<option value="OM">Oman</option>
						
							<option value="PK">Pakistan</option>
						
							<option value="PW">Palau</option>
						
							<option value="PA">Panama</option>
						
							<option value="PG">Papua New Guinea</option>
						
							<option value="PY">Paraguay</option>
						
							<option value="PE">Peru</option>
						
							<option value="PH">Philippines</option>
						
							<option value="PN">Pitcairn</option>
						
							<option value="PL">Poland</option>
						
							<option value="PT">Portugal</option>
						
							<option value="PR">Puerto Rico</option>
						
							<option value="QA">Qatar</option>
						
							<option value="RE">Reunion</option>
						
							<option value="RO">Romania</option>
						
							<option value="RU">Russian Federation</option>
						
							<option value="RW">Rwanda</option>
						
							<option value="SH">Saint Helena</option>
						
							<option value="KN">Saint Kitts And Nevis</option>
						
							<option value="LC">Saint Lucia</option>
						
							<option value="MF">Saint Martin (French)</option>
						
							<option value="PM">Saint Pierre And Miquelon</option>
						
							<option value="VC">Saint Vincent And The Grenadines</option>
						
							<option value="WS">Samoa</option>
						
							<option value="SM">San Marino</option>
						
							<option value="ST">Sao Tome And Principe</option>
						
							<option value="SA">Saudi Arabia</option>
						
							<option value="SN">Senegal</option>
						
							<option value="RS">Serbia</option>
						
							<option value="SC">Seychelles</option>
						
							<option value="SL">Sierra Leone</option>
						
							<option value="SG">Singapore</option>
						
							<option value="SX">Sint Maarten (Dutch)</option>
						
							<option value="SK">Slovakia</option>
						
							<option value="SI">Slovenia</option>
						
							<option value="SB">Solomon Islands</option>
						
							<option value="SO">Somalia</option>
						
							<option value="ZA">South Africa</option>
						
							<option value="GS">South Georgia And The South Sandwich Islands</option>
						
							<option value="ES">Spain</option>
						
							<option value="LK">Sri Lanka</option>
						
							<option value="SD">Sudan</option>
						
							<option value="SR">Suriname</option>
						
							<option value="SJ">Svalbard And Jan Mayen</option>
						
							<option value="SE">Sweden</option>
						
							<option value="CH">Switzerland</option>
						
							<option value="SY">Syrian Arab Republic</option>
						
							<option value="TW">Taiwan</option>
						
							<option value="TJ">Tajikistan</option>
						
							<option value="TZ">Tanzania, United Republic Of</option>
						
							<option value="TH">Thailand</option>
						
							<option value="TL">Timor-Leste</option>
						
							<option value="TG">Togo</option>
						
							<option value="TK">Tokelau</option>
						
							<option value="TO">Tonga</option>
						
							<option value="TT">Trinidad And Tobago</option>
						
							<option value="TN">Tunisia</option>
						
							<option value="TR">Turkey</option>
						
							<option value="TM">Turkmenistan</option>
						
