forms.zohopublic.com
Open in
urlscan Pro
204.141.42.97
Public Scan
Submitted URL: https://boda-2024.cacce-gwan.org/
Effective URL: https://forms.zohopublic.com/newsletteradmin/form/CACCEGWANBODAInvitation1/formperma/XfIvoK4lKOsGpiqqtj3jVLdzxhD7FpvLuL-9ccAqDOY
Submission: On March 03 via api from US — Scanned from US
Effective URL: https://forms.zohopublic.com/newsletteradmin/form/CACCEGWANBODAInvitation1/formperma/XfIvoK4lKOsGpiqqtj3jVLdzxhD7FpvLuL-9ccAqDOY
Submission: On March 03 via api from US — Scanned from US
Form analysis 1 forms found in the DOM
Name: test —
<form name="test" id="test"><input type="hidden" name="formName" value="CACCEGWANBODAInvitation1" id="formName"><!-- Form Perma will be sent only for PermaUrls -->
<input type="hidden" name="formPerma" value="XfIvoK4lKOsGpiqqtj3jVLdzxhD7FpvLuL-9ccAqDOY" id="formPerma"><input type="hidden" name="referrerName" id="referrerName" value="null"><input type="hidden" name="isPaymentForm" value="false"
id="isPaymentForm"><input type="hidden" name="formType" value="0" id="formType">
<input type="hidden" id="zf_date_format" datelocale="en-GB" name="date_format" value="MMMM-dd-yyyy"><input type="hidden" name="isDocsPublicForm" value="false" id="isDocsPublicForm">
<input type="hidden" name="formrid" value="" id="formrid">
<input type="hidden" name="resizeform" value="0" id="resizeform">
<div id="zf_utmTrack" style="display: none;"></div>
<div class="templateWrapper" id="formRedirectURL" style="min-height:1070px;">
<ul class="tempHeadBdr formRelative">
<li class="tempHeadContBdr"><span id="logo-formheader" class="formLogo" style="display: none"><img aria-hidden="true" id="logo-formheader-img" src=""></span>
<h2 class="frmTitle" role="heading" aria-level="1"><em>CACCE-GWAN BODA Invitation</em></h2>
<p class="frmDesc">Help guide our people to success with CACCE-GWAN</p>
<div class="clearBoth"></div>
</li>
</ul>
<!-- 'FieldElement' class is imported in order to get the key for display name of the component of 'Address' field.
'FormField' class is used to get field type of Zoho CRM field.-->
<div id="formBodyDiv" class="formRelative subContWrap topAlign"><!-- <button elname="openPopUpSubForm" onclick="openPopUp();event.preventDefault()"> Open subform pop up </button> -->
<div class="pBarWrapper ">
<table id="navigBar" width="100%" border="0" cellspacing="0" cellpadding="0" pagecount="4" navigtype="1" currentpage="1">
<tbody>
<tr class="pBarHeader">
<td onclick="goTo(1);" class="selected currentPTab">
<div class="pBar"></div><em class="pNumber"><b>1</b></em>
</td>
<td onclick="goTo(1);" class="selected">
<div class="pBar"></div>
</td>
<td onclick="goTo(2);" class="unselected">
<div class="pBar"></div><em class="pNumber"><b>2</b></em>
</td>
<td onclick="goTo(2);" class="unselected">
<div class="pBar"></div>
</td>
<td onclick="goTo(3);" class="unselected">
<div class="pBar"></div><em class="pNumber"><b>3</b></em>
</td>
<td onclick="goTo(3);" class="unselected">
<div class="pBar"></div>
</td>
<td onclick="goTo(4);" class="unselected">
<div class="pBar"></div><em class="pNumber"><b>4</b></em>
</td>
<td onclick="goTo(4);" class="unselected">
<div class="pBar"></div>
</td>
</tr>
<tr class="pTitle">
<td onclick="goTo(1);" colspan="2">Page 1 - Terms and Conditions</td>
<td onclick="goTo(2);" colspan="2">Page 2 - Basic Information</td>
<td onclick="goTo(3);" colspan="2">Page 3 - Success and Influence</td>
<td onclick="goTo(4);" colspan="2">Page 4 - TAGS</td>
</tr>
</tbody>
</table>
</div>
<!-- formFieldWrapper class is used to differantiate form fields and subform fields in themes. Direct children (li) are considered as form fields. Dont change the order of class used. -->
<ul elname="formBodyULName" class="ulNoStyle formFieldWrapper" page_no="1" needpagedata="true">
<!-- i) Private form, ii) Perma, iii) Shared form, iv) Theme preview, v) Current Theme -->
<!-- "isVisible"="false": This 'Admin Only' field must not be shown to user. -->
<!-- "isVisible"="true": Case 1: This is not an 'Admin Only' field. Case 2: This 'Admin Only' field must be shown to user. -->
<!-- Theme Preview, Current Theme - Admin Only fields will be shown. Formula won't be calculated. Field Rules won't be executed. -->
<!-- formMetaData.key=Field link name -->
<!-- Zoho CRM field : "FIELD_LIST" key won't be present. -->
<li elname="livefield-elem" linkname="TermsConditions" comptype="34" id="TermsConditions-li" needdata="true" compname="TermsConditions" statustext="Agreed" counteruid="" class="tempFrmWrapper termsWrapper" mandatory="true" page_no="1"
page_link_name="Page1" choice_type="checkbox" tabindex="1" showlabel="true">
<label class="labelName" id="TermsConditions-arialabel">
<span>Terms and Conditions</span>
<em class="important" aria-label="Required">*</em>
</label>
<div class="subFrmFieldsHidden subFrmFieldsHiddenCont" style="display:none" elemname="fieldHiddenDiv"><em><svg class="icon icon-Denied-1-01">
<use xlink:href="#icon-rules-denied-01"></use>
</svg></em>
<span>N/A</span>
</div>
<div class="tempContDiv" elemname="fieldContentDiv">
<div class="termsContainer">
<div id="TermsConditions-arialabel-terms" elname="terms" aria-labelledby="TermsConditions-arialabel TermsConditions-arialabel-terms" role="group" class="termsMsg descFld">
<ul>
<li>I understand that this is a private invitation, sent to me directly from CACCE-GWAN and is for my eyes only.<br></li>
<li> I agree not to share this communication with any other entities.<br></li>
<li> I understand that my personally identifiable information, PII, will not be rented, shared or sold to anyone outside CACCE-GWAN.<br></li>
</ul>
<div><br></div>
</div>
<div class="termsAccept customCheckBox">
<input aria-labelledby="TermsConditions-arialabel TermsConditions-arialabel-declaration" onmousedown="event.preventDefault();" elname="statusCB" id="TermsConditions-input" class="checkBoxType flLeft" name="TermsConditions"
type="checkbox" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);">
<!-- declaration content moved to div from label to make custom choices work -->
<label class="cusChoiceLabel" for="TermsConditions-input">
<div class="checker"></div>
</label>
<div class="descFld" id="TermsConditions-arialabel-declaration">
<div>I have read, understand and accept the Terms and Conditions.<br></div>
</div>
</div>
</div>
<p class="errorMessage" elname="error" id="error-TermsConditions"></p>
</div>
<div class="clearBoth"></div>
</li>
</ul>
<!-- formFieldWrapper class is used to differantiate form fields and subform fields in themes. Direct children (li) are considered as form fields. Dont change the order of class used. -->
<ul elname="formBodyULName" class="ulNoStyle formFieldWrapper" page_no="2" needpagedata="true" style="display:none;">
<!-- i) Private form, ii) Perma, iii) Shared form, iv) Theme preview, v) Current Theme -->
<!-- "isVisible"="false": This 'Admin Only' field must not be shown to user. -->
<!-- "isVisible"="true": Case 1: This is not an 'Admin Only' field. Case 2: This 'Admin Only' field must be shown to user. -->
<!-- Theme Preview, Current Theme - Admin Only fields will be shown. Formula won't be calculated. Field Rules won't be executed. -->
<!-- formMetaData.key=Field link name -->
<!-- Zoho CRM field : "FIELD_LIST" key won't be present. -->
<!--To exclude Html field in rules we are setting comptype as 0 for Html field. That is Html field will not be included in any condition. -->
<li tabindex="1" id="HtmlText-li" class="tempFrmWrapper note" elname="livefield-elem" compname="HtmlText" comptype="0" page_no="2" page_link_name="Page" counteruid="">
<label class="descFld" elname="descFldLabel">
<div class="align-center" style="text-align: center"><span class="size" style="font-size: 10.6667px"><i>Your personally identifiable information [ PII ] is protected and will not be rented, sold or shared.</i></span><br></div>
</label>
<div class="clearBoth"></div>
</li>
<li class="tempFrmWrapper name namelarge zfSelect2CustomCont" elname="livefield-elem" comptype="7" needdata="true" id="Name1-li" compname="Name1" linkname="Name1" isvisible="true" mandatory="true" page_no="2" page_link_name="Page"
regex_type="0" showlabel="true" counteruid="">
<label class="labelName advLabelName" id="Name1-arialabel">
<span>
<div>Board Member Name<br></div>
</span>
<em class="important" aria-hidden="true">*</em>
</label>
<div class="subFrmFieldsHidden subFrmFieldsHiddenCont" style="display:none" elemname="fieldHiddenDiv"><em><svg class="icon icon-Denied-1-01">
<use xlink:href="#icon-rules-denied-01"></use>
</svg></em>
<span>N/A</span>
</div>
<div class="tempContDiv threeType" elemname="fieldContentDiv">
<div class="nameWrapper">
<span elname="compEachElem">
<span class="sr-only" elname="ariaReqSpan" id="ariarequired-Name10">Required</span>
<input aria-labelledby="Name1-arialabel aria-showelemslabel-Name10 ariarequired-Name10" aria-describedby="hint-Name1" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="given-name" type="text" maxlength="255"
elname="First" name="Name1" complink="Name1_First" value="" mandatory="true" placeholder="">
<label id="aria-showelemslabel-Name10" elname="formSubInfoText" class="formSubInfoText">First</label>
</span>
<span elname="compEachElem">
<input aria-labelledby="Name1-arialabel aria-showelemslabel-Name11" aria-describedby="hint-Name1" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="additional-name" type="text" maxlength="255" elname="Middle"
name="Name1" complink="Name1_Middle" value="" mandatory="false" placeholder="">
<label id="aria-showelemslabel-Name11" elname="formSubInfoText" class="formSubInfoText">Middle</label>
</span>
<span elname="compEachElem">
<span class="sr-only" elname="ariaReqSpan" id="ariarequired-Name12">Required</span>
<input aria-labelledby="Name1-arialabel aria-showelemslabel-Name12 ariarequired-Name12" aria-describedby="hint-Name1" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="family-name" type="text" maxlength="255"
elname="Last" name="Name1" complink="Name1_Last" value="" mandatory="true" placeholder="">
<label id="aria-showelemslabel-Name12" elname="formSubInfoText" class="formSubInfoText">Last</label>
</span>
<div class="clearBoth"></div>
</div>
<p class="errorMessage" elname="error" id="error-Name1"></p>
</div>
<div class="clearBoth"></div>
</li>
<li isunique="false" class="tempFrmWrapper email large" elname="livefield-elem" comptype="9" id="Email-li" needdata="true" compname="Email" linkname="Email" isvisible="true" mandatory="true" page_no="2" page_link_name="Page" showlabel="true"
counteruid="" domain_option="0" need_reconf="true">
<label class="labelName advLabelName" for="Email-arialabel">
<span>
<div>Personal Email Address<br></div>
<div><span class="size" style="font-size: 10.6667px"><i><span class="size" style="font-size: 10.6667px"><i><span elname="setlabel_Name1_First">___</span> </i></span>, please share your <span class="size"
style="font-size: 10.6667px"><i>email address</i></span>...</i>
</span><br>
</div></span>
<em class="important" aria-label="Required">*</em>
</label>
<div class="subFrmFieldsHidden subFrmFieldsHiddenCont" style="display:none" elemname="fieldHiddenDiv"><em><svg class="icon icon-Denied-1-01">
<use xlink:href="#icon-rules-denied-01"></use>
</svg></em>
<span>N/A</span>
</div>
<div class="tempContDiv" elemname="fieldContentDiv">
<span elname="livefield-email-elem"><input inputmode="email" id="Email-arialabel" aria-describedby="hint-Email" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="email" type="text" maxlength="255" name="Email" value=""
placeholder="">
</span>
<span elname="livefield-reconf-elem" class="confrmEmailDiv"> <input inputmode="email" onkeyup="ZFLive.validateFieldEquality(this,false);" onblur="ZFLive.validateFieldEquality(this,true);" placeholder="Confirm Email" autocomplete="off"
type="text" maxlength="255" name="Email-reconf">
<p elname="reconf-error" class="errorMessage" id="error-Email-reconf" style="display: none;"></p>
</span>
<p class="errorMessage" elname="error" id="error-Email" style="display: none;"></p>
</div>
<div class="clearBoth"></div>
</li>
<li isunique="false" class="tempFrmWrapper phone small" elname="livefield-elem" comptype="11" id="PhoneNumber-li" needdata="true" compname="PhoneNumber" linkname="PhoneNumber" isvisible="true" mandatory="true" page_no="2" page_link_name="Page"
showlabel="true" counteruid="" need_reconf="true">
<label id="PhoneNumber-arialabel" class="labelName advLabelName">
<span>
<div>Cell / Mobile Phone Number<br></div>
<div><i><span class="size" style="font-size: 10.6667px"><span elname="setlabel_Name1_First">___</span>, please share your cell / mobile phone number...</span></i><br></div>
</span>
<em class="important" aria-label="Required">*</em>
</label>
<div class="subFrmFieldsHidden subFrmFieldsHiddenCont" style="display:none" elemname="fieldHiddenDiv"><em><svg class="icon icon-Denied-1-01">
<use xlink:href="#icon-rules-denied-01"></use>
</svg></em>
<span>N/A</span>
</div>
<div class="tempContDiv" elname="phoneFormatElem" phoneformat="INTERNATIONAL" elemname="fieldContentDiv">
<div elname="phoneFld" name="phone-elements">
<div class="intl-tel-input allow-dropdown separate-dial-code iti-sdc-2 phCodeWrapper">
<div class="flag-container">
<div class="selected-flag" tabindex="0" title="United States: +1">
<div class="iti-flag us"></div>
<div class="selected-dial-code">+1</div>
<div class="iti-arrow"></div>
</div>
</div><input name="PhoneNumber" aria-describedby="hint-PhoneNumber" aria-labelledby="PhoneNumber-arialabel" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" id="PhoneNumber" type="text" elname="countrycode"
maxlength="20" value="" iscodeenabled="true" phoneformattype="2" inputmode="numeric" placeholder="" initcountry="us" countrylist="" style="padding-left: 76px;">
</div>
</div>
<div elname="confPhoneFld" name="phone-elements" class="phoneFieldConfirm">
<div class="intl-tel-input allow-dropdown separate-dial-code iti-sdc-2 phCodeWrapper">
<div class="flag-container">
<div class="selected-flag" tabindex="0" title="United States: +1">
<div class="iti-flag us"></div>
<div class="selected-dial-code">+1</div>
<div class="iti-arrow"></div>
</div>
