One - Psychiatric Times

<!DOCTYPE html> <html> <head><meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=0" /> <script async src="https://www.googletagmanager.com/gtag/js?id=G-PQWM86RPTG"></script> <script> window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'G-PQWM86RPTG'); gtag('config', 'G-W1N2ZV5FR9'); </script> <script src="/libs/jquery/jquery/dist/jquery.js"></script> <link rel="stylesheet" href="/libs/jquery/bootstrap/dist/css/bootstrap.css" type="text/css" /> <link rel="stylesheet" href="/libs/jquery/bootstrap/dist/css/bootstrap-theme.css" type="text/css" /> <script src="/forms/js/cube.engage.go.form.js" type="text/javascript"></script> <link id="SVG_StyleSheet" type="text/css" href="/forms/css/SVG_StyleSheet.css" rel="stylesheet" /> <link id="AgilityHeadScripts_MainStyleSheet" href="/forms/style/439fc8d4-a944-496d-a76c-b8bc418c6948/?f=240405190157" rel="stylesheet" type="text/css"></link> <link rel="stylesheet" href="/css/addressapi.css" type="text/css" /> <script src="/js/addressapi.js?v=20230525"></script>  <script> !function(){var i="analytics",analytics=window[i]=window[i]||[];if(!analytics.initialize)if(analytics.invoked)window.console&&console.error&&console.error("Segment snippet included twice.");else{analytics.invoked=!0;analytics.methods=["trackSubmit","trackClick","trackLink","trackForm","pageview","identify","reset","group","track","ready","alias","debug","page","screen","once","off","on","addSourceMiddleware","addIntegrationMiddleware","setAnonymousId","addDestinationMiddleware","register"];analytics.factory=function(e){return function(){if(window[i].initialized)return window[i][e].apply(window[i],arguments);var n=Array.prototype.slice.call(arguments);if(["track","screen","alias","group","page","identify"].indexOf(e)>-1){var c=document.querySelector("link[rel='canonical']");n.push({__t:"bpc",c:c&&c.getAttribute("href")||void 0,p:location.pathname,u:location.href,s:location.search,t:document.title,r:document.referrer})}n.unshift(e);analytics.push(n);return analytics}};for(var n=0;n<analytics.methods.length;n++){var key=analytics.methods[n];analytics[key]=analytics.factory(key)}analytics.load=function(key,n){var t=document.createElement("script");t.type="text/javascript";t.async=!0;t.setAttribute("data-global-segment-analytics-key",i);t.src="https://cdn.segment.com/analytics.js/v1/" + key + "/analytics.min.js";var r=document.getElementsByTagName("script")[0];r.parentNode.insertBefore(t,r);analytics._loadOptions=n};analytics._writeKey="BBbKMoOjmhsxPnbd2nO6osz3zq67DzuN";;analytics.SNIPPET_VERSION="5.2.0"; analytics.load("BBbKMoOjmhsxPnbd2nO6osz3zq67DzuN"); analytics.page(); }}(); </script> <style> :root { --MainColor: #053e5d; --MainHoverColor: #053854; --footerTextColor: white; --footerColor: var(--MainColor); --Logo: url('http://one.psychiatrictimes.com/assets/logos/psychiatrictimeslogo.png'); --LogoWhite: url('http://one.psychiatrictimes.com/assets/logos/psychiatrictimeslogo_wht.png'); --svgDisplay: initial; --svgCheckboxFillChecked: var(--MainColor); --svgCheckboxStroke: #D6D6D6; --svgCheckboxStrokeWidth: 3; --svgRadioStroke: #D6D6D6; --svgRadioFillChecked: var(--MainColor); --validationColor: #F9E9EA; --validationAltColor: #D77A7A; --validationListDisplay: block; } a, a:visited { color: var(--MainColor); } a:hover, a:focus { color: var(--MainHoverColor); } .simpleValidation { background-color: var(--validationColor); color: var(--validationAltColor); border-left: 10px solid var(--validationAltColor); padding: 25px; border-radius: 12px; } .simpleValidation ul { margin-top: .85em; display: var(--validationListDisplay); } .form-group.has-error > label, .form-group.has-error > label > span { color: var(--validationAltColor); } .form-group.has-error .form-control { border-color: var(--validationAltColor); } #HeaderBar > .container::before, #HeaderBar > .container::after { display: none; } #HeaderBar > .container { display: flex; align-items: center; height: 100%; } #HeaderBar > .container a { flex: 1; } ul > li > input + label { cursor: pointer; text-indent: -25px; margin-left: 25px; } svg { margin-right: 5px; vertical-align: bottom; } #HeaderHref { width: 300px; display: block; margin: 5px auto; } #Logo { background: transparent var(--Logo) no-repeat center center / contain; width: 100%; height: 40px; margin: 15px 0; } #HeaderBar { width: 100%; height: 55px; background-color: var(--MainColor); margin-bottom: 34px; position: sticky; z-index: 1; top: 0; } #LogoScroll { background: transparent var(--LogoWhite) no-repeat left center / contain; width: 100%; height: 40px; margin: 8px 0; display: none; } html { height: 100%; } body { min-height: 100%; } footer { position: -webkit-sticky; position: -moz-sticky; position: -ms-sticky; position: -o-sticky; position: sticky; top: 100%; padding: 25px 0; margin-top: 50px; background-color: var(--footerColor); } footer > div { color: var(--footerTextColor); } input[type="radio"]:focus + label, input[type="checkbox"]:focus + label { outline: 1px dotted var(--MainColor); } input[type="radio"], input[type="checkbox"] { opacity: 0; position: absolute; } input[type="radio"] + label, input[type="checkbox"] + label { padding-bottom: 3px; } sup { top: -.25em; } @media only screen and (max-width: 767px) { #LogoScroll { background-position: center center; } #HeaderHref { width: 100%; max-width: 300px; } footer { text-align: center; } } </style> <script> document.addEventListener('DOMContentLoaded', () => { document.addEventListener('click', bodyClick); $('input, select, textarea').on('input change', inputChange); }); function inputChange() { if($(this).val() !== '') { $(this).closest('.form-group').removeClass('has-error'); } } function bodyClick() { const errorEls = document.querySelectorAll('.has-error'); for(const el of errorEls) { const input = el.querySelector('input, select, textarea'); if(input && input.value !== '') { el.classList.remove('has-error'); } } } let params = GetQueryParams(); let scrollOffset = 95; let scrollLogoVisible = false; const brandName = 'Psychiatric Times'; const termsAndConditions = 'https://www.psychiatrictimes.com/terms/'; const privacyPolicy = 'https://www.psychiatrictimes.com/privacy/'; document.addEventListener("DOMContentLoaded", function() { const brandNames = document.querySelectorAll('.brandName'); for (const el of brandNames) { el.innerText = brandName; } const bottom = document.querySelector('#LogoContainer').getBoundingClientRect().bottom; const scrollPx = window.scrollY; scrollOffset = bottom + scrollY; if (window.scrollY >= scrollOffset) { document.getElementById('LogoScroll').style.display = 'block'; scrollLogoVisible = true; } window.addEventListener('scroll', function() { if (window.scrollY >= scrollOffset && !scrollLogoVisible) { document.getElementById('LogoScroll').style.display = 'block'; scrollLogoVisible = true; } else if (window.scrollY < scrollOffset && scrollLogoVisible) { document.getElementById('LogoScroll').style.display = 'none'; scrollLogoVisible = false; } }); }); let preloadedImages = new Array(); function preload() { let index = preloadedImages.length, len = index + arguments.length, i = 0; for (index; index < len; index++, i++) { preloadedImages[index] = new Image(); preloadedImages[index].src = arguments[i] } } //Swaps the classes of a dom element function SwapClass(obj, classToRemove, classToAdd) { //If Jquery object is recieved, get the dom object. if (!IsNullEmptyOrUndefined(obj.selector)) { if (obj.length > 1) { for (var i = 0; i < obj.length; i++) { SwapClass(obj[i], classToRemove, classToAdd); } return obj; } obj = obj[0]; } //If obj is empty or jQuery obj has no element if (IsNullEmptyOrUndefined(obj)) { return; } obj.classList.remove(classToRemove); obj.classList.add(classToAdd); //Return obj to allow for method chains return obj; } function IsNullEmptyOrUndefined(val) { return val === null || val === undefined || val === ""; } function GetQueryParams() { return new URLSearchParams(window.location.search.toLowerCase()); } let docStyle = null; function GetStyleVariable(variable, value) { if (docStyle === null) { docStyle = getComputedStyle(document.documentElement); } if (!variable.startsWith('--')) { variable = '--' + variable; } if (!IsNullEmptyOrUndefined(value)) { document.documentElement.style.setProperty(variable, value); } let retVal = docStyle.getPropertyValue(variable); retVal = retVal.replace(/url[(]['"]|["'][)][;]?/gi, ""); return retVal; } </script> <link rel="apple-touch-icon" sizes="x" href="/apple-touch-icon.png?ver=YY0319033503"> <link rel="icon" type="image/png" sizes="32x32" href="/favicon-32x32.png?ver=YY0319033503"> <link rel="icon" type="image/png" sizes="16x16" href="/favicon-16x16.png?ver=YY0319033503"> <link rel="manifest" href="/site.webmanifest?ver=YY0319033503"> <link rel="mask-icon" href="/safari-pinned-tab.svg?ver=YY0319033503" color="#ffffff"> <link rel="shortcut icon" href="/favicon.ico?ver=YY0319033503"> <meta name="msapplication-TileColor" content="#ffffff"> <meta name="theme-color" content="#ffffff"><title> One - Psychiatric Times </title></head> <body id="AgilityBody" class="page-form_bootstrap"> <div id='LogoContainer' class='container'> <a id='HeaderHref' href="https://www.psychiatrictimes.com/"> <div id='Logo'></div> </a> </div> <div id='HeaderBar'> <div class='container'> <a href="https://www.psychiatrictimes.com/"> <div id='LogoScroll'></div> </a> </div> </div> <form method="post" action="./" onsubmit="javascript:return WebForm_OnSubmit();" id="AgilityForm"> <div class="aspNetHidden"> <input type="hidden" name="__EVENTTARGET" id="__EVENTTARGET" value="" /> <input type="hidden" name="__EVENTARGUMENT" id="__EVENTARGUMENT" value="" /> <input type="hidden" name="__LASTFOCUS" id="__LASTFOCUS" value="" /> <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" value="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" /> </div> <script type="text/javascript"> //<![CDATA[ var theForm = document.forms['AgilityForm']; if (!theForm) { theForm = document.AgilityForm; } function __doPostBack(eventTarget, eventArgument) { if (!theForm.onsubmit || (theForm.onsubmit() != false)) { theForm.__EVENTTARGET.value = eventTarget; theForm.__EVENTARGUMENT.value = eventArgument; theForm.submit(); } } //]]> </script> <script src="/WebResource.axd?d=pynGkmcFUV13He1Qd6_TZIpTuZ_ztxhoz9GM5VaNdRDlFs7z7RXs_REulKyEpjQ510ejzZ27jpzoPuO4dZPYfQ2&t=638459824569584809" type="text/javascript"></script> <script src="/ScriptResource.axd?d=nv7asgRUU0tRmHNR2D6t1KvDwRA7kCTl1E4TmJoU_DWl2HK_u8Jd7Q2eqLis0vXwaLiT5HbSfA1_26iCNrxjUctmA0N1J4PqRSne4H9pn6xrfN66Jzmgxlg_GpIVZywF9GeC-JZpqHAZqGPxkM5NrA2&t=ffffffffa8ad04d3" type="text/javascript"></script> <script src="/ScriptResource.axd?d=x6wALODbMJK5e0eRC_p1LUMbDBNaQ4ItSxpQr6QXZCay-6BnYnnkNcr7LKErb4yyQd5FO0neA_5TQcDVNnju0mgTCoU464-TlyAwnKC5Is-CQ0C0m1AU470_pxqGARO20&t=ffffffffafdfa956" type="text/javascript"></script> <script src="/ScriptResource.axd?d=P5lTttoqSeZXoYRLQMIScDFnuolx1qXzw8ZwLNYmUOJQDs3km7ZQAxMG7qAMUb9OZN0B_A0H8euLA2JbNZYlJTGYfQsai191Sr-4HHJbtD4VEzjpFb-8WKf0Z4nv77Ez0&t=ffffffffafdfa956" type="text/javascript"></script> <script type="text/javascript"> //<![CDATA[ function WebForm_OnSubmit() { if (typeof(ValidatorOnSubmit) == "function" && ValidatorOnSubmit() == false) return false; return true; } //]]> </script> <div class="aspNetHidden"> <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="5ADF6A1B" /> <input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION" value="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" /> </div> <script> function WebForm_OnSubmit() { let isValid = true; const invalidControls = []; if(window.ValidatorOnSubmit && !window.ValidatorOnSubmit()) { for (const validator of Page_Validators) { const id = validator.controltovalidate; if(invalidControls.indexOf(id) !