jhfcu2.callipay.com Open in urlscan Pro
38.103.93.14  Public Scan

Submitted URL: http://jhfcu2.callipay.com/
Effective URL: https://jhfcu2.callipay.com/JHFCU/JHFCURegistration.aspx
Submission: On February 22 via api from US — Scanned from US

Form analysis 1 forms found in the DOM

Name: aspnetFormPOST ./JHFCURegistration.aspx

<form name="aspnetForm" method="post" action="./JHFCURegistration.aspx" onsubmit="javascript:return WebForm_OnSubmit();" id="aspnetForm" autocomplete="off">
  <div>
    <input type="hidden" name="__EVENTTARGET" id="__EVENTTARGET" value="">
    <input type="hidden" name="__EVENTARGUMENT" id="__EVENTARGUMENT" value="">
    <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE"
      value="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">
  </div>
  <script type="text/javascript">
    //<![CDATA[
    var theForm = document.forms['aspnetForm'];
    if (!theForm) {
      theForm = document.aspnetForm;
    }

    function __doPostBack(eventTarget, eventArgument) {
      if (!theForm.onsubmit || (theForm.onsubmit() != false)) {
        theForm.__EVENTTARGET.value = eventTarget;
        theForm.__EVENTARGUMENT.value = eventArgument;
        theForm.submit();
      }
    }
    //]]>
  </script>
  <script src="/WebResource.axd?d=XAl28hkspMx1hARUM5zKrH5cPFZzLcht9CZL5MHa5Hzn_tMXdxN5EvEYVRCc9EwuZXVrNrCqcZRVZOdIFx--sKiJODdoTVV-EIxtvwObSw01&amp;t=637109924440000000" type="text/javascript"></script>
  <script src="/WebResource.axd?d=X-gVjkF5RwSlT3BVZFxBOww5_Zs4Jvg0rUFZ4VgMYt14Gqcw7a9E6PD51ANxN_H7wOpMx9j9Chf991YneLoRf4MlhRngNeGphSlILZHA1o01&amp;t=637109924440000000" type="text/javascript"></script>
  <script type="text/javascript">
    //<![CDATA[
    function WebForm_OnSubmit() {
      if (typeof(ValidatorOnSubmit) == "function" && ValidatorOnSubmit() == false) return false;
      return true;
    }
    //]]>
  </script>
  <div>
    <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="6E6594D5">
    <input type="hidden" name="__EVENTVALIDATION" id="__EVENTVALIDATION"
      value="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">
  </div>
  <div>
    <table id="ctl00_tblBkgd" bgcolor="white" width="1260px" height="700" cellpadding="0" cellspacing="0">
      <tbody>
        <tr id="ctl00_trLogo" valign="bottom">
          <td class="txtLogo" width="200px">&nbsp;</td>
          <td class="txtLogo" width="1060px">
            <a id="ctl00_hLogo" href="http://www.jhfcu.org"><img id="ctl00_imgLogo" src="../ReadTifImage.aspx?for=988" align="middle" style="border-width:0px;"></a>
            <br>
          </td>
        </tr>
        <tr>
          <td class="txtLogo" width="200px">&nbsp;</td>
          <td class="txtLogo" width="1060px"> &nbsp; </td>
        </tr>
        <tr>
          <td class="txtLogo" style="vertical-align:top;" width="200px">
          </td>
          <td valign="top" width="1060px">
            <table width="90%" cellpadding="0" cellspacing="0" border="0" align="center">
              <tbody>
                <tr id="ctl00_ContentPlaceHolder1_trTopMessage">
                  <td>&nbsp;&nbsp;&nbsp;<span id="ctl00_ContentPlaceHolder1_lblHMessage" class="txtError">Fields marked with an (*) are required to make a payment.</span></td>
                </tr>
                <tr>
                  <td>
                    <table id="ctl00_ContentPlaceHolder1_tMain" width="100%" cellpadding="0" cellspacing="5" border="0">
                      <tbody>
                        <tr>
                          <td class="FormHeaderRow" colspan="4">
                            <span id="ctl00_ContentPlaceHolder1_lblHCardInfo">&nbsp;</span>
                          </td>
                        </tr>
                        <tr>
                          <td colspan="4">&nbsp;</td>
                        </tr>
                        <tr>
                          <td class="txtError">
                            <span id="ctl00_ContentPlaceHolder1_lblCompanyRequired" class="txtError">*</span>
                          </td>
                          <td class="txtLabel">
                            <span id="ctl00_ContentPlaceHolder1_lblCompany">Organization</span>:
                          </td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$txtCompany" type="text" maxlength="50" id="ctl00_ContentPlaceHolder1_txtCompany" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">&nbsp;<span id="ctl00_ContentPlaceHolder1_rCompany" class="txtError" style="color:Red;display:none;">Required</span><span
                              id="ctl00_ContentPlaceHolder1_rCompany2" title="Only accept 0-9a-zA-Z -,._()&amp;' " class="txtRedMessage" style="color:Red;display:none;">Only accept 0-9a-zA-Z -,._()&amp;' </span></td>
                        </tr>
                        <tr>
                          <td class="txtError">
                            <span id="ctl00_ContentPlaceHolder1_lblFNameRequired" class="txtError">*</span>
                          </td>
                          <td class="txtLabel" style="white-space: nowrap;"><span id="ctl00_ContentPlaceHolder1_lblHFirstName">Payer First Name</span>:</td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$FirstName" type="text" maxlength="30" id="ctl00_ContentPlaceHolder1_FirstName" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">&nbsp;<span id="ctl00_ContentPlaceHolder1_rFirstName" class="txtError" style="color:Red;display:none;">Required</span><span
                              id="ctl00_ContentPlaceHolder1_rFirstName2" title="Only accept 0-9a-zA-Z -,._()&amp;' " class="txtRedMessage" style="color:Red;display:none;">Only accept 0-9a-zA-Z -,._()&amp;' </span></td>
                        </tr>
                        <tr id="ctl00_ContentPlaceHolder1_trLastName" valign="top">
                          <td class="txtError">
                            <span id="ctl00_ContentPlaceHolder1_lblLNameRequired" class="txtError">*</span>
                          </td>
                          <td class="txtLabel" style="white-space: nowrap;">
                            <span id="ctl00_ContentPlaceHolder1_lblHLastName">Payer Last Name</span>:
                          </td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$LastName" type="text" maxlength="30" id="ctl00_ContentPlaceHolder1_LastName" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">&nbsp;<span id="ctl00_ContentPlaceHolder1_rLastName" class="txtError" style="color:Red;display:none;">Required</span><span
                              id="ctl00_ContentPlaceHolder1_rLastName2" title="Only accept 0-9a-zA-Z -,._()&amp;' " class="txtRedMessage" style="color:Red;display:none;">Only accept 0-9a-zA-Z -,._()&amp;' </span></td>
                        </tr>
                        <tr>
                          <td class="txtError">
                            <span id="ctl00_ContentPlaceHolder1_lblAddressRequired" class="txtError">*</span>
                          </td>
                          <td class="txtLabel">
                            <span id="ctl00_ContentPlaceHolder1_lblHAddress1">Street Address</span>:
                          </td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$Address1" type="text" maxlength="50" id="ctl00_ContentPlaceHolder1_Address1" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">&nbsp;<span id="ctl00_ContentPlaceHolder1_rAddress1" class="txtError" style="color:Red;display:none;">Required</span></td>
                        </tr>
                        <tr id="ctl00_ContentPlaceHolder1_trAddress2" valign="top">
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel">
                            <span id="ctl00_ContentPlaceHolder1_lblHAddress2">Apt/Suite</span>:
                          </td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$Address2" type="text" maxlength="30" id="ctl00_ContentPlaceHolder1_Address2" font-weight="normal" style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">
                          </td>
                        </tr>
                        <tr>
                          <td class="txtError"><span id="ctl00_ContentPlaceHolder1_lblCityRequired" class="txtError">*</span></td>
                          <td class="txtLabel">
                            <span id="ctl00_ContentPlaceHolder1_lblHCity">City</span>:
                          </td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$City" type="text" maxlength="30" id="ctl00_ContentPlaceHolder1_City" font-weight="normal" style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">
                            <span id="ctl00_ContentPlaceHolder1_rCity" class="txtError" style="color:Red;display:none;">Required</span>
                          </td>
                        </tr>
                        <tr>
                          <td class="txtError"><span id="ctl00_ContentPlaceHolder1_lblStateRequired" class="txtError">*</span></td>
                          <td class="txtLabel">
                            <span id="ctl00_ContentPlaceHolder1_lblHState">State</span>:
                          </td>
                          <td>&nbsp;</td>
                          <td>
