GoldDerby Email Alerts & Newsletter Preferences

<!DOCTYPE html><html lang="en" class=""> <head><script type="text/javascript" src="/_static/js/bundle-playback.js?v=HxkREWBo" charset="utf-8"></script> <script type="text/javascript" src="/_static/js/wombat.js?v=txqj7nKC" charset="utf-8"></script> <script>window.RufflePlayer=window.RufflePlayer||{};window.RufflePlayer.config={"autoplay":"on","unmuteOverlay":"hidden"};</script> <script type="text/javascript" src="/_static/js/ruffle/ruffle.js"></script> <script type="text/javascript"> __wm.init("https://web.archive.org/web"); __wm.wombat("https://cloud.email.goldderby.com/signup","20231114043319","https://web.archive.org/","web","/_static/", "1699936399"); </script> <link rel="stylesheet" type="text/css" href="/_static/css/banner-styles.css?v=S1zqJCYt" /> <link rel="stylesheet" type="text/css" href="/_static/css/iconochive.css?v=3PDvdIFv" />  <meta name="ROBOTS" content="INDEX,FOLLOW"><meta name="keywords" content=""><meta name="description" content=""> <title>GoldDerby Email Alerts & Newsletter Preferences</title> <link rel="stylesheet prefetch" href="https://web.archive.org/web/20231114043319cs_/https://cdnjs.cloudflare.com/ajax/libs/twitter-bootstrap/4.0.0-beta.2/css/bootstrap.css"> <style class="cp-pen-styles"> @import url("https://web.archive.org/web/20231114043319cs_/https://fonts.googleapis.com/css?family=Istok+Web|Montserrat:400,700"); @import url('https://web.archive.org/web/20231114043319cs_/https://fonts.googleapis.com/css2?family=Lato:wght@400;900&display=swap'); * { font-family: 'Lato', sans-serif; box-sizing: border-box; -moz-box-sizing: border-box; -webkit-box-sizing: border-box; -webkit-font-smoothing: antialiased; -moz-osx-font-smoothing: grayscale; } *:before, *:after { box-sizing: border-box; -moz-box-sizing: border-box; -webkit-box-sizing: border-box; } .container { padding: 0px 40px 0px 40px; } section { padding: 25px 0; } #navigation { position: fixed; width: 100%; left: 0; right: 0; top: 10px; max-width: 1060px; margin: auto auto; padding: 0px; z-index: 20; } #navigation .alert { margin-bottom: 0; border-radius: 0; z-index: 5; margin-top: 15px; } #navigation .nav { z-index: 10; position: relative; background: #000000; box-shadow: 0 5px 10px 0 rgba(0, 0, 0, 0.25); } #navigation .nav a { color: #fff; padding: 10px; font-weight: bold; font-size: 13px; } #navigation .nav a.save { background: #666; transition: all 500ms ease-out; } h1 { font-family: 'Lato', sans-serif; color: #000000; font-size: 44px; font-weight: 900; letter-spacing: 0; line-height: 52px; text-align: center; } h2 { font-family: 'Lato', sans-serif; color: #000000; font-size: 44px; font-weight: 900; letter-spacing: 0; line-height: 52px; text-align: center; } h3 { font-family: 'Lato', sans-serif; color: #000000; font-size: 23px; letter-spacing: 0; line-height: 28px; text-align: center; } .unsubscribe { text-align: right; padding-top: 10px; font-weight: bold; font-size: 14px; } .row-cards .col-sm-12, .col-sm-6, .col-sm-4 { margin-bottom: 10px; } .row-cards .col-lg-6, .row-cards .col-sm-12 { padding-right: 13px; padding-left: 13px; } .card-content { position: relative; height: 100%; flex-direction: column; border-radius: 5px; background-color: #FFFFFF; box-shadow: 1px 2px 9px 0 rgba(0,0,0,0.08); } .card-content * { cursor: pointer; } .card-content h4 { font-family: 'Lato', sans-serif; color: #000000; font-size: 28px; font-weight: 900; letter-spacing: 0; line-height: 34px; margin-bottom: 7px; } .card-content p { font-family: 'Lato', sans-serif; color: #000000; font-family: Lato; font-size: 18px; letter-spacing: 0; line-height: 22px; } .c-card { position: absolute; top: 0; left: 0; opacity: 0; visibility: hidden; } .c-card ~ .card-content { transition: all 800ms ease-out; border: 1px solid transparent; } .c-card ~ .card-content:hover { border: 1px solid #57CF39; } .c-card ~ .card-content label { margin-bottom: 0; height: 100%; display: flex; flex-direction: column; } .c-card ~ .card-content .card-text { padding: 21px 21px 37px 21px; flex-grow: 1; transition: all 200ms ease-out; } .c-card ~ .card-content .card-bottom { transition: all 200ms ease-out; } .c-card ~ .card-content .card-bottom .schedule { border-bottom: 1px solid #D9D9D9; padding-left: 25px; padding-bottom: 13px; } .c-card ~ .card-content .card-bottom .schedule span { font-family: 'Lato', sans-serif; color: #000000; font-size: 14px; font-weight: 900; letter-spacing: 0.53px; line-height: 17px; text-align: center; text-transform: uppercase; } .c-card ~ .card-content .card-bottom .schedule span:before { width: 24px; height: 23px; display: inline-block; vertical-align: middle; margin-right: 5px; content: ''; background: 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no-repeat; } .c-card ~ .card-content .card-bottom .subscribe { display: flex; line-height: 31px; padding-left: 23px; padding-top: 15px; padding-bottom: 15px; } .c-card ~ .card-content .card-bottom .subscribe .circle { width: 31px; height: 31px; border-radius: 50%; border: 1px solid #D9D9D9; background-color: #FFFFFF; display: inline-block; margin-right: 10px; position: relative; } .c-card ~ .card-content .card-bottom .subscribe .circle .card-state-icon { position: absolute; top: 0; left: 0; z-index: 2; width: 31px; height: 31px; background: url(data:image/svg+xml;utf8;base64,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) no-repeat; transition: all 100ms ease-out; display: none; background-position: 7px 6px; } .c-card ~ .card-content .card-bottom .subscribe span { font-family: 'Lato', sans-serif; color: #000000; font-size: 12px; letter-spacing: 1.12px; } .c-card:checked ~ .card-content .card-bottom .subscribe .circle { background-color: #57CF39; } .c-card:checked ~ .card-content .card-bottom .subscribe .circle .card-state-icon { display: block; } .footer { font-size:.8em; text-align:center; } .checkbox { margin-bottom:20px; display: inline-block; } .checkbox label { color:#666; } label { display: inline; } label p { margin:0; } h4 { margin:0; color:#000; } #header { background: #000000; text-align: center; padding: 60px 0 44px 0; } .logo { margin: 0 0 11px 0; padding: 0; } .logo img { width:500px; } #header .content h1{ font-family: 'Lato', sans-serif; color: #FFFFFF; font-size: 30px; letter-spacing: 4.07px; line-height: 36px; text-align: center; font-weight: 400; } #account { padding: 20px 0 20px 0; } #account h2 { margin-bottom: 11px; } #account h3 { margin-bottom: 7px; } .save { font-family: 'Lato', sans-serif; background-color: #000000; color: #FFFFFF; font-size: 20px; font-weight: 900; letter-spacing: 0.8px; line-height: 24px; padding: 17px 118px; border-radius: 0; border: 0; box-shadow: none; } .btn-secondary.save:hover, .btn-secondary.save:active, .btn-secondary.save:focus { background-color: #000000de; outline: none; box-shadow: none; } .btn-secondary:not([disabled]):not(.disabled):active, .btn-secondary:not([disabled]):not(.disabled).active, .show > .btn-secondary.dropdown-toggle { box-shadow: none; } #subscriptions, #Offers, #categories, #footer { background-color: #F9F9F9; } #footer { z-index: 99; position: relative; } #subscriptions { padding-top: 70px; padding-bottom: 0; } #categories { padding-top: 20px; padding-bottom: 0; } #Offers { padding-top: 60px; padding-bottom: 0; } #Offers h2 { margin-bottom: 35px; } #Offers .subscribe-options { margin-bottom: 0; } #Offers .subscribe-options .save { margin-top: 0; } #subscriptions .container, #Offers .container, #categories .container { padding: 0 0; } input[type="radio"] { width: 31px; height: 31px; } input[type="checkbox"] { width: 16px; height: 16px; } input[type="radio"]:checked, input[type="checkbox"]:checked { background: #57CF39; } .subscribe-options { margin-top: 20px; margin-bottom: 40px; } .subscribe-options .form-check-inline { margin: 0 28px; line-height: 31px; } .subscribe-options .form-check label { font-family: 'Lato', sans-serif; font-size: 20px; letter-spacing: 0.8px; line-height: 24px; padding-left: 28px; } #update-bar { display: none !important; background-color: #919191; position: fixed; bottom: 0; width: 100%; left: 0; opacity: 0; transition: all .75s ease; z-index: 9; } #update-bar.sticky { opacity: 1; } #update-bar .container { padding: 