== -1) { continue; } const control = document.getElementById(id); if (!control) { continue; } if(validator.isvalid) { $(control).closest('.form-group').removeClass('has-error'); continue; } invalidControls.push(id); $(control).closest('.form-group').addClass('has-error'); isValid = false; } } const valSummary = document.querySelector('.simpleValidation ul'); if(valSummary !== null) { valSummary.innerHTML = valSummary.innerHTML.replace(/[*]/gmi, ''); } return isValid; } </script> <script type="text/javascript"> //<![CDATA[ Sys.WebForms.PageRequestManager._initialize('ctl00$main$ToolkitScriptManager1', 'AgilityForm', ['tctl00$main$DynamicControl_0_3_17$UpdatePanel1','main_DynamicControl_0_3_17_UpdatePanel1'], ['ctl00$main$DynamicControl_0_3_17$CountryValue','main_DynamicControl_0_3_17_CountryValue'], [], 90, 'ctl00'); //]]> </script> <div id="main_PageContainer" class="page_0"> <div id="ContentContainer"> <div class='container'> <script> function getCookie(cookieName) { const cookies = document.cookie.split(';'); for(const cookie of cookies) { const [name, value] = cookie.split('='); if(name.trim() === cookieName.trim()) { return value; } } return ''; } $(() => { if(window.analytics) { const search = new URLSearchParams(window.location.search); for(const [key, value] of search) { if(key.toLowerCase() === 'ekey') { window.analytics.identify(value); } } window.analytics.track('pageviews', { domain: window.location.host, url: window.location.href, oneToken: getCookie('one.token'), }); } }); </script> <div id="main_DynamicControl_0_3_2_PartContainer" class="row partContainer validationSummaryPart"> <div class="col-md-12"> <div id="main_DynamicControl_0_3_2_ValSummary" class="alert simpleValidation" style="display:none;"> </div> </div> </div><p id="main_DynamicControl_0_3_3_ParagraphText" class="paragraphPart">Thank you for your interest in <span class='brandName'></span>. To subscribe to our eNewsletter, Print Magazine, or PDF Edition, please provide the relevant information below.</p><div id="main_DynamicControl_0_3_4_SectionBreakBlock" class="row partContainer sectionBreakPart"> <h3 id="main_DynamicControl_0_3_4_SectionLabel" class="col-md-12">I鈥檇 Like to Receive:</h3> </div><div id="main_DynamicControl_0_3_5_PartContainer" class="row partContainer multiSelectPart distroType"> <div id="main_DynamicControl_0_3_5_FormGroup" class="form-group col-md-4"> <label for="main_DynamicControl_0_3_5_MultiSelectList" class="formTopLabel"> <span id="main_DynamicControl_0_3_5_MultiSelectLabel">I'd like to recieve:</span>  <span class="valIndicator"> <span id="main_DynamicControl_0_3_5_MultiSelectListReqd" style="display:none;"><span style='color: #8a2003;font-weight:bold;'>*</span></span> <span id="main_DynamicControl_0_3_5_MultiSelectOtherValidator" style="visibility:hidden;"><span style='color: #8a2003; font-weight:bold;'>*</span></span> </span> </label> <ul id="main_DynamicControl_0_3_5_MultiSelectList" class="checkboxInput" style="list-style:none;"> <li><input id="main_DynamicControl_0_3_5_MultiSelectList_0" type="checkbox" name="ctl00$main$DynamicControl_0_3_5$MultiSelectList$0" value="Psychiatric Times eNewsletters" /><label for="main_DynamicControl_0_3_5_MultiSelectList_0"><svg class='svg_checkbox' viewbox='0 0 36 36'><use href='#SVG_Checkbox' /></svg>Psychiatric Times eNewsletters</label></li> <li><input id="main_DynamicControl_0_3_5_MultiSelectList_1" type="checkbox" name="ctl00$main$DynamicControl_0_3_5$MultiSelectList$1" value="Psychiatric Times Magazine" /><label for="main_DynamicControl_0_3_5_MultiSelectList_1"><svg class='svg_checkbox' viewbox='0 0 36 36'><use href='#SVG_Checkbox' /></svg>Psychiatric Times Magazine</label></li> </ul> </div> <script type="text/javascript"> $(document).ready(function () { if (`` !== "" && `` !== "") { $(``).change(function () { var type = $(this).prop('type'); var active = true; if (type !== "checkbox") { if (type === "radio") { active = $(this).is(":checked"); } if (active && $(this).val() === ``) { $('#main_DynamicControl_0_3_5_FormGroup').slideDown('fast'); } else { $('#main_DynamicControl_0_3_5_FormGroup').slideUp('fast'); } } else { $(this).closest('.checkboxInput').find("input").each(function (i, check) { if ($(check).val() === ``) { if ($(check).is(":checked")) { $('#main_DynamicControl_0_3_5_FormGroup').slideDown('fast'); } else { $('#main_DynamicControl_0_3_5_FormGroup').slideUp('fast'); } } }); } }); $("#main_DynamicControl_0_3_5_FormGroup").hide(); $(``).change(); } }); function main_DynamicControl_0_3_5_PartContainer_OtherValidation(src, args) { args.IsValid = $('#main_DynamicControl_0_3_5_FormGroup').css('display').toLowerCase() === 'none'; if (!args.IsValid) { var chkListModules = document.getElementById('main_DynamicControl_0_3_5_MultiSelectList'); var chkListinputs = chkListModules.getElementsByTagName("input"); for (var i = 0; i < chkListinputs.length; i++) { if (chkListinputs[i].checked) { args.IsValid = true; return; } } } } function main_DynamicControl_0_3_5_MultiSelectList_Validate(source, args) { var chkListModules = document.getElementById('main_DynamicControl_0_3_5_MultiSelectList'); var chkListinputs = chkListModules.getElementsByTagName("input"); for (var i = 0; i < chkListinputs.length; i++) { if (chkListinputs[i].checked) { args.IsValid = true; chkListinputs[0].dispatchEvent(new CustomEvent("CheckboxValidated", { detail: { IsValid: true } })); return; } } chkListinputs[0].dispatchEvent(new CustomEvent("CheckboxValidated", { detail: { IsValid: false } })); args.IsValid = false; } </script> </div> <div id='MagazineContainer'> <div id="main_DynamicControl_0_3_7_SectionBreakBlock" class="row partContainer sectionBreakPart"> <h3 id="main_DynamicControl_0_3_7_SectionLabel" class="col-md-12">Magazine Preferences</h3> </div><div id="main_DynamicControl_0_3_8_PartContainer" class="row partContainer singleSelectRadioPart typeOfMagazine"> <div id="main_DynamicControl_0_3_8_FormGroup" class="form-group col-md-4"> <label for="main_DynamicControl_0_3_8_SingleSelectList" class="formInputLabel"> <span id="main_DynamicControl_0_3_8_SingleSelectLabel" class="formTopLabel"> </span>  <span class="valIndicator"> <span id="main_DynamicControl_0_3_8_SingleSelectListReqd" style="display:none;"><span style='color: #8a2003;'>*</span></span> <span id="main_DynamicControl_0_3_8_SingleSelectOtherValidator" style="visibility:hidden;"><span style='color: #8a2003; font-weight:bold;'>*</span></span> </span> </label> <ul id="main_DynamicControl_0_3_8_SingleSelectList" class="radioInput" style="list-style:none;"> <li><input id="main_DynamicControl_0_3_8_SingleSelectList_0" type="radio" name="ctl00$main$DynamicControl_0_3_8$SingleSelectList" value="Both Print and PDF" /><label for="main_DynamicControl_0_3_8_SingleSelectList_0"><svg class='svg_radio' viewbox='0 0 20 20'><use href='#SVG_Radio' /></svg>Both Print and PDF</label></li> <li><input id="main_DynamicControl_0_3_8_SingleSelectList_1" type="radio" name="ctl00$main$DynamicControl_0_3_8$SingleSelectList" value="Print Subscription Only" /><label for="main_DynamicControl_0_3_8_SingleSelectList_1"><svg class='svg_radio' viewbox='0 0 20 20'><use href='#SVG_Radio' /></svg>Print Subscription Only</label></li> <li><input id="main_DynamicControl_0_3_8_SingleSelectList_2" type="radio" name="ctl00$main$DynamicControl_0_3_8$SingleSelectList" value="PDF Subscription Only" /><label for="main_DynamicControl_0_3_8_SingleSelectList_2"><svg class='svg_radio' viewbox='0 0 20 20'><use href='#SVG_Radio' /></svg>PDF Subscription Only</label></li> </ul> </div> <script> $(document).ready(function () { if (`` !== "" && `` !== "") { $(``).change(function () { var type = $(this).prop('type'); var active = true; if (type !== "checkbox") { if (type === "radio") { active = $(this).is(":checked"); } if (active && $(this).val() === ``) { $('#main_DynamicControl_0_3_8_FormGroup').slideDown('fast'); } else { $('#main_DynamicControl_0_3_8_FormGroup').slideUp('fast'); } } else { $(this).closest('.checkboxInput').find("input").each(function (i, check) { if ($(check).val() === ``) { if ($(check).is(":checked")) { $('#main_DynamicControl_0_3_8_FormGroup').slideDown('fast'); } else { $('#main_DynamicControl_0_3_8_FormGroup').slideUp('fast'); } } }); } }); $("#main_DynamicControl_0_3_8_FormGroup").hide(); $(``).change(); } }); function main_DynamicControl_0_3_8_PartContainer_OtherValidation(src, args) { args.IsValid = ($('#main_DynamicControl_0_3_8_FormGroup').css('display').toLowerCase() === 'none'); if (!args.IsValid) { $("#main_DynamicControl_0_3_8_SingleSelectList input[type='radio']").each(function () { if ($(this).is(":checked")) { args.IsValid = true; return false; } }); } } </script> </div> <div id="main_DynamicControl_0_3_9_PartContainer" class="row partContainer singleSelectPart addressType"> <div id="main_DynamicControl_0_3_9_FormGroup" class="form-group col-md-4"> <label for="main_DynamicControl_0_3_9_SingleSelectList" class="formInputLabel"> <span id="main_DynamicControl_0_3_9_SingleSelectLabel">Mail to my:</span>  <span class="valIndicator"> <span id="main_DynamicControl_0_3_9_SingleSelectListReqd" style="display:none;"><span style='color: #8a2003;'>*</span></span> <span id="main_DynamicControl_0_3_9_SingleSelectOtherValidator" style="visibility:hidden;"><span style='color: #8a2003; font-weight:bold;'>*</span></span> </span> </label> <select name="ctl00$main$DynamicControl_0_3_9$SingleSelectList" id="main_DynamicControl_0_3_9_SingleSelectList" class="form-control dropdownInput"> <option value=""></option> <option value="Home">Home</option> <option value="Workplace">Workplace</option> </select> </div> <input type="hidden" name="ctl00$main$DynamicControl_0_3_9$SourceGuid" id="main_DynamicControl_0_3_9_SourceGuid" /> <input type="hidden" name="ctl00$main$DynamicControl_0_3_9$PersonGuid" id="main_DynamicControl_0_3_9_PersonGuid" /> <input type="hidden" name="ctl00$main$DynamicControl_0_3_9$PersonSaveField" id="main_DynamicControl_0_3_9_PersonSaveField" /> <input type="hidden" name="ctl00$main$DynamicControl_0_3_9$SourceField" id="main_DynamicControl_0_3_9_SourceField" /> <script> $(document).ready(function () { if (`` !== "" && `` !== "") { $(``).change(function () { var type = $(this).prop('type'); var active = true; if (type !== "checkbox") { if (type === "radio") { active = $(this).is(":checked"); } if (active && $(this).val() === ``) { $('#main_DynamicControl_0_3_9_FormGroup').slideDown('fast'); } else { $('#main_DynamicControl_0_3_9_FormGroup').slideUp('fast'); } } else { $(this).closest('.checkboxInput').find("input").each(function (i, check) { if ($(check).val() === ``) { if ($(check).is(":checked")) { $('#main_DynamicControl_0_3_9_FormGroup').slideDown('fast'); } else { $('#main_DynamicControl_0_3_9_FormGroup').slideUp('fast'); } } }); } }); $("#main_DynamicControl_0_3_9_FormGroup").hide(); $(``).change(); } }); function main_DynamicControl_0_3_9_PartContainer_OtherValidation(src, args) { args.IsValid = ($('#main_DynamicControl_0_3_9_FormGroup').css('display').toLowerCase() === 'none' || $("#main_DynamicControl_0_3_9_SingleSelectList").val() !