                            <input name="ctl00$ContentPlaceHolder1$txtState" type="text" maxlength="10" id="ctl00_ContentPlaceHolder1_txtState" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">&nbsp;<span id="ctl00_ContentPlaceHolder1_rState" class="txtError" style="color:Red;display:none;">Required</span>
                          </td>
                        </tr>
                        <tr>
                          <td class="txtError">
                            <span id="ctl00_ContentPlaceHolder1_lblZipRequired" class="txtError">*</span>
                          </td>
                          <td class="txtLabel">
                            <span id="ctl00_ContentPlaceHolder1_lblHZip">Zip/Postal Code</span>:
                          </td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$Zip" type="text" maxlength="10" id="ctl00_ContentPlaceHolder1_Zip" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">&nbsp;<span id="ctl00_ContentPlaceHolder1_rZip" class="txtError" style="color:Red;display:none;">Required</span></td>
                        </tr>
                        <tr>
                          <td class="txtError">
                            <span id="ctl00_ContentPlaceHolder1_lblPhoneRequired" class="txtError">*</span>
                          </td>
                          <td class="txtLabel" style="white-space: nowrap;">
                            <span id="ctl00_ContentPlaceHolder1_lblHPhone">Cell Phone/Best Contact Phone #</span>:
                          </td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$Phone" type="text" maxlength="20" id="ctl00_ContentPlaceHolder1_Phone" font-weight="normal" style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">
                            <span id="ctl00_ContentPlaceHolder1_rPhone" class="txtError" style="color:Red;display:none;">Required</span><span id="ctl00_ContentPlaceHolder1_rPhone2" class="txtError" style="color:Red;display:none;">Please enter valid
                              phone number.</span>
                          </td>
                        </tr>
                        <tr id="ctl00_ContentPlaceHolder1_trEmail" valign="top">
                          <td class="txtError"><span id="ctl00_ContentPlaceHolder1_lblEmailRequired" class="txtError">*</span></td>
                          <td class="txtLabel">
                            <span id="ctl00_ContentPlaceHolder1_lblHEmail">Email</span>:
                          </td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$Email" type="text" maxlength="255" id="ctl00_ContentPlaceHolder1_Email" font-weight="normal" style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">
                            <span id="ctl00_ContentPlaceHolder1_rEmail" class="txtError" style="color:Red;display:none;">Required</span>
                            <span id="ctl00_ContentPlaceHolder1_rEmail2" class="txtError" style="color:Red;display:none;">Please enter valid Email address.</span>
                          </td>
                        </tr>
                        <tr>
                          <td class="FormHeaderRow" colspan="4">
                            <span id="ctl00_ContentPlaceHolder1_lblHClientInfo">Name(s) of Golfers</span>
                          </td>
                        </tr>
                        <tr>
                          <td colspan="4">&nbsp;</td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel">Cart 1:</td>
                          <td>&nbsp;</td>
                          <td>&nbsp;</td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel" style="text-align:right">Name:</td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$txtGName1" type="text" maxlength="30" id="ctl00_ContentPlaceHolder1_txtGName1" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">&nbsp;<span id="ctl00_ContentPlaceHolder1_RegularExpressionValidator1" title="Only accept 0-9a-zA-Z -,._()&amp;' " class="txtRedMessage"
                              style="color:Red;display:none;">Only accept 0-9a-zA-Z -,._()&amp;' </span></td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel" style="text-align:right">Organization:</td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$txtGOrganization1" type="text" maxlength="30" id="ctl00_ContentPlaceHolder1_txtGOrganization1" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">&nbsp;<span id="ctl00_ContentPlaceHolder1_RegularExpressionValidator2" title="Only accept 0-9a-zA-Z -,._()&amp;' " class="txtRedMessage"
                              style="color:Red;display:none;">Only accept 0-9a-zA-Z -,._()&amp;' </span></td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel" style="text-align:right">Cell Phone:</td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$txtGPhone1" type="text" maxlength="20" id="ctl00_ContentPlaceHolder1_txtGPhone1" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">
                            <span id="ctl00_ContentPlaceHolder1_RegularExpressionValidator3" class="txtError" style="color:Red;display:none;">Please enter valid phone number.</span>
                          </td>
                        </tr>
                        <tr id="ctl00_ContentPlaceHolder1_tr1" valign="top">
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel" style="text-align:right">Email:</td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$txtGEmail1" type="text" maxlength="255" id="ctl00_ContentPlaceHolder1_txtGEmail1" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">
                            <span id="ctl00_ContentPlaceHolder1_RegularExpressionValidator4" class="txtError" style="color:Red;display:none;">Please enter valid Email address.</span>
                          </td>
                        </tr>
                        <tr>
                          <td colspan="4">&nbsp;</td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel" style="text-align:right">Name:</td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$txtGName2" type="text" maxlength="30" id="ctl00_ContentPlaceHolder1_txtGName2" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">&nbsp;<span id="ctl00_ContentPlaceHolder1_RegularExpressionValidator5" title="Only accept 0-9a-zA-Z -,._()&amp;' " class="txtRedMessage"
                              style="color:Red;display:none;">Only accept 0-9a-zA-Z -,._()&amp;' </span></td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel" style="text-align:right">Organization:</td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$txtGOrganization2" type="text" maxlength="30" id="ctl00_ContentPlaceHolder1_txtGOrganization2" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">&nbsp;<span id="ctl00_ContentPlaceHolder1_RegularExpressionValidator6" title="Only accept 0-9a-zA-Z -,._()&amp;' " class="txtRedMessage"
                              style="color:Red;display:none;">Only accept 0-9a-zA-Z -,._()&amp;' </span></td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel" style="text-align:right">Cell Phone:</td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$txtGPhone2" type="text" maxlength="20" id="ctl00_ContentPlaceHolder1_txtGPhone2" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">
                            <span id="ctl00_ContentPlaceHolder1_RegularExpressionValidator7" class="txtError" style="color:Red;display:none;">Please enter valid phone number.</span>
                          </td>
                        </tr>
                        <tr id="ctl00_ContentPlaceHolder1_tr2" valign="top">
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel" style="text-align:right">Email:</td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$txtGEmail2" type="text" maxlength="255" id="ctl00_ContentPlaceHolder1_txtGEmail2" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">
                            <span id="ctl00_ContentPlaceHolder1_RegularExpressionValidator8" class="txtError" style="color:Red;display:none;">Please enter valid Email address.</span>
                          </td>
                        </tr>
                        <tr>
                          <td colspan="4">&nbsp;</td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel">Cart 2:</td>
                          <td>&nbsp;</td>
                          <td>&nbsp;</td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel" style="text-align:right">Name:</td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$txtGName3" type="text" maxlength="30" id="ctl00_ContentPlaceHolder1_txtGName3" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">&nbsp;<span id="ctl00_ContentPlaceHolder1_RegularExpressionValidator9" title="Only accept 0-9a-zA-Z -,._()&amp;' " class="txtRedMessage"
                              style="color:Red;display:none;">Only accept 0-9a-zA-Z -,._()&amp;' </span></td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel" style="text-align:right">Organization:</td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$txtGOrganization3" type="text" maxlength="30" id="ctl00_ContentPlaceHolder1_txtGOrganization3" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">&nbsp;<span id="ctl00_ContentPlaceHolder1_RegularExpressionValidator10" title="Only accept 0-9a-zA-Z -,._()&amp;' " class="txtRedMessage"
