/*jslint nomen:false, debug:true, evil:true, vars:false, browser:true, forin:true, undef:false, white:false */
/**
* Includes a Form with javascript
* @param {Object} formId
* @param {Object} initialHeight
* @param {Object} iframeCode
*/
function FrameBuilder (formId, appendTo, initialHeight, iframeCode){
this.formId = formId;
this.initialHeight = initialHeight;
this.iframeCode = iframeCode;
this.frame = null;
this.timeInterval= 200;
this.appendTo = appendTo || false;
// initialize function for object
this.init = function(){
this.createFrame();
this.addFrameContent(this.iframeCode);
};
// Create the frame
this.createFrame = function(){
var htmlCode = "<"+"iframe src=\"\" allowtransparency=\"true\" frameborder=\"0\" name=\""+this.formId+"\" id=\""+this.formId+"\" style=\"width:100%; height:"+this.initialHeight+"px; border:none;\" scrolling=\"no\">";
if(this.appendTo === false){
document.write(htmlCode);
}else{
var tmp = document.createElement('div');
tmp.innerHTML = htmlCode;
var a = this.appendTo;
document.getElementById(a).appendChild(tmp.firstChild);
}
// also get the frame for future use.
this.frame = document.getElementById(this.formId);
// set the time on the on load event of the frame
this.addEvent(this.frame, 'load', this.bindMethod(this.setTimer, this));
};
// add event function for different browsers
this.addEvent = function( obj, type, fn ) {
if ( obj.attachEvent ) {
obj["e"+type+fn] = fn;
obj[type+fn] = function() { obj["e"+type+fn]( window.event ); };
obj.attachEvent( "on"+type, obj[type+fn] );
}
else{
obj.addEventListener( type, fn, false );
}
};
this.addFrameContent = function (string){
string = string.replace(new RegExp('src\\=\\"[^"]*captcha.php\"><\/scr'+'ipt>', 'gim'), 'src="http://api.recaptcha.net/js/recaptcha_ajax.js"><'+'div id="recaptcha_div"><'+'/div>'+
'<'+'style>#recaptcha_logo{ display:none;} #recaptcha_tagline{display:none;} #recaptcha_table{border:none !important;} .recaptchatable .recaptcha_image_cell, #recaptcha_table{ background-color:transparent !important; } <'+'/style>'+
'<'+'script defer="defer"> window.onload = function(){ Recaptcha.create("6Ld9UAgAAAAAAMon8zjt30tEZiGQZ4IIuWXLt1ky", "recaptcha_div", {theme: "clean",tabindex: 0,callback: function (){'+
'if (document.getElementById("uword")) { document.getElementById("uword").parentNode.removeChild(document.getElementById("uword")); } if (window["validate"] !== undefined) { if (document.getElementById("recaptcha_response_field")){ document.getElementById("recaptcha_response_field").onblur = function(){ validate(document.getElementById("recaptcha_response_field"), "Required"); } } } if (document.getElementById("recaptcha_response_field")){ document.getElementsByName("recaptcha_challenge_field")[0].setAttribute("name", "anum"); } if (document.getElementById("recaptcha_response_field")){ document.getElementsByName("recaptcha_response_field")[0].setAttribute("name", "qCap"); }}})'+
' }<'+'/script>');
string = string.replace(/(type="text\/javascript">)\s+(validate\(\"[^"]*"\);)/, '$1 jTime = setInterval(function(){if("validate" in window){$2clearTimeout(jTime);}}, 1000);');
var frameDocument = (this.frame.contentWindow) ? this.frame.contentWindow : (this.frame.contentDocument.document) ? this.frame.contentDocument.document : this.frame.contentDocument;
frameDocument.document.open();
frameDocument.document.write(string);
setTimeout( function(){
frameDocument.document.close();
try{
if('JotFormFrameLoaded' in window){
JotFormFrameLoaded();
}
}catch(e){}
},200);
};
this.setTimer = function(){
var self = this;
this.interval = setTimeout(function(){self.changeHeight();},this.timeInterval);
};
this.changeHeight = function (){
var actualHeight = this.getBodyHeight();
var currentHeight = this.getViewPortHeight();
if(actualHeight === undefined){
this.frame.style.height = "100%";
if(!this.frame.style.minHeight){
this.frame.style.minHeight = "300px";
}
}else if (Math.abs(actualHeight - currentHeight) > 18){
this.frame.style.height = (actualHeight)+"px";
}
this.setTimer();
};
this.bindMethod = function(method, scope) {
return function() {
method.apply(scope,arguments);
};
};
this.getBodyHeight = function (){
var height;
var scrollHeight;
var offsetHeight;
try{ // Prevent IE from throw errors
if (this.frame.contentWindow.document.height){
height = this.frame.contentWindow.document.height;
//Emre: to prevent "iframe height" problem (61059)
if (this.frame.contentWindow.document.body.scrollHeight){
height = scrollHeight = this.frame.contentWindow.document.body.scrollHeight;
}
if (this.frame.contentWindow.document.body.offsetHeight){
height = offsetHeight = this.frame.contentWindow.document.body.offsetHeight;
}
} else if (this.frame.contentWindow.document.body){
if (this.frame.contentWindow.document.body.scrollHeight){
height = scrollHeight = this.frame.contentWindow.document.body.scrollHeight;
}
if (this.frame.contentWindow.document.body.offsetHeight){
height = offsetHeight = this.frame.contentWindow.document.body.offsetHeight;
}
if (scrollHeight && offsetHeight){
height = Math.max(scrollHeight, offsetHeight);
}
}
}catch(e){ }
return height;
};
this.getViewPortHeight = function(){
var height = 0;
try{ // Prevent IE from throw errors
if (this.frame.contentWindow.window.innerHeight)
{
height = this.frame.contentWindow.window.innerHeight - 18;
}
else if ((this.frame.contentWindow.document.documentElement) &&
(this.frame.contentWindow.document.documentElement.clientHeight))
{
height = this.frame.contentWindow.document.documentElement.clientHeight;
}
else if ((this.frame.contentWindow.document.body) &&
(this.frame.contentWindow.document.body.clientHeight))
{
height = this.frame.contentWindow.document.body.clientHeight;
}
}catch(e){ }
return height;
};
this.init();
}
FrameBuilder.get = [];