== ""); } </script> </div> </div> <div id="main_DynamicControl_0_3_11_SectionBreakBlock" class="row partContainer sectionBreakPart"> <h3 id="main_DynamicControl_0_3_11_SectionLabel" class="col-md-12">Tell Us About Yourself</h3> </div> <div class="row"> <div id="main_DynamicControl_0_3_12_PartContainer" class="partContainer textPart col-md-6" data-key="FirstName"> <div id="main_DynamicControl_0_3_12_FormGroup" class="form-group"> <label for="main_DynamicControl_0_3_12_TextField" class="formTopLabel"> <span id="main_DynamicControl_0_3_12_TextLabel">First Name</span>  <span class="valIndicator"> <span id="main_DynamicControl_0_3_12_TextFieldReqd" style="display:none;"><span style='color: #8a2003;'>*</span></span> <span id="main_DynamicControl_0_3_12_TextFieldRegex" style="display:none;"><span style='color: #8a2003; font-weight:bold;'>*</span></span> <span id="main_DynamicControl_0_3_12_TextFieldOtherValidator" style="visibility:hidden;"><span style='color: #8a2003; font-weight:bold;'>*</span></span> <span id="main_DynamicControl_0_3_12_EmailAddressRegex" style="display:none;"><span style='color: #8a2003; font-weight:bold;'>*</span></span> <span id="main_DynamicControl_0_3_12_EmailAddressMX" style="display:none;"><span style='color: #8a2003; font-weight:bold;'>*</span></span> </span> </label> <input name="ctl00$main$DynamicControl_0_3_12$TextField" type="text" id="main_DynamicControl_0_3_12_TextField" class="form-control textInput" placeholder=" " /> </div> <input type="hidden" name="ctl00$main$DynamicControl_0_3_12$SourceGuid" id="main_DynamicControl_0_3_12_SourceGuid" value="00000000-0000-0000-0000-000000000000" /> <input type="hidden" name="ctl00$main$DynamicControl_0_3_12$PersonGuid" id="main_DynamicControl_0_3_12_PersonGuid" /> <input type="hidden" name="ctl00$main$DynamicControl_0_3_12$PersonSaveField" id="main_DynamicControl_0_3_12_PersonSaveField" value="FirstName" /> <input type="hidden" name="ctl00$main$DynamicControl_0_3_12$SourceField" id="main_DynamicControl_0_3_12_SourceField" value="FIRSTNAME" /> <script> $(document).ready(function () { if (`` !== "" && `` !== "") { $(``).change(function () { var type = $(this).prop('type'); var active = true; if (type !== "checkbox") { if (type === "radio") { active = $(this).is(":checked"); } if (active && $(this).val() === ``) { $('#main_DynamicControl_0_3_12_FormGroup').slideDown('fast'); } else { $('#main_DynamicControl_0_3_12_FormGroup').slideUp('fast'); } } else { $(this).closest('.checkboxInput').find("input").each(function (i, check) { if ($(check).val() === ``) { if ($(check).is(":checked")) { $('#main_DynamicControl_0_3_12_FormGroup').slideDown('fast'); } else { $('#main_DynamicControl_0_3_12_FormGroup').slideUp('fast'); } } }); } }); $("#main_DynamicControl_0_3_12_FormGroup").hide(); $(``).change(); } }); function main_DynamicControl_0_3_12_PartContainer_OtherValidation(src, args) { args.IsValid = ($('#main_DynamicControl_0_3_12_FormGroup').css('display').toLowerCase() === 'none' || $("#main_DynamicControl_0_3_12_TextField").val() !== ""); } </script> </div> <div id="main_DynamicControl_0_3_13_PartContainer" class="partContainer textPart col-md-6" data-key="LastName"> <div id="main_DynamicControl_0_3_13_FormGroup" class="form-group"> <label for="main_DynamicControl_0_3_13_TextField" class="formTopLabel"> <span id="main_DynamicControl_0_3_13_TextLabel">Last Name</span>  <span class="valIndicator"> <span id="main_DynamicControl_0_3_13_TextFieldReqd" style="display:none;"><span style='color: #8a2003;'>*</span></span> <span id="main_DynamicControl_0_3_13_TextFieldRegex" style="display:none;"><span style='color: #8a2003; font-weight:bold;'>*</span></span> <span id="main_DynamicControl_0_3_13_TextFieldOtherValidator" style="visibility:hidden;"><span style='color: #8a2003; font-weight:bold;'>*</span></span> <span id="main_DynamicControl_0_3_13_EmailAddressRegex" style="display:none;"><span style='color: #8a2003; font-weight:bold;'>*</span></span> <span id="main_DynamicControl_0_3_13_EmailAddressMX" style="display:none;"><span style='color: #8a2003; font-weight:bold;'>*</span></span> </span> </label> <input name="ctl00$main$DynamicControl_0_3_13$TextField" type="text" id="main_DynamicControl_0_3_13_TextField" class="form-control textInput" placeholder=" " /> </div> <input type="hidden" name="ctl00$main$DynamicControl_0_3_13$SourceGuid" id="main_DynamicControl_0_3_13_SourceGuid" value="00000000-0000-0000-0000-000000000000" /> <input type="hidden" name="ctl00$main$DynamicControl_0_3_13$PersonGuid" id="main_DynamicControl_0_3_13_PersonGuid" /> <input type="hidden" name="ctl00$main$DynamicControl_0_3_13$PersonSaveField" id="main_DynamicControl_0_3_13_PersonSaveField" value="LastName" /> <input type="hidden" name="ctl00$main$DynamicControl_0_3_13$SourceField" id="main_DynamicControl_0_3_13_SourceField" value="LASTNAME" /> <script> $(document).ready(function () { if (`` !== "" && `` !== "") { $(``).change(function () { var type = $(this).prop('type'); var active = true; if (type !== "checkbox") { if (type === "radio") { active = $(this).is(":checked"); } if (active && $(this).val() === ``) { $('#main_DynamicControl_0_3_13_FormGroup').slideDown('fast'); } else { $('#main_DynamicControl_0_3_13_FormGroup').slideUp('fast'); } } else { $(this).closest('.checkboxInput').find("input").each(function (i, check) { if ($(check).val() === ``) { if ($(check).is(":checked")) { $('#main_DynamicControl_0_3_13_FormGroup').slideDown('fast'); } else { $('#main_DynamicControl_0_3_13_FormGroup').slideUp('fast'); } } }); } }); $("#main_DynamicControl_0_3_13_FormGroup").hide(); $(``).change(); } }); function main_DynamicControl_0_3_13_PartContainer_OtherValidation(src, args) { args.IsValid = ($('#main_DynamicControl_0_3_13_FormGroup').css('display').toLowerCase() === 'none' || $("#main_DynamicControl_0_3_13_TextField").val() !== ""); } </script> </div> </div> <div class="row"> <div id="main_DynamicControl_0_3_14_PartContainer" class="partContainer textPart col-md-8" data-key="EmailAddress"> <div id="main_DynamicControl_0_3_14_FormGroup" class="form-group"> <label for="main_DynamicControl_0_3_14_TextField" class="formTopLabel"> <span id="main_DynamicControl_0_3_14_TextLabel">Email Address</span>  <span class="valIndicator"> <span id="main_DynamicControl_0_3_14_TextFieldReqd" style="display:none;"><span style='color: #8a2003;'>*</span></span> <span id="main_DynamicControl_0_3_14_TextFieldRegex" style="display:none;"><span style='color: #8a2003; font-weight:bold;'>*</span></span> <span id="main_DynamicControl_0_3_14_TextFieldOtherValidator" style="visibility:hidden;"><span style='color: #8a2003; font-weight:bold;'>*</span></span> <span id="main_DynamicControl_0_3_14_EmailAddressRegex" style="display:none;"><span style='color: #8a2003; font-weight:bold;'>*</span></span> <span id="main_DynamicControl_0_3_14_EmailAddressMX" style="display:none;"><span style='color: #8a2003; font-weight:bold;'>*</span></span> </span> </label> <input name="ctl00$main$DynamicControl_0_3_14$TextField" type="text" id="main_DynamicControl_0_3_14_TextField" class="form-control textInput" placeholder=" " /> </div> <input type="hidden" name="ctl00$main$DynamicControl_0_3_14$SourceGuid" id="main_DynamicControl_0_3_14_SourceGuid" value="00000000-0000-0000-0000-000000000000" /> <input type="hidden" name="ctl00$main$DynamicControl_0_3_14$PersonGuid" id="main_DynamicControl_0_3_14_PersonGuid" /> <input type="hidden" name="ctl00$main$DynamicControl_0_3_14$PersonSaveField" id="main_DynamicControl_0_3_14_PersonSaveField" value="EmailAddress" /> <input type="hidden" name="ctl00$main$DynamicControl_0_3_14$SourceField" id="main_DynamicControl_0_3_14_SourceField" value="EMAILADDRESS" /> <script> $(document).ready(function () { if (`` !== "" && `` !== "") { $(``).change(function () { var type = $(this).prop('type'); var active = true; if (type !== "checkbox") { if (type === "radio") { active = $(this).is(":checked"); } if (active && $(this).val() === ``) { $('#main_DynamicControl_0_3_14_FormGroup').slideDown('fast'); } else { $('#main_DynamicControl_0_3_14_FormGroup').slideUp('fast'); } } else { $(this).closest('.checkboxInput').find("input").each(function (i, check) { if ($(check).val() === ``) { if ($(check).is(":checked")) { $('#main_DynamicControl_0_3_14_FormGroup').slideDown('fast'); } else { $('#main_DynamicControl_0_3_14_FormGroup').slideUp('fast'); } } }); } }); $("#main_DynamicControl_0_3_14_FormGroup").hide(); $(``).change(); } }); function main_DynamicControl_0_3_14_PartContainer_OtherValidation(src, args) { args.IsValid = ($('#main_DynamicControl_0_3_14_FormGroup').css('display').toLowerCase() === 'none' || $("#main_DynamicControl_0_3_14_TextField").val() !== ""); } </script> </div> <div id="main_DynamicControl_0_3_15_PartContainer" class="partContainer singleSelectPart jobTitle col-md-4"> <div id="main_DynamicControl_0_3_15_FormGroup" class="form-group"> <label for="main_DynamicControl_0_3_15_SingleSelectList" class="formInputLabel"> <span id="main_DynamicControl_0_3_15_SingleSelectLabel" class=" formTopLabelRequired">Role</span>  <span class="valIndicator"> <span id="main_DynamicControl_0_3_15_SingleSelectListReqd" style="display:none;"><span style='color: #8a2003;'>*</span></span> <span id="main_DynamicControl_0_3_15_SingleSelectOtherValidator" style="visibility:hidden;"><span style='color: #8a2003; font-weight:bold;'>*</span></span> </span> </label> <select name="ctl00$main$DynamicControl_0_3_15$SingleSelectList" id="main_DynamicControl_0_3_15_SingleSelectList" class="form-control dropdownInput"> <option value=""></option> <option value="5F85629D-1274-493A-9A1C-4CA5E44E970C|Physician">Physician</option> <option value="B6745F38-4154-417F-A10B-84355BF7CD7D|Medical Student">Medical Student</option> <option value="8EB1894F-6214-44D8-8C98-1993C36E5ADF|Resident/Fellow">Resident/Fellow</option> <option value="46596472-2557-4EA5-AA30-3582BED0E84D|Physician Assistant">Physician Assistant</option> <option value="3A581C82-4124-4584-8B7B-E7BB25F1E85B|Nurse/Advanced Practice Nurse">Nurse/Advanced Practice Nurse</option> <option value="33B1ACBC-98D3-4E62-9EAA-A549B8DFB0BC|Industry Executive/Administration/Staff">Industry Executive/Administration/Staff</option> </select> </div> <input type="hidden" name="ctl00$main$DynamicControl_0_3_15$SourceGuid" id="main_DynamicControl_0_3_15_SourceGuid" value="00000000-0000-0000-0000-000000000000" /> <input type="hidden" name="ctl00$main$DynamicControl_0_3_15$PersonGuid" id="main_DynamicControl_0_3_15_PersonGuid" /> <input type="hidden" name="ctl00$main$DynamicControl_0_3_15$PersonSaveField" id="main_DynamicControl_0_3_15_PersonSaveField" value="JobTitle" /> <input type="hidden" name="ctl00$main$DynamicControl_0_3_15$SourceField" id="main_DynamicControl_0_3_15_SourceField" value="JOBTITLE" /> <script> $(document).ready(function () { if (`` !== "" && `` !== "") { $(``).change(function () { var type = $(this).prop('type'); var active = true; if (type !== "checkbox") { if (type === "radio") { active = $(this).is(":checked"); } if (active && $(this).val() === ``) { $('#main_DynamicControl_0_3_15_FormGroup').slideDown('fast'); } else { $('#main_DynamicControl_0_3_15_FormGroup').slideUp('fast'); } } else { $(this).closest('.checkboxInput').find("input").each(function (i, check) { if ($(check).val() === ``) { if ($(check).is(":checked")) { $('#main_DynamicControl_0_3_15_FormGroup').slideDown('fast'); } else { $('#main_DynamicControl_0_3_15_FormGroup').slideUp('fast'); } } }); } }); $("#main_DynamicControl_0_3_15_FormGroup").hide(); $(``).change(); } }); function main_DynamicControl_0_3_15_PartContainer_OtherValidation(src, args) { args.IsValid = ($('#main_DynamicControl_0_3_15_FormGroup').css('display').toLowerCase() === 'none' || $("#main_DynamicControl_0_3_15_SingleSelectList").val() !