0; } #update-bar .form-group { margin-bottom: 12px; } #update-bar .save { padding: 17px 70px; margin-top: 0; } #update-bar h3 { color: #fff; margin-bottom: 0; } @keyframes jump { 0% { transform: translateY(0); } 40% { transform: translateY(-5px); } 100% { transform: translateY(0); } } .jump { transform-origin: 50% 50%; animation: jump 1s cubic-bezier(0.645, 0.045, 0.355, 1) alternate infinite; background: #d32531 !important; } .jump-success { transform-origin: 50% 50%; animation: jump 1s cubic-bezier(0.645, 0.045, 0.355, 1) alternate 3; background: #ceead5 !important; } .alert-modal { position: fixed; top: 0; right: 0; bottom: 0; left: 0; z-index: 1050; overflow: hidden; outline: 0; display: none; } .alert-modal.modal-open { display: block; background-color: #000000bf; animation: fadeIn 1s; -webkit-animation: fadeIn 1s; -moz-animation: fadeIn 1s; -o-animation: fadeIn 1s; -ms-animation: fadeIn 1s; } @keyframes fadeIn { 0% {opacity:0;} 100% {opacity:1;} } @-moz-keyframes fadeIn { 0% {opacity:0;} 100% {opacity:1;} } @-webkit-keyframes fadeIn { 0% {opacity:0;} 100% {opacity:1;} } .alert-modal .modal-content button.close { position: absolute; right: 15px; top: 15px; z-index: 9; } .alert-modal .modal-content .modal-body { padding: 30px; } @media only screen and (max-width: 768px) { h3 { font-size: 18px; } br { display: none; } .logo img { width: 350px; } #header .content h1 { font-size: 20px; } .save { padding: 17px 40px; } .subscribe-options .form-check-inline { margin-bottom: 10px; } #subscriptions .container, #Offers .container, #categories .container { padding: 0 20px; } } </style> <script type="text/javascript"> function toggle(source) { var checkboxes = document.querySelectorAll('input[type="checkbox"]'); for (var i = 0; i < checkboxes.length; i++) { if (checkboxes[i] != source) checkboxes[i].checked = source.checked; } } </script> </head> <body> <form action="" method="POST" id="form">  <div class="alert-modal"> <div class="modal-dialog"> <div class="modal-content"> <button type="button" class="close"> <span aria-hidden="true">×</span> </button> <div class="modal-body"> <h2>Thank You</h2> <p class="text-center">Your subscription preferences have been updated.<br><i> Please allow up to 24 hours for changes to take effect.</i></p> </div> </div> </div> </div> <section id="header"> <div class="logo"> <a href="https://web.archive.org/web/20231114043319/https://www.goldderby.com/"><img src="https://web.archive.org/web/20231114043319im_/https://image.s7.sfmc-content.com/lib/fe9413727466077476/m/1/bda4f3e3-bbb7-40ba-a48a-91b51db98b2e.png"></a> </div> <div class="content"> <h1>SUBSCRIBE TO OUR NEWSLETTERS</h1> </div> </section> <section id="account"> <div class="container"> <div class="row"> <div class="col"> <h2>Account Info</h2> </div> </div> <div class="row"> <div class="col-lg-12"> <div class="form-group"> <label for="email">Email Address*</label> <input type="email" class="form-control" name="EmailAddress" id="EmailAddress" aria-describedby="emailHelp" placeholder="Enter email" required> <small id="emailHelp" class="form-text text-muted">We'll never share your email with anyone else.</small> </div> </div> <div class="col-lg-6"> <div class="form-group"> <label for="FirstName">First Name</label> <input type="text" class="form-control" placeholder="Enter First Name" maxlength="50" name="First_Name" id="FirstName" value=""> </div> </div> <div class="col-lg-6"> <div class="form-group"> <label for="LastName">Last Name</label> <input type="text" class="form-control" placeholder="Enter Last Name" maxlength="50" name="Last_Name" id="LastName" value=""> </div> </div> <div class="col-lg-6"> <div class="form-group"> <label for="ZipCode">Zip Code*</label> <input type="text" class="form-control" placeholder="Enter Zip Code" maxlength="50" name="Zip_Code" id="ZipCode" value="" required> </div> </div> <div class="col-lg-6"> <div class="form-group"> <label for="Country">Country*</label> <select class="form-control" name="Country" id="Country" value="" onchange="toggle(this)" required> <option value="United States">United States</option> <option value="United