endeavor.dragonforms.com Open in urlscan Pro
204.180.130.190  Public Scan

Submitted URL: https://endeavor.omeclk.com/portal/wts/ue%5Ec%7C9eh%5EzEqe%7CvN%7C6jCEcEP%5Ehrkofk%5Ecdq3%7Cwn7B%7EeY%5E%7CnbP7yRg0PtQb
Effective URL: https://endeavor.dragonforms.com/loading.do?omedasite=OFFICER_new&r=7230I0525089H2L&pk=OFCREM2303NN04&oly_enc_id=7230I0525089H2L
Submission: On March 27 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST saveNewSubscription.do;jsessionid=30C35B4EFF8DFD04626D0283633005C8;jsessionid=30C35B4EFF8DFD04626D0283633005C8

<form method="post" accept-charset="utf-8" action="saveNewSubscription.do;jsessionid=30C35B4EFF8DFD04626D0283633005C8;jsessionid=30C35B4EFF8DFD04626D0283633005C8" id="standardForm"><input type="hidden" name="14" id="14" value="1"><input type="hidden"
    id="dragonjsessionid" name="dragonjsessionid" value="30C35B4EFF8DFD04626D0283633005C8"><input type="hidden" id="omedasite" name="omedasite" value="OFFICER_new"><input type="hidden" id="shippingaddresscountry" name="shippingaddresscountry"
    value="7">
  <nav class="drgNav nav" style="display: none;"><select>
      <option selected="selected" value="">Go to...</option>
    </select></nav>
  <div class="container contentbg bordertop borderleft borderright borderbottom">
    <header class="row borderbottom headercontainer">
      <div class="twelvecol">
        <span class="logo"><br><br><img src="https://hostedcontent.dragonforms.com/hosted/images/dragon/11120/25631.jpg" alt="OFFICER_logo.jpg"></span>
        <span class="cover"></span>
      </div>
    </header>
    <header class="row">
      <div class="twelvecol">
        <span class="content0">
          <hr>
          <h1>FREE SUBSCRIPTION REQUEST</h1>
          <p>Free print and digital subscriptions are available to qualified U.S. residents only.If you do not reside in the United States to pay for a print subscription please <a href="https://end.dragonforms.com/OFFICER_paid">Click Here</a>. For
            digital <a href="https://end.dragonforms.com/OFFICER_digital">Click Here</a>.</p><span class="spanc24 drg-element-type-standard-field drg-element-sub-type-fieldname-SIGNATURE">
            <p id="p24" class="drg-element-type-standard-field drg-element-sub-type-fieldname-SIGNATURE"><span class="questionlabel ">I would like to receive/continue to receive Officer magazine FREE of charge! <font color="red">*</font>&nbsp;</span>
            </p>
            <ul>
              <li class="licr24_343 lier1629547_343 "><input name="demo1629547" type="radio" value="343" id="id24_343" [-checked1629547_r343-]=""><span class="radiolabel"><label for="id24_343">Yes</label></span></li>
              <li class="licr24_344 lier1629547_344 "><input name="demo1629547" type="radio" value="344" id="id24_344" [-checked1629547_r344-]=""><span class="radiolabel"><label for="id24_344">No</label></span></li>
            </ul>
          </span>
          <hr>
          <p id="p49" class="drg-element-type-standard-field drg-element-sub-type-fieldname-PROMOKEY"><span class="questionlabel "><label for="id49">If you have a Priority Code, please enter it here: </label> </span><input class="drg-field-normal"
              name="demo1629549" type="text" value="OFCREM2303NN04" id="id49" maxlength="30" size="30"></p>If you do not have a Priority Code, leave this field blank.
          <hr>
        </span>
      </div>
    </header>
    <section class="row">
      <div class="twelvecol">
        <section class="content1"></section>
      </div>
    </section>
    <section class="row">
      <div class="twelvecol">
        <section class="validation">
          <ul></ul>
        </section>
      </div>
    </section>
    <section class="row">
      <div class="sixcol">
        <section class="content2">
          <p id="p13" class="drg-element-type-standard-field drg-element-sub-type-fieldname-EMAILADDR addresslabel"><span class="questionlabel "><label for="id13">Email Address <font color="red">*</font></label> </span><input
              class="drg-field-address-normal" name="demo1629552" type="text" value="" id="id13" maxlength="50" size="50"></p>
          <div class="pdne">Please do NOT enter a shared email address.</div><br><br>
          <p id="p28" class="drg-element-type-standard-field drg-element-sub-type-fieldname-EMAILADDRC addresslabel"><span class="questionlabel "><label for="id28">Confirm Email Address <font color="red">*</font></label> </span><input
              class="drg-field-address-normal" name="demo1629554" type="text" value="" id="id28" maxlength="50" size="50"></p>
          <p id="p1" class="drg-element-type-standard-field drg-element-sub-type-fieldname-FIRSTNAME addresslabel"><span class="questionlabel "><label for="id1">First Name <font color="red">*</font></label> </span><input
              class="drg-field-address-normal" name="demo1629555" type="text" value="" id="id1" maxlength="40" size="40"></p>
          <p id="p2" class="drg-element-type-standard-field drg-element-sub-type-fieldname-LASTNAME addresslabel"><span class="questionlabel "><label for="id2">Last Name <font color="red">*</font></label> </span><input
              class="drg-field-address-normal" name="demo1629556" type="text" value="" id="id2" maxlength="40" size="40"></p>
          <p id="p10" class="drg-element-type-standard-field drg-element-sub-type-fieldname-TITLE addresslabel"><span class="questionlabel "><label for="id10">Title <font color="red">*</font></label> </span><input class="drg-field-address-normal"
              name="demo1629557" type="text" value="" id="id10" maxlength="40" size="40"></p>
          <p id="p3" class="drg-element-type-standard-field drg-element-sub-type-fieldname-COMPANY addresslabel"><span class="questionlabel "><label for="id3">Company Name <font color="red">*</font></label> </span><input
              class="drg-field-address-normal" name="demo1629558" type="text" value="" id="id3" maxlength="40" size="40"></p>
          <p id="p4" class="drg-element-type-standard-field drg-element-sub-type-fieldname-ADDRESS addresslabel"><span class="questionlabel "><label for="id4">Street Address <font color="red">*</font></label> </span><input
              class="drg-field-address-normal" name="demo1629559" type="text" value="" id="id4" maxlength="255" size="255"></p>
          <p id="p5" class="drg-element-type-standard-field drg-element-sub-type-fieldname-DEPARTMENT addresslabel"><span class="questionlabel "><label for="id5">Dept/Mail Stop</label> </span><input class="drg-field-address-normal" name="demo1629560"
              type="text" value="" id="id5" maxlength="255" size="255"></p>
          <p id="p6" class="drg-element-type-standard-field drg-element-sub-type-fieldname-CITY addresslabel"><span class="questionlabel "><label for="id6">City <font color="red">*</font></label> </span><input class="drg-field-address-normal"
              name="demo1629561" type="text" value="" id="id6" maxlength="100" size="100"></p><span class="spanc8 drg-element-type-standard-field drg-element-sub-type-fieldname-STATE">
            <p id="p8" class="drg-element-type-standard-field drg-element-sub-type-fieldname-STATE addresslabel"><span class="questionlabel "><label for="id8">State/Province <font color="red">*</font></label>&nbsp;</span><select name="demo1629562"
                id="id8">
                <option value="">Select One</option>
                <option value="1" [-selected1629562_r1-]="">ALABAMA</option>
                <option value="2" [-selected1629562_r2-]="">ALASKA</option>
                <option value="3" [-selected1629562_r3-]="">ARIZONA</option>
