Community Police Partnership Program Signup
LCMS.FormBuilder.AddFormOnlyOnce('main_0_0_pnlViewForm', 'main_0_0_btnFormPost', 'main_0_0_hfCallBack', 'main_0_0_hfViewState', '{"data":{"paymentInfo":null,"properties":{"accountID":-1,"formID":157082,"title":"Community Police Partnership Program Signup","description":null,"emailEntries":true,"emailEntriesTo":"","emailExcludeFormData":false,"isPasswordProtected":false,"formPassword":"","confirmationMessageType":"text","confirmationMessageText":"Thank you for filling out our form.","redirectURL":null,"emailConfirmation":false,"emailConfirmationIncludesFields":false,"emailConfirmationFieldSetID":null,"replyToFieldSetID":803265,"captchaFieldsetID":null,"emailConfirmationSubject":null,"emailConfirmationFrom":"","emailConfirmationBody":null,"formHeight":0,"basePrice":0.00,"enablePayments":true,"packageID":2,"requireSSL":false,"captchaCode":null,"showReportAbuseLink":false},"elements":[{"formElementID":803262,"fieldTitle":"Name","fieldType":"name","instructions":null,"cssClass":["medField"],"isRequired":true,"isUnique":false,"isEmailConfirmationField":false,"isHiddenEmailField":false,"isReplyToField":false,"formatType":"Normal","order":0,"fields":[{"fieldID":1294097,"type":"text","name":"","defaultValue":null,"cssClass":["firstname"],"size":"16","fieldNote":"First","fieldRow":0,"isRequired":true,"isUnique":false,"options":[]},{"fieldID":1294098,"type":"text","name":"","defaultValue":null,"cssClass":["lastname"],"size":"16","fieldNote":"Last","fieldRow":0,"isRequired":true,"isUnique":false,"options":[]}]},{"formElementID":803263,"fieldTitle":"Phone","fieldType":"phone","instructions":null,"cssClass":["medField"],"isRequired":true,"isUnique":false,"isEmailConfirmationField":false,"isHiddenEmailField":false,"isReplyToField":false,"formatType":"US","order":1,"fields":[{"fieldID":1294099,"type":"text","name":"(XXX)","defaultValue":null,"cssClass":["phone-areacode"],"size":"3","fieldNote":null,"fieldRow":0,"isRequired":true,"isUnique":false,"options":[]},{"fieldID":1294100,"type":"text","name":"XXX-","defaultValue":null,"cssClass":["phone-prefix"],"size":"3","fieldNote":null,"fieldRow":0,"isRequired":true,"isUnique":false,"options":[]},{"fieldID":1294101,"type":"text","name":"XXXX","defaultValue":null,"cssClass":["phone-suffix"],"size":"4","fieldNote":null,"fieldRow":0,"isRequired":true,"isUnique":false,"options":[]}]},{"formElementID":803264,"fieldTitle":"Address","fieldType":"address","instructions":null,"cssClass":["medField"],"isRequired":true,"isUnique":false,"isEmailConfirmationField":false,"isHiddenEmailField":false,"isReplyToField":false,"formatType":"US","order":2,"fields":[{"fieldID":1294102,"type":"text","name":"","defaultValue":null,"cssClass":["address1"],"size":"47","fieldNote":"Street Address","fieldRow":0,"isRequired":true,"isUnique":false,"options":[]},{"fieldID":1294103,"type":"text","name":"","defaultValue":null,"cssClass":["address2"],"size":"47","fieldNote":"Address Line 2","fieldRow":1,"isRequired":false,"isUnique":false,"options":[]},{"fieldID":1294104,"type":"text","name":"","defaultValue":null,"cssClass":["city"],"size":"16","fieldNote":"City","fieldRow":2,"isRequired":true,"isUnique":false,"options":[]},{"fieldID":1294105,"type":"state","name":"","defaultValue":null,"cssClass":["state"],"size":null,"fieldNote":"State","fieldRow":2,"isRequired":true,"isUnique":false,"options":[]},{"fieldID":1294106,"type":"text","name":"","defaultValue":null,"cssClass":["zip"],"size":"5","fieldNote":"Zip Code","fieldRow":2,"isRequired":true,"isUnique":false,"options":[]}]},{"formElementID":803265,"fieldTitle":"Email Address","fieldType":"email","instructions":null,"cssClass":["medField"],"isRequired":false,"isUnique":false,"isEmailConfirmationField":false,"isHiddenEmailField":false,"isReplyToField":true,"formatType":"Default","order":3,"fields":[{"fieldID":1294107,"type":"text","name":"","defaultValue":null,"cssClass":["email"],"size":"24","fieldNote":null,"fieldRow":0,"isRequired":false,"isUnique":false,"options":[]}]},{"formElementID":803266,"fieldTitle":"E-mail notifications","fieldType":"checkbox","instructions":null,"cssClass":null,"isRequired":false,"isUnique":false,"isEmailConfirmationField":false,"isHiddenEmailField":false,"isReplyToField":false,"formatType":"Default","order":4,"fields":[{"fieldID":1294108,"type":"checkbox","name":"","defaultValue":null,"cssClass":["checkboxes"],"size":null,"fieldNote":null,"fieldRow":0,"isRequired":false,"isUnique":false,"options":[{"optionID":890684,"price":0.00,"text":"I wish to receive e-mail notifications about upcoming meetings","isChecked":false,"isDefault":false,"order":0}]}]}],"deleteInfo":null}}', 'main_0_0_hfIs508Compliant');