Kingdom">United Kingdom</option> <option value="Afghanistan">Afghanistan</option> <option value="Albania">Albania</option> <option value="Algeria">Algeria</option> <option value="American Samoa">American Samoa</option> <option value="Andorra">Andorra</option> <option value="Angola">Angola</option> <option value="Anguilla">Anguilla</option> <option value="Antarctica">Antarctica</option> <option value="Antigua and Barbuda">Antigua and Barbuda</option> <option value="Argentina">Argentina</option> <option value="Armenia">Armenia</option> <option value="Aruba">Aruba</option> <option value="Australia">Australia</option> <option value="Austria">Austria</option> <option value="Azerbaijan">Azerbaijan</option> <option value="Bahamas">Bahamas</option> <option value="Bahrain">Bahrain</option> <option value="Bangladesh">Bangladesh</option> <option value="Barbados">Barbados</option> <option value="Belarus">Belarus</option> <option value="Belgium">Belgium</option> <option value="Belize">Belize</option> <option value="Benin">Benin</option> <option value="Bermuda">Bermuda</option> <option value="Bhutan">Bhutan</option> <option value="Bolivia">Bolivia</option> <option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option> <option value="Botswana">Botswana</option> <option value="Bouvet Island">Bouvet Island</option> <option value="Brazil">Brazil</option> <option value="British Indian Ocean Territory">British Indian Ocean Territory</option> <option value="Brunei Darussalam">Brunei Darussalam</option> <option value="Bulgaria">Bulgaria</option> <option value="Burkina Faso">Burkina Faso</option> <option value="Burundi">Burundi</option> <option value="Cambodia">Cambodia</option> <option value="Cameroon">Cameroon</option> <option value="Canada">Canada</option> <option value="Cape Verde">Cape Verde</option> <option value="Cayman Islands">Cayman Islands</option> <option value="Central African Republic">Central African Republic</option> <option value="Chad">Chad</option> <option value="Chile">Chile</option> <option value="China">China</option> <option value="Christmas Island">Christmas Island</option> <option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option> <option value="Colombia">Colombia</option> <option value="Comoros">Comoros</option> <option value="Congo">Congo</option> <option value="Congo, The Democratic Republic of The">Congo, The Democratic Republic of The</option> <option value="Cook Islands">Cook Islands</option> <option value="Costa Rica">Costa Rica</option> <option value="Cote D'ivoire">Cote D'ivoire</option> <option value="Croatia">Croatia</option> <option value="Cuba">Cuba</option> <option value="Cyprus">Cyprus</option> <option value="Czech Republic">Czech Republic</option> <option value="Denmark">Denmark</option> <option value="Djibouti">Djibouti</option> <option value="Dominica">Dominica</option> <option value="Dominican Republic">Dominican Republic</option> <option value="Ecuador">Ecuador</option> <option value="Egypt">Egypt</option> <option value="El Salvador">El Salvador</option> <option value="Equatorial Guinea">Equatorial Guinea</option> <option value="Eritrea">Eritrea</option> <option value="Estonia">Estonia</option> <option value="Ethiopia">Ethiopia</option> <option value="Falkland Islands (Malvinas)">Falkland Islands (Malvinas)</option> <option value="Faroe Islands">Faroe Islands</option> <option value="Fiji">Fiji</option> <option value="Finland">Finland</option> <option value="France">France</option> <option value="French Guiana">French Guiana</option> <option value="French Polynesia">French Polynesia</option> <option value="French Southern Territories">French Southern Territories</option> <option value="Gabon">Gabon</option> <option value="Gambia">Gambia</option> <option value="Georgia">Georgia</option> <option value="Germany">Germany</option> <option value="Ghana">Ghana</option> <option value="Gibraltar">Gibraltar</option> <option value="Greece">Greece</option> <option value="Greenland">Greenland</option> <option value="Grenada">Grenada</option> <option value="Guadeloupe">Guadeloupe</option> <option