                <option value="4" [-selected1629562_r4-]="">ARKANSAS</option>
                <option value="5" [-selected1629562_r5-]="">CALIFORNIA</option>
                <option value="6" [-selected1629562_r6-]="">COLORADO</option>
                <option value="7" [-selected1629562_r7-]="">CONNECTICUT</option>
                <option value="8" [-selected1629562_r8-]="">DELAWARE</option>
                <option value="9" [-selected1629562_r9-]="">DISTRICT OF COLUMBIA</option>
                <option value="10" [-selected1629562_r10-]="">FLORIDA</option>
                <option value="11" [-selected1629562_r11-]="">GEORGIA</option>
                <option value="12" [-selected1629562_r12-]="">HAWAII</option>
                <option value="13" [-selected1629562_r13-]="">IDAHO</option>
                <option value="14" [-selected1629562_r14-]="">ILLINOIS</option>
                <option value="15" [-selected1629562_r15-]="">INDIANA</option>
                <option value="16" [-selected1629562_r16-]="">IOWA</option>
                <option value="17" [-selected1629562_r17-]="">KANSAS</option>
                <option value="18" [-selected1629562_r18-]="">KENTUCKY</option>
                <option value="19" [-selected1629562_r19-]="">LOUISIANA</option>
                <option value="20" [-selected1629562_r20-]="">MAINE</option>
                <option value="21" [-selected1629562_r21-]="">MARYLAND</option>
                <option value="22" [-selected1629562_r22-]="">MASSACHUSETTS</option>
                <option value="23" [-selected1629562_r23-]="">MICHIGAN</option>
                <option value="24" [-selected1629562_r24-]="">MINNESOTA</option>
                <option value="25" [-selected1629562_r25-]="">MISSISSIPPI</option>
                <option value="26" [-selected1629562_r26-]="">MISSOURI</option>
                <option value="27" [-selected1629562_r27-]="">MONTANA</option>
                <option value="28" [-selected1629562_r28-]="">NEBRASKA</option>
                <option value="29" [-selected1629562_r29-]="">NEVADA</option>
                <option value="30" [-selected1629562_r30-]="">NEW HAMPSHIRE</option>
                <option value="31" [-selected1629562_r31-]="">NEW JERSEY</option>
                <option value="32" [-selected1629562_r32-]="">NEW MEXICO</option>
                <option value="33" [-selected1629562_r33-]="">NEW YORK</option>
                <option value="34" [-selected1629562_r34-]="">NORTH CAROLINA</option>
                <option value="35" [-selected1629562_r35-]="">NORTH DAKOTA</option>
                <option value="36" [-selected1629562_r36-]="">OHIO</option>
                <option value="37" [-selected1629562_r37-]="">OKLAHOMA</option>
                <option value="38" [-selected1629562_r38-]="">OREGON</option>
                <option value="39" [-selected1629562_r39-]="">PENNSYLVANIA</option>
                <option value="40" [-selected1629562_r40-]="">RHODE ISLAND</option>
                <option value="41" [-selected1629562_r41-]="">SOUTH CAROLINA</option>
                <option value="42" [-selected1629562_r42-]="">SOUTH DAKOTA</option>
                <option value="43" [-selected1629562_r43-]="">TENNESSEE</option>
                <option value="44" [-selected1629562_r44-]="">TEXAS</option>
                <option value="45" [-selected1629562_r45-]="">UTAH</option>
                <option value="46" [-selected1629562_r46-]="">VERMONT</option>
                <option value="47" [-selected1629562_r47-]="">VIRGIN ISLANDS</option>
                <option value="48" [-selected1629562_r48-]="">VIRGINIA</option>
                <option value="49" [-selected1629562_r49-]="">WASHINGTON</option>
                <option value="50" [-selected1629562_r50-]="">WEST VIRGINIA</option>
                <option value="51" [-selected1629562_r51-]="">WISCONSIN</option>
                <option value="52" [-selected1629562_r52-]="">WYOMING</option>
                <option value="53" [-selected1629562_r53-]="">American Samoa</option>
                <option value="54" [-selected1629562_r54-]="">Guam</option>
                <option value="56" [-selected1629562_r56-]="">Micronesia (Federated States of)</option>
                <option value="58" [-selected1629562_r58-]="">Puerto Rico</option>
                <option value="59" [-selected1629562_r59-]="">U.S. Minor Outlying Islands</option>
                <option value="60" [-selected1629562_r60-]="">NORTHERN MARIANA ISLANDS</option>
                <option value="61" [-selected1629562_r61-]="">Armed Forces Africa</option>
                <option value="62" [-selected1629562_r62-]="">Armed Forces Americas AA (except Canada)</option>
                <option value="63" [-selected1629562_r63-]="">Armed Forces Canada</option>
                <option value="64" [-selected1629562_r64-]="">Armed Forces Europe AE</option>
                <option value="65" [-selected1629562_r65-]="">Armed Forces Middle East AE</option>
                <option value="66" [-selected1629562_r66-]="">Armed Forces Pacific AP</option>
                <option value="67" [-selected1629562_r67-]="">ALBERTA</option>
                <option value="68" [-selected1629562_r68-]="">NOVA SCOTIA</option>
                <option value="69" [-selected1629562_r69-]="">BRITISH COLUMBIA</option>
                <option value="70" [-selected1629562_r70-]="">ONTARIO</option>
                <option value="71" [-selected1629562_r71-]="">MANITOBA</option>
                <option value="72" [-selected1629562_r72-]="">PRINCE EDWARD ISLAND</option>
                <option value="73" [-selected1629562_r73-]="">NEW BRUNSWICK</option>
                <option value="74" [-selected1629562_r74-]="">QUEBEC</option>
                <option value="75" [-selected1629562_r75-]="">NEWFOUNDLAND</option>
                <option value="76" [-selected1629562_r76-]="">SASKATCHEWAN</option>
                <option value="77" [-selected1629562_r77-]="">NORTHWEST TERRITORIES</option>
                <option value="78" [-selected1629562_r78-]="">YUKON TERRITORY</option>
                <option value="79" [-selected1629562_r79-]="">NUNAVUT</option>
                <option value="1002" [-selected1629562_r1002-]="">FOREIGN</option>
              </select></p>
          </span><span class="spanc7 drg-element-type-standard-field drg-element-sub-type-fieldname-COUNTRY">
            <p id="p7" class="drg-element-type-standard-field drg-element-sub-type-fieldname-COUNTRY addresslabel"><span class="questionlabel "><label for="id7">Country <font color="red">*</font></label>&nbsp;</span><select name="demo1629563"
                id="id7">
                <option value="">Select One</option>
                <option value="80" [-selected1629563_r80-]="">UNITED STATES</option>
                <option value="81" [-selected1629563_r81-]="">CANADA</option>
                <option value="84" [-selected1629563_r84-]="">AFGHANISTAN</option>
                <option value="86" [-selected1629563_r86-]="">ALBANIA</option>
                <option value="87" [-selected1629563_r87-]="">ALGERIA</option>
                <option value="89" [-selected1629563_r89-]="">ANDORRA</option>
                <option value="90" [-selected1629563_r90-]="">ANGOLA</option>
                <option value="91" [-selected1629563_r91-]="">ANGUILLA</option>
                <option value="350" [-selected1629563_r350-]="">ANTARCTICA</option>
                <option value="92" [-selected1629563_r92-]="">ANTIGUA</option>
                <option value="93" [-selected1629563_r93-]="">ARGENTINA</option>
