formstack-api 0.0.1

checksums.yaml

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+---
+SHA1:
+  metadata.gz: a09c170f5568dff06fdb8fdf3c24d4053aa3607e
+  data.tar.gz: 554fe3ca8294a748799b653f1392914c26136854
+SHA512:
+  metadata.gz: 658128a10ab946674094b6834d963a29bf4de3c95c12946ebde22d8c08ff29d5a1fa45655e53aa97c33d869aaa3eed2e8b7ae0d222c5c8d1d94ceeefad2fe5d2
+  data.tar.gz: e1f76a65b2e54d89a3732a88d8dc2600a87f99986f92e293517fc86865267a3958db4f0468a736446174cf6ba62f5a96ca02e55bb670a1aac8e6eb821af4428f

data/.gitignore

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+*.gem
+*.rbc
+.bundle
+.config
+.yardoc
+Gemfile.lock
+InstalledFiles
+_yardoc
+coverage
+doc/
+lib/bundler/man
+pkg
+rdoc
+spec/reports
+test/tmp
+test/version_tmp
+tmp
+*.bundle
+*.so
+*.o
+*.a
+mkmf.log

data/.rspec

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+--color
+--require spec_helper

data/.travis.yml

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+language: ruby
+rvm:
+  - 2.1.2
+script: bundle exec rspec spec

data/Gemfile

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+source 'https://rubygems.org'
+
+# Specify your gem's dependencies in formstack-api.gemspec
+gemspec

data/Guardfile

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+# A sample Guardfile
+# More info at https://github.com/guard/guard#readme
+
+# Note: The cmd option is now required due to the increasing number of ways
+#       rspec may be run, below are examples of the most common uses.
+#  * bundler: 'bundle exec rspec'
+#  * bundler binstubs: 'bin/rspec'
+#  * spring: 'bin/rsspec' (This will use spring if running and you have
+#                          installed the spring binstubs per the docs)
+#  * zeus: 'zeus rspec' (requires the server to be started separetly)
+#  * 'just' rspec: 'rspec'
+guard :rspec, cmd: 'bundle exec rspec' do
+  watch(%r{^spec/.+_spec\.rb$})
+  watch(%r{^lib/(.+)\.rb$})     { |m| "spec/lib/#{m[1]}_spec.rb" }
+  watch('spec/spec_helper.rb')  { "spec" }
+
+  # Rails example
+  watch(%r{^app/(.+)\.rb$})                           { |m| "spec/#{m[1]}_spec.rb" }
+  watch(%r{^app/(.*)(\.erb|\.haml|\.slim)$})          { |m| "spec/#{m[1]}#{m[2]}_spec.rb" }
+  watch(%r{^app/controllers/(.+)_(controller)\.rb$})  { |m| ["spec/routing/#{m[1]}_routing_spec.rb", "spec/#{m[2]}s/#{m[1]}_#{m[2]}_spec.rb", "spec/acceptance/#{m[1]}_spec.rb"] }
+  watch(%r{^spec/support/(.+)\.rb$})                  { "spec" }
+  watch('config/routes.rb')                           { "spec/routing" }
+  watch('app/controllers/application_controller.rb')  { "spec/controllers" }
+  watch('spec/rails_helper.rb')                       { "spec" }
+
+  # Capybara features specs
+  watch(%r{^app/views/(.+)/.*\.(erb|haml|slim)$})     { |m| "spec/features/#{m[1]}_spec.rb" }
+
+  # Turnip features and steps
+  watch(%r{^spec/acceptance/(.+)\.feature$})
+  watch(%r{^spec/acceptance/steps/(.+)_steps\.rb$})   { |m| Dir[File.join("**/#{m[1]}.feature")][0] || 'spec/acceptance' }
+end
+
+notification :tmux,
+  display_message: true,
+  timeout: 5, # in seconds
+  default_message_format: '%s >> %s',
+  # the first %s will show the title, the second the message
+  # Alternately you can also configure *success_message_format*,
+  # *pending_message_format*, *failed_message_format*
+  line_separator: ' > ', # since we are single line we need a separator
+  color_location: 'status-left-bg' # to customize which tmux el

data/LICENSE.txt

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+Copyright (c) 2014 Mauro Morales
+
+MIT License
+
+Permission is hereby granted, free of charge, to any person obtaining
+a copy of this software and associated documentation files (the
+"Software"), to deal in the Software without restriction, including
+without limitation the rights to use, copy, modify, merge, publish,
+distribute, sublicense, and/or sell copies of the Software, and to
+permit persons to whom the Software is furnished to do so, subject to
+the following conditions:
+
+The above copyright notice and this permission notice shall be
+included in all copies or substantial portions of the Software.
+
+THE SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND,
+EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF
+MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE AND
+NONINFRINGEMENT. IN NO EVENT SHALL THE AUTHORS OR COPYRIGHT HOLDERS BE
+LIABLE FOR ANY CLAIM, DAMAGES OR OTHER LIABILITY, WHETHER IN AN ACTION
+OF CONTRACT, TORT OR OTHERWISE, ARISING FROM, OUT OF OR IN CONNECTION
+WITH THE SOFTWARE OR THE USE OR OTHER DEALINGS IN THE SOFTWARE.

data/README.md

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+[![Build
+Status](https://travis-ci.org/LAS-IT/formstack-api.svg)](https://travis-ci.org/LAS-IT/formstack-api)
+
+# Formstack::Api
+
+TODO: Write a gem description
+
+## Installation
+
+Add this line to your application's Gemfile:
+
+    gem 'formstack-api'
+
+And then execute:
+
+    $ bundle
+
+Or install it yourself as:
+
+    $ gem install formstack-api
+
+## Usage
+
+TODO: Write usage instructions here
+
+## Contributing
+
+1. Fork it ( https://github.com/[my-github-username]/formstack-api/fork )
+2. Create your feature branch (`git checkout -b my-new-feature`)
+3. Commit your changes (`git commit -am 'Add some feature'`)
+4. Push to the branch (`git push origin my-new-feature`)
+5. Create a new Pull Request

data/Rakefile

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+require "bundler/gem_tasks"
+

