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Submission: On December 17 via manual from IN — Scanned from DE
Submission: On December 17 via manual from IN — Scanned from DE
Form analysis
1 forms found in the DOMPOST https://www.tfaforms.com/api_v2/workflow/processor
<form method="post" action="https://www.tfaforms.com/api_v2/workflow/processor" class="hintsBelow labelsAbove" id="4627503">
<fieldset id="tfa_205" class="section inline">
<legend id="tfa_205-L"><b>Please select guest type and number</b></legend>
<div class="htmlSection" id="tfa_291">
<div class="htmlContent" id="tfa_291-HTML"><span data-teams="true"><span dir="ltr" class="ui-provider a b c d e f g h i j k l m n o p q r s t u v w x y z ab ac ae af ag ah ai aj ak">All attendees are invited to attend the Networking reception
prior to the event (including butler passed hors d'oeuvres and cash bar), three-course seated dinner, program featuring David Edelman, and entertainment by NUNNABOVE.</span></span></div>
</div>
<div class="oneField field-container-D labelsLeftAligned hintsSide " id="tfa_16-D">
<label id="tfa_16-L" class="label preField " for="tfa_16">Individual: $260</label>
<div class="inputWrapper"><select id="tfa_16" name="tfa_16" title="Individual: $260" class="calc-Business">
<option value="">Please select...</option>
<option value="tfa_212" id="tfa_212" class="calcval-0">0</option>
<option value="tfa_213" id="tfa_213" class="calcval-1">1</option>
<option value="tfa_214" id="tfa_214" class="calcval-2">2</option>
<option value="tfa_215" id="tfa_215" class="calcval-3">3</option>
<option value="tfa_216" id="tfa_216" class="calcval-4">4</option>
<option value="tfa_217" id="tfa_217" class="calcval-5">5</option>
</select></div>
</div>
<div class="oneField field-container-D labelsLeftAligned hintsSide " id="tfa_305-D">
<label id="tfa_305-L" class="label preField " for="tfa_305">Board Member/BELA/Student Spotlight Judge: $130</label>
<div class="inputWrapper"><select id="tfa_305" name="tfa_305" title="Board Member/BELA/Student Spotlight Judge: $130" class="calc-Board">
<option value="">Please select...</option>
<option value="tfa_306" id="tfa_306" class="calcval-0">0</option>
<option value="tfa_307" id="tfa_307" class="calcval-1">1</option>
<option value="tfa_308" id="tfa_308" class="calcval-2">2</option>
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</div>
<div class="oneField field-container-D labelsLeftAligned " id="tfa_227-D">
<label id="tfa_227-L" class="label preField " for="tfa_227">Educator/Student/Nonprofit: $130</label>
<div class="inputWrapper"><select id="tfa_227" name="tfa_227" title="Educator/Student/Nonprofit: $130" class="calc-Educator">
<option value="">Please select...</option>
<option value="tfa_228" id="tfa_228" class="calcval-0">0</option>
<option value="tfa_229" id="tfa_229" class="calcval-1">1</option>
<option value="tfa_230" id="tfa_230" class="calcval-2">2</option>
<option value="tfa_231" id="tfa_231" class="calcval-3">3</option>
<option value="tfa_232" id="tfa_232" class="calcval-4">4</option>
<option value="tfa_233" id="tfa_233" class="calcval-5">5</option>
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<div class="inputWrapper"><select id="tfa_318" name="tfa_318" title="Promo (Code Required):" class="calc-Comp">
<option value="">Please select...</option>
<option value="tfa_319" id="tfa_319" class="calcval-0">0</option>
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<option value="tfa_324" id="tfa_324" data-conditionals="#tfa_263" class="calcval-5">5</option>
<option value="tfa_325" id="tfa_325" data-conditionals="#tfa_263" class="calcval-6">6</option>
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<div class="oneField field-container-D offstate" id="tfa_263-D">
<label id="tfa_263-L" class="label preField reqMark" for="tfa_263">Promo Code</label><br>
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<div class="oneField field-container-D " id="tfa_271-D">
<label id="tfa_271-L" class="label preField " for="tfa_271">Subtotal $:</label><br>
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<fieldset id="tfa_139" class="repeat section" data-repeatlimit="10" data-repeatlabel="CLICK HERE TO ADD NAMES OF ADDITIONAL GUESTS. Click as many times as needed." wfr_handled="true">
<legend id="tfa_139-L"><b>Guest Information: </b><span style="background-color: rgb(255, 255, 255);">Enter one guest name