							<option value="TC">Turks And Caicos Islands</option>
						
							<option value="TV">Tuvalu</option>
						
							<option value="UG">Uganda</option>
						
							<option value="UA">Ukraine</option>
						
							<option value="AE">United Arab Emirates</option>
						
							<option value="GB">United Kingdom</option>
						
							<option value="UY">Uruguay</option>
						
							<option value="UZ">Uzbekistan</option>
						
							<option value="VU">Vanuatu</option>
						
							<option value="VE">Venezuela, Bolivarian Republic of</option>
						
							<option value="VN">Vietnam</option>
						
							<option value="VI">Virgin Islands- U.S.</option>
						
							<option value="VG">Virgin Islands, British</option>
						
							<option value="WF">Wallis And Futuna</option>
						
							<option value="PS">West Bank and Gaza</option>
						
							<option value="EH">Western Sahara</option>
						
							<option value="YE">Yemen</option>
						
							<option value="ZM">Zambia</option>
						
							<option value="ZW">Zimbabwe</option>
						
					</select>
				</div>
			</div>
			<div class="form-row">
				<div class="col-md-6 form-group" id="phone-group">
					<label class="col-form-label" for="phone">Phone</label>
				    <input type="text" class="form-control" name="phone" id="phone" maxlength="50" placeholder="Phone" required>
				</div>
				<div class="col-md-6 form-group" id="fax-group">
					<label class="col-form-label" for="fax">Fax</label>
				    <input type="text" class="form-control" name="fax" id="fax" maxlength="50" placeholder="Fax">
				</div>
			</div>
			<div class="form-row">
				
					<div class="col-md-12 form-group" id="isEmail-group">
						
						<b>Subscribe to our email list?</b>
						<br />
						<input type="checkbox" name="isEmail" value="1" id="isEmail">
						&nbsp;
						<label for="isEmail"><span style="font-weight: normal;">Yes, I want to subscribe to your mailing list</span></label>
					</div>
				

			</div>
			
				<div class="form-row">
					<div class="col-md-12">
						

				<style>
				div.g-recaptcha > div > div > iframe {
					height: 78px !important;
				}
				
				@media screen and (max-width: 575px) {
					#rc-imageselect, .g-recaptcha  {
						transform:scale(0.77);
						-webkit-transform:scale(0.77);transform-origin:0 0;
						-webkit-transform-origin:0 0;
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				<script src="https://www.recaptcha.net/recaptcha/api.js" async defer></script>
				<div class="g-recaptcha" data-sitekey="6LdjEY4fAAAAAKmEd3vqGfzH1896KwLnb8pXkuoc"></div>
			
			
						<br />
					</div>
				</div>
			
			<div class="form-row">
				<div class="col-md-6">
					<button type="button" class="btn btn-primary bt-lg" id="submitBtn" data-loading-text="Please wait...">Submit</button>
				</div>
			</div>
			<input type="hidden" name="nextPage" value="https://learning.ilca.org/cart" value="500">
		</form>
		<br />
	</div>
</div>

<br /><br />


				<script type="text/javascript">

					function findLabel(el) {
					   var idVal = el.id;
					   labels = document.getElementsByTagName("label");
					   for (var i=0; i<labels.length; i++ ) {
					      if (labels[i].htmlFor == idVal)
					           return labels[i];
					   }
					}

