/*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 i92084121267 = new FrameBuilder("92084121267", 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:5px;\n }\n .form-label-right{\n width:150px !important;\n }\n body, html{\n margin:0;\n padding:0;\n background:#FAF5F5;\n }\n\n .form-all{\n margin:0px auto;\n padding-top:0px;\n width:500px;\n background:#FAF5F5;\n color:#2205A3 !important;\n font-family:\"Times New Roman\";\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\":{\"skipTo\":\"page-3\"},\"link\":\"Any\",\"terms\":[{\"field\":\"85\",\"operator\":\"equals\",\"value\":\"1 phone number\"}],\"type\":\"page\"},{\"action\":{\"skipTo\":\"page-4\"},\"link\":\"Any\",\"terms\":[{\"field\":\"85\",\"operator\":\"equals\",\"value\":\"2 phone numbers\"}],\"type\":\"page\"},{\"action\":{\"skipTo\":\"page-5\"},\"link\":\"Any\",\"terms\":[{\"field\":\"85\",\"operator\":\"equals\",\"value\":\"3 phone numbers\"}],\"type\":\"page\"},{\"action\":{\"skipTo\":\"page-6\"},\"link\":\"Any\",\"terms\":[{\"field\":\"88\",\"operator\":\"isFilled\",\"value\":false}],\"type\":\"page\"},{\"action\":{\"skipTo\":\"page-7\"},\"link\":\"Any\",\"terms\":[{\"field\":\"92\",\"operator\":\"isFilled\",\"value\":false}],\"type\":\"page\"},{\"action\":{\"skipTo\":\"page-8\"},\"link\":\"Any\",\"terms\":[{\"field\":\"91\",\"operator\":\"isFilled\",\"value\":false}],\"type\":\"page\"}]);\n JotForm.init(function(){\n JotForm.description('input_71', 'Select if you would like the alarm for your address only (with in 5 miles) or if you want to be notified for your entire county.');\n JotForm.totalCounter({\"input_118_107\":{\"price\":\"2.00\"},\"input_118_108\":{\"price\":\"15.00\"}});\n JotForm.initCaptcha('input_74');\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\" name=\"form_92084121267\" id=\"92084121267\" accept-charset=\"utf-8\">\n <input type=\"hidden\" name=\"formID\" value=\"92084121267\" \/>\n <div class=\"form-all\">\n <ul class=\"form-section\">\n <li id=\"cid_70\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h3 id=\"header_70\" class=\"form-header\">\n LocalWeatherAlerts.com Premium service just 15.99 a year\n <\/h3>\n <\/div>\n <\/li>\n <li id=\"cid_75\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h3 id=\"header_75\" class=\"form-header\">\n What do you get? Custom alerts! Custom Quiet Times and Custom Area Alerts based on your address!.\n <\/h3>\n <\/div>\n <\/li>\n <li id=\"cid_76\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h3 id=\"header_76\" class=\"form-header\">\n Area alert is based on your address (where available). Example: please see this video on YouTube...... http:\/\/www.youtube.com\/watch?v=WbPDplO-RTM&amp;amp;amp;amp;amp;amp;amp;feature=player_embedded\n <\/h3>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_2\">\n <label class=\"form-label-top\" id=\"label_2\" for=\"input_2\">\n First Name:<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_2\" class=\"form-input-wide\">\n <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_2\" name=\"q2_firstName\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_72\">\n <label class=\"form-label-top\" id=\"label_72\" for=\"input_72\">\n Last Name<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_72\" class=\"form-input-wide\">\n <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_72\" name=\"q72_lastName\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_3\">\n <label class=\"form-label-top\" id=\"label_3\" for=\"input_3\">\n E-mail:<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_3\" class=\"form-input-wide\">\n <input type=\"text\" class=\"form-textbox validate[required, Email]\" id=\"input_3\" name=\"q3_email\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_64\">\n <label class=\"form-label-top\" id=\"label_64\" for=\"input_64\">\n Email updates<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_64\" class=\"form-input-wide\">\n <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_64_0\" name=\"q64_emailUpdates[]\" value=\"Yes\" \/>\n <label for=\"input_64_0\"> Yes <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_71\">\n <label class=\"form-label-right\" id=\"label_71\" for=\"input_71\">\n Where would you like this alert to cover?