</div><input type="text" id="PhoneNumber-reconf" elname="countrycodeConf" name="PhoneNumber-reconf" placeholder="Confirm Phone Number " autocomplete="off" onkeyup="ZFLive.validateFieldEquality(this,false);"
onblur="ZFLive.validateFieldEquality(this,true);" inputmode="numeric" style="padding-left: 76px;">
</div>
<p elname="reconf-error" class="errorMessage" id="error-PhoneNumber-reconf" style="display: none;"></p>
</div>
<p class="errorMessage" elname="error" id="error-PhoneNumber"></p>
<script type="module">
if (true == true && (true)) {
var allowedCountryList = [];
var ipBasedCurrentCountry = null;
ipBasedCurrentCountry = "US"; // check null value
ipBasedCurrentCountry = ipBasedCurrentCountry.toLowerCase();
var defaultCountry = ""; // No I18N
var keyId = $("#PhoneNumber");
var keyIdConf = ("#" + "PhoneNumber" + "-reconf"); // No I18N
var listofcountries = [],
hasCode = false;
var initialCountry = "auto"; // No I18N
var countryCodeProps = jQuery.extend(true, {}, ZFPhone.countryCodeProps);
var isRtlEnabled = false;
var txtDir = "1"; // No I18N
if (txtDir != null && txtDir != undefined) {
if (txtDir == 2) {
isRtlEnabled = true;
}
}
countryCodeProps.isRtl = isRtlEnabled;
if (defaultCountry != "") {
defaultCountry = countryUniqueCode[""]; // No I18N
}
if (allowedCountryList.length > 0) {
var phoneVal = ""; // No I18N
var codeVal = ""; // No I18N
for (var itr = 0; itr < allowedCountryList.length; itr++) {
if (codeVal != "" && codelist[allowedCountryList[itr]] == codeVal && !hasCode) {
phoneVal = codeVal + phoneVal;
hasCode = true;
}
listofcountries[itr] = countryUniqueCode[allowedCountryList[itr]];
}
countryCodeProps.onlyCountries = listofcountries;
if ("live" == 'live') {
if (jQuery.inArray(defaultCountry, listofcountries) !== -1) {
initialCountry = defaultCountry;
} else if (ipBasedCurrentCountry !== null && ipBasedCurrentCountry != "null" && ipBasedCurrentCountry != "-" && jQuery.inArray(ipBasedCurrentCountry, listofcountries) != -1) { // No I18N
initialCountry = ipBasedCurrentCountry;
}
} else {
$("#PhoneNumber").val(phoneVal);
if ("true" == "true") {
$(keyIdConf).val(phoneVal); // No I18N
}
}
} else if ("live" == 'live') { // No I18N
if (defaultCountry != "") {
initialCountry = defaultCountry;
} else if (ipBasedCurrentCountry !== null && ipBasedCurrentCountry != "null" && ipBasedCurrentCountry != "-") { // No I18N
initialCountry = ipBasedCurrentCountry;
}
}
if ($(keyId).parents("ul").attr("elname") != "subFormFieldsCloneUl") {
countryCodeProps.initialCountry = initialCountry;
$(keyId).intlTelInput(countryCodeProps);
$(keyIdConf).intlTelInput(countryCodeProps); // No I18N
if ("live" == 'live') {
$(keyId).intlTelInput("setNumber", ""); // No I18N
}
if ("live" == 'edit' && "" != null && "" != "") {
$(keyId).intlTelInput("setCountry", ""); // No I18N
$(keyIdConf).intlTelInput("setCountry", ""); // No I18N
}
}
$(keyId).attr({
"initCountry": initialCountry,
"countryList": listofcountries
}); // No I18N
//$("#PhoneNumber") is used instead of variable keyId, since event get attached only to the last dom element instead of all elements.
setCountryCodePropsForFlds(("#" + "PhoneNumber"), isRtlEnabled); // No I18N
if ("true" == "true") {
setCountryCodePropsForFlds(("#" + "PhoneNumber" + "-reconf"), isRtlEnabled); // No I18N
}
}
</script>
</div>
<div class="clearBoth"></div>
</li>
<li class="tempFrmWrapper address addrlarge zfSelect2CustomCont" mode="live" elname="livefield-elem" comptype="8" needdata="true" id="Address-li" compname="Address" linkname="Address" isvisible="true" mandatory="true" page_no="2"
page_link_name="Page" showlabel="true" statefldtype="1" counteruid="">
<div class="arrowNav"></div>
<label class="labelName advLabelName" id="Address-arialabel">
<span>
<div>Mailing Address<br></div>
<div><span class="size" style="font-size: 10.6667px"><i><span elname="setlabel_Name1_First">___</span>, please share your mailing <span class="size" style="font-size: 10.6667px"><i>address</i></span>...</i>
</span><br>
</div></span>
<em class="important" aria-hidden="true">*</em>
</label>
<div class="subFrmFieldsHidden subFrmFieldsHiddenCont" style="display:none" elemname="fieldHiddenDiv"><em><svg class="icon icon-Denied-1-01">
<use xlink:href="#icon-rules-denied-01"></use>
</svg></em>
<span>N/A</span>
</div>
<div class="tempContDiv address" elemname="fieldContentDiv">
<div class="addrCont">
<!-- <input value=>-->
<span class="addOne" elname="compEachElem">
<span class="sr-only" elname="ariaReqSpan" id="ariarequired-Address0">Required</span>
<input aria-labelledby="Address-arialabel aria-showelemslabel-Address0 ariarequired-Address0" aria-describedby="hint-Address" name="Address" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="address-line1" type="text"
maxlength="255" complink="Address_AddressLine1" value="" mandatory="true" placeholder="">
<!-- Display name of 'AddressLine1' component of 'Address' field. -->
<label class="formSubInfoText" elname="formSubInfoText" id="aria-showelemslabel-Address0">Address Line 1</label>
</span>
<!-- <input value=>-->
<span class="addOne" elname="compEachElem">
<input aria-labelledby="Address-arialabel aria-showelemslabel-Address1" aria-describedby="hint-Address" name="Address" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="address-line2" type="text" maxlength="255"
complink="Address_AddressLine2" value="" mandatory="false" placeholder="">
<!-- Display name of 'AddressLine2' component of 'Address' field. -->
<label class="formSubInfoText" elname="formSubInfoText" id="aria-showelemslabel-Address1">Address Line 2</label>
</span>
<!-- <input value=>-->
<span class="flLeft addtwo" elname="compEachElem">
<span class="sr-only" elname="ariaReqSpan" id="ariarequired-Address2">Required</span>
<input aria-labelledby="Address-arialabel aria-showelemslabel-Address2 ariarequired-Address2" aria-describedby="hint-Address" name="Address" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="address-level2" type="text"
maxlength="255" complink="Address_City" value="" mandatory="true" placeholder="">
<!-- Display name of 'City' component of 'Address' field. -->
<label class="formSubInfoText" elname="formSubInfoText" id="aria-showelemslabel-Address2">City</label>
</span>
<!-- <input value=>-->
<span class="flLeft addtwo" elname="compEachElem">
<span class="sr-only" elname="ariaReqSpan" id="ariarequired-Address3">Required</span>
<input aria-labelledby="Address-arialabel aria-showelemslabel-Address3 ariarequired-Address3" aria-describedby="hint-Address" name="Address" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="address-level1" type="text"
maxlength="255" complink="Address_Region" value="" mandatory="true" placeholder="">
<!--</div>-->
<!-- Display name of 'Region' component of 'Address' field. -->
<label class="formSubInfoText" elname="formSubInfoText" id="aria-showelemslabel-Address3">State/Region/Province</label>
</span>
<!-- <input value=>-->
<span class="flLeft addtwo" elname="compEachElem">
<span class="sr-only" elname="ariaReqSpan" id="ariarequired-Address4">Required</span>
<input aria-labelledby="Address-arialabel aria-showelemslabel-Address4 ariarequired-Address4" aria-describedby="hint-Address" name="Address" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="postal-code" type="text"
maxlength="255" complink="Address_ZipCode" value="" mandatory="true" placeholder="">
<!-- Display name of 'ZipCode' component of 'Address' field. -->
<label class="formSubInfoText" elname="formSubInfoText" id="aria-showelemslabel-Address4">Postal / Zip Code</label>
</span>
<!-- <input value=>-->
<span class="flLeft addtwo" elname="compEachElem">
<div class="form_selectBox">
<div class="selectArrow"></div>
<select elname="dropdownElem" aria-labelledby="Address-arialabel aria-showelemslabel-Address5" aria-describedby="hint-Address" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="country" name="Address"
complink="Address_Country" id="Address_Country" mandatory="false" tabindex="-1" class="select2-hidden-accessible" aria-hidden="true">
<option value="-Select-">-Select-</option>
<option value="Åland Islands" ctrycode="103" lwrvalue="åland islands">Åland Islands</option>
<option value="Afghanistan" ctrycode="101" lwrvalue="afghanistan">Afghanistan</option>
<option value="Akrotiri" ctrycode="102" lwrvalue="akrotiri">Akrotiri</option>
<option value="Albania" ctrycode="104" lwrvalue="albania">Albania</option>
<option value="Algeria" ctrycode="105" lwrvalue="algeria">Algeria</option>
<option value="American Samoa" ctrycode="106" lwrvalue="american samoa">American Samoa</option>
<option value="Andorra" ctrycode="107" lwrvalue="andorra">Andorra</option>
<option value="Angola" ctrycode="108" lwrvalue="angola">Angola</option>
<option value="Anguilla" ctrycode="109" lwrvalue="anguilla">Anguilla</option>
<option value="Antarctica" ctrycode="110" lwrvalue="antarctica">Antarctica</option>
<option value="Antigua and Barbuda" ctrycode="111" lwrvalue="antigua and barbuda">Antigua and Barbuda</option>
<option value="Argentina" ctrycode="112" lwrvalue="argentina">Argentina</option>
<option value="Armenia" ctrycode="113" lwrvalue="armenia">Armenia</option>
<option value="Aruba" ctrycode="114" lwrvalue="aruba">Aruba</option>
<option value="Ashmore and Cartier Islands" ctrycode="115" lwrvalue="ashmore and cartier islands">Ashmore and Cartier Islands</option>
<option value="Australia" ctrycode="116" lwrvalue="australia">Australia</option>
<option value="Austria" ctrycode="117" lwrvalue="austria">Austria</option>
<option value="Azerbaijan" ctrycode="118" lwrvalue="azerbaijan">Azerbaijan</option>
<option value="Bahrain" ctrycode="120" lwrvalue="bahrain">Bahrain</option>
<option value="Bangladesh" ctrycode="121" lwrvalue="bangladesh">Bangladesh</option>
<option value="Barbados" ctrycode="122" lwrvalue="barbados">Barbados</option>
<option value="Bassas Da India" ctrycode="123" lwrvalue="bassas da india">Bassas Da India</option>
<option value="Belarus" ctrycode="124" lwrvalue="belarus">Belarus</option>
<option value="Belgium" ctrycode="125" lwrvalue="belgium">Belgium</option>
<option value="Belize" ctrycode="126" lwrvalue="belize">Belize</option>
<option value="Benin" ctrycode="127" lwrvalue="benin">Benin</option>
<option value="Bermuda" ctrycode="128" lwrvalue="bermuda">Bermuda</option>
<option value="Bhutan" ctrycode="129" lwrvalue="bhutan">Bhutan</option>
<option value="Bolivia" ctrycode="130" lwrvalue="bolivia">Bolivia</option>
<option value="Bosnia and Herzegovina" ctrycode="131" lwrvalue="bosnia and herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana" ctrycode="132" lwrvalue="botswana">Botswana</option>
<option value="Bouvet Island" ctrycode="133" lwrvalue="bouvet island">Bouvet Island</option>
<option value="Brazil" ctrycode="134" lwrvalue="brazil">Brazil</option>
<option value="British Indian Ocean Territory" ctrycode="135" lwrvalue="british indian ocean territory">British Indian Ocean Territory</option>
<option value="British Virgin Islands" ctrycode="136" lwrvalue="british virgin islands">British Virgin Islands</option>
<option value="Brunei" ctrycode="137" lwrvalue="brunei">Brunei</option>
<option value="Bulgaria" ctrycode="138" lwrvalue="bulgaria">Bulgaria</option>
<option value="Burkina Faso" ctrycode="139" lwrvalue="burkina faso">Burkina Faso</option>
<option value="Burma" ctrycode="140" lwrvalue="burma">Burma</option>
<option value="Burundi" ctrycode="141" lwrvalue="burundi">Burundi</option>
<option value="Cambodia" ctrycode="142" lwrvalue="cambodia">Cambodia</option>
<option value="Cameroon" ctrycode="143" lwrvalue="cameroon">Cameroon</option>
<option value="Canada" ctrycode="144" lwrvalue="canada">Canada</option>
<option value="Cape Verde" ctrycode="145" lwrvalue="cape verde">Cape Verde</option>
<option value="Caribbean Netherlands" ctrycode="146" lwrvalue="caribbean netherlands">Caribbean Netherlands</option>
<option value="Cayman Islands" ctrycode="147" lwrvalue="cayman islands">Cayman Islands</option>
<option value="Central African Republic" ctrycode="148" lwrvalue="central african republic">Central African Republic</option>
<option value="Chad" ctrycode="149" lwrvalue="chad">Chad</option>
<option value="Chile" ctrycode="150" lwrvalue="chile">Chile</option>
<option value="China" ctrycode="151" lwrvalue="china">China</option>
<option value="Christmas Island" ctrycode="152" lwrvalue="christmas island">Christmas Island</option>
<option value="Clipperton Island" ctrycode="153" lwrvalue="clipperton island">Clipperton Island</option>
<option value="Cocos (Keeling) Islands" ctrycode="154" lwrvalue="cocos (keeling) islands">Cocos (Keeling) Islands</option>
<option value="Colombia" ctrycode="155" lwrvalue="colombia">Colombia</option>
<option value="Comoros" ctrycode="156" lwrvalue="comoros">Comoros</option>
<option value="Cook Islands" ctrycode="159" lwrvalue="cook islands">Cook Islands</option>
<option value="Coral Sea Islands" ctrycode="160" lwrvalue="coral sea islands">Coral Sea Islands</option>
<option value="Costa Rica" ctrycode="161" lwrvalue="costa rica">Costa Rica</option>
<option value="Cote D'Ivoire" ctrycode="162" lwrvalue="cote d'ivoire">Cote D'Ivoire</option>
<option value="Croatia" ctrycode="163" lwrvalue="croatia">Croatia</option>
<option value="Cuba" ctrycode="164" lwrvalue="cuba">Cuba</option>
<option value="Curaçao" ctrycode="165" lwrvalue="curaçao">Curaçao</option>
<option value="Cyprus" ctrycode="166" lwrvalue="cyprus">Cyprus</option>
<option value="Czech Republic" ctrycode="167" lwrvalue="czech republic">Czech Republic</option>
<option value="Democratic Republic of the Congo" ctrycode="157" lwrvalue="democratic republic of the congo">Democratic Republic of the Congo</option>
<option value="Denmark" ctrycode="168" lwrvalue="denmark">Denmark</option>
<option value="Dhekelia" ctrycode="169" lwrvalue="dhekelia">Dhekelia</option>
<option value="Djibouti" ctrycode="170" lwrvalue="djibouti">Djibouti</option>
<option value="Dominica" ctrycode="171" lwrvalue="dominica">Dominica</option>
<option value="Dominican Republic" ctrycode="172" lwrvalue="dominican republic">Dominican Republic</option>
<option value="Ecuador" ctrycode="173" lwrvalue="ecuador">Ecuador</option>
<option value="Egypt" ctrycode="174" lwrvalue="egypt">Egypt</option>