                              style="color:Red;display:none;">Only accept 0-9a-zA-Z -,._()&amp;' </span></td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel" style="text-align:right">Cell Phone:</td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$txtGPhone3" type="text" maxlength="20" id="ctl00_ContentPlaceHolder1_txtGPhone3" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">
                            <span id="ctl00_ContentPlaceHolder1_RegularExpressionValidator11" class="txtError" style="color:Red;display:none;">Please enter valid phone number.</span>
                          </td>
                        </tr>
                        <tr id="ctl00_ContentPlaceHolder1_tr3" valign="top">
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel" style="text-align:right">Email:</td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$txtGEmail3" type="text" maxlength="255" id="ctl00_ContentPlaceHolder1_txtGEmail3" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">
                            <span id="ctl00_ContentPlaceHolder1_RegularExpressionValidator12" class="txtError" style="color:Red;display:none;">Please enter valid Email address.</span>
                          </td>
                        </tr>
                        <tr>
                          <td colspan="4">&nbsp;</td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel" style="text-align:right">Name:</td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$txtGName4" type="text" maxlength="30" id="ctl00_ContentPlaceHolder1_txtGName4" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">&nbsp;<span id="ctl00_ContentPlaceHolder1_RegularExpressionValidator13" title="Only accept 0-9a-zA-Z -,._()&amp;' " class="txtRedMessage"
                              style="color:Red;display:none;">Only accept 0-9a-zA-Z -,._()&amp;' </span></td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel" style="text-align:right">Organization:</td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$txtGOrganization4" type="text" maxlength="30" id="ctl00_ContentPlaceHolder1_txtGOrganization4" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">&nbsp;<span id="ctl00_ContentPlaceHolder1_RegularExpressionValidator14" title="Only accept 0-9a-zA-Z -,._()&amp;' " class="txtRedMessage"
                              style="color:Red;display:none;">Only accept 0-9a-zA-Z -,._()&amp;' </span></td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel" style="text-align:right">Cell Phone:</td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$txtGPhone4" type="text" maxlength="20" id="ctl00_ContentPlaceHolder1_txtGPhone4" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">
                            <span id="ctl00_ContentPlaceHolder1_RegularExpressionValidator15" class="txtError" style="color:Red;display:none;">Please enter valid phone number.</span>
                          </td>
                        </tr>
                        <tr id="ctl00_ContentPlaceHolder1_tr4" valign="top">
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel" style="text-align:right">Email:</td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$txtGEmail4" type="text" maxlength="255" id="ctl00_ContentPlaceHolder1_txtGEmail4" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">
                            <span id="ctl00_ContentPlaceHolder1_RegularExpressionValidator16" class="txtError" style="color:Red;display:none;">Please enter valid Email address.</span>
                          </td>
                        </tr>
                        <tr>
                          <td class="FormHeaderRow" colspan="4">
                            <span id="ctl00_ContentPlaceHolder1_Label2">Sponsorship</span>
                          </td>
                        </tr>
                        <tr>
                          <td colspan="4">&nbsp;</td>
                        </tr>
                        <tr>
                          <td class="txtLabel" colspan="4">Please select your entry category and/or sponsorship. Most sponsorship packages (Water Hole, Golf Cart, Long Drive, Closest-to-the-Pin, Eagle, Birdie, Par and Foursome) include 4 players. If
                            you are selecting the <b>Driving Range, Putting Green, and/or Hole Sponsorship AND you wish to include 1 or more players, please select the Number of Players from the second dropdown menu below.</b> If you have a complete
                            foursome, but are entering/paying separately, you can select the option for the “part of complete Foursome” discounted rate in the dropdown.&nbsp;</td>
                        </tr>
                        <tr>
                          <td colspan="4">&nbsp;</td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel" style="vertical-align:top">
                            <span id="ctl00_ContentPlaceHolder1_lblSponsorship">Sponsorship level</span>:
                          </td>
                          <td>&nbsp;</td>
                          <td class="txtBody10pt">
                            <table id="ctl00_ContentPlaceHolder1_ddlSponsorship" onclick="RadioChecked(this,'ctl00_ContentPlaceHolder1_txtGPayer');" border="0">
                              <tbody>
                                <tr>
                                  <td><input id="ctl00_ContentPlaceHolder1_ddlSponsorship_0" type="radio" name="ctl00$ContentPlaceHolder1$ddlSponsorship" value="1_2000"><label
                                      for="ctl00_ContentPlaceHolder1_ddlSponsorship_0"><b>Eagle Package $2,000.</b><br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<i>Includes foursome, lunch &amp; breakfast sponsorship w/sign for both, and recognition in program</i></label>
                                  </td>
                                </tr>
                                <tr>
                                  <td><input id="ctl00_ContentPlaceHolder1_ddlSponsorship_1" type="radio" name="ctl00$ContentPlaceHolder1$ddlSponsorship" value="2_1500"><label
                                      for="ctl00_ContentPlaceHolder1_ddlSponsorship_1"><b>Golf Cart Sponsorship $1,500.</b><br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<i>Includes foursome and logo on all golf cart name placards (maximum 2 sponsors)</i></label>
                                  </td>
                                </tr>
                                <tr>
                                  <td><input id="ctl00_ContentPlaceHolder1_ddlSponsorship_2" type="radio" name="ctl00$ContentPlaceHolder1$ddlSponsorship" value="3_1250"><label
                                      for="ctl00_ContentPlaceHolder1_ddlSponsorship_2"><b>Water Hole Package $1,250.</b><br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<i>Includes foursome, sponsorship of the Beverage Cart, special sign for cart and at refreshment stations, and recognition in program</i></label>
                                  </td>
                                </tr>
                                <tr>
                                  <td><input id="ctl00_ContentPlaceHolder1_ddlSponsorship_3" type="radio" name="ctl00$ContentPlaceHolder1$ddlSponsorship" value="4_1000"><label
                                      for="ctl00_ContentPlaceHolder1_ddlSponsorship_3"><b>Long Drive Sponsor $1,000.</b><br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<i>Includes foursome, special sign for Long Drive Contest hole, and recognition in program</i></label>
                                  </td>
                                </tr>
                                <tr>
                                  <td><input id="ctl00_ContentPlaceHolder1_ddlSponsorship_4" type="radio" name="ctl00$ContentPlaceHolder1$ddlSponsorship" value="5_1000"><label
                                      for="ctl00_ContentPlaceHolder1_ddlSponsorship_4"><b>Closest-to-the-Pin Sponsor $1,000.</b><br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<i>Includes foursome, special sign for Closest-to-the- Pin hole, and recognition in program</i></label>
                                  </td>
                                </tr>
                                <tr>
                                  <td><input id="ctl00_ContentPlaceHolder1_ddlSponsorship_5" type="radio" name="ctl00$ContentPlaceHolder1$ddlSponsorship" value="6_650"><label
                                      for="ctl00_ContentPlaceHolder1_ddlSponsorship_5"><b>Birdie Package (Best Value) $650.</b><br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<i>Includes foursome, hole sponsorship w/sign on tee box w/company name or logo, purchase of $25 Golf Galaxy or Dick's gift card as a door prize donation on your behalf, and recognition in program</i></label>
                                  </td>
                                </tr>
                                <tr>
                                  <td><input id="ctl00_ContentPlaceHolder1_ddlSponsorship_6" type="radio" name="ctl00$ContentPlaceHolder1$ddlSponsorship" value="7_625"><label