                <option value="94" [-selected1629563_r94-]="">ARMENIA</option>
                <option value="95" [-selected1629563_r95-]="">ARUBA</option>
                <option value="96" [-selected1629563_r96-]="">ASCENSION IS</option>
                <option value="97" [-selected1629563_r97-]="">AUSTRALIA</option>
                <option value="98" [-selected1629563_r98-]="">AUSTRIA</option>
                <option value="99" [-selected1629563_r99-]="">AZERBAIJAN</option>
                <option value="101" [-selected1629563_r101-]="">BAHAMAS</option>
                <option value="102" [-selected1629563_r102-]="">BAHRAIN</option>
                <option value="103" [-selected1629563_r103-]="">BANGLADESH</option>
                <option value="104" [-selected1629563_r104-]="">BARBADOS</option>
                <option value="106" [-selected1629563_r106-]="">BELARUS</option>
                <option value="108" [-selected1629563_r108-]="">BELGIUM</option>
                <option value="109" [-selected1629563_r109-]="">BELIZE</option>
                <option value="110" [-selected1629563_r110-]="">BENIN</option>
                <option value="111" [-selected1629563_r111-]="">BERMUDA</option>
                <option value="112" [-selected1629563_r112-]="">BHUTAN</option>
                <option value="113" [-selected1629563_r113-]="">BOLIVIA</option>
                <option value="115" [-selected1629563_r115-]="">BOSNIA-HERZEGOVINA</option>
                <option value="116" [-selected1629563_r116-]="">BOTSWANA</option>
                <option value="117" [-selected1629563_r117-]="">BRAZIL</option>
                <option value="351" [-selected1629563_r351-]="">BRITISH INDIAN OCEAN TERRITORY</option>
                <option value="118" [-selected1629563_r118-]="">BRITISH VIRGIN IS</option>
                <option value="120" [-selected1629563_r120-]="">BRUNEI</option>
                <option value="121" [-selected1629563_r121-]="">BULGARIA</option>
                <option value="122" [-selected1629563_r122-]="">BURKINA FASO</option>
                <option value="123" [-selected1629563_r123-]="">BURUNDI</option>
                <option value="124" [-selected1629563_r124-]="">CAMBODIA</option>
                <option value="125" [-selected1629563_r125-]="">CAMEROON</option>
                <option value="127" [-selected1629563_r127-]="">CAPE VERDE ISLANDS</option>
                <option value="128" [-selected1629563_r128-]="">CAYMAN ISLANDS</option>
                <option value="129" [-selected1629563_r129-]="">CENTRAL AFRICAN REP</option>
                <option value="130" [-selected1629563_r130-]="">CHAD</option>
                <option value="134" [-selected1629563_r134-]="">CHILE</option>
                <option value="135" [-selected1629563_r135-]="">CHINA</option>
                <option value="136" [-selected1629563_r136-]="">COCO ISLAND</option>
                <option value="137" [-selected1629563_r137-]="">COLOMBIA</option>
                <option value="138" [-selected1629563_r138-]="">COMOROS</option>
                <option value="139" [-selected1629563_r139-]="">CONGO</option>
                <option value="141" [-selected1629563_r141-]="">COOK ISLANDS</option>
                <option value="142" [-selected1629563_r142-]="">COSTA RICA</option>
                <option value="143" [-selected1629563_r143-]="">CROATIA</option>
                <option value="144" [-selected1629563_r144-]="">CUBA</option>
                <option value="145" [-selected1629563_r145-]="">CYPRUS</option>
                <option value="146" [-selected1629563_r146-]="">CZECH REPUBLIC</option>
                <option value="147" [-selected1629563_r147-]="">DENMARK</option>
                <option value="148" [-selected1629563_r148-]="">DJIBOUTI</option>
                <option value="149" [-selected1629563_r149-]="">DOMINICA</option>
                <option value="150" [-selected1629563_r150-]="">DOMINICAN REPUBLIC</option>
                <option value="151" [-selected1629563_r151-]="">EAST TIMOR</option>
                <option value="152" [-selected1629563_r152-]="">ECUADOR</option>
                <option value="153" [-selected1629563_r153-]="">EGYPT</option>
                <option value="154" [-selected1629563_r154-]="">EL SALVADOR</option>
                <option value="156" [-selected1629563_r156-]="">ERITREA</option>
                <option value="157" [-selected1629563_r157-]="">ESTONIA</option>
                <option value="158" [-selected1629563_r158-]="">ETHIOPIA</option>
                <option value="159" [-selected1629563_r159-]="">FAEROE ISLANDS</option>
                <option value="160" [-selected1629563_r160-]="">FALKLAND ISLANDS</option>
                <option value="161" [-selected1629563_r161-]="">FIJI</option>
                <option value="162" [-selected1629563_r162-]="">FINLAND</option>
                <option value="163" [-selected1629563_r163-]="">FRANCE</option>
                <option value="164" [-selected1629563_r164-]="">FRENCH GUIANA</option>
                <option value="165" [-selected1629563_r165-]="">FRENCH POLYNESIA</option>
                <option value="168" [-selected1629563_r168-]="">GABON</option>
                <option value="169" [-selected1629563_r169-]="">GAMBIA</option>
                <option value="171" [-selected1629563_r171-]="">GEORGIA</option>
                <option value="172" [-selected1629563_r172-]="">GERMANY</option>
                <option value="173" [-selected1629563_r173-]="">GHANA</option>
                <option value="174" [-selected1629563_r174-]="">GIBRALTAR</option>
                <option value="176" [-selected1629563_r176-]="">GREECE</option>
                <option value="177" [-selected1629563_r177-]="">GREENLAND</option>
                <option value="178" [-selected1629563_r178-]="">GRENADA</option>
                <option value="179" [-selected1629563_r179-]="">GUADELOUPE</option>
                <option value="180" [-selected1629563_r180-]="">GUATEMALA</option>
                <option value="181" [-selected1629563_r181-]="">GUERNSEY</option>
                <option value="182" [-selected1629563_r182-]="">GUINEA</option>
                <option value="183" [-selected1629563_r183-]="">GUYANA</option>
                <option value="184" [-selected1629563_r184-]="">HAITI</option>
                <option value="185" [-selected1629563_r185-]="">HONDURAS</option>
                <option value="186" [-selected1629563_r186-]="">HONG KONG</option>
                <option value="187" [-selected1629563_r187-]="">HUNGARY</option>
                <option value="188" [-selected1629563_r188-]="">ICELAND</option>
                <option value="189" [-selected1629563_r189-]="">INDIA</option>
                <option value="190" [-selected1629563_r190-]="">INDONESIA</option>
                <option value="191" [-selected1629563_r191-]="">IRAN</option>
                <option value="192" [-selected1629563_r192-]="">IRAQ</option>
                <option value="193" [-selected1629563_r193-]="">IRELAND</option>
                <option value="194" [-selected1629563_r194-]="">ISLE OF MAN</option>
                <option value="195" [-selected1629563_r195-]="">ISRAEL</option>
                <option value="196" [-selected1629563_r196-]="">ITALY</option>
                <option value="197" [-selected1629563_r197-]="">IVORY COAST</option>
                <option value="198" [-selected1629563_r198-]="">JAMAICA</option>
                <option value="199" [-selected1629563_r199-]="">JAPAN</option>