<option value="El Salvador" ctrycode="175" lwrvalue="el salvador">El Salvador</option>
<option value="Equatorial Guinea" ctrycode="176" lwrvalue="equatorial guinea">Equatorial Guinea</option>
<option value="Eritrea" ctrycode="177" lwrvalue="eritrea">Eritrea</option>
<option value="Estonia" ctrycode="178" lwrvalue="estonia">Estonia</option>
<option value="Ethiopia" ctrycode="179" lwrvalue="ethiopia">Ethiopia</option>
<option value="Europa Island" ctrycode="180" lwrvalue="europa island">Europa Island</option>
<option value="Falkland Islands (Islas Malvinas)" ctrycode="181" lwrvalue="falkland islands (islas malvinas)">Falkland Islands (Islas Malvinas)</option>
<option value="Faroe Islands" ctrycode="182" lwrvalue="faroe islands">Faroe Islands</option>
<option value="Federated States of Micronesia" ctrycode="258" lwrvalue="federated states of micronesia">Federated States of Micronesia</option>
<option value="Fiji" ctrycode="183" lwrvalue="fiji">Fiji</option>
<option value="Finland" ctrycode="184" lwrvalue="finland">Finland</option>
<option value="France" ctrycode="185" lwrvalue="france">France</option>
<option value="French Guiana" ctrycode="186" lwrvalue="french guiana">French Guiana</option>
<option value="French Polynesia" ctrycode="187" lwrvalue="french polynesia">French Polynesia</option>
<option value="French Southern and Antarctic Lands" ctrycode="188" lwrvalue="french southern and antarctic lands">French Southern and Antarctic Lands</option>
<option value="Gabon" ctrycode="189" lwrvalue="gabon">Gabon</option>
<option value="Gaza Strip" ctrycode="191" lwrvalue="gaza strip">Gaza Strip</option>
<option value="Georgia" ctrycode="192" lwrvalue="georgia">Georgia</option>
<option value="Germany" ctrycode="193" lwrvalue="germany">Germany</option>
<option value="Ghana" ctrycode="194" lwrvalue="ghana">Ghana</option>
<option value="Gibraltar" ctrycode="195" lwrvalue="gibraltar">Gibraltar</option>
<option value="Glorioso Islands" ctrycode="196" lwrvalue="glorioso islands">Glorioso Islands</option>
<option value="Greece" ctrycode="197" lwrvalue="greece">Greece</option>
<option value="Greenland" ctrycode="198" lwrvalue="greenland">Greenland</option>
<option value="Grenada" ctrycode="199" lwrvalue="grenada">Grenada</option>
<option value="Guadeloupe" ctrycode="200" lwrvalue="guadeloupe">Guadeloupe</option>
<option value="Guam" ctrycode="201" lwrvalue="guam">Guam</option>
<option value="Guatemala" ctrycode="202" lwrvalue="guatemala">Guatemala</option>
<option value="Guernsey" ctrycode="203" lwrvalue="guernsey">Guernsey</option>
<option value="Guinea" ctrycode="204" lwrvalue="guinea">Guinea</option>
<option value="Guinea-bissau" ctrycode="205" lwrvalue="guinea-bissau">Guinea-bissau</option>
<option value="Guyana" ctrycode="206" lwrvalue="guyana">Guyana</option>
<option value="Haiti" ctrycode="207" lwrvalue="haiti">Haiti</option>
<option value="Heard Island and Mcdonald Islands" ctrycode="208" lwrvalue="heard island and mcdonald islands">Heard Island and Mcdonald Islands</option>
<option value="Holy See (Vatican City)" ctrycode="209" lwrvalue="holy see (vatican city)">Holy See (Vatican City)</option>
<option value="Honduras" ctrycode="210" lwrvalue="honduras">Honduras</option>
<option value="Hong Kong" ctrycode="211" lwrvalue="hong kong">Hong Kong</option>
<option value="Hungary" ctrycode="212" lwrvalue="hungary">Hungary</option>
<option value="Iceland" ctrycode="213" lwrvalue="iceland">Iceland</option>
<option value="India" ctrycode="214" lwrvalue="india">India</option>
<option value="Indonesia" ctrycode="215" lwrvalue="indonesia">Indonesia</option>
<option value="Iran" ctrycode="216" lwrvalue="iran">Iran</option>
<option value="Iraq" ctrycode="217" lwrvalue="iraq">Iraq</option>
<option value="Ireland" ctrycode="218" lwrvalue="ireland">Ireland</option>
<option value="Isle of Man" ctrycode="219" lwrvalue="isle of man">Isle of Man</option>
<option value="Israel" ctrycode="220" lwrvalue="israel">Israel</option>
<option value="Italy" ctrycode="221" lwrvalue="italy">Italy</option>
<option value="Jamaica" ctrycode="222" lwrvalue="jamaica">Jamaica</option>
<option value="Jan Mayen" ctrycode="223" lwrvalue="jan mayen">Jan Mayen</option>
<option value="Japan" ctrycode="224" lwrvalue="japan">Japan</option>
<option value="Jersey" ctrycode="225" lwrvalue="jersey">Jersey</option>
<option value="Jordan" ctrycode="226" lwrvalue="jordan">Jordan</option>
<option value="Juan De Nova Island" ctrycode="227" lwrvalue="juan de nova island">Juan De Nova Island</option>
<option value="Kazakhstan" ctrycode="228" lwrvalue="kazakhstan">Kazakhstan</option>
<option value="Kenya" ctrycode="229" lwrvalue="kenya">Kenya</option>
<option value="Kiribati" ctrycode="230" lwrvalue="kiribati">Kiribati</option>
<option value="Kosovo" ctrycode="368" lwrvalue="kosovo">Kosovo</option>
<option value="Kuwait" ctrycode="233" lwrvalue="kuwait">Kuwait</option>
<option value="Kyrgyzstan" ctrycode="234" lwrvalue="kyrgyzstan">Kyrgyzstan</option>
<option value="Laos" ctrycode="235" lwrvalue="laos">Laos</option>
<option value="Latvia" ctrycode="236" lwrvalue="latvia">Latvia</option>
<option value="Lebanon" ctrycode="237" lwrvalue="lebanon">Lebanon</option>
<option value="Lesotho" ctrycode="238" lwrvalue="lesotho">Lesotho</option>
<option value="Liberia" ctrycode="239" lwrvalue="liberia">Liberia</option>
<option value="Libya" ctrycode="240" lwrvalue="libya">Libya</option>
<option value="Liechtenstein" ctrycode="241" lwrvalue="liechtenstein">Liechtenstein</option>
<option value="Lithuania" ctrycode="242" lwrvalue="lithuania">Lithuania</option>
<option value="Luxembourg" ctrycode="243" lwrvalue="luxembourg">Luxembourg</option>
<option value="Macau" ctrycode="244" lwrvalue="macau">Macau</option>
<option value="Macedonia" ctrycode="245" lwrvalue="macedonia">Macedonia</option>
<option value="Madagascar" ctrycode="246" lwrvalue="madagascar">Madagascar</option>
<option value="Malawi" ctrycode="247" lwrvalue="malawi">Malawi</option>
<option value="Malaysia" ctrycode="248" lwrvalue="malaysia">Malaysia</option>
<option value="Maldives" ctrycode="249" lwrvalue="maldives">Maldives</option>
<option value="Mali" ctrycode="250" lwrvalue="mali">Mali</option>
<option value="Malta" ctrycode="251" lwrvalue="malta">Malta</option>
<option value="Marshall Islands" ctrycode="252" lwrvalue="marshall islands">Marshall Islands</option>
<option value="Martinique" ctrycode="253" lwrvalue="martinique">Martinique</option>
<option value="Mauritania" ctrycode="254" lwrvalue="mauritania">Mauritania</option>
<option value="Mauritius" ctrycode="255" lwrvalue="mauritius">Mauritius</option>
<option value="Mayotte" ctrycode="256" lwrvalue="mayotte">Mayotte</option>
<option value="Mexico" ctrycode="257" lwrvalue="mexico">Mexico</option>
<option value="Moldova" ctrycode="259" lwrvalue="moldova">Moldova</option>
<option value="Monaco" ctrycode="260" lwrvalue="monaco">Monaco</option>
<option value="Mongolia" ctrycode="261" lwrvalue="mongolia">Mongolia</option>
<option value="Montenegro" ctrycode="262" lwrvalue="montenegro">Montenegro</option>
<option value="Montserrat" ctrycode="263" lwrvalue="montserrat">Montserrat</option>
<option value="Morocco" ctrycode="264" lwrvalue="morocco">Morocco</option>
<option value="Mozambique" ctrycode="265" lwrvalue="mozambique">Mozambique</option>
<option value="Myanmar" ctrycode="266" lwrvalue="myanmar">Myanmar</option>
<option value="Namibia" ctrycode="267" lwrvalue="namibia">Namibia</option>
<option value="Nauru" ctrycode="268" lwrvalue="nauru">Nauru</option>
<option value="Navassa Island" ctrycode="269" lwrvalue="navassa island">Navassa Island</option>
<option value="Nepal" ctrycode="270" lwrvalue="nepal">Nepal</option>
<option value="Netherlands" ctrycode="271" lwrvalue="netherlands">Netherlands</option>
<option value="Netherlands Antilles" ctrycode="272" lwrvalue="netherlands antilles">Netherlands Antilles</option>
<option value="New Caledonia" ctrycode="273" lwrvalue="new caledonia">New Caledonia</option>
<option value="New Zealand" ctrycode="274" lwrvalue="new zealand">New Zealand</option>
<option value="Nicaragua" ctrycode="275" lwrvalue="nicaragua">Nicaragua</option>
<option value="Niger" ctrycode="276" lwrvalue="niger">Niger</option>
<option value="Nigeria" ctrycode="277" lwrvalue="nigeria">Nigeria</option>
<option value="Niue" ctrycode="278" lwrvalue="niue">Niue</option>
<option value="Norfolk Island" ctrycode="279" lwrvalue="norfolk island">Norfolk Island</option>
<option value="North Korea" ctrycode="231" lwrvalue="north korea">North Korea</option>
<option value="Northern Mariana Islands" ctrycode="280" lwrvalue="northern mariana islands">Northern Mariana Islands</option>
<option value="Norway" ctrycode="281" lwrvalue="norway">Norway</option>
<option value="Oman" ctrycode="282" lwrvalue="oman">Oman</option>
<option value="Pakistan" ctrycode="283" lwrvalue="pakistan">Pakistan</option>
<option value="Palau" ctrycode="284" lwrvalue="palau">Palau</option>
<option value="Palestine" ctrycode="285" lwrvalue="palestine">Palestine</option>
<option value="Panama" ctrycode="286" lwrvalue="panama">Panama</option>
<option value="Papua New Guinea" ctrycode="287" lwrvalue="papua new guinea">Papua New Guinea</option>
<option value="Paracel Islands" ctrycode="288" lwrvalue="paracel islands">Paracel Islands</option>
<option value="Paraguay" ctrycode="289" lwrvalue="paraguay">Paraguay</option>
<option value="Peru" ctrycode="290" lwrvalue="peru">Peru</option>
<option value="Philippines" ctrycode="291" lwrvalue="philippines">Philippines</option>
<option value="Pitcairn Islands" ctrycode="292" lwrvalue="pitcairn islands">Pitcairn Islands</option>
<option value="Poland" ctrycode="293" lwrvalue="poland">Poland</option>
<option value="Portugal" ctrycode="294" lwrvalue="portugal">Portugal</option>
<option value="Puerto Rico" ctrycode="295" lwrvalue="puerto rico">Puerto Rico</option>
<option value="Qatar" ctrycode="296" lwrvalue="qatar">Qatar</option>
<option value="Republic of the Congo" ctrycode="158" lwrvalue="republic of the congo">Republic of the Congo</option>
<option value="Reunion" ctrycode="297" lwrvalue="reunion">Reunion</option>
<option value="Romania" ctrycode="298" lwrvalue="romania">Romania</option>
<option value="Russia" ctrycode="299" lwrvalue="russia">Russia</option>
<option value="Rwanda" ctrycode="300" lwrvalue="rwanda">Rwanda</option>
<option value="Saint Barthélemy" ctrycode="301" lwrvalue="saint barthã©lemy">Saint Barthélemy</option>
<option value="Saint Helena" ctrycode="302" lwrvalue="saint helena">Saint Helena</option>
<option value="Saint Kitts and Nevis" ctrycode="303" lwrvalue="saint kitts and nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia" ctrycode="304" lwrvalue="saint lucia">Saint Lucia</option>
<option value="Saint Martin" ctrycode="305" lwrvalue="saint martin">Saint Martin</option>
<option value="Saint Pierre and Miquelon" ctrycode="306" lwrvalue="saint pierre and miquelon">Saint Pierre and Miquelon</option>
<option value="Saint Vincent and the Grenadines" ctrycode="307" lwrvalue="saint vincent and the grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa" ctrycode="308" lwrvalue="samoa">Samoa</option>
<option value="San Marino" ctrycode="309" lwrvalue="san marino">San Marino</option>
<option value="Sao Tome and Principe" ctrycode="310" lwrvalue="sao tome and principe">Sao Tome and Principe</option>
<option value="Saudi Arabia" ctrycode="311" lwrvalue="saudi arabia">Saudi Arabia</option>
<option value="Senegal" ctrycode="312" lwrvalue="senegal">Senegal</option>
<option value="Serbia" ctrycode="313" lwrvalue="serbia">Serbia</option>
<option value="Seychelles" ctrycode="314" lwrvalue="seychelles">Seychelles</option>
<option value="Sierra Leone" ctrycode="315" lwrvalue="sierra leone">Sierra Leone</option>
<option value="Singapore" ctrycode="316" lwrvalue="singapore">Singapore</option>
<option value="Sint Maarten" ctrycode="317" lwrvalue="sint maarten">Sint Maarten</option>
<option value="Slovakia" ctrycode="318" lwrvalue="slovakia">Slovakia</option>
<option value="Slovenia" ctrycode="319" lwrvalue="slovenia">Slovenia</option>
<option value="Solomon Islands" ctrycode="320" lwrvalue="solomon islands">Solomon Islands</option>
<option value="Somalia" ctrycode="321" lwrvalue="somalia">Somalia</option>
<option value="South Africa" ctrycode="322" lwrvalue="south africa">South Africa</option>
<option value="South Georgia and the South Sandwich Islands" ctrycode="323" lwrvalue="south georgia and the south sandwich islands">South Georgia and the South Sandwich Islands</option>
<option value="South Korea" ctrycode="232" lwrvalue="south korea">South Korea</option>
<option value="South Sudan" ctrycode="324" lwrvalue="south sudan">South Sudan</option>
<option value="Spain" ctrycode="325" lwrvalue="spain">Spain</option>
<option value="Spratly Islands" ctrycode="326" lwrvalue="spratly islands">Spratly Islands</option>
<option value="Sri Lanka" ctrycode="327" lwrvalue="sri lanka">Sri Lanka</option>
<option value="Sudan" ctrycode="328" lwrvalue="sudan">Sudan</option>
<option value="Suriname" ctrycode="329" lwrvalue="suriname">Suriname</option>
<option value="Svalbard" ctrycode="330" lwrvalue="svalbard">Svalbard</option>
<option value="Swaziland" ctrycode="331" lwrvalue="swaziland">Swaziland</option>
<option value="Sweden" ctrycode="332" lwrvalue="sweden">Sweden</option>
<option value="Switzerland" ctrycode="333" lwrvalue="switzerland">Switzerland</option>
<option value="Syria" ctrycode="334" lwrvalue="syria">Syria</option>
<option value="Taiwan" ctrycode="335" lwrvalue="taiwan">Taiwan</option>
<option value="Tajikistan" ctrycode="336" lwrvalue="tajikistan">Tajikistan</option>
<option value="Tanzania" ctrycode="337" lwrvalue="tanzania">Tanzania</option>
<option value="Thailand" ctrycode="338" lwrvalue="thailand">Thailand</option>
<option value="The Bahamas" ctrycode="119" lwrvalue="the bahamas">The Bahamas</option>
<option value="The Gambia" ctrycode="190" lwrvalue="the gambia">The Gambia</option>
<option value="Timor-leste" ctrycode="339" lwrvalue="timor-leste">Timor-leste</option>
<option value="Togo" ctrycode="340" lwrvalue="togo">Togo</option>