here. </span><u style="background-color: rgb(255, 255, 255);">Click BLUE text below this box to add additional names.</u></legend>
<div id="tfa_140" class="section inline group">
<div class="oneField field-container-D " id="tfa_128-D">
<label id="tfa_128-L" class="label preField reqMark" for="tfa_128">First Name</label><br>
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<div class="oneField field-container-D " id="tfa_130-D">
<label id="tfa_130-L" class="label preField reqMark" for="tfa_130">Last Name</label><br>
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<label id="tfa_134-L" class="label preField " data-tfa-check-label-for="tfa_134">Dietary Restrictions</label><br>
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<label id="tfa_147-L" class="label preField reqMark" for="tfa_147">Dietary Restriction Comments:</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_147" name="tfa_147" value="" data-condition="`#tfa_144`" title="Dietary Restriction Comments:" class="required" disabled=""></div>
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</div>
</fieldset>
<div class="duplicateSpan"><a id="tfa_139-wfDL" href="#" class="duplicateLink" title="Will duplicate this question or section.">CLICK HERE TO ADD NAMES OF ADDITIONAL GUESTS. Click as many times as needed.</a></div>
<div class="oneField field-container-D " id="tfa_269-D">
<label id="tfa_269-L" class="label preField " for="tfa_269">Seating Request (if applicable)</label><br>
<div class="inputWrapper"><input type="text" id="tfa_269" name="tfa_269" value="" title="Seating Request (if applicable)" class=""></div>
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<div id="tfa_208" class="section inline group">
<div class="oneField field-container-D " id="tfa_110-D">
<label id="tfa_110-L" class="label preField " for="tfa_110">How would you like to pay?</label><br>
<div class="inputWrapper"><select id="tfa_110" name="tfa_110" title="How would you like to pay?" class="">
<option value="">Please select...</option>
<option value="tfa_113" id="tfa_113" data-conditionals="#tfa_153" class="">Credit Card</option>
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</div>
<div class="oneField field-container-D " id="tfa_268-D">
<label id="tfa_268-L" class="label preField " for="tfa_268">Amount Due $:</label><br>
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<div class="oneField field-container-D wf-acl-hidden" id="tfa_296-D">
<label id="tfa_296-L" class="label preField " for="tfa_296">CC ENTERED</label><br>
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</div>
</div>
<fieldset id="tfa_153" class="section offstate" data-condition="`#tfa_113`">
<legend id="tfa_153-L"><b>Billing Information</b></legend>
<div id="tfa_154" class="section inline group">
<div class="oneField field-container-D " id="tfa_150-D">
<label id="tfa_150-L" class="label preField reqMark" for="tfa_150">First Name</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_150" name="tfa_150" value="" title="First Name" class="required" disabled=""></div>
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<div class="oneField field-container-D " id="tfa_152-D">
<label id="tfa_152-L" class="label preField reqMark" for="tfa_152">Last Name</label><br>
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<div class="oneField field-container-D " id="tfa_156-D">
<label id="tfa_156-L" class="label preField reqMark" for="tfa_156">Email Address</label><br>
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<div class="oneField field-container-D " id="tfa_158-D">
<label id="tfa_158-L" class="label preField reqMark" for="tfa_158">Billing Street</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_158" name="tfa_158" value="" title="Billing Street" class="required" disabled=""></div>
</div>
<div class="oneField field-container-D " id="tfa_160-D">
<label id="tfa_160-L" class="label preField reqMark" for="tfa_160">Billing City</label><br>
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</div>
<div class="oneField field-container-D " id="tfa_162-D">
<label id="tfa_162-L" class="label preField reqMark" for="tfa_162">Billing State</label><br>
<div class="inputWrapper">
<div><input aria-required="true" type="text" id="tfa_162" name="tfa_162" value="" maxlength="2" title="Billing State" class="validate-alphanum required" disabled="">