                <option value="200" [-selected1629563_r200-]="">JORDAN</option>
                <option value="201" [-selected1629563_r201-]="">KAZAKHSTAN</option>
                <option value="202" [-selected1629563_r202-]="">KENYA</option>
                <option value="204" [-selected1629563_r204-]="">KIRIBATI</option>
                <option value="206" [-selected1629563_r206-]="">KUWAIT</option>
                <option value="207" [-selected1629563_r207-]="">KYRGYZSTAN</option>
                <option value="208" [-selected1629563_r208-]="">LAOS</option>
                <option value="209" [-selected1629563_r209-]="">LATVIA</option>
                <option value="210" [-selected1629563_r210-]="">LEBANON</option>
                <option value="211" [-selected1629563_r211-]="">LESOTHO</option>
                <option value="212" [-selected1629563_r212-]="">LIBERIA</option>
                <option value="213" [-selected1629563_r213-]="">LIBYA</option>
                <option value="214" [-selected1629563_r214-]="">LIECHTENSTEIN</option>
                <option value="215" [-selected1629563_r215-]="">LITHUANIA</option>
                <option value="216" [-selected1629563_r216-]="">LUXEMBOURG</option>
                <option value="217" [-selected1629563_r217-]="">MACAO</option>
                <option value="218" [-selected1629563_r218-]="">MACEDONIA</option>
                <option value="219" [-selected1629563_r219-]="">MADAGASCAR</option>
                <option value="221" [-selected1629563_r221-]="">MALAWI</option>
                <option value="222" [-selected1629563_r222-]="">MALAYSIA</option>
                <option value="223" [-selected1629563_r223-]="">MALDIVES</option>
                <option value="224" [-selected1629563_r224-]="">MALI</option>
                <option value="225" [-selected1629563_r225-]="">MALTA</option>
                <option value="226" [-selected1629563_r226-]="">MARSHALL ISLANDS</option>
                <option value="227" [-selected1629563_r227-]="">MARTINIQUE</option>
                <option value="228" [-selected1629563_r228-]="">MAURITANIA</option>
                <option value="229" [-selected1629563_r229-]="">MAURITIUS</option>
                <option value="230" [-selected1629563_r230-]="">MAYOTTE</option>
                <option value="231" [-selected1629563_r231-]="">MEXICO</option>
                <option value="232" [-selected1629563_r232-]="">MICRONESIA</option>
                <option value="233" [-selected1629563_r233-]="">MOLDOVA</option>
                <option value="235" [-selected1629563_r235-]="">MONACO</option>
                <option value="236" [-selected1629563_r236-]="">MONGOLIA</option>
                <option value="237" [-selected1629563_r237-]="">MONTENEGRO</option>
                <option value="238" [-selected1629563_r238-]="">MONTSERRAT</option>
                <option value="239" [-selected1629563_r239-]="">MOROCCO</option>
                <option value="240" [-selected1629563_r240-]="">MOZAMBIQUE</option>
                <option value="241" [-selected1629563_r241-]="">MYANMAR</option>
                <option value="242" [-selected1629563_r242-]="">NAMIBIA</option>
                <option value="243" [-selected1629563_r243-]="">NAURU</option>
                <option value="244" [-selected1629563_r244-]="">NEPAL</option>
                <option value="245" [-selected1629563_r245-]="">NETHERLAND ANTILLES</option>
                <option value="246" [-selected1629563_r246-]="">NETHERLANDS</option>
                <option value="248" [-selected1629563_r248-]="">NEW CALEDONIA</option>
                <option value="249" [-selected1629563_r249-]="">NEW GUINEA</option>
                <option value="250" [-selected1629563_r250-]="">NEW ZEALAND</option>
                <option value="251" [-selected1629563_r251-]="">NICARAGUA</option>
                <option value="252" [-selected1629563_r252-]="">NIGER</option>
                <option value="253" [-selected1629563_r253-]="">NIGERIA</option>
                <option value="254" [-selected1629563_r254-]="">NORTH KOREA</option>
                <option value="256" [-selected1629563_r256-]="">NORWAY</option>
                <option value="257" [-selected1629563_r257-]="">OMAN</option>
                <option value="259" [-selected1629563_r259-]="">PAKISTAN</option>
                <option value="260" [-selected1629563_r260-]="">PALAU</option>
                <option value="261" [-selected1629563_r261-]="">PALESTINE</option>
                <option value="262" [-selected1629563_r262-]="">PANAMA</option>
                <option value="264" [-selected1629563_r264-]="">PARAGUAY</option>
                <option value="265" [-selected1629563_r265-]="">PERU</option>
                <option value="266" [-selected1629563_r266-]="">PHILIPPINES</option>
                <option value="268" [-selected1629563_r268-]="">PITCAIRN IS</option>
                <option value="269" [-selected1629563_r269-]="">POLAND</option>
                <option value="270" [-selected1629563_r270-]="">PORTUGAL</option>
                <option value="271" [-selected1629563_r271-]="">QATAR</option>
                <option value="272" [-selected1629563_r272-]="">REUNION</option>
                <option value="273" [-selected1629563_r273-]="">ROMANIA</option>
                <option value="274" [-selected1629563_r274-]="">RUSSIA</option>
                <option value="275" [-selected1629563_r275-]="">RWANDA</option>
                <option value="276" [-selected1629563_r276-]="">SAN MARINO</option>
                <option value="277" [-selected1629563_r277-]="">SAO TOME E PRINCIPE</option>
                <option value="279" [-selected1629563_r279-]="">SAUDI ARABIA</option>
                <option value="281" [-selected1629563_r281-]="">SENEGAL</option>
                <option value="282" [-selected1629563_r282-]="">SERBIA</option>
                <option value="283" [-selected1629563_r283-]="">SEYCHELLES</option>
                <option value="284" [-selected1629563_r284-]="">SIERRA LEONE</option>
                <option value="285" [-selected1629563_r285-]="">SINGAPORE</option>
                <option value="286" [-selected1629563_r286-]="">SLOVAK REPUBLIC</option>
                <option value="287" [-selected1629563_r287-]="">SLOVENIA</option>
                <option value="288" [-selected1629563_r288-]="">SOLOMON ISLANDS</option>
                <option value="289" [-selected1629563_r289-]="">SOMALIA</option>
                <option value="290" [-selected1629563_r290-]="">SOUTH AFRICA</option>
                <option value="291" [-selected1629563_r291-]="">SOUTH KOREA</option>
                <option value="292" [-selected1629563_r292-]="">SPAIN</option>
                <option value="293" [-selected1629563_r293-]="">SRI LANKA</option>
                <option value="294" [-selected1629563_r294-]="">ST CROIX</option>
                <option value="295" [-selected1629563_r295-]="">ST KITTS</option>
                <option value="296" [-selected1629563_r296-]="">ST LUCIA</option>
                <option value="298" [-selected1629563_r298-]="">ST MARTIN</option>
                <option value="299" [-selected1629563_r299-]="">ST PIERRE</option>
                <option value="300" [-selected1629563_r300-]="">ST VINCENT</option>
                <option value="301" [-selected1629563_r301-]="">SUDAN</option>
                <option value="302" [-selected1629563_r302-]="">SURINAME</option>
                <option value="303" [-selected1629563_r303-]="">SWAZILAND</option>