data/formstack-api.gemspec

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+# coding: utf-8
+lib = File.expand_path('../lib', __FILE__)
+$LOAD_PATH.unshift(lib) unless $LOAD_PATH.include?(lib)
+require 'formstack/api/version'
+
+Gem::Specification.new do |spec|
+  spec.name          = "formstack-api"
+  spec.version       = Formstack::Api::VERSION
+  spec.authors       = ["Mauro Morales"]
+  spec.email         = ["contact@mauromorales.com"]
+  spec.summary       = %q{Formstack API V2 Ruby Wrapper.}
+  spec.description   = %q{Ruby Formstack API V2 Ruby Wrapper based on https://github.com/formstack/formstack-api/tree/master/php.}
+  spec.homepage      = "https://github.com/LAS-IT/formstack-api"
+  spec.license       = "MIT"
+
+  spec.files         = `git ls-files -z`.split("\x0")
+  spec.executables   = spec.files.grep(%r{^bin/}) { |f| File.basename(f) }
+  spec.test_files    = spec.files.grep(%r{^(test|spec|features)/})
+  spec.require_paths = ["lib"]
+
+  spec.add_dependency 'httparty', '~> 0'
+
+  spec.add_development_dependency 'bundler', '~> 1.6'
+  spec.add_development_dependency 'rake', '~> 10.3'
+  spec.add_development_dependency 'rspec', '~> 3.1'
+  spec.add_development_dependency 'guard', '~> 2.6'
+  spec.add_development_dependency 'guard-rspec', '~> 4.3'
+  spec.add_development_dependency 'vcr', '~> 2.9'
+  spec.add_development_dependency 'webmock', '~> 1.18'
+end

data/lib/formstack/api.rb

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+require "formstack/api/version"
+
+module Formstack
+  class API
+    require 'httparty'
+    require 'json'
+    require 'uri'
+
+    include HTTParty
+
+    def initialize(access_token)
+      @access_token = access_token
+      @api_url = 'https://www.formstack.com/api/v2/'
+    end
+
+    def request(end_point, verb='GET', arguments={})
+      arguments.merge!(headers: { "Authorization" => "Bearer #{@access_token }"})
+
+      valid_verbs = %w(GET PUT POST DELETE)
+
+      if end_point.empty?
+        raise 'Missing End Point'
+      end
+
+      verb.upcase!
+
+      unless valid_verbs.include?(verb)
+        raise 'Wrong verb'
+      end
+
+      url = "#{@api_url}#{end_point}"
+
+      case verb
+      when 'GET'
+        response = self.class.get(url, arguments )
+      when 'POST'
+        response = self.class.post(url, arguments )
+      end
+
+      if response.code < 200 || response.code >= 300
+        raise 'Bad token'
+      end
+
+      body = JSON.parse(response.body)
+      return body
+    end
+
+    def forms(organized_folders=false)
+      organized_folders = organized_folders ? 1 : 0
+      response = request("form.json#{query(folders: organized_folders)}", 'GET')
+      response['forms']
+    end
+
+    def form_details(form_id)
+      is_numeric?(form_id)
+
+      request("form/#{form_id}", 'GET');
+    end
+
+    def copy_form(form_id)
+      is_numeric?(form_id)
+
+      request("form/#{form_id}/copy", 'POST');
+    end
+
+    def form_submissions(form_id, encryption_password='', min_time='',
+                         max_time='', search_fields=[], search_fields_values=[],
+                         page_number=1, per_page=25, sort='DESC', data=false,
+                         expand_data=false)
+
+      is_numeric?(form_id)
+
+      unless min_time.empty?
+        begin
+          Time.parse(min_time)
+        rescue Exception => e
+          raise 'Invalid value for minTime parameter'
+        end
+      end
+
+      unless max_time.empty?
+        begin
+          Time.parse(max_time)
+        rescue Exception => e
+          raise 'Invalid value for maxTime parameter'
+        end
+      end
+
+      raise 'You must have a one to one relationship' unless search_fields.size == search_fields_values.size
+
+      search_fields.each do |id|
+        raise 'Field IDs must be numeric' unless id.is_a? Numeric
+      end
+
+      if !per_page.is_a? Numeric
+        raise 'The perPage value must be numeric'
+      elsif per_page < 1 || per_page > 100
+        raise 'You can only retrieve a minimum of 1 and maximum of 100 submissions per request'
+      end
+
+      raise 'The pageNumber value must be numeric' unless page_number.is_a? Numeric
+
+      raise 'The sort parameter must be ASC or DESC' unless sort == 'ASC' || sort == 'DESC'
+
+
+      end_point = "form/#{form_id}/submission.json"
+
+      sort.upcase!
+
+      arguments = {
+          'encryption_password'   =>  encryption_password,
+          'min_time'              =>  min_time,
+          'max_time'              =>  max_time,
+          'page'                  =>  page_number,
+          'per_page'              =>  per_page,
+          'sort'                  =>  sort,
+          'data'                  =>  data,
+          'expand_data'           =>  expand_data,
+      }
+
+      search_fields.each_with_index do |field, idx|
+        arguments["search_field_#{idx}"] = search_field_ids[idx]
+        arguments["search_value_#{idx}"] = search_field_values[idx]
+      end
+
+      response = request(end_point, 'GET', arguments)
+      response['submissions']
+    end
+
+    private
+
+    def is_numeric?(form_id)
+      unless form_id.is_a? Numeric
+        raise 'Form ID must be numeric'
+      end
+    end
+
+    def query(args)
+      query = URI.encode_www_form(args)
+      "?#{query}"
+    end
+  end
+end

data/lib/formstack/api/version.rb

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+module Formstack
+  module Api
+    VERSION = "0.0.1"
+  end
+end

data/spec/spec_helper.rb

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+Dir["./spec/support/**/*.rb"].sort.each { |f| require f}
+
+RSpec.configure do |config|
+  config.disable_monkey_patching!
+end

data/spec/support/vcr.rb

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+require 'vcr'
+require 'rspec'
+
+# ACCESS_TOKEN = 'XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX'
+# FORM_ID = 0000000
+# INACCESSIBLE_FORM_ID = 0000001
+ACCESS_TOKEN = '982cf05d56baa2f12db45bea51d68968'
+FORM_ID = 1832745
+INACCESSIBLE_FORM_ID = 1832744
+
+VCR.configure do |c|
+    c.cassette_library_dir = 'spec/vcr'
+    c.hook_into :webmock # or :fakeweb
+    c.filter_sensitive_data('<ACCESS_TOKEN>') { ACCESS_TOKEN }
+    c.filter_sensitive_data('<FORM_ID>') { FORM_ID }
+    c.filter_sensitive_data('<INACCESSIBLE_FORM_ID>') { INACCESSIBLE_FORM_ID }
+    c.default_cassette_options = { record: :new_episodes }
+    c.configure_rspec_metadata!
+end

