/*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 i93341331507 = new FrameBuilder("93341331507", 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:white;\n }\n\n .form-all{\n margin:0px auto;\n padding-top:20px;\n width:898px;\n background:white;\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.init(function(){\n JotForm.totalCounter({\"input_98_1007\":{\"price\":\"30\"},\"input_98_100\":{\"price\":\"30\"},\"input_98_1004\":{\"price\":\"15\"},\"input_98_101\":{\"price\":\"25\"},\"input_98_1003\":{\"price\":\"12.50\"},\"input_98_1005\":{\"price\":\"0\"}});\n $('input_83').hint('ex: myname@example.com');\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_93341331507\" id=\"93341331507\" accept-charset=\"utf-8\">\n <input type=\"hidden\" name=\"formID\" value=\"93341331507\" \/>\n <div class=\"form-all\">\n <ul class=\"form-section\">\n <li class=\"form-line\" id=\"id_74\">\n <div id=\"cid_74\" class=\"form-input-wide\">\n <div id=\"text_74\" class=\"form-html\">\n <p style=\"text-align: left;\"><span style=\"font-size: small;\">Membership is $30 per year for new members, $25 for on time renewals\n <em>\n (within 10 days of your membership expiration date - no exceptions)\n <\/em>\n . If you do not have PayPal, just complete this application and mail it with a check to:<span style=\"color: #3366ff;\"><strong>\n BAMA Membership, P. O. Box 1395, Capitola, CA 95010\n <\/strong><\/span>\n .<span style=\"color: #ff0000;\"><em>\n Please note that there is a $5 processing fee for checks, so add that to your $25 or $30 dues. Applications mailed with checks can take up to 4 weeks to process, and your membership or renewal date will not be effective until then. <span style=\"color: #339966;\"> \n <strong>\n <\/strong><\/span>\n <\/em><\/span><\/span><span style=\"font-size: small;\"><span style=\"color: #ff0000;\"><em><span style=\"color: #339966;\"><strong>\n <br \/>\n <\/strong><\/span>\n <\/em><\/span><\/span>\n <\/p>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_98\">\n <label class=\"form-label-left\" id=\"label_98\" for=\"input_98\">\n Membership Type<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_98\" class=\"form-input\"><span class=\"form-product-item\"><input class=\"form-radio validate[required]\" type=\"radio\" id=\"input_98_1007\" name=\"q98_membershipType[][id]\" value=\"1007\" \/>\n <label for=\"input_98_1007\">\n Join in December 2011 and get 13 months for the price of 12.<span class=\"form-product-details\"><b>\n $<span id=\"\">30.00<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/><span class=\"form-product-item\"><input class=\"form-radio validate[required]\" type=\"radio\" id=\"input_98_100\" name=\"q98_membershipType[][id]\" value=\"100\" \/>\n <label for=\"input_98_100\">\n Join on or before June 30th<span class=\"form-product-details\"><b>\n $<span id=\"\">30.00<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/><span class=\"form-product-item\"><input class=\"form-radio validate[required]\" type=\"radio\" id=\"input_98_1004\" name=\"q98_membershipType[][id]\" value=\"1004\" \/>\n <label for=\"input_98_1004\">\n Join on or after July 1st<span class=\"form-product-details\"><b>\n $<span id=\"\">15.00<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/><span class=\"form-product-item\"><input class=\"form-radio validate[required]\" type=\"radio\" id=\"input_98_101\" name=\"q98_membershipType[][id]\" value=\"101\" \/>\n <label for=\"input_98_101\">\n Renewal (Annual)<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-radio validate[required]\" type=\"radio\" id=\"input_98_1003\" name=\"q98_membershipType[][id]\" value=\"1003\" \/>\n <label for=\"input_98_1003\">\n Renewal (mid year - July 1st thru December 31)<span class=\"form-product-details\"><b>\n $<span id=\"\">12.50<\/span>\n USD\n <\/b><\/span>\n <\/label><\/span>\n <br \/><span class=\"form-product-item\"><input class=\"form-radio validate[required]\" type=\"radio\" id=\"input_98_1005\" name=\"q98_membershipType[][id]\" value=\"1005\" \/>\n <label for=\"input_98_1005\">\n Paying with check. (Membership not valid until payment is received.)