                <option value="304" [-selected1629563_r304-]="">SWEDEN</option>
                <option value="305" [-selected1629563_r305-]="">SWITZERLAND</option>
                <option value="306" [-selected1629563_r306-]="">SYRIA</option>
                <option value="308" [-selected1629563_r308-]="">TAIWAN</option>
                <option value="309" [-selected1629563_r309-]="">TAJIKISTAN</option>
                <option value="310" [-selected1629563_r310-]="">TANZANIA</option>
                <option value="312" [-selected1629563_r312-]="">THAILAND</option>
                <option value="314" [-selected1629563_r314-]="">TOGO</option>
                <option value="315" [-selected1629563_r315-]="">TONGA</option>
                <option value="316" [-selected1629563_r316-]="">TRINIDAD AND TOBAGO</option>
                <option value="317" [-selected1629563_r317-]="">TUNISIA</option>
                <option value="318" [-selected1629563_r318-]="">TURKEY</option>
                <option value="319" [-selected1629563_r319-]="">TURKMENISTAN</option>
                <option value="320" [-selected1629563_r320-]="">TURKS ISLAND</option>
                <option value="321" [-selected1629563_r321-]="">TUVALU</option>
                <option value="322" [-selected1629563_r322-]="">UGANDA</option>
                <option value="323" [-selected1629563_r323-]="">UKRAINE</option>
                <option value="324" [-selected1629563_r324-]="">UNITED ARAB EMIRATES</option>
                <option value="749" [-selected1629563_r749-]="">UNITED KINGDOM</option>
                <option value="325" [-selected1629563_r325-]="">URUGUAY</option>
                <option value="326" [-selected1629563_r326-]="">UZBEKISTAN</option>
                <option value="327" [-selected1629563_r327-]="">VANUATU</option>
                <option value="328" [-selected1629563_r328-]="">VATICAN CITY</option>
                <option value="329" [-selected1629563_r329-]="">VENEZUELA</option>
                <option value="330" [-selected1629563_r330-]="">VIETNAM</option>
                <option value="332" [-selected1629563_r332-]="">WALLIS ISLAND</option>
                <option value="333" [-selected1629563_r333-]="">WESTERN SAHARA</option>
                <option value="334" [-selected1629563_r334-]="">WESTERN SAMOA</option>
                <option value="335" [-selected1629563_r335-]="">YEMEN</option>
                <option value="336" [-selected1629563_r336-]="">ZAIRE</option>
                <option value="337" [-selected1629563_r337-]="">ZAMBIA</option>
                <option value="338" [-selected1629563_r338-]="">ZIMBABWE</option>
              </select></p>
          </span>
          <p id="p9" class="drg-element-type-standard-field drg-element-sub-type-fieldname-ZIP addresslabel"><span class="questionlabel "><label for="id9">Zip/Postal Code <font color="red">*</font></label> </span><input
              class="drg-field-address-normal" name="demo1629564" type="text" value="" id="id9" maxlength="9" size="9"></p>
          <p id="p11" class="drg-element-type-standard-field drg-element-sub-type-fieldname-PHONE addresslabel"><span class="questionlabel "><label for="id11">Business Phone</label> </span><input class="drg-field-address-normal" name="demo1629565"
              type="text" onkeyup="this.value = this.value.replace(/\D/g,'');" value="" id="id11" maxlength="32" size="32"></p>
          <p id="p124" class="drg-element-type-standard-field drg-element-sub-type-fieldname-PHONE_MOBILE addresslabel"><span class="questionlabel "><label for="id124">Business Cell Phone</label> </span><input class="drg-field-address-normal"
              name="demo1629566" type="text" onkeyup="this.value = this.value.replace(/\D/g,'');" value="" id="id124" maxlength="20" size="20"></p>
          <p id="p12" class="drg-element-type-standard-field drg-element-sub-type-fieldname-FAX addresslabel"><span class="questionlabel "><label for="id12">Business Fax</label> </span><input class="drg-field-address-normal" name="demo1629567"
              type="text" onkeyup="this.value = this.value.replace(/\D/g,'');" value="" id="id12" maxlength="32" size="32"></p>
          <div id="disp1629568" style="display:none;"><span class="spanc5073843 drg-element-type-demographic drg-element-sub-type-type-1">
              <p id="p5073843" class="drg-element-type-demographic drg-element-sub-type-type-1"><span class="questionlabel ">EU Consent Demo&nbsp;</span></p>
              <ul>
                <li class="licr5073843_5088459 lier1629568_5088459 "><input name="demo1629568" type="checkbox" value="5088459" id="id5073843_5088459"><span class="checkboxlabel"><label for="id5073843_5088459">Yes, Endeavor Business Media may use my
                      contact information consistent with Endeavor's <a href="https://www.endeavorbusinessmedia.com/privacy-policy?oly_anon_id=8b61fc2c-40cd-48e6-98e6-f72a4f04ca23&amp;oly_enc_id=7230I0525089H2L">Privacy Policy</a> to communicate with
                      me by email or telephone about other offerings by Endeavor, its brands, affiliates &amp;/or third-party partners that may be of interest to businesses and individual participants in my industry. You may unsubscribe at any time
                      by emailing <a href="mailto:emailsolutions@endeavorb2b.com?oly_anon_id=8b61fc2c-40cd-48e6-98e6-f72a4f04ca23&amp;oly_enc_id=7230I0525089H2L">emailsolutions@endeavorb2b.com</a>.</label></span></li>
              </ul>
            </span></div>
          <div id="disp1629569" style="display:none;"><span class="spanc5073844 drg-element-type-demographic drg-element-sub-type-type-1">
              <p id="p5073844" class="drg-element-type-demographic drg-element-sub-type-type-1"><span class="questionlabel "><br>&nbsp;</span></p>
              <ul>
                <li class="licr5073844_5086490 lier1629569_5086490 "><input name="demo1629569" type="checkbox" value="5086490" id="id5073844_5086490" checked=""><span class="checkboxlabel"><label for="id5073844_5086490">Yes, I want to stay current
                      with industry leading news, events and promotions from Endeavor Business Media and its trusted partners.</label></span></li>
              </ul>
            </span></div>
        </section>
      </div>
      <div class="sixcol last">
        <section class="content3"></section>
      </div>
    </section>
    <section class="row">
      <div class="twelvecol">
        <section class="content4">
          <hr>
          <div id="disp1629571" style="display:none;"><span class="spanc112 drg-element-type-standard-field drg-element-sub-type-fieldname-REQUESTED_VERSION">
              <p id="p112" class="drg-element-type-standard-field drg-element-sub-type-fieldname-REQUESTED_VERSION"><span class="questionlabel ">Do you prefer: <font color="red">*</font>&nbsp;</span></p>
              <ul>
                <li class="licr112_998 lier1629571_998 "><input name="demo1629571" type="radio" value="998" id="id112_998" [-checked1629571_r998-]=""><span class="radiolabel"><label for="id112_998">Print Version</label></span></li>
                <li class="licr112_999 lier1629571_999 "><input name="demo1629571" type="radio" value="999" id="id112_999" [-checked1629571_r999-]=""><span class="radiolabel"><label for="id112_999">Digital Version</label></span></li>
              </ul>
            </span></div>
          <div id="disp1629572" style="display:none;"><span class="spanc112 drg-element-type-standard-field drg-element-sub-type-fieldname-REQUESTED_VERSION">