var i1095428260 = new FrameBuilder("1095428260", false, "", "\n\n\n\n\nForm<\/title>\n<link href=\"http:\/\/max.jotfor.ms\/min\/g=formCss?3.0.2435\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<style type=\"text\/css\">\n .form-label{\n width:150px !important;\n }\n .form-label-left{\n width:150px !important;\n }\n .form-line{\n padding:10px;\n }\n .form-label-right{\n width:150px !important;\n }\n body, html{\n margin:0;\n padding:0;\n background: F7F3D6;\n }\n\n .form-all{\n margin:0px auto;\n padding-top:20px;\n width:650px;\n background: F7F3D6;\n color:Black !important;\n font-family:Verdana;\n font-size:12px;\n }\n<\/style>\n\n<script src=\"http:\/\/max.jotfor.ms\/min\/g=jotform?3.0.2435\" type=\"text\/javascript\"><\/script>\n<script type=\"text\/javascript\">\n var jsTime = setInterval(function(){try{\n JotForm.jsForm = true;\n\n JotForm.setConditions([{\"action\":{\"field\":\"9\",\"visibility\":\"Show\"},\"link\":\"Any\",\"terms\":[{\"field\":\"11\",\"operator\":\"equals\",\"value\":\"Credit\"}],\"type\":\"field\"},{\"action\":{\"field\":\"60\",\"visibility\":\"Show\"},\"link\":\"Any\",\"terms\":[{\"field\":\"11\",\"operator\":\"equals\",\"value\":\"Check\"}],\"type\":\"field\"}]);\n JotForm.init(function(){\n $('input_3').hint('ex: myname@example.com');\n JotForm.totalCounter({\"input_9_113\":{\"price\":\"1200\"},\"input_9_114\":{\"price\":\"800\"},\"input_9_115\":{\"price\":\"25\"},\"input_9_116\":{\"price\":\"10\"},\"input_9_117\":{\"price\":\"100\"},\"input_9_101\":{\"price\":\"1350\"},\"input_9_102\":{\"price\":\"900\"},\"input_9_103\":{\"price\":\"495\"},\"input_9_104\":{\"price\":\"270\"},\"input_9_105\":{\"price\":\"90\"},\"input_9_118\":{\"price\":\"50\"},\"input_9_119\":{\"price\":\"50\"}});\n });\n\n clearInterval(jsTime);\n }catch(e){}}, 1000);\n<\/script>\n<\/head>\n<body>\n<form class=\"jotform-form\" action=\"http:\/\/submit.jotform.com\/submit.php\" method=\"post\" enctype=\"multipart\/form-data\" name=\"form_1095428260\" id=\"1095428260\" accept-charset=\"utf-8\">\n <input type=\"hidden\" name=\"formID\" value=\"1095428260\" \/>\n <div class=\"form-all\">\n <ul class=\"form-section\">\n <li class=\"form-line\" id=\"id_6\">\n <label class=\"form-label-left\" id=\"label_6\" for=\"input_6\">\n Company Name<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_6\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_6\" name=\"q6_companyName6\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_1\">\n <label class=\"form-label-left\" id=\"label_1\" for=\"input_1\">\n Contact Name<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_1\" class=\"form-input\"><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" type=\"text\" size=\"10\" name=\"q1_contactName1[first]\" id=\"first_1\" \/>\n <label class=\"form-sub-label\" for=\"first_1\" id=\"sublabel_first\"> First Name <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" type=\"text\" size=\"15\" name=\"q1_contactName1[last]\" id=\"last_1\" \/>\n <label class=\"form-sub-label\" for=\"last_1\" id=\"sublabel_last\"> Last Name <\/label><\/span>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_3\">\n <label class=\"form-label-left\" id=\"label_3\" for=\"input_3\">\n E-mail<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_3\" class=\"form-input\">\n <input type=\"email\" class=\"form-textbox validate[required, Email]\" id=\"input_3\" name=\"q3_email\" size=\"30\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_5\">\n <label class=\"form-label-left\" id=\"label_5\" for=\"input_5\">\n Phone Number<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_5\" class=\"form-input\"><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" type=\"tel\" name=\"q5_phoneNumber[area]\" id=\"input_5_area\" size=\"3\">\n -\n <label class=\"form-sub-label\" for=\"input_5_area\" id=\"sublabel_area\"> Area Code <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" type=\"tel\" name=\"q5_phoneNumber[phone]\" id=\"input_5_phone\" size=\"8\">\n <label class=\"form-sub-label\" for=\"input_5_phone\" id=\"sublabel_phone\"> Phone Number <\/label><\/span>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_4\">\n <label class=\"form-label-left\" id=\"label_4\" for=\"input_4\">\n Address<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_4\" class=\"form-input\">\n <table summary=\"\" class=\"form-address-table\" border=\"0\" cellpadding=\"0\" cellspacing=\"0\">\n <tr>\n <td colspan=\"2\"><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required] form-address-line\" type=\"text\" name=\"q4_address[addr_line1]\" id=\"input_4_addr_line1\" \/>\n <label class=\"form-sub-label\" for=\"input_4_addr_line1\" id=\"sublabel_addr_line1\"> Street Address <\/label><\/span>\n <\/td>\n <\/tr>\n <tr>\n <td colspan=\"2\"><span class=\"form-sub-label-container\"><input class=\"form-textbox form-address-line\" type=\"text\" name=\"q4_address[addr_line2]\" id=\"input_4_addr_line2\" size=\"46\" \/>\n <label class=\"form-sub-label\" for=\"input_4_addr_line2\" id=\"sublabel_addr_line2\"> Street Address Line 2 <\/label><\/span>\n <\/td>\n <\/tr>\n <tr>\n <td width=\"50%\"><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required] form-address-city\" type=\"text\" name=\"q4_address[city]\" id=\"input_4_city\" size=\"21\" \/>\n <label class=\"form-sub-label\" for=\"input_4_city\" id=\"sublabel_city\"> City <\/label><\/span>\n <\/td>\n <td><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required] form-address-state\" type=\"text\" name=\"q4_address[state]\" id=\"input_4_state\" size=\"22\" \/>\n <label class=\"form-sub-label\" for=\"input_4_state\" id=\"sublabel_state\"> State \/ Province <\/label><\/span>\n <\/td>\n <\/tr>\n <tr>\n <td width=\"50%\"><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required] form-address-postal\" type=\"text\" name=\"q4_address[postal]\" id=\"input_4_postal\" size=\"10\" \/>\n <label class=\"form-sub-label\" for=\"input_4_postal\" id=\"sublabel_postal\"> Postal \/ Zip Code <\/label><\/span>\n <\/td>\n <td><span class=\"form-sub-label-container\"><select class=\"form-dropdown validate[required] form-address-country\" name=\"q4_address[country]\" id=\"input_4_country\">\n <option selected> Please Select <\/option>\n <option value=\"United States\"> United States <\/option>\n <option value=\"Abkhazia\"> Abkhazia <\/option>\n <option value=\"Afghanistan\"> Afghanistan <\/option>\n <option value=\"Albania\"> Albania <\/option>\n <option value=\"Algeria\"> Algeria <\/option>\n <option value=\"American Samoa\"> American Samoa <\/option>\n <option value=\"Andorra\"> Andorra <\/option>\n <option value=\"Angola\"> Angola <\/option>\n <option value=\"Anguilla\"> Anguilla <\/option>\n <option value=\"Antigua and Barbuda\"> Antigua and Barbuda <\/option>\n <option value=\"Argentina\"> Argentina <\/option>\n <option value=\"Armenia\"> Armenia <\/option>\n <option value=\"Aruba\"> Aruba <\/option>\n <option value=\"Australia\"> Australia <\/option>\n <option value=\"Austria\"> Austria <\/option>\n <option value=\"Azerbaijan\"> Azerbaijan <\/option>\n <option value=\"The Bahamas\"> The Bahamas <\/option>\n <option value=\"Bahrain\"> Bahrain <\/option>\n <option value=\"Bangladesh\"> Bangladesh <\/option>\n <option value=\"Barbados\"> Barbados <\/option>\n <option value=\"Belarus\"> Belarus <\/option>\n <option value=\"Belgium\"> Belgium <\/option>\n <option value=\"Belize\"> Belize <\/option>\n <option value=\"Benin\"> Benin <\/option>\n <option value=\"Bermuda\"> Bermuda <\/option>\n <option value=\"Bhutan\"> Bhutan <\/option>\n <option value=\"Bolivia\"> Bolivia <\/option>\n <option