- Scan ID:
- 831aee8b-a99e-42d2-afe9-4fd5a22f699fFinished
- Submitted URL:
- https://grainconvention.com/
- Report Finished:
Links · 0 found
The outgoing links identified from the page
JavaScript Variables · 42 found
Global JavaScript variables loaded on the window object of a page, are variables declared outside of functions and accessible from anywhere in the code within the current scope
Name | Type |
---|---|
onbeforetoggle | object |
documentPictureInPicture | object |
onscrollend | object |
_CF_error_messages | object |
_CF_error_fields | object |
_CF_FirstErrorField | object |
_CF_submit_status | object |
_CF_signalLoad | function |
_CF_onError | function |
_CF_onErrorAlert | function |
Console log messages · 1 found
Messages logged to the web console
Type | Category | Log |
---|---|---|
error | network |
|
HTML
The raw HTML body of the page
<html xmlns="http://www.w3.org/1999/xhtml"><head><script type="text/javascript" src="/cf_scripts/scripts/cfform.js"></script>
<script type="text/javascript" src="/cf_scripts/scripts/masks.js"></script>
<script src="jquery.js"></script>
<script type="text/javascript">
$(document).ready(function() {
$("#number_of_tickets").change(function(){
var tickets = $("#number_of_tickets").val();
var class_count = $(".ticket_field").length;
var firstnamearr = Array();
var lastnamearr = Array();
var count = 0;
for(i=1; i<=class_count; i++)
{
if($("#first_name_" + i).length>0){
if($("#first_name_" + i).val() != '' && $("#last_name_" + i).val() != ''){
firstnamearr[count] = $("#first_name_" + i).val();
lastnamearr[count] = $("#last_name_" + i).val();
count++
}
}
}
for(var i=count;i<$("#number_of_tickets").find("option:last").val();i++){
if(firstnamearr[i] == undefined){
firstnamearr[i] = '';
}
if(lastnamearr[i] == undefined){
lastnamearr[i] = ''
}
}
$(".ticket_field").not(":first").remove();
$("#first_name_1").val(firstnamearr[0]) ;
$("#last_name_1").val(lastnamearr[0]);
var count = 1;
for(i=2; i<=tickets; i++)
{
$("<tr class=ticket_field><th>First Name: </th><td><input type='text' name='first_name_" + i + "' id='first_name_" + i + "' value='" + firstnamearr[count] +"' class='required'/> *</td><th>Last Name: <input type='text' name='last_name_" + i + "' id='last_name_" + i + "' value='" + lastnamearr[count] +"' class='required'/> *</th></tr>").insertAfter(".ticket_field:last");
count++;
}
});
var error_MSG="Please fill all required fields";
var GIVE_MSG = 0;
var email_chk = /^([a-zA-Z0-9_\.\-])+\@(([a-zA-Z0-9\-])+\.)+([a-zA-Z0-9]{2,4})+$/;
$(".required").bind("blur",function(e){
$(this).removeClass("error_msg");
check_val = $(this).val();
if( (check_val=='' || check_val==undefined || check_val==0))
{
GIVE_MSG =1;
$(this).addClass("error_msg");
}
else if((($(this).attr("type")=="radio")||($(this).attr("type")=="radio")) && $(this).attr("checked")==false)
{
var radio_name = $(this).attr("name");
if (!$("input[name='"+radio_name+"']:checked").val())
{
GIVE_MSG =1;
$(this).wrap("<span class='error_msg wrapping "+radio_name+"'></span>");
}
}
else
{
var radio_name = $(this).attr("name");
//$("input[name='"+radio_name+"']").removeClass("error_msg");
$("."+radio_name).removeClass("error_msg");
}
if( GIVE_MSG == 1)
{
$(".error_msg:first").focus();
GIVE_MSG=0;
e.preventDefault();
}
});
$('input[type="submit"]').click(function(e)
{
$(".required").parent().removeClass("error_msg");
$(".required").removeClass("error_msg");
var radio = {};
$(".required").each(function(index,val)
{
check_val = $(val).val();
if((check_val=='' || check_val==undefined || check_val==0))
{
GIVE_MSG =1;
$(val).addClass("error_msg");
}
else if(($(val).attr("type")=="radio") || ($(val).attr("type")=="checkbox"))
{