data/spec/vcr/Formstack_API/_copy_form/adds_COPY_at_the_end_of_the_form_name.yml

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+---
+http_interactions:
+- request:
+    method: get
+    uri: https://www.formstack.com/api/v2/form/<FORM_ID>
+    body:
+      encoding: US-ASCII
+      string: ''
+    headers:
+      Authorization:
+      - Bearer <ACCESS_TOKEN>
+  response:
+    status:
+      code: 200
+      message: OK
+    headers:
+      Server:
+      - nginx
+      Date:
+      - Wed, 05 Nov 2014 15:13:31 GMT
+      Content-Type:
+      - application/json
+      Transfer-Encoding:
+      - chunked
+      Connection:
+      - keep-alive
+      P3p:
+      - CP="CURa ADMa DEVa PSAo PSDo OUR BUS UNI PUR INT DEM STA PRE COM NAV OTC NOI
+        DSP COR"
+      Set-Cookie:
+      - FormstackAdmin=n39td22prh10ekm7ljc9otb894; path=/api/; secure; HttpOnly
+      Cache-Control:
+      - no-cache
+    body:
+      encoding: UTF-8
+      string: '{"id":"<FORM_ID>","name":"Test Form","viewkey":"ex3qBur1AS","views":"4","created":"2014-09-17
+        13:44:47","updated":"2014-11-05 09:37:02","deleted":"0","submissions":"0","submissions_unread":"0","submissions_today":0,"url":"http:\/\/www.formstack.com\/forms\/?<FORM_ID>-ex3qBur1AS","data_url":"","summary_url":"","rss_url":"","encrypted":false,"thumbnail_url":"https:\/\/s3.amazonaws.com\/files.formstack.com\/admin\/","submit_button_title":null,"inactive":false,"timezone":"US\/Eastern","permissions":"full","folder":"none","javascript":"<script
+        type=\"text\/javascript\" src=\"http:\/\/www.formstack.com\/forms\/js.php?<FORM_ID>-ex3qBur1AS-v3\"><\/script><noscript><a
+        href=\"http:\/\/www.formstack.com\/forms\/?<FORM_ID>-ex3qBur1AS\" title=\"Online
+        Form\">Online Form - Test Form<\/a><\/noscript><div style=\"text-align:right;
+        font-size:x-small;\"><a href=\"http:\/\/www.formstack.com?utm_source=jsembed&utm_medium=product&utm_campaign=product+branding&fa=h,<FORM_ID>\"
+        title=\"HTML Form Generator\">HTML Form Generator<\/a><\/div>","html":"<!DOCTYPE
+        html>\n<html lang=\"\">\n<head>\n<title>Test Form<\/title>\n<meta charset=\"utf-8\"
+        \/>\n<!--[if IE]>\n<link rel=\"stylesheet\" type=\"text\/css\" media=\"all\"
+        href=\"http:\/\/www.formstack.com\/forms\/css\/3\/ie.css?20140508\" \/>\n<![endif]-->\n<!--[if
+        IE 7]><link rel=\"stylesheet\" type=\"text\/css\" media=\"all\" href=\"http:\/\/www.formstack.com\/forms\/css\/3\/ie7.css\"
+        \/><![endif]-->\n<!--[if IE 6]><link rel=\"stylesheet\" type=\"text\/css\"
+        media=\"all\" href=\"http:\/\/www.formstack.com\/forms\/css\/3\/ie6fixes.css\"
+        \/><![endif]-->\n<link rel=\"stylesheet\" type=\"text\/css\" href=\"http:\/\/www.formstack.com\/forms\/css\/3\/reset.css?20140508\"
+        \/>\n<link rel=\"stylesheet\" type=\"text\/css\" href=\"http:\/\/www.formstack.com\/forms\/css\/3\/default.css?20141028\"
+        \/>\n<link rel=\"stylesheet\" type=\"text\/css\" href=\"http:\/\/www.formstack.com\/forms\/css\/3\/steel.css\"
+        \/>\n<style type=\"text\/css\">\n<\/style>\n<\/head>\n<body class=\"fsBody\"
+        id=\"fsLocal\">\n<form method=\"post\" novalidate enctype=\"multipart\/form-data\"
+        action=\"http:\/\/www.formstack.com\/forms\/index.php\" class=\"fsForm fsSingleColumn
+        fsMaxCol1\" id=\"fsForm<FORM_ID>\">\n<input type=\"hidden\" name=\"form\"
+        value=\"<FORM_ID>\" \/>\n<input type=\"hidden\" name=\"viewkey\" value=\"ex3qBur1AS\"
+        \/>\n<input type=\"hidden\" name=\"hidden_fields\" id=\"hidden_fields<FORM_ID>\"
+        value=\"\" \/>\n<input type=\"hidden\" name=\"_submit\" value=\"1\" \/>\n<input
+        type=\"hidden\" name=\"incomplete\" id=\"incomplete<FORM_ID>\" value=\"\"
+        \/>\n<input type=\"hidden\" name=\"style_version\" value=\"3\" \/>\n<div role=\"alert\"
+        id=\"requiredFieldsError\" style=\"display:none;\">Please fill in a valid
+        value for all required fields<\/div>\n<div role=\"alert\" id=\"invalidFormatError\"
+        style=\"display:none;\">Please ensure all values are in a proper format.<\/div>\n<div
+        role=\"alert\" id=\"resumeConfirm\" style=\"display:none;\">Are you sure you
+        want to leave this form and resume later?<\/div>\n<div role=\"alert\" id=\"fileTypeAlert\"
+        style=\"display:none;\">You must upload one of the following file types for
+        the selected field:<\/div>\n<div role=\"alert\" id=\"embedError\" style=\"display:none;\">There
+        was an error displaying the form. Please copy and paste the embed code again.<\/div>\n<div
+        role=\"alert\" id=\"applyDiscountButton\" style=\"display:none;\">Apply Discount<\/div>\n<div
+        role=\"alert\" id=\"dcmYouSaved\" style=\"display:none;\">You saved<\/div>\n<div
+        role=\"alert\" id=\"dcmWithCode\" style=\"display:none;\">with code<\/div>\n<div
+        role=\"alert\" id=\"submitButtonText\" style=\"display:none;\">Submit Form<\/div>\n<div
+        role=\"alert\" id=\"submittingText\" style=\"display:none;\">Submitting<\/div>\n<div
+        class=\"fsPage\" id=\"fsPage<FORM_ID>-1\">\n<div class=\"fsSection fs1Col\"
+        id=\"fsSection27696100\">\n<div class=\"fsSectionHeader\">\n<h2 class=\"fsSectionHeading\">Contact
+        Information<\/h2>\n<div class=\"fsSectionText\">Please fill out your contact
+        information below.<\/div>\n<\/div>\n<div id=\"fsRow<FORM_ID>-2\" class=\"fsRow
+        fsFieldRow fsLastRow\">\n<div class=\"fsRowBody fsCell fsFieldCell fsFirst
+        fsLast fsLabelVertical fsSpan100\" id=\"fsCell27696101\" lang=\"en\">\n<span
+        id=\"label27696101\" class=\"fsLabel fsRequiredLabel\">Name<span class=\"fsRequiredMarker\">*<\/span><\/span>\n<div
+        class=\"fsSubFieldGroup\">\n<div class=\"fsSubField\">\n<input type=\"text\"
