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!important;}</style></noscript></head> <style> :root { --fontFamily: "Open Sans",Verdana,Arial,sans-serif; --fontSize: 18px; --fontWeight: normal; --backgroundColor:#eeeeee; --secondaryBkgdColor: red; --fontColor: #000000; --secondaryFontColor: #17639d; --inputBorder: 1px solid #ced4db; --inputPadding: 5px 7px; --inputMargin: 0px; --inputWidth: auto; --inputBorderRadius: 5px; /*** attach parent content div class or id before a:link ***/ --linkColor: #70278a; /* --buttonBorder: 1px outset #cccccc; */ --buttonPadding: 12px 24px; --buttonMargin: 0px; --buttonWidth: auto; --buttonBGColor: #fff; --buttonFtColor: #70278a; --buttonFtSize: 16px; --buttonRadius: 30px; --buttonBorder: 0px; --buttonTansition: 0.3s; --buttonHoverBGColor: #70278a; --buttonHoverFtColor: #fff; --headerColor: #00833c; --headerSize: 36px; --headerLnHeight: 50px; --headerFtFamily: "Fira Sans Condensed",Verdana,Arial,sans-serif; --headerMargin: 0; --headerFtWeight: 400; } /***from /css/CustomStyle.css with other selectors ***/ form, input, input.AddressBookButtons, input.Advocacy, input.btn, input.btnLg, input.btnMed, input.btnMini, input.btnSm, select, select.Advocacy, textarea, legend, ul, ol, li, option, table, tr, th, th.rfl_infoStatus, td, td.AlertListDescription, td.cstmBack, p, p.cstmBtnText, p.cstmFrame, p.cstmHeading, p.cstmText, p.cstmTitle, p.dividerHeading, p.scrollingText, span.cstmHeading, a, a.btn, a.btn:visited, a.cstmBtnText:hover, a.cstmBtnText:link, a.cstmBtnText:visited, #navList, .AdvocacyInstructions, .AdvocacyNSFix, .BlogHeader, .Button, .Divider, .FieldLabels, .FormBox, .FormBox06, .FormBoxHeader, .Hint, .Instructions, .Instructions, .ListItem0, .ListItem1, .NetscapeFix, .NoteText, .ObjTitle, .PhotoLinks, .Premiums, .ProgressBox, .ProgressBoxCurrent, .SectionHead, .SmallButton, .Smaller, .SmallerC, .TribBtnText1, .Upgrades, .WhatNext, .alphacube_content, .dialog_content, .dialog_title, .Explicit, .fr_register_another, .paraBlueSansSmall, .smallBlack, .smallSans, .smallSansBold, .smallWhiteBoldSans, .smallWhiteSans, .smallestBlackSans, p, div.responsive label, div.responsive div.form-checkbox label, label.FormLabel, div.responsive legend, span.label-text, select, label, .Smaller, p.PaddedListHeadingsC, div.responsive textarea, div.responsive input, div.responsive select, div.responsive option { font-family: var(--fontFamily); font-size: var(--fontSize); font-weight: var(--fontWeight); color: var(--fontColor); } /***from /css/CustomStyle.css ***/ /***other overwrite CSS***/ label.FormLabel { display: inline; } input#reset, input#ACTION_CANCEL_RESPONSE_SUBMIT, input#rsvp_cancel, input[value="Cancel"] { display: none; } #lo-return-to-cal { display: none; } .billing-info-field-value.ROValue img { height: 0; } .luminate-eventAppArea { padding: 5%; } div.lo-EventBorderContainer, div.lo-BorderContainer { border-color: transparent; } input[type="radio"], input[type="checkbox"] { display: inline-block; } input#payment_typecc_cvvname, .date-input-container fieldset select { width: 79px; } /***other overwrite CSS***/ /***LO site specific***/ .main-content { padding: 0px; } /***LO site specific***/ /* from UserGlobalStyle */ div.lo-CalendarDateInfoContainer div.lo-CalendarDateLabel,div.lo-CalendarDateInfoContainer div.lo-CalendarAddressLabel { width: 125px; } #lo-UserDetailEventDescription .headline { font-weight: bold; font-size: 14pt; color: inherit; text-decoration: none; } div.lo-CalendarDateInfoContainer { font-size: var(--fontSize); } button, input.button, .Button, button#pstep_finish, input#ACTION_SUBMIT_SURVEY_RESPONSE, input#rsvp_save, input#PARSE_PAYMENT_FORM, input#TRANSACT_CHARGE, #lo-register_link, .fl-page button:visited, .fl-responsive-preview-content button:visited, .fl-button-lightbox-content button:visited, .fl-page input[type=button], .fl-responsive-preview-content input[type=button], .fl-button-lightbox-content input[type=button], .fl-page input[type=submit], .fl-responsive-preview-content input[type=submit], .fl-button-lightbox-content input[type=submit], .fl-page a.fl-button, .fl-responsive-preview-content a.fl-button, .fl-button-lightbox-content a.fl-button, .fl-page a.fl-button:visited, .fl-responsive-preview-content a.fl-button:visited, .fl-button-lightbox-content a.fl-button:visited, .fl-page a.button, .fl-responsive-preview-content a.button, .fl-button-lightbox-content a.button, .fl-page a.button:visited, .fl-responsive-preview-content a.button:visited, .fl-button-lightbox-content a.button:visited, .fl-page button.button, .fl-responsive-preview-content button.button, .fl-button-lightbox-content button.button, .fl-page button.button:visited, .fl-responsive-preview-content button.button:visited, .fl-button-lightbox-content button.button:visited, .fl-page .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle, .fl-responsive-preview-content .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle, .fl-button-lightbox-content .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle, .fl-page .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle:visited, .fl-responsive-preview-content .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle:visited, .fl-button-lightbox-content .