== ""); } </script> </div> </div> <div class="row"> <div id="main_DynamicControl_0_3_16_PartContainer" class="partContainer singleSelectPart col-md-4"> <div id="main_DynamicControl_0_3_16_FormGroup" class="form-group"> <label for="main_DynamicControl_0_3_16_SingleSelectList" class="formInputLabel"> <span id="main_DynamicControl_0_3_16_SingleSelectLabel">Workplace</span>  <span class="valIndicator"> <span id="main_DynamicControl_0_3_16_SingleSelectListReqd" style="display:none;"><span style='color: #8a2003;'>*</span></span> <span id="main_DynamicControl_0_3_16_SingleSelectOtherValidator" style="visibility:hidden;"><span style='color: #8a2003; font-weight:bold;'>*</span></span> </span> </label> <select name="ctl00$main$DynamicControl_0_3_16$SingleSelectList" id="main_DynamicControl_0_3_16_SingleSelectList" class="form-control dropdownInput"> <option value=""></option> <option value="|Academic">Academic</option> <option value="|Advertising Agency">Advertising Agency</option> <option value="|Biotechnology Company">Biotechnology Company</option> <option value="|Cancer Center">Cancer Center</option> <option value="|Cancer Registry">Cancer Registry</option> <option value="|Clinic">Clinic</option> <option value="|Government (VA, DOD, etc.)">Government (VA, DOD, etc.)</option> <option value="|Home Health (VNA, Hospice)">Home Health (VNA, Hospice)</option> <option value="|Hospital">Hospital</option> <option value="|Hospital, Emergency Room">Hospital, Emergency Room</option> <option value="|IHO/IHN">IHO/IHN</option> <option value="|Insurance Company">Insurance Company</option> <option value="|Laboratory, Clinical">Laboratory, Clinical</option> <option value="|Laboratory, Dental">Laboratory, Dental</option> <option value="|Laboratory, Research">Laboratory, Research</option> <option value="|Long Term Care Facility">Long Term Care Facility</option> <option value="|Managed Care Organization">Managed Care Organization</option> <option value="|Market Segment">Market Segment</option> <option value="|Medical Practice, Group">Medical Practice, Group</option> <option value="|Medical Practice, Private">Medical Practice, Private</option> <option value="|Medical School">Medical School</option> <option value="|Medicare/Medicaid">Medicare/Medicaid</option> <option value="|Optometry, Corporate/Franchise">Optometry, Corporate/Franchise</option> <option value="|Optometry, Independent/Private Practice">Optometry, Independent/Private Practice</option> <option value="|Outpatient/Surgery Center">Outpatient/Surgery Center</option> <option value="|PBM/PDP/EBM">PBM/PDP/EBM</option> <option value="|Pharmaceutical Company">Pharmaceutical Company</option> <option value="|Pharmacy, Chain (4 or more stores)">Pharmacy, Chain (4 or more stores)</option> <option value="|Pharmacy, Hospital">Pharmacy, Hospital</option> <option value="|Pharmacy, Independent (1-3 stores)">Pharmacy, Independent (1-3 stores)</option> <option value="|Other">Other</option> </select> </div> <input type="hidden" name="ctl00$main$DynamicControl_0_3_16$SourceGuid" id="main_DynamicControl_0_3_16_SourceGuid" /> <input type="hidden" name="ctl00$main$DynamicControl_0_3_16$PersonGuid" id="main_DynamicControl_0_3_16_PersonGuid" /> <input type="hidden" name="ctl00$main$DynamicControl_0_3_16$PersonSaveField" id="main_DynamicControl_0_3_16_PersonSaveField" /> <input type="hidden" name="ctl00$main$DynamicControl_0_3_16$SourceField" id="main_DynamicControl_0_3_16_SourceField" /> <script> $(document).ready(function () { if (`` !== "" && `` !== "") { $(``).change(function () { var type = $(this).prop('type'); var active = true; if (type !== "checkbox") { if (type === "radio") { active = $(this).is(":checked"); } if (active && $(this).val() === ``) { $('#main_DynamicControl_0_3_16_FormGroup').slideDown('fast'); } else { $('#main_DynamicControl_0_3_16_FormGroup').slideUp('fast'); } } else { $(this).closest('.checkboxInput').find("input").each(function (i, check) { if ($(check).val() === ``) { if ($(check).is(":checked")) { $('#main_DynamicControl_0_3_16_FormGroup').slideDown('fast'); } else { $('#main_DynamicControl_0_3_16_FormGroup').slideUp('fast'); } } }); } }); $("#main_DynamicControl_0_3_16_FormGroup").hide(); $(``).change(); } }); function main_DynamicControl_0_3_16_PartContainer_OtherValidation(src, args) { args.IsValid = ($('#main_DynamicControl_0_3_16_FormGroup').css('display').toLowerCase() === 'none' || $("#main_DynamicControl_0_3_16_SingleSelectList").val() !== ""); } </script> </div> </div> <div id="main_DynamicControl_0_3_17_PartContainer" class="partContainer addressPart"> <script type="text/javascript"> $(document).ready(function () { var key = "7658859568640617"; attachAddressAutoComplete( key, null, 'main_DynamicControl_0_3_17_AddressLine1Value', 'main_DynamicControl_0_3_17_AddressLine2Value', 'main_DynamicControl_0_3_17_CityValue', 'main_DynamicControl_0_3_17_StateValue', 'main_DynamicControl_0_3_17_ZipValue', 'main_DynamicControl_0_3_17_PartContainer_AddressAutoCompleteMenu', true ); }); </script> <div id="main_DynamicControl_0_3_17_CountryRow" class="row countryRow"> <div id="main_DynamicControl_0_3_17_CountryColSpec" class="col-md-3 form-group countryColumn"> <label id="main_DynamicControl_0_3_17_CountryLabel" for="<%=CountryValue.ClientID%>" class="formTopLabel">Country</label> <select name="ctl00$main$DynamicControl_0_3_17$CountryValue" onchange="javascript:setTimeout('__doPostBack(\'ctl00$main$DynamicControl_0_3_17$CountryValue\',\'\')', 0)" id="main_DynamicControl_0_3_17_CountryValue" class="form-control"> <option value="AF">Afghanistan</option> <option value="AX">Åland Islands</option> <option value="AL">Albania</option> <option value="AA">Alderaan </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</option> <option value="BQ">Bonaire</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">Côte 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="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="GG">Guernsey</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</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="JE">Jersey</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="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">Libyan Arab Jamahiriya</option> <option value="LI">Liechtenstein</option> <option value="LT">Lithuania</option> <option value="LU">Luxembourg</option> <option value="MO">Macao</option> <option value="MK">Macedonia, The Former Yugoslav Republic Of</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="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="PS">Palestinian Territory, Occupied</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">Réunion</option> <option value="RO">Romania</option> <option value="RU">Russian Federation</option> <option value="RW">Rwanda</option> <option value="BL">Saint Barthélemy</option> <option value="SH">Saint Helena, Ascension And Tristan Da Cunha</option> <option value="KN">Saint Kitts And Nevis</option> <option value="LC">Saint Lucia</option> <option value="MF">Saint Martin</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="SS">South Sudan</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="SZ">Swaziland</option> <option value="SE">Sweden</option> <option value="CH">Switzerland</option> <option value="SY">Syrian Arab Republic</option> <option value="TW">Taiwan, Province Of China</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 selected="selected" value="US">United States</option> <option value="UM">United States Minor Outlying Islands</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">Viet Nam</option> <option value="VG">Virgin Islands, British</option> <option value="VI">Virgin Islands, U. S.</option> <option value="WF">Wallis And Futuna</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 id="main_DynamicControl_0_3_17_UpdatePanel1"> <div class="row addressRow"> <div id="main_DynamicControl_0_3_17_Address1Row" class="form-group addressColumn col-md-12"> <label for="main_DynamicControl_0_3_17_AddressLine1Value" class="formTopLabel"> <span id="main_DynamicControl_0_3_17_AddressLine1Label">Address Line 1</span>  <span class="valIndicator"> <span id="main_DynamicControl_0_3_17_AddressLine1ValueReqd" style="display:none;"><span style='color: #8a2003;font-weight:bold;'>*</span></span> </span> </label> <input name="ctl00$main$DynamicControl_0_3_17$AddressLine1Value" type="text" id="main_DynamicControl_0_3_17_AddressLine1Value" class="form-control textInput" autocomplete="smartystreets" /> <ul class="us-autocomplete-pro-menu" id="main_DynamicControl_0_3_17_PartContainer_AddressAutoCompleteMenu" style="display: none; margin-left: 0;"></ul> </div> <div id="main_DynamicControl_0_3_17_Address2Row" class="form-group addressColumn col-md-12"> <label for="main_DynamicControl_0_3_17_AddressLine2Value" class="formTopLabel"> <span id="main_DynamicControl_0_3_17_AddressLine2Label">Address Line 2</span> </label> <input name="ctl00$main$DynamicControl_0_3_17$AddressLine2Value" type="text" id="main_DynamicControl_0_3_17_AddressLine2Value" class="form-control textInput" /> </div> </div> <div class="row cszLine"> <div id="main_DynamicControl_0_3_17_CityColSpec" class="form-group cityColumn col-md-6"> <label for="main_DynamicControl_0_3_17_CityValue" class="formTopLabel"> <span id="main_DynamicControl_0_3_17_CityLabel">City</span>  <span class="valIndicator"> <span id="main_DynamicControl_0_3_17_CityValueReqd" style="display:none;"><span style='color: #8a2003;font-weight:bold;'>*</span></span> </span> </label> <input name="ctl00$main$DynamicControl_0_3_17$CityValue" type="text" id="main_DynamicControl_0_3_17_CityValue" class="form-control textInput" /> </div> <div id="main_DynamicControl_0_3_17_StateColSpec" class="form-group stateColumn col-md-4"> <label for="main_DynamicControl_0_3_17_StateValue" class="formTopLabel"> <span id="main_DynamicControl_0_3_17_StateLabel">State</span>  <span class="valIndicator"> <span id="main_DynamicControl_0_3_17_StateValueReqd" style="display:none;"><span style='color: #8a2003;font-weight:bold;'>*</span></span> </span> </label> <select name="ctl00$main$DynamicControl_0_3_17$StateValue" id="main_DynamicControl_0_3_17_StateValue" class="form-control textInput"> <option selected="selected" value=""></option> <option value="AL">AL</option> <option value="AK">AK</option> <option value="AZ">AZ</option> <option value="AR">AR</option> <option value="CA">CA</option> <option value="CO">CO</option> <option value="CT">CT</option> <option value="DE">DE</option> <option value="DC">DC</option> <option value="FL">FL</option> <option value="GA">GA</option> <option value="HI">HI</option> <option value="ID">ID</option> <option value="IL">IL</option> <option value="IN">IN</option> <option value="IA">IA</option> <option value="KS">KS</option> <option value="KY">KY</option> <option value="LA">LA</option> <option value="ME">ME</option> <option value="MD">MD</option> <option value="MA">MA</option> <option value="MI">MI</option> <option value="MN">MN</option> <option value="MS">MS</option> <option value="MO">MO</option> <option value="MT">MT</option> <option value="NE">NE</option> <option value="NV">NV</option> <option value="NH">NH</option> <option value="NJ">NJ</option> <option value="NM">NM</option> <option value="NY">NY</option> <option value="NC">NC</option> <option value="ND">ND</option> <option value="OH">OH</option> <option value="OK">OK</option> <option value="OR">OR</option> <option value="PA">PA</option> <option