              <p id="p112" class="drg-element-type-standard-field drg-element-sub-type-fieldname-REQUESTED_VERSION"><span class="questionlabel ">Do you prefer: <font color="red">*</font>&nbsp;</span></p>
              <ul>
                <li class="licr112_999 lier1629572_999 "><input name="demo1629572" type="radio" value="999" id="id112_999" [-checked1629572_r999-]=""><span class="radiolabel"><label for="id112_999">Digital</label></span></li>
              </ul>
            </span></div><span class="spanc5074174 drg-element-type-demographic drg-element-sub-type-type-1">
            <p id="p5074174" class="drg-element-type-demographic drg-element-sub-type-type-1"><span class="questionlabel ">What category best describes your department or agency? <font color="red">*</font>&nbsp;</span></p>
            <ul>
              <li class="licr5074174_5088584 lier1629573_5088584 "><input name="demo1629573" type="radio" value="5088584" id="id5074174_5088584"><span class="radiolabel"><label for="id5074174_5088584">Municipal Police, School District
                    Police</label></span></li>
              <li class="licr5074174_5088588 lier1629573_5088588 "><input name="demo1629573" type="radio" value="5088588" id="id5074174_5088588"><span class="radiolabel"><label for="id5074174_5088588">Sheriff's Office, County Police
                    Department</label></span></li>
              <li class="licr5074174_5088587 lier1629573_5088587 "><input name="demo1629573" type="radio" value="5088587" id="id5074174_5088587"><span class="radiolabel"><label for="id5074174_5088587">State Police Department</label></span></li>
              <li class="licr5074174_5088586 lier1629573_5088586 "><input name="demo1629573" type="radio" value="5088586" id="id5074174_5088586"><span class="radiolabel"><label for="id5074174_5088586">Federal Agency</label></span></li>
              <li class="licr5074174_5088593 lier1629573_5088593 "><input name="demo1629573" type="radio" value="5088593" id="id5074174_5088593"><span class="radiolabel"><label for="id5074174_5088593">Homeland Security, Border Patrol,
                    ICE</label></span></li>
              <li class="licr5074174_5088592 lier1629573_5088592 "><input name="demo1629573" type="radio" value="5088592" id="id5074174_5088592"><span class="radiolabel"><label for="id5074174_5088592">Military</label></span></li>
              <li class="licr5074174_5088591 lier1629573_5088591 "><input name="demo1629573" type="radio" value="5088591" id="id5074174_5088591"><span class="radiolabel"><label for="id5074174_5088591">Police attached to other government
                    unit</label></span></li>
              <li class="licr5074174_5088590 lier1629573_5088590 "><input name="demo1629573" type="radio" value="5088590" id="id5074174_5088590"><span class="radiolabel"><label for="id5074174_5088590">Training Academy, School</label></span></li>
              <li class="licr5074174_5088582 lier1629573_5088582 "><input name="demo1629573" type="radio" value="5088582" id="id5074174_5088582"><span class="radiolabel"><label for="id5074174_5088582">Correctional Agency, Parole
                    Officer</label></span></li>
              <li class="licr5074174_5088581 lier1629573_5088581 "><input name="demo1629573" type="radio" value="5088581" id="id5074174_5088581"><span class="radiolabel"><label for="id5074174_5088581">Private Investigation</label></span></li>
              <li class="licr5074174_5088580 lier1629573_5088580 "><input name="demo1629573" type="radio" value="5088580" id="id5074174_5088580"><span class="radiolabel"><label for="id5074174_5088580">Private Security Patrol &amp; Protective
                    Services</label></span></li>
              <li class="licr5074174_5088589 lier1629573_5088589 "><input name="demo1629573" type="radio" value="5088589" id="id5074174_5088589"><span class="radiolabel"><label for="id5074174_5088589">Security Product Manufacturer, Retail,
                    Exporter</label></span></li>
              <li class="licr5074174_5088585 lier1629573_5088585 "><input name="demo1629573" type="radio" value="5088585" id="id5074174_5088585"><span class="radiolabel "><label for="id5074174_5088585">Other (please describe)</label></span><span
                  id="other5088585" class="otherfillin"><span id="otherfillinid_r5088585" class="otherfillinlabel [-HIGHLIGHT_r5088585-]"></span><input name="demo1629573_r5088585" type="text" value="" id="id_r5088585" maxlength="50" size="50"></span>
              </li>
            </ul>
          </span><span class="spanc5074175 drg-element-type-demographic drg-element-sub-type-type-1">
            <p id="p5074175" class="drg-element-type-demographic drg-element-sub-type-type-1"><span class="questionlabel "><label for="id5074175">Which category best describes your job title? <font color="red">*</font></label>&nbsp;</span><select
                name="demo1629574" id="id5074175">
                <option value="">Select...</option>
                <option value="5088609">Chief, Sheriff, Marshal and related personnel</option>
                <option value="5088600">Admin,Dir,Purch Agent Civilian sup police,Sec Serv</option>
                <option value="5088598">Chief Dep, Dep Chief, Dep Commander &amp; related pers</option>
                <option value="5088597">Major,Capt, Lieutenant,Sergeant,Corp, Head super</option>
                <option value="5088606">Head or Supervisor Specialized line, Staff unit</option>
                <option value="5088605">Member Specialized line, Staff Unit related person</option>
                <option value="5088604">Special Ops Div or Command, SWAT, Tactical related</option>
                <option value="5088603">Investigator, Detective,Inspector related personel</option>
                <option value="5088596">Patrol,Deputy,Officer,Trooper,Ranger,Marshal,Agent</option>
                <option value="5088595">Corrections Officer and related personnel</option>
                <option value="5088594">CSI, Forensics</option>
                <option value="5088602">911, Dispatch</option>
                <option value="5088601">Purchasing Agent,Assistants,Supervisors related</option>
                <option value="5088599">Training Officer and related personnel</option>
                <option value="5088607">Other (please describe)</option>
              </select></p>
          </span>
          <div id="other5088607" class="otherfillin" style="display: none;">
            <p id="p5088607"><span id="otherfillinid_r5088607" class="otherfillinlabelomeda">Other (please describe)</span><input name="demo1629574_r5088607" type="text" value="" id="id_r5088607" maxlength="50" size="50"></p>
          </div><span class="spanc5074176 drg-element-type-demographic drg-element-sub-type-type-1">
            <p id="p5074176" class="drg-element-type-demographic drg-element-sub-type-type-1"><span class="questionlabel "><label for="id5074176">Please indicate the population your department serves:</label>&nbsp;</span><select name="demo1629575"
                id="id5074176">
                <option value="">Select...</option>
                <option value="5088614">Under 2,500</option>
                <option value="5088615">2,500-9,999</option>
                <option value="5088612">10,000-49,999</option>
                <option value="5088610">50,000-99,999</option>
                <option value="5088619">100,000-249,999</option>
                <option value="5088618">250,000-499,999</option>
                <option value="5088617">500,000-999,999</option>
                <option value="5088616">1 million or more</option>