value=\"Bosnia and Herzegovina\"> Bosnia and Herzegovina <\/option>\n <option value=\"Botswana\"> Botswana <\/option>\n <option value=\"Brazil\"> Brazil <\/option>\n <option value=\"Brunei\"> Brunei <\/option>\n <option value=\"Bulgaria\"> Bulgaria <\/option>\n <option value=\"Burkina Faso\"> Burkina Faso <\/option>\n <option value=\"Burundi\"> Burundi <\/option>\n <option value=\"Cambodia\"> Cambodia <\/option>\n <option value=\"Cameroon\"> Cameroon <\/option>\n <option value=\"Canada\"> Canada <\/option>\n <option value=\"Cape Verde\"> Cape Verde <\/option>\n <option value=\"Cayman Islands\"> Cayman Islands <\/option>\n <option value=\"Central African Republic\"> Central African Republic <\/option>\n <option value=\"Chad\"> Chad <\/option>\n <option value=\"Chile\"> Chile <\/option>\n <option value=\"People's Republic of China\"> People's Republic of China <\/option>\n <option value=\"Republic of China\"> Republic of China <\/option>\n <option value=\"Christmas Island\"> Christmas Island <\/option>\n <option value=\"Cocos (Keeling) Islands\"> Cocos (Keeling) Islands <\/option>\n <option value=\"Colombia\"> Colombia <\/option>\n <option value=\"Comoros\"> Comoros <\/option>\n <option value=\"Congo\"> Congo <\/option>\n <option value=\"Cook Islands\"> Cook Islands <\/option>\n <option value=\"Costa Rica\"> Costa Rica <\/option>\n <option value=\"Cote d'Ivoire\"> Cote d'Ivoire <\/option>\n <option value=\"Croatia\"> Croatia <\/option>\n <option value=\"Cuba\"> Cuba <\/option>\n <option value=\"Cyprus\"> Cyprus <\/option>\n <option value=\"Czech Republic\"> Czech Republic <\/option>\n <option value=\"Denmark\"> Denmark <\/option>\n <option value=\"Djibouti\"> Djibouti <\/option>\n <option value=\"Dominica\"> Dominica <\/option>\n <option value=\"Dominican Republic\"> Dominican Republic <\/option>\n <option value=\"Ecuador\"> Ecuador <\/option>\n <option value=\"Egypt\"> Egypt <\/option>\n <option value=\"El Salvador\"> El Salvador <\/option>\n <option value=\"Equatorial Guinea\"> Equatorial Guinea <\/option>\n <option value=\"Eritrea\"> Eritrea <\/option>\n <option value=\"Estonia\"> Estonia <\/option>\n <option value=\"Ethiopia\"> Ethiopia <\/option>\n <option value=\"Falkland Islands\"> Falkland Islands <\/option>\n <option value=\"Faroe Islands\"> Faroe Islands <\/option>\n <option value=\"Fiji\"> Fiji <\/option>\n <option value=\"Finland\"> Finland <\/option>\n <option value=\"France\"> France <\/option>\n <option value=\"French Polynesia\"> French Polynesia <\/option>\n <option value=\"Gabon\"> Gabon <\/option>\n <option value=\"The Gambia\"> The Gambia <\/option>\n <option value=\"Georgia\"> Georgia <\/option>\n <option value=\"Germany\"> Germany <\/option>\n <option value=\"Ghana\"> Ghana <\/option>\n <option value=\"Gibraltar\"> Gibraltar <\/option>\n <option value=\"Greece\"> Greece <\/option>\n <option value=\"Greenland\"> Greenland <\/option>\n <option value=\"Grenada\"> Grenada <\/option>\n <option value=\"Guadeloupe\"> Guadeloupe <\/option>\n <option value=\"Guam\"> Guam <\/option>\n <option value=\"Guatemala\"> Guatemala <\/option>\n <option value=\"Guernsey\"> Guernsey <\/option>\n <option value=\"Guinea\"> Guinea <\/option>\n <option value=\"Guinea-Bissau\"> Guinea-Bissau <\/option>\n <option value=\"Guyana\"> Guyana <\/option>\n <option value=\"Haiti\"> Haiti <\/option>\n <option value=\"Honduras\"> Honduras <\/option>\n <option value=\"Hong Kong\"> Hong Kong <\/option>\n <option value=\"Hungary\"> Hungary <\/option>\n <option value=\"Iceland\"> Iceland <\/option>\n <option value=\"India\"> India <\/option>\n <option value=\"Indonesia\"> Indonesia <\/option>\n <option value=\"Iran\"> Iran <\/option>\n <option value=\"Iraq\"> Iraq <\/option>\n <option value=\"Ireland\"> Ireland <\/option>\n <option value=\"Israel\"> Israel <\/option>\n <option value=\"Italy\"> Italy <\/option>\n <option value=\"Jamaica\"> Jamaica <\/option>\n <option value=\"Japan\"> Japan <\/option>\n <option value=\"Jersey\"> Jersey <\/option>\n <option value=\"Jordan\"> Jordan <\/option>\n <option value=\"Kazakhstan\"> Kazakhstan <\/option>\n <option value=\"Kenya\"> Kenya <\/option>\n <option value=\"Kiribati\"> Kiribati <\/option>\n <option value=\"North Korea\"> North Korea <\/option>\n <option value=\"South Korea\"> South Korea <\/option>\n <option value=\"Kosovo\"> Kosovo <\/option>\n <option value=\"Kuwait\"> Kuwait <\/option>\n <option value=\"Kyrgyzstan\"> Kyrgyzstan <\/option>\n <option value=\"Laos\"> Laos <\/option>\n <option value=\"Latvia\"> Latvia <\/option>\n <option value=\"Lebanon\"> Lebanon <\/option>\n <option value=\"Lesotho\"> Lesotho <\/option>\n <option value=\"Liberia\"> Liberia <\/option>\n <option value=\"Libya\"> Libya <\/option>\n <option value=\"Liechtenstein\"> Liechtenstein <\/option>\n <option value=\"Lithuania\"> Lithuania <\/option>\n <option value=\"Luxembourg\"> Luxembourg <\/option>\n <option value=\"Macau\"> Macau <\/option>\n <option value=\"Macedonia\"> Macedonia <\/option>\n <option value=\"Madagascar\"> Madagascar <\/option>\n <option value=\"Malawi\"> Malawi <\/option>\n <option value=\"Malaysia\"> Malaysia <\/option>\n <option value=\"Maldives\"> Maldives <\/option>\n <option value=\"Mali\"> Mali <\/option>\n <option value=\"Malta\"> Malta <\/option>\n <option value=\"Marshall Islands\"> Marshall Islands <\/option>\n <option value=\"Martinique\"> Martinique <\/option>\n <option value=\"Mauritania\"> Mauritania <\/option>\n <option value=\"Mauritius\"> Mauritius <\/option>\n <option value=\"Mayotte\"> Mayotte <\/option>\n <option value=\"Mexico\"> Mexico <\/option>\n <option value=\"Micronesia\"> Micronesia <\/option>\n <option value=\"Moldova\"> Moldova <\/option>\n <option value=\"Monaco\"> Monaco <\/option>\n <option value=\"Mongolia\"> Mongolia <\/option>\n <option value=\"Montenegro\"> Montenegro <\/option>\n <option value=\"Montserrat\"> Montserrat <\/option>\n <option value=\"Morocco\"> Morocco <\/option>\n <option value=\"Mozambique\"> Mozambique <\/option>\n <option value=\"Myanmar\"> Myanmar <\/option>\n <option value=\"Nagorno-Karabakh\"> Nagorno-Karabakh <\/option>\n <option value=\"Namibia\"> Namibia <\/option>\n <option value=\"Nauru\"> Nauru <\/option>\n <option value=\"Nepal\"> Nepal <\/option>\n <option value=\"Netherlands\"> Netherlands <\/option>\n <option value=\"Netherlands Antilles\"> Netherlands Antilles <\/option>\n <option value=\"New Caledonia\"> New Caledonia <\/option>\n <option value=\"New Zealand\"> New Zealand <\/option>\n <option value=\"Nicaragua\"> Nicaragua <\/option>\n <option value=\"Niger\"> Niger <\/option>\n <option value=\"Nigeria\"> Nigeria <\/option>\n <option value=\"Niue\"> Niue <\/option>\n <option value=\"Norfolk Island\"> Norfolk Island <\/option>\n <option value=\"Turkish Republic of Northern Cyprus\"> Turkish Republic of Northern Cyprus <\/option>\n <option value=\"Northern Mariana\"> Northern Mariana <\/option>\n <option value=\"Norway\"> Norway <\/option>\n <option value=\"Oman\"> Oman <\/option>\n <option value=\"Pakistan\"> Pakistan <\/option>\n <option value=\"Palau\"> Palau <\/option>\n <option value=\"Palestine\"> Palestine <\/option>\n <option value=\"Panama\"> Panama <\/option>\n <option value=\"Papua New Guinea\"> Papua New Guinea <\/option>\n <option value=\"Paraguay\"> Paraguay <\/option>\n <option value=\"Peru\"> Peru <\/option>\n <option value=\"Philippines\"> Philippines <\/option>\n <option value=\"Pitcairn Islands\"> Pitcairn Islands <\/option>\n <option value=\"Poland\"> Poland <\/option>\n <option value=\"Portugal\"> Portugal <\/option>\n <option value=\"Puerto Rico\"> Puerto Rico <\/option>\n <option value=\"Qatar\"> Qatar <\/option>\n <option value=\"Romania\"> Romania <\/option>\n <option value=\"Russia\"> Russia <\/option>\n <option value=\"Rwanda\"> Rwanda <\/option>\n <option value=\"Saint Barthelemy\"> Saint Barthelemy <\/option>\n <option value=\"Saint Helena\"> Saint Helena <\/option>\n <option value=\"Saint Kitts and Nevis\"> Saint Kitts and Nevis <\/option>\n <option value=\"Saint Lucia\"> Saint Lucia <\/option>\n <option value=\"Saint Martin\"> Saint Martin <\/option>\n <option value=\"Saint Pierre and Miquelon\"> Saint Pierre and Miquelon <\/option>\n <option value=\"Saint Vincent and the Grenadines\"> Saint Vincent and the Grenadines <\/option>\n <option value=\"Samoa\"> Samoa <\/option>\n <option value=\"San Marino\"> San Marino <\/option>\n <option value=\"Sao Tome and Principe\"> Sao Tome and Principe <\/option>\n <option value=\"Saudi Arabia\"> Saudi Arabia <\/option>\n <option value=\"Senegal\"> Senegal <\/option>\n <option value=\"Serbia\"> Serbia <\/option>\n <option value=\"Seychelles\"> Seychelles <\/option>\n <option value=\"Sierra Leone\"> Sierra Leone <\/option>\n <option value=\"Singapore\"> Singapore <\/option>\n <option value=\"Slovakia\"> Slovakia <\/option>\n <option value=\"Slovenia\"> Slovenia <\/option>\n <option value=\"Solomon Islands\"> Solomon Islands <\/option>\n <option value=\"Somalia\"> Somalia <\/option>\n <option value=\"Somaliland\"> Somaliland <\/option>\n <option value=\"South Africa\"> South Africa <\/option>\n <option value=\"South Ossetia\"> South Ossetia <\/option>\n <option value=\"Spain\"> Spain <\/option>\n <option value=\"Sri Lanka\"> Sri Lanka <\/option>\n <option value=\"Sudan\"> Sudan <\/option>\n <option value=\"Suriname\"> Suriname <\/option>\n <option value=\"Svalbard\"> Svalbard <\/option>\n <option value=\"Swaziland\"> Swaziland <\/option>\n <option value=\"Sweden\"> Sweden <\/option>\n <option value=\"Switzerland\"> Switzerland <\/option>\n <option value=\"Syria\"> Syria <\/option>\n <option value=\"Taiwan\"> Taiwan <\/option>\n <option value=\"Tajikistan\"> Tajikistan <\/option>\n <option value=\"Tanzania\"> Tanzania <\/option>\n <option value=\"Thailand\"> Thailand <\/option>\n <option value=\"Timor-Leste\"> Timor-Leste <\/option>\n <option value=\"Togo\"> Togo <\/option>\n <option value=\"Tokelau\"> Tokelau <\/option>\n <option value=\"Tonga\"> Tonga <\/option>\n <option value=\"Transnistria Pridnestrovie\"> Transnistria Pridnestrovie <\/option>\n <option value=\"Trinidad and Tobago\"> Trinidad and Tobago <\/option>\n <option value=\"Tristan da Cunha\"> Tristan da Cunha <\/option>\n <option value=\"Tunisia\"> Tunisia <\/option>\n <option value=\"Turkey\"> Turkey <\/option>\n <option value=\"Turkmenistan\"> Turkmenistan <\/option>\n <option value=\"Turks and Caicos Islands\"> Turks and Caicos Islands <\/option>\n <option value=\"Tuvalu\"> Tuvalu <\/option>\n <option value=\"Uganda\"> Uganda <\/option>\n <option value=\"Ukraine\"> Ukraine <\/option>\n <option value=\"United Arab Emirates\"> United Arab Emirates <\/option>\n <option value=\"United Kingdom\"> United Kingdom <\/option>\n <option value=\"Uruguay\"> Uruguay <\/option>\n <option value=\"Uzbekistan\"> Uzbekistan <\/option>\n <option value=\"Vanuatu\"> Vanuatu <\/option>\n <option value=\"Vatican City\"> Vatican City <\/option>\n <option value=\"Venezuela\"> Venezuela <\/option>\n <option value=\"Vietnam\"> Vietnam <\/option>\n <option value=\"British Virgin Islands\"> British Virgin Islands <\/option>\n <option value=\"US Virgin Islands\"> US Virgin Islands <\/option>\n <option value=\"Wallis and Futuna\"> Wallis and Futuna <\/option>\n <option value=\"Western Sahara\"> Western Sahara <\/option>\n <option value=\"Yemen\"> Yemen <\/option>\n <option value=\"Zambia\"> Zambia <\/option>\n <option value=\"Zimbabwe\"> Zimbabwe <\/option>\n <option value=\"other\"> Other <\/option>\n <\/select>\n <label class=\"form-sub-label\" for=\"input_4_country\" id=\"sublabel_country\"> Country <\/label><\/span>\n <\/td>\n <\/tr>\n <\/table>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_34\">\n <label class=\"form-label-left\" id=\"label_34\" for=\"input_34\"> Illinois Federal Business Tax I.D. Number <\/label>\n <div id=\"cid_34\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_34\" name=\"q34_illinoisFederal34\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_35\">\n <div id=\"cid_35\" class=\"form-input-wide\">\n <div id=\"text_35\" class=\"form-html\">\n *If Vendor does not currently have Illinois Business Tax #, contact Illinois Department of Revenue at 217-785-3707 to apply - Tax Numbers are generally processed within 24 hours\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_36\">\n <label class=\"form-label-left\" id=\"label_36\" for=\"input_36\"> Summer Festival Food Vendor Sanitation Certificate Number <\/label>\n <div id=\"cid_36\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_36\" name=\"q36_summerFestival\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_37\">\n <div id=\"cid_37\" class=\"form-input-wide\">\n <div id=\"text_37\" class=\"form-html\">\n *Requires a Summer Food Vendor Certified person at each booth at all times food is handled.\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_18\">\n <div id=\"cid_18\" class=\"form-input-wide\">\n <div id=\"text_18\" class=\"form-html\">\n <p class=\"MsoNormal\">\n <b style=\"\">\n The booth will be in the architect-designed international-bazaar, located in a main thoroughfare of the festival.\n <\/b>\n <b style=\"\">\n <\/b>\n <\/p>\n <\/p>\n <p class=\"MsoNormal\">\n \u00b7 The prices below include a 3-sided tent with a counter and skirting on the fourth side, 2 chairs and non-refundable city permit fee.