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle:visited { font-family: var(--fontFamily); font-size: var(--buttonFtSize); background: var(--buttonBGColor); color: var(--buttonFtColor); padding: var(--buttonPadding); border-radius: var(--buttonRadius); border: var(--buttonBorder); transition: var(--buttonTansition); border-style: solid; border-width: 0; background-clip: border-box; border: 2px solid #70278a; background: #fff; color: #70278a; font-weight: 700; white-space: nowrap; } button:hover, input.button:hover, .Button:hover, button#pstep_finish:hover, input#ACTION_SUBMIT_SURVEY_RESPONSE:hover, input#rsvp_save:hover, input#PARSE_PAYMENT_FORM:hover, input#TRANSACT_CHARGE:hover,#lo-register_link:hover, .fl-page button:visited:hover, .fl-responsive-preview-content button:visited:hover, .fl-button-lightbox-content button:visited:hover, .fl-page input[type=button]:hover, .fl-responsive-preview-content input[type=button]:hover, .fl-button-lightbox-content input[type=button]:hover, .fl-page input[type=submit]:hover, .fl-responsive-preview-content input[type=submit]:hover, .fl-button-lightbox-content input[type=submit]:hover, .fl-page a.fl-button:hover, .fl-responsive-preview-content a.fl-button:hover, .fl-button-lightbox-content a.fl-button:hover, .fl-page a.fl-button:visited:hover, .fl-responsive-preview-content a.fl-button:visited:hover, .fl-button-lightbox-content a.fl-button:visited:hover, .fl-page a.button:hover, .fl-responsive-preview-content a.button:hover, .fl-button-lightbox-content a.button:hover, .fl-page a.button:visited:hover, .fl-responsive-preview-content a.button:visited:hover, .fl-button-lightbox-content a.button:visited:hover, .fl-page button.button:hover, .fl-responsive-preview-content button.button:hover, .fl-button-lightbox-content button.button:hover, .fl-page button.button:visited:hover, .fl-responsive-preview-content button.button:visited:hover, .fl-button-lightbox-content button.button:visited:hover, .fl-page .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle:hover, .fl-responsive-preview-content .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle:hover, .fl-button-lightbox-content .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle:hover, .fl-page .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle:visited:hover, .fl-responsive-preview-content .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle:visited:hover, .fl-button-lightbox-content .fl-page-nav-toggle-button .fl-page-nav .navbar-toggle:visited:hover { background: var(--buttonHoverBGColor); color: var(--buttonHoverFtColor); transition: var(--buttonTansition); text-decoration: none; border: 2px solid #70278a; } #lo-register_link { display: inline-block; margin-top: 20px; } .main-content A:link{ color: var(--linkColor); } .main-content A:link:hover { color: #17639d; text-decoration: underline; } div#lo-UserDetailEventDescription h1 { font-size: 35px; } h3.ObjTitle { color: var(--headerColor); font-size: var(--headerSize); line-height: var(--headerLnHeight); font-family: var(--headerFtFamily); margin: var(--headerMargin); font-weight: var(--headerFtWeight); } /* event */ /* from UserGlobalStyle */ /* TeamRaiser and Donations buttons */ input.FriendRaiserButtons, input.AddressBookButtons { font-size: var(--fontSize); font-family: var(--fontFamily); color: var(--fontColor); font-weight: bold; text-align: center; background-color: var(--backgroundColor); border: var(--buttonBorder); padding: 1px; margin: 1px; width: auto; white-space: nowrap; } input.FollowUpButtons { width: 172px; } .SmallButton{ font-family: var(--fontFamily); font-size: var(--fontSize); } td.cstmBtnBack { padding-right: 2px; padding-left: 2px; background-color: var(--backgroundColor); border: var(--buttonBorder); } p.cstmBtnText { font-family: var(--fontFamily); font-size: var(--fontSize); font-weight: bold; text-decoration: none; } a.cstmBtnText:link { font-family: var(--fontFamily); font-size: small; font-weight: bold; color: var(--fontColor); text-decoration: none; } a.cstmBtnText:visited { font-family: var(--fontFamily); font-size: small; font-weight: bold; color: #000; text-decoration: none; } a.cstmBtnText:hover { font-family: var(--fontFamily); font-size: var(--fontSize); font-weight: bold; color: var(--secondaryFontColor); text-decoration: none; } a.btn, a.btn:visited, a.editBtn, a.editBtn:visited, input.btn, input.btnMini, input.btnSm, input.btnMed, input.btnLg { font-family: var(--fontFamily); font-size: var(--fontSize); font-weight: bold; text-decoration: none; font-size: var(--fontSize); font-weight: normal; color: var(--fontColor); background: var(--backgroundColor); border: var(--buttonBorder); padding: 1px 4px; } a.btn:hover, a.editBtn:hover, input.btn:hover, input.secbtn:hover, input.btnMini:hover, input.btnSm:hover, input.btnMed:hover, input.btnLg:hover { color: var(--secondaryFontColor); cursor: pointer; background-position: 0 -25px; } #login-div-content input.uc-button, #login-div-content button, #login-div-content .ft button { font-family: var(--fontFamily); font-size: var(--buttonFtSize); background: var(--buttonBGColor); color: var(--buttonFtColor); padding: var(--buttonPadding); border-radius: var(--buttonRadius); border: var(--buttonBorder); transition: var(--buttonTansition); border-style: solid; border-width: 0; background-clip: border-box; border: 2px solid #70278a; background: #fff; color: #70278a; font-weight: 700; white-space: nowrap; margin: 20px 0; } #login-div-content input.uc-button:hover, #login-div-content button:hover, #login-div-content .ft button:hover { background: var(--buttonHoverBGColor); color: var(--buttonHoverFtColor); transition: var(--buttonTansition); text-decoration: none; border: 2px solid #70278a; } #login-div-content .banner-header,#login-div-content .input-border,#login-div-content div.actions,#login-div-content .footer-block,#login-div-content .login-form { background: #fff; } div#login-div-content .outer-border .header-block .banner-header strong { color: #00833c; font-family: "Fira Sans Condensed",Verdana,Arial,sans-serif; font-weight: 700; font-size: 35px; } #login-div-content .banner-header { height: auto; } #login-div-content a { color: #70278a; font-weight: 700; } #login-div-content a:hover, #login-div-content a:focus { color: #17639d; text-decoration: underline; } #login-div-content .input-border { border-color: #ccc; } /* from ResponsiveBass.css */ div.responsive a.step-button { display: inline-block; text-decoration: none; zoom: 1; } div.responsive a.step-button, div.responsive button.step-button, div.responsive input.step-button { background-color: var(--backgroundColor); border: var(--buttonBorder); cursor: pointer; padding: 10px 7px; min-width: 132px; border-radius: 3px; /*CSS3, the