value="PR">PR</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="VT">VT</option> <option value="VA">VA</option> <option value="WA">WA</option> <option value="WV">WV</option> <option value="WI">WI</option> <option value="WY">WY</option> </select> </div> <div id="main_DynamicControl_0_3_17_ZipColSpec" class="form-group zipColumn col-md-2"> <label for="main_DynamicControl_0_3_17_ZipValue" class="formTopLabel"> <span id="main_DynamicControl_0_3_17_ZipLabel">Postal Code</span>  <span class="valIndicator"> <span id="main_DynamicControl_0_3_17_ZipValueReqd" style="display:none;"><span style='color: #8a2003;font-weight:bold;'>*</span></span> <span id="main_DynamicControl_0_3_17_ZipValueRegex" style="display:none;"><span style='color: #8a2003;font-weight:bold;'>*</span></span> </span> </label> <input name="ctl00$main$DynamicControl_0_3_17$ZipValue" type="text" maxlength="10" id="main_DynamicControl_0_3_17_ZipValue" class="form-control textInput" /> </div> </div> </div> <input type="hidden" name="ctl00$main$DynamicControl_0_3_17$SourceGuid" id="main_DynamicControl_0_3_17_SourceGuid" value="00000000-0000-0000-0000-000000000000" /> <input type="hidden" name="ctl00$main$DynamicControl_0_3_17$PersonGuid" id="main_DynamicControl_0_3_17_PersonGuid" /> <input type="hidden" name="ctl00$main$DynamicControl_0_3_17$SmartyStreetsAuthKey" id="main_DynamicControl_0_3_17_SmartyStreetsAuthKey" value="7658859568640617" /> </div> <div class="row"> <div id="main_DynamicControl_0_3_18_PartContainer" class="partContainer multiSelectPart terms col-md-12"> <div id="main_DynamicControl_0_3_18_FormGroup" class="form-group"> <label for="main_DynamicControl_0_3_18_MultiSelectList" class="formTopLabel"> <span id="main_DynamicControl_0_3_18_MultiSelectLabel" style="font-weight:bold;" class=" formTopLabelBold"> </span>  <span class="valIndicator"> <span id="main_DynamicControl_0_3_18_MultiSelectListReqd" style="display:none;"><span style='color: #8a2003;font-weight:bold;'>*</span></span> <span id="main_DynamicControl_0_3_18_MultiSelectOtherValidator" style="visibility:hidden;"><span style='color: #8a2003; font-weight:bold;'>*</span></span> </span> </label> <ul id="main_DynamicControl_0_3_18_MultiSelectList" class="checkboxInput" style="list-style:none;"> <li><input id="main_DynamicControl_0_3_18_MultiSelectList_0" type="checkbox" name="ctl00$main$DynamicControl_0_3_18$MultiSelectList$0" value="By submitting my information, I signify my acceptance of the Terms and Conditions and Privacy Policy" /><label for="main_DynamicControl_0_3_18_MultiSelectList_0"><svg class='svg_checkbox' viewbox='0 0 36 36'><use href='#SVG_Checkbox' /></svg>By submitting my information, I signify my acceptance of the Terms and Conditions and Privacy Policy</label></li> </ul> </div> <script type="text/javascript"> $(document).ready(function () { if (`` !== "" && `` !== "") { $(``).change(function () { var type = $(this).prop('type'); var active = true; if (type !== "checkbox") { if (type === "radio") { active = $(this).is(":checked"); } if (active && $(this).val() === ``) { $('#main_DynamicControl_0_3_18_FormGroup').slideDown('fast'); } else { $('#main_DynamicControl_0_3_18_FormGroup').slideUp('fast'); } } else { $(this).closest('.checkboxInput').find("input").each(function (i, check) { if ($(check).val() === ``) { if ($(check).is(":checked")) { $('#main_DynamicControl_0_3_18_FormGroup').slideDown('fast'); } else { $('#main_DynamicControl_0_3_18_FormGroup').slideUp('fast'); } } }); } }); $("#main_DynamicControl_0_3_18_FormGroup").hide(); $(``).change(); } }); function main_DynamicControl_0_3_18_PartContainer_OtherValidation(src, args) { args.IsValid = $('#main_DynamicControl_0_3_18_FormGroup').css('display').toLowerCase() === 'none'; if (!args.IsValid) { var chkListModules = document.getElementById('main_DynamicControl_0_3_18_MultiSelectList'); var chkListinputs = chkListModules.getElementsByTagName("input"); for (var i = 0; i < chkListinputs.length; i++) { if (chkListinputs[i].checked) { args.IsValid = true; return; } } } } function main_DynamicControl_0_3_18_MultiSelectList_Validate(source, args) { var chkListModules = document.getElementById('main_DynamicControl_0_3_18_MultiSelectList'); var chkListinputs = chkListModules.getElementsByTagName("input"); for (var i = 0; i < chkListinputs.length; i++) { if (chkListinputs[i].checked) { args.IsValid = true; chkListinputs[0].dispatchEvent(new CustomEvent("CheckboxValidated", { detail: { IsValid: true } })); return; } } chkListinputs[0].dispatchEvent(new CustomEvent("CheckboxValidated", { detail: { IsValid: false } })); args.IsValid = false; } </script> </div> </div> <div id="main_DynamicControl_0_3_19_PartContainer" class="row partContainer textPart hidden" data-key="EkeyValue_Inbound"> <div id="main_DynamicControl_0_3_19_FormGroup" class="form-group col-md-4"> <label for="main_DynamicControl_0_3_19_TextField" class="formTopLabel"> <span id="main_DynamicControl_0_3_19_TextLabel">EkeyValue_Inbound</span>  <span class="valIndicator"> <span id="main_DynamicControl_0_3_19_TextFieldReqd" style="display:none;"><span style='color: #8a2003;'>*</span></span> <span id="main_DynamicControl_0_3_19_TextFieldRegex" style="display:none;"><span style='color: #8a2003; font-weight:bold;'>*</span></span> <span id="main_DynamicControl_0_3_19_TextFieldOtherValidator" style="visibility:hidden;"><span style='color: #8a2003; font-weight:bold;'>*</span></span> <span id="main_DynamicControl_0_3_19_EmailAddressRegex" style="display:none;"><span style='color: #8a2003; font-weight:bold;'>*</span></span> <span id="main_DynamicControl_0_3_19_EmailAddressMX" style="display:none;"><span style='color: #8a2003; font-weight:bold;'>*</span></span> </span> </label> <input name="ctl00$main$DynamicControl_0_3_19$TextField" type="text" id="main_DynamicControl_0_3_19_TextField" class="form-control textInput" placeholder=" " /> </div> <input type="hidden" name="ctl00$main$DynamicControl_0_3_19$SourceGuid" id="main_DynamicControl_0_3_19_SourceGuid" /> <input type="hidden" name="ctl00$main$DynamicControl_0_3_19$PersonGuid" id="main_DynamicControl_0_3_19_PersonGuid" /> <input type="hidden" name="ctl00$main$DynamicControl_0_3_19$PersonSaveField" id="main_DynamicControl_0_3_19_PersonSaveField" /> <input type="hidden" name="ctl00$main$DynamicControl_0_3_19$SourceField" id="main_DynamicControl_0_3_19_SourceField" /> <script> $(document).ready(function () { if (`` !== "" && `` !== "") { $(``).change(function () { var type = $(this).prop('type'); var active = true; if (type !== "checkbox") { if (type === "radio") { active = $(this).is(":checked"); } if (active && $(this).val() === ``) { $('#main_DynamicControl_0_3_19_FormGroup').slideDown('fast'); } else { $('#main_DynamicControl_0_3_19_FormGroup').slideUp('fast'); } } else { $(this).closest('.checkboxInput').find("input").each(function (i, check) { if ($(check).val() === ``) { if ($(check).is(":checked")) { $('#main_DynamicControl_0_3_19_FormGroup').slideDown('fast'); } else { $('#main_DynamicControl_0_3_19_FormGroup').slideUp('fast'); } } }); } }); $("#main_DynamicControl_0_3_19_FormGroup").hide(); $(``).change(); } }); function main_DynamicControl_0_3_19_PartContainer_OtherValidation(src, args) { args.IsValid = ($('#main_DynamicControl_0_3_19_FormGroup').css('display').toLowerCase() === 'none' || $("#main_DynamicControl_0_3_19_TextField").val() !== ""); } </script> </div> </div> <script> $(document).ready(function() { BuildPage(); SetUpQueryLogic(); WireEvents(); }); function setVariable(variable, value) { if(!variable.startsWith('--')) { variable = '--' + variable; } const root = document.querySelector(':root'); root.style.setProperty(variable, value); } function pageLoad() { $('.addressType select').attr('data-label', 'Address Type'); $('div[id$=Address2Row] input').attr('data-req', 'false'); $('div[id$=Address3Row] input').attr('data-req', 'false'); if(countryChanged) { countryChanged = false; changeAddress(false); setVariable('stateColumnDisplay', 'block'); } } function BuildPage() { $("#MagazineContainer").hide() const termsLink = `<a href='${termsAndConditions}' target='_blank'>Terms and Conditions</a>`; const privacyPolicyLink = `<a href='${privacyPolicy}' target='_blank'>Privacy Policy</a>`; const label = document.querySelector('.terms ul li label'); let html = label.innerHTML; html = html.replace('Terms and Conditions', termsLink); html = html.replace('Privacy Policy', privacyPolicyLink); label.innerHTML = html; const distroTypes = document.querySelectorAll('.distroType input'); for(let i = 0; i < distroTypes.length; i++) { if(i > 1) { break; } distroTypes[i].checked = true; } } function getDistroTypeVal() { const types = document.querySelectorAll('.distroType input'); let value = ''; for(const type of types) { let inputVal = type.value.trim(); if(type.checked && inputVal !== '') { value += type.value + ','; } } if(value.endsWith(',')) { value = value.slice(0, -1); } return value; } let fullAddress = false; function changeAddress(changeCss = true) { let newStyle = fullAddress ? 'block' : 'none'; let newAfter = fullAddress ? '.cityColumn' : '.countryColumn'; $('.stateColumn').detach().insertAfter(newAfter); if(changeCss) { setVariable('fullAddressDisplay', newStyle); } for (const validator of Page_Validators) { if(validator.id.includes("ZipValueRegex") && !validator.isvalid) { $(".zipColumn input").val(''); break; } } } function WireEvents() { $('.countryRow select').change((e) => { const tempFullAddress = fullAddress; fullAddress = true; setVariable('stateColumnDisplay', 'none'); changeAddress(false); fullAddress = tempFullAddress; countryChanged = true; $(".zipColumn input").val(''); }); $(".distroType input").change(function() { if(getDistroTypeVal().toLowerCase().includes('magazine')) { if($("#MagazineContainer").css('display') === 'none') { $("#MagazineContainer").slideDown('fast'); $(".typeOfMagazine input[value='Both Print and PDF']").prop('checked', true).change(); } } else { $("#MagazineContainer").slideUp('fast', () => { $(".typeOfMagazine :checked").prop('checked', false); }); fullAddress = false; changeAddress(); } }); $(".typeOfMagazine input").change(function() { if(this.value.toLowerCase().includes('print')) { fullAddress = true; changeAddress(); } else { fullAddress = false; changeAddress(); } }); $('.singleSelectPart:eq(0) select').change(function() { if(this.value === 'Other') { $('.singleSelectPart:eq(0) .col-md-4:eq(1)').slideDown('fast'); } else { $('.singleSelectPart:eq(0) .col-md-4:eq(1)').slideUp('fast'); } }); $('.distroType :checked').change(); } function SetUpQueryLogic() { if(params.get('enewsletter') === "1") { $(".distroType input").first().prop('checked', true); } if(params.get('magazine') === "1") { $(".distroType input").last().prop('checked', true); } switch(params.get('magazinetype')) { case "print": $(".typeOfMagazine input").eq(1).prop('checked', true).change(); break; case "digital": $(".typeOfMagazine input").eq(2).prop('checked', true).change(); break; default: $(".typeOfMagazine input").eq(0).prop('checked', true).change(); break; } } let countryChanged = false; let previouslyInvalid = false; //Optional Validation function WebForm_OnSubmit() { if(countryChanged) { // Fixes a very small bug if the user attempts to submit an invalid form, // then changes their country twice setTimeout(() => { if($('.stateColumn').css('display') === 'none') { $('.countryColumn select').change(); } }, 1000); return true; } let isValid = true; let html = ""; let privacyErrorMessage = ''; $(".alert-danger").hide(); $('.has-error').removeClass('has-error'); //Append all error messages for (var i in Page_Validators) { if (!Page_Validators[i].isvalid) { const ignoreZip = !fullAddress || $('.zipColumn').css('display') === 'none'; if(Page_Validators[i].id.includes('ZipValueRegex') && ignoreZip) { $(".zipColumn input").val(''); continue; } isValid = false; if(Page_Validators[i].errormessage.includes('Privacy Policy')) { privacyErrorMessage = Page_Validators[i].errormessage; } else { html += "<li>" + Page_Validators[i].errormessage + "</li>"; } const control = document.getElementById(Page_Validators[i].controltovalidate); $(control).closest('.form-group').addClass('has-error'); } } let selector = ".stateColumn, .countryColumn"; if(fullAddress) { selector += ', .cityColumn, .addressColumn, .zipColumn, .addressType .form-group'; } const formGroups = document.querySelectorAll(selector); for(const formGroup of formGroups) { const label = formGroup.querySelector('label'); if(!label) { continue; } const input = formGroup.querySelector('input, select, textarea'); if(!input){ continue; } const attrLabel = input.getAttribute('data-label'); const attrReq = input.getAttribute('data-req'); if(input.value == null || input.value.trim() === '' && attrReq !