<span class=\"form-product-details\"><b>\n Free\n <\/b><\/span>\n <\/label><\/span>\n <br \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_77\">\n <div id=\"cid_77\" class=\"form-input-wide\">\n <div id=\"text_77\" class=\"form-html\">\n <table border=\"1\" width=\"100%\" bordercolor=\"#ff0000\">\n <tbody>\n <tr>\n <td bgcolor=\"#800517\"><span style=\"color: #ffffff; font-family: Arial; font-size: small;\"><strong>\n Primary Member's Information\n <\/strong><\/span>\n <\/td>\n <\/tr>\n <\/tbody>\n <\/table>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_85\">\n <label class=\"form-label-top\" id=\"label_85\" for=\"input_85\">\n Full Name<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_85\" class=\"form-input-wide\"><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" type=\"text\" size=\"10\" name=\"q85_fullName[first]\" id=\"first_85\" \/>\n <label class=\"form-sub-label\" for=\"first_85\" id=\"sublabel_first\"> First Name <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" type=\"text\" size=\"15\" name=\"q85_fullName[last]\" id=\"last_85\" \/>\n <label class=\"form-sub-label\" for=\"last_85\" id=\"sublabel_last\"> Last Name <\/label><\/span>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_82\">\n <label class=\"form-label-top\" id=\"label_82\" for=\"input_82\">\n Phone Number<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_82\" class=\"form-input-wide\"><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" type=\"tel\" name=\"q82_phoneNumber[area]\" id=\"input_82_area\" size=\"3\">\n -\n <label class=\"form-sub-label\" for=\"input_82_area\" id=\"sublabel_area\"> Area Code <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" type=\"tel\" name=\"q82_phoneNumber[phone]\" id=\"input_82_phone\" size=\"8\">\n <label class=\"form-sub-label\" for=\"input_82_phone\" id=\"sublabel_phone\"> Phone Number <\/label><\/span>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_83\">\n <label class=\"form-label-top\" id=\"label_83\" for=\"input_83\">\n E-mail<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_83\" class=\"form-input-wide\">\n <input type=\"email\" class=\"form-textbox validate[required, Email]\" id=\"input_83\" name=\"q83_email83\" size=\"30\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column form-line-column-clear\" id=\"id_84\">\n <label class=\"form-label-top\" id=\"label_84\" for=\"input_84\">\n Address<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_84\" 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=\"q84_address[addr_line1]\" id=\"input_84_addr_line1\" \/>\n <label class=\"form-sub-label\" for=\"input_84_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=\"q84_address[addr_line2]\" id=\"input_84_addr_line2\" size=\"46\" \/>\n <label class=\"form-sub-label\" for=\"input_84_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=\"q84_address[city]\" id=\"input_84_city\" size=\"21\" \/>\n <label class=\"form-sub-label\" for=\"input_84_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=\"q84_address[state]\" id=\"input_84_state\" size=\"22\" \/>\n <label class=\"form-sub-label\" for=\"input_84_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=\"q84_address[postal]\" id=\"input_84_postal\" size=\"10\" \/>\n <label class=\"form-sub-label\" for=\"input_84_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=\"q84_address[country]\" id=\"input_84_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_84_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_90\">\n <label class=\"form-label-top\" id=\"label_90\" for=\"input_90\"> Birthday Month <\/label>\n <div id=\"cid_90\" class=\"form-input-wide\">\n <select class=\"form-dropdown\" style=\"width:150px\" id=\"input_90\" name=\"q90_birthdayMonth\">\n <option> <\/option>\n <option value=\"January \"> January <\/option>\n <option value=\"February \"> February <\/option>\n <option value=\"March \"> March <\/option>\n <option value=\"April \"> April <\/option>\n <option value=\"May \"> May <\/option>\n <option value=\"June \"> June <\/option>\n <option value=\"July \"> July <\/option>\n <option value=\"August \"> August <\/option>\n <option value=\"September \"> September <\/option>\n <option value=\"October \"> October <\/option>\n <option value=\"November \"> November <\/option>\n <option value=\"December\"> December <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_54\">\n <label class=\"form-label-top\" id=\"label_54\" for=\"input_54\"> Personal Website <\/label>\n <div id=\"cid_54\" class=\"form-input-wide\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_54\" name=\"q54_personalWebsite\" size=\"30\" value=\"http:\/\/\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_67\">\n <label class=\"form-label-top\" id=\"label_67\" for=\"input_67\"> Were you referred by a BAMA member? If so, please tell us who. <\/label>\n <div id=\"cid_67\" class=\"form-input-wide\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_67\" name=\"q67_wereYou\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_76\">\n <div id=\"cid_76\" class=\"form-input-wide\">\n <div id=\"text_76\" class=\"form-html\">\n <table border=\"1\" width=\"100%\" bordercolor=\"#ff0000\">\n <tbody>\n <tr>\n <td bgcolor=\"#800517\"><span style=\"color: #ffffff; font-family: Arial; font-size: small;\"><strong>\n Spouse or Partner Information\n <\/strong><\/span>\n <\/td>\n <\/tr>\n <\/tbody>\n <\/table>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_65\">\n <label class=\"form-label-top\" id=\"label_65\" for=\"input_65\"> Spouse or Partner <\/label>\n <div id=\"cid_65\" class=\"form-input-wide\">\n <select class=\"form-dropdown\" style=\"width:150px\" id=\"input_65\" name=\"q65_spouseOr\">\n <option> <\/option>\n <option value=\"Spouse\"> Spouse <\/option>\n <option value=\"Partner\"> Partner <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_86\">\n <label class=\"form-label-top\" id=\"label_86\" for=\"input_86\"> Full Name <\/label>\n <div id=\"cid_86\" class=\"form-input-wide\"><span class=\"form-sub-label-container\"><input class=\"form-textbox\" type=\"text\" size=\"10\" name=\"q86_fullName86[first]\" id=\"first_86\" \/>\n <label class=\"form-sub-label\" for=\"first_86\" id=\"sublabel_first\"> First Name <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox\" type=\"text\" size=\"15\" name=\"q86_fullName86[last]\" id=\"last_86\" \/>\n <label class=\"form-sub-label\" for=\"last_86\" id=\"sublabel_last\"> Last Name <\/label><\/span>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_91\">\n <label class=\"form-label-top\" id=\"label_91\" for=\"input_91\"> Bithday Month <\/label>\n <div id=\"cid_91\" class=\"form-input-wide\">\n <select class=\"form-dropdown\" style=\"width:150px\" id=\"input_91\" name=\"q91_bithdayMonth\">\n <option> <\/option>\n <option value=\"January\"> January <\/option>\n <option value=\"February\"> February <\/option>\n <option value=\"March\"> March <\/option>\n <option value=\"April\"> April <\/option>\n <option value=\"May\"> May <\/option>\n <option value=\"June\"> June <\/option>\n <option value=\"July\"> July <\/option>\n <option value=\"August\"> August <\/option>\n <option value=\"September\"> September <\/option>\n <option value=\"October\"> October <\/option>\n <option value=\"November\"> November <\/option>\n <option