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Jel Sert - ACCO

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Heroes</a></li> <li class="page_item page-item-13817"><a href="https://www.acco.org/gold-wall-of-gratitude/">Gold Wall of Gratitude</a></li> <li class="page_item page-item-4631"><a href="https://www.acco.org/goldenangels/">Golden Angels &#8211; Puerto Rico (PR)</a></li> <li class="page_item page-item-12853"><a href="https://www.acco.org/golden-warriors-of-maine-me/">Golden Warriors of Maine &#8211; ME</a></li> <li class="page_item page-item-14066"><a href="https://www.acco.org/graces-survivor-story/">Grace&#8217;s Survivor Story</a></li> <li class="page_item page-item-6538"><a href="https://www.acco.org/green-family/">Green Family</a></li> <li class="page_item page-item-23"><a href="https://www.acco.org/groups/">Groups</a></li> <li class="page_item page-item-14098"><a href="https://www.acco.org/hannahs-survivor-story/">Hannah&#8217;s Survivor Story</a></li> <li class="page_item page-item-1831"><a href="https://www.acco.org/health-related-outcomes-for-hodgkin-disease-survivors/">Health-Related Outcomes for Hodgkin Disease Survivors</a></li> <li class="page_item page-item-31010"><a href="https://www.acco.org/hepatoblastoma-cancer-de-higado/">Hepatoblastoma (Cáncer de Hígado)</a></li> <li class="page_item page-item-1339"><a href="https://www.acco.org/hepatoblastoma/">Hepatoblastoma (Liver Cancer)</a></li> <li class="page_item page-item-170"><a href="https://www.acco.org/hero-beads/">Hero Beads®</a></li> <li class="page_item page-item-37"><a href="https://www.acco.org/history/">History of ACCO</a></li> <li class="page_item page-item-551"><a href="https://www.acco.org/history-timeline/">History Timeline</a></li> <li class="page_item page-item-2"><a href="https://www.acco.org/">Home</a></li> <li class="page_item page-item-1407"><a href="https://www.acco.org/home-2/">Home</a></li> <li class="page_item page-item-3235"><a href="https://www.acco.org/hope4heroes/">Hope 4 Heroes &#8211; CO</a></li> <li class="page_item page-item-34438"><a href="https://www.acco.org/hope-amidst-sorrow/">Hope Amidst Sorrow: A Seminar for Bereaved Parents</a></li> <li class="page_item page-item-5188"><a href="https://www.acco.org/hope4ccf/">Hope4CCF &#8211; LA</a></li> <li class="page_item page-item-34720"><a href="https://www.acco.org/hospital-organization-resources/">Hospital &amp; Organization Resources</a></li> <li class="page_item page-item-11769"><a href="https://www.acco.org/hospitalnetwork/">Hospital Network Program</a></li> <li class="page_item page-item-1760"><a href="https://www.acco.org/hydrocephalus-shunts-and-gamma-knife/">Hydrocephalus, Shunts, and Gamma Knife</a></li> <li class="page_item page-item-13521"><a href="https://www.acco.org/i-feel-afraid/">I feel afraid.</a></li> <li class="page_item page-item-13503"><a href="https://www.acco.org/i-feel-angry/">I feel angry.</a></li> <li class="page_item page-item-13509"><a href="https://www.acco.org/i-feel-bored/">I feel bored.</a></li> <li class="page_item page-item-13525"><a href="https://www.acco.org/i-feel-disgusted/">I feel disgusted.</a></li> <li class="page_item page-item-13490"><a href="https://www.acco.org/i-feel-happy/">I feel happy.</a></li> <li class="page_item page-item-13494"><a href="https://www.acco.org/i-feel-proud/">I feel proud.</a></li> <li class="page_item page-item-13472"><a href="https://www.acco.org/i-feel-sad/">I feel sad.</a></li> <li class="page_item page-item-13498"><a href="https://www.acco.org/i-feel-surprised/">I feel surprised.</a></li> <li class="page_item page-item-13519"><a href="https://www.acco.org/i-feel-tired/">I feel tired.</a></li> <li class="page_item page-item-1986"><a href="https://www.acco.org/improving-informed-consent-in-childhood-cancer-trials/">Improving Informed Consent in Childhood Cancer Trials</a></li> <li class="page_item page-item-10881"><a href="https://www.acco.org/international/">International Advocacy</a></li> <li class="page_item page-item-33565"><a href="https://www.acco.org/iccd-2024/">International Childhood Cancer Day &#8211; 2024</a></li> <li class="page_item page-item-4711"><a href="https://www.acco.org/international-statistics/">International Statistics</a></li> <li class="page_item page-item-14265"><a href="https://www.acco.org/irenes-survivor-story/">Irene&#8217;s Survivor Story</a></li> <li class="page_item page-item-1977"><a href="https://www.acco.org/its-only-a-phase-clinical-trials-part-ii/">It’s only a Phase! Clinical Trials Part II</a></li> <li class="page_item page-item-10615"><a href="https://www.acco.org/jake/">Jake&#8217;s Dragon Foundation &#8211; PA</a></li> <li class="page_item page-item-14329"><a href="https://www.acco.org/jeffs-survivor-story/">Jeff&#8217;s Survivor Story</a></li> <li class="page_item page-item-241 current_page_item"><a href="https://www.acco.org/jelsert/" aria-current="page">Jel Sert</a></li> <li class="page_item page-item-14399"><a href="https://www.acco.org/jennifers-survivor-story/">Jennifer&#8217;s Survivor Story</a></li> <li class="page_item page-item-14176"><a href="https://www.acco.org/jensens-survivor-story/">Jensen&#8217;s Survivor Story</a></li> <li class="page_item page-item-14283"><a href="https://www.acco.org/jillians-survivor-story/">Jillian&#8217;s Survivor Story</a></li> <li class="page_item page-item-14286"><a href="https://www.acco.org/juanitas-survivor-story/">Juanita&#8217;s Survivor Story</a></li> <li class="page_item page-item-2370"><a href="https://www.acco.org/karis-cause/">Karis&#8217; Cause &#8211; OH</a></li> <li class="page_item page-item-13446"><a href="https://www.acco.org/kartersisolation/">Karter&#8217;s Isolation Story</a></li> <li class="page_item page-item-14109"><a href="https://www.acco.org/karters-survivor-story/">Karter&#8217;s Survivor Story</a></li> <li class="page_item page-item-14178"><a href="https://www.acco.org/kaydences-survivor-story/">Kaydence&#8217;s Survivor Story</a></li> <li class="page_item page-item-554"><a href="https://www.acco.org/kemper/">Kemper Foods International</a></li> <li class="page_item page-item-36077"><a href="https://www.acco.org/ks-acco/">Kendra Scott Supports Kids with Cancer</a></li> <li class="page_item page-item-6560"><a href="https://www.acco.org/kovach-family/">Kovach Family</a></li> <li class="page_item page-item-11687"><a href="https://www.acco.org/laborinlovebuildinginhope/">Labor in Love: Building in Hope &#8211; OR</a></li> <li class="page_item page-item-99"><a href="https://www.acco.org/late-effects/">Late Effects</a></li> <li class="page_item page-item-30421"><a href="https://www.acco.org/leucemias-infantiles/">Leucemias Infantiles</a></li> <li class="page_item page-item-14427"><a href="https://www.acco.org/lilys-survivor-story/">Lily&#8217;s Survivor Story</a></li> <li class="page_item page-item-31268"><a href="https://www.acco.org/linfomas-infantiles/">Linfomas Infantiles</a></li> <li class="page_item page-item-4490"><a href="https://www.acco.org/live-newsfeed/">Live Newsfeed</a></li> <li class="page_item page-item-36912"><a href="https://www.acco.org/lived-experience-of-cancer-a-who-study/">Lived Experience of Cancer: A WHO Study</a></li> <li class="page_item page-item-290"><a href="https://www.acco.org/local-groups/">Local Groups</a></li> <li class="page_item page-item-14401"><a href="https://www.acco.org/logans-survivor-story/">Logan&#8217;s Survivor Story</a></li> <li class="page_item page-item-2408"><a href="https://www.acco.org/love-for-zac/">Love for Zac &#8211; CA</a></li> <li class="page_item page-item-36370"><a href="https://www.acco.org/make-it-cute/">Make It Cute</a></li> <li class="page_item page-item-13433"><a href="https://www.acco.org/masonsisolation/">Mason&#8217;s Isolation Story</a></li> <li class="page_item page-item-24088"><a href="https://www.acco.org/matilda-jane/">Matilda Jane</a></li> <li class="page_item page-item-518"><a href="https://www.acco.org/medical-play-kit/">Medical Play Kit</a></li> <li class="page_item page-item-14243"><a href="https://www.acco.org/mias-isolation-story/">Mia&#8217;s Isolation Story</a></li> <li class="page_item page-item-7021"><a href="https://www.acco.org/microsoft/">Microsoft</a></li> <li class="page_item page-item-7085"><a href="https://www.acco.org/mission-of-hope/">Mission of Hope &#8211; Sean Swarner Cancer Climber</a></li> <li class="page_item page-item-32"><a href="https://www.acco.org/mission-statement-2/">Mission Statement</a></li> <li class="page_item page-item-14383"><a href="https://www.acco.org/mollys-survivor-story/">Molly&#8217;s Survivor Story</a></li> <li class="page_item page-item-36393"><a href="https://www.acco.org/name-shirts-are-back-in-2024/">Name Shirts are Back in 2024!