                                      for="ctl00_ContentPlaceHolder1_ddlSponsorship_6"><b>Par Package $625.</b><br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<i>Includes foursome, hole sponsorship with sign on tee box with company name or logo, and recognition in program</i></label>
                                  </td>
                                </tr>
                                <tr>
                                  <td><input id="ctl00_ContentPlaceHolder1_ddlSponsorship_7" type="radio" name="ctl00$ContentPlaceHolder1$ddlSponsorship" value="8_500"><label
                                      for="ctl00_ContentPlaceHolder1_ddlSponsorship_7"><b>Foursome $500.</b><br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<i>$125 per player – discounted compared to Individual Player! (If players entering separately select “Individual Player paying separately, but part of complete Foursome” below)</i></label>
                                  </td>
                                </tr>
                                <tr>
                                  <td><input id="ctl00_ContentPlaceHolder1_ddlSponsorship_8" type="radio" name="ctl00$ContentPlaceHolder1$ddlSponsorship" value="9_400"><label
                                      for="ctl00_ContentPlaceHolder1_ddlSponsorship_8"><b>Driving Range Sponsorship $400.</b><br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<i>Includes sign on driving range with company name or logo, and recognition in program; <br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<b><font color="red">each player fee is an additional $150.</font></b> <br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Select applicable number of players below</i></label>
                                  </td>
                                </tr>
                                <tr>
                                  <td><input id="ctl00_ContentPlaceHolder1_ddlSponsorship_9" type="radio" name="ctl00$ContentPlaceHolder1$ddlSponsorship" value="10_400"><label
                                      for="ctl00_ContentPlaceHolder1_ddlSponsorship_9"><b>Putting Green Sponsorship $400.</b><br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<i>Includes sign on putting green with company name or logo, and recognition in program; <br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<b><font color="red">player fee is an additional $150.</font></b><br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Select applicable number of players below</i></label>
                                  </td>
                                </tr>
                                <tr>
                                  <td><input id="ctl00_ContentPlaceHolder1_ddlSponsorship_10" type="radio" name="ctl00$ContentPlaceHolder1$ddlSponsorship" value="11_175"><label
                                      for="ctl00_ContentPlaceHolder1_ddlSponsorship_10"><b>Hole Sponsorship $175.</b><br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<i>Includes sign on tee box with company name or logo, and recognition in program; <br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<b><font color="red">each player fee is an additional $150.</font></b> <br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Select applicable number of players below</i></label>
                                  </td>
                                </tr>
                                <tr>
                                  <td><input id="ctl00_ContentPlaceHolder1_ddlSponsorship_11" type="radio" name="ctl00$ContentPlaceHolder1$ddlSponsorship" value="12_150"><label
                                      for="ctl00_ContentPlaceHolder1_ddlSponsorship_11"><b>Individual Player $150.</b><br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<i>Please input Number of players below</i></label></td>
                                </tr>
                                <tr>
                                  <td><input id="ctl00_ContentPlaceHolder1_ddlSponsorship_12" type="radio" name="ctl00$ContentPlaceHolder1$ddlSponsorship" value="13_125"><label
                                      for="ctl00_ContentPlaceHolder1_ddlSponsorship_12"><b>Individual Player paying separately, but part of complete Foursome $125</b><br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<i>(list other players below)</i></label>
                                  </td>
                                </tr>
                              </tbody>
                            </table>
                          </td>
                        </tr>
                        <tr>
                          <td colspan="4">&nbsp;</td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel">Number of players:</td>
                          <td>&nbsp;</td>
                          <td class="txtBody10pt"><input name="ctl00$ContentPlaceHolder1$txtGPayer" type="text" value="0" maxlength="12" id="ctl00_ContentPlaceHolder1_txtGPayer" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">
                            <span id="ctl00_ContentPlaceHolder1_Label3">(select number of players UNLESS you selected a sponsorship package above that includes a foursome)</span> &nbsp;<span id="ctl00_ContentPlaceHolder1_rState0" class="txtError"
                              style="color:Red;display:none;">Required</span><span id="ctl00_ContentPlaceHolder1_RegularExpressionValidator21" title="Invalid number" class="txtError" style="color:Red;display:none;">Invalid number</span>
                          </td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel">Donate door prize(s) or goody bag items:</td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$txtBag" type="text" maxlength="30" id="ctl00_ContentPlaceHolder1_txtBag" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">&nbsp;<span id="ctl00_ContentPlaceHolder1_RegularExpressionValidator20" title="Only accept 0-9a-zA-Z -,._()&amp;' " class="txtRedMessage"
                              style="color:Red;display:none;">Only accept 0-9a-zA-Z -,._()&amp;' </span></td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel" colspan="3">JHFCU will buy a gift card(s) from Dick’s or Golf Galaxy on your behalf (list amount and store preference).</td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel" style="vertical-align:bottom">Preferred store:</td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$txtStoreName" type="text" maxlength="30" id="ctl00_ContentPlaceHolder1_txtStoreName" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;">&nbsp;<span id="ctl00_ContentPlaceHolder1_RegularExpressionValidator23" title="Only accept 0-9a-zA-Z -,._()&amp;' " class="txtRedMessage"
                              style="color:Red;display:none;">Only accept 0-9a-zA-Z -,._()&amp;' </span></td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel">
                            <span id="ctl00_ContentPlaceHolder1_Label6">Amount of door prize donation</span>:
                          </td>
                          <td class="txtBody10pt">$</td>
                          <td class="txtBody10pt"><input name="ctl00$ContentPlaceHolder1$txtDoorPrizeDonation" type="text" value="0" maxlength="12" id="ctl00_ContentPlaceHolder1_txtDoorPrizeDonation" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;"> &nbsp;<span id="ctl00_ContentPlaceHolder1_RegularExpressionValidator22" title="Invalid amount" class="txtError"
                              style="color:Red;display:none;">Invalid Amount</span></td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel">Make an additional donation to the <br>Johns Hopkins Children’s Center:</td>
                          <td class="txtBody10pt">$</td>
                          <td class="txtBody10pt" style="vertical-align:bottom"><input name="ctl00$ContentPlaceHolder1$txtAdditionalDonation" type="text" value="0" maxlength="12" id="ctl00_ContentPlaceHolder1_txtAdditionalDonation"
                              font-weight="normal" style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;"> &nbsp;<span id="ctl00_ContentPlaceHolder1_RegularExpressionValidator18" title="Invalid amount" class="txtError"
                              style="color:Red;display:none;">Invalid Amount</span></td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel">Pre-Purchase of Mulligans:<br>1 for $10; 3 for $25 (per golfer) etc.</td>
                          <td class="txtBody10pt">&nbsp;</td>
                          <td class="txtBody10pt" style="vertical-align:bottom">
                            <select name="ctl00$ContentPlaceHolder1$ddlPrePurchase" id="ctl00_ContentPlaceHolder1_ddlPrePurchase">
                              <option selected="selected" value="0">Please choose the number of mulligans</option>
                              <option value="1">1 for $10</option>
                              <option value="2">2 for $20</option>
                              <option value="3">3 for $25</option>
                              <option value="4">4 for $35</option>
                              <option value="5">5 for $45</option>
                              <option value="6">6 for $50</option>
                              <option value="7">7 for $60</option>