box won't curve in older browsers*/ -moz-border-radius: 3px; -webkit-border-radius: 3px; /* background */ filter: none; -ms-filter: none; background-image: none; background-image: none; background-image: none; background-image: none; background-image: none; color: var(--fontColor); overflow: visible; margin-top: 10px; margin-bottom: 10px; } div.responsive a.step-button:hover, div.responsive button.step-button:hover, div.responsive input.step-button:hover { /* background */ filter: none; -ms-filter: none; background-image: none; background-image: none; background-image: none; background-image: none; background-image: none; } div.responsive a.step-button:active, div.responsive button.step-button:active { filter: none; background: var(--backgroundColor); border-color: var(--backgroundColor); color: var(--fontColor); } div.responsive button.previous-step, div.responsive button.cancel-step { float: left; } div.responsive a.next-step, div.responsive button.next-step { border: var(--buttonBorder); background-color: var(--backgroundColor); filter: none; -ms-filter: none; background-image: none; background-image: none; background-image: none; background-image: none; background-image: none; color: var(--fontColor); } div.responsive a.next-step, div.responsive button.next-step, div.responsive button.finish-step { float: right; } div.responsive a.next-step:hover, div.responsive button.next-step:hover { filter: none; -ms-filter: none; background-image: none; background-image: none; background-image: none; background-image: none; background-image: none; } div.responsive a.next-step:active, div.responsive button.next-step:active { background: var(--secondaryBackgroundColor); border-color: var(--secondaryBackgroundColor); } div.responsive button.next-step[disabled="disabled"] { background-color: #e2e2e2; border: 1px solid #e2e2e2; filter: none; -ms-filter: none; background-image: none; background-image: none; background-image: none; background-image: none; background-image: none; color: #c7c7c7; } div.responsive a.secondary-step, div.responsive button.secondary-step { border: var(--buttonBorder); background-color: var(--backgroundColor); filter: none; -ms-filter: none; background-image: none; background-image: none; background-image: none; background-image: none; background-image: none; color: var(--fontColor); float: right; margin-right: 20px; } div.responsive button.secondary-step:hover { filter: none; -ms-filter: none; background-image: none; background-image: none; background-image: none; background-image: none; background-image: none; } div.responsive button.secondary-step:active { background: var(--secondaryBackgroundColor); border-color: var(--secondaryBackgroundColor); } div.responsive button.action-button { border: var(--buttonBorder); background-color: var(--backgroundColor); filter: none; -ms-filter: none; background-image: none; background-image: none; background-image: none; background-image: none; background-image: none; color: var(--fontColor); } div.responsive button.cancel-step { overflow:visible; border:0; min-width: inherit; color:var(--fontColor); filter: inherit; background:transparent; font:inherit; line-height:normal; text-decoration:underline; cursor:pointer; -moz-user-select:text; } div.responsive button.cancel-step:hover, div.responsive button.cancel-step:focus, div.responsive button.cancel-step:active { color:inherit; filter: inherit; -ms-filter: inherit; background-image: inherit; } /* Mobile Layout: 320px. Gutters: 24px. Outer margins: 34px. Inherits styles from: Default Layout. --------------------------------------------- cols 1 2 3 px 68 160 252 */ @media only screen and (max-width: 767px) { .mobile div.responsive button.step-button { float: none; } .mobile div.responsive button.secondary-step { margin-right: 0; } } /* Wide Mobile Layout: 480px. Gutters: 24px. Outer margins: 22px. Inherits styles from: Default Layout, Mobile Layout. ------------------------------------------------------------ cols 1 2 3 4 5 px 68 160 252 344 436 */ @media only screen and (min-width: 480px) and (max-width: 767px) { .mobile div.responsive button.next-step { float: right; } } @media(max-width:767px) { .mobile div.responsive { width: 100%; } } div.responsive textarea, div.responsive select, div.responsive option { margin-top: 3px; display: block; /* width: 249px; */ max-width: 249px; min-height: 36px; border: var(--inputBorder); padding: var(--inputPadding); border-radius: var(--inputBorderRadius); -moz-border-radius: var(--inputBorderRadius); -webkit-border-radius: var(--inputBorderRadius); -webkit-box-shadow: none; -moz-box-shadow: none; box-shadow: none; } div.responsive a:visited, div.responsive a:link, .lo-container A:link, p A:link { color: var(--linkColor); text-decoration: none; font-weight: 700; } div.responsive a:visited:hover, div.responsive a:link:hover, .lo-container A:link:hover,p A:link:hover { color: var(--secondaryFontColor); text-decoration: underline; } /* from ResponsiveBass.css */ /*** from CalendarEvent.css ***/ /***event title***/ div.lo-EventSubHeaderBar, div.lo-BorderHeaderBar { color: var(--headerColor); font-size: 19px; line-height: var(--headerLnHeight); font-family: var(--headerFtFamily); margin: var(--headerMargin); font-weight: var(--headerFtWeight); } /*** from CalendarEvent.css ***/ /* input fields */ /* from UserGlobalStyles.css */ /* accessability tags */ /* remove the border from <fieldset> */ FIELDSET { border: none; margin: 0px; padding: 0px; } FIELDSET.withBox { border: var(--inputBorder); display: block; padding: 0px; } FIELDSET.noBox { border: none; display: block; padding: 0px; } LEGEND { float: left; font-family: var(--fontFamily); font-size: var(--fontSize); margin-right: 4px; } LEGEND.surveyLegend { float: none; } /* from ResponsiveBass.css */ div.responsive input[type="text"], div.responsive input[type="number"], div.responsive input[type="email"], div.responsive input[type="password"], div.responsive textarea, div.form-row