</a></li> <li class="page_item page-item-13167"><a href="https://www.acco.org/national-pajama-day/">National Pajama Day</a></li> <li class="page_item page-item-1349"><a href="https://www.acco.org/neuroblastoma/">Neuroblastoma</a></li> <li class="page_item page-item-32359"><a href="https://www.acco.org/neuroblastoma-2/">Neuroblastoma</a></li> <li class="page_item page-item-1988"><a href="https://www.acco.org/neuropsychological-testing-an-excerpt-from-educating-the-child/">Neuropsychological Testing: An Excerpt from Educating the Child</a></li> <li class="page_item page-item-1990"><a href="https://www.acco.org/new-approaches-for-resistant-brain-tumors/">New Approaches for Resistant Brain Tumors</a></li> <li class="page_item page-item-40"><a href="https://www.acco.org/news-and-press/">News and Press</a></li> <li class="page_item page-item-4365"><a href="https://www.acco.org/newsfeed-test/">Newsfeed Test</a></li> <li class="page_item page-item-11391"><a href="https://www.acco.org/nickys-heart-of-gold-pa/">Nicky&#8217;s Heart of Gold &#8211; PA</a></li> <li class="page_item page-item-13438"><a href="https://www.acco.org/noahsisolation/">Noah&#8217;s Isolation Story</a></li> <li class="page_item page-item-11076"><a href="https://www.acco.org/orangeribbon/">Orange Ribbon Foundation</a></li> <li class="page_item page-item-1746"><a href="https://www.acco.org/osteonecrosis-a-source-of-bone-pain-and-loss-of-function/">Osteonecrosis: A Source of Bone Pain and Loss of Function</a></li> <li class="page_item page-item-7340"><a href="https://www.acco.org/goodwillchill/">Otter Pop Vibes Tour #GoodWillChill</a></li> <li class="page_item page-item-186"><a href="https://www.acco.org/outside-resources/">Outside Resources</a></li> <li class="page_item page-item-1992"><a href="https://www.acco.org/palliative-or-hospice-care-does-my-child-need-this-service/">Palliative or Hospice Care: Does my child need this service?</a></li> <li class="page_item page-item-246"><a href="https://www.acco.org/palmco/">Palmco</a></li> <li class="page_item page-item-10142"><a href="https://www.acco.org/pwap/">Paranormal With a Purpose &#8211; FL</a></li> <li class="page_item page-item-2438"><a href="https://www.acco.org/paulandthedragon/">Paul and the Dragon</a></li> <li class="page_item page-item-166"><a href="https://www.acco.org/paul-and-the-dragon-dvd/">Paul and the Dragon Video</a></li> <li class="page_item page-item-13424"><a href="https://www.acco.org/paxtonsisolation/">Paxton&#8217;s Isolation Story</a></li> <li class="page_item page-item-34857"><a href="https://www.acco.org/pediatric-cancer-teaching-resources-for-professionals-educators/">Pediatric Cancer Teaching Resources For Professionals &amp; Educators</a></li> <li class="page_item page-item-396"><a href="https://www.acco.org/pjammin/">PJammin® For Kids with Cancer</a></li> <li class="page_item page-item-7315"><a href="https://www.acco.org/pjamminfaq/">PJammin® Frequently Asked Questions</a></li> <li class="page_item page-item-1764"><a href="https://www.acco.org/ports-and-central-lines/">Ports and Central Lines</a></li> <li class="page_item page-item-1994"><a href="https://www.acco.org/practical-genetics-in-cancer-the-human-genetic-code/">Practical Genetics in Cancer: The Human Genetic Code</a></li> <li class="page_item page-item-35046"><a href="https://www.acco.org/preventing-hearing-loss-from-chemo/">Preventing Hearing Loss from Chemo</a></li> <li class="page_item page-item-13222"><a href="https://www.acco.org/print-at-home-coloring-pages/">Print-at-Home Coloring Pages</a></li> <li class="page_item page-item-10883"><a href="https://www.acco.org/proclamations/">Proclamation Language</a></li> <li class="page_item page-item-14447"><a href="https://www.acco.org/quick-links/">Quick Links</a></li> <li class="page_item page-item-404"><a href="https://www.acco.org/raise-awareness-2/">Raise Awareness</a></li> <li class="page_item page-item-1141"><a href="https://www.acco.org/raise-awareness/">Raise Awareness</a></li> <li class="page_item page-item-530"><a href="https://www.acco.org/read-about-it-acco-publications/">Read About It: ACCO Publications</a></li> <li class="page_item page-item-13870"><a href="https://www.acco.org/read-alongs-with-acco/">Read Alongs with ACCO</a></li> <li class="page_item page-item-1996"><a href="https://www.acco.org/relapsed-all-chemotherapy-vs-transplant/">Relapsed ALL: Chemotherapy vs Transplant</a></li> <li class="page_item page-item-1998"><a href="https://www.acco.org/relapsed-all-questions-for-parents-to-ask/">Relapsed ALL: Questions for Parents to Ask</a></li> <li class="page_item page-item-10"><a href="https://www.acco.org/research/">Research</a></li> <li class="page_item page-item-208"><a href="https://www.acco.org/research-articles/">Research Articles</a></li> <li class="page_item page-item-1766"><a href="https://www.acco.org/researching-the-medical-literature/">Researching the Medical Literature</a></li> <li class="page_item page-item-1352"><a href="https://www.acco.org/retinoblastoma/">Retinoblastoma</a></li> <li class="page_item page-item-1355"><a href="https://www.acco.org/rhabdoid-tumors/">Rhabdoid Tumors</a></li> <li class="page_item page-item-5985"><a href="https://www.acco.org/ribbons-of-gold/">Ribbons of Gold &#8211; WI</a></li> <li class="page_item page-item-6423"><a href="https://www.acco.org/rock-bottom/">Rock Bottom</a></li> <li class="page_item page-item-6566"><a href="https://www.acco.org/rbfamilies2016/">Rock Bottom Holiday Families</a></li> <li class="page_item page-item-1406"><a href="https://www.acco.org/sample-page-2/">Sample Page</a></li> <li class="page_item page-item-14530"><a href="https://www.acco.org/sarcoma-awareness-month/">Sarcoma Awareness Month</a></li> <li class="page_item page-item-1358"><a href="https://www.acco.org/sarcomas/">Sarcomas</a></li> <li class="page_item page-item-32674"><a href="https://www.acco.org/sarcomas-2/">Sarcomas</a></li> <li class="page_item page-item-6585"><a href="https://www.acco.org/scherff-family/">Scherff Family</a></li> <li class="page_item page-item-13384"><a href="https://www.acco.org/sew-to-save-lives/">Sew to Save Lives</a></li> <li class="page_item page-item-14250"><a href="https://www.acco.org/sing-along-with-acco/">Sing Along with ACCO</a></li> <li class="page_item page-item-391"><a href="https://www.acco.org/sitemap/">Sitemap</a></li> <li class="page_item page-item-13309"><a href="https://www.acco.org/social-isolation-stories/">Social Isolation Stories</a></li> <li class="page_item page-item-13045"><a href="https://www.acco.org/stamp/">Stamp Out Childhood Cancer</a></li> <li class="page_item page-item-123"><a href="https://www.acco.org/start-a-division/">Start a Division or Group</a></li> <li class="page_item page-item-7261"><a href="https://www.acco.org/state/">State</a></li> <li class="page_item page-item-12073"><a href="https://www.acco.org/state-comprehensive-cancer-control-plan/">State Comprehensive Cancer Control Plan</a></li> <li class="page_item page-item-13667"><a href="https://www.acco.org/stevens-isolation-story/">Steven&#8217;s Isolation Story</a></li> <li class="page_item page-item-1730"><a href="https://www.acco.org/stories-from-adult-and-child-survivors/">Stories from Adult and Child Survivors</a></li> <li class="page_item page-item-7210"><a href="https://www.acco.org/kobie/">Strength to Survive Childhood Cancer Foundation &#8211; HI</a></li> <li class="page_item page-item-1725"><a href="https://www.acco.org/suicidal-thoughts-and-attempts-in-adult-survivors/">Suicidal Thoughts and Attempts in Adult Survivors</a></li> <li class="page_item page-item-6552"><a href="https://www.acco.org/sullivan-family/">Sullivan Family</a></li> <li class="page_item page-item-13972"><a href="https://www.acco.org/survivor-stories/">Survivor Stories</a></li> <li class="page_item page-item-30176"><a href="https://www.acco.org/survivor-stories-alec/">Survivor Stories: Alec</a></li> <li class="page_item page-item-30156"><a href="https://www.acco.org/survivor-stories-alex/">Survivor Stories: Alex</a></li> <li class="page_item page-item-30124"><a href="https://www.acco.org/survivor-stories-ashley/">Survivor Stories: Ashley</a></li> <li class="page_item page-item-30164"><a href="https://www.acco.org/survivor-stories-cara/">Survivor Stories: Cara</a></li> <li class="page_item page-item-30168"><a href="https://www.acco.org/survivor-stories-jordan/">Survivor Stories: Jordan</a></li> <li class="page_item page-item-30239"><a href="https://www.acco.org/survivor-stories-meg/">Survivor Stories: Meg</a></li> <li class="page_item page-item-30679"><a href="https://www.acco.org/survivor-stories-payal/">Survivor Stories: Payal</a></li> <li class="page_item page-item-30161"><a href="https://www.acco.org/survivor-stories-ronald/">Survivor Stories: Ronald</a></li> <li class="page_item page-item-30174"><a href="https://www.acco.org/survivor-stories-taylor/">Survivor Stories: Taylor</a></li> <li class="page_item page-item-30127"><a href="https://www.acco.org/survivor-stories-tj/">Survivor Stories: TJ</a></li> <li class="page_item page-item-30171"><a