                              <option value="8">8 for $70</option>
                              <option value="9">9 for $75</option>
                              <option value="10">10 for $85</option>
                              <option value="11">11 for $95</option>
                              <option value="12">12 for $100</option>
                              <option value="13">13 for $110</option>
                              <option value="14">14 for $120</option>
                              <option value="15">15 for $125</option>
                              <option value="16">16 for $135</option>
                              <option value="17">17 for $145</option>
                              <option value="18">18 for $150</option>
                              <option value="19">19 for $160</option>
                              <option value="20">20 for $170</option>
                              <option value="21">21 for $175</option>
                              <option value="22">22 for $185</option>
                              <option value="23">23 for $195</option>
                              <option value="24">24 for $200</option>
                            </select>
                          </td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel" colspan="3">Additional Information – Please note if you wish to be paired with another golfer or team registering separately.</td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel">&nbsp;</td>
                          <td class="txtBody10pt">&nbsp;</td>
                          <td class="txtBody10pt"><textarea name="ctl00$ContentPlaceHolder1$txtAdditionalInfo" rows="5" cols="20" id="ctl00_ContentPlaceHolder1_txtAdditionalInfo" font-weight="normal"
                              style="font-family:Arial,Verdana,Helvetica,sans-serif;font-size:12px;width:200px;"></textarea>&nbsp;<span id="ctl00_ContentPlaceHolder1_rAdditionalInfo" title="Only accept 0-9a-zA-Z -,._()&amp;' " class="txtRedMessage"
                              style="color:Red;display:none;">Only accept 0-9a-zA-Z -,._()&amp;' </span></td>
                        </tr>
                        <tr id="ctl00_ContentPlaceHolder1_trCaptcha1">
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel">
                            <span id="ctl00_ContentPlaceHolder1_Label4">Enter Security Code</span>:
                          </td>
                          <td>&nbsp;</td>
                          <td><input name="ctl00$ContentPlaceHolder1$txtCap" type="text" maxlength="15" id="ctl00_ContentPlaceHolder1_txtCap" tabindex="4" font-weight="normal"
                              style="font-family:Verdana,Arial,Helvetica,sans-serif;font-size:11px;width:220px;">
                            <span id="ctl00_ContentPlaceHolder1_rCap" class="txtError" style="color:Red;display:none;">[Required]</span>&nbsp;
                          </td>
                        </tr>
                        <tr id="ctl00_ContentPlaceHolder1_trCaptcha2">
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel"> &nbsp;</td>
                          <td>&nbsp;</td>
                          <td>
                            <div style="background-color:White;font-size:X-Large;font-family:Arial;width:200px;"><img src="CaptchaImage.axd?guid=b5b2d950-5bbc-4ef9-80f1-62d6a906c488" border="0" width="180" height="32"></div>
                          </td>
                        </tr>
                        <tr>
                          <td colspan="4">&nbsp;</td>
                        </tr>
                        <tr>
                          <td class="txtError">&nbsp;</td>
                          <td class="txtLabel"> &nbsp;</td>
                          <td>&nbsp;</td>
                          <td>
                            <input type="submit" name="ctl00$ContentPlaceHolder1$btnSubmit" value="Proceed"
                              onclick="javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions(&quot;ctl00$ContentPlaceHolder1$btnSubmit&quot;, &quot;&quot;, true, &quot;&quot;, &quot;&quot;, false, false))"
                              id="ctl00_ContentPlaceHolder1_btnSubmit" class="FormHeaderRow" style="width:180px;"> &nbsp; <input type="submit" name="ctl00$ContentPlaceHolder1$btnRefresh" value="Get a new code"
                              id="ctl00_ContentPlaceHolder1_btnRefresh" class="FormHeaderRow" style="width:180px;">
                          </td>
                        </tr>
                      </tbody>
                    </table>
                  </td>
                </tr>
                <tr>
                  <td>&nbsp;</td>
                </tr>
              </tbody>
            </table>
            <script language="javascript" type="text/javascript">
              function RadioChecked(rdxx, rLabel) {
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                  var res = selected.value.split("_");
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                  if (rIndex >= 1 && rIndex <= 8) {
                    label.value = "4";
                  } else {
                    label.value = "0";
                  }
                }
              }
            </script>
          </td>
        </tr>
        <tr>
          <td class="txtLogo" width="200px">&nbsp;</td>
          <td class="txtLabel" align="center" width="1060px">
            <i>Powered by </i><img src="images/PowerLogo.jpg" alt="">
          </td>
        </tr>
      </tbody>
    </table>
  </div>
  <script type="text/javascript">
    //<![CDATA[
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      .getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator6"), document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator7"), document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator8"),
      document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator9"), document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator10"), document.getElementById(
        "ctl00_ContentPlaceHolder1_RegularExpressionValidator11"), document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator12"), document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator13"), document
      .getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator14"), document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator15"), document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator16"),
      document.getElementById("ctl00_ContentPlaceHolder1_rState0"), document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator21"), document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator20"), document
      .getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator23"), document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator22"), document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator18"),
      document.getElementById("ctl00_ContentPlaceHolder1_rAdditionalInfo"), document.getElementById("ctl00_ContentPlaceHolder1_rCap"));
    //]]>
  </script>
  <script type="text/javascript">
    //<![CDATA[
    var ctl00_ContentPlaceHolder1_rCompany = document.all ? document.all["ctl00_ContentPlaceHolder1_rCompany"] : document.getElementById("ctl00_ContentPlaceHolder1_rCompany");
    ctl00_ContentPlaceHolder1_rCompany.controltovalidate = "ctl00_ContentPlaceHolder1_txtCompany";
    ctl00_ContentPlaceHolder1_rCompany.errormessage = "Required";
    ctl00_ContentPlaceHolder1_rCompany.display = "Dynamic";
    ctl00_ContentPlaceHolder1_rCompany.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_rCompany.initialvalue = "";
    var ctl00_ContentPlaceHolder1_rCompany2 = document.all ? document.all["ctl00_ContentPlaceHolder1_rCompany2"] : document.getElementById("ctl00_ContentPlaceHolder1_rCompany2");
    ctl00_ContentPlaceHolder1_rCompany2.controltovalidate = "ctl00_ContentPlaceHolder1_txtCompany";
    ctl00_ContentPlaceHolder1_rCompany2.errormessage = "Only accept 0-9a-zA-Z -,._()&\' ";
    ctl00_ContentPlaceHolder1_rCompany2.display = "Dynamic";
    ctl00_ContentPlaceHolder1_rCompany2.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_rCompany2.validationexpression = "^[0-9a-zA-Z \\-,._()&\']*$";
    var ctl00_ContentPlaceHolder1_rFirstName = document.all ? document.all["ctl00_ContentPlaceHolder1_rFirstName"] : document.getElementById("ctl00_ContentPlaceHolder1_rFirstName");
    ctl00_ContentPlaceHolder1_rFirstName.controltovalidate = "ctl00_ContentPlaceHolder1_FirstName";
    ctl00_ContentPlaceHolder1_rFirstName.errormessage = "Required";
    ctl00_ContentPlaceHolder1_rFirstName.display = "Dynamic";
    ctl00_ContentPlaceHolder1_rFirstName.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_rFirstName.initialvalue = "";
    var ctl00_ContentPlaceHolder1_rFirstName2 = document.all ? document.all["ctl00_ContentPlaceHolder1_rFirstName2"] : document.getElementById("ctl00_ContentPlaceHolder1_rFirstName2");
    ctl00_ContentPlaceHolder1_rFirstName2.controltovalidate = "ctl00_ContentPlaceHolder1_FirstName";
    ctl00_ContentPlaceHolder1_rFirstName2.errormessage = "Only accept 0-9a-zA-Z -,._()&\' ";