<option value="Tokelau" ctrycode="341" lwrvalue="tokelau">Tokelau</option>
<option value="Tonga" ctrycode="342" lwrvalue="tonga">Tonga</option>
<option value="Trinidad and Tobago" ctrycode="343" lwrvalue="trinidad and tobago">Trinidad and Tobago</option>
<option value="Tromelin Island" ctrycode="344" lwrvalue="tromelin island">Tromelin Island</option>
<option value="Tunisia" ctrycode="345" lwrvalue="tunisia">Tunisia</option>
<option value="Turkey" ctrycode="346" lwrvalue="turkey">Turkey</option>
<option value="Turkmenistan" ctrycode="347" lwrvalue="turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands" ctrycode="348" lwrvalue="turks and caicos islands">Turks and Caicos Islands</option>
<option value="Tuvalu" ctrycode="349" lwrvalue="tuvalu">Tuvalu</option>
<option value="Uganda" ctrycode="350" lwrvalue="uganda">Uganda</option>
<option value="Ukraine" ctrycode="351" lwrvalue="ukraine">Ukraine</option>
<option value="United Arab Emirates" ctrycode="352" lwrvalue="united arab emirates">United Arab Emirates</option>
<option value="United Kingdom" ctrycode="353" lwrvalue="united kingdom">United Kingdom</option>
<option value="United States" ctrycode="354" lwrvalue="united states" selected="true">United States</option>
<option value="Uruguay" ctrycode="355" lwrvalue="uruguay">Uruguay</option>
<option value="Uzbekistan" ctrycode="356" lwrvalue="uzbekistan">Uzbekistan</option>
<option value="Vanuatu" ctrycode="357" lwrvalue="vanuatu">Vanuatu</option>
<option value="Venezuela" ctrycode="358" lwrvalue="venezuela">Venezuela</option>
<option value="Vietnam" ctrycode="359" lwrvalue="vietnam">Vietnam</option>
<option value="Virgin Islands" ctrycode="360" lwrvalue="virgin islands">Virgin Islands</option>
<option value="Wake Island" ctrycode="361" lwrvalue="wake island">Wake Island</option>
<option value="Wallis and Futuna" ctrycode="362" lwrvalue="wallis and futuna">Wallis and Futuna</option>
<option value="West Bank" ctrycode="363" lwrvalue="west bank">West Bank</option>
<option value="Western Sahara" ctrycode="364" lwrvalue="western sahara">Western Sahara</option>
<option value="Yemen" ctrycode="365" lwrvalue="yemen">Yemen</option>
<option value="Zambia" ctrycode="366" lwrvalue="zambia">Zambia</option>
<option value="Zimbabwe" ctrycode="367" lwrvalue="zimbabwe">Zimbabwe</option>
</select><span class="select2 select2-container select2-container--default" dir="ltr" style="width: auto;"><span class="selection"><span class="select2-selection select2-selection--single select2FormCont" role="combobox"
aria-haspopup="true" aria-expanded="false" tabindex="0" aria-labelledby="select2-Address_Country-container"><span class="select2-selection__rendered" id="select2-Address_Country-container" title="United States">
<div class="select2FormFont">United States</div>
</span><span class="select2-selection__arrow select2FormArrow" role="presentation"><b role="presentation"></b></span></span></span><span class="dropdown-wrapper" aria-hidden="true"></span></span>
</div><!-- Display name of 'Country' component of 'Address' field. -->
<label class="formSubInfoText formSubInfoAlign" elname="formSubInfoText" id="aria-showelemslabel-Address5">Country</label>
</span>
<div class="clearBoth"></div>
<p class="errorMessage" elname="error" id="error-Address"></p>
</div>
</div>
<div class="clearBoth"></div>
<script type="module">
$(function() {
var mode = "live"; // No I18N
if (mode == "edit") { // No I18N
var selectedCountry = ""; // No I18N
var selectedCountryNonEncoded = ""; // No I18N
var compname = "Address"; //No I18N
var linkname;
if (compname.indexOf("_") != -1) {
var splittedArr = compname.split("_");
linkname = splittedArr[0];
} else {
linkname = compname;
}
var countryDropdown = $("#Address-li").find('select[complink=' + linkname + ZFFormField.ADDRESS.COUNTRY.KEY + ']');
if (selectedCountry.length > 0 && (typeof($(countryDropdown).find('option:selected').val()) == 'undefined' || $(countryDropdown).find('option:selected').val().toLowerCase() != selectedCountryNonEncoded.toLowerCase())) { // No I18N
$(countryDropdown).append($("<option></option>").attr("value", selectedCountryNonEncoded).html(selectedCountry).hide()); // No I18N
$(countryDropdown).val(selectedCountryNonEncoded).change();
}
}
});
</script>
</li>
<li class="zfcheckbox tempFrmWrapper threeColumns " elname="livefield-elem" comptype="14" needdata="true" id="Checkbox1-li" compname="Checkbox1" linkname="Checkbox1" isvisible="true" mandatory="true" page_no="2" page_link_name="Page"
choice_type="checkbox" counteruid="">
<label id="Checkbox1-arialabel" class="labelName advLabelName"><span>
<div>Discovery Method<br></div>
<div><span style="font-size: 10.6667px" class="size"><i><span style="font-size: 10.6667px" class="size"><i><span elname="setlabel_Name_First">___</span></i></span>, please share how you found out about the Chamber, CACCE-GWAN...</i>
</span><br></div></span>
<em class="important" aria-label="Required">*</em>
</label>
<div class="subFrmFieldsHidden subFrmFieldsHiddenCont" style="display:none" elemname="fieldHiddenDiv"><em><svg class="icon icon-Denied-1-01">
<use xlink:href="#icon-rules-denied-01"></use>
</svg></em>
<span>N/A</span>
</div>
<div class="tempContDiv" elemname="fieldContentDiv">
<div class="overflow customCheckBox" role="group" aria-labelledby="Checkbox1-arialabel">
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox1-arialabel hint-Checkbox1" aria-label="CACCE-GWAN.org Website or Calendar" type="checkbox" id="Checkbox1_1" class="checkBoxType"
name="Checkbox1" elname="Checkbox1" value="CACCE-GWAN.org Website or Calendar" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox1_1" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">CACCE-GWAN.org Website or Calendar</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox1-arialabel hint-Checkbox1" aria-label="NCAHM.org Website or Calendar" type="checkbox" id="Checkbox1_2" class="checkBoxType"
name="Checkbox1" elname="Checkbox1" value="NCAHM.org Website or Calendar" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox1_2" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">NCAHM.org Website or Calendar</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox1-arialabel hint-Checkbox1" aria-label="Brochure, Business Card, Flier / Flyer, Leaflet, Newsletter, Pamphlet" type="checkbox"
id="Checkbox1_3" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Brochure, Business Card, Flier / Flyer, Leaflet, Newsletter, Pamphlet" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox1_3" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Brochure, Business Card, Flier / Flyer, Leaflet, Newsletter, Pamphlet</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox1-arialabel hint-Checkbox1" aria-label="Internet Search - Google, Bing, Yahoo!, Yandex, DuckDuckGo" type="checkbox"
id="Checkbox1_4" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Internet Search - Google, Bing, Yahoo!, Yandex, DuckDuckGo" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox1_4" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Internet Search - Google, Bing, Yahoo!, Yandex, DuckDuckGo</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox1-arialabel hint-Checkbox1" aria-label="Social Media - Facebook, LinkedIn, YouTube, Flickr, Instagram, Twitter, TikTok"
type="checkbox" id="Checkbox1_5" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Social Media - Facebook, LinkedIn, YouTube, Flickr, Instagram, Twitter, TikTok" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox1_5" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Social Media - Facebook, LinkedIn, YouTube, Flickr, Instagram, Twitter, TikTok</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox1-arialabel hint-Checkbox1" aria-label="Community Calendar - Eventbrite, AllEventsIn, Company / Organization / Group Website"
type="checkbox" id="Checkbox1_6" class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Community Calendar - Eventbrite, AllEventsIn, Company / Organization / Group Website" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox1_6" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Community Calendar - Eventbrite, AllEventsIn, Company / Organization / Group Website</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox1-arialabel hint-Checkbox1" aria-label="Message - Email, SMS / Text, Blog, QR Code" type="checkbox" id="Checkbox1_7"
class="checkBoxType" name="Checkbox1" elname="Checkbox1" value="Message - Email, SMS / Text, Blog, QR Code" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox1_7" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Message - Email, SMS / Text, Blog, QR Code</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox1-arialabel hint-Checkbox1" aria-label="PSA - Radio, TV, Podcast, Event" type="checkbox" id="Checkbox1_8" class="checkBoxType"
name="Checkbox1" elname="Checkbox1" value="PSA - Radio, TV, Podcast, Event" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox1_8" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">PSA - Radio, TV, Podcast, Event</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox1-arialabel hint-Checkbox1" aria-label="Word of Mouth" type="checkbox" id="Checkbox1_9" class="checkBoxType" name="Checkbox1"
elname="Checkbox1" value="Word of Mouth" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox1_9" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Word of Mouth</em>
</label> </span>
<span class="extraWrapper cusChoiceSpan" elname="allow-others-span"> <input onmousedown="event.preventDefault();" id="Checkbox1_others" type="checkbox" value="zfs-others-zfs" allowothers="true" name="Checkbox1" elname="checkbox-input"
onchange="ZFLive.hideClosestFieldElemErrorDiv(this);">
<label for="Checkbox1_others" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm" elname="cusChoiceEm" id="Checkbox1_others-text">Other</em>
</label>
<input name="allow-others-text" aria-labelledby="Checkbox1-arialabel Checkbox1_others-text" aria-describedby="hint-Checkbox1" type="text" maxlength="150" onkeyup="checkCheckBoxOthers(this);
"> </span>
<div class="clearBoth"></div>
</div>
<p class="errorMessage" elname="error" id="error-Checkbox1"></p>
</div>
<div class="clearBoth"></div>
</li>
<li elname="livefield-elem" comptype="1" id="SingleLine-li" needdata="false" compname="SingleLine" linkname="SingleLine" counteruid="" isvisible="true" isunique="false" class="tempFrmWrapper large" mandatory="false" page_no="2"
page_link_name="Page" showlabel="true" style="display: none;">
<label class="labelName advLabelName" for="SingleLine-arialabel">
<span>
<div>Discovery Method - Other<br></div>
<div><span style="font-size: 10.6667px" class="size"><i><span style="font-size: 10.6667px" class="size"><i><span elname="setlabel_Name_First">___</span></i></span>, please share how you found out about the Chamber, CACCE-GWAN...</i>
</span><br></div></span>
</label>
<div class="subFrmFieldsHidden subFrmFieldsHiddenCont" style="display:none" elemname="fieldHiddenDiv"><em><svg class="icon icon-Denied-1-01">
<use xlink:href="#icon-rules-denied-01"></use>
</svg></em>
<span>N/A</span>
</div>
<div class="tempContDiv" elemname="fieldContentDiv">
<span><input id="SingleLine-arialabel" aria-describedby="hint-SingleLine" onkeyup="ZFLive.configureInputMask(this);" onfocusout="ZFLive.validateFieldConstraint(this);" autocomplete="off" type="text" maxlength="255" name="SingleLine" value=""
placeholder=""></span>
<p class="errorMessage" elname="error" id="error-SingleLine"></p>
</div>
<div class="clearBoth"></div>
</li>
<li class="zfcheckbox tempFrmWrapper threeColumns " elname="livefield-elem" comptype="14" needdata="true" id="Checkbox-li" compname="Checkbox" linkname="Checkbox" isvisible="true" mandatory="true" page_no="2" page_link_name="Page"
choice_type="checkbox" counteruid="">
<label id="Checkbox-arialabel" class="labelName advLabelName"><span>
<div>Caribbean Connection / Heritage<br></div>
<div><span style="font-size: 10.6667px" class="size"><i><span style="font-size: 10.6667px" class="size"><i><span elname="setlabel_Name_First">___</span></i></span>, please select the Caribbean Countries that your people are from...</i>
</span><br></div></span>
<em class="important" aria-label="Required">*</em>
</label>
<div class="subFrmFieldsHidden subFrmFieldsHiddenCont" style="display:none" elemname="fieldHiddenDiv"><em><svg class="icon icon-Denied-1-01">
<use xlink:href="#icon-rules-denied-01"></use>
</svg></em>
<span>N/A</span>
</div>
<div class="tempContDiv" elemname="fieldContentDiv">
<div class="overflow customCheckBox" role="group" aria-labelledby="Checkbox-arialabel">
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Anguilla" type="checkbox" id="Checkbox_1" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Anguilla" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_1" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Anguilla</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Antigua and Barbuda" type="checkbox" id="Checkbox_2" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Antigua and Barbuda" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_2" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Antigua and Barbuda</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Aruba" type="checkbox" id="Checkbox_3" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Aruba" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_3" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Aruba</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Bahamas" type="checkbox" id="Checkbox_4" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Bahamas" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_4" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Bahamas</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Barbados" type="checkbox" id="Checkbox_5" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Barbados" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_5" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Barbados</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Belize" type="checkbox" id="Checkbox_6" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Belize" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_6" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Belize</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Bermuda" type="checkbox" id="Checkbox_7" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Bermuda" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_7" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Bermuda</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Bonaire" type="checkbox" id="Checkbox_8" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Bonaire" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_8" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Bonaire</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="British Virgin Islands" type="checkbox" id="Checkbox_9" class="checkBoxType"