div.form-content>select { border: var(--inputBorder); padding: var(--inputPadding); border-radius: var(--inputBorderRadius); -moz-border-radius: var(--inputBorderRadius); -webkit-border-radius: var(--inputBorderRadius); -webkit-box-shadow: none; -moz-box-shadow: none; box-shadow: none; } /*survey inputs*/ div.responsive input[type="text"], div.responsive input[type="number"], div.responsive input[type="email"], div.responsive input[type="password"], div.responsive textarea, div.form-row div.form-content>select { margin-top: 3px; display: block; width:249px; max-width: 249px; min-height: 36px; } /*event inputs*/ div.responsive div.form-content { margin-bottom: 15px; margin-right: 10px; } /* from DonFormResponsive.css */ /* sets the label and form input element on its own line */ div.form-row div.form-content>select, div.form-row div.form-content>input[type="text"], 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action="https://secure.ieeefoundation.org/site/SSurvey" onsubmit="return checkDoubleClick();"> <div class="appArea responsive"> <h3 class="ObjTitle">Planned Giving Interest Form</h3> <p>If you are considering taking this forever generous step, we welcome a conversation with you and your loved ones. <br /> </p> </div> <div class="appArea responsive"> <div class="survey-question-container field-required"> <div class="form-content"> <div class="input-container"> <fieldset> <legend> <span class="survey-number-required-container"> <span class="survey-question-number-container"> </span> </span> <span class="aural-only"></span> <span class="input-label survey-question-label">Please provide your contact info so that we can respond to your inquiry. </span> </legend> <span class="input-container"> <div id="cons_info_component_container"> <input type="hidden" name="cons_info_component" id="cons_info_component" value="t" /> <input type="hidden" id="select_an_address" value="Select an address"/> <div class="sub-section-container" id="cons_info_component_personal_info_section"> <div class="sub-section-header"> <div class="manageable-content" data-container="edit_contact_hdr_container"> <span id="contact_hdr_container"></span> </div> </div> <div class="sub-section-body clearfix" id="personal_info_container"> <div id="personal_info_section_one"> <div class="cons-full-name-label" style="display:none"> <span class="field-required"></span> <label for="cons_first_name"> <span class="input-label">Name:</span> </label> </div> <div class="cons-info-question-container cons-full-name-container field-required"> <div class="form-content"> <span class="field-required cons_first_name"></span> <span class="input-container"> <label for="cons_first_name"> <span class="aural-only">Field Is Required</span> <span class="input-label cons_first_name">First</span> </label> <span class="ungrouped"> <input type="text" name="cons_first_name" id="cons_first_name" value="" maxlength="50" /> </span> </span> </div> </div> <div class="cons-info-question-container cons-full-name-container field-required"> <div class="form-content"> <span class="field-required cons_last_name"></span> <span class="input-container"> <label for="cons_last_name"> <span class="aural-only">Field Is Required</span> <span class="input-label cons_last_name">Last</span> </label> <span class="ungrouped"> <input type="text" name="cons_last_name" id="cons_last_name" value="" maxlength="50" /> </span> </span> </div> </div> <span class="ignore clear-left"></span> </div> <div id="personal_info_section_two" class="clearfix"> <div class="cons-dob-label" style="display:none"> <label for="cons_dob"> <span class="input-label">Date of Birth:</span> </label> </div> <div id="cons_info_dob" class="cons-info-question-container "> <div class="form-content"> <span class="input-container"> <fieldset> <legend> <span class="aural-only cons_dob"></span> <span class="input-label survey-question-label cons_dob">Date of Birth:</span> </legend> <span class="input-container"> <span id="cons_birth_date_date" title="Date:"> <select name="cons_birth_date_MONTH" id="cons_birth_date_MONTH" title="Month"> <option value="0" selected="selected"><label class="wrapable" for="cons_birth_date_MONTH">Month</label> </option> <option value="1" >Jan</option> <option value="2" >Feb</option> <option value="3" >Mar</option> <option value="4" >Apr</option> <option value="5" >May</option> <option value="6" >Jun</option> <option value="7" >Jul</option> <option value="8" >Aug</option> <option value="9" >Sep</option> <option value="10" >Oct</option> <option value="11" >Nov</option> <option value="12" >Dec</option> </select> <select name="cons_birth_date_DAY" id="cons_birth_date_DAY" title="Day"> <option value="0" selected="selected"><label class="wrapable" for="cons_birth_date_DAY">Day</label> </option> <option value="1" >1</option> <option value="2" >2</option> <option value="3" >3</option> <option value="4" >4</option> <option value="5" >5</option> <option value="6" >6</option> <option value="7" >7</option> <option value="8" >8</option> <option value="9" >9</option> <option value="10" >10</option> <option value="11" >11</option> <option value="12" >12</option> <option value="13" >13</option> <option value="14" >14</option> <option value="15" >15</option> <option value="16" >16</option> <option value="17" >17</option> <option value="18" >18</option> <option value="19" >19</option> <option value="20" >20</option> <option value="21" >21</option> <option value="22" >22</option> <option value="23" >23</option> <option value="24" >24</option> <option value="25" >25</option> <option value="26" >26</option> <option value="27" >27</option> <option value="28" >28</option> <option value="29" >29</option> <option value="30" >30</option> <option value="31" >31</option> </select> <select name="cons_birth_date_YEAR" id="cons_birth_date_YEAR" title="Year"> <option value="0" selected="selected"><label class="wrapable" for="cons_birth_date_YEAR">Year</label> </option> <option value="1900" >1900</option> <option