== 'false') { const txt = attrLabel == null ? label.innerText : attrLabel; let prefix = 'Enter a value for'; if(input.nodeName === 'SELECT') { prefix = 'Select a value for'; } html += `<li>${prefix} ${txt}</li>`; isValid = false; formGroup.classList.add('has-error'); } } if(!isValid) { if(privacyErrorMessage !== '') { html += '<li>' + privacyErrorMessage + '</li>'; } html = html.replace(/[*]/gmi, ''); if($('.simpleValidation ul').length === 0) { html = 'The highlighted fields are required to move forward.<ul>' + html + '<ul>'; $('.simpleValidation').html(html); } else { $('.simpleValidation ul').html(html); } $('.simpleValidation').show(); $(".valIndicator").hide(); document.body.scrollTop = 0; // For Safari document.documentElement.scrollTop = 0; // Everyone Else } return isValid; } </script> <div id="SubmitContainer" class="container"> <div id="main_SubmitBlock" class="row"> <div id="main_Disclaimer" class="disclaimer"></div> <div id="main_PageBreakBlock" class="col-md-12"> <input type="hidden" name="ctl00$main$IsCompletion" id="main_IsCompletion" value="True" /> <input type="submit" name="ctl00$main$SubmitButton" value="Submit" onclick="javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions("ctl00$main$SubmitButton", "", true, "", "", false, false))" id="main_SubmitButton" class="btn" /> </div> </div> </div> </div> </div> <script type="text/javascript"> //<![CDATA[ var Page_ValidationSummaries = new Array(document.getElementById("main_DynamicControl_0_3_2_ValSummary")); var Page_Validators = new Array(document.getElementById("main_DynamicControl_0_3_5_MultiSelectListReqd"), document.getElementById("main_DynamicControl_0_3_5_MultiSelectOtherValidator"), document.getElementById("main_DynamicControl_0_3_8_SingleSelectListReqd"), document.getElementById("main_DynamicControl_0_3_8_SingleSelectOtherValidator"), document.getElementById("main_DynamicControl_0_3_9_SingleSelectListReqd"), document.getElementById("main_DynamicControl_0_3_9_SingleSelectOtherValidator"), document.getElementById("main_DynamicControl_0_3_12_TextFieldReqd"), document.getElementById("main_DynamicControl_0_3_12_TextFieldRegex"), document.getElementById("main_DynamicControl_0_3_12_TextFieldOtherValidator"), document.getElementById("main_DynamicControl_0_3_12_EmailAddressRegex"), document.getElementById("main_DynamicControl_0_3_12_EmailAddressMX"), document.getElementById("main_DynamicControl_0_3_13_TextFieldReqd"), document.getElementById("main_DynamicControl_0_3_13_TextFieldRegex"), document.getElementById("main_DynamicControl_0_3_13_TextFieldOtherValidator"), document.getElementById("main_DynamicControl_0_3_13_EmailAddressRegex"), document.getElementById("main_DynamicControl_0_3_13_EmailAddressMX"), document.getElementById("main_DynamicControl_0_3_14_TextFieldReqd"), document.getElementById("main_DynamicControl_0_3_14_TextFieldRegex"), document.getElementById("main_DynamicControl_0_3_14_TextFieldOtherValidator"), document.getElementById("main_DynamicControl_0_3_14_EmailAddressRegex"), document.getElementById("main_DynamicControl_0_3_14_EmailAddressMX"), document.getElementById("main_DynamicControl_0_3_15_SingleSelectListReqd"), document.getElementById("main_DynamicControl_0_3_15_SingleSelectOtherValidator"), document.getElementById("main_DynamicControl_0_3_16_SingleSelectListReqd"), document.getElementById("main_DynamicControl_0_3_16_SingleSelectOtherValidator"), document.getElementById("main_DynamicControl_0_3_17_AddressLine1ValueReqd"), document.getElementById("main_DynamicControl_0_3_17_CityValueReqd"), document.getElementById("main_DynamicControl_0_3_17_StateValueReqd"), document.getElementById("main_DynamicControl_0_3_17_ZipValueReqd"), document.getElementById("main_DynamicControl_0_3_17_ZipValueRegex"), document.getElementById("main_DynamicControl_0_3_18_MultiSelectListReqd"), document.getElementById("main_DynamicControl_0_3_18_MultiSelectOtherValidator"), document.getElementById("main_DynamicControl_0_3_19_TextFieldReqd"), document.getElementById("main_DynamicControl_0_3_19_TextFieldRegex"), document.getElementById("main_DynamicControl_0_3_19_TextFieldOtherValidator"), document.getElementById("main_DynamicControl_0_3_19_EmailAddressRegex"), document.getElementById("main_DynamicControl_0_3_19_EmailAddressMX")); //]]> </script> <script type="text/javascript"> //<![CDATA[ var main_DynamicControl_0_3_2_ValSummary = document.all ? document.all["main_DynamicControl_0_3_2_ValSummary"] : document.getElementById("main_DynamicControl_0_3_2_ValSummary"); main_DynamicControl_0_3_2_ValSummary.headertext = "The highlighted fields are required to move forward."; var main_DynamicControl_0_3_5_MultiSelectListReqd = document.all ? document.all["main_DynamicControl_0_3_5_MultiSelectListReqd"] : document.getElementById("main_DynamicControl_0_3_5_MultiSelectListReqd"); main_DynamicControl_0_3_5_MultiSelectListReqd.display = "Dynamic"; main_DynamicControl_0_3_5_MultiSelectListReqd.enabled = "False"; main_DynamicControl_0_3_5_MultiSelectListReqd.evaluationfunction = "CustomValidatorEvaluateIsValid"; main_DynamicControl_0_3_5_MultiSelectListReqd.clientvalidationfunction = "main_DynamicControl_0_3_5_MultiSelectList_Validate"; var main_DynamicControl_0_3_5_MultiSelectOtherValidator = document.all ? document.all["main_DynamicControl_0_3_5_MultiSelectOtherValidator"] : document.getElementById("main_DynamicControl_0_3_5_MultiSelectOtherValidator"); main_DynamicControl_0_3_5_MultiSelectOtherValidator.enabled = "False"; main_DynamicControl_0_3_5_MultiSelectOtherValidator.evaluationfunction = "CustomValidatorEvaluateIsValid"; var main_DynamicControl_0_3_8_SingleSelectListReqd = document.all ? document.all["main_DynamicControl_0_3_8_SingleSelectListReqd"] : document.getElementById("main_DynamicControl_0_3_8_SingleSelectListReqd"); main_DynamicControl_0_3_8_SingleSelectListReqd.controltovalidate = "main_DynamicControl_0_3_8_SingleSelectList"; main_DynamicControl_0_3_8_SingleSelectListReqd.display = "Dynamic"; main_DynamicControl_0_3_8_SingleSelectListReqd.enabled = "False"; main_DynamicControl_0_3_8_SingleSelectListReqd.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid"; main_DynamicControl_0_3_8_SingleSelectListReqd.initialvalue = ""; var main_DynamicControl_0_3_8_SingleSelectOtherValidator = document.all ? document.all["main_DynamicControl_0_3_8_SingleSelectOtherValidator"] : document.getElementById("main_DynamicControl_0_3_8_SingleSelectOtherValidator"); main_DynamicControl_0_3_8_SingleSelectOtherValidator.enabled = "False"; main_DynamicControl_0_3_8_SingleSelectOtherValidator.evaluationfunction = "CustomValidatorEvaluateIsValid"; var main_DynamicControl_0_3_9_SingleSelectListReqd = document.all ? document.all["main_DynamicControl_0_3_9_SingleSelectListReqd"] : document.getElementById("main_DynamicControl_0_3_9_SingleSelectListReqd"); main_DynamicControl_0_3_9_SingleSelectListReqd.controltovalidate = "main_DynamicControl_0_3_9_SingleSelectList"; main_DynamicControl_0_3_9_SingleSelectListReqd.display = "Dynamic"; main_DynamicControl_0_3_9_SingleSelectListReqd.enabled = "False"; main_DynamicControl_0_3_9_SingleSelectListReqd.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid"; main_DynamicControl_0_3_9_SingleSelectListReqd.initialvalue = ""; var main_DynamicControl_0_3_9_SingleSelectOtherValidator = document.all ? document.all["main_DynamicControl_0_3_9_SingleSelectOtherValidator"] : document.getElementById("main_DynamicControl_0_3_9_SingleSelectOtherValidator"); main_DynamicControl_0_3_9_SingleSelectOtherValidator.enabled = "False"; main_DynamicControl_0_3_9_SingleSelectOtherValidator.evaluationfunction = "CustomValidatorEvaluateIsValid"; var main_DynamicControl_0_3_12_TextFieldReqd = document.all ? document.all["main_DynamicControl_0_3_12_TextFieldReqd"] : document.getElementById("main_DynamicControl_0_3_12_TextFieldReqd"); main_DynamicControl_0_3_12_TextFieldReqd.controltovalidate = "main_DynamicControl_0_3_12_TextField"; main_DynamicControl_0_3_12_TextFieldReqd.errormessage = "Enter your First Name"; main_DynamicControl_0_3_12_TextFieldReqd.display = "Dynamic"; main_DynamicControl_0_3_12_TextFieldReqd.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid"; main_DynamicControl_0_3_12_TextFieldReqd.initialvalue = ""; var main_DynamicControl_0_3_12_TextFieldRegex = document.all ? document.all["main_DynamicControl_0_3_12_TextFieldRegex"] : document.getElementById("main_DynamicControl_0_3_12_TextFieldRegex"); main_DynamicControl_0_3_12_TextFieldRegex.controltovalidate = "main_DynamicControl_0_3_12_TextField"; main_DynamicControl_0_3_12_TextFieldRegex.display = "Dynamic"; main_DynamicControl_0_3_12_TextFieldRegex.enabled = "False"; main_DynamicControl_0_3_12_TextFieldRegex.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid"; var main_DynamicControl_0_3_12_TextFieldOtherValidator = document.all ? document.all["main_DynamicControl_0_3_12_TextFieldOtherValidator"] : document.getElementById("main_DynamicControl_0_3_12_TextFieldOtherValidator"); main_DynamicControl_0_3_12_TextFieldOtherValidator.enabled = "False"; main_DynamicControl_0_3_12_TextFieldOtherValidator.evaluationfunction = "CustomValidatorEvaluateIsValid"; var main_DynamicControl_0_3_12_EmailAddressRegex = document.all ? document.all["main_DynamicControl_0_3_12_EmailAddressRegex"] : document.getElementById("main_DynamicControl_0_3_12_EmailAddressRegex"); main_DynamicControl_0_3_12_EmailAddressRegex.controltovalidate = "main_DynamicControl_0_3_12_TextField"; main_DynamicControl_0_3_12_EmailAddressRegex.display = "Dynamic"; main_DynamicControl_0_3_12_EmailAddressRegex.enabled = "False"; main_DynamicControl_0_3_12_EmailAddressRegex.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid"; main_DynamicControl_0_3_12_EmailAddressRegex.validationexpression = "^\\s*([\\w\\-\\.\\+]+)@((\\[([0-9]{1,3}\\.){3}[0-9]{1,3}\\])|(([\\w\\-]+\\.)