name="Checkbox" elname="Checkbox" value="British Virgin Islands" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_9" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">British Virgin Islands</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Cayman Islands" type="checkbox" id="Checkbox_10" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Cayman Islands" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_10" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Cayman Islands</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Colombia" type="checkbox" id="Checkbox_11" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Colombia" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_11" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Colombia</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Costa Rica" type="checkbox" id="Checkbox_12" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Costa Rica" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_12" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Costa Rica</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Cuba" type="checkbox" id="Checkbox_13" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Cuba" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_13" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Cuba</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Curacao" type="checkbox" id="Checkbox_14" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Curacao" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_14" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Curacao</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Dominica" type="checkbox" id="Checkbox_15" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Dominica" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_15" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Dominica</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Dominican Republic" type="checkbox" id="Checkbox_16" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Dominican Republic" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_16" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Dominican Republic</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="El Salvador" type="checkbox" id="Checkbox_17" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="El Salvador" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_17" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">El Salvador</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="French Guiana" type="checkbox" id="Checkbox_18" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="French Guiana" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_18" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">French Guiana</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Grenada" type="checkbox" id="Checkbox_19" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Grenada" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_19" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Grenada</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Guadeloupe" type="checkbox" id="Checkbox_20" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Guadeloupe" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_20" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Guadeloupe</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Guatemala" type="checkbox" id="Checkbox_21" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Guatemala" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_21" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Guatemala</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Guyana" type="checkbox" id="Checkbox_22" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Guyana" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_22" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Guyana</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Haiti" type="checkbox" id="Checkbox_23" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Haiti" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_23" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Haiti</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Honduras" type="checkbox" id="Checkbox_24" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Honduras" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_24" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Honduras</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Jamaica" type="checkbox" id="Checkbox_25" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Jamaica" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_25" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Jamaica</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Martinique" type="checkbox" id="Checkbox_26" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Martinique" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_26" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Martinique</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Mexico" type="checkbox" id="Checkbox_27" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Mexico" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_27" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Mexico</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Montserrat" type="checkbox" id="Checkbox_28" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Montserrat" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_28" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Montserrat</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Nicaragua" type="checkbox" id="Checkbox_29" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Nicaragua" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_29" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Nicaragua</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Panama" type="checkbox" id="Checkbox_30" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Panama" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_30" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Panama</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Puerto Rico" type="checkbox" id="Checkbox_31" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Puerto Rico" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_31" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Puerto Rico</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Saba" type="checkbox" id="Checkbox_32" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Saba" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_32" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Saba</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Saint Barthelemy" type="checkbox" id="Checkbox_33" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Saint Barthelemy" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_33" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Saint Barthelemy</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Saint Kitts and Nevis" type="checkbox" id="Checkbox_34" class="checkBoxType"
name="Checkbox" elname="Checkbox" value="Saint Kitts and Nevis" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_34" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Saint Kitts and Nevis</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Saint Lucia" type="checkbox" id="Checkbox_35" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Saint Lucia" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_35" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Saint Lucia</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Saint Martin" type="checkbox" id="Checkbox_36" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Saint Martin" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_36" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Saint Martin</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Saint Vincent and the Grenadines" type="checkbox" id="Checkbox_37" class="checkBoxType"
name="Checkbox" elname="Checkbox" value="Saint Vincent and the Grenadines" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_37" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Saint Vincent and the Grenadines</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Sint Eustatius" type="checkbox" id="Checkbox_38" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Sint Eustatius" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_38" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Sint Eustatius</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Sint Maarten" type="checkbox" id="Checkbox_39" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Sint Maarten" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_39" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Sint Maarten</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Suriname" type="checkbox" id="Checkbox_40" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Suriname" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_40" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Suriname</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Trinidad and Tobago" type="checkbox" id="Checkbox_41" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Trinidad and Tobago" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_41" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Trinidad and Tobago</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Turks and Caicos" type="checkbox" id="Checkbox_42" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Turks and Caicos" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_42" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Turks and Caicos</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="US Virgin Islands" type="checkbox" id="Checkbox_43" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="US Virgin Islands" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_43" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">US Virgin Islands</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="Venezuela" type="checkbox" id="Checkbox_44" class="checkBoxType" name="Checkbox"
elname="Checkbox" value="Venezuela" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_44" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Venezuela</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox-arialabel hint-Checkbox" aria-label="N/A - I do not have any Caribbean Heritage / Connection." type="checkbox" id="Checkbox_45"
class="checkBoxType" name="Checkbox" elname="Checkbox" value="N/A - I do not have any Caribbean Heritage / Connection." textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
">
<label for="Checkbox_45" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">N/A - I do not have any Caribbean Heritage / Connection.</em>
</label> </span>
<div class="clearBoth"></div>
</div>
<p class="errorMessage" elname="error" id="error-Checkbox"></p>
</div>
<div class="clearBoth"></div>
</li>
<li class="tempFrmWrapper small" elname="livefield-elem" comptype="2" id="MultiLine1-li" needdata="false" compname="MultiLine1" linkname="MultiLine1" isvisible="true" mandatory="false" page_no="2" page_link_name="Page" show_word_count="true"
min_range="0" max_range="50" range_type="1" showlabel="true" counteruid="" style="display: none;">
<label class="labelName advLabelName" for="MultiLine1-arialabel">
<span>
<div>National Connection / Heritage<br></div>
<div><span class="size" style="font-size: 10.6667px"><i><span class="size" style="font-size: 10.6667px"><i><span elname="setlabel_Name_First">___</span></i></span>, please share the countries that your people are from...</i>
</span><br></div></span>
</label>
<div class="subFrmFieldsHidden subFrmFieldsHiddenCont" style="display:none" elemname="fieldHiddenDiv"><em><svg class="icon icon-Denied-1-01">
<use xlink:href="#icon-rules-denied-01"></use>
</svg></em>
<span>N/A</span>
</div>
<div class="tempContDiv" elemname="fieldContentDiv">
<span class="countWrd"> <textarea id="MultiLine1-arialabel" aria-describedby="hint-MultiLine1 countMsg-MultiLine1" onkeyup="ZFLive.countWordOrCharacters(this);" onfocusin="ZFLive.countWordOrCharacters(this);"
onfocusout="ZFLive.hideWordCount(this); ZFLive.validateFieldConstraint(this);" autocomplete="off" name="MultiLine1" placeholder=""></textarea>
<p style="display:none;" class="countAlertOver" elname="countmsg" id="countMsg-MultiLine1"></p>
</span>
<p class="errorMessage" elname="error" id="error-MultiLine1"></p>
</div>
<div class="clearBoth"></div>
</li>
</ul>
<!-- formFieldWrapper class is used to differantiate form fields and subform fields in themes. Direct children (li) are considered as form fields. Dont change the order of class used. -->
<ul elname="formBodyULName" class="ulNoStyle formFieldWrapper" page_no="3" needpagedata="true" style="display:none;">
<!-- i) Private form, ii) Perma, iii) Shared form, iv) Theme preview, v) Current Theme -->
<!-- "isVisible"="false": This 'Admin Only' field must not be shown to user. -->
<!-- "isVisible"="true": Case 1: This is not an 'Admin Only' field. Case 2: This 'Admin Only' field must be shown to user. -->
<!-- Theme Preview, Current Theme - Admin Only fields will be shown. Formula won't be calculated. Field Rules won't be executed. -->
<!-- formMetaData.key=Field link name -->
<!-- Zoho CRM field : "FIELD_LIST" key won't be present. -->