+        id=\"field27696101-first\" name=\"field27696101-first\" size=\"20\" value=\"\"
+        required class=\"fsField fsFieldName fsRequired\" aria-required=\"true\" \/>\n<label
+        class=\"fsSupporting fsRequiredLabel\" for=\"field27696101-first\">First Name<span
+        class=\"hidden\">*<\/span><\/label>\n<\/div>\n<div class=\"fsSubField\">\n<input
+        type=\"text\" id=\"field27696101-last\" name=\"field27696101-last\" size=\"20\"
+        value=\"\" required class=\"fsField fsFieldName fsRequired\" aria-required=\"true\"
+        \/>\n<label class=\"fsSupporting fsRequiredLabel\" for=\"field27696101-last\">Last
+        Name<span class=\"hidden\">*<\/span><\/label>\n<\/div>\n<\/div>\n<div class=\"clear\"><\/div>\n<\/div>\n<\/div>\n<div
+        id=\"fsRow<FORM_ID>-3\" class=\"fsRow fsFieldRow fsLastRow\">\n<div class=\"fsRowBody
+        fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100\" id=\"fsCell27696123\"
+        lang=\"en\">\n<fieldset id=\"label27696123\">\n<legend class=\"fsLabel fsLabelVertical\"><span>Age
+        Group<\/span><\/legend>\n<div class=\"fieldset-content\">\n<label class=\"fsOptionLabel
+        vertical\" for=\"field27696123_1\"><input type=\"radio\" id=\"field27696123_1\"
+        name=\"field27696123\" value=\"AA\" class=\"fsField vertical\" \/>AA<\/label>\n<label
+        class=\"fsOptionLabel vertical\" for=\"field27696123_2\"><input type=\"radio\"
+        id=\"field27696123_2\" name=\"field27696123\" value=\"AE\" class=\"fsField
+        vertical\" \/>AE<\/label>\n<label class=\"fsOptionLabel vertical\" for=\"field27696123_3\"><input
+        type=\"radio\" id=\"field27696123_3\" name=\"field27696123\" value=\"AC\"
+        class=\"fsField vertical\" \/>AC<\/label>\n<\/div><\/fieldset>\n<\/div>\n<\/div>\n<div
+        id=\"fsRow<FORM_ID>-4\" class=\"fsRow fsFieldRow fsLastRow\">\n<div class=\"fsRowBody
+        fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100\" id=\"fsCell27696102\"
+        lang=\"en\">\n<label id=\"label27696102\" class=\"fsLabel fsRequiredLabel\"
+        for=\"field27696102\">Address<span class=\"fsRequiredMarker\">*<\/span>                                            <\/label>\n<label
+        for=\"field27696102-address\" class=\"hidden\">Address Line 1<span class=\"fsRequiredMarker\">*<\/span><\/label>\n<input
+        type=\"text\" id=\"field27696102-address\" name=\"field27696102-address\"
+        size=\"50\" required value=\"\" class=\"fsField fsFieldAddress fsRequired\"
+        aria-required=\"true\" \/>\n<label for=\"field27696102-address2\" class=\"hidden\">Address
+        Line 2<\/label>\n<input type=\"text\" id=\"field27696102-address2\" name=\"field27696102-address2\"
+        size=\"50\" value=\"\" style=\"margin-top:5px;\" class=\"fsField fsFieldAddress2\"
+        \/>\n<div class=\"fsSubFieldGroup\">\n<div class=\"fsSubField fsFieldCity\">\n<input
+        type=\"text\" id=\"field27696102-city\" name=\"field27696102-city\" size=\"15\"
+        value=\"\" required class=\"fsField fsFieldCity fsRequired\" aria-required=\"true\"
+        \/>\n<label class=\"fsSupporting\" for=\"field27696102-city\">City<\/label>\n<\/div>\n<div
+        class=\"fsSubField fsFieldState\">\n<input type=\"text\" id=\"field27696102-state\"
+        name=\"field27696102-state\" size=\"15\" value=\"\" required class=\"fsField
+        fsFieldState fsRequired\" \/>\n<label class=\"fsSupporting\" for=\"field27696102-state\">State\/Province<\/label>\n<\/div>\n<div
+        class=\"fsSubField fsFieldZip\">\n<input type=\"text\" id=\"field27696102-zip\"
+        name=\"field27696102-zip\" size=\"8\" value=\"\" required class=\"fsField
+        fsFieldZip fsFormatZipXX fsRequired\" aria-required=\"true\" \/>\n<label class=\"fsSupporting\"
+        for=\"field27696102-zip\">Zip\/Postal<\/label>\n<\/div>\n<\/div>\n<div class=\"clear\"><\/div>\n<select
+        id=\"field27696102-country\" name=\"field27696102-country\" style=\"margin-top:5px;\"
+        required class=\"fsField fsRequired\" aria-required=\"true\" >\n<option value=\"\">&nbsp;<\/option>\n<option
+        value=\"Afghanistan\">Afghanistan<\/option>\n<option value=\"Aland Islands\">Aland
+        Islands<\/option>\n<option value=\"Albania\">Albania<\/option>\n<option value=\"Algeria\">Algeria<\/option>\n<option
+        value=\"American Samoa\">American Samoa<\/option>\n<option value=\"Andorra\">Andorra<\/option>\n<option
+        value=\"Angola\">Angola<\/option>\n<option value=\"Anguilla\">Anguilla<\/option>\n<option
+        value=\"Antarctica\">Antarctica<\/option>\n<option value=\"Antigua and Barbuda\">Antigua
+        and Barbuda<\/option>\n<option value=\"Argentina\">Argentina<\/option>\n<option
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+        \/>\n<![endif]-->\n<!--[if IE 7]><link rel=\"stylesheet\" type=\"text\/css\"
+        media=\"all\" href=\"http:\/\/www.formstack.com\/forms\/css\/3\/ie7.css\"
+        \/><![endif]-->\n<!--[if IE 6]><link rel=\"stylesheet\" type=\"text\/css\"
+        media=\"all\" href=\"http:\/\/www.formstack.com\/forms\/css\/3\/ie6fixes.css\"
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+        \/>\n<link rel=\"stylesheet\" type=\"text\/css\" href=\"http:\/\/www.formstack.com\/forms\/css\/3\/default.css?20141028\"
+        \/>\n<link rel=\"stylesheet\" type=\"text\/css\" href=\"http:\/\/www.formstack.com\/forms\/css\/3\/steel.css\"
+        \/>\n<style type=\"text\/css\">\n<\/style>\n<\/head>\n<body class=\"fsBody\"
+        id=\"fsLocal\">\n<form method=\"post\" novalidate enctype=\"multipart\/form-data\"
+        action=\"http:\/\/www.formstack.com\/forms\/index.php\" class=\"fsForm fsSingleColumn
+        fsMaxCol1\" id=\"fsForm1867891\">\n<input type=\"hidden\" name=\"form\" value=\"1867891\"