value="Guam">Guam</option> <option value="Guatemala">Guatemala</option> <option value="Guinea">Guinea</option> <option value="Guinea-bissau">Guinea-bissau</option> <option value="Guyana">Guyana</option> <option value="Haiti">Haiti</option> <option value="Heard Island and Mcdonald Islands">Heard Island and Mcdonald Islands</option> <option value="Holy See (Vatican City State)">Holy See (Vatican City State)</option> <option value="Honduras">Honduras</option> <option value="Hong Kong">Hong Kong</option> <option value="Hungary">Hungary</option> <option value="Iceland">Iceland</option> <option value="India">India</option> <option value="Indonesia">Indonesia</option> <option value="Iran, Islamic Republic of">Iran, Islamic Republic of</option> <option value="Iraq">Iraq</option> <option value="Ireland">Ireland</option> <option value="Israel">Israel</option> <option value="Italy">Italy</option> <option value="Jamaica">Jamaica</option> <option value="Japan">Japan</option> <option value="Jordan">Jordan</option> <option value="Kazakhstan">Kazakhstan</option> <option value="Kenya">Kenya</option> <option value="Kiribati">Kiribati</option> <option value="Korea, Democratic People's Republic of">Korea, Democratic People's Republic of</option> <option value="Korea, Republic of">Korea, Republic of</option> <option value="Kuwait">Kuwait</option> <option value="Kyrgyzstan">Kyrgyzstan</option> <option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option> <option value="Latvia">Latvia</option> <option value="Lebanon">Lebanon</option> <option value="Lesotho">Lesotho</option> <option value="Liberia">Liberia</option> <option value="Libyan Arab Jamahiriya">Libyan Arab Jamahiriya</option> <option value="Liechtenstein">Liechtenstein</option> <option value="Lithuania">Lithuania</option> <option value="Luxembourg">Luxembourg</option> <option value="Macao">Macao</option> <option value="Macedonia, The Former Yugoslav Republic of">Macedonia, The Former Yugoslav Republic of</option> <option value="Madagascar">Madagascar</option> <option value="Malawi">Malawi</option> <option value="Malaysia">Malaysia</option> <option value="Maldives">Maldives</option> <option value="Mali">Mali</option> <option value="Malta">Malta</option> <option value="Marshall Islands">Marshall Islands</option> <option value="Martinique">Martinique</option> <option value="Mauritania">Mauritania</option> <option value="Mauritius">Mauritius</option> <option value="Mayotte">Mayotte</option> <option value="Mexico">Mexico</option> <option value="Micronesia, Federated States of">Micronesia, Federated States of</option> <option value="Moldova, Republic of">Moldova, Republic of</option> <option value="Monaco">Monaco</option> <option value="Mongolia">Mongolia</option> <option value="Montserrat">Montserrat</option> <option value="Morocco">Morocco</option> <option value="Mozambique">Mozambique</option> <option value="Myanmar">Myanmar</option> <option value="Namibia">Namibia</option> <option value="Nauru">Nauru</option> <option value="Nepal">Nepal</option> <option value="Netherlands">Netherlands</option> <option value="Netherlands Antilles">Netherlands Antilles</option> <option value="New Caledonia">New Caledonia</option> <option value="New Zealand">New Zealand</option> <option value="Nicaragua">Nicaragua</option> <option value="Niger">Niger</option> <option value="Nigeria">Nigeria</option> <option value="Niue">Niue</option> <option value="Norfolk Island">Norfolk Island</option> <option value="Northern Mariana Islands">Northern Mariana Islands</option> <option value="Norway">Norway</option> <option value="Oman">Oman</option> <option value="Pakistan">Pakistan</option> <option value="Palau">Palau</option> <option value="Palestinian Territory, Occupied">Palestinian Territory, Occupied</option> <option value="Panama">Panama</option> <option value="Papua New Guinea">Papua New Guinea</option> <option value="Paraguay">Paraguay</option> <option value="Peru">Peru</option> <option value="Philippines">Philippines</option> <option value="Pitcairn">Pitcairn</option> <option value="Poland">Poland</option> <option value="Portugal">Portugal</option> <option