var radio_name = $(val).attr("name");
if (!$("input[name='"+radio_name+"']:checked").val())
{
GIVE_MSG =1;
$(val).wrap("<span class='error_msg wrapping'></span>");
}
}
});
if (!email_chk.test($("#email").val()) ){
GIVE_MSG =1;
$("#email").addClass("error_msg");
}
if( GIVE_MSG == 1)
{
alert(error_MSG);
$(".error_msg:first").focus();
GIVE_MSG=0;
e.preventDefault();
}
});
});
</script>
<script>
$(document).ready(function() {
$('.idaho_show').hide();
$('#stateaffiliation').change(function () {
$('.idaho_show').hide()
$('#' + this.value).show();
});
});
</script>
<style>
body
{
font-family:Arial, Helvetica, sans-serif;
}
table
{
border:1px solid black;
padding:30px;
width:900px;
background-color:#FFF;
}
th
{
text-align:right;
font-size: 15px;
}
input, select
{
border:1px solid black;
}
table
{
border;2px solid black;
}
.instructions
{
font-style:italic;
font-size:14px;
font-weight:bold;
}
.error_msg{
border:1px solid red;
}
html {
background: url(images/bg.jpg) no-repeat center center fixed;
-webkit-background-size: cover;
-moz-background-size: cover;
-o-background-size: cover;
background-size: cover;
}
</style>
<script type="text/javascript">/* <![CDATA[ */
if (window.ColdFusion) ColdFusion.required['FirstName']=true;
/* ]]> */</script>
<script type="text/javascript">/* <![CDATA[ */
if (window.ColdFusion) ColdFusion.required['LastName']=true;
/* ]]> */</script>
<script type="text/javascript">/* <![CDATA[ */
if (window.ColdFusion) ColdFusion.required['address']=true;
/* ]]> */</script>
<script type="text/javascript">/* <![CDATA[ */
if (window.ColdFusion) ColdFusion.required['city']=true;
/* ]]> */</script>
<script type="text/javascript">/* <![CDATA[ */
if (window.ColdFusion) ColdFusion.required['phone']=true;
/* ]]> */</script>
<script type="text/javascript">/* <![CDATA[ */
if (window.ColdFusion) ColdFusion.required['email']=true;
/* ]]> */</script>
<script type="text/javascript">
<!--
_CF_checkCFForm_1 = function(_CF_this)
{
//reset on submit
_CF_error_exists = false;
_CF_error_messages = new Array();
_CF_error_fields = new Object();
_CF_FirstErrorField = null;
//form element FirstName required check
if( !_CF_hasValue(_CF_this['FirstName'], "TEXT", false ) )
{
_CF_onError(_CF_this, "FirstName", _CF_this['FirstName'].value, "Error in FirstName text.");
_CF_error_exists = true;
}
//form element LastName required check
if( !_CF_hasValue(_CF_this['LastName'], "TEXT", false ) )
{
_CF_onError(_CF_this, "LastName", _CF_this['LastName'].value, "Error in LastName text.");
_CF_error_exists = true;
}
//form element address required check
if( !_CF_hasValue(_CF_this['address'], "TEXT", false ) )
{
_CF_onError(_CF_this, "address", _CF_this['address'].value, "Error in address text.");
_CF_error_exists = true;
}
//form element city required check
if( !_CF_hasValue(_CF_this['city'], "TEXT", false ) )
{
_CF_onError(_CF_this, "city", _CF_this['city'].value, "Error in city text.");
_CF_error_exists = true;
}
//form element phone required check
if( !_CF_hasValue(_CF_this['phone'], "TEXT", false ) )
{
_CF_onError(_CF_this, "phone", _CF_this['phone'].value, "Error in phone text.");
_CF_error_exists = true;
}
//form element email required check
if( !_CF_hasValue(_CF_this['email'], "TEXT", false ) )
{
_CF_onError(_CF_this, "email", _CF_this['email'].value, "Error in email text.");
_CF_error_exists = true;
}
//form element M_single_wednesday 'REGEX' validation checks
if (!_CF_checkregex(_CF_this['M_single_wednesday'].value, /^[0-9]*$/, false))
{
_CF_onError(_CF_this, "M_single_wednesday", _CF_this['M_single_wednesday'].value, "Error in M_single_wednesday text.");
_CF_error_exists = true;
}
//form element M_single_thursday 'REGEX' validation checks