<div class="lengthIndicator" aria-live="assertive" style="display: none; left: 54px;">2 characters left.</div>
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<div class="oneField field-container-D " id="tfa_164-D">
<label id="tfa_164-L" class="label preField reqMark" for="tfa_164">Billing Zip</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_164" name="tfa_164" value="" title="Billing Zip" class="required" disabled=""></div>
</div>
<div class="oneField field-container-D " id="tfa_166-D">
<label id="tfa_166-L" class="label preField reqMark" for="tfa_166">Billing Phone</label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_166" name="tfa_166" value="" autoformat="###-###-####" title="Billing Phone" class="required" disabled=""></div>
</div>
<div class="oneField field-container-D " id="tfa_168-D">
<label id="tfa_168-L" class="label preField reqMark" for="tfa_168">Credit Card Number <i>(Visa, MasterCard, American Express)</i></label><br>
<div class="inputWrapper"><input aria-required="true" type="text" id="tfa_168" name="tfa_168" value="" autocomplete="off" title="Credit Card Number (Visa, MasterCard, American Express)" class="required" disabled=""></div>
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<div class="oneField field-container-D " id="tfa_170-D">
<label id="tfa_170-L" class="label preField " for="tfa_170">Credit Card Code</label><br>
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<div class="oneField field-container-D " id="tfa_172-D">
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<div class="lengthIndicator" aria-live="assertive" style="display: none; left: 50px;">2 characters left.</div>
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<div class="lengthIndicator" aria-live="assertive" style="display: none; left: 51px;">2 characters left.</div>
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</div>
</div>
</fieldset>
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<div class="oneField field-container-D wf-acl-hidden" id="tfa_297-D">
<label id="tfa_297-L" class="label preField " for="tfa_297">Number of Guests</label><br>
<div class="inputWrapper"><input type="text" id="tfa_297" name="tfa_297" value="" readonly="" title="Number of Guests" class="formula=Business+Educator+Board+Comp readonly"></div>
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<div id="disabled-explanation" class="captchaHelp" style="display: block;">The submit button will be disabled until you complete the CAPTCHA.</div>
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<input type="submit" data-label="Submit" class="primaryAction" id="submit_button" value="Submit" disabled="">
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Text Content
EDUCATIONAL FORUM Please select guest type and number All attendees are invited to attend the Networking reception prior to the event (including butler passed hors d'oeuvres and cash bar), three-course seated dinner, program featuring David Edelman, and entertainment by NUNNABOVE. Individual: $260 Please select... 0 1 2 3 4 5 Board Member/BELA/Student Spotlight Judge: $130 Please select... 0 1 2 Educator/Student/Nonprofit: $130 Please select... 0 1 2 3 4 5 Promo (Code Required): Please select... 0 1 2 3 4 5 6 Promo Code Subtotal $: Guest Information: Enter one guest name here. Click BLUE text below this box to add additional names. First Name Last Name Familiar Name for Nametag (if different from above) Company/School Affiliation This will be displayed on the guest's nametag. Work/School Email Dietary Restrictions NoYes Dietary Restriction Comments: CLICK HERE TO ADD NAMES OF ADDITIONAL GUESTS. Click as many times as needed. Seating Request (if applicable) How would you like to pay? Please select... Credit Card Amount Due $: CC ENTERED Billing Information First Name Last Name Email Address Billing Street Billing City Billing State 2 characters left. Billing Zip Billing Phone Credit Card Number (Visa, MasterCard, American Express) Credit Card Code Credit Card Expiration Month (MM) 2 characters left. Credit Card Expiration Year (YY) 2 characters left. Number of Guests Authnet_Hidden_Fields reCAPTCHA helps prevent automated form spam. The submit button will be disabled until you complete the CAPTCHA. Contact Information