<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_71\" class=\"form-input\">\n <div class=\"form-single-column\"><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio validate[required]\" id=\"input_71_0\" name=\"q71_whereWould\" value=\"My Address only\" \/>\n <label for=\"input_71_0\"> My Address only <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-radio-item\" style=\"clear:left;\"><input type=\"radio\" class=\"form-radio validate[required]\" id=\"input_71_1\" name=\"q71_whereWould\" checked=\"checked\" value=\"Entire County\" \/>\n <label for=\"input_71_1\"> Entire County <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_84\" class=\"form-input-wide\">\n <div class=\"form-pagebreak\">\n <div class=\"form-pagebreak-back-container form-label-left\">\n <button type=\"button\" class=\"form-pagebreak-back\" id=\"form-pagebreak-back_84\">\n Back\n <\/button>\n <\/div>\n <div class=\"form-pagebreak-next-container\">\n <button type=\"button\" class=\"form-pagebreak-next\" id=\"form-pagebreak-next_84\">\n Next\n <\/button>\n <\/div>\n <\/div>\n <\/li>\n <\/ul>\n <ul class=\"form-section\" style=\"display:none;\">\n <li id=\"cid_110\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h3 id=\"header_110\" class=\"form-header\">\n Set your quiet times. You will be able to override the call time.\n <\/h3>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_108\">\n <label class=\"form-label-top\" id=\"label_108\" for=\"input_108\">\n Start calling me at:<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_108\" class=\"form-input-wide\">\n <select class=\"form-dropdown validate[required]\" style=\"width:150px\" id=\"input_108\" name=\"q108_startCalling108\">\n <option> <\/option>\n <option value=\"Call me 24 hours a day\"> Call me 24 hours a day <\/option>\n <option value=\"12:00 AM\"> 12:00 AM <\/option>\n <option value=\"1:00 AM\"> 1:00 AM <\/option>\n <option value=\"2:00 AM\"> 2:00 AM <\/option>\n <option value=\"3:00 AM\"> 3:00 AM <\/option>\n <option value=\"4:00 AM\"> 4:00 AM <\/option>\n <option value=\"5:00 AM\"> 5:00 AM <\/option>\n <option value=\"6:00 AM\"> 6:00 AM <\/option>\n <option value=\"7:00 AM\"> 7:00 AM <\/option>\n <option value=\"8:00 AM\"> 8:00 AM <\/option>\n <option value=\"9:00 AM\"> 9:00 AM <\/option>\n <option value=\"10:00 AM\"> 10:00 AM <\/option>\n <option value=\"11:00 AM\"> 11:00 AM <\/option>\n <option value=\"12:00 PM\"> 12:00 PM <\/option>\n <option value=\"1:00 PM\"> 1:00 PM <\/option>\n <option value=\"2:00 PM\"> 2:00 PM <\/option>\n <option value=\"3:00 PM\"> 3:00 PM <\/option>\n <option value=\"4:00 PM\"> 4:00 PM <\/option>\n <option value=\"5:00 PM\"> 5:00 PM <\/option>\n <option value=\"6:00 PM\"> 6:00 PM <\/option>\n <option value=\"7:00 PM\"> 7:00 PM <\/option>\n <option value=\"8:00 PM\"> 8:00 PM <\/option>\n <option value=\"9:00 PM\"> 9:00 PM <\/option>\n <option value=\"10:00 PM\"> 10:00 PM <\/option>\n <option value=\"11:00 PM\"> 11:00 PM <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_109\">\n <label class=\"form-label-top\" id=\"label_109\" for=\"input_109\"> Stop callingme at: <\/label>\n <div id=\"cid_109\" class=\"form-input-wide\">\n <select class=\"form-dropdown\" style=\"width:150px\" id=\"input_109\" name=\"q109_stopCallingme\">\n <option> <\/option>\n <option value=\"12:00 AM\"> 12:00 AM <\/option>\n <option value=\"1:00 AM\"> 1:00 AM <\/option>\n <option value=\"2:00 AM\"> 2:00 AM <\/option>\n <option value=\"3:00 AM\"> 3:00 AM <\/option>\n <option value=\"4:00 AM\"> 4:00 AM <\/option>\n <option value=\"5:00 AM\"> 5:00 