if (!_CF_checkregex(_CF_this['M_single_thursday'].value, /^[0-9]*$/, false))
{
_CF_onError(_CF_this, "M_single_thursday", _CF_this['M_single_thursday'].value, "Error in M_single_thursday text.");
_CF_error_exists = true;
}
//form element nm_single_wednesday 'REGEX' validation checks
if (!_CF_checkregex(_CF_this['nm_single_wednesday'].value, /^[0-9]*$/, false))
{
_CF_onError(_CF_this, "nm_single_wednesday", _CF_this['nm_single_wednesday'].value, "Error in nm_single_wednesday text.");
_CF_error_exists = true;
}
//form element nm_single_thursday 'REGEX' validation checks
if (!_CF_checkregex(_CF_this['nm_single_thursday'].value, /^[0-9]*$/, false))
{
_CF_onError(_CF_this, "nm_single_thursday", _CF_this['nm_single_thursday'].value, "Error in nm_single_thursday text.");
_CF_error_exists = true;
}
//form element auction_tickets 'REGEX' validation checks
if (!_CF_checkregex(_CF_this['auction_tickets'].value, /^[0-9]*$/, false))
{
_CF_onError(_CF_this, "auction_tickets", _CF_this['auction_tickets'].value, "Error in auction_tickets text.");
_CF_error_exists = true;
}
//form element i_breakfast_tickets 'REGEX' validation checks
if (!_CF_checkregex(_CF_this['i_breakfast_tickets'].value, /^[0-9]*$/, false))
{
_CF_onError(_CF_this, "i_breakfast_tickets", _CF_this['i_breakfast_tickets'].value, "Error in i_breakfast_tickets text.");
_CF_error_exists = true;
}
//form element i_lunch_tickets 'REGEX' validation checks
if (!_CF_checkregex(_CF_this['i_lunch_tickets'].value, /^[0-9]*$/, false))
{
_CF_onError(_CF_this, "i_lunch_tickets", _CF_this['i_lunch_tickets'].value, "Error in i_lunch_tickets text.");
_CF_error_exists = true;
}
//form element statebanquet_tickets 'REGEX' validation checks
if (!_CF_checkregex(_CF_this['statebanquet_tickets'].value, /^[0-9]*$/, false))
{
_CF_onError(_CF_this, "statebanquet_tickets", _CF_this['statebanquet_tickets'].value, "Error in statebanquet_tickets text.");
_CF_error_exists = true;
}
//form element dinnerAuction_tickets 'REGEX' validation checks
if (!_CF_checkregex(_CF_this['dinnerAuction_tickets'].value, /^[0-9]*$/, false))
{
_CF_onError(_CF_this, "dinnerAuction_tickets", _CF_this['dinnerAuction_tickets'].value, "Error in dinnerAuction_tickets text.");
_CF_error_exists = true;
}
//display error messages and return success
if( _CF_error_exists )
{
if( _CF_error_messages.length > 0 )
{
// show alert() message
_CF_onErrorAlert(_CF_error_messages);
// set focus to first form error, if the field supports js focus().
if( _CF_this[_CF_FirstErrorField].type == "text" )
{ _CF_this[_CF_FirstErrorField].focus(); }
}
return false;
}else {
return true;
}
}
//-->
</script>
</head>
<body style="">
<div id="alignit" align="center">
<div>
<img src="admin/images/banner.jpg">
</div>
<form name="CFForm_1" id="CFForm_1" action="review.cfm" method="post" style=" padding:40px; padding-top: 5px;" onsubmit="return _CF_checkCFForm_1(this)">
<table cellpadding="8">
<tbody><tr class="ticket_field">
<th>Farm or Business: </th>
<td colspan="2"><input name="BusinessName" type="text" style="width:95%" id="BusinessName"></td>
</tr>
<tr class="ticket_field" id="names">
<th>First Name: </th><td><input name="FirstName" type="text" style="width:60%" id="FirstName" class="required"> *</td>
<td>Last Name: <input name="LastName" type="text" style="width:60%" id="LastName" class="required"> *</td>
</tr>
<tr class="ticket_field" id="names">
<th>Spouse/Guests: </th>
<td colspan="2"><input name="Spouse" type="text" style="width:50%" id="Spouse">
*<span style="color:red;">Use Comma to separate names</span>*</td>
</tr>
<tr>
<td colspan="4"><hr></td>
</tr>
<tr>
<th>Address: </th><td colspan="3"><input name="address" type="text" style="width:95%" id="address" class="required"> *</td>