					$(function() {
	    				var labelsObj = [{"formlabelid":true,"formlabel_omid":true,"label_name":"<b>First Name<\/b>","isrequired":false,"formlabelmodule_omid":true,"field_name":"firstname","label_name_stock":"First Name","isrequired_stock":true},{"formlabelid":2,"formlabel_omid":2,"label_name":"<B>Last Name<\/b>","isrequired":false,"formlabelmodule_omid":true,"field_name":"lastname","label_name_stock":"Last Name","isrequired_stock":true},{"formlabelid":3,"formlabel_omid":5,"label_name":"<b>Enter your e-mail address<\/b>","isrequired":false,"formlabelmodule_omid":true,"field_name":"new_username","label_name_stock":"Email Address","isrequired_stock":true},{"formlabelid":4,"formlabel_omid":6,"label_name":"<b>Re-enter your e-mail<\/b>","isrequired":false,"formlabelmodule_omid":true,"field_name":"new_username2","label_name_stock":"Verify Email Address","isrequired_stock":true},{"formlabelid":5,"formlabel_omid":7,"label_name":"<b>Create Password<\/b>","isrequired":false,"formlabelmodule_omid":true,"field_name":"new_password","label_name_stock":"Password","isrequired_stock":true},{"formlabelid":6,"formlabel_omid":8,"label_name":"<b>Create Password (validate) <\/b>","isrequired":false,"formlabelmodule_omid":true,"field_name":"new_password2","label_name_stock":"Verify Password","isrequired_stock":true},{"formlabelid":7,"formlabel_omid":9,"label_name":"Title","isrequired":false,"formlabelmodule_omid":true,"field_name":"title","label_name_stock":"Title","isrequired_stock":false},{"formlabelid":8,"formlabel_omid":10,"label_name":"Company","isrequired":false,"formlabelmodule_omid":true,"field_name":"orgName","label_name_stock":"Company","isrequired_stock":false},{"formlabelid":9,"formlabel_omid":11,"label_name":"<b>Address<\/b>","isrequired":false,"formlabelmodule_omid":true,"field_name":"address1","label_name_stock":"Address","isrequired_stock":true},{"formlabelid":10,"formlabel_omid":12,"label_name":"Address Line 2","isrequired":false,"formlabelmodule_omid":true,"field_name":"address2","label_name_stock":"Address 2","isrequired_stock":false},{"formlabelid":11,"formlabel_omid":13,"label_name":"Address Line 3","isrequired":false,"formlabelmodule_omid":true,"field_name":"address3","label_name_stock":"Address 3","isrequired_stock":false},{"formlabelid":12,"formlabel_omid":14,"label_name":"City","isrequired":false,"formlabelmodule_omid":true,"field_name":"city","label_name_stock":"City","isrequired_stock":true},{"formlabelid":13,"formlabel_omid":15,"label_name":"State\/Province","isrequired":false,"formlabelmodule_omid":true,"field_name":"state","label_name_stock":"State\/Province","isrequired_stock":false},{"formlabelid":14,"formlabel_omid":16,"label_name":"Zip Code","isrequired":false,"formlabelmodule_omid":true,"field_name":"zip","label_name_stock":"Zip Code","isrequired_stock":false},{"formlabelid":15,"formlabel_omid":17,"label_name":"<b>Country<\/b>","isrequired":false,"formlabelmodule_omid":true,"field_name":"country","label_name_stock":"Country","isrequired_stock":true},{"formlabelid":16,"formlabel_omid":20,"label_name":"<b>Phone<\/b>","isrequired":false,"formlabelmodule_omid":true,"field_name":"phone","label_name_stock":"Phone","isrequired_stock":true},{"formlabelid":17,"formlabel_omid":24,"label_name":"Fax","isrequired":false,"formlabelmodule_omid":true,"field_name":"fax","label_name_stock":"Fax","isrequired_stock":false},{"formlabelid":20,"formlabel_omid":122,"label_name":"","isrequired":false,"formlabelmodule_omid":true,"field_name":"isEmail","label_name_stock":"Receive emails about future events\/activities","isrequired_stock":false},{"formlabelid":18,"formlabel_omid":123,"label_name":"","isrequired":false,"formlabelmodule_omid":true,"field_name":"prefix","label_name_stock":"Prefix","isrequired_stock":false},{"formlabelid":19,"formlabel_omid":124,"label_name":"","isrequired":false,"formlabelmodule_omid":true,"field_name":"pronouns","label_name_stock":"Pronouns","isrequired_stock":false}];
	    				var markRequired = true;
	    				var bypassFields = "";
	    				var bypassFieldsArray = bypassFields.toLowerCase().split(",");
	    				var allInputs = $(":input");
	    				var requiredString = "<font color=\"FF0000\"> <b> * </b > </font>";

						allInputs.each(function(index, input) {
							$.each(labelsObj, function(index, label) {
								if (label.field_name.toLowerCase().trim() == input.name.toLowerCase().trim()) {
									var inputLabel = findLabel(input);