value=\"December\"> December <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_78\">\n <div id=\"cid_78\" class=\"form-input-wide\">\n <div id=\"text_78\" class=\"form-html\">\n <table border=\"1\" width=\"100%\" bordercolor=\"#ff0000\">\n <tbody>\n <tr>\n <td bgcolor=\"#800517\"><span style=\"color: #ffffff; font-family: Arial; font-size: small;\"><strong>\n Tell us about your Miata\n <\/strong><\/span>\n <\/td>\n <\/tr>\n <\/tbody>\n <\/table>\n <\/div>\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\"> Year of Car: <\/label>\n <div id=\"cid_15\" class=\"form-input-wide\">\n <select class=\"form-dropdown\" style=\"width:150px\" id=\"input_15\" name=\"q15_yearOf\">\n <option> <\/option>\n <option value=\"1990\"> 1990 <\/option>\n <option value=\"1991\"> 1991 <\/option>\n <option value=\"1992\"> 1992 <\/option>\n <option value=\"1993\"> 1993 <\/option>\n <option value=\"1994\"> 1994 <\/option>\n <option value=\"1995\"> 1995 <\/option>\n <option value=\"1996\"> 1996 <\/option>\n <option value=\"1997\"> 1997 <\/option>\n <option value=\"1998\"> 1998 <\/option>\n <option value=\"1999\"> 1999 <\/option>\n <option value=\"2000\"> 2000 <\/option>\n <option value=\"2001\"> 2001 <\/option>\n <option value=\"2002\"> 2002 <\/option>\n <option value=\"2003\"> 2003 <\/option>\n <option value=\"2004\"> 2004 <\/option>\n <option value=\"2005\"> 2005 <\/option>\n <option value=\"2006\"> 2006 <\/option>\n <option value=\"2007\"> 2007 <\/option>\n <option value=\"2008\"> 2008 <\/option>\n <option value=\"2009\"> 2009 <\/option>\n <option value=\"2010\"> 2010 <\/option>\n <option value=\"2011\"> 2011 <\/option>\n <option value=\"2012\"> 2012 <\/option>\n <option value=\"2013\"> 2013 <\/option>\n <option value=\"2014\"> 2014 <\/option>\n <option value=\"2015\"> 2015 <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_22\">\n <label class=\"form-label-top\" id=\"label_22\" for=\"input_22\"> Car Color: <\/label>\n <div id=\"cid_22\" class=\"form-input-wide\">\n <select class=\"form-dropdown\" style=\"width:150px\" id=\"input_22\" name=\"q22_carColor\">\n <option> <\/option>\n <option value=\"Black Cherry Mica \"> Black Cherry Mica <\/option>\n <option value=\"Black Mica \"> Black Mica <\/option>\n <option value=\"Blazing Yellow Mica \"> Blazing Yellow Mica <\/option>\n <option value=\"Brilliant Black\"> Brilliant Black <\/option>\n <option value=\"Brilliant Black Clearcoat \"> Brilliant Black Clearcoat <\/option>\n <option value=\"British Racing Green \"> British Racing Green <\/option>\n <option value=\"Classic Red \"> Classic Red <\/option>\n <option value=\"Competition Yellow \"> Competition Yellow <\/option>\n <option value=\"Copper Red Mica \"> Copper Red Mica <\/option>\n <option value=\"Covert Gray Metallic \"> Covert Gray Metallic <\/option>\n <option value=\"Crystal Blue Mica \"> Crystal Blue Mica <\/option>\n <option value=\"Crystal White \"> Crystal White <\/option>\n <option value=\"Emerald Green \"> Emerald Green <\/option>\n <option value=\"Evolution Orange Metallic \"> Evolution Orange Metallic <\/option>\n <option value=\"Galaxy Gray Mica \"> Galaxy Gray Mica <\/option>\n <option value=\"Garnet Red Mica \"> Garnet Red Mica <\/option>\n <option value=\"Gentry Silver Metallic \"> Gentry Silver Metallic <\/option>\n <option value=\"Grace Green Mica \"> Grace Green Mica <\/option>\n <option value=\"Highland Green Mica \"> Highland Green Mica <\/option>\n <option value=\"Highlight Silver Metallic \"> Highlight Silver Metallic <\/option>\n <option value=\"Laguna Blue Metallic \"> Laguna Blue Metallic <\/option>\n <option value=\"Lava Orange Mica \"> Lava Orange Mica <\/option>\n <option value=\"Light Green Metallic \"> Light Green Metallic <\/option>\n <option value=\"Liquid Silver Metallic \"> Liquid Silver Metallic <\/option>\n <option