href="https://www.acco.org/survivor-stories-victoria/">Survivor Stories: Victoria</a></li> <li class="page_item page-item-198"><a href="https://www.acco.org/targeted-therapeutics/">Targeted Therapeutics</a></li> <li class="page_item page-item-2000"><a href="https://www.acco.org/targeted-therapeutics-workshop-at-international-cancer-congress/">Targeted Therapeutics Workshop at International Cancer Congress</a></li> <li class="page_item page-item-2002"><a href="https://www.acco.org/targeting-cancer-in-the-21st-century/">Targeting Cancer In The 21st Century</a></li> <li class="page_item page-item-5405"><a href="https://www.acco.org/team-go-gold/">Team Go Gold</a></li> <li class="page_item page-item-526"><a href="https://www.acco.org/teen-journal/">Teen Journal</a></li> <li class="page_item page-item-6357"><a href="https://www.acco.org/thank-you/">Thank you</a></li> <li class="page_item page-item-1852"><a href="https://www.acco.org/thank-you-for-ordering/">Thank You For Ordering</a></li> <li class="page_item page-item-16373"><a href="https://www.acco.org/brain-tumor-charter-of-rights/">The Brain Tumour Patients’ Charter of Rights</a></li> <li class="page_item page-item-4129"><a href="https://www.acco.org/madison/">The Miracle of Madison &#8211; MD</a></li> <li class="page_item page-item-1732"><a href="https://www.acco.org/the-problem-of-pain-in-childhood-cancer-survivors/">The Problem of Pain in Childhood Cancer Survivors</a></li> <li class="page_item page-item-5922"><a href="https://www.acco.org/xen/">Through Xen &#8211; CT</a></li> <li class="page_item page-item-1582"><a href="https://www.acco.org/timeline/">Timeline</a></li> <li class="page_item page-item-27985"><a href="https://www.acco.org/tipos-de-cancer-infantil/">Tipos de Cáncer Infantil</a></li> <li class="page_item page-item-2004"><a href="https://www.acco.org/treating-high-risk-neuroblastoma-at-the-turn-of-the-century/">Treating High-Risk Neuroblastoma at the Turn of the Century</a></li> <li class="page_item page-item-1770"><a href="https://www.acco.org/treatment-centers-for-childhood-cancers/">Treatment Centers for Childhood Cancers</a></li> <li class="page_item page-item-86"><a href="https://www.acco.org/treatment-2/">Treatment Options</a></li> <li class="page_item page-item-2745"><a href="https://www.acco.org/triderma/">TriDerma Supports ACCO!</a></li> <li class="page_item page-item-32712"><a href="https://www.acco.org/tumor-de-wilms-y-otros-tumores-renales-infantiles/">Tumor de Wilms y Otros Tumores Renales Infantiles</a></li> <li class="page_item page-item-32701"><a href="https://www.acco.org/tumores-de-la-medula-espinal/">Tumores de la Médula Espinal</a></li> <li class="page_item page-item-32667"><a href="https://www.acco.org/tumores-rabdoides/">Tumores Rabdoides</a></li> <li class="page_item page-item-73"><a href="https://www.acco.org/types-of-childhood-cancer/">Types of Childhood Cancer</a></li> <li class="page_item page-item-77"><a href="https://www.acco.org/us-childhood-cancer-statistics/">US Childhood Cancer Statistics</a></li> <li class="page_item page-item-14635"><a href="https://www.acco.org/virtual-advocacy/">Virtual Advocacy</a></li> <li class="page_item page-item-36325"><a href="https://www.acco.org/voyageur-outward-bound-school/">Voyageur Outward Bound School</a></li> <li class="page_item page-item-21662"><a href="https://www.acco.org/wacco/">WACCO</a></li> <li class="page_item page-item-6544"><a href="https://www.acco.org/walsh-family/">Walsh Family</a></li> <li class="page_item page-item-27552"><a href="https://www.acco.org/ways-to-give/">Ways To Give</a></li> <li class="page_item page-item-412"><a href="https://www.acco.org/we-can-help/">We Can Help</a></li> <li class="page_item page-item-285"><a href="https://www.acco.org/riley/">We Love Riley Fan Club &#8211; MA</a></li> <li class="page_item page-item-917"><a href="https://www.acco.org/websites-for-kids-with-cancer/">Websites for Kids with Cancer</a></li> <li class="page_item page-item-36534"><a href="https://www.acco.org/what-about-kids-symposium/">What About Kids Symposium</a></li> <li class="page_item page-item-33678"><a href="https://www.acco.org/what-about-kids/">What About Kids?</a></li> <li class="page_item page-item-35195"><a href="https://www.acco.org/whats-cookin/">What&#8217;s Cookin&#8217;?</a></li> <li class="page_item page-item-11176"><a 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</div><!-- nav-menu --> </div><!-- margin-add --> </header> <!-- #header --> <div id="main"> <div class="float-box d-none"> <a class="clicker" href="https://www.acco.org"> <span>Contact Us | Location </span> </a> <div class="row d-flex align-items-center"> <div class="col col-4" hidden> <address> </address> <a href="https://www.acco.org/location/"> <img class="img-fluid mt-2" src="https://www.acco.org/wp-content/themes/acco-new/img/map.jpg" alt="Location" /> </a> </div> <!-- end of col-1-3 --> <div class="col col-6 border-0"> <p class="wpcf7-contact-form-not-found"><strong>Error:</strong> Contact form not found.</p> </div> <!-- end of col-1-3 --> <div class="col col-6 links"> <div id="flex-item" class="w-100 d-block"> <a href="https://www.acco.org">Current Specials </a> <a href="https://www.acco.org">Get Directions </a> <a href="https://www.acco.org/photo-gallery/">Photo Gallery </a> </div><!-- flex-item --> </div> <!-- end of col-1-3 --> </div><!-- row --> </div> <!-- end of float-box --> <div class="container-fluid"> <div class="row"> <div class="bg-container" style="background-image: url(https://www.acco.org/wp-content/themes/acco-new/img/bg-slider.png)"><div class="bg-overlay"><div class="container"><h1 class="entry-title">Jel Sert</h1></div></div></div> </div><!-- .row --> </div><!-- container-fluid --> <div id="one-column"> <div class="container"> <div class="row"> <div id="primary" class="col-md-12"> <div class="content-wrapper"> <article id="post-241" class="post-241 page type-page status-publish hentry"> <div class="entry-content"> <h4><img decoding="async" class="no-border alignright wp-image-242 " src="https://www.acco.org/wp-content/uploads/2014/12/Jel-Sert-300x300.jpg" alt="Jel Sert" width="183" height="183" srcset="https://www.acco.org/wp-content/uploads/2014/12/Jel-Sert-300x300.jpg 300w, https://www.acco.org/wp-content/uploads/2014/12/Jel-Sert-150x150.jpg 150w, https://www.acco.org/wp-content/uploads/2014/12/Jel-Sert.jpg 629w" sizes="(max-width: 183px) 100vw, 183px" />THE JEL SERT COMPANY</h4> <p>The Jel Sert Company, based in West Chicago, Ill., is a manufacturer, marketer and distributor of a variety of well-known food and beverage products. The company’s proprietary brands include Wyler’s, Wyler’s Light, Pop- Ice, Flavor-Aid, Fla-Vor-Ice, Royal, My*T*Fine, Otter Pops and Mondo, among others.</p> <p>Jel Sert has been privately held since its founding in 1926. Our partnership began in 2008 and we continue to work together to promote awareness and sponsor advocacy programs on a national basis.</p> <p>&nbsp;</p> <h4><img decoding="async" class="alignleft wp-image-1172" src="https://www.acco.org/wp-content/uploads/2014/12/0X0A5274-683x1024.jpg" alt="Jel Sert Partnership" width="176" height="264" />WHAT IS JEL SERT DOING TO HELP?</h4> <p>In 2008, Jel Sert began adding the gold ribbon and ACCO information to their Fla-Vor-Ice freezer pops packaging in support of the Gold Ribbons for Childhood Cancer Awareness cause. This campaign now extends across millions of packages of Fla-Vor-Ice, Otter Pops and Pop-Ice, inspiring childhood cancer advocacy and honoring those affected by the disease.</p> <ul> <li>They are active both on-line through social media and off-line at local events to provide support and keep people informed.</li> <li>Jel Sert provides funding for awareness programs, research and coping tools.</li> <li>Jel Sert hosted our first official <a href="https://www.acco.org/corporate-events/" target="_blank" rel="noopener">Corporate Event</a> using our take on our Signature Program, <a href="https://www.acco.org/pjammin/" target="_blank" rel="noopener">PJammin®</a>. <strong><a href="https://www.acco.org/corporate-events/" target="_blank" rel="noopener">Click Here</a></strong> to learn more.</li> </ul> <a class="btn btn-primary btn-lg " href="http://www.jelsert.com/" target="_blank">Learn More About Our Partner JelSert »</a> <hr /> <h4>TAKE A POP, SHARE A SMILE PROGRAM:</h4> <h4>Increasing Quality of Life One Pop-at-a-Time! <img fetchpriority="high" decoding="async" class="no-border clear alignright wp-image-243" src="https://www.acco.org/wp-content/uploads/2014/12/Marshfield.jpg" alt="Marshfield" width="293" height="307" srcset="https://www.acco.org/wp-content/uploads/2014/12/Marshfield.jpg 1082w, https://www.acco.org/wp-content/uploads/2014/12/Marshfield-286x300.jpg 286w, https://www.acco.org/wp-content/uploads/2014/12/Marshfield-768x806.jpg 768w, https://www.acco.org/wp-content/uploads/2014/12/Marshfield-975x1024.jpg 975w, https://www.acco.org/wp-content/uploads/2014/12/Marshfield-600x630.jpg 600w" sizes="(max-width: 293px) 100vw, 293px" /></h4> <p>One program that we are both particularly proud of is <strong>Take a Pop, Share a Smile</strong>, which we started in 2008 to help children across the U.S. cope with cancer and all that it brings to their lives.The program involves the donation of freezers and a continuous supply of Jel Sert’s well-known freezer pops to cancer treatment centers throughout the U.S.