									// force isemail field to NOT required for GDPR - May 2018; no matter what previous database settings were for module field
									if(label.field_name.toLowerCase().trim() == "isemail"){
										label.isrequired = false;
									}

									if (typeof inputLabel !== "undefined") {
										if (label.label_name != "") {
											inputLabel.innerHTML = label.label_name;
											//input.placeholder = label.label_name;
										}
										else {
											inputLabel.innerHTML = label.label_name_stock;
											//input.placeholder = label.label_name_stock;
										}
										if (markRequired) {
											if (label.isrequired != "") {
												if (label.isrequired == true || label.isrequired == 1 || label.isrequired == "YES") {
													inputLabel.innerHTML += requiredString;
													if (bypassFields == "" || (bypassFields != "" && bypassFieldsArray.indexOf(input.name) == -1)) {
														input.setAttribute("required", "true");
													}
												}
												else {
													if (bypassFields == "" || (bypassFields != "" && bypassFieldsArray.indexOf(input.name) == -1)) {
														input.removeAttribute("required");
													}
												}
											}
											else {
												if (label.isrequired_stock == true || label.isrequired_stock == 1 || label.isrequired_stock == "YES") {
													inputLabel.innerHTML += requiredString;
													if (bypassFields == "" || (bypassFields != "" && bypassFieldsArray.indexOf(input.name) == -1)) {
														input.setAttribute("required", "true");
													}
												}
												else {
													if (bypassFields == "" || (bypassFields != "" && bypassFieldsArray.indexOf(input.name) == -1)) {
														input.removeAttribute("required");
													}
												}
											}
										}
									}
								}
							});
						});
					});
				</script>
			

<script type="text/javascript">
	/*
	Password Validator 0.1
	(c) 2007 Steven Levithan <stevenlevithan.com>
	MIT License
*/

function validatePassword (pw, options) {
	// default options (allows any password)
	var o = {
		lower:    0,
		upper:    0,
		alpha:    0, /* lower + upper */
		numeric:  0,
		special:  0,
		length:   [0, Infinity],
		custom:   [ /* regexes and/or functions */ ],
		badWords: [],
		badSequenceLength: 0,		
		noQwertySequences: false,
		noSequential:      false
	};

	for (var property in options)
		o[property] = options[property];

	var	re = {
			lower:   /[a-z]/g,
			upper:   /[A-Z]/g,
			alpha:   /[A-Z]/gi,
			numeric: /[0-9]/g,
			special: /[\W_]/g
		},
		rule, i;

	// enforce min/max length
	if (pw.length < o.length[0] || pw.length > o.length[1])
		return false;

	// enforce lower/upper/alpha/numeric/special rules
	for (rule in re) {
		if ((pw.match(re[rule]) || []).length < o[rule])
			return false;
	}

	// enforce word ban (case insensitive)
	for (i = 0; i < o.badWords.length; i++) {
		if (pw.toLowerCase().indexOf(o.badWords[i].toLowerCase()) > -1)
			return false;
	}

	// enforce the no sequential, identical characters rule
	if (o.noSequential && /([\S\s])\1/.test(pw))
		return false;

	// enforce alphanumeric/qwerty sequence ban rules
	/* not using too-simple sequence validation - comment out - issue 90472
	if (o.badSequenceLength) {
		var	lower   = "abcdefghijklmnopqrstuvwxyz",
			upper   = lower.toUpperCase(),
			numbers = "0123456789",
			qwerty  = "qwertyuiopasdfghjklzxcvbnm",
			start   = o.badSequenceLength - 1,
			seq     = "_" + pw.slice(0, start);
		for (i = start; i < pw.length; i++) {
			seq = seq.slice(1) + pw.charAt(i);
			if (
				lower.indexOf(seq)   > -1 ||
				upper.indexOf(seq)   > -1 ||
				numbers.indexOf(seq) > -1 ||
				(o.noQwertySequences && qwerty.indexOf(seq) > -1)
			) {
				return false;
			}
		}
	}
	*/

	// enforce custom regex/function rules
	for (i = 0; i < o.custom.length; i++) {
		rule = o.custom[i];
		if (rule instanceof RegExp) {
			if (!rule.test(pw))
				return false;
		} else if (rule instanceof Function) {
			if (!rule(pw))
				return false;
		}
	}