value="1901" >1901</option> <option value="1902" >1902</option> <option value="1903" >1903</option> <option value="1904" >1904</option> <option value="1905" >1905</option> <option value="1906" >1906</option> <option value="1907" >1907</option> <option value="1908" >1908</option> <option value="1909" >1909</option> <option value="1910" >1910</option> <option value="1911" >1911</option> <option value="1912" >1912</option> <option value="1913" >1913</option> <option value="1914" >1914</option> <option value="1915" >1915</option> <option value="1916" >1916</option> <option value="1917" >1917</option> <option value="1918" >1918</option> <option value="1919" >1919</option> <option value="1920" >1920</option> <option value="1921" >1921</option> <option value="1922" >1922</option> <option value="1923" >1923</option> <option value="1924" >1924</option> <option value="1925" >1925</option> <option value="1926" >1926</option> <option value="1927" >1927</option> <option value="1928" >1928</option> <option value="1929" >1929</option> <option value="1930" >1930</option> <option value="1931" >1931</option> <option value="1932" >1932</option> <option value="1933" >1933</option> <option value="1934" >1934</option> <option value="1935" >1935</option> <option value="1936" >1936</option> <option value="1937" >1937</option> <option value="1938" >1938</option> <option value="1939" >1939</option> <option value="1940" >1940</option> <option value="1941" >1941</option> <option value="1942" >1942</option> <option value="1943" >1943</option> <option value="1944" >1944</option> <option value="1945" >1945</option> <option value="1946" >1946</option> <option value="1947" >1947</option> <option value="1948" >1948</option> <option value="1949" >1949</option> <option value="1950" >1950</option> <option value="1951" >1951</option> <option value="1952" >1952</option> <option value="1953" >1953</option> <option value="1954" >1954</option> <option value="1955" >1955</option> <option value="1956" >1956</option> <option value="1957" >1957</option> <option value="1958" >1958</option> <option value="1959" >1959</option> <option value="1960" >1960</option> <option value="1961" >1961</option> <option value="1962" >1962</option> <option value="1963" >1963</option> <option value="1964" >1964</option> <option value="1965" >1965</option> <option value="1966" >1966</option> <option value="1967" >1967</option> <option value="1968" >1968</option> <option value="1969" >1969</option> <option value="1970" >1970</option> <option value="1971" >1971</option> <option value="1972" >1972</option> <option value="1973" >1973</option> <option value="1974" >1974</option> <option value="1975" >1975</option> <option value="1976" >1976</option> <option value="1977" >1977</option> <option value="1978" >1978</option> <option value="1979" >1979</option> <option value="1980" >1980</option> <option value="1981" >1981</option> <option value="1982" >1982</option> <option value="1983" >1983</option> <option value="1984" >1984</option> <option value="1985" >1985</option> <option value="1986" >1986</option> <option value="1987" >1987</option> <option value="1988" >1988</option> <option value="1989" >1989</option> <option value="1990" >1990</option> <option value="1991" >1991</option> <option value="1992" >1992</option> <option value="1993" >1993</option> <option value="1994" >1994</option> <option value="1995" >1995</option> <option value="1996" >1996</option> <option value="1997" >1997</option> <option value="1998" >1998</option> <option value="1999" >1999</option> <option value="2000" >2000</option> <option value="2001" >2001</option> <option value="2002" >2002</option> <option value="2003" >2003</option> <option value="2004" >2004</option> <option value="2005" >2005</option> <option value="2006" >2006</option> <option value="2007" >2007</option> <option value="2008" >2008</option> <option value="2009" >2009</option> <option value="2010" >2010</option> <option value="2011" >2011</option> <option value="2012" >2012</option> <option value="2013" >2013</option> <option value="2014" >2014</option> <option value="2015" >2015</option> <option value="2016" >2016</option> <option value="2017" >2017</option> <option value="2018" >2018</option> <option value="2019" >2019</option> <option value="2020" >2020</option> <option value="2021" >2021</option> <option value="2022" >2022</option> <option value="2023" >2023</option> <option value="2024" >2024</option> <option value="2025" >2025</option> <option value="2026" >2026</option> <option value="2027" >2027</option> <option value="2028" >2028</option> <option value="2029" >2029</option> </select> </span> </span> </fieldset> </div> </div> </div> </div> </div> <div class="sub-section-container" id="cons_info_component_contact_info_section"> <div class="sub-section-header"> <div class="manageable-content" data-container="edit_contact_info_hdr_container"> <span id="contact_info_hdr_container"></span> </div> </div> <div class="sub-section-body"> <div id="contact_info_section_one"> <div class="cons-full-address-label" style="display:none"> <label for="cons_street1"> <span class="input-label">Address:</span> </label> </div> <div class="cons-info-question-container cons-address-street-full-container "> <div class="form-content"> <span class="input-container"> <label for="cons_street1"> <span class="aural-only"></span> <span class="input-label cons_street1">Street 1:</span> </label> <span class="ungrouped"> <input class="cons-info-address-field" type="text" name="cons_street1" id="cons_street1" value="" maxlength="128" /> </span> </span> </div> </div> <div class="cons-info-question-container cons-address-street-full-container "> <div class="form-content"> <span class="input-container"> <label for="cons_street2"> <span class="aural-only"></span> <span class="input-label cons_street2">Street 2:</span> </label> <span class="ungrouped"> <input class="cons-info-address-field" type="text" name="cons_street2" id="cons_street2" value="" maxlength="128" /> </span> </span> </div> </div> <div