+)([a-zA-Z]{2,14}))\\s*$"; var main_DynamicControl_0_3_12_EmailAddressMX = document.all ? document.all["main_DynamicControl_0_3_12_EmailAddressMX"] : document.getElementById("main_DynamicControl_0_3_12_EmailAddressMX"); main_DynamicControl_0_3_12_EmailAddressMX.controltovalidate = "main_DynamicControl_0_3_12_TextField"; main_DynamicControl_0_3_12_EmailAddressMX.errormessage = "a valid email address"; main_DynamicControl_0_3_12_EmailAddressMX.display = "Dynamic"; main_DynamicControl_0_3_12_EmailAddressMX.enabled = "False"; main_DynamicControl_0_3_12_EmailAddressMX.evaluationfunction = "CustomValidatorEvaluateIsValid"; var main_DynamicControl_0_3_13_TextFieldReqd = document.all ? document.all["main_DynamicControl_0_3_13_TextFieldReqd"] : document.getElementById("main_DynamicControl_0_3_13_TextFieldReqd"); main_DynamicControl_0_3_13_TextFieldReqd.controltovalidate = "main_DynamicControl_0_3_13_TextField"; main_DynamicControl_0_3_13_TextFieldReqd.errormessage = "Enter your Last Name"; main_DynamicControl_0_3_13_TextFieldReqd.display = "Dynamic"; main_DynamicControl_0_3_13_TextFieldReqd.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid"; main_DynamicControl_0_3_13_TextFieldReqd.initialvalue = ""; var main_DynamicControl_0_3_13_TextFieldRegex = document.all ? document.all["main_DynamicControl_0_3_13_TextFieldRegex"] : document.getElementById("main_DynamicControl_0_3_13_TextFieldRegex"); main_DynamicControl_0_3_13_TextFieldRegex.controltovalidate = "main_DynamicControl_0_3_13_TextField"; main_DynamicControl_0_3_13_TextFieldRegex.display = "Dynamic"; main_DynamicControl_0_3_13_TextFieldRegex.enabled = "False"; main_DynamicControl_0_3_13_TextFieldRegex.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid"; var main_DynamicControl_0_3_13_TextFieldOtherValidator = document.all ? document.all["main_DynamicControl_0_3_13_TextFieldOtherValidator"] : document.getElementById("main_DynamicControl_0_3_13_TextFieldOtherValidator"); main_DynamicControl_0_3_13_TextFieldOtherValidator.enabled = "False"; main_DynamicControl_0_3_13_TextFieldOtherValidator.evaluationfunction = "CustomValidatorEvaluateIsValid"; var main_DynamicControl_0_3_13_EmailAddressRegex = document.all ? document.all["main_DynamicControl_0_3_13_EmailAddressRegex"] : document.getElementById("main_DynamicControl_0_3_13_EmailAddressRegex"); main_DynamicControl_0_3_13_EmailAddressRegex.controltovalidate = "main_DynamicControl_0_3_13_TextField"; main_DynamicControl_0_3_13_EmailAddressRegex.display = "Dynamic"; main_DynamicControl_0_3_13_EmailAddressRegex.enabled = "False"; main_DynamicControl_0_3_13_EmailAddressRegex.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid"; main_DynamicControl_0_3_13_EmailAddressRegex.validationexpression = "^\\s*([\\w\\-\\.\\+]+)@((\\[([0-9]{1,3}\\.){3}[0-9]{1,3}\\])|(([\\w\\-]+\\.)+)([a-zA-Z]{2,14}))\\s*$"; var main_DynamicControl_0_3_13_EmailAddressMX = document.all ? document.all["main_DynamicControl_0_3_13_EmailAddressMX"] : document.getElementById("main_DynamicControl_0_3_13_EmailAddressMX"); main_DynamicControl_0_3_13_EmailAddressMX.controltovalidate = "main_DynamicControl_0_3_13_TextField"; main_DynamicControl_0_3_13_EmailAddressMX.errormessage = "a valid email address"; main_DynamicControl_0_3_13_EmailAddressMX.display = "Dynamic"; main_DynamicControl_0_3_13_EmailAddressMX.enabled = "False"; main_DynamicControl_0_3_13_EmailAddressMX.evaluationfunction = "CustomValidatorEvaluateIsValid"; var main_DynamicControl_0_3_14_TextFieldReqd = document.all ? document.all["main_DynamicControl_0_3_14_TextFieldReqd"] : document.getElementById("main_DynamicControl_0_3_14_TextFieldReqd"); main_DynamicControl_0_3_14_TextFieldReqd.controltovalidate = "main_DynamicControl_0_3_14_TextField"; main_DynamicControl_0_3_14_TextFieldReqd.errormessage = "Enter your Email Address"; main_DynamicControl_0_3_14_TextFieldReqd.display = "Dynamic"; main_DynamicControl_0_3_14_TextFieldReqd.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid"; main_DynamicControl_0_3_14_TextFieldReqd.initialvalue = ""; var main_DynamicControl_0_3_14_TextFieldRegex = document.all ? document.all["main_DynamicControl_0_3_14_TextFieldRegex"] : document.getElementById("main_DynamicControl_0_3_14_TextFieldRegex"); main_DynamicControl_0_3_14_TextFieldRegex.controltovalidate = "main_DynamicControl_0_3_14_TextField"; main_DynamicControl_0_3_14_TextFieldRegex.display = "Dynamic"; main_DynamicControl_0_3_14_TextFieldRegex.enabled = "False"; main_DynamicControl_0_3_14_TextFieldRegex.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid"; var main_DynamicControl_0_3_14_TextFieldOtherValidator = document.all ? document.all["main_DynamicControl_0_3_14_TextFieldOtherValidator"] : document.getElementById("main_DynamicControl_0_3_14_TextFieldOtherValidator"); main_DynamicControl_0_3_14_TextFieldOtherValidator.enabled = "False"; main_DynamicControl_0_3_14_TextFieldOtherValidator.evaluationfunction = "CustomValidatorEvaluateIsValid"; var main_DynamicControl_0_3_14_EmailAddressRegex = document.all ? document.all["main_DynamicControl_0_3_14_EmailAddressRegex"] : document.getElementById("main_DynamicControl_0_3_14_EmailAddressRegex"); main_DynamicControl_0_3_14_EmailAddressRegex.controltovalidate = "main_DynamicControl_0_3_14_TextField"; main_DynamicControl_0_3_14_EmailAddressRegex.errormessage = "Please supply a value for Email Address"; main_DynamicControl_0_3_14_EmailAddressRegex.display = "Dynamic"; main_DynamicControl_0_3_14_EmailAddressRegex.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid"; main_DynamicControl_0_3_14_EmailAddressRegex.validationexpression = "^\\s*([\\w\\-\\.\\+]+)@((\\[([0-9]{1,3}\\.){3}[0-9]{1,3}\\])|(([\\w\\-]+\\.)+)([a-zA-Z]{2,14}))\\s*$"; var main_DynamicControl_0_3_14_EmailAddressMX = document.all ? document.all["main_DynamicControl_0_3_14_EmailAddressMX"] : document.getElementById("main_DynamicControl_0_3_14_EmailAddressMX"); main_DynamicControl_0_3_14_EmailAddressMX.controltovalidate = "main_DynamicControl_0_3_14_TextField"; main_DynamicControl_0_3_14_EmailAddressMX.errormessage = "Please supply a value for Email Address"; main_DynamicControl_0_3_14_EmailAddressMX.display = "Dynamic"; main_DynamicControl_0_3_14_EmailAddressMX.evaluationfunction = "CustomValidatorEvaluateIsValid"; var main_DynamicControl_0_3_15_SingleSelectListReqd = document.all ? document.all["main_DynamicControl_0_3_15_SingleSelectListReqd"] : document.getElementById("main_DynamicControl_0_3_15_SingleSelectListReqd"); main_DynamicControl_0_3_15_SingleSelectListReqd.controltovalidate = "main_DynamicControl_0_3_15_SingleSelectList"; main_DynamicControl_0_3_15_SingleSelectListReqd.errormessage = "Select your Role"; main_DynamicControl_0_3_15_SingleSelectListReqd.display = "Dynamic"; main_DynamicControl_0_3_15_SingleSelectListReqd.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid"; main_DynamicControl_0_3_15_SingleSelectListReqd.initialvalue = ""; var main_DynamicControl_0_3_15_SingleSelectOtherValidator = document.all ? document.all["main_DynamicControl_0_3_15_SingleSelectOtherValidator"] : document.getElementById("main_DynamicControl_0_3_15_SingleSelectOtherValidator"); main_DynamicControl_0_3_15_SingleSelectOtherValidator.enabled = "False"; main_DynamicControl_0_3_15_SingleSelectOtherValidator.evaluationfunction = "CustomValidatorEvaluateIsValid"; var main_DynamicControl_0_3_16_SingleSelectListReqd = document.all ? document.all["main_DynamicControl_0_3_16_SingleSelectListReqd"] : document.getElementById("main_DynamicControl_0_3_16_SingleSelectListReqd"); main_DynamicControl_0_3_16_SingleSelectListReqd.controltovalidate = "main_DynamicControl_0_3_16_SingleSelectList"; main_DynamicControl_0_3_16_SingleSelectListReqd.display = "Dynamic"; main_DynamicControl_0_3_16_SingleSelectListReqd.enabled = "False"; main_DynamicControl_0_3_16_SingleSelectListReqd.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid"; main_DynamicControl_0_3_16_SingleSelectListReqd.initialvalue = ""; var main_DynamicControl_0_3_16_SingleSelectOtherValidator = document.all ? document.all["main_DynamicControl_0_3_16_SingleSelectOtherValidator"] : document.getElementById("main_DynamicControl_0_3_16_SingleSelectOtherValidator"); main_DynamicControl_0_3_16_SingleSelectOtherValidator.enabled = "False"; main_DynamicControl_0_3_16_SingleSelectOtherValidator.evaluationfunction = "CustomValidatorEvaluateIsValid"; var main_DynamicControl_0_3_17_AddressLine1ValueReqd = document.all ? document.all["main_DynamicControl_0_3_17_AddressLine1ValueReqd"] : document.getElementById("main_DynamicControl_0_3_17_AddressLine1ValueReqd"); main_DynamicControl_0_3_17_AddressLine1ValueReqd.controltovalidate = "main_DynamicControl_0_3_17_AddressLine1Value"; main_DynamicControl_0_3_17_AddressLine1ValueReqd.display = "Dynamic"; main_DynamicControl_0_3_17_AddressLine1ValueReqd.enabled = "False"; main_DynamicControl_0_3_17_AddressLine1ValueReqd.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid"; main_DynamicControl_0_3_17_AddressLine1ValueReqd.initialvalue = ""; var main_DynamicControl_0_3_17_CityValueReqd = document.all ? document.all["main_DynamicControl_0_3_17_CityValueReqd"] : document.getElementById("main_DynamicControl_0_3_17_CityValueReqd"); main_DynamicControl_0_3_17_CityValueReqd.controltovalidate = "main_DynamicControl_0_3_17_CityValue"; main_DynamicControl_0_3_17_CityValueReqd.display = "Dynamic"; main_DynamicControl_0_3_17_CityValueReqd.enabled = "False"; main_DynamicControl_0_3_17_CityValueReqd.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid"; main_DynamicControl_0_3_17_CityValueReqd.initialvalue = ""; var main_DynamicControl_0_3_17_StateValueReqd = document.all ? document.all["main_DynamicControl_0_3_17_StateValueReqd"] : document.getElementById("main_DynamicControl_0_3_17_StateValueReqd"); main_DynamicControl_0_3_17_StateValueReqd.controltovalidate = "main_DynamicControl_0_3_17_StateValue"; main_DynamicControl_0_3_17_StateValueReqd.display = "Dynamic"; main_DynamicControl_0_3_17_StateValueReqd.enabled = "False"; main_DynamicControl_0_3_17_StateValueReqd.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid"; main_DynamicControl_0_3_17_StateValueReqd.initialvalue = ""; var main_DynamicControl_0_3_17_ZipValueReqd = document.all ? document.all["main_DynamicControl_0_3_17_ZipValueReqd"] : document.getElementById("main_DynamicControl_0_3_17_ZipValueReqd"); main_DynamicControl_0_3_17_ZipValueReqd.controltovalidate = "main_DynamicControl_0_3_17_ZipValue"; main_DynamicControl_0_3_17_ZipValueReqd.display = "Dynamic"; main_DynamicControl_0_3_17_ZipValueReqd.enabled = "False"; main_DynamicControl_0_3_17_ZipValueReqd.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid"; main_DynamicControl_0_3_17_ZipValueReqd.initialvalue = ""; var main_DynamicControl_0_3_17_ZipValueRegex = document.all ? document.all["main_DynamicControl_0_3_17_ZipValueRegex"] : document.getElementById("main_DynamicControl_0_3_17_ZipValueRegex"); main_DynamicControl_0_3_17_ZipValueRegex.controltovalidate = "main_DynamicControl_0_3_17_ZipValue"; main_DynamicControl_0_3_17_ZipValueRegex.errormessage = "<span class=\'addressValError\'>Please supply a valid value for <span class=\'addressValErrorField\'>Postal Code</span></span>"; main_DynamicControl_0_3_17_ZipValueRegex.display = "Dynamic"; main_DynamicControl_0_3_17_ZipValueRegex.