	// great success!
	return true;
}
	
function VerifyEmailAddress() {
	// declare params, some optional
    var EmailForm = arguments[0];
    var EmailField = arguments[1];
    var EmailName = arguments[2];
    var isMultiple = (typeof arguments[3] !== 'undefined') ?  arguments[3] : false;
    var separator = (typeof arguments[4] !== 'undefined') ?  arguments[4] : ';';
    
	var frm = eval('document.' + EmailForm);
	var checkStr = eval('frm.' + EmailField + '.value');
	if (isMultiple == true && checkStr.indexOf(separator) != -1) {
		// multiple-email field (such as CC Mail) so need to split string first on separator argument
		var checkStrArr = checkStr.split(separator);
		for (var i = 0; i < checkStrArr.length; i++) {
			var isValid = _validateEmail(checkStrArr[i], frm, EmailField, EmailName);
			if (!isValid) {
				return isValid;
			}
		}
	}
	else {
		var isValid = _validateEmail(checkStr, frm, EmailField, EmailName);
	}
	
	return isValid;
}

function _validateEmail(checkStr, frm, EmailField, EmailName) {
	var Reason  = 'There appears to be an error with the email address you entered in the ' + EmailName + ' field.  Please click OK to close this message and try again.\n\nReason: ';
	var Success = "Email Address entered Correctly!";
	// allow formatted email address (with display name and email value) - 6/3/09 Cindi V 
	  // -------------------------------------------------------------------------------------
	  // check for "<" symbol to see if it's a formatted email address
	  if(checkStr.indexOf("<") > -1)
	  {
	  	// formatted email address with display name
		unparsedText = checkStr;
		emailParts = unparsedText.split('<');
		if (emailParts.length == 2)
		{
			// get just the email address by getting the last value in the array and removing the ending ">" character
			emailAddress = emailParts[1].replace(">", "");
			// now set the emailAddress to the string we want to check and continue with standard validation
			checkStr = emailAddress;
		}
	  }
	  // -------------------------------------------------------------------------------------
	  
	  if (checkStr == '') { return true; }  
	  var ix = (checkStr.length - 4);
	  var RC = true;
	  var thisChar = '';
	  var prevChar = '';
	  //var as = '';
	  var x = AtSignValid = DoublePeriod = PeriodValid = SpaceValid = ExtValid = RL = atP = 0;
	  for (i = 0;  i < checkStr.length;  i++)  { 
	  	thisChar = checkStr.charAt(i);
	  	//as = thisChar + ':' + i + ':' + x;
		if (checkStr.charAt(i) == '@')  
			AtSignValid++;    
		else if (checkStr.charAt(i) == '.')    {
	    	if (x == (i-1) && x > 0)
				DoublePeriod++;
			else {
				x = i;
	        	PeriodValid++;
				}
			if (i == 0) { DoublePeriod++; }
			if (prevChar == '@') { atP++; }
			}
		else if (checkStr.charAt(i) == ' ') SpaceValid ++;  
		prevChar = thisChar;
		}
		if (checkStr.indexOf(".com", ix) > -1)    ExtValid++;
		else if (checkStr.indexOf(".edu", ix) > -1)    ExtValid++;
	  	else if (checkStr.indexOf(".net", ix) > -1)    ExtValid++;
	  	else if (checkStr.indexOf(".org", ix) > -1)    ExtValid++;
	  	else if (checkStr.indexOf(".gov", ix) > -1)    ExtValid++;
	  	RL = Reason.length; 
		if (checkStr.charAt(0) == '@' || checkStr.charAt(0) == '.') Reason += "\Email address cannot begin with a '.' or '@'."; 
		//console.log(checkStr.charAt((checkStr.length - 1)));
		if (checkStr.charAt((checkStr.length - 1)) == '@' || checkStr.charAt((checkStr.length - 1)) == '.') { 
			Reason += "\Email address cannot end with a '.' or '@'.";
			}
		if (AtSignValid != 1) Reason += "\nOnly one '@' allowed, " + AtSignValid + " found.";
	  	if (PeriodValid == 0) Reason += "\nEmail address must contain at least one period.";
	  	if (SpaceValid > 0)  Reason += "\nNo Spaces allowed in the email address value. Email address contains " + SpaceValid + " space";
	  	if (SpaceValid > 1)    Reason += "s.";  
		if (atP > 0) Reason += "\nYou must have at least one character between the '@' symbol and the '.'.";
		if (DoublePeriod > 0)
	    Reason += "\nAddress contains multiple periods in a row.";
	  	//if (ExtValid == 0)
	    //Reason += "\nInvalid Domain Suffix entered.\n(Valid: .com, .edu, .net, .org, .gov)";
	  	//if (checkStr.length > 120)
	    //Reason += "\nPlease limit the Email Address to 120 characters.";
	  	if (RL != Reason.length)  {
	  		// include the files in your project; code is located at /common/root/htdocs/sweetalert
	  		// check for sweetAlert function which is has an alias of swal
	  		if (typeof sweetAlert == 'function') {
	  			Reason = Reason.replace(/\n/g, '<br>');
	  			swal({
			  			title: 'Invalid Email',
			  			html: true,
			  			text: Reason,
			  			animation: 'slide-from-top',
			  			type: 'info',
			  			confirmButtonText: 'Ok',
			  			confirmButtonColor: '#337ab7'
		  			}
	  				/*,function() {
		  				var fld = eval('frm.' + EmailField);
		  		  		fld.focus();
		  		  		fld.select();
		  			}*/
	  			);
	  			return false;
	  		}
	  		else {
	  			alert(Reason);
	  		}
	        