AM <\/option>\n <option value=\"6:00 AM\"> 6:00 AM <\/option>\n <option value=\"7:00 AM\"> 7:00 AM <\/option>\n <option value=\"8:00 AM\"> 8:00 AM <\/option>\n <option value=\"9:00 AM\"> 9:00 AM <\/option>\n <option value=\"10:00 AM\"> 10:00 AM <\/option>\n <option value=\"11:00 AM\"> 11:00 AM <\/option>\n <option value=\"12:00 PM\"> 12:00 PM <\/option>\n <option value=\"1:00 PM\"> 1:00 PM <\/option>\n <option value=\"2:00 PM\"> 2:00 PM <\/option>\n <option value=\"3:00 PM\"> 3:00 PM <\/option>\n <option value=\"4:00 PM\"> 4:00 PM <\/option>\n <option value=\"5:00 PM\"> 5:00 PM <\/option>\n <option value=\"6:00 PM\"> 6:00 PM <\/option>\n <option value=\"7:00 PM\"> 7:00 PM <\/option>\n <option value=\"8:00 PM\"> 8:00 PM <\/option>\n <option value=\"9:00 PM\"> 9:00 PM <\/option>\n <option value=\"10:00 PM\"> 10:00 PM <\/option>\n <option value=\"11:00 PM\"> 11:00 PM <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_88\">\n <label class=\"form-label-top\" id=\"label_88\" for=\"input_88\">\n Phone Number 1<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_88\" class=\"form-input-wide\"><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" type=\"tel\" name=\"q88_phoneNumber[area]\" id=\"input_88_area\" size=\"3\">\n -\n <label class=\"form-sub-label\" for=\"input_88_area\" id=\"sublabel_area\"> Area Code <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" type=\"tel\" name=\"q88_phoneNumber[phone]\" id=\"input_88_phone\" size=\"8\">\n <label class=\"form-sub-label\" for=\"input_88_phone\" id=\"sublabel_phone\"> Phone Number <\/label><\/span>\n <\/div>\n <\/li>\n <li id=\"cid_117\" class=\"form-input-wide\">\n <div class=\"form-pagebreak\">\n <div class=\"form-pagebreak-back-container form-label-left\">\n <button type=\"button\" class=\"form-pagebreak-back\" id=\"form-pagebreak-back_117\">\n Back\n <\/button>\n <\/div>\n <div class=\"form-pagebreak-next-container\">\n <button type=\"button\" class=\"form-pagebreak-next\" id=\"form-pagebreak-next_117\">\n Next\n <\/button>\n <\/div>\n <\/div>\n <\/li>\n <\/ul>\n <ul class=\"form-section\" style=\"display:none;\">\n <li class=\"form-line\" id=\"id_102\">\n <label class=\"form-label-top\" id=\"label_102\" for=\"input_102\">\n Name you would lile to call this address ( Home, Work, School, etc...)<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_102\" class=\"form-input-wide\">\n <input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_102\" name=\"q102_nameYou102\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_94\">\n <label class=\"form-label-top\" id=\"label_94\" for=\"input_94\">\n Address 1<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_94\" class=\"form-input-wide\">\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=\"q94_address1[addr_line1]\" id=\"input_94_addr_line1\" \/>\n <label class=\"form-sub-label\" for=\"input_94_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=\"q94_address1[addr_line2]\" id=\"input_94_addr_line2\" size=\"46\" \/>\n <label class=\"form-sub-label\" for=\"input_94_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=\"q94_address1[city]\" id=\"input_94_city\" size=\"21\" \/>\n <label class=\"form-sub-label\" for=\"input_94_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=\"q94_address1[state]\" id=\"input_94_state\" size=\"22\" \/>\n <label class=\"form-sub-label\" for=\"input_94_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=\"q94_address1[postal]\" id=\"input_94_postal\" size=\"10\" \/>\n <label class=\"form-sub-label\" for=\"input_94_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=\"q94_address1[country]\" id=\"input_94_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_94_country\" id=\"sublabel_country\"> Country <\/label><\/span>\n <\/td>\n <\/tr>\n <\/table>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_15\">\n <label class=\"form-label-top\" id=\"label_15\" for=\"input_15\">\n