+        \/>\n<input type=\"hidden\" name=\"viewkey\" value=\"ex3qBur1AS\" \/>\n<input
+        type=\"hidden\" name=\"hidden_fields\" id=\"hidden_fields1867891\" value=\"\"
+        \/>\n<input type=\"hidden\" name=\"_submit\" value=\"1\" \/>\n<input type=\"hidden\"
+        name=\"incomplete\" id=\"incomplete1867891\" value=\"\" \/>\n<input type=\"hidden\"
+        name=\"style_version\" value=\"3\" \/>\n<div role=\"alert\" id=\"requiredFieldsError\"
+        style=\"display:none;\">Please fill in a valid value for all required fields<\/div>\n<div
+        role=\"alert\" id=\"invalidFormatError\" style=\"display:none;\">Please ensure
+        all values are in a proper format.<\/div>\n<div role=\"alert\" id=\"resumeConfirm\"
+        style=\"display:none;\">Are you sure you want to leave this form and resume
+        later?<\/div>\n<div role=\"alert\" id=\"fileTypeAlert\" style=\"display:none;\">You
+        must upload one of the following file types for the selected field:<\/div>\n<div
+        role=\"alert\" id=\"embedError\" style=\"display:none;\">There was an error
+        displaying the form. Please copy and paste the embed code again.<\/div>\n<div
+        role=\"alert\" id=\"applyDiscountButton\" style=\"display:none;\">Apply Discount<\/div>\n<div
+        role=\"alert\" id=\"dcmYouSaved\" style=\"display:none;\">You saved<\/div>\n<div
+        role=\"alert\" id=\"dcmWithCode\" style=\"display:none;\">with code<\/div>\n<div
+        role=\"alert\" id=\"submitButtonText\" style=\"display:none;\">Submit Form<\/div>\n<div
+        role=\"alert\" id=\"submittingText\" style=\"display:none;\">Submitting<\/div>\n<div
+        class=\"fsPage\" id=\"fsPage1867891-1\">\n<div class=\"fsSection fs1Col\"
+        id=\"fsSection28564308\">\n<div class=\"fsSectionHeader\">\n<h2 class=\"fsSectionHeading\">Contact
+        Information<\/h2>\n<div class=\"fsSectionText\">Please fill out your contact
+        information below.<\/div>\n<\/div>\n<div id=\"fsRow1867891-2\" class=\"fsRow
+        fsFieldRow fsLastRow\">\n<div class=\"fsRowBody fsCell fsFieldCell fsFirst
+        fsLast fsLabelVertical fsSpan100\" id=\"fsCell28564309\" lang=\"en\">\n<span
+        id=\"label28564309\" class=\"fsLabel fsRequiredLabel\">Name<span class=\"fsRequiredMarker\">*<\/span><\/span>\n<div
+        class=\"fsSubFieldGroup\">\n<div class=\"fsSubField\">\n<input type=\"text\"
+        id=\"field28564309-first\" name=\"field28564309-first\" size=\"20\" value=\"\"
+        required class=\"fsField fsFieldName fsRequired\" aria-required=\"true\" \/>\n<label
+        class=\"fsSupporting fsRequiredLabel\" for=\"field28564309-first\">First Name<span
+        class=\"hidden\">*<\/span><\/label>\n<\/div>\n<div class=\"fsSubField\">\n<input
+        type=\"text\" id=\"field28564309-last\" name=\"field28564309-last\" size=\"20\"
+        value=\"\" required class=\"fsField fsFieldName fsRequired\" aria-required=\"true\"
+        \/>\n<label class=\"fsSupporting fsRequiredLabel\" for=\"field28564309-last\">Last
+        Name<span class=\"hidden\">*<\/span><\/label>\n<\/div>\n<\/div>\n<div class=\"clear\"><\/div>\n<\/div>\n<\/div>\n<div
+        id=\"fsRow1867891-3\" class=\"fsRow fsFieldRow fsLastRow\">\n<div class=\"fsRowBody
+        fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100\" id=\"fsCell28564310\"
+        lang=\"en\">\n<fieldset id=\"label28564310\">\n<legend class=\"fsLabel fsLabelVertical\"><span>Age
+        Group<\/span><\/legend>\n<div class=\"fieldset-content\">\n<label class=\"fsOptionLabel
+        vertical\" for=\"field28564310_1\"><input type=\"radio\" id=\"field28564310_1\"
+        name=\"field28564310\" value=\"AA\" class=\"fsField vertical\" \/>AA<\/label>\n<label
+        class=\"fsOptionLabel vertical\" for=\"field28564310_2\"><input type=\"radio\"
+        id=\"field28564310_2\" name=\"field28564310\" value=\"AE\" class=\"fsField
+        vertical\" \/>AE<\/label>\n<label class=\"fsOptionLabel vertical\" for=\"field28564310_3\"><input
+        type=\"radio\" id=\"field28564310_3\" name=\"field28564310\" value=\"AC\"
+        class=\"fsField vertical\" \/>AC<\/label>\n<\/div><\/fieldset>\n<\/div>\n<\/div>\n<div
+        id=\"fsRow1867891-4\" class=\"fsRow fsFieldRow fsLastRow\">\n<div class=\"fsRowBody
+        fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100\" id=\"fsCell28564311\"
+        lang=\"en\">\n<label id=\"label28564311\" class=\"fsLabel fsRequiredLabel\"
+        for=\"field28564311\">Address<span class=\"fsRequiredMarker\">*<\/span>                                            <\/label>\n<label
+        for=\"field28564311-address\" class=\"hidden\">Address Line 1<span class=\"fsRequiredMarker\">*<\/span><\/label>\n<input
+        type=\"text\" id=\"field28564311-address\" name=\"field28564311-address\"
+        size=\"50\" required value=\"\" class=\"fsField fsFieldAddress fsRequired\"
+        aria-required=\"true\" \/>\n<label for=\"field28564311-address2\" class=\"hidden\">Address
+        Line 2<\/label>\n<input type=\"text\" id=\"field28564311-address2\" name=\"field28564311-address2\"
+        size=\"50\" value=\"\" style=\"margin-top:5px;\" class=\"fsField fsFieldAddress2\"
+        \/>\n<div class=\"fsSubFieldGroup\">\n<div class=\"fsSubField fsFieldCity\">\n<input
+        type=\"text\" id=\"field28564311-city\" name=\"field28564311-city\" size=\"15\"
+        value=\"\" required class=\"fsField fsFieldCity fsRequired\" aria-required=\"true\"
+        \/>\n<label class=\"fsSupporting\" for=\"field28564311-city\">City<\/label>\n<\/div>\n<div
+        class=\"fsSubField fsFieldState\">\n<input type=\"text\" id=\"field28564311-state\"
+        name=\"field28564311-state\" size=\"15\" value=\"\" required class=\"fsField
+        fsFieldState fsRequired\" \/>\n<label class=\"fsSupporting\" for=\"field28564311-state\">State\/Province<\/label>\n<\/div>\n<div