</p> <p>If you are interested in receiving more information about the Take a Pop, Share a Smile program, nominating a local treatment center in your community to participate in the program, or enrolling the hospital or facility that you work for in the program, please complete the form below and an ACCO staff member will be in contact with you.</p> <p>&nbsp;</p> <p>To download more information and learn the dimensions of the freezer click <a href="https://www.acco.org/wp-content/uploads/2017/12/Take-a-Pop-Share-a-Smile-Brochure-2017.pdf">HERE</a>.</p> <hr /> <h3></h3> <p style="text-align: center"><style>.wForm form{text-align: left;}</style><!-- FORM: HEAD SECTION --> <meta http-equiv="Content-Type" content="text/html; 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height: auto;" height="400" width="600" alt="Take a Pop, Share a Smile Logo" src="//www.tfaforms.com/forms/get_image/156274/2c515f86377a4b2dabbf47b69eee59ab-FINAL_V2-01small.jpg"></div></div></div> <div class="htmlSection" id="tfa_3"><div class="htmlContent" id="tfa_3-HTML"><div><p><b><br></b></p><p><b>About the Program</b></p><p>The partnership between the Jel Sert Company and the American Childhood Cancer Organization began in 2008 to help promote awareness and sponsor advocacy programs on a national basis and in 2010, The Jel Sert Company initiated the Take a Pop, Share a Smile program. The overarching mission of the program is to help children across the United States cope with cancer and all that it brings to their lives. These brave children face many challenges, such as the side effects of the invasive therapies used to treat the disease. Freezer pops are often used to help children endure these treatments while keeping them hydrated.-</p><p>&nbsp;</p><p>The program involves the donation of freezers and a continuous supply of freezer pops to cancer treatment centers throughout the country. With the help from people like you, The Jel Sert Company has donated over <b>1 million</b> pops to over <b>125 centers</b> across the country to date!&nbsp;</p></div><div><p style="border: 0px; font-family: source_sans_proregular, Helvetica, Arial, sans-serif; font-size: 18px; margin-bottom: 15px; outline: 0px; vertical-align: baseline; color: rgb(51, 51, 51);"></p></div></div></div> <fieldset id="tfa_9" class="section"> <legend id="tfa_9-L"><b>Form Submitter Information</b></legend> <div class="oneField field-container-D " id="tfa_5-D" role="radiogroup" aria-labelledby="tfa_5-L" data-tfa-labelledby="-L tfa_5-L"> <label id="tfa_5-L" class="label preField reqMark" data-tfa-check-label-for="tfa_5">I am completing this form because...</label><br><div class="inputWrapper"><span id="tfa_5" class="choices vertical required"><span class="oneChoice"><input type="radio" value="tfa_6" class="" id="tfa_6" name="tfa_5" aria-required="true" data-conditionals="#tfa_10" aria-labelledby="tfa_6-L" data-tfa-labelledby="tfa_5-L tfa_6-L" data-tfa-parent-id="tfa_5"><label class="label postField" id="tfa_6-L" for="tfa_6"><span class="input-radio-faux"></span>I would like more information about the Take a Pop, Share a Smile program</label></span><span class="oneChoice"><input type="radio" value="tfa_8" class="" id="tfa_8" name="tfa_5" aria-required="true" data-conditionals="#tfa_2030" aria-labelledby="tfa_8-L" data-tfa-labelledby="tfa_5-L tfa_8-L" data-tfa-parent-id="tfa_5"><label class="label postField" id="tfa_8-L" for="tfa_8"><span class="input-radio-faux"></span>I would like to enroll the hospital/facility that I work for in the program</label></span><span class="oneChoice"><input type="radio" value="tfa_7" class="" id="tfa_7" name="tfa_5" aria-required="true" data-conditionals="#tfa_1884" aria-labelledby="tfa_7-L" data-tfa-labelledby="tfa_5-L tfa_7-L" data-tfa-parent-id="tfa_5"><label class="label postField" id="tfa_7-L" for="tfa_7"><span class="input-radio-faux"></span>I would like to nominate a hospital/facility in my community I do <b>not</b> work for that would benefit from this program</label></span><span class="oneChoice"><input type="radio" value="tfa_2457" class="" id="tfa_2457" name="tfa_5" aria-required="true" data-conditionals="#tfa_2803,#tfa_2449" aria-labelledby="tfa_2457-L" data-tfa-labelledby="tfa_5-L tfa_2457-L" data-tfa-parent-id="tfa_5"><label class="label postField" id="tfa_2457-L" for="tfa_2457"><span class="input-radio-faux"></span>I would like to request more freezer pops for our freezer</label></span></span></div> </div> </fieldset> <fieldset id="tfa_2449" class="section" data-condition="NOT (`#tfa_2457`)"> <legend id="tfa_2449-L"><b>Your Contact Information</b></legend> <div id="tfa_2450" class="section inline group"> <div class="oneField field-container-D " id="tfa_2451-D"> <label id="tfa_2451-L" class="label preField reqMark" for="tfa_2451">Your First Name</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_2451" name="tfa_2451" value="" title="Your First Name" class="required"></div> </div> <div class="oneField field-container-D " id="tfa_2452-D"> <label id="tfa_2452-L" class="label preField reqMark" for="tfa_2452">Your Last Name</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_2452" name="tfa_2452" value="" title="Your Last Name" class="required"></div> </div> </div> <div id="tfa_2453" class="section inline group"> <div class="oneField field-container-D " id="tfa_2454-D"> <label id="tfa_2454-L" class="label preField reqMark" for="tfa_2454">Your Email</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_2454" name="tfa_2454" value="" title="Your Email" class="validate-email required"></div> </div> <div class="oneField field-container-D " id="tfa_2455-D"> <label id="tfa_2455-L" class="label preField reqMark" for="tfa_2455">Your Phone Number</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_2455" name="tfa_2455" value="" placeholder="###-###-####" title="Your Phone Number" class="validate-custom /^([\(]{1}[0-9]{3}[\)]{1}[\.| |\-]{0,1}|^[0-9]{3}[\.|\-| ]?)?[0-9]{3}(\.|\-| )?[0-9]{4}$/ required"></div> </div> </div> </fieldset> <fieldset id="tfa_10" class="section" data-condition="`#tfa_6`"> <legend id="tfa_10-L"><b>Take a Pop, Share a Smile Program Inquiry:</b></legend> <div class="htmlSection" id="tfa_1953"><div class="htmlContent" id="tfa_1953-HTML"><i>Please provide the following information. 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class="required"></div> </div> <div class="oneField field-container-D " id="tfa_1891-D"> <label id="tfa_1891-L" class="label preField reqMark" for="tfa_1891">State</label><br><div class="inputWrapper"><select aria-required="true" id="tfa_1891" name="tfa_1891" title="State" class="calc-states required"><option value="">Please select...</option> <option value="tfa_1892" id="tfa_1892" class="calcval-AL">AL</option> <option value="tfa_1893" id="tfa_1893" class="calcval-AK">AK</option> <option value="tfa_1894" id="tfa_1894" class="calcval-AZ">AZ</option> <option value="tfa_1895" id="tfa_1895" class="calcval-AR">AR</option> <option value="tfa_1896" id="tfa_1896" class="calcval-CA">CA</option> <option value="tfa_1897" id="tfa_1897" class="calcval-CO">CO</option> <option value="tfa_1898" id="tfa_1898" class="calcval-CT">CT</option> <option value="tfa_1899" id="tfa_1899" class="calcval-DE">DE</option> <option value="tfa_1900" id="tfa_1900" class="calcval-DC">DC</option> <option value="tfa_1901" id="tfa_1901" class="calcval-FL">FL</option> <option value="tfa_1902" id="tfa_1902" class="calcval-GA">GA</option> <option value="tfa_1903" id="tfa_1903" class="calcval-HI">HI</option> <option value="tfa_1904" id="tfa_1904" class="calcval-ID">ID</option> <option value="tfa_1905" id="tfa_1905" class="calcval-IL">IL</option> <option value="tfa_1906" id="tfa_1906" class="calcval-IN">IN</option> <option value="tfa_1907" id="tfa_1907" class="calcval-IA">IA</option> <option value="tfa_1908" id="tfa_1908" class="calcval-KS">KS</option> <option value="tfa_1909" id="tfa_1909" class="calcval-KY">KY</option> <option value="tfa_1910" id="tfa_1910" class="calcval-LA">LA</option> <option value="tfa_1911" id="tfa_1911" class="calcval-ME">ME</option> <option value="tfa_1912" id="tfa_1912" class="calcval-MD">MD</option> <option value="tfa_1913" id="tfa_1913" class="calcval-MA">MA</option> <option value="tfa_1914" id="tfa_1914" class="calcval-MI">MI</option> <option value="tfa_1915" id="tfa_1915" class="calcval-MN">MN</option> <option