class="cons-city-town-label" style="display:none"> <label for="cons_city"> <span class="input-label">City/Town:</span> </label> </div> <div class="cons-info-question-container "> <div class="form-content"> <span class="input-container"> <label for="cons_city"> <span class="aural-only cons_city_town"></span> <span class="input-label cons_city_town">City/Town:</span> </label> <span class="ungrouped"> <input class="cons-info-address-field" type="text" name="cons_city" id="cons_city" value="" maxlength="64" /> </span> </span> </div> </div> <div class="cons-full-address-container"> <div class="cons-state-label" style="display:none"> <label for="cons_state"> <span class="input-label">State / Province:</span> </label> </div> <div class="cons-info-question-container "> <div class="form-content"> <span class="input-container"> <label for="cons_state"> <span class="aural-only cons_state"></span> <span class="input-label cons_state">State / Province:</span> </label> <span class="ungrouped"> <select name="cons_state" id="cons_state" size="1" > <option ></option> <option value="AK" >AK</option> <option value="AL" >AL</option> <option value="AR" >AR</option> <option value="AZ" >AZ</option> <option value="CA" >CA</option> <option value="CO" >CO</option> <option value="CT" >CT</option> <option value="DC" >DC</option> <option value="DE" >DE</option> <option value="FL" >FL</option> <option value="GA" >GA</option> <option value="HI" >HI</option> <option value="IA" >IA</option> <option value="ID" >ID</option> <option value="IL" >IL</option> <option value="IN" >IN</option> <option value="KS" >KS</option> <option value="KY" >KY</option> <option value="LA" >LA</option> <option value="MA" >MA</option> <option value="MD" >MD</option> <option value="ME" >ME</option> <option value="MI" >MI</option> <option value="MN" >MN</option> <option value="MO" >MO</option> <option value="MS" >MS</option> <option value="MT" >MT</option> <option value="NC" >NC</option> <option value="ND" >ND</option> <option value="NE" >NE</option> <option value="NH" >NH</option> <option value="NJ" >NJ</option> <option value="NM" >NM</option> <option value="NV" >NV</option> <option value="NY" >NY</option> <option value="OH" >OH</option> <option value="OK" >OK</option> <option value="OR" >OR</option> <option value="PA" >PA</option> <option value="RI" >RI</option> <option value="SC" >SC</option> <option value="SD" >SD</option> <option value="TN" >TN</option> <option value="TX" >TX</option> <option value="UT" >UT</option> <option value="VA" >VA</option> <option value="VT" >VT</option> <option value="WA" >WA</option> <option value="WI" >WI</option> <option value="WV" >WV</option> <option value="WY" >WY</option> <option value="AS" >AS</option> <option value="FM" >FM</option> <option value="GU" >GU</option> <option value="MH" >MH</option> <option value="MP" >MP</option> <option value="PR" >PR</option> <option value="PW" >PW</option> <option value="VI" >VI</option> <option value="AA" >AA</option> <option value="AE" >AE</option> <option value="AP" >AP</option> <option value="AB" >AB</option> <option value="BC" >BC</option> <option value="MB" >MB</option> <option value="NB" >NB</option> <option value="NL" >NL</option> <option value="NS" >NS</option> <option value="NT" >NT</option> <option value="NU" >NU</option> <option value="ON" >ON</option> <option value="PE" >PE</option> <option value="QC" >QC</option> <option value="SK" >SK</option> <option value="YT" >YT</option> <option value="None" >None</option> </select> <script type="text/javascript">  </script> <noscript><br/>Required</noscript> </span> </span> </div> </div> </div> <div class="cons-full-address-container"> <div class="cons-zip-label" style="display:none"> <label for="cons_zip"> <span class="input-label">ZIP / Postal Code:</span> </label> </div> <div class="cons-info-question-container "> <div class="form-content"> <span class="input-container"> <label for="cons_zip_code"> <span class="aural-only cons_zip"></span> <span class="input-label cons_zip">ZIP / Postal Code:</span> </label> <span class="ungrouped"> <input class="cons-info-address-field" type="text" name="cons_zip_code" id="cons_zip_code" value="" maxlength="40" /> </span> </span> </div> </div> </div> <span class="ignore clear-left"></span> <div class="cons-country-label" style="display:none"> <label for="cons_country"> <span class="input-label">Country:</span> </label> </div> <div id="cons_info_country_container" class="cons-info-question-container "> <div class="form-content"> <span class="input-container"> <label for="cons_country"> <span class="aural-only cons_country"></span> <span class="input-label cons_country">Country:</span> </label> <span class="ungrouped"> <select name="cons_country" id="cons_country" size="1" > <option ></option> <option selected="selected" value="United States" >United States</option> <option value="Afghanistan" >Afghanistan</option> <option value="Aland Islands" >Aland Islands</option> <option value="Albania" >Albania</option> <option value="Algeria" >Algeria</option> <option value="American Samoa" >American Samoa</option> <option value="Andorra" >Andorra</option> <option value="Angola" >Angola</option> <option value="Anguilla" >Anguilla</option> <option value="Antarctica" >Antarctica</option> <option value="Antigua and Barbuda" >Antigua and Barbuda</option> <option value="Argentina" >Argentina</option> <option value="Armenia" >Armenia</option> <option value="Aruba" >Aruba</option> <option value="Australia" >Australia</option> <option value="Austria" >Austria</option> <option value="Azerbaijan" >Azerbaijan</option> <option value="Bahamas" >Bahamas</option> <option value="Bahrain" >Bahrain</option> <option value="Bangladesh" >Bangladesh</option> <option value="Barbados" >Barbados</option> <option value="Belarus" >Belarus</option> <option value="Belgium" >Belgium</option> <option value="Belize" >Belize</option> <option