              </select></p>
          </span>
          <hr><br><span class="questionlabel">To make sure you are receiving our latest eNewsletters, please check the boxes below to confirm:</span><br>
          <div id="pp38" class="drg-element-type-product drg-element-sub-type-type-2"><input name="opt1629578" type="checkbox" value="1" id="optp38" [-checkedopt1629578-]=""><span class="questionlabel "><label
                for="optp38">Newsday</label>&nbsp;</span>
            <div id="longp38" class="longdescopt" style="display:none"></div>
          </div>
          <div id="pp37" class="drg-element-type-product drg-element-sub-type-type-2"><input name="opt1629579" type="checkbox" value="1" id="optp37" [-checkedopt1629579-]=""><span class="questionlabel "><label for="optp37">OFFICER
                Newsletter</label>&nbsp;</span>
            <div id="longp37" class="longdescopt" style="display:none"></div>
          </div>
          <div id="pp36" class="drg-element-type-product drg-element-sub-type-type-2"><input name="opt1629580" type="checkbox" value="1" id="optp36" [-checkedopt1629580-]=""><span class="questionlabel "><label for="optp36">OFFICER Product
                Newsletter</label>&nbsp;</span>
            <div id="longp36" class="longdescopt" style="display:none"></div>
          </div>
          <div id="pp13969" class="drg-element-type-product drg-element-sub-type-type-2"><input name="opt1629581" type="checkbox" value="1" id="optp13969" [-checkedopt1629581-]=""><span class="questionlabel "><label for="optp13969">Command Staff
                Briefing</label>&nbsp;</span>
            <div id="longp13969" class="longdescopt" style="display:none"></div>
          </div>
          <div id="pp13970" class="drg-element-type-product drg-element-sub-type-type-2"><input name="opt1629582" type="checkbox" value="1" id="optp13970" [-checkedopt1629582-]=""><span class="questionlabel "><label for="optp13970">Tactical &amp;
                SpecOps Updates</label>&nbsp;</span>
            <div id="longp13970" class="longdescopt" style="display:none"></div>
          </div>
          <div id="pp21235" class="drg-element-type-product drg-element-sub-type-type-2"><input name="opt1629583" type="checkbox" value="1" id="optp21235" [-checkedopt1629583-]=""><span class="questionlabel "><label for="optp21235">Technology
                Today</label>&nbsp;</span>
            <div id="longp21235" class="longdescopt" style="display:none"></div>
          </div>
          <div id="pp16114" class="drg-element-type-product drg-element-sub-type-type-2"><input name="opt1629584" type="checkbox" value="1" id="optp16114" [-checkedopt1629584-]=""><span class="questionlabel "><label for="optp16114">OFFICER
                Stations</label>&nbsp;</span>
            <div id="longp16114" class="longdescopt" style="display:none"></div>
          </div>
          <div id="pp13667" class="drg-element-type-product drg-element-sub-type-type-2"><input name="opt1629586" type="checkbox" value="1" id="optp13667" [-checkedopt1629586-]=""><span class="questionlabel "><label for="optp13667">OFFICER.com
                Product Showcase</label>&nbsp;</span>
            <div id="longp13667" class="longdescopt" style="display:none"></div>
          </div>
          <div id="pp41" class="drg-element-type-product drg-element-sub-type-type-2"><input name="opt1629587" type="checkbox" value="1" id="optp41" [-checkedopt1629587-]=""><span class="questionlabel "><label for="optp41">Officer
                Down</label>&nbsp;</span>
            <div id="longp41" class="longdescopt" style="display:none"></div>
          </div>
          <hr><br><br><span class="questionlabel">Who else at your location would like their own FREE subscription of <strong>Officer</strong>?</span>
          <ul class="groupul">
            <li class="groupinline">
              <p id="p1" class="drg-element-type-standard-field drg-element-sub-type-fieldname-FIRSTNAME addresslabel"><span class="questionlabel "><label for="id1">First Name</label> </span><input class="drg-field-address-normal"
                  name="demo1629590_1" type="text" value="" id="id1" maxlength="40" size="40"></p>
            </li>
            <li class="groupinline">
              <p id="p2" class="drg-element-type-standard-field drg-element-sub-type-fieldname-LASTNAME addresslabel"><span class="questionlabel "><label for="id2">Last Name</label> </span><input class="drg-field-address-normal" name="demo1629591_1"
                  type="text" value="" id="id2" maxlength="40" size="40"></p>
            </li>
            <li class="groupinline"><span class="spanc5074175 drg-element-type-demographic drg-element-sub-type-type-1">
                <p id="p5074175" class="drg-element-type-demographic drg-element-sub-type-type-1"><span class="questionlabel "><label for="id5074175">Which category best describes your job title?</label>&nbsp;</span><select name="demo1629592_1"
                    id="id5074175">
                    <option value="">Select...</option>
                    <option value="5088609_1" [-selected1629592_r5088609_1-]="">Chief, Sheriff, Marshal and related personnel</option>
                    <option value="5088600_1" [-selected1629592_r5088600_1-]="">Admin,Dir,Purch Agent Civilian sup police,Sec Serv</option>
                    <option value="5088598_1" [-selected1629592_r5088598_1-]="">Chief Dep, Dep Chief, Dep Commander &amp; related pers</option>
                    <option value="5088597_1" [-selected1629592_r5088597_1-]="">Major,Capt, Lieutenant,Sergeant,Corp, Head super</option>
                    <option value="5088606_1" [-selected1629592_r5088606_1-]="">Head or Supervisor Specialized line, Staff unit</option>
                    <option value="5088605_1" [-selected1629592_r5088605_1-]="">Member Specialized line, Staff Unit related person</option>
                    <option value="5088604_1" [-selected1629592_r5088604_1-]="">Special Ops Div or Command, SWAT, Tactical related</option>
                    <option value="5088603_1" [-selected1629592_r5088603_1-]="">Investigator, Detective,Inspector related personel</option>
                    <option value="5088596_1" [-selected1629592_r5088596_1-]="">Patrol,Deputy,Officer,Trooper,Ranger,Marshal,Agent</option>
                    <option value="5088595_1" [-selected1629592_r5088595_1-]="">Corrections Officer and related personnel</option>
                    <option value="5088594_1" [-selected1629592_r5088594_1-]="">CSI, Forensics</option>
                    <option value="5088602_1" [-selected1629592_r5088602_1-]="">911, Dispatch</option>
                    <option value="5088601_1" [-selected1629592_r5088601_1-]="">Purchasing Agent,Assistants,Supervisors related</option>
                    <option value="5088599_1" [-selected1629592_r5088599_1-]="">Training Officer and related personnel</option>
                    <option value="5088607_1" [-selected1629592_r5088607_1-]="">Other (please describe)</option>
                  </select></p>
              </span></li>
            <li class="groupinline">
              <div id="other5088607_1" class="otherfillin" style="display: none;">
                <p id="p5088607_1"><span id="otherfillinid_r5088607_1" class="otherfillinlabelomeda">Other (please describe)</span><input name="demo1629592_r5088607_1" type="text" value="" id="id_r5088607_1" maxlength="50" size="50"></p>
              </div>
            </li>
            <li><input name="demo1629593_1" type="hidden" value="751" id="demo1629593_1"></li>
          </ul>
          <ul class="groupul">