\n <br>\n \u00b7 1 power outlet included\n <br>\n \u00b7 Additional options include corner booths (subject to availability), additional electricity, supplementary tables and chairs.\n <br>\n \u00b7 Each vendor category will be limited and will be taken on a first-come, first-serve basis.\n <br>\n \u00b7 Priority will also be given to vendors who agree to the terms of Streets 2010 environmental stewardship mission. Essentially, vendors who utilize the modalities of reduction reuse or recycle in the products sold, their display, transport or other facets will be evaluated for inclusion.\n <\/p>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_38\">\n <label class=\"form-label-left\" id=\"label_38\" for=\"input_38\"> Type of cuisine <\/label>\n <div id=\"cid_38\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_38\" name=\"q38_typeOf\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_42\">\n <div id=\"cid_42\" class=\"form-input-wide\">\n <div id=\"text_42\" class=\"form-html\"><span style=\"font-weight: bold;\">SPECIAL EVENTS MENU APPROVAL REQUEST<\/span>\n <br>\n Please complete list of menu items below. Requirements may be imposed to protect the public's health or to prohibit the sale of some or all potentially hazardous foods such as raw foods, sushi or oysters. When no health hazard exists, some requirements may be waived. Sale of alcoholic or pork products is prohibited at this event.\n <br>\n List the proposed foods and ingredients to be served at the event. \n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_41\">\n <label class=\"form-label-left\" id=\"label_41\" for=\"input_41\"> Food Item 1 <\/label>\n <div id=\"cid_41\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_41\" name=\"q41_foodItem\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_50\">\n <label class=\"form-label-left\" id=\"label_50\" for=\"input_50\"> Food Item 2 <\/label>\n <div id=\"cid_50\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_50\" name=\"q50_foodItem50\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_49\">\n <label class=\"form-label-left\" id=\"label_49\" for=\"input_49\"> Food Item 3 <\/label>\n <div id=\"cid_49\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_49\" name=\"q49_foodItem49\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_48\">\n <label class=\"form-label-left\" id=\"label_48\" for=\"input_48\"> Food Item 4 <\/label>\n <div id=\"cid_48\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_48\" name=\"q48_foodItem48\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_47\">\n <label class=\"form-label-left\" id=\"label_47\" for=\"input_47\"> Food Item 5 <\/label>\n <div id=\"cid_47\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_47\" name=\"q47_foodItem47\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_46\">\n <label class=\"form-label-left\" id=\"label_46\" for=\"input_46\"> Food Item 6 <\/label>\n <div id=\"cid_46\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_46\" name=\"q46_foodItem46\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_45\">\n <label class=\"form-label-left\" id=\"label_45\" for=\"input_45\"> Food Item 7 <\/label>\n <div id=\"cid_45\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_45\" name=\"q45_foodItem45\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_44\">\n <label class=\"form-label-left\" id=\"label_44\" for=\"input_44\"> Food Item 8 <\/label>\n <div id=\"cid_44\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_44\" name=\"q44_foodItem44\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_43\">\n <label class=\"form-label-left\" id=\"label_43\" for=\"input_43\"> Food Item 9 <\/label>\n <div id=\"cid_43\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_43\" name=\"q43_foodItem43\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_51\">\n <label class=\"form-label-left\" id=\"label_51\" for=\"input_51\"> Food Item 10 <\/label>\n <div id=\"cid_51\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_51\" name=\"q51_foodItem51\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_62\">\n <div id=\"cid_62\" class=\"form-input-wide\">\n <div id=\"text_62\" class=\"form-html\">\n <p class=\"MsoNormal\" style=\"\">\n <b style=\"\">\n All vendors must:\n <\/b>\n <\/p>\n <p class=\"MsoListParagraphCxSpFirst\" style=\"text-indent: -0.25in;\">\n \u00b7 Non-Chicago establishments must submit their latest sanitation report from their local Health Department jurisdiction dated no more than six months before the event.\n <\/p>\n <p class=\"MsoListParagraphCxSpMiddle\" style=\"text-indent: -0.25in;\">\n \u00b7 A copy of the following must be attached to each application: Summer Festival Food Vendor sanitation certificates(s).\n <\/p>\n <p class=\"MsoListParagraphCxSpMiddle\" style=\"text-indent: -0.25in;\">\n \u00b7 A copy of your current health inspection must be attached to each application.\n <\/p>\n <p class=\"MsoListParagraphCxSpMiddle\" style=\"text-indent: -0.25in;\">\n \u00b7 A Certificate of Insurance for $1,000,000 Commercial General Liability, naming the Inner-City Muslim Action Network as an Additional Insured, must be attached to the Food Vendor Application.\n <\/p>\n <p class=\"MsoListParagraphCxSpLast\" style=\"text-indent: -0.25in;\">\n \u00b7 Attend a MANDATORY sanitation seminar and become certified. You can contact the following organizations:\n <\/p>\n <p class=\"MsoListParagraph\" style=\"margin-left: 0.75in; text-indent: -0.25in;\">\n -Harold Washington College-Hospitality Programs-30 East Lake Street, Room 1105-A, Chicago, Illinois 60601; (312) 553-5800 or (312) 553-5960; $30 non-refundable fee http:\/\/hwashington.ccc.edu\/pdfs\/summerfest2010.pdf\n <\/p>\n <p class=\"MsoListParagraph\" style=\"margin-left: 0.75in; text-indent: -0.25in;\">\n -Illinois Restaurant Association- 200 North LaSalle Street, Chicago, Illinois 60601; (312) 787-4792; Member $25\/Non member $30\n <\/p>\n <p class=\"MsoListParagraph\" style=\"margin-left: 0.75in; text-indent: -0.25in;\">\n -Hospitality Academy at McCormick Place - 301 East Cermak Road, Chicago, Illinois 60616; (312) 791-6030; $30 registration fee\n <\/p>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_63\">\n <div id=\"cid_63\" class=\"form-input-wide\">\n <div id=\"text_63\" class=\"form-html\">\n <p class=\"MsoNormal\" style=\"margin: 0.1pt 0in;\">\n If you secure a food-vendor booth at Takin' it to the Streets by April 30th, you can attend the sanitation seminar at no charge at a designated location. We will send you this information once we have received and processed your application\n <\/p>\n \n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_22\">\n <div id=\"cid_22\" class=\"form-input-wide\">\n <div id=\"text_22\" class=\"form-html\">\n Terms & Conditions\n <p class=\"MsoNormal\" style=\"\">\n <b style=\"\">\n 1. Booth:\n <\/b>\n Vendor will provide IMAN with a non-refundable city permit fee. IMAN will provide the Vendor with a booth in the architect-design international bazaar. The booth shall include a 3-sided tent with a counter and skirting on the fourth side. Two chairs shall also be included. In the event the vendor fails to appear at the Festival and claim their reserved space, IMAN reserves the right to assign, and\/or resell, such space to another prospective vendor without refund.