</tr>
<tr>
<th>City:</th>
<td><input name="city" type="text" style="width:70%" id="city">* </td>
<td colspan="2">State:
<select name="state" style="width:40%" id="state">
<option value="">...Select...</option>
<option value="WA">Washington</option>
<option value="ID">Idaho</option>
<option value="OR">Oregon</option>
<option value="AL">Alabama</option>
<option value="AK">Alaska</option>
<option value="AZ">Arizona</option>
<option value="AR">Arkansas</option>
<option value="CA">California</option>
<option value="CO">Colorado</option>
<option value="CT">Connecticut</option>
<option value="DE">Delaware</option>
<option value="DC">Washington DC</option>
<option value="FL">Florida</option>
<option value="GA">Georgia</option>
<option value="HI">Hawaii</option>
<option value="ID">Idaho</option>
<option value="IL">Illinois</option>
<option value="IN">Indiana</option>
<option value="IA">Iowa</option>
<option value="KS">Kansas</option>
<option value="KY">Kentucky</option>
<option value="LA">Louisianna</option>
<option value="ME">Maine</option>
<option value="MD">Maryland</option>
<option value="MA">Massachusetts</option>
<option value="MI">Michigan</option>
<option value="MN">Minnesota</option>
<option value="MS">Mississippi</option>
<option value="MO">Missouri</option>
<option value="MT">Montana</option>
<option value="NE">Nebraska</option>
<option value="NV">Nevada</option>
<option value="NH">New Hampshire</option>
<option value="NJ">New Jersey</option>
<option value="NM">New Mexico</option>
<option value="NY">New York</option>
<option value="NC">North Carolina</option>
<option value="ND">North Dakota</option>
<option value="OH">Ohio</option>
<option value="OK">Oklahoma</option>
<option value="OR">Oregon</option>
<option value="PA">Pennsylvania</option>
<option value="RI">Rhode Island</option>
<option value="SC">South Carolina</option>
<option value="SD">South Dakota</option>
<option value="TN">Tennessee</option>
<option value="TX">Texas</option>
<option value="UT">Utah</option>
<option value="VT">Vermont</option>
<option value="VA">Virginia</option>
<option value="WA">Washington</option>
<option value="West Virginia">West Virginia</option>
<option value="WI">Wisconsin</option>
<option value="WY">Wyoming</option>
</select>
* Zip:
<input name="zip" type="text" style="width:20%" id="zip" onkeyup="mask_onValueChanged();" onfocus="mask_onSetFocus(this, '99999');" onblur="mask_onKillFocus();">
*</td>
</tr>
<tr>
<th>Phone: </th><td><input name="phone" type="text" style="width:50%" id="phone" onkeyup="mask_onValueChanged();" onfocus="mask_onSetFocus(this, '(999) 999-9999');" onblur="mask_onKillFocus();"> *</td>
</tr>
<tr>
<th>Email: </th><td colspan="3"><input name="email" type="text" style="width:50%" id="email" class="required"> *</td>
</tr>
<tr>
<th>Comments: </th>
<td colspan="3"><textarea name="comments" id="comments" cols="45" rows="5"></textarea></td>
</tr>
<tr>
<td colspan="4"><hr></td>
</tr>
<tr>
<th>State Affiliation: </th>
<td colspan="3"><select name="stateaffiliation" id="stateaffiliation">
<option value="">SELECT</option>
<option value="WAWG">WAWG</option>
<option value="OWGL">OWGL</option>
<option value="IGPA">IGPA</option>
</select></td>
</tr>
<tr id="IGPA" class="idaho_show" style="display: none;"><th>State PromoCode: </th>
<td colspan="3"><input name="id_promo" type="text" id="id_promo" maxlength="6"></td>
</tr>
<tr>
<td colspan="4"><hr></td>
</tr>
<tr>
<td colspan="4">
<p><i>**Conference registration cancellations will be accepted through October 25th, and refunds,
less $25 per person administrative fee, will be granted upon written request through this date. No refunds will be granted after November 5, 2024.**</i></p>