value="tfa_1916" id="tfa_1916" class="calcval-MS">MS</option> <option value="tfa_1917" id="tfa_1917" class="calcval-MO">MO</option> <option value="tfa_1918" id="tfa_1918" class="calcval-MT">MT</option> <option value="tfa_1919" id="tfa_1919" class="calcval-NE">NE</option> <option value="tfa_1920" id="tfa_1920" class="calcval-NV">NV</option> <option value="tfa_1921" id="tfa_1921" class="calcval-NH">NH</option> <option value="tfa_1922" id="tfa_1922" class="calcval-NJ">NJ</option> <option value="tfa_1923" id="tfa_1923" class="calcval-NM">NM</option> <option value="tfa_1924" id="tfa_1924" class="calcval-NY">NY</option> <option value="tfa_1925" id="tfa_1925" class="calcval-NC">NC</option> <option value="tfa_1926" id="tfa_1926" class="calcval-ND">ND</option> <option value="tfa_1927" id="tfa_1927" class="calcval-OH">OH</option> <option value="tfa_1928" id="tfa_1928" class="calcval-OK">OK</option> <option value="tfa_1929" id="tfa_1929" class="calcval-OR">OR</option> <option value="tfa_1930" id="tfa_1930" class="calcval-PA">PA</option> <option value="tfa_1931" id="tfa_1931" class="calcval-RI">RI</option> <option value="tfa_1932" id="tfa_1932" class="calcval-SC">SC</option> <option value="tfa_1933" id="tfa_1933" class="calcval-SD">SD</option> <option value="tfa_1934" id="tfa_1934" class="calcval-TN">TN</option> <option value="tfa_1935" id="tfa_1935" class="calcval-TX">TX</option> <option value="tfa_1936" id="tfa_1936" class="calcval-UT">UT</option> <option value="tfa_1937" id="tfa_1937" class="calcval-VT">VT</option> <option value="tfa_1938" id="tfa_1938" class="calcval-VA">VA</option> <option value="tfa_1939" id="tfa_1939" class="calcval-WA">WA</option> <option value="tfa_1940" id="tfa_1940" class="calcval-WV">WV</option> <option value="tfa_1941" id="tfa_1941" class="calcval-WI">WI</option> <option value="tfa_1942" id="tfa_1942" class="calcval-WY">WY</option></select></div> </div> <div class="oneField field-container-D " id="tfa_1944-D"> <label id="tfa_1944-L" class="label preField reqMark" for="tfa_1944">Website</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1944" name="tfa_1944" value="" title="Website" class="required"></div> </div> <div id="tfa_1945" class="section inline group"> <div class="oneField field-container-D " id="tfa_1946-D"> <label id="tfa_1946-L" class="label preField reqMark" for="tfa_1946">Hospital Contact Name</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1946" name="tfa_1946" value="" title="Hospital Contact Name" class="required"></div> </div> <div class="oneField field-container-D " id="tfa_1948-D"> <label id="tfa_1948-L" class="label preField reqMark" for="tfa_1948">Title/Position</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1948" name="tfa_1948" value="" title="Title/Position" class="required"></div> </div> <div class="oneField field-container-D " id="tfa_1949-D"> <label id="tfa_1949-L" class="label preField reqMark" for="tfa_1949">Hospital Contact Email</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1949" name="tfa_1949" value="" title="Hospital Contact Email" class="validate-email required"></div> </div> <div class="oneField field-container-D " id="tfa_1950-D"> <label id="tfa_1950-L" class="label preField reqMark" for="tfa_1950">Hospital Contact Phone Number</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_1950" name="tfa_1950" value="" placeholder="###-###-####" title="Hospital Contact Phone Number" class="validate-custom /^([\(]{1}[0-9]{3}[\)]{1}[\.| |\-]{0,1}|^[0-9]{3}[\.|\-| ]?)?[0-9]{3}(\.|\-| )?[0-9]{4}$/ required"></div> </div> </div> </div></div> </fieldset></div> <div class="oneField field-container-D " id="tfa_1952-D"> <label id="tfa_1952-L" class="label preField " for="tfa_1952">Why are you nominating this hospital?</label><br><div class="inputWrapper"><textarea id="tfa_1952" name="tfa_1952" title="Why are you nominating this hospital?" class=""></textarea></div> </div> </fieldset> <fieldset id="tfa_2030" class="section" data-condition="`#tfa_8`"> <legend id="tfa_2030-L"><b>Enroll my Hospital in the Program</b></legend> <div class="htmlSection" id="tfa_2031"><div class="htmlContent" id="tfa_2031-HTML"><i>Please provide the following information. Once you complete and submit this form the Take a Pop, Share a Smile Program Coordinator will follow-up with you regarding shipping information.</i></div></div> <fieldset id="tfa_2040" class="section"> <legend id="tfa_2040-L">Hospital Information</legend> <div id="tfa_2041" class="section group"><div id="tfa_2042" class="section inline group"> <div class="oneField field-container-D " id="tfa_2043-D"> <label id="tfa_2043-L" class="label preField reqMark" for="tfa_2043">Hospital Name</label><br><div class="inputWrapper"><textarea aria-required="true" id="tfa_2043" name="tfa_2043" title="Hospital Name" class="required"></textarea></div> </div> <div class="oneField field-container-D " id="tfa_2097-D"> <label id="tfa_2097-L" class="label preField reqMark" for="tfa_2097">Website</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_2097" name="tfa_2097" value="" title="Website" class="required"></div> </div> <div class="oneField field-container-D " id="tfa_2105-D"> <label id="tfa_2105-L" class="label preField reqMark" for="tfa_2105">Shipping Address Line 1</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_2105" name="tfa_2105" value="" title="Shipping Address Line 1" class="required"></div> </div> <div class="oneField field-container-D " id="tfa_2106-D"> <label id="tfa_2106-L" class="label preField " for="tfa_2106">Shipping Address Line 2</label><br><div class="inputWrapper"><input type="text" id="tfa_2106" name="tfa_2106" value="" title="Shipping Address Line 2" class=""></div> </div> <div class="oneField field-container-D " id="tfa_2108-D"> <label id="tfa_2108-L" class="label preField reqMark" for="tfa_2108">Country</label><br><div class="inputWrapper"><select aria-required="true" id="tfa_2108" name="tfa_2108" title="Country" class="required"><option value="">Please select...</option> <option value="tfa_2109" id="tfa_2109" class="">Afghanistan</option> <option value="tfa_2110" id="tfa_2110" class="">Albania</option> <option value="tfa_2111" id="tfa_2111" class="">Algeria</option> <option value="tfa_2112" id="tfa_2112" class="">American Samoa</option> <option value="tfa_2113" id="tfa_2113" class="">Andorra</option> <option value="tfa_2114" id="tfa_2114" class="">Angola</option> <option value="tfa_2115" id="tfa_2115" class="">Anguilla</option> <option value="tfa_2116" id="tfa_2116" class="">Antarctica</option> <option value="tfa_2117" id="tfa_2117" class="">Antigua and Barbuda</option> <option value="tfa_2118" id="tfa_2118" class="">Argentina</option> <option value="tfa_2119" id="tfa_2119" class="">Armenia</option> <option value="tfa_2120" id="tfa_2120" class="">Aruba</option> <option value="tfa_2121" id="tfa_2121" class="">Australia</option> <option value="tfa_2122" id="tfa_2122" class="">Austria</option> <option value="tfa_2123" id="tfa_2123" class="">Azerbaijan</option> <option value="tfa_2124" id="tfa_2124" class="">Bahamas</option> <option value="tfa_2125" id="tfa_2125" class="">Bahrain</option> <option value="tfa_2126" id="tfa_2126" class="">Bangladesh</option> <option value="tfa_2127" id="tfa_2127" class="">Barbados</option> <option value="tfa_2128" id="tfa_2128" class="">Belarus</option> <option value="tfa_2129" id="tfa_2129" class="">Belgium</option> <option value="tfa_2130" id="tfa_2130" class="">Belize</option> <option value="tfa_2131" id="tfa_2131" class="">Benin</option> <option value="tfa_2132" id="tfa_2132" class="">Bermuda</option> <option value="tfa_2133" id="tfa_2133" class="">Bhutan</option> <option value="tfa_2134" id="tfa_2134" class="">Bolivia</option> <option value="tfa_2135" id="tfa_2135" class="">Bosnia and Herzegovina</option> <option value="tfa_2136" id="tfa_2136" class="">Botswana</option> <option value="tfa_2137" id="tfa_2137" class="">Bouvet Island</option> <option value="tfa_2138" id="tfa_2138" class="">Brazil</option> <option value="tfa_2139" id="tfa_2139" class="">British Indian Ocean Territory</option> <option value="tfa_2140" id="tfa_2140" class="">Brunei</option> <option value="tfa_2141" id="tfa_2141" class="">Bulgaria</option> <option value="tfa_2142" id="tfa_2142" class="">Burkina Faso</option> <option value="tfa_2143" id="tfa_2143" class="">Burundi</option> <option value="tfa_2144" id="tfa_2144" class="">Cambodia</option> <option value="tfa_2145" id="tfa_2145" class="">Cameroon</option> <option value="tfa_2146" id="tfa_2146" data-conditionals="#tfa_2404,#tfa_2418" class="">Canada</option> <option value="tfa_2147" id="tfa_2147" class="">Cape Verde</option> <option value="tfa_2148" id="tfa_2148" class="">Cayman Islands</option> <option value="tfa_2149" id="tfa_2149" class="">Central African Republic</option> <option value="tfa_2150" id="tfa_2150" class="">Chad</option> <option value="tfa_2151" id="tfa_2151" class="">Chile</option> <option