+        class=\"fsSubField fsFieldZip\">\n<input type=\"text\" id=\"field28564311-zip\"
+        name=\"field28564311-zip\" size=\"8\" value=\"\" required class=\"fsField
+        fsFieldZip fsFormatZipXX fsRequired\" aria-required=\"true\" \/>\n<label class=\"fsSupporting\"
+        for=\"field28564311-zip\">Zip\/Postal<\/label>\n<\/div>\n<\/div>\n<div class=\"clear\"><\/div>\n<select
+        id=\"field28564311-country\" name=\"field28564311-country\" style=\"margin-top:5px;\"
+        required class=\"fsField fsRequired\" aria-required=\"true\" >\n<option value=\"\">&nbsp;<\/option>\n<option
+        value=\"Afghanistan\">Afghanistan<\/option>\n<option value=\"Aland Islands\">Aland
+        Islands<\/option>\n<option value=\"Albania\">Albania<\/option>\n<option value=\"Algeria\">Algeria<\/option>\n<option
+        value=\"American Samoa\">American Samoa<\/option>\n<option value=\"Andorra\">Andorra<\/option>\n<option
+        value=\"Angola\">Angola<\/option>\n<option value=\"Anguilla\">Anguilla<\/option>\n<option
+        value=\"Antarctica\">Antarctica<\/option>\n<option value=\"Antigua and Barbuda\">Antigua
+        and Barbuda<\/option>\n<option value=\"Argentina\">Argentina<\/option>\n<option
+        value=\"Armenia\">Armenia<\/option>\n<option value=\"Aruba\">Aruba<\/option>\n<option
+        value=\"Australia\">Australia<\/option>\n<option value=\"Austria\">Austria<\/option>\n<option
+        value=\"Azerbaijan\">Azerbaijan<\/option>\n<option value=\"Bahamas\">Bahamas<\/option>\n<option
+        value=\"Bahrain\">Bahrain<\/option>\n<option value=\"Bangladesh\">Bangladesh<\/option>\n<option
+        value=\"Barbados\">Barbados<\/option>\n<option value=\"Belarus\">Belarus<\/option>\n<option
+        value=\"Belgium\">Belgium<\/option>\n<option value=\"Belize\">Belize<\/option>\n<option
+        value=\"Benin\">Benin<\/option>\n<option value=\"Bermuda\">Bermuda<\/option>\n<option
+        value=\"Bhutan\">Bhutan<\/option>\n<option value=\"Bolivia, Plurinational
+        State of\">Bolivia, Plurinational State of<\/option>\n<option value=\"Bosnia
+        and Herzegovina\">Bosnia and Herzegovina<\/option>\n<option value=\"Botswana\">Botswana<\/option>\n<option
+        value=\"Bouvet Island\">Bouvet Island<\/option>\n<option value=\"Brazil\">Brazil<\/option>\n<option
+        value=\"British Indian Ocean Territory\">British Indian Ocean Territory<\/option>\n<option
+        value=\"Brunei Darussalam\">Brunei Darussalam<\/option>\n<option value=\"Bulgaria\">Bulgaria<\/option>\n<option
+        value=\"Burkina Faso\">Burkina Faso<\/option>\n<option value=\"Burundi\">Burundi<\/option>\n<option
+        value=\"Cambodia\">Cambodia<\/option>\n<option value=\"Cameroon\">Cameroon<\/option>\n<option
+        value=\"Canada\">Canada<\/option>\n<option value=\"Cape Verde\">Cape Verde<\/option>\n<option
+        value=\"Cayman Islands\">Cayman Islands<\/option>\n<option value=\"Central
+        African Republic\">Central African Republic<\/option>\n<option value=\"Chad\">Chad<\/option>\n<option
+        value=\"Chile\">Chile<\/option>\n<option value=\"China\">China<\/option>\n<option
+        value=\"Christmas Island\">Christmas Island<\/option>\n<option value=\"Cocos
+        (Keeling) Islands\">Cocos (Keeling) Islands<\/option>\n<option value=\"Colombia\">Colombia<\/option>\n<option
+        value=\"Comoros\">Comoros<\/option>\n<option value=\"Congo\">Congo<\/option>\n<option
+        value=\"Congo, The Democratic Republic of the\">Congo, The Democratic Republic
+        of the<\/option>\n<option value=\"Cook Islands\">Cook Islands<\/option>\n<option
+        value=\"Costa Rica\">Costa Rica<\/option>\n<option value=\"Cote Divoire\">Cote
+        Divoire<\/option>\n<option value=\"Croatia\">Croatia<\/option>\n<option value=\"Cuba\">Cuba<\/option>\n<option
+        value=\"Cyprus\">Cyprus<\/option>\n<option value=\"Czech Republic\">Czech
+        Republic<\/option>\n<option value=\"Denmark\">Denmark<\/option>\n<option value=\"Djibouti\">Djibouti<\/option>\n<option
+        value=\"Dominica\">Dominica<\/option>\n<option value=\"Dominican Republic\">Dominican
+        Republic<\/option>\n<option value=\"Ecuador\">Ecuador<\/option>\n<option value=\"Egypt\">Egypt<\/option>\n<option
+        value=\"El Salvador\">El Salvador<\/option>\n<option value=\"Equatorial Guinea\">Equatorial
+        Guinea<\/option>\n<option value=\"Eritrea\">Eritrea<\/option>\n<option value=\"Estonia\">Estonia<\/option>\n<option
+        value=\"Ethiopia\">Ethiopia<\/option>\n<option value=\"Falkland Islands (Malvinas)\">Falkland
+        Islands (Malvinas)<\/option>\n<option value=\"Faroe Islands\">Faroe Islands<\/option>\n<option
+        value=\"Fiji\">Fiji<\/option>\n<option value=\"Finland\">Finland<\/option>\n<option
+        value=\"France\">France<\/option>\n<option value=\"French Guiana\">French
+        Guiana<\/option>\n<option value=\"French Polynesia\">French Polynesia<\/option>\n<option
+        value=\"French Southern Territories\">French Southern Territories<\/option>\n<option
+        value=\"Gabon\">Gabon<\/option>\n<option value=\"Gambia\">Gambia<\/option>\n<option
+        value=\"Georgia\">Georgia<\/option>\n<option value=\"Germany\">Germany<\/option>\n<option
+        value=\"Ghana\">Ghana<\/option>\n<option value=\"Gibraltar\">Gibraltar<\/option>\n<option
+        value=\"Greece\">Greece<\/option>\n<option value=\"Greenland\">Greenland<\/option>\n<option
+        value=\"Grenada\">Grenada<\/option>\n<option value=\"Guadeloupe\">Guadeloupe<\/option>\n<option
+        value=\"Guam\">Guam<\/option>\n<option value=\"Guatemala\">Guatemala<\/option>\n<option
+        value=\"Guernsey\">Guernsey<\/option>\n<option value=\"Guinea\">Guinea<\/option>\n<option