\n <\/p>\n <p class=\"MsoNormal\" style=\"\">\n <b style=\"\">\n 2. Right of Refusal:\n <\/b>\n IMAN reserves the right to refuse a potential vendor for any reason including, but not limited to, questionable business practices, or those having a mission directly in conflict with IMAN\u2019s mission. In consideration of Vendor\u2019s application, priority will be given to Vendors who agree to the terms of Streets 2010 environmental stewardship mission. IMAN will look for Vendor\u2019s who use the modalities of reduction, reuse, and recycle in their products, their display, transportation or other facets,\n in determining priority.\n <\/p>\n <p class=\"MsoNormal\" style=\"\">\n <b style=\"\">\n 3. Payment:\n <\/b>\n Full payment is due no later than April 30th, 2010. If full payment is not made by this date Vendor forfeits their right to the booth. Requests for additional space will be entertained if made before May 15th, 2010.\n <\/p>\n <p class=\"MsoNormal\" style=\"\">\n <b style=\"\">\n 4. Cancellation:\n <\/b>\n All sales are final and no refunds will be issued. If vendor is not approved by the Inner-City Muslim Action Network, all payments will be refunded.\n <br>\n <\/p>\n <p class=\"MsoNormal\" style=\"\">\n <b style=\"\">\n 5. Insurance:\n <\/b>\n Vendor shall name the Inner-City Muslim Action Network and the City of Chicago as an additional insured under its policy and forward a certificate of insurance with final payment. Inner-City Muslim Action Network must be added to Vendor\u2019s Certificate of Liability insurance. A copy will be required with Vendor\u2019s final payment. Failure to submit a Certificate of Liability Insurance may forfeit the right to the booth and to the deposit.\n <\/p>\n <p class=\"MsoNormal\" style=\"\">\n <b style=\"\">\n 6. Indemnification:\n <\/b>\n Vendor will indemnify and hold harmless the Inner-City Muslim Action Network from any and all claims or law suits for injury damage arising from any action by Vendor or one of its agents or employees, or from the sale of Vendor\u2019s products. From the time Vendor occupies the booth, Vendor is responsible for any damage that might happen over the one-day event.\n <\/p>\n <p class=\"MsoNormal\" style=\"\">\n <b style=\"\">\n 7. Limited Liability:\n <\/b>\n Vendor agrees to conduct all activities in a moral and professional manner, consistent with IMAN\u2019s mission. Vendor is liable for all activities that occur in any and all locations or booths under the control of the vendor, IMAN is not liable for any activity that occurs within the areas under the control of the Vendor. Vendor is waived from all liability for activities that take place outside its area of control.\n <br>\n <\/p>\n <p class=\"MsoNormal\" style=\"\">\n <b style=\"\">\n 8. Food:\n <\/b>\n Vendor is solely liable for any food or beverage made available to attendees of this event by Vendor, his employees, or agents.\n <\/p>\n <p class=\"MsoNormal\" style=\"\">\n <b style=\"\">\n 9. Illegal Sales:\n <\/b>\n Vendor shall not display, offer for view or sell any illegal or contraband items. The laws of the State of Illinois and local ordinances of Cook County shall control. Vendor shall not display, offer for view or sell any items that are unlicensed and\/or copies\/interpretations of licensed or registered items at any and all sites and operations. Vendor will not be subject to oversight in this regard and therefore Vendor takes full liability for the illegal sale of any items during the course of this\n event.\n <\/p>\n <p class=\"MsoNormal\" style=\"\">\n <b style=\"\">\n 10. Clean up:\n <\/b>\n Vendor upon vacating their booth space(s) shall ensure that such space is free of any and all trash or refuse, with such being placed in appropriate containers. Failure of the Vendor to clean their booths may result in future denial of participation in this event, and fines. Vendor is required to remove all items from the tent which they brought in. Any items left behind are not the responsibility of IMAN to secure, store, or return. Vendor is also responsible to leave all portions of the tent intact,\n any losses suffered as a result of missing tent pieces shall be incurred by Vendor.\n <\/p>\n <p class=\"MsoNormal\" style=\"\">\n <b style=\"\">\n 11. Vision Guidelines:\n <\/b>\n Vendor must comply with IMAN\u2019s moral standards. IMAN\u2019s vision is to foster a dynamic and vibrant space for Muslims in Urban America by inspiring the larger community towards critical civic engagement exemplifying prophetic compassion in the work for social justice and human dignity beyond the barriers of religion, ethnicity, and nationality. Vendor understands that all materials and vending merchandise in the booth must be in good taste, supporting strong moral values compliant with standards set\n by the Inner-City Muslim Action Network. Vendor may make absolutely no references to drugs, alcohol, violence or obscenity at any time either verbally, visually, or through displays.\n <\/p>\n <p class=\"MsoNormal\" style=\"\">\n <b style=\"\">\n 12. Subletting:\n <\/b>\n Vendor shall not sublet their space to any other organization, person, or entity without the express written consent of IMAN. Subletting will result in the revocation of Vendor\u2019s Application and booth.\n <\/p>\n <p class=\"MsoNormal\" style=\"\">\n <b style=\"\">\n 13. Sales Tax and Costs:\n <\/b>\n Vendor acknowledges and understands that they are responsible for sales and use tax and shall in no way hold IMAN responsible for payment of either. Vendor is responsible for all costs associated with any and all of its actions, employees, and volunteers. No Vendor shall hold itself out as an Agent of IMAN at any time.\n <\/p>\n <p class=\"MsoNormal\" style=\"\">\n <b style=\"\">\n 14. Warranties:\n <\/b>\n IMAN makes no representations or guarantees towards event attendance.\n <\/p>\n <p class=\"MsoNormal\" style=\"\">\n <b style=\"\">\n 15. Merger and Forum:\n <\/b>\n This contract constitutes the entire agreement between the parties. This contract will be construed under Illinois Law and all disputes will be exclusively resolved in Illinois Courts.