value="Puerto Rico">Puerto Rico</option> <option value="Qatar">Qatar</option> <option value="Reunion">Reunion</option> <option value="Romania">Romania</option> <option value="Russian Federation">Russian Federation</option> <option value="Rwanda">Rwanda</option> <option value="Saint Helena">Saint Helena</option> <option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option> <option value="Saint Lucia">Saint Lucia</option> <option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option> <option value="Saint Vincent and The Grenadines">Saint Vincent and The Grenadines</option> <option value="Samoa">Samoa</option> <option value="San Marino">San Marino</option> <option value="Sao Tome and Principe">Sao Tome and Principe</option> <option value="Saudi Arabia">Saudi Arabia</option> <option value="Senegal">Senegal</option> <option value="Serbia and Montenegro">Serbia and Montenegro</option> <option value="Seychelles">Seychelles</option> <option value="Sierra Leone">Sierra Leone</option> <option value="Singapore">Singapore</option> <option value="Slovakia">Slovakia</option> <option value="Slovenia">Slovenia</option> <option value="Solomon Islands">Solomon Islands</option> <option value="Somalia">Somalia</option> <option value="South Africa">South Africa</option> <option value="South Georgia and The South Sandwich Islands">South Georgia and The South Sandwich Islands</option> <option value="Spain">Spain</option> <option value="Sri Lanka">Sri Lanka</option> <option value="Sudan">Sudan</option> <option value="Suriname">Suriname</option> <option value="Svalbard and Jan Mayen">Svalbard and Jan Mayen</option> <option value="Swaziland">Swaziland</option> <option value="Sweden">Sweden</option> <option value="Switzerland">Switzerland</option> <option value="Syrian Arab Republic">Syrian Arab Republic</option> <option value="Taiwan, Province of China">Taiwan, Province of China</option> <option value="Tajikistan">Tajikistan</option> <option value="Tanzania, United Republic of">Tanzania, United Republic of</option> <option value="Thailand">Thailand</option> <option value="Timor-leste">Timor-leste</option> <option value="Togo">Togo</option> <option value="Tokelau">Tokelau</option> <option value="Tonga">Tonga</option> <option value="Trinidad and Tobago">Trinidad and Tobago</option> <option value="Tunisia">Tunisia</option> <option value="Turkey">Turkey</option> <option value="Turkmenistan">Turkmenistan</option> <option value="Turks and Caicos Islands">Turks and Caicos Islands</option> <option value="Tuvalu">Tuvalu</option> <option value="Uganda">Uganda</option> <option value="Ukraine">Ukraine</option> <option value="United Arab Emirates">United Arab Emirates</option> <option value="United Kingdom">United Kingdom</option> <option value="United States">United States</option> <option value="United States Minor Outlying Islands">United States Minor Outlying Islands</option> <option value="Uruguay">Uruguay</option> <option value="Uzbekistan">Uzbekistan</option> <option value="Vanuatu">Vanuatu</option> <option value="Venezuela">Venezuela</option> <option value="Viet Nam">Viet Nam</option> <option value="Virgin Islands, British">Virgin Islands, British</option> <option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option> <option value="Wallis and Futuna">Wallis and Futuna</option> <option value="Western Sahara">Western Sahara</option> <option value="Yemen">Yemen</option> <option value="Zambia">Zambia</option> <option value="Zimbabwe">Zimbabwe</option> </select> </div> </div> <div class="col-lg-6"> <div class="form-group"> <label for="Company">Company</label> <input type="text" class="form-control" placeholder="Enter Company" maxlength="50" name="Company" id="Company" value=""> </div> </div> <div class="col-lg-6"> <div class="form-group"> <label for="Title">Job Title</label> <input type="text" class="form-control" placeholder="Enter Job Title" maxlength="50" name="Title" id="Title" value=""> </div> </div> <div class="col-lg-12"> <div class="form-group"> <label for="Secondary">In what industries do you work?