County<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_15\" class=\"form-input-wide\">\n <input type=\"text\" class=\"form-textbox validate[required, Alphabetic]\" id=\"input_15\" name=\"q15_county\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_78\">\n <label class=\"form-label-top\" id=\"label_78\" for=\"input_78\">\n Time Zone<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_78\" class=\"form-input-wide\">\n <select class=\"form-dropdown validate[required]\" style=\"width:150px\" id=\"input_78\" name=\"q78_timeZone\">\n <option> <\/option>\n <option value=\"Hawaii Time\"> Hawaii Time <\/option>\n <option value=\"Alaska Time\"> Alaska Time <\/option>\n <option value=\"Pacific Time\"> Pacific Time <\/option>\n <option value=\"Mountain Time\"> Mountain Time <\/option>\n <option value=\"Central Time \"> Central Time <\/option>\n <option value=\"Eastern Time\"> Eastern Time <\/option>\n <option value=\"Atlantic Time\"> Atlantic Time <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li id=\"cid_16\" class=\"form-input-wide\">\n <div class=\"form-pagebreak\">\n <div class=\"form-pagebreak-back-container form-label-left\">\n <button type=\"button\" class=\"form-pagebreak-back\" id=\"form-pagebreak-back_16\">\n Back\n <\/button>\n <\/div>\n <div class=\"form-pagebreak-next-container\">\n <button type=\"button\" class=\"form-pagebreak-next\" id=\"form-pagebreak-next_16\">\n Next\n <\/button>\n <\/div>\n <\/div>\n <\/li>\n <\/ul>\n <ul class=\"form-section\" style=\"display:none;\">\n <li id=\"cid_68\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h2 id=\"header_68\" class=\"form-header\">\n Quiet Times\n <\/h2>\n <div id=\"subHeader_68\" class=\"form-subHeader\">\n Set up your \"do not disturb time.\" You will still be able to over ride this time on the next page\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_53\">\n <label class=\"form-label-top\" id=\"label_53\" for=\"input_53\">\n Start Calling me at:<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_53\" class=\"form-input-wide\">\n <select class=\"form-dropdown validate[required]\" style=\"width:150px\" id=\"input_53\" name=\"q53_startCalling\">\n <option> <\/option>\n <option value=\"Call me 24 hours a day\"> Call me 24 hours a day <\/option>\n <option value=\"12:00 AM\"> 12:00 AM <\/option>\n <option value=\"1:00 AM\"> 1:00 AM <\/option>\n <option value=\"2:00 AM\"> 2:00 AM <\/option>\n <option value=\"3:00 AM\"> 3:00 AM <\/option>\n <option value=\"4:00 AM\"> 4:00 AM <\/option>\n <option value=\"5:00 AM\"> 5:00 AM <\/option>\n <option value=\"6:00 AM\"> 6:00 AM <\/option>\n <option value=\"7:00 AM\"> 7:00 AM <\/option>\n <option value=\"8:00 AM\"> 8:00 AM <\/option>\n <option value=\"9:00 AM\"> 9:00 AM <\/option>\n <option value=\"10:00 AM\"> 10:00 AM <\/option>\n <option value=\"11:00 AM\"> 11:00 AM <\/option>\n <option value=\"12:00 PM\"> 12:00 PM <\/option>\n <option value=\"1:00 PM\"> 1:00 PM <\/option>\n <option value=\"2:00 PM\"> 2:00 PM <\/option>\n <option value=\"3:00 PM\"> 3:00 PM <\/option>\n <option value=\"4:00 PM\"> 4:00 PM <\/option>\n <option value=\"5:00 PM\"> 5:00 PM <\/option>\n <option value=\"6:00 PM\"> 6:00 PM <\/option>\n <option value=\"7:00 PM\"> 7:00 PM <\/option>\n <option value=\"8:00 PM\"> 8:00 PM <\/option>\n <option value=\"9:00 PM\"> 9:00 PM <\/option>\n <option value=\"10:00 PM\"> 10:00 PM <\/option>\n <option value=\"11:00 PM\"> 11:00 PM <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_54\">\n <label class=\"form-label-top\" id=\"label_54\" for=\"input_54\"> Stop Calling me at: <\/label>\n <div id=\"cid_54\" class=\"form-input-wide\">\n <select class=\"form-dropdown\" style=\"width:150px\" id=\"input_54\" name=\"q54_stopCalling\">\n <option> <\/option>\n <option value=\"12:00 AM\"> 12:00 AM <\/option>\n <option value=\"1:00 AM\"> 1:00 AM <\/option>\n <option value=\"2:00 AM\"> 2:00 AM <\/option>\n <option value=\"3:00 AM\"> 3:00 AM <\/option>\n <option value=\"4:00 AM\"> 4:00 AM <\/option>\n <option value=\"5:00 AM\"> 5:00 AM <\/option>\n <option value=\"6:00 AM\"> 6:00 AM <\/option>\n <option value=\"7:00 AM\"> 7:00 AM <\/option>\n <option value=\"8:00 AM\"> 8:00 AM <\/option>\n <option value=\"9:00 AM\"> 9:00 AM <\/option>\n <option value=\"10:00 AM\"> 10:00 AM <\/option>\n <option value=\"11:00 AM\"> 11:00 AM <\/option>\n <option value=\"12:00 PM\"> 12:00 PM <\/option>\n <option value=\"1:00 PM\"> 1:00 PM <\/option>\n <option value=\"2:00 PM\"> 2:00 PM <\/option>\n <option value=\"3:00 PM\"> 3:00 PM <\/option>\n <option value=\"4:00 PM\"> 4:00 PM <\/option>\n <option value=\"5:00 PM\"> 5:00 PM <\/option>\n <option value=\"6:00 PM\"> 6:00 PM <\/option>\n <option value=\"7:00 PM\"> 7:00 PM <\/option>\n <option value=\"8:00 PM\"> 8:00 PM <\/option>\n <option value=\"9:00 PM\"> 9:00 PM <\/option>\n <option value=\"10:00 PM\"> 10:00 PM <\/option>\n <option value=\"11:00 PM\"> 11:00 PM <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li id=\"cid_62\" class=\"form-input-wide\">\n <div class=\"form-pagebreak\">\n <div class=\"form-pagebreak-back-container form-label-left\">\n <button type=\"button\" class=\"form-pagebreak-back\" id=\"form-pagebreak-back_62\">\n Back\n <\/button>\n <\/div>\n <div class=\"form-pagebreak-next-container\">\n <button type=\"button\" class=\"form-pagebreak-next\" id=\"form-pagebreak-next_62\">\n Next\n <\/button>\n <\/div>\n <\/div>\n <\/li>\n <\/ul>\n <ul class=\"form-section\" style=\"display:none;\">\n <li class=\"form-line\" id=\"id_26\">\n <label class=\"form-label-top\" id=\"label_26\" for=\"input_26\">\n Tornado Warnings<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_26\" class=\"form-input-wide\">\n <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_26_0\" name=\"q26_tornadoWarnings[]\" value=\"24 Hour Call Service\" \/>\n <label for=\"input_26_0\"> 24 Hour Call Service <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_26_1\" name=\"q26_tornadoWarnings[]\" value=\"Time Restricted Service\" \/>\n <label for=\"input_26_1\"> Time Restricted Service <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_26_2\" name=\"q26_tornadoWarnings[]\" value=\"I don't need this alert\" \/>\n <label for=\"input_26_2\"> I don't need this alert <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_61\" class=\"form-input-wide\">\n <div class=\"form-pagebreak\">\n <div class=\"form-pagebreak-back-container form-label-left\">\n <button type=\"button\" class=\"form-pagebreak-back\" id=\"form-pagebreak-back_61\">\n Back\n <\/button>\n <\/div>\n <div class=\"form-pagebreak-next-container\">\n <button type=\"button\" class=\"form-pagebreak-next\" id=\"form-pagebreak-next_61\">\n Next\n <\/button>\n <\/div>\n <\/div>\n <\/li>\n <\/ul>\n <ul class=\"form-section\" style=\"display:none;\">\n <li class=\"form-line\" id=\"id_27\">\n <label class=\"form-label-top\" id=\"label_27\" for=\"input_27\">\n Tornado Watch<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_27\" class=\"form-input-wide\">\n <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_27_0\" name=\"q27_tornadoWatch[]\" value=\"24 Hour Call\" \/>\n <label for=\"input_27_0\"> 24 Hour Call <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_27_1\" name=\"q27_tornadoWatch[]\" value=\"Time Restricted Service\" \/>\n <label for=\"input_27_1\"> Time Restricted Service <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_27_2\" name=\"q27_tornadoWatch[]\" value=\"I don't need this alert\" \/>\n <label for=\"input_27_2\"> I don't need this alert <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_41\" class=\"form-input-wide\">\n <div class=\"form-pagebreak\">\n <div class=\"form-pagebreak-back-container form-label-left\">\n <button type=\"button\" class=\"form-pagebreak-back\" id=\"form-pagebreak-back_41\">\n Back\n <\/button>\n <\/div>\n <div class=\"form-pagebreak-next-container\">\n <button type=\"button\" class=\"form-pagebreak-next\" id=\"form-pagebreak-next_41\">\n Next\n <\/button>\n <\/div>\n <\/div>\n <\/li>\n <\/ul>\n <ul class=\"form-section\" style=\"display:none;\">\n <li class=\"form-line\" id=\"id_28\">\n <label class=\"form-label-top\" id=\"label_28\" for=\"input_28\">\n Severe Thunderstorm Warning<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_28\" class=\"form-input-wide\">\n <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_28_0\" name=\"q28_severeThunderstorm[]\" value=\"24 Hour Call Service\" \/>\n <label for=\"input_28_0\"> 24 Hour Call Service <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_28_1\" name=\"q28_severeThunderstorm[]\" value=\"Time Restricted Service\" \/>\n <label for=\"input_28_1\"> Time Restricted Service <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_28_2\" name=\"q28_severeThunderstorm[]\" value=\"I don't need this alert\" \/>\n <label for=\"input_28_2\"> I don't need this alert <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_42\" class=\"form-input-wide\">\n <div class=\"form-pagebreak\">\n <div class=\"form-pagebreak-back-container form-label-left\">\n <button type=\"button\" class=\"form-pagebreak-back\" id=\"form-pagebreak-back_42\">\n Back\n <\/button>\n <\/div>\n <div class=\"form-pagebreak-next-container\">\n <button type=\"button\" class=\"form-pagebreak-next\" id=\"form-pagebreak-next_42\">\n Next\n <\/button>\n <\/div>\n <\/div>\n <\/li>\n <\/ul>\n <ul class=\"form-section\" style=\"display:none;\">\n <li class=\"form-line\" id=\"id_29\">\n <label class=\"form-label-top\" id=\"label_29\" for=\"input_29\">\n Severe Thunderstorm Watch<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_29\" class=\"form-input-wide\">\n <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_29_0\" name=\"q29_severeThunderstorm29[]\" value=\"24 Hour Call Service\" \/>\n <label for=\"input_29_0\"> 24 Hour Call Service <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_29_1\" name=\"q29_severeThunderstorm29[]\" value=\"Time Restricted Service\" \/>\n <label for=\"input_29_1\"> Time Restricted Service <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_29_2\" name=\"q29_severeThunderstorm29[]\" value=\"I don't need this alert\" \/>\n <label for=\"input_29_2\"> I don't need this alert <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_43\" class=\"form-input-wide\">\n <div class=\"form-pagebreak\">\n <div class=\"form-pagebreak-back-container form-label-left\">\n <button type=\"button\" class=\"form-pagebreak-back\" id=\"form-pagebreak-back_43\">\n Back\n <\/button>\n <\/div>\n <div class=\"form-pagebreak-next-container\">\n <button type=\"button\" class=\"form-pagebreak-next\" id=\"form-pagebreak-next_43\">\n Next\n <\/button>\n <\/div>\n <\/div>\n <\/li>\n <\/ul>\n <ul class=\"form-section\" style=\"display:none;\">\n <li class=\"form-line\" id=\"id_30\">\n <label class=\"form-label-top\" id=\"label_30\" for=\"input_30\">\n Flood Warning<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_30\" class=\"form-input-wide\">\n <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_30_0\" name=\"q30_floodWarning[]\" value=\"24 Hour Call Service\" \/>\n <label for=\"input_30_0\"> 24 Hour Call Service <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_30_1\" name=\"q30_floodWarning[]\" value=\"Time Restricted Service\" \/>\n <label for=\"input_30_1\"> Time Restricted Service <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_30_2\" name=\"q30_floodWarning[]\" value=\"I don't need this alert\" \/>\n <label for=\"input_30_2\"> I don't need this alert <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_44\" class=\"form-input-wide\">\n <div class=\"form-pagebreak\">\n <div class=\"form-pagebreak-back-container form-label-left\">\n <button