	  		var fld = eval('frm.' + EmailField);
	  		fld.focus();
	  		fld.select();
	  		RC = false;    
	  		return RC;
	  	}
	  	else RC = true;  
	  	return(RC);
}


	function getParameterByName(name, url) {
	    if (!url) url = window.location.href;
	    name = name.replace(/[\[\]]/g, "\\$&");
	    var regex = new RegExp("[?&]" + name + "(=([^&#]*)|&|#|$)"),
	        results = regex.exec(url);
	    if (!results) return null;
	    if (!results[2]) return '';
	    return decodeURIComponent(results[2].replace(/\+/g, " "));
	}

	function checkUsername(username) {
		var submitBtn = $('#submitBtn');
		var lookupResults = $('#lookupResults');
		lookupResults.html('');

		if (username != "") {
			var isEmailValid = VerifyEmailAddress('signupForm', 'new_username', '');
			if (isEmailValid == false) {
				return false;
			}
			else {
				$.ajax({
					type: 'POST',
					url: '?controller=login&action=getPublicUser',
					data: { email: username },
					dataType: 'text'
				}).done(function(response, textStatus, jqXHR) {
	                    if (textStatus == 'success') {
	                        var decodedObj = JSON.parse(response);
	                        if (decodedObj.contactid != 0) {
								submitBtn.attr('disabled', 'disabled');
								var errorMsg = '<strong>You already have an account in our system.</strong><br>';
								errorMsg += '<a href="/i4a/ams/forgotlogin.cfm?returnURL=publicLogin.cfm&doSubmit=1&email=' + username + '">';
								errorMsg += 'Click here</a> to reset your password.';
								lookupResults.html(errorMsg);
								lookupResults.show();
	                        }
	                        else {
								//submitBtn.removeAttr('disabled');
								submitBtn.prop('disabled', false);
								lookupResults.hide();
	                        }
	                   	}
	                   	else {
							swal({
					  			title: "Error",
					  			text: "Oops, something went wrong. Please try again.",
					  			animation: "slide-from-top",
					  			type: "error",
					  			confirmButtonText: "Ok",
					  			confirmButtonColor: "#32557B"
				  			});
	                   	}
				}).fail(function(jqXHR, textStatus, errorThrown) {
	            	swal({
			  			title: "Error",
			  			text: errorThrown,
			  			animation: "slide-from-top",
			  			type: "error",
			  			confirmButtonText: "Ok",
			  			confirmButtonColor: "#32557B"
		  			});
				});
			}
		}
	}