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid"; main_DynamicControl_0_3_17_ZipValueRegex.validationexpression = "^\\d{5}$|^\\d{5}-\\d{4}$"; var main_DynamicControl_0_3_18_MultiSelectListReqd = document.all ? document.all["main_DynamicControl_0_3_18_MultiSelectListReqd"] : document.getElementById("main_DynamicControl_0_3_18_MultiSelectListReqd"); main_DynamicControl_0_3_18_MultiSelectListReqd.errormessage = "Please accept the Terms and Conditions and Privacy Policy"; main_DynamicControl_0_3_18_MultiSelectListReqd.display = "Dynamic"; main_DynamicControl_0_3_18_MultiSelectListReqd.evaluationfunction = "CustomValidatorEvaluateIsValid"; main_DynamicControl_0_3_18_MultiSelectListReqd.clientvalidationfunction = "main_DynamicControl_0_3_18_MultiSelectList_Validate"; var main_DynamicControl_0_3_18_MultiSelectOtherValidator = document.all ? document.all["main_DynamicControl_0_3_18_MultiSelectOtherValidator"] : document.getElementById("main_DynamicControl_0_3_18_MultiSelectOtherValidator"); main_DynamicControl_0_3_18_MultiSelectOtherValidator.enabled = "False"; main_DynamicControl_0_3_18_MultiSelectOtherValidator.evaluationfunction = "CustomValidatorEvaluateIsValid"; var main_DynamicControl_0_3_19_TextFieldReqd = document.all ? document.all["main_DynamicControl_0_3_19_TextFieldReqd"] : document.getElementById("main_DynamicControl_0_3_19_TextFieldReqd"); main_DynamicControl_0_3_19_TextFieldReqd.controltovalidate = "main_DynamicControl_0_3_19_TextField"; main_DynamicControl_0_3_19_TextFieldReqd.display = "Dynamic"; main_DynamicControl_0_3_19_TextFieldReqd.enabled = "False"; main_DynamicControl_0_3_19_TextFieldReqd.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid"; main_DynamicControl_0_3_19_TextFieldReqd.initialvalue = ""; var main_DynamicControl_0_3_19_TextFieldRegex = document.all ? document.all["main_DynamicControl_0_3_19_TextFieldRegex"] : document.getElementById("main_DynamicControl_0_3_19_TextFieldRegex"); main_DynamicControl_0_3_19_TextFieldRegex.controltovalidate = "main_DynamicControl_0_3_19_TextField"; main_DynamicControl_0_3_19_TextFieldRegex.display = "Dynamic"; main_DynamicControl_0_3_19_TextFieldRegex.enabled = "False"; main_DynamicControl_0_3_19_TextFieldRegex.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid"; var main_DynamicControl_0_3_19_TextFieldOtherValidator = document.all ? document.all["main_DynamicControl_0_3_19_TextFieldOtherValidator"] : document.getElementById("main_DynamicControl_0_3_19_TextFieldOtherValidator"); main_DynamicControl_0_3_19_TextFieldOtherValidator.enabled = "False"; main_DynamicControl_0_3_19_TextFieldOtherValidator.evaluationfunction = "CustomValidatorEvaluateIsValid"; var main_DynamicControl_0_3_19_EmailAddressRegex = document.all ? document.all["main_DynamicControl_0_3_19_EmailAddressRegex"] : document.getElementById("main_DynamicControl_0_3_19_EmailAddressRegex"); main_DynamicControl_0_3_19_EmailAddressRegex.controltovalidate = "main_DynamicControl_0_3_19_TextField"; main_DynamicControl_0_3_19_EmailAddressRegex.display = "Dynamic"; main_DynamicControl_0_3_19_EmailAddressRegex.enabled = "False"; main_DynamicControl_0_3_19_EmailAddressRegex.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid"; main_DynamicControl_0_3_19_EmailAddressRegex.validationexpression = "^\\s*([\\w\\-\\.\\+]+)@((\\[([0-9]{1,3}\\.){3}[0-9]{1,3}\\])|(([\\w\\-]+\\.)+)([a-zA-Z]{2,14}))\\s*$"; var main_DynamicControl_0_3_19_EmailAddressMX = document.all ? document.all["main_DynamicControl_0_3_19_EmailAddressMX"] : document.getElementById("main_DynamicControl_0_3_19_EmailAddressMX"); main_DynamicControl_0_3_19_EmailAddressMX.controltovalidate = "main_DynamicControl_0_3_19_TextField"; main_DynamicControl_0_3_19_EmailAddressMX.errormessage = "a valid email address"; main_DynamicControl_0_3_19_EmailAddressMX.display = "Dynamic"; main_DynamicControl_0_3_19_EmailAddressMX.enabled = "False"; main_DynamicControl_0_3_19_EmailAddressMX.evaluationfunction = "CustomValidatorEvaluateIsValid"; //]]> </script> <script type="text/javascript"> //<![CDATA[ (function(id) { var e = document.getElementById(id); if (e) { e.dispose = function() { Array.remove(Page_ValidationSummaries, document.getElementById(id)); } e = null; } })('main_DynamicControl_0_3_2_ValSummary'); var Page_ValidationActive = false; if (typeof(ValidatorOnLoad) == "function") { ValidatorOnLoad(); } function ValidatorOnSubmit() { if (Page_ValidationActive) { return ValidatorCommonOnSubmit(); } else { return true; } } document.getElementById('main_DynamicControl_0_3_5_MultiSelectListReqd').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_5_MultiSelectListReqd')); } document.getElementById('main_DynamicControl_0_3_5_MultiSelectOtherValidator').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_5_MultiSelectOtherValidator')); } document.getElementById('main_DynamicControl_0_3_8_SingleSelectListReqd').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_8_SingleSelectListReqd')); } document.getElementById('main_DynamicControl_0_3_8_SingleSelectOtherValidator').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_8_SingleSelectOtherValidator')); } document.getElementById('main_DynamicControl_0_3_9_SingleSelectListReqd').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_9_SingleSelectListReqd')); } document.getElementById('main_DynamicControl_0_3_9_SingleSelectOtherValidator').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_9_SingleSelectOtherValidator')); } document.getElementById('main_DynamicControl_0_3_12_TextFieldReqd').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_12_TextFieldReqd')); } document.getElementById('main_DynamicControl_0_3_12_TextFieldRegex').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_12_TextFieldRegex')); } document.getElementById('main_DynamicControl_0_3_12_TextFieldOtherValidator').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_12_TextFieldOtherValidator')); } document.getElementById('main_DynamicControl_0_3_12_EmailAddressRegex').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_12_EmailAddressRegex')); } document.getElementById('main_DynamicControl_0_3_12_EmailAddressMX').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_12_EmailAddressMX')); } document.getElementById('main_DynamicControl_0_3_13_TextFieldReqd').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_13_TextFieldReqd')); } document.getElementById('main_DynamicControl_0_3_13_TextFieldRegex').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_13_TextFieldRegex')); } document.getElementById('main_DynamicControl_0_3_13_TextFieldOtherValidator').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_13_TextFieldOtherValidator')); } document.getElementById('main_DynamicControl_0_3_13_EmailAddressRegex').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_13_EmailAddressRegex')); } document.getElementById('main_DynamicControl_0_3_13_EmailAddressMX').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_13_EmailAddressMX')); } document.getElementById('main_DynamicControl_0_3_14_TextFieldReqd').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_14_TextFieldReqd')); } document.getElementById('main_DynamicControl_0_3_14_TextFieldRegex').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_14_TextFieldRegex')); } document.getElementById('main_DynamicControl_0_3_14_TextFieldOtherValidator').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_14_TextFieldOtherValidator')); } document.getElementById('main_DynamicControl_0_3_14_EmailAddressRegex').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_14_EmailAddressRegex')); } document.getElementById('main_DynamicControl_0_3_14_EmailAddressMX').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_14_EmailAddressMX')); } document.getElementById('main_DynamicControl_0_3_15_SingleSelectListReqd').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_15_SingleSelectListReqd')); } document.getElementById('main_DynamicControl_0_3_15_SingleSelectOtherValidator').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_15_SingleSelectOtherValidator')); } document.getElementById('main_DynamicControl_0_3_16_SingleSelectListReqd').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_16_SingleSelectListReqd')); } document.getElementById('main_DynamicControl_0_3_16_SingleSelectOtherValidator').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_16_SingleSelectOtherValidator')); } document.getElementById('main_DynamicControl_0_3_17_AddressLine1ValueReqd').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_17_AddressLine1ValueReqd')); } document.getElementById('main_DynamicControl_0_3_17_CityValueReqd').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_17_CityValueReqd')); } document.getElementById('main_DynamicControl_0_3_17_StateValueReqd').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_17_StateValueReqd')); } document.getElementById('main_DynamicControl_0_3_17_ZipValueReqd').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_17_ZipValueReqd')); } document.getElementById('main_DynamicControl_0_3_17_ZipValueRegex').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_17_ZipValueRegex')); } document.getElementById('main_DynamicControl_0_3_18_MultiSelectListReqd').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_18_MultiSelectListReqd')); } document.getElementById('main_DynamicControl_0_3_18_MultiSelectOtherValidator').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_18_MultiSelectOtherValidator')); } document.getElementById('main_DynamicControl_0_3_19_TextFieldReqd').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_19_TextFieldReqd')); } document.getElementById('main_DynamicControl_0_3_19_TextFieldRegex').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_19_TextFieldRegex')); } document.getElementById('main_DynamicControl_0_3_19_TextFieldOtherValidator').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_19_TextFieldOtherValidator')); } document.getElementById('main_DynamicControl_0_3_19_EmailAddressRegex').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_19_EmailAddressRegex')); } document.getElementById('main_DynamicControl_0_3_19_EmailAddressMX').dispose = function() { Array.remove(Page_Validators, document.getElementById('main_DynamicControl_0_3_19_EmailAddressMX')); } //]]> </script> </form> <footer> <div class='container'> <div class='row'> <p class='col-md-12'> ©2024 MJH Life Sciences<sup>™</sup> and <span class='brandName'></span>. All rights reserved. </p> </div> </div> </footer> <script src="/forms/js/iframeResizer.contentWindow.js" type="text/javascript"></script> <script type="text/javascript" src="/js/FetchWrapper.js"></script> <script type="text/javascript" src="/js/LoggerWrapper.js"></script> <script src="/libs/jquery/bootstrap/dist/js/bootstrap.js"></script> <script type="text/javascript" src="//code.jquery.com/ui/1.11.4/jquery-ui.min.js"></script> <script type="text/javascript"> const _logger = new LoggerWrapper("439fc8d4-a944-496d-a76c-b8bc418c6948", "020c146f-bdf4-4171-95b6-b5ad7640749e"); </script> <div style="display: none;"> <svg id="SVG_Radio" xmlns="http://www.w3.org/2000/svg" width="20" height="20" viewBox="0 0 20 20"> <g id="Ellipse_97" data-name="Ellipse 97" fill="var(--svgRadioBackground)" stroke="var(--svgRadioStroke)" stroke-width="var(--svgRadioStrokeWidth)"> <circle cx="10" cy="10" r="10" stroke="none"/> <circle cx="10" cy="10" r="9.5" fill="none"/> </g> <circle class="svg_radio_circle" id="Ellipse_100" data-name="Ellipse 100" cx="5" cy="5" r="5" transform="translate(5 5)" fill="var(--svgRadioFill)"/> </svg> <svg id="SVG_Checkbox" xmlns="http://www.w3.org/2000/svg" width="36" height="36" viewBox="0 0 36 36"> <g id="Rectangle_83" data-name="Rectangle 83" fill="var(--svgCheckboxBackground)" stroke="var(--svgCheckboxStroke)" stroke-width="var(--svgCheckboxStrokeWidth)"> <rect width="36" height="36" stroke="none"/> <rect x="0.5" y="0.5" width="35" height="35" fill="none"/> </g> <path id="done_FILL0_wght400_GRAD0_opsz48_2_" data-name="done_FILL0_wght400_GRAD0_opsz48(2)" d="M17.489,32.74,7.7,22.951l1.879-1.879,7.91,7.91L34.271,12.2l1.879,1.879Z" transform="translate(-3.7 -4.2)" fill="var(--svgCheckboxFill)"/> </svg> </div> <script type="text/javascript" src="/forms/js/SharedFormScript.js"></script> </body> </html>

CINXE.COM

One - Psychiatric Times