value="tfa_2152" id="tfa_2152" class="">China</option> <option value="tfa_2153" id="tfa_2153" class="">Christmas Island</option> <option value="tfa_2154" id="tfa_2154" class="">Cocos ( Keeling ) Islands</option> <option value="tfa_2155" id="tfa_2155" class="">Colombia</option> <option value="tfa_2156" id="tfa_2156" class="">Comoros</option> <option value="tfa_2157" id="tfa_2157" class="">Congo</option> <option value="tfa_2158" id="tfa_2158" class="">Cook Islands</option> <option value="tfa_2159" id="tfa_2159" class="">Costa Rica</option> <option value="tfa_2160" id="tfa_2160" class="">Côte d ' Ivoire</option> <option value="tfa_2161" id="tfa_2161" class="">Croatia ( Hrvatska )</option> <option value="tfa_2162" id="tfa_2162" class="">Cuba</option> <option value="tfa_2163" id="tfa_2163" class="">Cyprus</option> <option value="tfa_2164" id="tfa_2164" class="">Czech Republic</option> <option value="tfa_2165" id="tfa_2165" class="">Congo ( DRC )</option> <option value="tfa_2166" id="tfa_2166" class="">Denmark</option> <option value="tfa_2167" id="tfa_2167" class="">Djibouti</option> <option value="tfa_2168" id="tfa_2168" class="">Dominica</option> <option value="tfa_2169" id="tfa_2169" class="">Dominican Republic</option> <option value="tfa_2170" id="tfa_2170" class="">East Timor</option> <option value="tfa_2171" id="tfa_2171" class="">Ecuador</option> <option value="tfa_2172" id="tfa_2172" class="">Egypt</option> <option value="tfa_2173" id="tfa_2173" class="">El Salvador</option> <option value="tfa_2174" id="tfa_2174" class="">Equatorial Guinea</option> <option value="tfa_2175" id="tfa_2175" class="">Eritrea</option> <option value="tfa_2176" id="tfa_2176" class="">Estonia</option> <option value="tfa_2177" id="tfa_2177" class="">Ethiopia</option> <option value="tfa_2178" id="tfa_2178" class="">Falkland Islands ( Islas Malvinas )</option> <option value="tfa_2179" id="tfa_2179" class="">Faroe Islands</option> <option value="tfa_2180" id="tfa_2180" class="">Fiji Islands</option> <option value="tfa_2181" id="tfa_2181" class="">Finland</option> <option value="tfa_2182" id="tfa_2182" class="">France</option> <option value="tfa_2183" id="tfa_2183" class="">French Guiana</option> <option value="tfa_2184" id="tfa_2184" class="">French Polynesia</option> <option value="tfa_2185" id="tfa_2185" class="">French Southern and Antarctic Lands</option> <option value="tfa_2186" id="tfa_2186" class="">Gabon</option> <option value="tfa_2187" id="tfa_2187" class="">Gambia</option> <option value="tfa_2188" id="tfa_2188" class="">Georgia</option> <option value="tfa_2189" id="tfa_2189" class="">Germany</option> <option value="tfa_2190" id="tfa_2190" class="">Ghana</option> <option value="tfa_2191" id="tfa_2191" class="">Gibraltar</option> <option value="tfa_2192" id="tfa_2192" class="">Greece</option> <option value="tfa_2193" id="tfa_2193" class="">Greenland</option> <option value="tfa_2194" id="tfa_2194" class="">Grenada</option> <option value="tfa_2195" id="tfa_2195" class="">Guadeloupe</option> <option value="tfa_2196" id="tfa_2196" class="">Guam</option> <option value="tfa_2197" id="tfa_2197" class="">Guatemala</option> <option value="tfa_2198" id="tfa_2198" class="">Guinea</option> <option value="tfa_2199" id="tfa_2199" class="">Guinea-Bissau</option> <option value="tfa_2200" id="tfa_2200" class="">Guyana</option> <option value="tfa_2201" id="tfa_2201" class="">Haiti</option> <option value="tfa_2202" id="tfa_2202" class="">Heard Island and McDonald Islands</option> <option value="tfa_2203" id="tfa_2203" class="">Honduras</option> <option value="tfa_2204" id="tfa_2204" class="">Hong Kong SAR</option> <option value="tfa_2205" id="tfa_2205" class="">Hungary</option> <option value="tfa_2206" id="tfa_2206" class="">Iceland</option> <option value="tfa_2207" id="tfa_2207" class="">India</option> <option value="tfa_2208" id="tfa_2208" class="">Indonesia</option> <option value="tfa_2209" id="tfa_2209" class="">Iran</option> <option value="tfa_2210" id="tfa_2210" class="">Iraq</option> <option value="tfa_2211" id="tfa_2211" class="">Ireland</option> <option value="tfa_2212" id="tfa_2212" class="">Israel</option> <option value="tfa_2213" id="tfa_2213" class="">Italy</option> <option value="tfa_2214" id="tfa_2214" class="">Jamaica</option> <option value="tfa_2215" id="tfa_2215" class="">Japan</option> <option value="tfa_2216" id="tfa_2216" class="">Jordan</option> <option value="tfa_2217" id="tfa_2217" class="">Kazakhstan</option> <option value="tfa_2218" id="tfa_2218" class="">Kenya</option> <option value="tfa_2219" id="tfa_2219" class="">Kiribati</option> <option value="tfa_2220" id="tfa_2220" class="">Korea</option> <option value="tfa_2221" id="tfa_2221" class="">Kuwait</option> <option value="tfa_2222" id="tfa_2222" class="">Kyrgyzstan</option> <option value="tfa_2223" id="tfa_2223" class="">Laos</option> <option value="tfa_2224" id="tfa_2224" class="">Latvia</option> <option value="tfa_2225" id="tfa_2225" class="">Lebanon</option> <option value="tfa_2226" id="tfa_2226" class="">Lesotho</option> <option value="tfa_2227" id="tfa_2227" class="">Liberia</option> <option value="tfa_2228" id="tfa_2228" class="">Libya</option> <option value="tfa_2229" id="tfa_2229" class="">Liechtenstein</option> <option value="tfa_2230" id="tfa_2230" class="">Lithuania</option> <option value="tfa_2231" id="tfa_2231" class="">Luxembourg</option> <option value="tfa_2232" id="tfa_2232" class="">Macao SAR</option> <option value="tfa_2233" id="tfa_2233" class="">Macedonia, Former Yugoslav Republic of</option> <option value="tfa_2234" id="tfa_2234" class="">Madagascar</option> <option value="tfa_2235" id="tfa_2235" class="">Malawi</option> <option value="tfa_2236" id="tfa_2236" class="">Malaysia</option> <option value="tfa_2237" id="tfa_2237" class="">Maldives</option> <option value="tfa_2238" id="tfa_2238" class="">Mali</option> <option value="tfa_2239" id="tfa_2239" class="">Malta</option> <option value="tfa_2240" id="tfa_2240" class="">Marshall Islands</option> <option value="tfa_2241" id="tfa_2241" class="">Martinique</option> <option value="tfa_2242" id="tfa_2242" class="">Mauritania</option> <option value="tfa_2243" id="tfa_2243" class="">Mauritius</option> <option value="tfa_2244" id="tfa_2244" class="">Mayotte</option> <option value="tfa_2245" id="tfa_2245" class="">Mexico</option> <option value="tfa_2246" id="tfa_2246" class="">Micronesia</option> <option value="tfa_2247" id="tfa_2247" class="">Moldova</option> <option value="tfa_2248" id="tfa_2248" class="">Monaco</option> <option value="tfa_2249" id="tfa_2249" class="">Mongolia</option> <option value="tfa_2250" id="tfa_2250" class="">Montserrat</option> <option value="tfa_2251" id="tfa_2251" class="">Morocco</option> <option value="tfa_2252" id="tfa_2252" class="">Mozambique</option> <option value="tfa_2253" id="tfa_2253" class="">Myanmar</option> <option value="tfa_2254" id="tfa_2254" class="">Namibia</option> <option value="tfa_2255" id="tfa_2255" class="">Nauru</option> <option value="tfa_2256" id="tfa_2256" class="">Nepal</option> <option value="tfa_2257" id="tfa_2257" class="">Netherlands</option> <option value="tfa_2258" id="tfa_2258" class="">Netherlands Antilles</option> <option value="tfa_2259" id="tfa_2259" class="">New Caledonia</option> <option value="tfa_2260" id="tfa_2260" class="">New Zealand</option> <option value="tfa_2261" id="tfa_2261" class="">Nicaragua</option> <option value="tfa_2262" id="tfa_2262" class="">Niger</option> <option value="tfa_2263" id="tfa_2263" class="">Nigeria</option> <option value="tfa_2264" id="tfa_2264" class="">Niue</option> <option value="tfa_2265" id="tfa_2265" class="">Norfolk Island</option> <option value="tfa_2266" id="tfa_2266" class="">North Korea</option> <option value="tfa_2267" id="tfa_2267" class="">Northern Mariana Islands</option> <option value="tfa_2268" id="tfa_2268" class="">Norway</option> <option value="tfa_2269" id="tfa_2269" class="">Oman</option> <option value="tfa_2270" id="tfa_2270" class="">Pakistan</option> <option value="tfa_2271" id="tfa_2271" class="">Palau</option> <option value="tfa_2272" id="tfa_2272" class="">Panama</option> <option value="tfa_2273" id="tfa_2273" class="">Papua New Guinea</option> <option value="tfa_2274" id="tfa_2274" class="">Paraguay</option> <option value="tfa_2275" id="tfa_2275" class="">Peru</option> <option value="tfa_2276" id="tfa_2276" class="">Philippines</option> <option value="tfa_2277" id="tfa_2277" class="">Pitcairn Islands</option> <option value="tfa_2278" id="tfa_2278" class="">Poland</option> <option value="tfa_2279" id="tfa_2279" class="">Portugal</option> <option value="tfa_2280" id="tfa_2280" class="">Puerto Rico</option> <option value="tfa_2281" id="tfa_2281" class="">Qatar</option> <option value="tfa_2282" id="tfa_2282" class="">Reunion</option> <option value="tfa_2283" id="tfa_2283" class="">Romania</option> <option