+        value=\"Guinea-bissau\">Guinea-bissau<\/option>\n<option value=\"Guyana\">Guyana<\/option>\n<option
+        value=\"Haiti\">Haiti<\/option>\n<option value=\"Heard Island and Mcdonald
+        Islands\">Heard Island and Mcdonald Islands<\/option>\n<option value=\"Holy
+        See (Vatican City State)\">Holy See (Vatican City State)<\/option>\n<option
+        value=\"Honduras\">Honduras<\/option>\n<option value=\"Hong Kong\">Hong Kong<\/option>\n<option
+        value=\"Hungary\">Hungary<\/option>\n<option value=\"Iceland\">Iceland<\/option>\n<option
+        value=\"India\">India<\/option>\n<option value=\"Indonesia\">Indonesia<\/option>\n<option
+        value=\"Iran, Islamic Republic of\">Iran, Islamic Republic of<\/option>\n<option
+        value=\"Iraq\">Iraq<\/option>\n<option value=\"Ireland\">Ireland<\/option>\n<option
+        value=\"Isle of Man\">Isle of Man<\/option>\n<option value=\"Israel\">Israel<\/option>\n<option
+        value=\"Italy\">Italy<\/option>\n<option value=\"Jamaica\">Jamaica<\/option>\n<option
+        value=\"Japan\">Japan<\/option>\n<option value=\"Jersey\">Jersey<\/option>\n<option
+        value=\"Jordan\">Jordan<\/option>\n<option value=\"Kazakhstan\">Kazakhstan<\/option>\n<option
+        value=\"Kenya\">Kenya<\/option>\n<option value=\"Kiribati\">Kiribati<\/option>\n<option
+        value=\"Korea, Democratic People\\&#039;s Republic of\">Korea, Democratic
+        People\\&#039;s Republic of<\/option>\n<option value=\"Korea, Republic of\">Korea,
+        Republic of<\/option>\n<option value=\"Kuwait\">Kuwait<\/option>\n<option
+        value=\"Kyrgyzstan\">Kyrgyzstan<\/option>\n<option value=\"Lao People\\&#039;s
+        Democratic Republic\">Lao People\\&#039;s Democratic Republic<\/option>\n<option
+        value=\"Latvia\">Latvia<\/option>\n<option value=\"Lebanon\">Lebanon<\/option>\n<option
+        value=\"Lesotho\">Lesotho<\/option>\n<option value=\"Liberia\">Liberia<\/option>\n<option
+        value=\"Libya\">Libya<\/option>\n<option value=\"Liechtenstein\">Liechtenstein<\/option>\n<option
+        value=\"Lithuania\">Lithuania<\/option>\n<option value=\"Luxembourg\">Luxembourg<\/option>\n<option
+        value=\"Macao\">Macao<\/option>\n<option value=\"Macedonia, The Former Yugoslav
+        Republic of\">Macedonia, The Former Yugoslav Republic of<\/option>\n<option
+        value=\"Madagascar\">Madagascar<\/option>\n<option value=\"Malawi\">Malawi<\/option>\n<option
+        value=\"Malaysia\">Malaysia<\/option>\n<option value=\"Maldives\">Maldives<\/option>\n<option
+        value=\"Mali\">Mali<\/option>\n<option value=\"Malta\">Malta<\/option>\n<option
+        value=\"Marshall Islands\">Marshall Islands<\/option>\n<option value=\"Martinique\">Martinique<\/option>\n<option
+        value=\"Mauritania\">Mauritania<\/option>\n<option value=\"Mauritius\">Mauritius<\/option>\n<option
+        value=\"Mayotte\">Mayotte<\/option>\n<option value=\"Mexico\">Mexico<\/option>\n<option
+        value=\"Micronesia, Federated States of\">Micronesia, Federated States of<\/option>\n<option
+        value=\"Moldova, Republic of\">Moldova, Republic of<\/option>\n<option value=\"Monaco\">Monaco<\/option>\n<option
+        value=\"Mongolia\">Mongolia<\/option>\n<option value=\"Montenegro\">Montenegro<\/option>\n<option
+        value=\"Montserrat\">Montserrat<\/option>\n<option value=\"Morocco\">Morocco<\/option>\n<option
+        value=\"Mozambique\">Mozambique<\/option>\n<option value=\"Myanmar\">Myanmar<\/option>\n<option
+        value=\"Namibia\">Namibia<\/option>\n<option value=\"Nauru\">Nauru<\/option>\n<option
+        value=\"Nepal\">Nepal<\/option>\n<option value=\"Netherlands\">Netherlands<\/option>\n<option
+        value=\"Netherlands Antilles\">Netherlands Antilles<\/option>\n<option value=\"New
+        Caledonia\">New Caledonia<\/option>\n<option value=\"New Zealand\">New Zealand<\/option>\n<option
+        value=\"Nicaragua\">Nicaragua<\/option>\n<option value=\"Niger\">Niger<\/option>\n<option
+        value=\"Nigeria\">Nigeria<\/option>\n<option value=\"Niue\">Niue<\/option>\n<option
+        value=\"Norfolk Island\">Norfolk Island<\/option>\n<option value=\"Northern
+        Mariana Islands\">Northern Mariana Islands<\/option>\n<option value=\"Norway\">Norway<\/option>\n<option
+        value=\"Oman\">Oman<\/option>\n<option value=\"Pakistan\">Pakistan<\/option>\n<option
+        value=\"Palau\">Palau<\/option>\n<option value=\"Palestinian Territory\">Palestinian
+        Territory<\/option>\n<option value=\"Panama\">Panama<\/option>\n<option value=\"Papua
+        New Guinea\">Papua New Guinea<\/option>\n<option value=\"Paraguay\">Paraguay<\/option>\n<option
+        value=\"Peru\">Peru<\/option>\n<option value=\"Philippines\">Philippines<\/option>\n<option
+        value=\"Pitcairn\">Pitcairn<\/option>\n<option value=\"Poland\">Poland<\/option>\n<option
+        value=\"Portugal\">Portugal<\/option>\n<option value=\"Puerto Rico\">Puerto
+        Rico<\/option>\n<option value=\"Qatar\">Qatar<\/option>\n<option value=\"Reunion\">Reunion<\/option>\n<option
+        value=\"Romania\">Romania<\/option>\n<option value=\"Russian Federation\">Russian
+        Federation<\/option>\n<option value=\"Rwanda\">Rwanda<\/option>\n<option value=\"Saint
+        Barthelemy\">Saint Barthelemy<\/option>\n<option value=\"Saint Helena\">Saint
+        Helena<\/option>\n<option value=\"Saint Kitts and Nevis\">Saint Kitts and
+        Nevis<\/option>\n<option value=\"Saint Lucia\">Saint Lucia<\/option>\n<option
+        value=\"Saint Martin\">Saint Martin<\/option>\n<option value=\"Saint Pierre
+        and Miquelon\">Saint Pierre and Miquelon<\/option>\n<option value=\"Saint
+        Vincent and the Grenadines\">Saint Vincent and the Grenadines<\/option>\n<option