*</label> </div> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="Film_Industry" value="Yes"> <label>Film</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="TV_Industry" value="Yes"> <label>TV</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="Theater_Industry" value="Yes"> <label>Theater</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="Music_Industry" value="Yes"> <label>Music</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="Internet_Industry" value="Yes"> <label>Internet</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="Industry" value="Other"> <label>Other</label> </div> <div style="clear:both;"></div> <div class="col-lg-12"> <div class="form-group"> <label for="Secondary">Which guilds or organizations do you belong to?*</label> </div> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="AMPAS" value="Yes"> <label>AMPAS</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="TV_Academy" value="Yes"> <label>Television Academy</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="Recording_Academy" value="Yes"> <label>Recording Academy</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="SAG_AFTRA" value="Yes"> <label>SAG/AFTRA</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="PublicistsGuild" value="Yes"> <label>Publicists' Guild</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="ProducerGuild" value="Yes"> <label>Producers' Guild</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="WriterGuild" value="Yes"> <label>Writers' Guild</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="DirectorGuild" value="Yes"> <label>Directors Guild</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="HFPA" value="Yes"> <label>HFPA</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="CostumeDesigners" value="Yes"> <label>Costume Designers</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="MusicGuild" value="Yes"> <label>Music (ASCAP, others)</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="MakeUp" value="Yes"> <label>Make-Up & Hair Stylists</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="ArtDirectorGuild" value="Yes"> <label>Art Directors</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="SoundGuild" value="Yes"> <label>Sound</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="VisualEffects" value="Yes"> <label>Advanced Imaging & Visual Effects</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="Cinematographers" value="Yes"> <label>Cinematographers</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="Editors" value="Yes"> <label>Editors</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="Animation" value="Yes"> <label>Animation</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="Guild_or_union_affiliation" value="Other"> <label>Other</label> </div> <div style="clear:both;"></div> <div class="col-lg-12"> <div class="form-group"> <label for="Secondary">What is your profession?*</label> </div> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="Profession_Actor_Performer" value="Yes"> <label>Actor/Performer</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="Profession_Agent_Manager" value="Yes"> <label>Agent/Manager</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="Profession_Director" value="Yes"> <label>Director</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="Profession_Executive" value="Yes"> <label>Executive</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="Profession_Lawyer" value="Yes"> <label>Lawyer</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="Profession_Marketing" value="Yes"> <label>Marketing/Advertising</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="Profession_Producer" value="Yes"> <label>Producer</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="Profession_Production" value="Yes"> <label>Production: Crew, Edit, Tech</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="Profession_Publicist" value="Yes"> <label>Publicist</label> </div> <div class="col-lg-3 col-sm-4"> <input type="checkbox" name="Profession_Writer" value="Yes"> <label>Writer</label> </div> <div 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