value="tfa_2284" id="tfa_2284" class="">Russia</option> <option value="tfa_2285" id="tfa_2285" class="">Rwanda</option> <option value="tfa_2286" id="tfa_2286" class="">Samoa</option> <option value="tfa_2287" id="tfa_2287" class="">San Marino</option> <option value="tfa_2288" id="tfa_2288" class="">São Tomé and Prìncipe</option> <option value="tfa_2289" id="tfa_2289" class="">Saudi Arabia</option> <option value="tfa_2290" id="tfa_2290" class="">Senegal</option> <option value="tfa_2291" id="tfa_2291" class="">Serbia and Montenegro</option> <option value="tfa_2292" id="tfa_2292" class="">Seychelles</option> <option value="tfa_2293" id="tfa_2293" class="">Sierra Leone</option> <option value="tfa_2294" id="tfa_2294" class="">Singapore</option> <option value="tfa_2295" id="tfa_2295" class="">Slovakia</option> <option value="tfa_2296" id="tfa_2296" class="">Slovenia</option> <option value="tfa_2297" id="tfa_2297" class="">Solomon Islands</option> <option value="tfa_2298" id="tfa_2298" class="">Somalia</option> <option value="tfa_2299" id="tfa_2299" class="">South Africa</option> <option value="tfa_2300" id="tfa_2300" class="">South Georgia and the South Sandwich Islands</option> <option value="tfa_2301" id="tfa_2301" class="">Spain</option> <option value="tfa_2302" id="tfa_2302" class="">Sri Lanka</option> <option value="tfa_2303" id="tfa_2303" class="">St. Helena</option> <option value="tfa_2304" id="tfa_2304" class="">St. Kitts and Nevis</option> <option value="tfa_2305" id="tfa_2305" class="">St. Lucia</option> <option value="tfa_2306" id="tfa_2306" class="">St. Pierre and Miquelon</option> <option value="tfa_2307" id="tfa_2307" class="">St. Vincent and the Grenadines</option> <option value="tfa_2308" id="tfa_2308" class="">Sudan</option> <option value="tfa_2309" id="tfa_2309" class="">Suriname</option> <option value="tfa_2310" id="tfa_2310" class="">Svalbard and Jan Mayen</option> <option value="tfa_2311" id="tfa_2311" class="">Swaziland</option> <option value="tfa_2312" id="tfa_2312" class="">Sweden</option> <option value="tfa_2313" id="tfa_2313" class="">Switzerland</option> <option value="tfa_2314" id="tfa_2314" class="">Syria</option> <option value="tfa_2315" id="tfa_2315" class="">Taiwan</option> <option value="tfa_2316" id="tfa_2316" class="">Tajikistan</option> <option value="tfa_2317" id="tfa_2317" class="">Tanzania</option> <option value="tfa_2318" id="tfa_2318" class="">Thailand</option> <option value="tfa_2319" id="tfa_2319" class="">Togo</option> <option value="tfa_2320" id="tfa_2320" class="">Tokelau</option> <option value="tfa_2321" id="tfa_2321" class="">Tonga</option> <option value="tfa_2322" id="tfa_2322" class="">Trinidad and Tobago</option> <option value="tfa_2323" id="tfa_2323" class="">Tunisia</option> <option value="tfa_2324" id="tfa_2324" class="">Turkey</option> <option value="tfa_2325" id="tfa_2325" class="">Turkmenistan</option> <option value="tfa_2326" id="tfa_2326" class="">Turks and Caicos Islands</option> <option value="tfa_2327" id="tfa_2327" class="">Tuvalu</option> <option value="tfa_2328" id="tfa_2328" class="">Uganda</option> <option value="tfa_2329" id="tfa_2329" class="">Ukraine</option> <option value="tfa_2330" id="tfa_2330" class="">United Arab Emirates</option> <option value="tfa_2331" id="tfa_2331" class="">United Kingdom</option> <option value="tfa_2332" id="tfa_2332" data-conditionals="#tfa_2346,#tfa_2418,#tfa_2104" class="" selected data-default-value="true">United States</option> <option value="tfa_2333" id="tfa_2333" data-conditionals="#tfa_2346,#tfa_2418" class="">United States Minor Outlying Islands</option> <option value="tfa_2334" id="tfa_2334" class="">Uruguay</option> <option value="tfa_2335" id="tfa_2335" class="">Uzbekistan</option> <option value="tfa_2336" id="tfa_2336" class="">Vanuatu</option> <option value="tfa_2337" id="tfa_2337" class="">Vatican City</option> <option value="tfa_2338" id="tfa_2338" class="">Venezuela</option> <option value="tfa_2339" id="tfa_2339" class="">Viet Nam</option> <option value="tfa_2340" id="tfa_2340" class="">Virgin Islands ( British )</option> <option value="tfa_2341" id="tfa_2341" class="">Virgin Islands</option> <option value="tfa_2342" id="tfa_2342" class="">Wallis and Futuna</option> <option value="tfa_2343" id="tfa_2343" class="">Yemen</option> <option value="tfa_2344" id="tfa_2344" class="">Zambia</option> <option value="tfa_2345" id="tfa_2345" class="">Zimbabwe</option></select></div> </div> <fieldset id="tfa_2104" class="section" data-condition="NOT (`#tfa_2332`)"> <div class="oneField field-container-D " id="tfa_2404-D"> <label id="tfa_2404-L" class="label preField " for="tfa_2404">Provinces</label><br><div class="inputWrapper"><select id="tfa_2404" name="tfa_2404" data-condition="`#tfa_2146`" title="Provinces" class="calc-province"><option value="">Please select...</option> <option value="tfa_2405" id="tfa_2405" class="calcval-AB">Alberta</option> <option value="tfa_2406" id="tfa_2406" class="calcval-BC">British Columbia</option> <option value="tfa_2407" id="tfa_2407" class="calcval-MB">Manitoba</option> <option value="tfa_2408" id="tfa_2408" class="calcval-NB">New Brunswick</option> <option value="tfa_2409" id="tfa_2409" class="calcval-NL">Newfoundland</option> <option value="tfa_2410" id="tfa_2410" class="calcval-NT">Northwest Territories</option> <option value="tfa_2411" id="tfa_2411" class="calcval-NS">Nova Scotia</option> <option value="tfa_2412" id="tfa_2412" class="calcval-NU">Nunavut</option> <option value="tfa_2413" id="tfa_2413" class="calcval-ON">Ontario</option> <option value="tfa_2414" id="tfa_2414" class="calcval-PE">Prince Edward Island</option> <option value="tfa_2415" id="tfa_2415" class="calcval-QC">Quebec</option> <option value="tfa_2416" id="tfa_2416" class="calcval-SK">Saskatchewan</option> <option value="tfa_2417" id="tfa_2417" class="calcval-YT">Yukon</option> <option value="tfa_2420" id="tfa_2420" class="">Other</option></select></div> </div> <div class="oneField field-container-D " id="tfa_2418-D"> <label id="tfa_2418-L" class="label preField " for="tfa_2418">State/Province</label><br><div class="inputWrapper"><input type="text" id="tfa_2418" name="tfa_2418" value="" data-condition="NOT (`#tfa_2332`) AND NOT (`#tfa_2333`) AND NOT (`#tfa_2146`)" title="State/Province" class=""></div> </div> </fieldset> <div class="oneField field-container-D " id="tfa_2107-D"> <label id="tfa_2107-L" class="label preField reqMark" for="tfa_2107">City</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_2107" name="tfa_2107" value="" title="City" class="required"></div> </div> <div class="oneField field-container-D " id="tfa_2346-D"> <label id="tfa_2346-L" class="label preField reqMark" for="tfa_2346">State</label><br><div class="inputWrapper"><select aria-required="true" id="tfa_2346" name="tfa_2346" data-condition="`#tfa_2332` OR `#tfa_2333`" title="State" class="required"><option value="">Please select...</option> <option value="tfa_2347" id="tfa_2347" class="">Alabama</option> <option value="tfa_2348" id="tfa_2348" class="">Alaska</option> <option value="tfa_2349" id="tfa_2349" class="">Arizona</option> <option value="tfa_2350" id="tfa_2350" class="">Arkansas</option> <option value="tfa_2351" id="tfa_2351" class="">California</option> <option value="tfa_2352" id="tfa_2352" class="">Colorado</option> <option value="tfa_2353" id="tfa_2353" class="">Connecticut</option> <option value="tfa_2354" id="tfa_2354" class="">Delaware</option> <option value="tfa_2355" id="tfa_2355" class="">District Of Columbia</option> <option value="tfa_2356" id="tfa_2356" class="">Florida</option> <option value="tfa_2357" id="tfa_2357" class="">Georgia</option> <option value="tfa_2358" id="tfa_2358" class="">Hawaii</option> <option value="tfa_2359" id="tfa_2359" class="">Idaho</option> <option value="tfa_2360" id="tfa_2360" class="">Illinois</option> <option value="tfa_2361" id="tfa_2361" class="">Indiana</option> <option value="tfa_2362" id="tfa_2362" class="">Iowa</option> <option value="tfa_2363" id="tfa_2363" class="">Kansas</option> <option value="tfa_2364" id="tfa_2364" class="">Kentucky</option> <option value="tfa_2365" id="tfa_2365" class="">Louisiana</option> <option value="tfa_2366" id="tfa_2366" class="">Maine</option> <option value="tfa_2367" id="tfa_2367" class="">Maryland</option> <option value="tfa_2368" id="tfa_2368" class="">Massachusetts</option> <option value="tfa_2369" id="tfa_2369" class="">Michigan</option> <option value="tfa_2370" id="tfa_2370" class="">Minnesota</option> <option value="tfa_2371" id="tfa_2371" class="">Mississippi</option> <option value="tfa_2372" id="tfa_2372" class="">Missouri</option> <option value="tfa_2373" id="tfa_2373" class="">Montana</option> <option value="tfa_2374" id="tfa_2374" class="">Nebraska</option> <option value="tfa_2375" id="tfa_2375" class="">Nevada</option> <option value="tfa_2376" id="tfa_2376" class="">New Hampshire</option> <option