value="Benin" >Benin</option> <option value="Bermuda" >Bermuda</option> <option value="Bhutan" >Bhutan</option> <option value="Bolivarian Republic of Venezuela" >Bolivarian Republic of Venezuela</option> <option value="Bonaire, Sint Eustatios and Saba" >Bonaire, Sint Eustatios and Saba</option> <option value="Bosnia and Herzegovina" >Bosnia and Herzegovina</option> <option value="Botswana" >Botswana</option> <option value="Bouvet Island" >Bouvet Island</option> <option value="Brazil" >Brazil</option> <option value="British Indian Ocean Territory" >British Indian Ocean Territory</option> <option value="Brunei Darussalam" >Brunei Darussalam</option> <option value="Bulgaria" >Bulgaria</option> <option value="Burkina Faso" >Burkina Faso</option> <option value="Burundi" >Burundi</option> <option value="Cambodia" >Cambodia</option> <option value="Cameroon" >Cameroon</option> <option value="Canada" >Canada</option> <option value="Cape Verde" >Cape Verde</option> <option value="Cayman Islands" >Cayman Islands</option> <option value="Central African Republic" >Central African Republic</option> <option value="Chad" >Chad</option> <option value="Chile" >Chile</option> <option value="China" >China</option> <option value="Christmas Island" >Christmas Island</option> <option value="Cocos (Keeling) Islands" >Cocos (Keeling) Islands</option> <option value="Colombia" >Colombia</option> <option value="Comoros" >Comoros</option> <option value="Congo" >Congo</option> <option value="Cook Islands" >Cook Islands</option> <option value="Costa Rica" >Costa Rica</option> <option value="Cote D'Ivoire" >Cote D'Ivoire</option> <option value="Croatia" >Croatia</option> <option value="Cuba" >Cuba</option> <option value="Curacao" >Curacao</option> <option value="Cyprus" >Cyprus</option> <option value="Czech Republic" >Czech Republic</option> <option value="Democratic People's Republic of Korea" >Democratic People's Republic of Korea</option> <option value="The Democratic Republic of the Congo" >The Democratic Republic of the Congo</option> <option value="Denmark" >Denmark</option> <option value="Djibouti" >Djibouti</option> <option value="Dominica" >Dominica</option> <option value="Dominican Republic" >Dominican Republic</option> <option value="Ecuador" >Ecuador</option> <option value="Egypt" >Egypt</option> <option value="El Salvador" >El Salvador</option> <option value="Equatorial Guinea" >Equatorial Guinea</option> <option value="Eritrea" >Eritrea</option> <option value="Estonia" >Estonia</option> <option value="Ethiopia" >Ethiopia</option> <option value="Falkland Islands (Malvinas)" >Falkland Islands (Malvinas)</option> <option value="Faroe Islands" >Faroe Islands</option> <option value="Federated States of Micronesia" >Federated States of Micronesia</option> <option value="Fiji" >Fiji</option> <option value="Finland" >Finland</option> <option value="The Former Yugoslav Republic of Macedonia" >The Former Yugoslav Republic of Macedonia</option> <option value="France" >France</option> <option value="French Guiana" >French Guiana</option> <option value="French Polynesia" >French Polynesia</option> <option value="French Southern Territories" >French Southern Territories</option> <option value="Gabon" >Gabon</option> <option value="Gambia" >Gambia</option> <option value="Georgia" >Georgia</option> <option value="Germany" >Germany</option> <option value="Ghana" >Ghana</option> <option value="Gibraltar" >Gibraltar</option> <option value="Greece" >Greece</option> <option value="Greenland" >Greenland</option> <option value="Grenada" >Grenada</option> <option value="Guadeloupe" >Guadeloupe</option> <option value="Guam" >Guam</option> <option value="Guatemala" >Guatemala</option> <option value="Guernsey" >Guernsey</option> <option value="Guinea" >Guinea</option> <option value="Guinea-Bissau" >Guinea-Bissau</option> <option value="Guyana" >Guyana</option> <option value="Haiti" >Haiti</option> <option value="Heard Island and McDonald Islands" >Heard Island and McDonald Islands</option> <option value="Holy See (Vatican City State)" >Holy See (Vatican City State)</option> <option value="Honduras" >Honduras</option> <option value="Hong Kong" >Hong Kong</option> <option value="Hungary" >Hungary</option> <option value="Iceland" >Iceland</option> <option value="India" >India</option> <option value="Indonesia" >Indonesia</option> <option value="Iraq" >Iraq</option> <option value="Ireland" >Ireland</option> <option value="Islamic Republic of Iran" >Islamic Republic of Iran</option> <option value="Isle of Man" >Isle of Man</option> <option value="Israel" >Israel</option> <option value="Italy" >Italy</option> <option value="Jamaica" >Jamaica</option> <option value="Japan" >Japan</option> <option value="Jersey" >Jersey</option> <option value="Jordan" >Jordan</option> <option value="Kazakhstan" >Kazakhstan</option> <option value="Kenya" >Kenya</option> <option value="Kiribati" >Kiribati</option> <option value="Kuwait" >Kuwait</option> <option value="Kyrgyzstan" >Kyrgyzstan</option> <option value="Lao People's Democratic Republic" >Lao People's Democratic Republic</option> <option value="Latvia" >Latvia</option> <option value="Lebanon" >Lebanon</option> <option value="Lesotho" >Lesotho</option> <option value="Liberia" >Liberia</option> <option value="Libya" >Libya</option> <option value="Liechtenstein" >Liechtenstein</option> <option value="Lithuania" >Lithuania</option> <option value="Luxembourg" >Luxembourg</option> <option value="Macao" >Macao</option> <option value="Madagascar" >Madagascar</option> <option value="Malawi" >Malawi</option> <option value="Malaysia" >Malaysia</option> <option value="Maldives" >Maldives</option> <option value="Mali" >Mali</option> <option value="Malta" >Malta</option> <option value="Marshall Islands" >Marshall Islands</option> <option value="Martinique" >Martinique</option> <option value="Mauritania" >Mauritania</option> <option value="Mauritius" >Mauritius</option> <option value="Mayotte" >Mayotte</option> <option