</td>
</tr>
<tr>
<td colspan="4"><hr></td>
</tr>
<tr>
<th>Full Registration</th>
<td colspan="2"><em>Includes Registration for Tuesday, Wednesday, Thursday<br> meetings & all meals</em></td>
</tr>
<tr>
<td> </td>
<td>Regular Registration</td><td><p>
# Attending:
<input name="regular_reg_tickets" id="regular_reg_tickets" type="text" size="3" onkeyup="mask_onValueChanged();" onfocus="mask_onSetFocus(this, '999');" onblur="mask_onKillFocus();">
Price: $225.00 each</p></td>
</tr>
<tr>
<td> </td>
<td>Spouse Registration</td>
<td><p>
# Attending:
<input name="spouse_reg_tickets" id="spouse_reg_tickets" type="text" size="3" onkeyup="mask_onValueChanged();" onfocus="mask_onSetFocus(this, '999');" onblur="mask_onKillFocus();">
Price: $225.00 each</p></td>
</tr>
<tr>
<td> </td>
<td>Non Member Registration</td>
<td><p>
# Attending:
<input name="non_mem_tickets" id="non_mem_tickets" type="text" size="3" onkeyup="mask_onValueChanged();" onfocus="mask_onSetFocus(this, '999');" onblur="mask_onKillFocus();">
Price: $375.00 each</p></td>
</tr>
<tr>
<td colspan="4"><hr></td>
</tr>
<tr>
<th>Single Day Registration</th>
<td colspan="2"> </td>
</tr>
<tr>
<td> </td>
<td>Wednesday (Member)</td>
<td><p>
# Attending:
<input name="M_single_wednesday" id="M_single_wednesday" type="text" size="3" onkeyup="mask_onValueChanged();" onfocus="mask_onSetFocus(this, '999');" onblur="mask_onKillFocus();">
Price: $200.00 each</p></td>
</tr>
<tr>
<td> </td>
<td>Thursday (Member)</td>
<td><p>
# Attending:
<input name="M_single_thursday" id="M_single_thursday" type="text" size="3" onkeyup="mask_onValueChanged();" onfocus="mask_onSetFocus(this, '999');" onblur="mask_onKillFocus();">
Price: $200.00 each</p></td>
</tr>
<tr>
<td> </td>
<td>Wednesday (Non Member)</td>
<td><p>
# Attending:
<input name="nm_single_wednesday" id="nm_single_wednesday" type="text" size="3" onkeyup="mask_onValueChanged();" onfocus="mask_onSetFocus(this, '999');" onblur="mask_onKillFocus();">
Price: $275.00 each</p></td>
</tr>
<tr>
<td> </td>
<td>Thursday (Non Member)</td>
<td><p>
# Attending:
<input name="nm_single_thursday" id="nm_single_thursday" type="text" size="3" onkeyup="mask_onValueChanged();" onfocus="mask_onSetFocus(this, '999');" onblur="mask_onKillFocus();">
Price: $275.00 each</p></td>
</tr>
<tr>
<td colspan="4"><hr></td>
</tr>
<tr>
<th>Dinner & Auction</th>
<td colspan="2">Heads & Tails **Auction Fundraiser**</td>
</tr>
<tr>
<td> </td>
<td> </td>
<td><p>
# Attending:
<input name="auction_tickets" id="auction_tickets" type="text" size="3" onkeyup="mask_onValueChanged();" onfocus="mask_onSetFocus(this, '999');" onblur="mask_onKillFocus();">
Price: $10 per person</p></td>
</tr>
<tr>
<td colspan="4"><hr></td>
</tr>
<tr>
<th>Additional Meals</th>
<td colspan="2">Available only with a full registration</td>
</tr>
<tr>
<td> </td>
<td>Individual Breakfast</td>
<td><p>
# Attending:
<input name="i_breakfast_tickets" id="i_breakfast_tickets" type="text" size="3" onkeyup="mask_onValueChanged();" onfocus="mask_onSetFocus(this, '999');" onblur="mask_onKillFocus();">
Price: $40 per person</p></td>
</tr>
<tr>
<td> </td>
<td>Individual Lunch</td>
<td><p>
# Attending:
<input name="i_lunch_tickets" id="i_lunch_tickets" type="text" size="3" onkeyup="mask_onValueChanged();" onfocus="mask_onSetFocus(this, '999');" onblur="mask_onKillFocus();">
Price: $55 per person</p></td>
</tr>
<tr>
<td> </td>
<td>State Banquet</td>
<td><p>
# Attending:
<input name="statebanquet_tickets" id="statebanquet_tickets" type="text" size="3" onkeyup="mask_onValueChanged();" onfocus="mask_onSetFocus(this, '999');" onblur="mask_onKillFocus();">
Price: $95 per person</p></td>
</tr>
<tr>
<td> </td>