	function validateForm(form) {
		var inputs = form.find('input, select, button, textarea');
        var isValid = true;
        var invalidFieldNames = '';

        for (var x = 0; x < inputs.length; x++) {
            if (inputs[x].required) {
                if (inputs[x].value == '') {
                	var $label = $("label[for='"+inputs[x].id+"']");
					if ($label.length == 0) {
				    	$label = $element.closest('label');
				   	}

				   	if ($label.length == 0) {
				     	// label wasn't found
				   	}
				   	else {
				     	// label was found
				     	if (invalidFieldNames != '') {
				     		invalidFieldNames += '<br>';
				     	}
				     	invalidFieldNames += $label.text();
				   	}

			        $('#'+inputs[x].id+'-group').addClass('has-error');
			        isValid = false;
                }
                else {
                    $('#'+inputs[x].id+'-group').removeClass('has-error');
                }
            }
        }

        if (!isValid) {
        		swal({
				title: 'Missing required fields',
				html: true,
				text: invalidFieldNames,
				animation: 'slide-from-top',
				type: 'info',
				confirmButtonText: 'Ok',
				confirmButtonColor: '#32557B'
			});
			return false;
        }
        else {
        	return true;
        }
	}

	$(function () {
		$('[data-toggle="tooltip"]').tooltip();

		var request;

		var login_type = getParameterByName('login_type');
		// let's try to activate the account tab
		if (login_type && login_type == 0) {
			//$('#loginTabs a[href="#accountTab"]').tab('show');
			$('#account-tab').tab('show');
			$('#new_username').trigger('focus');
		}
		else {
			$('#username').trigger('focus');
		}

		var activateTab = getParameterByName('activateTab');
		// let's try to activate this tab
		if (activateTab != null && activateTab != '') {
			$('#loginTabs a[href="#'+activateTab+'"]').tab('show');
		}

		// bind a login form submit to Enter key press
		$('#username, #password').on('keyup', function(e) {
		    if (e.keyCode == 13) {
		        $('#loginBtn').trigger('click');
		    }
		});

		$('#resetBtn').on('click', function() {
			window.location = '?controller=login&action=resetPassword&returnURL=/i4a/ams/publicLogin.cfm';
		});

		$('#loginBtn').on('click', function() {
			if (request) {
                request.abort();
            }

			var btn = $(this);
			var form = $('#loginForm');
            var isValid = validateForm(form);

	        if (isValid) {
	        	btn.button('loading');
				btn.prop('disabled', true);
				var serializedData = form.serialize();

				request = $.ajax({
					type: 'POST',
                    url: '?controller=login&action=authenticate',
                    data: serializedData,
                    dataType: 'text'
                });

                request.done(function(response, textStatus, jqXHR) {
                    if (textStatus == 'success') {
                        var decodedObj = JSON.parse(response);
                        if (decodedObj.success) {
				  			window.location.href = decodedObj.nextpage;
                        }
                        else {
                        	if (decodedObj.message != "Incorrect username/password combination." && decodedObj.message != "Login has failed, error code: <strong>A54</strong>.") {
		                        swal({
						  			title: 'Login Failed',
						  			text: decodedObj.message,
						  			animation: "slide-from-top",
						  			type: 'error',
						  			confirmButtonText: "Ok",
						  			confirmButtonColor: "#32557B",
						  		});
                      		}
					  		btn.prop('disabled', false);
							btn.button('reset');

							if (decodedObj.a54error) {
								$('#a54Text').show();
								$('#loginFailedText').hide();
							}
							else {
								$('#loginFailedText').show();
								$('#a54Text').hide();
							}
                        }
                    }
                    else {
                        swal({
				  			title: 'Error',
				  			text: 'Oops, something went wrong; please try again.',
				  			animation: "slide-from-top",
				  			type: 'error',
				  			confirmButtonText: "Ok",
				  			confirmButtonColor: "#32557B",
				  		});
				  		btn.prop('disabled', false);
						btn.button('reset');
                    }
                });