    ctl00_ContentPlaceHolder1_rFirstName2.display = "Dynamic";
    ctl00_ContentPlaceHolder1_rFirstName2.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_rFirstName2.validationexpression = "^[0-9a-zA-Z \\-,._()&\']*$";
    var ctl00_ContentPlaceHolder1_rLastName = document.all ? document.all["ctl00_ContentPlaceHolder1_rLastName"] : document.getElementById("ctl00_ContentPlaceHolder1_rLastName");
    ctl00_ContentPlaceHolder1_rLastName.controltovalidate = "ctl00_ContentPlaceHolder1_LastName";
    ctl00_ContentPlaceHolder1_rLastName.errormessage = "Required";
    ctl00_ContentPlaceHolder1_rLastName.display = "Dynamic";
    ctl00_ContentPlaceHolder1_rLastName.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_rLastName.initialvalue = "";
    var ctl00_ContentPlaceHolder1_rLastName2 = document.all ? document.all["ctl00_ContentPlaceHolder1_rLastName2"] : document.getElementById("ctl00_ContentPlaceHolder1_rLastName2");
    ctl00_ContentPlaceHolder1_rLastName2.controltovalidate = "ctl00_ContentPlaceHolder1_LastName";
    ctl00_ContentPlaceHolder1_rLastName2.errormessage = "Only accept 0-9a-zA-Z -,._()&\' ";
    ctl00_ContentPlaceHolder1_rLastName2.display = "Dynamic";
    ctl00_ContentPlaceHolder1_rLastName2.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_rLastName2.validationexpression = "^[0-9a-zA-Z \\-,._()&\']*$";
    var ctl00_ContentPlaceHolder1_rAddress1 = document.all ? document.all["ctl00_ContentPlaceHolder1_rAddress1"] : document.getElementById("ctl00_ContentPlaceHolder1_rAddress1");
    ctl00_ContentPlaceHolder1_rAddress1.controltovalidate = "ctl00_ContentPlaceHolder1_Address1";
    ctl00_ContentPlaceHolder1_rAddress1.errormessage = "Required";
    ctl00_ContentPlaceHolder1_rAddress1.display = "Dynamic";
    ctl00_ContentPlaceHolder1_rAddress1.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_rAddress1.initialvalue = "";
    var ctl00_ContentPlaceHolder1_rCity = document.all ? document.all["ctl00_ContentPlaceHolder1_rCity"] : document.getElementById("ctl00_ContentPlaceHolder1_rCity");
    ctl00_ContentPlaceHolder1_rCity.controltovalidate = "ctl00_ContentPlaceHolder1_City";
    ctl00_ContentPlaceHolder1_rCity.errormessage = "Required";
    ctl00_ContentPlaceHolder1_rCity.display = "Dynamic";
    ctl00_ContentPlaceHolder1_rCity.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_rCity.initialvalue = "";
    var ctl00_ContentPlaceHolder1_rState = document.all ? document.all["ctl00_ContentPlaceHolder1_rState"] : document.getElementById("ctl00_ContentPlaceHolder1_rState");
    ctl00_ContentPlaceHolder1_rState.controltovalidate = "ctl00_ContentPlaceHolder1_txtState";
    ctl00_ContentPlaceHolder1_rState.errormessage = "Required";
    ctl00_ContentPlaceHolder1_rState.display = "Dynamic";
    ctl00_ContentPlaceHolder1_rState.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_rState.initialvalue = "";
    var ctl00_ContentPlaceHolder1_rZip = document.all ? document.all["ctl00_ContentPlaceHolder1_rZip"] : document.getElementById("ctl00_ContentPlaceHolder1_rZip");
    ctl00_ContentPlaceHolder1_rZip.controltovalidate = "ctl00_ContentPlaceHolder1_Zip";
    ctl00_ContentPlaceHolder1_rZip.errormessage = "Required";
    ctl00_ContentPlaceHolder1_rZip.display = "Dynamic";
    ctl00_ContentPlaceHolder1_rZip.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_rZip.initialvalue = "";
    var ctl00_ContentPlaceHolder1_rPhone = document.all ? document.all["ctl00_ContentPlaceHolder1_rPhone"] : document.getElementById("ctl00_ContentPlaceHolder1_rPhone");
    ctl00_ContentPlaceHolder1_rPhone.controltovalidate = "ctl00_ContentPlaceHolder1_Phone";
    ctl00_ContentPlaceHolder1_rPhone.errormessage = "Required";
    ctl00_ContentPlaceHolder1_rPhone.display = "Dynamic";
    ctl00_ContentPlaceHolder1_rPhone.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_rPhone.initialvalue = "";
    var ctl00_ContentPlaceHolder1_rPhone2 = document.all ? document.all["ctl00_ContentPlaceHolder1_rPhone2"] : document.getElementById("ctl00_ContentPlaceHolder1_rPhone2");
    ctl00_ContentPlaceHolder1_rPhone2.controltovalidate = "ctl00_ContentPlaceHolder1_Phone";
    ctl00_ContentPlaceHolder1_rPhone2.errormessage = "Please enter valid phone number.";
    ctl00_ContentPlaceHolder1_rPhone2.display = "Dynamic";
    ctl00_ContentPlaceHolder1_rPhone2.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_rPhone2.validationexpression = "(\\d{10})|((\\(\\d{3}\\) ?)|(\\d{3}-))?\\d{3}-\\d{4}([ ]*x[ ]*\\d{1,6})?";
    var ctl00_ContentPlaceHolder1_rEmail = document.all ? document.all["ctl00_ContentPlaceHolder1_rEmail"] : document.getElementById("ctl00_ContentPlaceHolder1_rEmail");
    ctl00_ContentPlaceHolder1_rEmail.controltovalidate = "ctl00_ContentPlaceHolder1_Email";
    ctl00_ContentPlaceHolder1_rEmail.errormessage = "Required";
    ctl00_ContentPlaceHolder1_rEmail.display = "Dynamic";
    ctl00_ContentPlaceHolder1_rEmail.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_rEmail.initialvalue = "";
    var ctl00_ContentPlaceHolder1_rEmail2 = document.all ? document.all["ctl00_ContentPlaceHolder1_rEmail2"] : document.getElementById("ctl00_ContentPlaceHolder1_rEmail2");
    ctl00_ContentPlaceHolder1_rEmail2.controltovalidate = "ctl00_ContentPlaceHolder1_Email";
    ctl00_ContentPlaceHolder1_rEmail2.errormessage = "Please enter valid Email address.";
    ctl00_ContentPlaceHolder1_rEmail2.display = "Dynamic";
    ctl00_ContentPlaceHolder1_rEmail2.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_rEmail2.validationexpression = "\\w+([-+.\']\\w+)*@\\w+([-.]\\w+)*\\.\\w+([-.]\\w+)*";
    var ctl00_ContentPlaceHolder1_RegularExpressionValidator1 = document.all ? document.all["ctl00_ContentPlaceHolder1_RegularExpressionValidator1"] : document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator1");
    ctl00_ContentPlaceHolder1_RegularExpressionValidator1.controltovalidate = "ctl00_ContentPlaceHolder1_txtGName1";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator1.errormessage = "Only accept 0-9a-zA-Z -,._()&\' ";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator1.display = "Dynamic";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator1.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator1.validationexpression = "^[0-9a-zA-Z \\-,._()&\']*$";
    var ctl00_ContentPlaceHolder1_RegularExpressionValidator2 = document.all ? document.all["ctl00_ContentPlaceHolder1_RegularExpressionValidator2"] : document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator2");
    ctl00_ContentPlaceHolder1_RegularExpressionValidator2.controltovalidate = "ctl00_ContentPlaceHolder1_txtGOrganization1";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator2.errormessage = "Only accept 0-9a-zA-Z -,._()&\' ";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator2.display = "Dynamic";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator2.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator2.validationexpression = "^[0-9a-zA-Z \\-,._()&\']*$";
    var ctl00_ContentPlaceHolder1_RegularExpressionValidator3 = document.all ? document.all["ctl00_ContentPlaceHolder1_RegularExpressionValidator3"] : document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator3");
    ctl00_ContentPlaceHolder1_RegularExpressionValidator3.controltovalidate = "ctl00_ContentPlaceHolder1_txtGPhone1";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator3.errormessage = "Please enter valid phone number.";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator3.display = "Dynamic";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator3.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator3.validationexpression = "(\\d{10})|((\\(\\d{3}\\) ?)|(\\d{3}-))?\\d{3}-\\d{4}([ ]*x[ ]*\\d{1,6})?";
    var ctl00_ContentPlaceHolder1_RegularExpressionValidator4 = document.all ? document.all["ctl00_ContentPlaceHolder1_RegularExpressionValidator4"] : document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator4");
    ctl00_ContentPlaceHolder1_RegularExpressionValidator4.controltovalidate = "ctl00_ContentPlaceHolder1_txtGEmail1";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator4.errormessage = "Please enter valid Email address.";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator4.display = "Dynamic";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator4.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator4.validationexpression = "\\w+([-+.\']\\w+)*@\\w+([-.]\\w+)*\\.\\w+([-.]\\w+)*";
    var ctl00_ContentPlaceHolder1_RegularExpressionValidator5 = document.all ? document.all["ctl00_ContentPlaceHolder1_RegularExpressionValidator5"] : document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator5");
    ctl00_ContentPlaceHolder1_RegularExpressionValidator5.controltovalidate = "ctl00_ContentPlaceHolder1_txtGName2";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator5.errormessage = "Only accept 0-9a-zA-Z -,._()&\' ";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator5.display = "Dynamic";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator5.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator5.validationexpression = "^[0-9a-zA-Z \\-,._()&\']*$";