value=\"Mahogany Mica \"> Mahogany Mica <\/option>\n <option value=\"Marble White \"> Marble White <\/option>\n <option value=\"Mariner Blue \"> Mariner Blue <\/option>\n <option value=\"Medium Blue \"> Medium Blue <\/option>\n <option value=\"Merlot Mica \"> Merlot Mica <\/option>\n <option value=\"Metropolitan Gray Metallic \"> Metropolitan Gray Metallic <\/option>\n <option value=\"Midnight Blue Mica \"> Midnight Blue Mica <\/option>\n <option value=\"Montego Blue Mica \"> Montego Blue Mica <\/option>\n <option value=\"Nordic Green Mica \"> Nordic Green Mica <\/option>\n <option value=\"Not Available \"> Not Available <\/option>\n <option value=\"Orange (Sunkist) \"> Orange (Sunkist) <\/option>\n <option value=\"Pure White \"> Pure White <\/option>\n <option value=\"Raspberry Metallic \"> Raspberry Metallic <\/option>\n <option value=\"Razor Blue Metallic \"> Razor Blue Metallic <\/option>\n <option value=\"Sapphire Blue Mica \"> Sapphire Blue Mica <\/option>\n <option value=\"Silver Stone Metallic \"> Silver Stone Metallic <\/option>\n <option value=\"Spicy Orance Mica \"> Spicy Orance Mica <\/option>\n <option value=\"Splash Green Mica \"> Splash Green Mica <\/option>\n <option value=\"Starlight Mica \"> Starlight Mica <\/option>\n <option value=\"Stormy Blue Mica \"> Stormy Blue Mica <\/option>\n <option value=\"Strata Blue Mica \"> Strata Blue Mica <\/option>\n <option value=\"Sunburst Yellow \"> Sunburst Yellow <\/option>\n <option value=\"Sunlight Silver Metallic \"> Sunlight Silver Metallic <\/option>\n <option value=\"Teal Green Metallic \"> Teal Green Metallic <\/option>\n <option value=\"Titanium Gray Li Metallic \"> Titanium Gray Li Metallic <\/option>\n <option value=\"Titanium Gray Metallic \"> Titanium Gray Metallic <\/option>\n <option value=\"True Red \"> True Red <\/option>\n <option value=\"Twilight Blue Mica \"> Twilight Blue Mica <\/option>\n <option value=\"Velocity Red Mica \"> Velocity Red Mica <\/option>\n <option value=\"White \"> White <\/option>\n <option value=\"Winning Blue Metallic \"> Winning Blue Metallic <\/option>\n <option value=\"Yellow Metallic\"> Yellow Metallic <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_92\">\n <label class=\"form-label-top\" id=\"label_92\" for=\"input_92\"> Car's Nickname <\/label>\n <div id=\"cid_92\" class=\"form-input-wide\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_92\" name=\"q92_carsNickname\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_93\">\n <label class=\"form-label-top\" id=\"label_93\" for=\"input_93\"> Date purchased (MM\/YY) <\/label>\n <div id=\"cid_93\" class=\"form-input-wide\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_93\" name=\"q93_datePurchased\" size=\"20\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_17\">\n <label class=\"form-label-top\" id=\"label_17\" for=\"input_17\"> Car License: <\/label>\n <div id=\"cid_17\" class=\"form-input-wide\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_17\" name=\"q17_carLicense\" size=\"20\" maxlength=\"100\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_19\">\n <label class=\"form-label-top\" id=\"label_19\" for=\"input_19\"> Modifications: <\/label>\n <div id=\"cid_19\" class=\"form-input-wide\">\n <textarea id=\"input_19\" class=\"form-textarea\" name=\"q19_modifications19\" cols=\"32\" rows=\"2\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_20\">\n <label class=\"form-label-top\" id=\"label_20\" for=\"input_20\"> Favorite Miata Activities: <\/label>\n <div id=\"cid_20\" class=\"form-input-wide\">\n <textarea id=\"input_20\" class=\"form-textarea\" name=\"q20_favoriteMiata\" cols=\"32\" rows=\"2\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_96\">\n <label class=\"form-label-top\" id=\"label_96\" for=\"input_96\"> Accessories <\/label>\n <div