value="Mexico" >Mexico</option> <option value="Monaco" >Monaco</option> <option value="Mongolia" >Mongolia</option> <option value="Montenegro" >Montenegro</option> <option value="Montserrat" >Montserrat</option> <option value="Morocco" >Morocco</option> <option value="Mozambique" >Mozambique</option> <option value="Myanmar" >Myanmar</option> <option value="Namibia" >Namibia</option> <option value="Nauru" >Nauru</option> <option value="Nepal" >Nepal</option> <option value="Netherlands" >Netherlands</option> <option value="New Caledonia" >New Caledonia</option> <option value="New Zealand" >New Zealand</option> <option value="Nicaragua" >Nicaragua</option> <option value="Niger" >Niger</option> <option value="Nigeria" >Nigeria</option> <option value="Niue" >Niue</option> <option value="Norfolk Island" >Norfolk Island</option> <option value="Northern Mariana Islands" >Northern Mariana Islands</option> <option value="Norway" >Norway</option> <option value="Oman" >Oman</option> <option value="Pakistan" >Pakistan</option> <option value="Palau" >Palau</option> <option value="Palestinian Territory, Occupied" >Palestinian Territory, Occupied</option> <option value="Panama" >Panama</option> <option value="Papua New Guinea" >Papua New Guinea</option> <option value="Paraguay" >Paraguay</option> <option value="Peru" >Peru</option> <option value="Philippines" >Philippines</option> <option value="Pitcairn" >Pitcairn</option> <option value="Plurinational State of Bolivia" >Plurinational State of Bolivia</option> <option value="Poland" >Poland</option> <option value="Portugal" >Portugal</option> <option value="Puerto Rico" >Puerto Rico</option> <option value="Qatar" >Qatar</option> <option value="Republic of Korea" >Republic of Korea</option> <option value="Republic of Moldova" >Republic of Moldova</option> <option value="Reunion" >Reunion</option> <option value="Romania" >Romania</option> <option value="Russian Federation" >Russian Federation</option> <option value="Rwanda" >Rwanda</option> <option value="Saint Barthelemy" >Saint Barthelemy</option> <option value="Saint Helena, Ascension and Tristan da Cunha" >Saint Helena, Ascension and Tristan da Cunha</option> <option value="Saint Kitts and Nevis" >Saint Kitts and Nevis</option> <option value="Saint Lucia" >Saint Lucia</option> <option value="Saint Martin (French)" >Saint Martin (French)</option> <option value="Saint Pierre and Miquelon" >Saint Pierre and Miquelon</option> <option value="Saint Vincent and the Grenadines" >Saint Vincent and the Grenadines</option> <option value="Samoa" >Samoa</option> <option value="San Marino" >San Marino</option> <option value="Sao Tome and Principe" >Sao Tome and Principe</option> <option value="Saudi Arabia" >Saudi Arabia</option> <option value="Senegal" >Senegal</option> <option value="Serbia" >Serbia</option> <option value="Seychelles" >Seychelles</option> <option value="S. Georgia & S. Sandwich Isls." >S. Georgia & S. Sandwich Isls.</option> <option value="Sierra Leone" >Sierra Leone</option> <option value="Singapore" >Singapore</option> <option value="Sint Maarten (Dutch)" >Sint Maarten (Dutch)</option> <option value="Slovakia" >Slovakia</option> <option value="Slovenia" >Slovenia</option> <option value="Solomon Islands" >Solomon Islands</option> <option value="Somalia" >Somalia</option> <option value="South Africa" >South Africa</option> <option value="South Sudan" >South Sudan</option> <option value="Spain" >Spain</option> <option value="Sri Lanka" >Sri Lanka</option> <option value="Sudan" >Sudan</option> <option value="Suriname" >Suriname</option> <option value="Svalbard and Jan Mayen" >Svalbard and Jan Mayen</option> <option value="Swaziland" >Swaziland</option> <option value="Sweden" >Sweden</option> <option value="Switzerland" >Switzerland</option> <option value="Syrian Arab Republic" >Syrian Arab Republic</option> <option value="Taiwan, Province of China" >Taiwan, Province of China</option> <option value="Tajikistan" >Tajikistan</option> <option value="Thailand" >Thailand</option> <option value="Timor-Leste" >Timor-Leste</option> <option value="Togo" >Togo</option> <option value="Tokelau" >Tokelau</option> <option value="Tonga" >Tonga</option> <option value="Trinidad and Tobago" >Trinidad and Tobago</option> <option value="Tunisia" >Tunisia</option> <option value="Turkey" >Turkey</option> <option value="Turkmenistan" >Turkmenistan</option> <option value="Turks and Caicos Islands" >Turks and Caicos Islands</option> <option value="Tuvalu" >Tuvalu</option> <option value="Uganda" >Uganda</option> <option value="Ukraine" >Ukraine</option> <option value="United Arab Emirates" >United Arab Emirates</option> <option value="United Kingdom" >United Kingdom</option> <option value="United Republic of Tanzania" >United Republic of Tanzania</option> <option value="Uruguay" >Uruguay</option> <option value="USA Minor Outlying Islands" >USA Minor Outlying Islands</option> <option value="Uzbekistan" >Uzbekistan</option> <option value="Vanuatu" >Vanuatu</option> <option value="Viet Nam" >Viet Nam</option> <option value="Virgin Islands (British)" >Virgin Islands (British)</option> <option value="Virgin Islands (USA)" >Virgin Islands (USA)</option> <option value="Wallis and Futuna" >Wallis and Futuna</option> <option value="Western Sahara" >Western Sahara</option> <option value="Yemen" >Yemen</option> <option value="Zambia" >Zambia</option> <option value="Zimbabwe" >Zimbabwe</option> </select> <script type="text/javascript">  </script> <noscript><br/>Required</noscript> </span> </span> </div> </div> </div> <div id="contact_info_section_two" class="clearfix"> <div class="cons-email-label" style="display:none"> <span class="field-required"></span> <label for="cons_email"> <span class="input-label">Email:</span> </label> </div> <div class="cons-info-question-container field-required"> <div class="form-content"> <span class="field-required cons_email"></span> <span 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