    var ctl00_ContentPlaceHolder1_RegularExpressionValidator6 = document.all ? document.all["ctl00_ContentPlaceHolder1_RegularExpressionValidator6"] : document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator6");
    ctl00_ContentPlaceHolder1_RegularExpressionValidator6.controltovalidate = "ctl00_ContentPlaceHolder1_txtGOrganization2";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator6.errormessage = "Only accept 0-9a-zA-Z -,._()&\' ";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator6.display = "Dynamic";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator6.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator6.validationexpression = "^[0-9a-zA-Z \\-,._()&\']*$";
    var ctl00_ContentPlaceHolder1_RegularExpressionValidator7 = document.all ? document.all["ctl00_ContentPlaceHolder1_RegularExpressionValidator7"] : document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator7");
    ctl00_ContentPlaceHolder1_RegularExpressionValidator7.controltovalidate = "ctl00_ContentPlaceHolder1_txtGPhone2";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator7.errormessage = "Please enter valid phone number.";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator7.display = "Dynamic";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator7.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator7.validationexpression = "(\\d{10})|((\\(\\d{3}\\) ?)|(\\d{3}-))?\\d{3}-\\d{4}([ ]*x[ ]*\\d{1,6})?";
    var ctl00_ContentPlaceHolder1_RegularExpressionValidator8 = document.all ? document.all["ctl00_ContentPlaceHolder1_RegularExpressionValidator8"] : document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator8");
    ctl00_ContentPlaceHolder1_RegularExpressionValidator8.controltovalidate = "ctl00_ContentPlaceHolder1_txtGEmail2";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator8.errormessage = "Please enter valid Email address.";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator8.display = "Dynamic";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator8.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator8.validationexpression = "\\w+([-+.\']\\w+)*@\\w+([-.]\\w+)*\\.\\w+([-.]\\w+)*";
    var ctl00_ContentPlaceHolder1_RegularExpressionValidator9 = document.all ? document.all["ctl00_ContentPlaceHolder1_RegularExpressionValidator9"] : document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator9");
    ctl00_ContentPlaceHolder1_RegularExpressionValidator9.controltovalidate = "ctl00_ContentPlaceHolder1_txtGName3";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator9.errormessage = "Only accept 0-9a-zA-Z -,._()&\' ";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator9.display = "Dynamic";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator9.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator9.validationexpression = "^[0-9a-zA-Z \\-,._()&\']*$";
    var ctl00_ContentPlaceHolder1_RegularExpressionValidator10 = document.all ? document.all["ctl00_ContentPlaceHolder1_RegularExpressionValidator10"] : document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator10");
    ctl00_ContentPlaceHolder1_RegularExpressionValidator10.controltovalidate = "ctl00_ContentPlaceHolder1_txtGOrganization3";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator10.errormessage = "Only accept 0-9a-zA-Z -,._()&\' ";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator10.display = "Dynamic";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator10.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator10.validationexpression = "^[0-9a-zA-Z \\-,._()&\']*$";
    var ctl00_ContentPlaceHolder1_RegularExpressionValidator11 = document.all ? document.all["ctl00_ContentPlaceHolder1_RegularExpressionValidator11"] : document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator11");
    ctl00_ContentPlaceHolder1_RegularExpressionValidator11.controltovalidate = "ctl00_ContentPlaceHolder1_txtGPhone3";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator11.errormessage = "Please enter valid phone number.";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator11.display = "Dynamic";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator11.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator11.validationexpression = "(\\d{10})|((\\(\\d{3}\\) ?)|(\\d{3}-))?\\d{3}-\\d{4}([ ]*x[ ]*\\d{1,6})?";
    var ctl00_ContentPlaceHolder1_RegularExpressionValidator12 = document.all ? document.all["ctl00_ContentPlaceHolder1_RegularExpressionValidator12"] : document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator12");
    ctl00_ContentPlaceHolder1_RegularExpressionValidator12.controltovalidate = "ctl00_ContentPlaceHolder1_txtGEmail3";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator12.errormessage = "Please enter valid Email address.";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator12.display = "Dynamic";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator12.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator12.validationexpression = "\\w+([-+.\']\\w+)*@\\w+([-.]\\w+)*\\.\\w+([-.]\\w+)*";
    var ctl00_ContentPlaceHolder1_RegularExpressionValidator13 = document.all ? document.all["ctl00_ContentPlaceHolder1_RegularExpressionValidator13"] : document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator13");
    ctl00_ContentPlaceHolder1_RegularExpressionValidator13.controltovalidate = "ctl00_ContentPlaceHolder1_txtGName4";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator13.errormessage = "Only accept 0-9a-zA-Z -,._()&\' ";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator13.display = "Dynamic";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator13.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator13.validationexpression = "^[0-9a-zA-Z \\-,._()&\']*$";
    var ctl00_ContentPlaceHolder1_RegularExpressionValidator14 = document.all ? document.all["ctl00_ContentPlaceHolder1_RegularExpressionValidator14"] : document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator14");
    ctl00_ContentPlaceHolder1_RegularExpressionValidator14.controltovalidate = "ctl00_ContentPlaceHolder1_txtGOrganization4";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator14.errormessage = "Only accept 0-9a-zA-Z -,._()&\' ";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator14.display = "Dynamic";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator14.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator14.validationexpression = "^[0-9a-zA-Z \\-,._()&\']*$";
    var ctl00_ContentPlaceHolder1_RegularExpressionValidator15 = document.all ? document.all["ctl00_ContentPlaceHolder1_RegularExpressionValidator15"] : document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator15");
    ctl00_ContentPlaceHolder1_RegularExpressionValidator15.controltovalidate = "ctl00_ContentPlaceHolder1_txtGPhone4";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator15.errormessage = "Please enter valid phone number.";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator15.display = "Dynamic";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator15.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator15.validationexpression = "(\\d{10})|((\\(\\d{3}\\) ?)|(\\d{3}-))?\\d{3}-\\d{4}([ ]*x[ ]*\\d{1,6})?";
    var ctl00_ContentPlaceHolder1_RegularExpressionValidator16 = document.all ? document.all["ctl00_ContentPlaceHolder1_RegularExpressionValidator16"] : document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator16");
    ctl00_ContentPlaceHolder1_RegularExpressionValidator16.controltovalidate = "ctl00_ContentPlaceHolder1_txtGEmail4";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator16.errormessage = "Please enter valid Email address.";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator16.display = "Dynamic";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator16.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator16.validationexpression = "\\w+([-+.\']\\w+)*@\\w+([-.]\\w+)*\\.\\w+([-.]\\w+)*";
    var ctl00_ContentPlaceHolder1_rState0 = document.all ? document.all["ctl00_ContentPlaceHolder1_rState0"] : document.getElementById("ctl00_ContentPlaceHolder1_rState0");
    ctl00_ContentPlaceHolder1_rState0.controltovalidate = "ctl00_ContentPlaceHolder1_txtGPayer";
    ctl00_ContentPlaceHolder1_rState0.errormessage = "Required";
    ctl00_ContentPlaceHolder1_rState0.display = "Dynamic";
    ctl00_ContentPlaceHolder1_rState0.evaluationfunction = "RequiredFieldValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_rState0.initialvalue = "";
    var ctl00_ContentPlaceHolder1_RegularExpressionValidator21 = document.all ? document.all["ctl00_ContentPlaceHolder1_RegularExpressionValidator21"] : document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator21");
    ctl00_ContentPlaceHolder1_RegularExpressionValidator21.controltovalidate = "ctl00_ContentPlaceHolder1_txtGPayer";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator21.errormessage = "Invalid number";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator21.display = "Dynamic";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator21.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator21.validationexpression = "\\d";