<li class="tempFrmWrapper large" elname="livefield-elem" comptype="2" id="MultiLine-li" needdata="true" compname="MultiLine" linkname="MultiLine" isvisible="true" mandatory="true" page_no="3" page_link_name="Page3" show_word_count="true"
min_range="0" max_range="100" range_type="2" showlabel="true" counteruid="">
<label class="labelName advLabelName" for="MultiLine-arialabel">
<span>
<div>Shared Success<br></div>
<div><span class="size" style="font-size: 10.6667px"><i><span class="size" style="font-size: 10.6667px"><i><span elname="setlabel_Name_First">___</span></i></span>, please share what success will look like to you for the Caribbean Community
in the DMV.</i>
</span><br></div></span>
<em class="important" aria-label="Required">*</em>
</label>
<div class="subFrmFieldsHidden subFrmFieldsHiddenCont" style="display:none" elemname="fieldHiddenDiv"><em><svg class="icon icon-Denied-1-01">
<use xlink:href="#icon-rules-denied-01"></use>
</svg></em>
<span>N/A</span>
</div>
<div class="tempContDiv" elemname="fieldContentDiv">
<span class="countWrd"> <textarea id="MultiLine-arialabel" aria-describedby="hint-MultiLine countMsg-MultiLine" onkeyup="ZFLive.countWordOrCharacters(this);" onfocusin="ZFLive.countWordOrCharacters(this);"
onfocusout="ZFLive.hideWordCount(this); ZFLive.validateFieldConstraint(this);" autocomplete="off" name="MultiLine" placeholder=""></textarea>
<p style="display:none;" class="countAlertOver" elname="countmsg" id="countMsg-MultiLine"></p>
</span>
<p class="errorMessage" elname="error" id="error-MultiLine"></p>
<p class="instruction instrSpace" elname="hint" id="hint-MultiLine"> What does a successful Caribbean Community look like to you?</p>
</div>
<div class="clearBoth"></div>
</li>
<li class="tempFrmWrapper large" elname="livefield-elem" comptype="2" id="MultiLine2-li" needdata="true" compname="MultiLine2" linkname="MultiLine2" isvisible="true" mandatory="true" page_no="3" page_link_name="Page3" show_word_count="true"
min_range="0" max_range="100" range_type="2" showlabel="true" counteruid="">
<label class="labelName advLabelName" for="MultiLine2-arialabel">
<span>
<div>Community Influence<br></div>
<div><span class="size" style="font-size: 10.6667px"><i><span class="size" style="font-size: 10.6667px"><i><span elname="setlabel_Name_First">___</span></i></span>, please share where you have been influential in the Caribbean
Community?</i>
</span><br></div></span>
<em class="important" aria-label="Required">*</em>
</label>
<div class="subFrmFieldsHidden subFrmFieldsHiddenCont" style="display:none" elemname="fieldHiddenDiv"><em><svg class="icon icon-Denied-1-01">
<use xlink:href="#icon-rules-denied-01"></use>
</svg></em>
<span>N/A</span>
</div>
<div class="tempContDiv" elemname="fieldContentDiv">
<span class="countWrd"> <textarea id="MultiLine2-arialabel" aria-describedby="hint-MultiLine2 countMsg-MultiLine2" onkeyup="ZFLive.countWordOrCharacters(this);" onfocusin="ZFLive.countWordOrCharacters(this);"
onfocusout="ZFLive.hideWordCount(this); ZFLive.validateFieldConstraint(this);" autocomplete="off" name="MultiLine2" placeholder=""></textarea>
<p style="display:none;" class="countAlertOver" elname="countmsg" id="countMsg-MultiLine2"></p>
</span>
<p class="errorMessage" elname="error" id="error-MultiLine2"></p>
<p class="instruction instrSpace" elname="hint" id="hint-MultiLine2"> What have you done to contribute to the Caribbean Community?</p>
</div>
<div class="clearBoth"></div>
</li>
<li class="tempFrmWrapper large" elname="livefield-elem" comptype="2" id="MultiLine3-li" needdata="true" compname="MultiLine3" linkname="MultiLine3" isvisible="true" mandatory="true" page_no="3" page_link_name="Page3" show_word_count="true"
min_range="0" max_range="100" range_type="2" showlabel="true" counteruid="">
<label class="labelName advLabelName" for="MultiLine3-arialabel">
<span>
<div>Your Success<br></div>
<div><span class="size" style="font-size: 10.6667px"><i><span class="size" style="font-size: 10.6667px"><i><span elname="setlabel_Name_First">___</span></i></span>, please share what success will look like for you and how we can support you
in that.</i>
</span><br></div></span>
<em class="important" aria-label="Required">*</em>
</label>
<div class="subFrmFieldsHidden subFrmFieldsHiddenCont" style="display:none" elemname="fieldHiddenDiv"><em><svg class="icon icon-Denied-1-01">
<use xlink:href="#icon-rules-denied-01"></use>
</svg></em>
<span>N/A</span>
</div>
<div class="tempContDiv" elemname="fieldContentDiv">
<span class="countWrd"> <textarea id="MultiLine3-arialabel" aria-describedby="hint-MultiLine3 countMsg-MultiLine3" onkeyup="ZFLive.countWordOrCharacters(this);" onfocusin="ZFLive.countWordOrCharacters(this);"
onfocusout="ZFLive.hideWordCount(this); ZFLive.validateFieldConstraint(this);" autocomplete="off" name="MultiLine3" placeholder=""></textarea>
<p style="display:none;" class="countAlertOver" elname="countmsg" id="countMsg-MultiLine3"></p>
</span>
<p class="errorMessage" elname="error" id="error-MultiLine3"></p>
</div>
<div class="clearBoth"></div>
</li>
</ul>
<!-- formFieldWrapper class is used to differantiate form fields and subform fields in themes. Direct children (li) are considered as form fields. Dont change the order of class used. -->
<ul elname="formBodyULName" class="ulNoStyle formFieldWrapper" page_no="4" needpagedata="true" style="display:none;">
<!-- i) Private form, ii) Perma, iii) Shared form, iv) Theme preview, v) Current Theme -->
<!-- "isVisible"="false": This 'Admin Only' field must not be shown to user. -->
<!-- "isVisible"="true": Case 1: This is not an 'Admin Only' field. Case 2: This 'Admin Only' field must be shown to user. -->
<!-- Theme Preview, Current Theme - Admin Only fields will be shown. Formula won't be calculated. Field Rules won't be executed. -->
<!-- formMetaData.key=Field link name -->
<!-- Zoho CRM field : "FIELD_LIST" key won't be present. -->
<li class="zfcheckbox tempFrmWrapper threeColumns " minchoices="1" maxchoices="3" elname="livefield-elem" comptype="14" needdata="true" id="Checkbox2-li" compname="Checkbox2" linkname="Checkbox2" isvisible="true" mandatory="true" page_no="4"
page_link_name="Page2" choice_type="checkbox" counteruid="">
<label id="Checkbox2-arialabel" class="labelName advLabelName"><span>
<div><span elname="setlabel_Name1_First">___</span>, please share your talents and interests.<br></div>
</span>
<em class="important" aria-label="Required">*</em>
</label>
<div class="subFrmFieldsHidden subFrmFieldsHiddenCont" style="display:none" elemname="fieldHiddenDiv"><em><svg class="icon icon-Denied-1-01">
<use xlink:href="#icon-rules-denied-01"></use>
</svg></em>
<span>N/A</span>
</div>
<div class="tempContDiv" elemname="fieldContentDiv">
<div class="overflow customCheckBox" role="group" aria-labelledby="Checkbox2-arialabel">
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox2-arialabel hint-Checkbox2" aria-label="Arts and Entertainment" type="checkbox" id="Checkbox2_1" class="checkBoxType"
name="Checkbox2" elname="Checkbox2" value="Arts and Entertainment" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox2_1" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Arts and Entertainment</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox2-arialabel hint-Checkbox2" aria-label="Athletics / Sports" type="checkbox" id="Checkbox2_2" class="checkBoxType"
name="Checkbox2" elname="Checkbox2" value="Athletics / Sports" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox2_2" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Athletics / Sports</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox2-arialabel hint-Checkbox2" aria-label="Beauty and Fashion" type="checkbox" id="Checkbox2_3" class="checkBoxType"
name="Checkbox2" elname="Checkbox2" value="Beauty and Fashion" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox2_3" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Beauty and Fashion</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox2-arialabel hint-Checkbox2" aria-label="Building and Constrution" type="checkbox" id="Checkbox2_4" class="checkBoxType"
name="Checkbox2" elname="Checkbox2" value="Building and Constrution" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox2_4" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Building and Constrution</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox2-arialabel hint-Checkbox2" aria-label="Communications" type="checkbox" id="Checkbox2_5" class="checkBoxType" name="Checkbox2"
elname="Checkbox2" value="Communications" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox2_5" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Communications</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox2-arialabel hint-Checkbox2" aria-label="Culinary / Food & Beverage" type="checkbox" id="Checkbox2_6" class="checkBoxType"
name="Checkbox2" elname="Checkbox2" value="Culinary / Food & Beverage" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox2_6" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Culinary / Food & Beverage</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox2-arialabel hint-Checkbox2" aria-label="Education" type="checkbox" id="Checkbox2_7" class="checkBoxType" name="Checkbox2"
elname="Checkbox2" value="Education" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox2_7" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Education</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox2-arialabel hint-Checkbox2" aria-label="Engineering" type="checkbox" id="Checkbox2_8" class="checkBoxType" name="Checkbox2"
elname="Checkbox2" value="Engineering" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox2_8" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Engineering</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox2-arialabel hint-Checkbox2" aria-label="Financial / Banking" type="checkbox" id="Checkbox2_9" class="checkBoxType"
name="Checkbox2" elname="Checkbox2" value="Financial / Banking" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox2_9" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Financial / Banking</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox2-arialabel hint-Checkbox2" aria-label="Government" type="checkbox" id="Checkbox2_10" class="checkBoxType" name="Checkbox2"
elname="Checkbox2" value="Government" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox2_10" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Government</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox2-arialabel hint-Checkbox2" aria-label="Health / Wellness / Fitness" type="checkbox" id="Checkbox2_11" class="checkBoxType"
name="Checkbox2" elname="Checkbox2" value="Health / Wellness / Fitness" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox2_11" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Health / Wellness / Fitness</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox2-arialabel hint-Checkbox2" aria-label="House and Home" type="checkbox" id="Checkbox2_12" class="checkBoxType" name="Checkbox2"
elname="Checkbox2" value="House and Home" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox2_12" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">House and Home</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox2-arialabel hint-Checkbox2" aria-label="International Trade" type="checkbox" id="Checkbox2_13" class="checkBoxType"
name="Checkbox2" elname="Checkbox2" value="International Trade" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox2_13" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">International Trade</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox2-arialabel hint-Checkbox2" aria-label="Legal" type="checkbox" id="Checkbox2_14" class="checkBoxType" name="Checkbox2"
elname="Checkbox2" value="Legal" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox2_14" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Legal</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox2-arialabel hint-Checkbox2" aria-label="Medical" type="checkbox" id="Checkbox2_15" class="checkBoxType" name="Checkbox2"
elname="Checkbox2" value="Medical" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox2_15" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Medical</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox2-arialabel hint-Checkbox2" aria-label="Nonprofit" type="checkbox" id="Checkbox2_16" class="checkBoxType" name="Checkbox2"
elname="Checkbox2" value="Nonprofit" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox2_16" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Nonprofit</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox2-arialabel hint-Checkbox2" aria-label="Religion and Spirituality" type="checkbox" id="Checkbox2_17" class="checkBoxType"
name="Checkbox2" elname="Checkbox2" value="Religion and Spirituality" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox2_17" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Religion and Spirituality</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox2-arialabel hint-Checkbox2" aria-label="Retail" type="checkbox" id="Checkbox2_18" class="checkBoxType" name="Checkbox2"
elname="Checkbox2" value="Retail" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox2_18" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Retail</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox2-arialabel hint-Checkbox2" aria-label="Technology" type="checkbox" id="Checkbox2_19" class="checkBoxType" name="Checkbox2"
elname="Checkbox2" value="Technology" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox2_19" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Technology</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox2-arialabel hint-Checkbox2" aria-label="Travel and Tourism" type="checkbox" id="Checkbox2_20" class="checkBoxType"
name="Checkbox2" elname="Checkbox2" value="Travel and Tourism" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox2_20" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Travel and Tourism</em>
</label> </span>
<span class="extraWrapper cusChoiceSpan" elname="allow-others-span"> <input onmousedown="event.preventDefault();" id="Checkbox2_others" type="checkbox" value="zfs-others-zfs" allowothers="true" name="Checkbox2" elname="checkbox-input"