<td>Dinner & Auction</td>
<td><p>
# Attending:
<input name="dinnerAuction_tickets" id="dinnerAuction_tickets" type="text" size="3" onkeyup="mask_onValueChanged();" onfocus="mask_onSetFocus(this, '999');" onblur="mask_onKillFocus();">
Price: $115 per person</p></td>
</tr>
<tr>
<td colspan="4"><hr></td>
</tr>
<tr>
<th>Which meals will you attend?</th>
<td colspan="2">For Head Count Purposes</td>
</tr>
<tr>
<td> </td>
<td colspan="2"><input name="NOUB" type="checkbox" value="yes">National Organization Update Breakfast (Wed)<br>
<input name="LWMP" type="checkbox" value="yes">Luncheon - Tri-State (Wed)<br>
<input name="OB" type="checkbox" value="yes">Oregon Banquet (Wed)<br>
<input name="IB" type="checkbox" value="yes">Idaho Banquet (Wed)<br>
<input name="WB" type="checkbox" value="yes">Washington Banquet (Wed)<br>
<input name="OBF" type="checkbox" value="yes">Opening Breakfast (Thurs)<br>
<input name="LF" type="checkbox" value="yes">Luncheon (Thurs)<br>
<input name="D_A" type="checkbox" value="yes">Dinner & Auction (Thurs)<br>
</td>
</tr>
<tr>
<td colspan="4"><hr></td>
</tr>
<tr>
<th>Indicate all that apply:</th>
<td colspan="2"> </td>
</tr>
<tr>
<td valign="top"><p> </p></td>
<td valign="top"><input name="indication" type="checkbox" value="Executive Committee">Executive Committee<br>
<input name="indication" type="checkbox" value="Committee Chairperson">
Committee Chairperson<br>
<input name="indication" type="checkbox" value="Wheat Foundation">
Wheat Foundation<br>
<input name="indication" type="checkbox" value="15x40 Attendee">
15x40 Attendee<br>
<input name="indication" type="checkbox" value="WA Lifetime Member">
WA Lifetime Member<br>
<input name="indication" type="checkbox" value="Speaker">
Speaker<br>
<input name="indication" type="checkbox" value="Exhibitor">
Exhibitor<br>
<input name="indication" type="checkbox" value="Sponsor">
Sponsor<br>
<input name="indication" type="checkbox" value="Past President">
Past President<br>
<input name="indication" type="checkbox" value="State Officer">
State Officer<br>
<input name="indication" type="checkbox" value="County President">
County President<br>
<input name="indication" type="checkbox" value="Board Member">
Board Member <br>
<br></td>
<td valign="top"><input name="indication" type="checkbox" value="Idaho Wheat Commissioner">
Idaho Wheat Commissioner<br>
<input name="indication" type="checkbox" value="Idaho Barley Commissioner">
Idaho Barley Commissioner<br>
<input name="indication" type="checkbox" value="Oregon Wheat Commissioner">
Oregon Wheat Commissioner<br>
<input name="indication" type="checkbox" value="Washington Wheat Commissioner">
Washington Grain Commissioner<br>
<input name="indication" type="checkbox" value="Past Idaho Wheat Commissioner">
Past Idaho Wheat Commissioner<br>
<input name="indication" type="checkbox" value="Past Idaho Barley Commissioner">
Past Idaho Barley Commissioner<br>
<input name="indication" type="checkbox" value="Past Oregon Wheat Commissioner">
Past Oregon Wheat Commissioner<br>
<input name="indication" type="checkbox" value="Past Washington Wheat Commissioner">
Past Washington Wheat Commissioner<br>
<input name="indication" type="checkbox" value="Past Washington Barley Commissioner">
Past Washington Barley Commissioner</td>
</tr>
<tr>
<td colspan="3">
<div style="width:100%; height:50px; background-color:black; text-align:right; color:#fff;">
<div style="padding:13px 50px 0 0;">Step 1 of 2: <input type="submit" value="Next" id="step2_button" name="step2_button"><input name="CustomerIP" id="CustomerIP" type="hidden" value="104.28.158.248"></div>
</div>
</td>
</tr>
</tbody></table>
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