id=\"cid_96\" class=\"form-input-wide\">\n <textarea id=\"input_96\" class=\"form-textarea\" name=\"q96_accessories\" cols=\"32\" rows=\"2\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column form-line-column-clear\" id=\"id_18\">\n <label class=\"form-label-top\" id=\"label_18\" for=\"input_18\"> Future Upgrades <\/label>\n <div id=\"cid_18\" class=\"form-input-wide\">\n <textarea id=\"input_18\" class=\"form-textarea\" name=\"q18_futureUpgrades\" cols=\"32\" rows=\"2\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_53\">\n <label class=\"form-label-top\" id=\"label_53\" for=\"input_53\"> BAMA Awards Received <\/label>\n <div id=\"cid_53\" class=\"form-input-wide\">\n <textarea id=\"input_53\" class=\"form-textarea\" name=\"q53_bamaAwards53\" cols=\"32\" rows=\"2\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_94\">\n <div id=\"cid_94\" class=\"form-input-wide\">\n <div id=\"text_94\" class=\"form-html\">\n <table border=\"1\" width=\"100%\" bordercolor=\"#ff0000\">\n <tbody>\n <tr>\n <td bgcolor=\"#800517\"><span style=\"color: #ffffff; font-family: Arial; font-size: small;\"><strong>\n Pictures of your Miata adventures\n <\/strong><\/span>\n <\/td>\n <\/tr>\n <\/tbody>\n <\/table>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_55\">\n <label class=\"form-label-top\" id=\"label_55\" for=\"input_55\"> 1st Picture <\/label>\n <div id=\"cid_55\" class=\"form-input-wide\">\n <input class=\"form-upload\" type=\"file\" id=\"input_55\" name=\"q55_1stPicture\" file-accept=\"doc, xls, jpg, jpeg, gif, png, mp3, mpeg\" file-maxsize=\"5000\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_59\">\n <label class=\"form-label-top\" id=\"label_59\" for=\"input_59\"> Description for 1st picture <\/label>\n <div id=\"cid_59\" class=\"form-input-wide\">\n <textarea id=\"input_59\" class=\"form-textarea\" name=\"q59_descriptionFor\" cols=\"108\" rows=\"2\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_56\">\n <label class=\"form-label-top\" id=\"label_56\" for=\"input_56\"> 2nd Picture <\/label>\n <div id=\"cid_56\" class=\"form-input-wide\">\n <input class=\"form-upload\" type=\"file\" id=\"input_56\" name=\"q56_2ndPicture56\" file-accept=\"doc, xls, jpg, jpeg, gif, png, mp3, mpeg\" file-maxsize=\"5000\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_61\">\n <label class=\"form-label-top\" id=\"label_61\" for=\"input_61\"> Description for 2nd picture <\/label>\n <div id=\"cid_61\" class=\"form-input-wide\">\n <textarea id=\"input_61\" class=\"form-textarea\" name=\"q61_descriptionFor61\" cols=\"108\" rows=\"2\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_57\">\n <label class=\"form-label-top\" id=\"label_57\" for=\"input_57\"> 3rd Picture <\/label>\n <div id=\"cid_57\" class=\"form-input-wide\">\n <input class=\"form-upload\" type=\"file\" id=\"input_57\" name=\"q57_3rdPicture57\" file-accept=\"doc, xls, jpg, jpeg, gif, png, mp3, mpeg\" file-maxsize=\"5000\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_60\">\n <label class=\"form-label-top\" id=\"label_60\" for=\"input_60\"> Description for 3rd picture <\/label>\n <div id=\"cid_60\" class=\"form-input-wide\">\n <textarea id=\"input_60\" class=\"form-textarea\" name=\"q60_descriptionFor60\" cols=\"108\" rows=\"2\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_58\">\n <label class=\"form-label-top\" id=\"label_58\" for=\"input_58\"> 4th Picture <\/label>\n <div id=\"cid_58\" class=\"form-input-wide\">\n <input class=\"form-upload\" type=\"file\" id=\"input_58\" name=\"q58_4thPicture\" file-accept=\"doc, xls, jpg, jpeg, gif, png, mp3, mpeg\" file-maxsize=\"5000\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_62\">\n <label class=\"form-label-top\" id=\"label_62\" for=\"input_62\"> Description for 4th picture <\/label>\n <div id=\"cid_62\" class=\"form-input-wide\">\n <textarea id=\"input_62\" class=\"form-textarea\" name=\"q62_descriptionFor62\" cols=\"108\" rows=\"2\"><\/textarea>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_79\">\n <div id=\"cid_79\" class=\"form-input-wide\">\n <div id=\"text_79\" class=\"form-html\">\n <table border=\"1\" width=\"100%\" bordercolor=\"#ff0000\">\n <tbody>\n <tr>\n <td bgcolor=\"#800517\"><span style=\"color: #ffffff; font-family: Arial; font-size: small;\"><strong>\n Please read carefully!