onchange="ZFLive.hideClosestFieldElemErrorDiv(this);ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox2_others" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm" elname="cusChoiceEm" id="Checkbox2_others-text">Other</em>
</label>
<input name="allow-others-text" aria-labelledby="Checkbox2-arialabel Checkbox2_others-text" aria-describedby="hint-Checkbox2" type="text" maxlength="150" onkeyup="checkCheckBoxOthers(this);
ZFLive.checkMaxChoiceLimit(this);"> </span>
<div class="clearBoth"></div>
</div>
<p class="errorMessage" elname="error" id="error-Checkbox2"></p>
</div>
<div class="clearBoth"></div>
</li>
<li class="zfcheckbox tempFrmWrapper threeColumns " minchoices="1" maxchoices="3" elname="livefield-elem" comptype="14" needdata="true" id="Checkbox3-li" compname="Checkbox3" linkname="Checkbox3" isvisible="true" mandatory="true" page_no="4"
page_link_name="Page2" choice_type="checkbox" counteruid="">
<label id="Checkbox3-arialabel" class="labelName advLabelName"><span>
<div><span elname="setlabel_Name1_First">___</span>, please share what tasks and activities are of interest to you.<br></div>
</span>
<em class="important" aria-label="Required">*</em>
</label>
<div class="subFrmFieldsHidden subFrmFieldsHiddenCont" style="display:none" elemname="fieldHiddenDiv"><em><svg class="icon icon-Denied-1-01">
<use xlink:href="#icon-rules-denied-01"></use>
</svg></em>
<span>N/A</span>
</div>
<div class="tempContDiv" elemname="fieldContentDiv">
<div class="overflow customCheckBox" role="group" aria-labelledby="Checkbox3-arialabel">
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox3-arialabel hint-Checkbox3" aria-label="Attending Events" type="checkbox" id="Checkbox3_1" class="checkBoxType"
name="Checkbox3" elname="Checkbox3" value="Attending Events" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox3_1" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Attending Events</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox3-arialabel hint-Checkbox3" aria-label="Business Development" type="checkbox" id="Checkbox3_2" class="checkBoxType"
name="Checkbox3" elname="Checkbox3" value="Business Development" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox3_2" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Business Development</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox3-arialabel hint-Checkbox3" aria-label="Data Entry" type="checkbox" id="Checkbox3_3" class="checkBoxType" name="Checkbox3"
elname="Checkbox3" value="Data Entry" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox3_3" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Data Entry</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox3-arialabel hint-Checkbox3" aria-label="Event Management" type="checkbox" id="Checkbox3_4" class="checkBoxType"
name="Checkbox3" elname="Checkbox3" value="Event Management" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox3_4" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Event Management</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox3-arialabel hint-Checkbox3" aria-label="Fundraising" type="checkbox" id="Checkbox3_5" class="checkBoxType" name="Checkbox3"
elname="Checkbox3" value="Fundraising" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox3_5" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Fundraising</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox3-arialabel hint-Checkbox3" aria-label="Graphic Design" type="checkbox" id="Checkbox3_6" class="checkBoxType" name="Checkbox3"
elname="Checkbox3" value="Graphic Design" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox3_6" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Graphic Design</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox3-arialabel hint-Checkbox3" aria-label="Hosting Meetings" type="checkbox" id="Checkbox3_7" class="checkBoxType"
name="Checkbox3" elname="Checkbox3" value="Hosting Meetings" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox3_7" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Hosting Meetings</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox3-arialabel hint-Checkbox3" aria-label="Legal Document Review" type="checkbox" id="Checkbox3_8" class="checkBoxType"
name="Checkbox3" elname="Checkbox3" value="Legal Document Review" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox3_8" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Legal Document Review</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox3-arialabel hint-Checkbox3" aria-label="Nonprofit Management" type="checkbox" id="Checkbox3_9" class="checkBoxType"
name="Checkbox3" elname="Checkbox3" value="Nonprofit Management" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox3_9" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Nonprofit Management</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox3-arialabel hint-Checkbox3" aria-label="Office Skills / Organization" type="checkbox" id="Checkbox3_10" class="checkBoxType"
name="Checkbox3" elname="Checkbox3" value="Office Skills / Organization" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox3_10" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Office Skills / Organization</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox3-arialabel hint-Checkbox3" aria-label="Politics / Government - International" type="checkbox" id="Checkbox3_11"
class="checkBoxType" name="Checkbox3" elname="Checkbox3" value="Politics / Government - International" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox3_11" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Politics / Government - International</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox3-arialabel hint-Checkbox3" aria-label="Politics / Government - Local / National" type="checkbox" id="Checkbox3_12"
class="checkBoxType" name="Checkbox3" elname="Checkbox3" value="Politics / Government - Local / National" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox3_12" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Politics / Government - Local / National</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox3-arialabel hint-Checkbox3" aria-label="Public Speaking" type="checkbox" id="Checkbox3_13" class="checkBoxType"
name="Checkbox3" elname="Checkbox3" value="Public Speaking" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox3_13" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Public Speaking</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox3-arialabel hint-Checkbox3" aria-label="Research" type="checkbox" id="Checkbox3_14" class="checkBoxType" name="Checkbox3"
elname="Checkbox3" value="Research" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox3_14" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Research</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox3-arialabel hint-Checkbox3" aria-label="Social Media" type="checkbox" id="Checkbox3_15" class="checkBoxType" name="Checkbox3"
elname="Checkbox3" value="Social Media" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox3_15" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Social Media</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox3-arialabel hint-Checkbox3" aria-label="Website Design and Maintenance" type="checkbox" id="Checkbox3_16" class="checkBoxType"
name="Checkbox3" elname="Checkbox3" value="Website Design and Maintenance" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox3_16" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Website Design and Maintenance</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input onmousedown="event.preventDefault();" aria-describedby="Checkbox3-arialabel hint-Checkbox3" aria-label="Writing" type="checkbox" id="Checkbox3_17" class="checkBoxType" name="Checkbox3"
elname="Checkbox3" value="Writing" textassign_val="" formula_val="" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);
ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox3_17" aria-hidden="true" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Writing</em>
</label> </span>
<span class="extraWrapper cusChoiceSpan" elname="allow-others-span"> <input onmousedown="event.preventDefault();" id="Checkbox3_others" type="checkbox" value="zfs-others-zfs" allowothers="true" name="Checkbox3" elname="checkbox-input"
onchange="ZFLive.hideClosestFieldElemErrorDiv(this);ZFLive.checkMaxChoiceLimit(this);">
<label for="Checkbox3_others" class="checkChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm" elname="cusChoiceEm" id="Checkbox3_others-text">Other</em>
</label>
<input name="allow-others-text" aria-labelledby="Checkbox3-arialabel Checkbox3_others-text" aria-describedby="hint-Checkbox3" type="text" maxlength="150" onkeyup="checkCheckBoxOthers(this);
ZFLive.checkMaxChoiceLimit(this);"> </span>
<div class="clearBoth"></div>
</div>
<p class="errorMessage" elname="error" id="error-Checkbox3"></p>
</div>
<div class="clearBoth"></div>
</li>
<li class="tempFrmWrapper decesion " elname="livefield-elem" comptype="18" needdata="true" id="DecisionBox-li" compname="DecisionBox" linkname="DecisionBox" isvisible="true" mandatory="true" page_no="4" page_link_name="Page2"
choice_type="checkbox" counteruid="">
<div class="subFrmFieldsHidden subFrmFieldsHiddenCont" style="display:none" elemname="fieldHiddenDiv"><em><svg class="icon icon-Denied-1-01">
<use xlink:href="#icon-rules-denied-01"></use>
</svg></em>
<span>N/A</span>
</div>
<div class="tempContDiv customCheckBox" elemname="fieldContentDiv">
<input onmousedown="event.preventDefault();" aria-describedby="hint-DecisionBox" type="checkbox" id="DecisionBox" name="DecisionBox" onchange="ZFLive.hideClosestFieldElemErrorDiv(this);">
<label class="labelName advLabelName cusChoiceLabel" for="DecisionBox">
<div class="checker"></div><span elname="display_name" class="cusChoiceSpanWrap">
<div><span elname="setlabel_Name1_First">___</span>, please share with us that you have decided to join the Chamber Board.<br></div>
<em class="important" aria-label="Required">*</em>
</span>
<span elname="True" style="display:none"> I have decided to join the Chamber Board </span>
<span elname="False" style="display:none"> I have decided NOT to join the Chamber Board </span>
</label>
<span class="sr-only" elname="labelNameSrOnly" id="labelName-DecisionBox">
<div><span elname="setlabel_Name1_First">___</span>, please share with us that you have decided to join the Chamber Board.<br></div> Required
</span>
<p class="errorMessage" elname="error" id="error-DecisionBox"></p>
<p class="instruction" elname="hint" id="hint-DecisionBox"> Please tell us that you have decided to join the Chamber Board by checking this box.</p>
</div>
<div class="clearBoth"></div>
</li>
<li class="zfradio tempFrmWrapper oneColumns " elname="livefield-elem" comptype="13" id="Radio-li" needdata="false" compname="Radio" linkname="Radio" isvisible="true" mandatory="true" page_no="4" page_link_name="Page2" choice_type="radio"
counteruid="" style="display: none;">
<label id="Radio-arialabel" class="labelName advLabelName"><span>
<div><span elname="setlabel_Name1_First">___</span>, how long would you like your term on the Board to be?<br></div>
</span>
<em class="important" aria-label="Required">*</em>
</label>
<div class="subFrmFieldsHidden subFrmFieldsHiddenCont" style="display:none" elemname="fieldHiddenDiv"><em><svg class="icon icon-Denied-1-01">
<use xlink:href="#icon-rules-denied-01"></use>
</svg></em>
<span>N/A</span>
</div>
<div class="tempContDiv" elemname="fieldContentDiv">
<div class="overflow customRadioBtn" role="radiogroup" aria-labelledby="Radio-arialabel">
<span class="multiAttType cusChoiceSpan"> <input aria-describedby="Radio-arialabel hint-Radio" onmousedown="event.preventDefault();" type="radio" id="Radio_1" name="Radio" elname="Radio" class="radioBtnType" value="One [ 1 ] Year Term"
formula_val="" textassign_val="" onchange="ZFLive.prefillFieldLabel(this); ZFLive.hideClosestFieldElemErrorDiv(this);">
<label for="Radio_1" class="radioChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">One [ 1 ] Year Term</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input aria-describedby="Radio-arialabel hint-Radio" onmousedown="event.preventDefault();" type="radio" id="Radio_2" name="Radio" elname="Radio" class="radioBtnType" value="Two [ 2 ] Year Term"
formula_val="" textassign_val="" onchange="ZFLive.prefillFieldLabel(this); ZFLive.hideClosestFieldElemErrorDiv(this);">
<label for="Radio_2" class="radioChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">Two [ 2 ] Year Term</em>
</label> </span>
<span class="multiAttType cusChoiceSpan"> <input aria-describedby="Radio-arialabel hint-Radio" onmousedown="event.preventDefault();" type="radio" id="Radio_3" name="Radio" elname="Radio" class="radioBtnType"
value="6 month [ 1/2 ] Year Term" formula_val="" textassign_val="" onchange="ZFLive.prefillFieldLabel(this); ZFLive.hideClosestFieldElemErrorDiv(this);">
<label for="Radio_3" class="radioChoice cusChoiceLabel">
<div class="checker"></div><em class="cusChoiceEm">6 month [ 1/2 ] Year Term</em>
</label> </span>
<div class="clearBoth"></div>
</div>
<p class="errorMessage" elname="error" id="error-Radio"></p>
</div>
<div class="clearBoth"></div>
</li>
<!--To exclude Html field in rules we are setting comptype as 0 for Html field. That is Html field will not be included in any condition. -->
<li tabindex="1" id="HtmlText1-li" class="tempFrmWrapper note" elname="livefield-elem" compname="HtmlText1" comptype="0" page_no="4" page_link_name="Page2" counteruid="">
<label class="descFld" elname="descFldLabel">
<div><span class="size" style="font-size: 16px"><b>Membership Support</b></span><span class="size" style="font-size: 16px"><b><br></b></span></div>
<div><br></div>
<div>The Chamber at this initial stage needs your support to become a reality and to continue to thrive. We are asking at this time for a contribution to the Chamber that will operate as your membership fee. All Chamber Board members are
members of the Chamber. The Chamber membership is $300 / year. We are asking that you can at this time contribute all or part of your membership fee so that we can finish the initial steps in creating the Chamber:<br></div>
<ul>
<li>Filing for tax-exempt status<br></li>
<li>Filing for trade name registration<br></li>
<li>Email addresses for board, staff and consultants<br></li>