\n <\/p>\n \n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_25\">\n <div id=\"cid_25\" class=\"form-input-wide\">\n <div id=\"text_25\" class=\"form-html\">\n <meta name=\"Title\" content=\"\">\n <meta name=\"Keywords\" content=\"\">\n <meta http-equiv=\"Content-Type\" content=\"text\/html; charset=utf-8\">\n <meta name=\"ProgId\" content=\"Word.Document\">\n <meta name=\"Generator\" content=\"Microsoft Word 2008\">\n <meta name=\"Originator\" content=\"Microsoft Word 2008\">\n <link rel=\"File-List\" href=\"file:\/\/localhost\/Users\/ahlamsaid\/Library\/Caches\/TemporaryItems\/msoclip\/0\/clip_filelist.xml\">\n <style>\n <\/style><span style=\"font-family: Arial; color: black;\">Vendor understands that all materials and vending merchandise in the booth must be in good taste and support\n <o:p>\n <\/o:p>\n strong moral values compliant to standards determined by the Inner-City Muslim Action Network. Absolutely no\n <o:p>\n <\/o:p>\n references to drugs, alcohol, violence or obscenity are allowed.<\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_26\">\n <div id=\"cid_26\" class=\"form-input-wide\">\n <div id=\"text_26\" class=\"form-html\"><span style=\"font-family: Arial; color: black;\"><o:p>\n <\/o:p><\/span><span style=\"font-family: Arial; color: black;\">Vendor understands that it will receive an on-site information package by June 1st, 2010. The package will\n <o:p>\n <\/o:p><\/span><span style=\"font-family: Arial; color: black;\">include important information on set-up and arrival times, check-in, unloading zones, booth designation, etc. It will\n <o:p>\n <\/o:p><\/span><span style=\"font-family: Arial; color: black;\">be emailed to the address indicated on this form. If Vendor does not receive this package by June 1st, it is the Vendor\u2019s responsibility to follow-up with IMAN\u2019s organizers to obtain the information.\n <o:p>\n <\/o:p><\/span><span style=\"font-family: Arial; color: black;\"><o:p>\n <\/o:p><\/span>\n \n <br>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_27\">\n <div id=\"cid_27\" class=\"form-input-wide\">\n <div id=\"text_27\" class=\"form-html\"><span style=\"font-family: Arial; color: black;\"><o:p>\n <\/o:p><\/span><span style=\"font-family: Arial; color: black;\">Vendor agrees to abide by the rules and planners of the Vendor bazaar.\n <o:p>\n <\/o:p><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_28\">\n <div id=\"cid_28\" class=\"form-input-wide\">\n <div id=\"text_28\" class=\"form-html\"><span style=\"font-family: Arial; color: black;\">I have reviewed, and will fully comply with the terms of agreement listed above. I acknowledge that I am authorized to sign on behalf of my organization and understand that I am making a financial commitment to participate in this opportunity. I understand that payment is due upon execution and my booth is not secured without it.<\/span>\n \n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_32\">\n <label class=\"form-label-left\" id=\"label_32\" for=\"input_32\">\n Electronic Signature:<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_32\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox validate[required, Alphabetic]\" id=\"input_32\" name=\"q32_electronicSignature\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_13\">\n <label class=\"form-label-left\" id=\"label_13\" for=\"input_13\"> Attach ad jpg <\/label>\n <div id=\"cid_13\" class=\"form-input\">\n <input class=\"form-upload\" type=\"file\" id=\"input_13\" name=\"q13_attachAd\" file-accept=\"pdf, doc, docx, mp3, wma, mpg, flv, jpg, png, gif\" file-maxsize=\"500\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_11\">\n <label class=\"form-label-left\" id=\"label_11\" for=\"input_11\"> I will pay by <\/label>\n <div id=\"cid_11\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_11_0\" name=\"q11_iWill[]\" value=\"Credit\" \/>\n <label for=\"input_11_0\"> Credit <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_11_1\" name=\"q11_iWill[]\" value=\"Check\" \/>\n <label for=\"input_11_1\"> Check <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_60\">\n <label class=\"form-label-top\" id=\"label_60\" for=\"input_60\"> Prices reflect 10% ad discount with booth purchase <\/label>\n <div id=\"cid_60\" class=\"form-input-wide\">\n <table summary=\"\" cellpadding=\"4\" cellspacing=\"0\" class=\"form-matrix-table\">\n <tr>\n <th style=\"border:none\">\n \n <\/th>\n <th class=\"form-matrix-column-headers\" style=\"width:102%\">\n Quantity\n <\/th>\n <\/tr>\n <tr>\n <th align=\"left\" class=\"form-matrix-row-headers\" nowrap=\"nowrap\">\n 20\u2019 x 10\u2019 Large Food ($1200)\n <\/th>\n <td align=\"center\" class=\"form-matrix-values\">\n <input class=\"form-textbox\" type=\"text\" size=\"5\" name=\"q60_pricesReflect60[0][]\" \/>\n <\/td>\n <\/tr>\n <tr>\n <th align=\"left\" class=\"form-matrix-row-headers\" nowrap=\"nowrap\">\n 10\u2019 x 10\u2019 Food ($800)\n <\/th>\n <td align=\"center\" class=\"form-matrix-values\">\n <input class=\"form-textbox\" type=\"text\" size=\"5\" name=\"q60_pricesReflect60[1][]\" \/>\n <\/td>\n <\/tr>\n <tr>\n <th align=\"left\" class=\"form-matrix-row-headers\" nowrap=\"nowrap\">\n Additional Tables-max 2 ($25 each)\n <\/th>\n <td align=\"center\" class=\"form-matrix-values\">\n <input class=\"form-textbox\" type=\"text\" size=\"5\" name=\"q60_pricesReflect60[2][]\" \/>\n <\/td>\n <\/tr>\n <tr>\n <th align=\"left\" class=\"form-matrix-row-headers\" nowrap=\"nowrap\">\n Additional Chairs ($10)\n <\/th>\n <td align=\"center\" class=\"form-matrix-values\">\n <input class=\"form-textbox\" type=\"text\" size=\"5\" name=\"q60_pricesReflect60[3][]\" \/>\n <\/td>\n <\/tr>\n <tr>\n <th align=\"left\" class=\"form-matrix-row-headers\" nowrap=\"nowrap\">\n Corner Space Upgrade ($100)\n <\/th>\n <td align=\"center\" class=\"form-matrix-values\">\n <input class=\"form-textbox\" type=\"text\" size=\"5\" name=\"q60_pricesReflect60[4][]\" \/>\n <\/td>\n <\/tr>\n <tr>\n <th align=\"left\" class=\"form-matrix-row-headers\" nowrap=\"nowrap\">\n 1-110V Outlet Electricity ($50)\n <\/th>\n <td align=\"center\" class=\"form-matrix-values\">\n <input class=\"form-textbox\" type=\"text\" size=\"5\" name=\"q60_pricesReflect60[5][]\" \/>\n <\/td>\n <\/tr>\n <tr>\n <th align=\"left\" class=\"form-matrix-row-headers\" nowrap=\"nowrap\">\n Supplementary Power ($50)\n <\/th>\n <td align=\"center\" class=\"form-matrix-values\">\n <input class=\"form-textbox\" type=\"text\" size=\"5\" name=\"q60_pricesReflect60[6][]\" \/>\n <\/td>\n <\/tr>\n <tr>\n <th