+        value=\"Samoa\">Samoa<\/option>\n<option value=\"San Marino\">San Marino<\/option>\n<option
+        value=\"Sao Tome and Principe\">Sao Tome and Principe<\/option>\n<option value=\"Saudi
+        Arabia\">Saudi Arabia<\/option>\n<option value=\"Senegal\">Senegal<\/option>\n<option
+        value=\"Serbia\">Serbia<\/option>\n<option value=\"Seychelles\">Seychelles<\/option>\n<option
+        value=\"Sierra Leone\">Sierra Leone<\/option>\n<option value=\"Singapore\">Singapore<\/option>\n<option
+        value=\"Slovakia\">Slovakia<\/option>\n<option value=\"Slovenia\">Slovenia<\/option>\n<option
+        value=\"Solomon Islands\">Solomon Islands<\/option>\n<option value=\"Somalia\">Somalia<\/option>\n<option
+        value=\"South Africa\">South Africa<\/option>\n<option value=\"South Georgia
+        and the South Sandwich Islands\">South Georgia and the South Sandwich Islands<\/option>\n<option
+        value=\"Spain\">Spain<\/option>\n<option value=\"Sri Lanka\">Sri Lanka<\/option>\n<option
+        value=\"Sudan\">Sudan<\/option>\n<option value=\"Suriname\">Suriname<\/option>\n<option
+        value=\"Svalbard and Jan Mayen\">Svalbard and Jan Mayen<\/option>\n<option
+        value=\"Swaziland\">Swaziland<\/option>\n<option value=\"Sweden\">Sweden<\/option>\n<option
+        value=\"Switzerland\">Switzerland<\/option>\n<option value=\"Syrian Arab Republic\">Syrian
+        Arab Republic<\/option>\n<option value=\"Taiwan, Republic of China\">Taiwan,
+        Republic of China<\/option>\n<option value=\"Tajikistan\">Tajikistan<\/option>\n<option
+        value=\"Tanzania, United Republic of\">Tanzania, United Republic of<\/option>\n<option
+        value=\"Thailand\">Thailand<\/option>\n<option value=\"Timor-leste\">Timor-leste<\/option>\n<option
+        value=\"Togo\">Togo<\/option>\n<option value=\"Tokelau\">Tokelau<\/option>\n<option
+        value=\"Tonga\">Tonga<\/option>\n<option value=\"Trinidad and Tobago\">Trinidad
+        and Tobago<\/option>\n<option value=\"Tunisia\">Tunisia<\/option>\n<option
+        value=\"Turkey\">Turkey<\/option>\n<option value=\"Turkmenistan\">Turkmenistan<\/option>\n<option
+        value=\"Turks and Caicos Islands\">Turks and Caicos Islands<\/option>\n<option
+        value=\"Tuvalu\">Tuvalu<\/option>\n<option value=\"Uganda\">Uganda<\/option>\n<option
+        value=\"Ukraine\">Ukraine<\/option>\n<option value=\"United Arab Emirates\">United
+        Arab Emirates<\/option>\n<option value=\"United Kingdom\">United Kingdom<\/option>\n<option
+        value=\"United States\">United States<\/option>\n<option value=\"United States
+        Minor Outlying Islands\">United States Minor Outlying Islands<\/option>\n<option
+        value=\"Uruguay\">Uruguay<\/option>\n<option value=\"Uzbekistan\">Uzbekistan<\/option>\n<option
+        value=\"Vanuatu\">Vanuatu<\/option>\n<option value=\"Venezuela\">Venezuela<\/option>\n<option
+        value=\"Vietnam\">Vietnam<\/option>\n<option value=\"Virgin Islands, British\">Virgin
+        Islands, British<\/option>\n<option value=\"Virgin Islands, U.S.\">Virgin
+        Islands, U.S.<\/option>\n<option value=\"Wallis and Futuna\">Wallis and Futuna<\/option>\n<option
+        value=\"Western Sahara\">Western Sahara<\/option>\n<option value=\"Yemen\">Yemen<\/option>\n<option
+        value=\"Zambia\">Zambia<\/option>\n<option value=\"Zimbabwe\">Zimbabwe<\/option>\n<option
+        value=\"Kosovo\">Kosovo<\/option>\n<\/select>\n<label class=\"fsSupporting\"
+        for=\"field28564311-country\">Country<\/label>\n<\/div>\n<\/div>\n<div id=\"fsRow1867891-5\"
+        class=\"fsRow fsFieldRow fsLastRow\">\n<div class=\"fsRowBody fsCell fsFieldCell
+        fsFirst fsLast fsLabelVertical fsSpan100\" id=\"fsCell28564312\" lang=\"en\">\n<label
+        id=\"label28564312\" class=\"fsLabel fsRequiredLabel\" for=\"field28564312\">Home
+        Phone<span class=\"fsRequiredMarker\">*<\/span>                                            <\/label>\n<input
+        type=\"tel\" id=\"field28564312\" name=\"field28564312\" size=\"15\" required
+        value=\"\" class=\"fsField fsFormatPhoneUS fsRequired\" aria-required=\"true\"
+        \/>\n<\/div>\n<\/div>\n<div id=\"fsRow1867891-6\" class=\"fsRow fsFieldRow
+        fsLastRow\">\n<div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical
+        fsSpan100\" id=\"fsCell28564313\" lang=\"en\">\n<label id=\"label28564313\"
+        class=\"fsLabel\" for=\"field28564313\">Work Phone                                            <\/label>\n<input
+        type=\"tel\" id=\"field28564313\" name=\"field28564313\" size=\"15\" value=\"\"
+        class=\"fsField fsFormatPhoneUS\" \/>\n<\/div>\n<\/div>\n<div id=\"fsRow1867891-7\"
+        class=\"fsRow fsFieldRow fsLastRow\">\n<div class=\"fsRowBody fsCell fsFieldCell
+        fsFirst fsLast fsLabelVertical fsSpan100\" id=\"fsCell28564314\" lang=\"en\">\n<label
+        id=\"label28564314\" class=\"fsLabel fsRequiredLabel\" for=\"field28564314\">Email<span
+        class=\"fsRequiredMarker\">*<\/span>                                            <\/label>\n<input
+        type=\"email\" id=\"field28564314\" name=\"field28564314\" size=\"50\" required=\"required\"
+        value=\"\" class=\"fsField fsFormatEmail fsRequired\" aria-required=\"true\"
+        \/>\n<\/div>\n<\/div>\n<div id=\"fsRow1867891-8\" class=\"fsRow fsFieldRow
+        fsLastRow\">\n<div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical
+        fsSpan100\" id=\"fsCell28564315\" lang=\"en\">\n<label id=\"label28564315\"
+        class=\"fsLabel\" for=\"field28564315\">Comments                                            <\/label>\n<textarea
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+  recorded_at: Wed, 05 Nov 2014 15:13:31 GMT
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