\n <\/strong><\/span>\n <\/td>\n <\/tr>\n <\/tbody>\n <\/table>\n <p>\n We use a BAMA roster for notifying members of events, event changes, club business and is maintained by the BAMA board. Please indicate what information you would like on BAMA's roster\n <em>\n (remember we need your e-mail address to send you event\/club information!)\n <\/em>\n <\/p>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_26\">\n <label class=\"form-label-top\" id=\"label_26\" for=\"input_26\"> Include on BAMA's Roster <\/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\" id=\"input_26_0\" name=\"q26_includeOn[]\" value=\"Address\" \/>\n <label for=\"input_26_0\"> Address <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_26_1\" name=\"q26_includeOn[]\" value=\"Phone #\" \/>\n <label for=\"input_26_1\"> Phone # <\/label><\/span><span class=\"clearfix\"><\/span><span class=\"form-checkbox-item\" style=\"clear:left;\"><input type=\"checkbox\" class=\"form-checkbox\" id=\"input_26_2\" name=\"q26_includeOn[]\" value=\"E-mail\" \/>\n <label for=\"input_26_2\"> E-mail <\/label><\/span><span class=\"clearfix\"><\/span>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line form-line-column\" id=\"id_31\">\n <label class=\"form-label-top\" id=\"label_31\" for=\"input_31\">\n I give permission to distribute my contact information to club members.<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_31\" class=\"form-input-wide\">\n <select class=\"form-dropdown validate[required]\" style=\"width:150px\" id=\"input_31\" name=\"q31_iGive\">\n <option> <\/option>\n <option value=\"Yes\"> Yes <\/option>\n <option value=\"No\"> No <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_51\">\n <div id=\"cid_51\" class=\"form-input-wide\">\n <div id=\"text_51\" class=\"form-html\">\n <p>\n It is the policy of the Bay Area Miata Association not to release addresses, phone numbers, or any other personal information to anyone, without the prior written consent of the individual member.<span style=\"color: #ffffff;\">BAMA membership lists are never viewed, distributed or used for any purpose other than stated above. A member may change or revoke his or her permission upon written notice to the membership chair.<\/span>\n <\/p>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_1\">\n <div id=\"cid_1\" class=\"form-input-wide\">\n <div style=\"text-align:left\" class=\"form-buttons-wrapper\">\n <button id=\"input_1\" type=\"submit\" class=\"form-submit-button\">\n Submit\n <\/button>\n \n <button id=\"input_print_1\" 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 class=\"form-line\" id=\"id_89\">\n <div id=\"cid_89\" class=\"form-input-wide\">\n <div id=\"text_89\" class=\"form-html\">\n <p style=\"text-align: center;\">\n <strong>\n <em>\n Copyright 2007 Bay Area Miata Association, Inc.\n <\/em>\n <\/strong>\n <br \/>\n You will receive an e-mail confirmation - PLEASE make sure your e-mail address is correct!\n <\/p>\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=\"93341331507\" \/>\n <script type=\"text\/javascript\">\n document.getElementById(\"si\" + \"mple\" + \"_spc\").value = \"93341331507-93341331507\";\n <\/script>\n <input type=\"hidden\" class=\"form-hidden\" value=\"\" id=\"input_88\" name=\"q88_clickTo88\" \/>\n<\/form><\/body>\n<\/html>\n");