align=\"left\" class=\"form-matrix-row-headers\" nowrap=\"nowrap\">\n Full Page Color Ad ($1,350)\n <\/th>\n <td align=\"center\" class=\"form-matrix-values\">\n <input class=\"form-textbox\" type=\"text\" size=\"5\" name=\"q60_pricesReflect60[7][]\" \/>\n <\/td>\n <\/tr>\n <tr>\n <th align=\"left\" class=\"form-matrix-row-headers\" nowrap=\"nowrap\">\n Half Page Color Ad ($900)\n <\/th>\n <td align=\"center\" class=\"form-matrix-values\">\n <input class=\"form-textbox\" type=\"text\" size=\"5\" name=\"q60_pricesReflect60[8][]\" \/>\n <\/td>\n <\/tr>\n <tr>\n <th align=\"left\" class=\"form-matrix-row-headers\" nowrap=\"nowrap\">\n \u00bc Page Color Ad ($495)\n <\/th>\n <td align=\"center\" class=\"form-matrix-values\">\n <input class=\"form-textbox\" type=\"text\" size=\"5\" name=\"q60_pricesReflect60[9][]\" \/>\n <\/td>\n <\/tr>\n <tr>\n <th align=\"left\" class=\"form-matrix-row-headers\" nowrap=\"nowrap\">\n Business Card Size Color ($270)\n <\/th>\n <td align=\"center\" class=\"form-matrix-values\">\n <input class=\"form-textbox\" type=\"text\" size=\"5\" name=\"q60_pricesReflect60[10][]\" \/>\n <\/td>\n <\/tr>\n <tr>\n <th align=\"left\" class=\"form-matrix-row-headers\" nowrap=\"nowrap\">\n Business Listing ($90)\n <\/th>\n <td align=\"center\" class=\"form-matrix-values\">\n <input class=\"form-textbox\" type=\"text\" size=\"5\" name=\"q60_pricesReflect60[11][]\" \/>\n <\/td>\n <\/tr>\n <\/table>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_9\">\n <label class=\"form-label-left\" id=\"label_9\" for=\"input_9\"> Prices reflect 10% ad discount with booth purchase <\/label>\n <div id=\"cid_9\" class=\"form-input\"><span class=\"form-product-item\"><input class=\"form-checkbox\" type=\"checkbox\" id=\"input_9_113\" name=\"q9_pricesReflect9[][id]\" value=\"113\" \/>\n <label for=\"input_9_113\">\n Large Food Booth (20\u2019 x 10\u2019)<span class=\"form-product-details\"><b>\n $<span id=\"\">1,200.00<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/><span class=\"form-product-item\"><input class=\"form-checkbox\" type=\"checkbox\" id=\"input_9_114\" name=\"q9_pricesReflect9[][id]\" value=\"114\" \/>\n <label for=\"input_9_114\">\n Food Booth (10\u2019 x 10\u2019)<span class=\"form-product-details\"><b>\n $<span id=\"\">800.00<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/><span class=\"form-product-item\"><input class=\"form-checkbox\" type=\"checkbox\" id=\"input_9_115\" name=\"q9_pricesReflect9[][id]\" value=\"115\" \/>\n <label for=\"input_9_115\">\n Additional Tables (max 2)<span class=\"form-product-details\"><b>\n $<span id=\"\">25.00<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/><span class=\"form-product-item\"><input class=\"form-checkbox\" type=\"checkbox\" id=\"input_9_116\" name=\"q9_pricesReflect9[][id]\" value=\"116\" \/>\n <label for=\"input_9_116\">\n Additional Chairs<span class=\"form-product-details\"><b>\n $<span id=\"\">10.00<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/><span class=\"form-product-item\"><input class=\"form-checkbox\" type=\"checkbox\" id=\"input_9_117\" name=\"q9_pricesReflect9[][id]\" value=\"117\" \/>\n <label for=\"input_9_117\">\n Corner Space Upgrade<span class=\"form-product-details\"><b>\n $<span id=\"\">100.00<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/><span class=\"form-product-item\"><input class=\"form-checkbox\" type=\"checkbox\" id=\"input_9_101\" name=\"q9_pricesReflect9[][id]\" value=\"101\" \/>\n <label for=\"input_9_101\">\n Full Page Color Ad<span class=\"form-product-details\"><b>\n $<span id=\"\">1,350.00<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/><span class=\"form-product-item\"><input class=\"form-checkbox\" type=\"checkbox\" id=\"input_9_102\" name=\"q9_pricesReflect9[][id]\" value=\"102\" \/>\n <label for=\"input_9_102\">\n Half Page Color Ad<span class=\"form-product-details\"><b>\n $<span id=\"\">900.00<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/><span class=\"form-product-item\"><input class=\"form-checkbox\" type=\"checkbox\" id=\"input_9_103\" name=\"q9_pricesReflect9[][id]\" value=\"103\" \/>\n <label for=\"input_9_103\">\n \u00bc Page Color Ad<span class=\"form-product-details\"><b>\n $<span id=\"\">495.00<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/><span class=\"form-product-item\"><input class=\"form-checkbox\" type=\"checkbox\" id=\"input_9_104\" name=\"q9_pricesReflect9[][id]\" value=\"104\" \/>\n <label for=\"input_9_104\">\n Business Card Size Color<span class=\"form-product-details\"><b>\n $<span id=\"\">270.00<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/><span class=\"form-product-item\"><input class=\"form-checkbox\" type=\"checkbox\" id=\"input_9_105\" name=\"q9_pricesReflect9[][id]\" value=\"105\" \/>\n <label for=\"input_9_105\">\n Business Listing<span class=\"form-product-details\"><b>\n $<span id=\"\">90.00<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/><span class=\"form-product-item\"><input class=\"form-checkbox\" type=\"checkbox\" id=\"input_9_118\" name=\"q9_pricesReflect9[][id]\" value=\"118\" \/>\n <label for=\"input_9_118\">\n 1 -110V Outlet Electricity<span class=\"form-product-details\"><b>\n $<span id=\"\">50.00<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/><span class=\"form-product-item\"><input class=\"form-checkbox\" type=\"checkbox\" id=\"input_9_119\" name=\"q9_pricesReflect9[][id]\" value=\"119\" \/>\n <label for=\"input_9_119\">\n Supplementary Power<span class=\"form-product-details\"><b>\n $<span id=\"\">50.00<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/>\n <br \/>\n <b>\n Total: <span>$<span id=\"payment_total\">0.00<\/span>\n USD<\/span>\n <\/b>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_39\">\n <div id=\"cid_39\" class=\"form-input-wide\">\n <div id=\"text_39\" class=\"form-html\">\n Checks may be made payable to IMAN and mailed by April 30th, to: IMAN, 2744 W. 63rd Street, Chicago, IL 60629, Attention: Yasmeen Panawala Fax: 773-423-0265 Email: yasmeen@imancentral.org\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_2\">\n <div id=\"cid_2\" class=\"form-input-wide\">\n <div style=\"margin-left:156px\" class=\"form-buttons-wrapper\">\n <button id=\"input_2\" type=\"submit\" class=\"form-submit-button\">\n Submit Form\n <\/button>\n <\/div>\n <\/div>\n <\/li>\n <li style=\"display:none\">\n Should be Empty:\n <input type=\"text\" name=\"website\" value=\"\" \/>\n <\/li>\n <\/ul>\n <\/div>\n <input type=\"hidden\" id=\"simple_spc\" name=\"simple_spc\" value=\"1095428260\" \/>\n <script type=\"text\/javascript\">\n document.getElementById(\"si\" + \"mple\" + \"_spc\").value = \"1095428260-1095428260\";\n <\/script>\n<\/form><\/body>\n<\/html>\n");