    var ctl00_ContentPlaceHolder1_RegularExpressionValidator20 = document.all ? document.all["ctl00_ContentPlaceHolder1_RegularExpressionValidator20"] : document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator20");
    ctl00_ContentPlaceHolder1_RegularExpressionValidator20.controltovalidate = "ctl00_ContentPlaceHolder1_txtBag";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator20.errormessage = "Only accept 0-9a-zA-Z -,._()&\' ";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator20.display = "Dynamic";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator20.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator20.validationexpression = "^[0-9a-zA-Z \\-,._()&\']*$";
    var ctl00_ContentPlaceHolder1_RegularExpressionValidator23 = document.all ? document.all["ctl00_ContentPlaceHolder1_RegularExpressionValidator23"] : document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator23");
    ctl00_ContentPlaceHolder1_RegularExpressionValidator23.controltovalidate = "ctl00_ContentPlaceHolder1_txtStoreName";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator23.errormessage = "Only accept 0-9a-zA-Z -,._()&\' ";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator23.display = "Dynamic";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator23.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator23.validationexpression = "^[0-9a-zA-Z \\-,._()&\']*$";
    var ctl00_ContentPlaceHolder1_RegularExpressionValidator22 = document.all ? document.all["ctl00_ContentPlaceHolder1_RegularExpressionValidator22"] : document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator22");
    ctl00_ContentPlaceHolder1_RegularExpressionValidator22.controltovalidate = "ctl00_ContentPlaceHolder1_txtDoorPrizeDonation";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator22.errormessage = "Invalid Amount";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator22.display = "Dynamic";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator22.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator22.validationexpression = "^[\\$]?[ ]*\\d{1,3}(,?\\d{3})*(\\.\\d{0,2})?$";
    var ctl00_ContentPlaceHolder1_RegularExpressionValidator18 = document.all ? document.all["ctl00_ContentPlaceHolder1_RegularExpressionValidator18"] : document.getElementById("ctl00_ContentPlaceHolder1_RegularExpressionValidator18");
    ctl00_ContentPlaceHolder1_RegularExpressionValidator18.controltovalidate = "ctl00_ContentPlaceHolder1_txtAdditionalDonation";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator18.errormessage = "Invalid Amount";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator18.display = "Dynamic";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator18.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_RegularExpressionValidator18.validationexpression = "^[\\$]?[ ]*\\d{1,3}(,?\\d{3})*(\\.\\d{0,2})?$";
    var ctl00_ContentPlaceHolder1_rAdditionalInfo = document.all ? document.all["ctl00_ContentPlaceHolder1_rAdditionalInfo"] : document.getElementById("ctl00_ContentPlaceHolder1_rAdditionalInfo");
    ctl00_ContentPlaceHolder1_rAdditionalInfo.controltovalidate = "ctl00_ContentPlaceHolder1_txtAdditionalInfo";
    ctl00_ContentPlaceHolder1_rAdditionalInfo.errormessage = "Only accept 0-9a-zA-Z -,._()&\' ";
    ctl00_ContentPlaceHolder1_rAdditionalInfo.display = "Dynamic";
    ctl00_ContentPlaceHolder1_rAdditionalInfo.evaluationfunction = "RegularExpressionValidatorEvaluateIsValid";
    ctl00_ContentPlaceHolder1_rAdditionalInfo.validationexpression = "^[0-9a-zA-Z \\-,._()&\']*$";
    var ctl00_ContentPlaceHolder1_rCap = document.all ? document.all["ctl00_ContentPlaceHolder1_rCap"] : document.getElementById("ctl00_ContentPlaceHolder1_rCap");
    ctl00_ContentPlaceHolder1_rCap.controltovalidate = "ctl00_ContentPlaceHolder1_txtCap";
    ctl00_ContentPlaceHolder1_rCap.errormessage = "[Required]";
    ctl00_ContentPlaceHolder1_rCap.display = "Dynamic";
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Text Content

 
   

   Fields marked with an (*) are required to make a payment.

    * Organization:    RequiredOnly accept 0-9a-zA-Z -,._()&' * Payer First
Name:    RequiredOnly accept 0-9a-zA-Z -,._()&' * Payer Last Name:  
 RequiredOnly accept 0-9a-zA-Z -,._()&' * Street Address:    Required  
Apt/Suite:   * City:   Required * State:    Required * Zip/Postal Code:  
 Required * Cell Phone/Best Contact Phone #:   RequiredPlease enter valid phone
number. * Email:   Required Please enter valid Email address. Name(s) of Golfers
    Cart 1:       Name:    Only accept 0-9a-zA-Z -,._()&'   Organization:  
 Only accept 0-9a-zA-Z -,._()&'   Cell Phone:   Please enter valid phone number.
  Email:   Please enter valid Email address.     Name:    Only accept 0-9a-zA-Z
-,._()&'   Organization:    Only accept 0-9a-zA-Z -,._()&'   Cell Phone:  
Please enter valid phone number.   Email:   Please enter valid Email address.  
  Cart 2:       Name:    Only accept 0-9a-zA-Z -,._()&'   Organization:    Only
accept 0-9a-zA-Z -,._()&'   Cell Phone:   Please enter valid phone number.  
Email:   Please enter valid Email address.     Name:    Only accept 0-9a-zA-Z
-,._()&'   Organization:    Only accept 0-9a-zA-Z -,._()&'   Cell Phone:  
Please enter valid phone number.   Email:   Please enter valid Email address.
Sponsorship   Please select your entry category and/or sponsorship. Most
sponsorship packages (Water Hole, Golf Cart, Long Drive, Closest-to-the-Pin,
Eagle, Birdie, Par and Foursome) include 4 players. If you are selecting the
Driving Range, Putting Green, and/or Hole Sponsorship AND you wish to include 1
or more players, please select the Number of Players from the second dropdown
menu below. If you have a complete foursome, but are entering/paying separately,
you can select the option for the “part of complete Foursome” discounted rate in
the dropdown.      Sponsorship level:  

Eagle Package $2,000.
        Includes foursome, lunch & breakfast sponsorship w/sign for both, and
recognition in program Golf Cart Sponsorship $1,500.
        Includes foursome and logo on all golf cart name placards (maximum 2
sponsors) Water Hole Package $1,250.
        Includes foursome, sponsorship of the Beverage Cart, special sign for
cart and at refreshment stations, and recognition in program Long Drive Sponsor
$1,000.
        Includes foursome, special sign for Long Drive Contest hole, and
recognition in program Closest-to-the-Pin Sponsor $1,000.
        Includes foursome, special sign for Closest-to-the- Pin hole, and
recognition in program Birdie Package (Best Value) $650.
        Includes foursome, hole sponsorship w/sign on tee box w/company name or
logo, purchase of $25 Golf Galaxy or Dick's gift card as a door prize donation
on your behalf, and recognition in program Par Package $625.
        Includes foursome, hole sponsorship with sign on tee box with company
name or logo, and recognition in program Foursome $500.
        $125 per player – discounted compared to Individual Player! (If players
entering separately select “Individual Player paying separately, but part of
complete Foursome” below) Driving Range Sponsorship $400.
        Includes sign on driving range with company name or logo, and
recognition in program;
        each player fee is an additional $150.
        Select applicable number of players below Putting Green Sponsorship
$400.
        Includes sign on putting green with company name or logo, and
recognition in program;
        player fee is an additional $150.
        Select applicable number of players below Hole Sponsorship $175.
        Includes sign on tee box with company name or logo, and recognition in
program;
        each player fee is an additional $150.
        Select applicable number of players below Individual Player $150.
        Please input Number of players below Individual Player paying
separately, but part of complete Foursome $125
        (list other players below)

    Number of players:   (select number of players UNLESS you selected a
sponsorship package above that includes a foursome)  RequiredInvalid number  
Donate door prize(s) or goody bag items:    Only accept 0-9a-zA-Z -,._()&'  
JHFCU will buy a gift card(s) from Dick’s or Golf Galaxy on your behalf (list
amount and store preference).   Preferred store:    Only accept 0-9a-zA-Z
-,._()&'   Amount of door prize donation: $  Invalid Amount   Make an additional
donation to the
Johns Hopkins Children’s Center: $  Invalid Amount   Pre-Purchase of Mulligans:
1 for $10; 3 for $25 (per golfer) etc.   Please choose the number of mulligans 1
for $10 2 for $20 3 for $25 4 for $35 5 for $45 6 for $50 7 for $60 8 for $70 9
for $75 10 for $85 11 for $95 12 for $100 13 for $110 14 for $120 15 for $125 16
for $135 17 for $145 18 for $150 19 for $160 20 for $170 21 for $175 22 for $185
23 for $195 24 for $200   Additional Information – Please note if you wish to be
paired with another golfer or team registering separately.        Only accept
0-9a-zA-Z -,._()&'   Enter Security Code:   [Required]       

         

 

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