type=\"button\" class=\"form-pagebreak-back\" id=\"form-pagebreak-back_44\">\n Back\n <\/button>\n <\/div>\n <div class=\"form-pagebreak-next-container\">\n <button type=\"button\" class=\"form-pagebreak-next\" id=\"form-pagebreak-next_44\">\n Next\n <\/button>\n <\/div>\n <\/div>\n <\/li>\n <\/ul>\n <ul class=\"form-section\" style=\"display:none;\">\n <li class=\"form-line\" id=\"id_31\">\n <label class=\"form-label-top\" id=\"label_31\" for=\"input_31\">\n Flood Watch<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_31\" class=\"form-input-wide\">\n <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_31_0\" name=\"q31_floodWatch[]\" value=\"24 Hour Call Service\" \/>\n <label for=\"input_31_0\"> 24 Hour Call Service <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_31_1\" name=\"q31_floodWatch[]\" value=\"Time Restricted Service\" \/>\n <label for=\"input_31_1\"> Time Restricted Service <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_31_2\" name=\"q31_floodWatch[]\" value=\"I don't need this alert\" \/>\n <label for=\"input_31_2\"> I don't need this alert <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_45\" class=\"form-input-wide\">\n <div class=\"form-pagebreak\">\n <div class=\"form-pagebreak-back-container form-label-left\">\n <button type=\"button\" class=\"form-pagebreak-back\" id=\"form-pagebreak-back_45\">\n Back\n <\/button>\n <\/div>\n <div class=\"form-pagebreak-next-container\">\n <button type=\"button\" class=\"form-pagebreak-next\" id=\"form-pagebreak-next_45\">\n Next\n <\/button>\n <\/div>\n <\/div>\n <\/li>\n <\/ul>\n <ul class=\"form-section\" style=\"display:none;\">\n <li class=\"form-line\" id=\"id_32\">\n <label class=\"form-label-top\" id=\"label_32\" for=\"input_32\">\n Hurricane Watches\/Warnings<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_32\" class=\"form-input-wide\">\n <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_32_0\" name=\"q32_hurricaneWatcheswarnings[]\" value=\"24 Hour Call Service\" \/>\n <label for=\"input_32_0\"> 24 Hour Call Service <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_32_1\" name=\"q32_hurricaneWatcheswarnings[]\" value=\"Time Restricted Service\" \/>\n <label for=\"input_32_1\"> Time Restricted Service <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_32_2\" name=\"q32_hurricaneWatcheswarnings[]\" value=\"I don't need this alert\" \/>\n <label for=\"input_32_2\"> I don't need this alert <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_47\" class=\"form-input-wide\">\n <div class=\"form-pagebreak\">\n <div class=\"form-pagebreak-back-container form-label-left\">\n <button type=\"button\" class=\"form-pagebreak-back\" id=\"form-pagebreak-back_47\">\n Back\n <\/button>\n <\/div>\n <div class=\"form-pagebreak-next-container\">\n <button type=\"button\" class=\"form-pagebreak-next\" id=\"form-pagebreak-next_47\">\n Next\n <\/button>\n <\/div>\n <\/div>\n <\/li>\n <\/ul>\n <ul class=\"form-section\" style=\"display:none;\">\n <li class=\"form-line\" id=\"id_34\">\n <label class=\"form-label-top\" id=\"label_34\" for=\"input_34\">\n Winter Weather Watches\/Warnings\/Advisories<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_34\" class=\"form-input-wide\">\n <div class=\"form-single-column\"><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_34_0\" name=\"q34_winterWeather[]\" value=\"24 Hour Call Service\" \/>\n <label for=\"input_34_0\"> 24 Hour Call Service <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_34_1\" name=\"q34_winterWeather[]\" value=\"Time Restricted Service\" \/>\n <label for=\"input_34_1\"> Time Restricted Service <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox validate[required]\" id=\"input_34_2\" name=\"q34_winterWeather[]\" value=\"I don't need this alert\" \/>\n <label for=\"input_34_2\"> I don't need this alert <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li id=\"cid_49\" class=\"form-input-wide\">\n <div class=\"form-pagebreak\">\n <div class=\"form-pagebreak-back-container form-label-left\">\n <button type=\"button\" class=\"form-pagebreak-back\" id=\"form-pagebreak-back_49\">\n Back\n <\/button>\n <\/div>\n <div class=\"form-pagebreak-next-container\">\n <button type=\"button\" class=\"form-pagebreak-next\" id=\"form-pagebreak-next_49\">\n Next\n <\/button>\n <\/div>\n <\/div>\n <\/li>\n <\/ul>\n <ul class=\"form-section\" style=\"display:none;\">\n <li class=\"form-line\" id=\"id_77\">\n <label class=\"form-label-top\" id=\"label_77\" for=\"input_77\"> How did you hear about us? <\/label>\n <div id=\"cid_77\" class=\"form-input-wide\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_77\" name=\"q77_howDid\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_118\">\n <label class=\"form-label-top\" id=\"label_118\" for=\"input_118\">\n My Products<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_118\" class=\"form-input-wide\"><span class=\"form-product-item\"><input class=\"form-radio validate[required]\" type=\"radio\" id=\"input_118_107\" name=\"q118_myProducts118[][id]\" value=\"107\" \/>\n <label for=\"input_118_107\">\n Monthly Phone call<span class=\"form-product-details\">(\n <b>\n $<span id=\"\">2.00<\/span>\n USD\n <\/b>\n for the\n <u>\n first month\n <\/u>\n then,\n <b>\n $<span id=\"\">2.00<\/span>\n USD\n <\/b>\n for each\n <u>\n month\n <\/u>\n .)<\/span>\n <\/label><\/span>\n <br \/><span class=\"form-product-item\"><input class=\"form-radio validate[required]\" type=\"radio\" id=\"input_118_108\" name=\"q118_myProducts118[][id]\" value=\"108\" \/>\n <label for=\"input_118_108\">\n Annual Phone call alerts.<span class=\"form-product-details\">(\n <b>\n $<span id=\"\">15.00<\/span>\n USD\n <\/b>\n for the\n <u>\n first year\n <\/u>\n then,\n <b>\n $<span id=\"\">15.00<\/span>\n USD\n <\/b>\n for each\n <u>\n year\n <\/u>\n .)<\/span>\n <\/label><\/span>\n <br \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_74\">\n <label class=\"form-label-top\" id=\"label_74\" for=\"input_74\">\n Enter the message as it's shown<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_74\" class=\"form-input-wide\">\n <div class=\"form-captcha\">\n <label for=\"input_74\"> <img alt=\"Captcha - Reload if it's not displayed\" id=\"input_74_captcha\" class=\"form-captcha-image\" style=\"background:url(http:\/\/www.jotform.com\/images\/loader-big.gif) no-repeat center;\" src=\"http:\/\/www.jotform.com\/images\/blank.gif\" width=\"150\" height=\"41\" \/> <\/label>\n <div style=\"white-space:nowrap;\">\n <input type=\"text\" id=\"input_74\" class=\"form-textbox validate[required]\" name=\"captcha\" style=\"width:130px;\" \/>\n <img src=\"http:\/\/www.jotform.com\/images\/reload.png\" alt=\"Reload\" align=\"absmiddle\" style=\"cursor:pointer\" onclick=\"JotForm.reloadCaptcha('input_74');\" \/>\n <input type=\"hidden\" name=\"captcha_id\" id=\"input_74_captcha_id\" value=\"0\">\n <\/div>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_69\">\n <div id=\"cid_69\" class=\"form-input-wide\">\n <div style=\"text-align:center\" class=\"form-buttons-wrapper\">\n <button id=\"input_69\" type=\"submit\" class=\"form-submit-button\">\n Submit Form\n <\/button>\n \n <button id=\"input_reset_69\" type=\"reset\" class=\"form-submit-reset\">\n Clear Form\n <\/button>\n \n <button id=\"input_print_69\" style=\"margin-left:25px;\" class=\"form-submit-print\" type=\"button\">\n <img src=\"http:\/\/www.jotform.com\/images\/printer.png\" align=\"absmiddle\" \/>\n Print 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=\"92084121267\" \/>\n <script type=\"text\/javascript\">\n document.getElementById(\"si\" + \"mple\" + \"_spc\").value = \"92084121267-92084121267\";\n <\/script>\n <input type=\"hidden\" class=\"form-hidden\" value=\"5\" id=\"input_79\" name=\"q79_id\" \/>\n<\/form><\/body>\n<\/html>\n");