value="tfa_2377" id="tfa_2377" class="">New Jersey</option> <option value="tfa_2378" id="tfa_2378" class="">New Mexico</option> <option value="tfa_2379" id="tfa_2379" class="">New York</option> <option value="tfa_2380" id="tfa_2380" class="">North Carolina</option> <option value="tfa_2381" id="tfa_2381" class="">North Dakota</option> <option value="tfa_2382" id="tfa_2382" class="">Ohio</option> <option value="tfa_2383" id="tfa_2383" class="">Oklahoma</option> <option value="tfa_2384" id="tfa_2384" class="">Oregon</option> <option value="tfa_2385" id="tfa_2385" class="">Pennsylvania</option> <option value="tfa_2386" id="tfa_2386" class="">Rhode Island</option> <option value="tfa_2387" id="tfa_2387" class="">South Carolina</option> <option value="tfa_2388" id="tfa_2388" class="">South Dakota</option> <option value="tfa_2389" id="tfa_2389" class="">Tennessee</option> <option value="tfa_2390" id="tfa_2390" class="">Texas</option> <option value="tfa_2391" id="tfa_2391" class="">Utah</option> <option value="tfa_2392" id="tfa_2392" class="">Vermont</option> <option value="tfa_2393" id="tfa_2393" class="">Virginia</option> <option value="tfa_2394" id="tfa_2394" class="">Washington</option> <option value="tfa_2395" id="tfa_2395" class="">West Virginia</option> <option value="tfa_2396" id="tfa_2396" class="">Wisconsin</option> <option value="tfa_2397" id="tfa_2397" class="">Wyoming</option> <option value="tfa_2398" id="tfa_2398" class="">Puerto Rico</option> <option value="tfa_2399" id="tfa_2399" class="">Virgin Island</option> <option value="tfa_2400" id="tfa_2400" class="">Northern Mariana Islands</option> <option value="tfa_2401" id="tfa_2401" class="">Guam</option> <option value="tfa_2402" id="tfa_2402" class="">American Samoa</option> <option value="tfa_2403" id="tfa_2403" class="">Palau</option></select></div> </div> <div class="oneField field-container-D " id="tfa_2419-D"> <label id="tfa_2419-L" class="label preField reqMark" for="tfa_2419">Postal Code</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_2419" name="tfa_2419" value="" title="Postal Code" class="validate-integer required"></div> </div> </div></div> </fieldset> <fieldset id="tfa_2032" class="section"> <legend id="tfa_2032-L">Hospital Contact(s) Information</legend> <div id="tfa_2033" class="section inline group"> <div class="oneField field-container-D " id="tfa_2034-D"> <label id="tfa_2034-L" class="label preField reqMark" for="tfa_2034">Contact #1 First Name</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_2034" name="tfa_2034" value="" title="Contact #1 First Name" class="required"></div> </div> <div class="oneField field-container-D " id="tfa_2035-D"> <label id="tfa_2035-L" class="label preField reqMark" for="tfa_2035">Contact #1 Last Name</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_2035" name="tfa_2035" value="" title="Contact #1 Last Name" class="required"></div> </div> <div class="oneField field-container-D " id="tfa_2421-D"> <label id="tfa_2421-L" class="label preField reqMark" for="tfa_2421">Contact #1 Title/Position/Department</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_2421" name="tfa_2421" value="" title="Contact #1 Title/Position/Department" class="required"></div> </div> <div class="oneField field-container-D " id="tfa_2037-D"> <label id="tfa_2037-L" class="label preField reqMark" for="tfa_2037">Contact #1 Email</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_2037" name="tfa_2037" value="" title="Contact #1 Email" class="validate-email required"></div> </div> <div class="oneField field-container-D " id="tfa_2038-D"> <label id="tfa_2038-L" class="label preField reqMark" for="tfa_2038">Contact #1 Phone Number</label><br><div class="inputWrapper"><input aria-required="true" type="text" id="tfa_2038" name="tfa_2038" value="" placeholder="###-###-####" title="Contact #1 Phone Number" class="validate-custom /^([\(]{1}[0-9]{3}[\)]{1}[\.| |\-]{0,1}|^[0-9]{3}[\.|\-| ]?)?[0-9]{3}(\.|\-| )?[0-9]{4}$/ required"></div> </div> </div> <div id="tfa_2428" class="section inline group"> <div class="oneField field-container-D " id="tfa_2429-D"> <label id="tfa_2429-L" class="label preField " for="tfa_2429">Contact #2 First Name</label><br><div class="inputWrapper"><input type="text" id="tfa_2429" name="tfa_2429" value="" title="Contact #2 First Name" class=""></div> </div> <div class="oneField field-container-D " id="tfa_2430-D"> <label id="tfa_2430-L" class="label preField " for="tfa_2430">Contact #2 Last Name</label><br><div class="inputWrapper"><input type="text" id="tfa_2430" name="tfa_2430" value="" title="Contact #2 Last Name" class=""></div> </div> <div class="oneField field-container-D " id="tfa_2431-D"> <label id="tfa_2431-L" class="label preField " for="tfa_2431">Contact #2 Title/Position/Department</label><br><div class="inputWrapper"><input type="text" id="tfa_2431" name="tfa_2431" value="" title="Contact #2 Title/Position/Department" class=""></div> </div> <div class="oneField field-container-D " id="tfa_2432-D"> <label id="tfa_2432-L" class="label preField " for="tfa_2432">Contact #2 Email</label><br><div class="inputWrapper"><input type="text" id="tfa_2432" name="tfa_2432" value="" title="Contact #2 Email" class="validate-email"></div> </div> <div class="oneField field-container-D " id="tfa_2433-D"> <label id="tfa_2433-L" class="label preField " for="tfa_2433">Contact #2 Phone Number</label><br><div class="inputWrapper"><input type="text" id="tfa_2433" name="tfa_2433" value="" placeholder="###-###-####" title="Contact #2 Phone Number" class="validate-custom /^([\(]{1}[0-9]{3}[\)]{1}[\.| |\-]{0,1}|^[0-9]{3}[\.|\-| ]?)?[0-9]{3}(\.|\-| )?[0-9]{4}$/"></div> </div> </div> </fieldset> <fieldset id="tfa_2439" class="section"> <legend id="tfa_2439-L">Order Information</legend> <div class="oneField field-container-D " id="tfa_2434-D" role="radiogroup" aria-labelledby="tfa_2434-L" data-tfa-labelledby="-L tfa_2434-L"> <label id="tfa_2434-L" class="label preField reqMark" data-tfa-check-label-for="tfa_2434">We would like to order:</label><br><div class="inputWrapper"><span id="tfa_2434" class="choices vertical required"><span class="oneChoice"><input type="radio" value="tfa_2435" class="" id="tfa_2435" name="tfa_2434" aria-required="true" aria-labelledby="tfa_2435-L" data-tfa-labelledby="tfa_2434-L tfa_2435-L" data-tfa-parent-id="tfa_2434"><label class="label postField" id="tfa_2435-L" for="tfa_2435"><span class="input-radio-faux"></span>A Freezer and Unlimited Pops</label></span><span class="oneChoice"><input type="radio" value="tfa_2436" class="" id="tfa_2436" name="tfa_2434" aria-required="true" aria-labelledby="tfa_2436-L" data-tfa-labelledby="tfa_2434-L tfa_2436-L" data-tfa-parent-id="tfa_2434"><label class="label postField" id="tfa_2436-L" for="tfa_2436"><span class="input-radio-faux"></span>Unlimited Pops <b>ONLY</b></label></span></span></div> </div> <div class="oneField field-container-D " id="tfa_2437-D"> <label id="tfa_2437-L" class="label preField reqMark" for="tfa_2437">Department where freezer/pops will be located?</label><br><div class="inputWrapper"><textarea aria-required="true" id="tfa_2437" name="tfa_2437" title="Department where freezer/pops will be located?" class="required"></textarea></div> </div> <div class="oneField field-container-D " id="tfa_2438-D"> <label id="tfa_2438-L" class="label preField " for="tfa_2438">Number of patients per week (in freezer/pops location)?&nbsp;</label><br><div class="inputWrapper"><textarea id="tfa_2438" name="tfa_2438" title="Number of patients per week (in freezer/pops location)? " class=""></textarea></div> </div> </fieldset> <div id="tfa_2039" class="section group"><div class="oneField field-container-D " id="tfa_2103-D"> <label id="tfa_2103-L" class="label preField reqMark" for="tfa_2103">How will your hospital/facility benefit from this program?</label><br><div class="inputWrapper"><textarea aria-required="true" id="tfa_2103" name="tfa_2103" title="How will your hospital/facility benefit from this program?" class="required"></textarea></div> </div></div> </fieldset> <fieldset id="tfa_2803" class="section" data-condition="`#tfa_2457`"> <legend id="tfa_2803-L"><b>Freezer Pop Replenishment</b></legend> <div class="htmlSection" id="tfa_2804"><div class="htmlContent" id="tfa_2804-HTML"><i>Thank &nbsp;you for participating in the Take a Pop, Share a Smile program. Please follow the directions below to successfully request more freezer pops!&nbsp;</i></div></div> <div id="tfa_3146" class="section group"><div class="htmlSection" id="tfa_3147"><div class="htmlContent" id="tfa_3147-HTML">Please send a replenishment request email to <b><u>tschilling@jelsert.com</u></b>. To expedite your freezer pop delivery, please include the following information in your email:<div>1. Name of organization</div><div>2. Shipping address</div><div>3. Receiving contact's name</div><div>4. 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