<li>Chamber calendar, website and social media maintenance<br></li>
</ul>
<div>Thank you for your time and consideration in replying to this invitation to join the Chamber. Help us to guide the Caribbean Business Community in the DMV to success! Thank You and Walk Good!<br></div>
</label>
<div class="clearBoth"></div>
</li>
</ul>
</div>
<ul elname="footer" class="footerWrapper formRelative" page_no="1" page_count="4" counter_page_uid="" page_link_name="Page1">
<li style="overflow:visible; position: relative;" class="btnAllign fmFooter page" id="formAccess" elname="0">
<div class="pageFotDef">
<div class="alignNext">
<div class="inlineBlock nextAlign" elname="next"><button aria-label="Next
Navigates to page 2 out of 4" class="fmSmtButton next_previous navWrapper" type="button" elname="next" onclick="gotoNextPage(this);">
<em> Next </em>
</button></div>
</div>
</div>
<div class="clearBoth"></div>
<div class="footerPgNum">1/4</div>
</li>
</ul>
<ul elname="footer" class="footerWrapper formRelative" page_no="2" page_count="4" counter_page_uid="" page_link_name="Page" style="display:none;">
<li style="overflow:visible; position: relative;" class="btnAllign fmFooter page" id="formAccess" elname="0">
<div class="pageFotDef">
<div class="inlineBlock prevAlign" elname="back"><button aria-label="Back Navigates to page 1 out of 4" class="fmSmtButton next_previous navWrapper" type="button" elname="back" onclick="gotoPrev(this);">
<em> Back </em>
</button></div>
<div class="alignNext">
<div class="inlineBlock nextAlign" elname="next"><button aria-label="Next
Navigates to page 3 out of 4" class="fmSmtButton next_previous navWrapper" type="button" elname="next" onclick="gotoNextPage(this);">
<em> Next </em>
</button></div>
</div>
</div>
<div class="clearBoth"></div>
<div class="footerPgNum">2/4</div>
</li>
</ul>
<ul elname="footer" class="footerWrapper formRelative" page_no="3" page_count="4" counter_page_uid="" page_link_name="Page3" style="display:none;">
<li style="overflow:visible; position: relative;" class="btnAllign fmFooter page" id="formAccess" elname="0">
<div class="pageFotDef">
<div class="inlineBlock prevAlign" elname="back"><button aria-label="Back Navigates to page 2 out of 4" class="fmSmtButton next_previous navWrapper" type="button" elname="back" onclick="gotoPrev(this);">
<em> Back </em>
</button></div>
<div class="alignNext">
<div class="inlineBlock nextAlign" elname="next"><button aria-label="Next
Navigates to page 4 out of 4" class="fmSmtButton next_previous navWrapper" type="button" elname="next" onclick="gotoNextPage(this);">
<em> Next </em>
</button></div>
</div>
</div>
<div class="clearBoth"></div>
<div class="footerPgNum">3/4</div>
</li>
</ul>
<ul elname="footer" class="footerWrapper formRelative" page_no="4" page_count="4" counter_page_uid="" page_link_name="Page2" style="display:none;">
<li style="overflow:visible; position: relative;" class="btnAllign fmFooter page" id="formAccess" elname="0">
<div class="pageFotDef">
<div class="inlineBlock prevAlign" elname="back"><button aria-label="Back Navigates to page 3 out of 4" class="fmSmtButton next_previous navWrapper" type="button" elname="back" onclick="gotoPrev(this);">
<em> Back </em>
</button></div>
<div class="alignSubmit">
<div class="formRelative inlineBlock reviewBtnCont"><button class="fmSmtButton reviewBtn" elname="review" value="review">
<em>Review</em>
</button></div>
<div class="formRelative inlineBlock submitBtnCont"><button class="fmSmtButton submitColor submitWrapper fmSmtButtom" elname="submit" value="submit">
<em>Sign me up</em>
</button></div>
</div>
</div>
<div class="clearBoth"></div>
<div class="footerPgNum">4/4</div>
</li>
</ul>
<!-- Uncomment the following Code to enable automation location based value filling for GeoLocation Fields -->
<!-- Set the mapquestURL from zohoforms.properties -->
<!-- -->
<!--Div to show error for unconfirmed users -->
<div id="errorDiv" style="display:none" class="errorMsgWrapper">
<div class="flLeft errorIcon"></div>
<div class="errorMsgCont" role="alert" aria-live="assertive">
<h2>Error Occurred</h2>
<span id="errorMsgSpan">You haven't verified your email yet, click<a href="javascript:;" onclick="ZFUtil.resendMail('0');"> here </a> to receive a verification email.</span>
</div>
<div class="clearBoth"></div>
</div>
</div><!-- 'formRedirectURL' ends -->
<div id="popupdiv" class="dim-div2 dim-div6" style="display:none;">
<div id="imageChoiceDiv-cont" class="popUpOuter imageTypeZoom">
<div class="popUpInnerWrapper">
<div class="popupHeader removeBdr"><a class="flRight ppDeleteIcon" role="button" aria-label="Close" elname="hideZoomedImage" onclick="ZFLive.hideZoomedImage();" href="javascript:;"></a>
<div class="clearBoth"></div>
</div>
<div class="popupMainCont"><img src="" style="display: none;">
<audio aria-label="Recorded media" src="" controls="" style="display: none;"></audio>
<video aria-label="Recorded media" src="" controls="" style="display: none;"></video>
<p class="mediaPlayerErorMgs" elname="mediaPlayerError" style="display: none;color: white">This file format is not supported by your browser for preview.</p>
</div>
</div>
</div>
</div>
</form>Text Content
time Email
* CACCE-GWAN BODA INVITATION
Help guide our people to success with CACCE-GWAN
1
2
3
4
Page 1 - Terms and Conditions Page 2 - Basic Information Page 3 - Success and
Influence Page 4 - TAGS
* Terms and Conditions *
N/A
* I understand that this is a private invitation, sent to me directly from
CACCE-GWAN and is for my eyes only.
* I agree not to share this communication with any other entities.
* I understand that my personally identifiable information, PII, will not be
rented, shared or sold to anyone outside CACCE-GWAN.
I have read, understand and accept the Terms and Conditions.
* Your personally identifiable information [ PII ] is protected and will not be
rented, sold or shared.
* Board Member Name
*
N/A
Required First Middle Required Last
* Personal Email Address
___ , please share your email address...
*
N/A
* Cell / Mobile Phone Number
___, please share your cell / mobile phone number...
*
N/A
+1
+1
* Mailing Address
___, please share your mailing address...
*
N/A
Required Address Line 1 Address Line 2 Required City Required
State/Region/Province Required Postal / Zip Code
-Select- Åland Islands Afghanistan Akrotiri Albania Algeria American Samoa
Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia
Aruba Ashmore and Cartier Islands Australia Austria Azerbaijan Bahrain
Bangladesh Barbados Bassas Da India Belarus Belgium Belize Benin Bermuda
Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British
Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso
Burma Burundi Cambodia Cameroon Canada Cape Verde Caribbean Netherlands
Cayman Islands Central African Republic Chad Chile China Christmas Island
Clipperton Island Cocos (Keeling) Islands Colombia Comoros Cook Islands Coral
Sea Islands Costa Rica Cote D'Ivoire Croatia Cuba Curaçao Cyprus Czech
Republic Democratic Republic of the Congo Denmark Dhekelia Djibouti Dominica
Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea
Estonia Ethiopia Europa Island Falkland Islands (Islas Malvinas) Faroe
Islands Federated States of Micronesia Fiji Finland France French Guiana
French Polynesia French Southern and Antarctic Lands Gabon Gaza Strip Georgia
Germany Ghana Gibraltar Glorioso Islands Greece Greenland Grenada Guadeloupe
Guam Guatemala Guernsey Guinea Guinea-bissau Guyana Haiti Heard Island and
Mcdonald Islands Holy See (Vatican City) Honduras Hong Kong Hungary Iceland
India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Jan Mayen
Japan Jersey Jordan Juan De Nova Island Kazakhstan Kenya Kiribati Kosovo
Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein
Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali
Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Moldova
Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia
Nauru Navassa Island Nepal Netherlands Netherlands Antilles New Caledonia New
Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern
Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea
Paracel Islands Paraguay Peru Philippines Pitcairn Islands Poland Portugal
Puerto Rico Qatar Republic of the Congo Reunion Romania Russia Rwanda Saint
Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint
Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao
Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone
Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa
South Georgia and the South Sandwich Islands South Korea South Sudan Spain
Spratly Islands Sri Lanka Sudan Suriname Svalbard Swaziland Sweden
Switzerland Syria Taiwan Tajikistan Tanzania Thailand The Bahamas The Gambia
Timor-leste Togo Tokelau Tonga Trinidad and Tobago Tromelin Island Tunisia
Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United
Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu
Venezuela Vietnam Virgin Islands Wake Island Wallis and Futuna West Bank
Western Sahara Yemen Zambia Zimbabwe
United States
Country
* Discovery Method
___, please share how you found out about the Chamber, CACCE-GWAN...
*
N/A
CACCE-GWAN.org Website or Calendar
NCAHM.org Website or Calendar
Brochure, Business Card, Flier / Flyer, Leaflet, Newsletter, Pamphlet
Internet Search - Google, Bing, Yahoo!, Yandex, DuckDuckGo
Social Media - Facebook, LinkedIn, YouTube, Flickr, Instagram, Twitter,
TikTok
Community Calendar - Eventbrite, AllEventsIn, Company / Organization / Group
Website
Message - Email, SMS / Text, Blog, QR Code
PSA - Radio, TV, Podcast, Event
Word of Mouth
Other
* Discovery Method - Other
___, please share how you found out about the Chamber, CACCE-GWAN...
N/A
* Caribbean Connection / Heritage
___, please select the Caribbean Countries that your people are from...
*
N/A
Anguilla
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Bermuda
Bonaire
British Virgin Islands
Cayman Islands
Colombia
Costa Rica
Cuba
Curacao
Dominica
Dominican Republic
El Salvador
French Guiana
Grenada
Guadeloupe
Guatemala
Guyana
Haiti
Honduras
Jamaica
Martinique
Mexico
Montserrat
Nicaragua
Panama
Puerto Rico
Saba
Saint Barthelemy
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Vincent and the Grenadines
Sint Eustatius
Sint Maarten
Suriname
Trinidad and Tobago
Turks and Caicos
US Virgin Islands
Venezuela
N/A - I do not have any Caribbean Heritage / Connection.
* National Connection / Heritage
___, please share the countries that your people are from...
N/A
* Shared Success
___, please share what success will look like to you for the Caribbean
Community in the DMV.
*
N/A
What does a successful Caribbean Community look like to you?
* Community Influence
___, please share where you have been influential in the Caribbean Community?
*
N/A
What have you done to contribute to the Caribbean Community?
* Your Success
___, please share what success will look like for you and how we can support
you in that.
*
N/A
* ___, please share your talents and interests.
*
N/A
Arts and Entertainment
Athletics / Sports
Beauty and Fashion
Building and Constrution
Communications
Culinary / Food & Beverage
Education
Engineering
Financial / Banking
Government
Health / Wellness / Fitness
House and Home
International Trade
Legal
Medical
Nonprofit
Religion and Spirituality
Retail
Technology
Travel and Tourism
Other
* ___, please share what tasks and activities are of interest to you.
*
N/A
Attending Events
Business Development
Data Entry
Event Management
Fundraising
Graphic Design
Hosting Meetings
Legal Document Review
Nonprofit Management
Office Skills / Organization
Politics / Government - International
Politics / Government - Local / National
Public Speaking
Research
Social Media
Website Design and Maintenance
Writing
Other
* N/A
___, please share with us that you have decided to join the Chamber Board.
* I have decided to join the Chamber Board I have decided NOT to join the
Chamber Board
___, please share with us that you have decided to join the Chamber Board.
Required
Please tell us that you have decided to join the Chamber Board by checking
this box.
* ___, how long would you like your term on the Board to be?
*
N/A
One [ 1 ] Year Term
Two [ 2 ] Year Term
6 month [ 1/2 ] Year Term
* Membership Support
The Chamber at this initial stage needs your support to become a reality and
to continue to thrive. We are asking at this time for a contribution to the
Chamber that will operate as your membership fee. All Chamber Board members
are members of the Chamber. The Chamber membership is $300 / year. We are
asking that you can at this time contribute all or part of your membership
fee so that we can finish the initial steps in creating the Chamber:
* Filing for tax-exempt status
* Filing for trade name registration
* Email addresses for board, staff and consultants
* Chamber calendar, website and social media maintenance
Thank you for your time and consideration in replying to this invitation to
join the Chamber. Help us to guide the Caribbean Business Community in the
DMV to success! Thank You and Walk Good!
* Next
1/4
* Back
Next
2/4
* Back
Next
3/4
* Back
Review
Sign me up
4/4
ERROR OCCURRED
You haven't verified your email yet, click here to receive a verification email.
This file format is not supported by your browser for preview.
OK
OK
OK
OK
Retry Cancel
That CAPTCHA was incorrect.
Your form has been deactivated. Contact support@zohoforms.com for further
information.
An error occurred
Please contact your form administrator for further assistance.
Submitting...
Please Wait...
Saving...
Redirecting to Merchant Website..
Verifying Credit Card Details...
Please wait...
Loading payment widget...
Verification Code
Enter the text in the box below
Continue
Verification mail sent.
LINK TO RESUME THIS FORM LATER:
Email Link to
Send
Please enter a valid email address to configure Zoho Sign settings.
Copy Link Copied to clipboard.
*
*
* Done
FORM SUMMARY
This file format is not supported by your browser for preview.
TURN ON THE CAMERA PERMISSION IN YOUR BROWSER TO CONTINUE FURTHER
-- : -- : --
Submission Not Allowed
You need to verify your email address to submit form
Send Verification Email Sending Email
Email Sent