				request.fail(function(jqXHR, textStatus, errorThrown) {
                    swal({
			  			title: "Error",
			  			text: errorThrown,
			  			animation: "slide-from-top",
			  			type: "error",
			  			confirmButtonText: "Ok",
			  			confirmButtonColor: "#32557B"
			  		});
			  		btn.prop('disabled', false);
					btn.button('reset');
                });
	        }
		});

		$('#submitBtn').on('click', function() {
			if (request) {
                request.abort();
            }

			var btn = $(this);
			var form = $('#signupForm');
            var isValid = validateForm(form);

	        if (isValid) {
	        		var isPassValid = validatePassword($('#new_password').val().trim(), {
					length: [8, 40],
					lower: 0,
					upper: 0,
					numeric: 1,
					alpha: 1,
					special: 0
				});

				if (isPassValid == false) {
					swal({
			  			title: "Error",
			  			text: "Password must be alphanumeric and at least 8 characters long.",
			  			animation: "slide-from-top",
			  			type: "error",
			  			confirmButtonText: "Ok",
			  			confirmButtonColor: "#32557B"
			  		});
					$('#new_password').trigger('focus');
					return false;
				}
				else if ($('#new_username').val().toLowerCase().trim() != $('#new_username2').val().toLowerCase().trim()) {
					swal({
			  			title: "Error",
			  			text: "Emails do not match, please re-enter.",
			  			animation: "slide-from-top",
			  			type: "error",
			  			confirmButtonText: "Ok",
			  			confirmButtonColor: "#32557B"
			  		});
					$('#new_username').trigger('focus');
					return false;
				}
				else if ($('#new_password').val().trim() != $('#new_password2').val().trim()) {
					swal({
			  			title: "Error",
			  			text: "Passwords do not match, please re-enter.",
			  			animation: "slide-from-top",
			  			type: "error",
			  			confirmButtonText: "Ok",
			  			confirmButtonColor: "#32557B"
			  		});
					$('#new_password').trigger('focus');
					return false;
				}

				// passed all validation, proceed
	        	btn.button('loading');
				btn.prop('disabled', true);
				var serializedData = form.serialize();

				request = $.ajax({
					type: 'POST',
					url: '?controller=login&action=signupPublicUser',
					data: serializedData,
					dataType: 'text'
                });

                request.done(function(response, textStatus, jqXHR) {
                    if (textStatus == 'success') {
                        var decodedObj = JSON.parse(response);
                        if (decodedObj.success) {
				  			window.location.href = decodedObj.nextpage;
                        }
                        else {
	                        swal({
					  			title: 'Error',
					  			text: decodedObj.message,
					  			animation: "slide-from-top",
					  			type: 'error',
					  			confirmButtonText: "Ok",
					  			confirmButtonColor: "#32557B",
					  		});
					  		btn.prop('disabled', false);
							btn.button('reset');
                        }
                    }
                    else {
                        swal({
				  			title: 'Error',
				  			text: 'Oops, something went wrong; please try again.',
				  			animation: "slide-from-top",
				  			type: 'error',
				  			confirmButtonText: "Ok",
				  			confirmButtonColor: "#32557B",
				  		});
				  		btn.prop('disabled', false);
						btn.button('reset');
                    }
                });

				request.fail(function(jqXHR, textStatus, errorThrown) {
                    swal({
			  			title: "Error",
			  			text: errorThrown,
			  			animation: "slide-from-top",
			  			type: "error",
			  			confirmButtonText: "Ok",
			  			confirmButtonColor: "#32557B"
			  		});
			  		btn.prop('disabled', false);
					btn.button('reset');
                });
	        }
		});
	});
</script>


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