            <li class="groupinline">
              <p id="p1" class="drg-element-type-standard-field drg-element-sub-type-fieldname-FIRSTNAME addresslabel"><span class="questionlabel "><label for="id1">First Name</label> </span><input class="drg-field-address-normal"
                  name="demo1629594_2" type="text" value="" id="id1" maxlength="40" size="40"></p>
            </li>
            <li class="groupinline">
              <p id="p2" class="drg-element-type-standard-field drg-element-sub-type-fieldname-LASTNAME addresslabel"><span class="questionlabel "><label for="id2">Last Name</label> </span><input class="drg-field-address-normal" name="demo1629595_2"
                  type="text" value="" id="id2" maxlength="40" size="40"></p>
            </li>
            <li class="groupinline"><span class="spanc5074175 drg-element-type-demographic drg-element-sub-type-type-1">
                <p id="p5074175" class="drg-element-type-demographic drg-element-sub-type-type-1"><span class="questionlabel "><label for="id5074175">Which category best describes your job title?</label>&nbsp;</span><select name="demo1629596_2"
                    id="id5074175">
                    <option value="">Select...</option>
                    <option value="5088609_2" [-selected1629596_r5088609_2-]="">Chief, Sheriff, Marshal and related personnel</option>
                    <option value="5088600_2" [-selected1629596_r5088600_2-]="">Admin,Dir,Purch Agent Civilian sup police,Sec Serv</option>
                    <option value="5088598_2" [-selected1629596_r5088598_2-]="">Chief Dep, Dep Chief, Dep Commander &amp; related pers</option>
                    <option value="5088597_2" [-selected1629596_r5088597_2-]="">Major,Capt, Lieutenant,Sergeant,Corp, Head super</option>
                    <option value="5088606_2" [-selected1629596_r5088606_2-]="">Head or Supervisor Specialized line, Staff unit</option>
                    <option value="5088605_2" [-selected1629596_r5088605_2-]="">Member Specialized line, Staff Unit related person</option>
                    <option value="5088604_2" [-selected1629596_r5088604_2-]="">Special Ops Div or Command, SWAT, Tactical related</option>
                    <option value="5088603_2" [-selected1629596_r5088603_2-]="">Investigator, Detective,Inspector related personel</option>
                    <option value="5088596_2" [-selected1629596_r5088596_2-]="">Patrol,Deputy,Officer,Trooper,Ranger,Marshal,Agent</option>
                    <option value="5088595_2" [-selected1629596_r5088595_2-]="">Corrections Officer and related personnel</option>
                    <option value="5088594_2" [-selected1629596_r5088594_2-]="">CSI, Forensics</option>
                    <option value="5088602_2" [-selected1629596_r5088602_2-]="">911, Dispatch</option>
                    <option value="5088601_2" [-selected1629596_r5088601_2-]="">Purchasing Agent,Assistants,Supervisors related</option>
                    <option value="5088599_2" [-selected1629596_r5088599_2-]="">Training Officer and related personnel</option>
                    <option value="5088607_2" [-selected1629596_r5088607_2-]="">Other (please describe)</option>
                  </select></p>
              </span></li>
            <li class="groupinline">
              <div id="other5088607_2" class="otherfillin" style="display: none;">
                <p id="p5088607_2"><span id="otherfillinid_r5088607_2" class="otherfillinlabelomeda">Other (please describe)</span><input name="demo1629596_r5088607_2" type="text" value="" id="id_r5088607_2" maxlength="50" size="50"></p>
              </div>
            </li>
            <li><input name="demo1629597_2" type="hidden" value="752" id="demo1629597_2"></li>
          </ul>
          <ul class="groupul">
            <li class="groupinline">
              <p id="p1" class="drg-element-type-standard-field drg-element-sub-type-fieldname-FIRSTNAME addresslabel"><span class="questionlabel "><label for="id1">First Name</label> </span><input class="drg-field-address-normal"
                  name="demo1629598_3" type="text" value="" id="id1" maxlength="40" size="40"></p>
            </li>
            <li class="groupinline">
              <p id="p2" class="drg-element-type-standard-field drg-element-sub-type-fieldname-LASTNAME addresslabel"><span class="questionlabel "><label for="id2">Last Name</label> </span><input class="drg-field-address-normal" name="demo1629599_3"
                  type="text" value="" id="id2" maxlength="40" size="40"></p>
            </li>
            <li class="groupinline"><span class="spanc5074175 drg-element-type-demographic drg-element-sub-type-type-1">
                <p id="p5074175" class="drg-element-type-demographic drg-element-sub-type-type-1"><span class="questionlabel "><label for="id5074175">Which category best describes your job title?</label>&nbsp;</span><select name="demo1629600_3"
                    id="id5074175">
                    <option value="">Select...</option>
                    <option value="5088609_3" [-selected1629600_r5088609_3-]="">Chief, Sheriff, Marshal and related personnel</option>
                    <option value="5088600_3" [-selected1629600_r5088600_3-]="">Admin,Dir,Purch Agent Civilian sup police,Sec Serv</option>
                    <option value="5088598_3" [-selected1629600_r5088598_3-]="">Chief Dep, Dep Chief, Dep Commander &amp; related pers</option>
                    <option value="5088597_3" [-selected1629600_r5088597_3-]="">Major,Capt, Lieutenant,Sergeant,Corp, Head super</option>
                    <option value="5088606_3" [-selected1629600_r5088606_3-]="">Head or Supervisor Specialized line, Staff unit</option>
                    <option value="5088605_3" [-selected1629600_r5088605_3-]="">Member Specialized line, Staff Unit related person</option>
                    <option value="5088604_3" [-selected1629600_r5088604_3-]="">Special Ops Div or Command, SWAT, Tactical related</option>
                    <option value="5088603_3" [-selected1629600_r5088603_3-]="">Investigator, Detective,Inspector related personel</option>
                    <option value="5088596_3" [-selected1629600_r5088596_3-]="">Patrol,Deputy,Officer,Trooper,Ranger,Marshal,Agent</option>
                    <option value="5088595_3" [-selected1629600_r5088595_3-]="">Corrections Officer and related personnel</option>
                    <option value="5088594_3" [-selected1629600_r5088594_3-]="">CSI, Forensics</option>
                    <option value="5088602_3" [-selected1629600_r5088602_3-]="">911, Dispatch</option>
                    <option value="5088601_3" [-selected1629600_r5088601_3-]="">Purchasing Agent,Assistants,Supervisors related</option>
                    <option value="5088599_3" [-selected1629600_r5088599_3-]="">Training Officer and related personnel</option>
                    <option value="5088607_3" [-selected1629600_r5088607_3-]="">Other (please describe)</option>
                  </select></p>
              </span></li>
            <li class="groupinline">
              <div id="other5088607_3" class="otherfillin" style="display: none;">
                <p id="p5088607_3"><span id="otherfillinid_r5088607_3" class="otherfillinlabelomeda">Other (please describe)</span><input name="demo1629600_r5088607_3" type="text" value="" id="id_r5088607_3" maxlength="50" size="50"></p>
              </div>
            </li>
            <li><input name="demo1629601_3" type="hidden" value="753" id="demo1629601_3"></li>
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