{"tax_rate":"0","list_forms":[{"id_form":"4307","position_form":"0","idvendor":"613","log_user":"2152","required_form":"0","active_form":"1","total_customer":"0","colling_billing":"0","activities_form":"1","calculate_amount":"0","relation_activities_form":"8481|8445|8449|8400|8477|8397|8480|8394|8391|8484|8381|8561|8366|8365|8188|8482|8189|8485|8478|8450|8562|8447|8401|8367|8398|8382|8395|8392|8563|8402|8218|8383|8483|8393|8479|8396|8451|8399|8448|","title_form":"Party Questions","label_form":"A few questions to help us prepare for your arrival","blurb_form":"A few questions to help us prepare for your arrival","introduction_form":"<p><br><\/p>","conclusion_form":"","email_body_response":"<p><br><\/p>","sendemail_form":"0","senddispatch_form":"","ecommerced_form":"0","location_form":"2","kind_form":"0","email_preview_response":"","name_preview_response":"","img_introduction_form":"","img_conclusion_form":"","caption_introduction_form":"","caption_conclusion_form":"","log_created":"2023-08-08 12:27:46","log_modified":"2023-08-08 12:27:46","waiver":"0","private":"0"},{"id_form":"4308","position_form":"0","idvendor":"613","log_user":"3","required_form":"0","active_form":"1","total_customer":"0","colling_billing":"0","activities_form":"0","calculate_amount":"0","relation_activities_form":"","title_form":"Donation Request Form","label_form":"Donation Request Form","blurb_form":"Requesting a donation?  Click here! ","introduction_form":"Thanks for considering us in your planning process. The first step is to complete this form.  This will begin the process to review your needs and see if and we can assist.  Please complete all of the information as accurately as possible so that we can respond in a timely manner.\r\n","conclusion_form":"","email_body_response":"<p>Thank you for your inquiry!  One of our staff members will contact you soon! <\/p><p>Roller Magic<\/p><p>60 Harvester Rd.<\/p><p>Waterbury, CT 06706<\/p><p>(203) 753-4983<br><\/p>","sendemail_form":"1","senddispatch_form":"","ecommerced_form":"0","location_form":"1","kind_form":"0","email_preview_response":"","name_preview_response":"","img_introduction_form":"\r\nimg_introduction_4308.png","img_conclusion_form":"","caption_introduction_form":"","caption_conclusion_form":"","log_created":"2023-08-08 12:28:03","log_modified":"2023-08-08 12:28:03","waiver":"0","private":"0"},{"id_form":"4309","position_form":"0","idvendor":"613","log_user":"3","required_form":"0","active_form":"1","total_customer":"0","colling_billing":"0","activities_form":"0","calculate_amount":"0","relation_activities_form":"","title_form":"Planning a Group Event?","label_form":"Planning a Group Event?","blurb_form":"Click here to get started!","introduction_form":"Need help or ideas for your next team party, business celebration or other special event?  \r\nWe specialize in large groups and would be happy to suggest ideas for yours. With our convenient location, great food and fun atmosphere everyone will have a great time here.\r\nPlease take a minute to complete this short questionnaire.  This helps us collect important information so we can get started. \r\nOur staff will follow-up with ideas and suggestions.\r\nLet's get this party started!","conclusion_form":"","email_body_response":"<p>Thank you for your inquiry!  One of our staff members will contact you soon!<\/p><p>Roller Magic<\/p><p>60 Harvester Rd.<\/p><p>Waterbury, CT 06706<\/p><p>(203) 753-4983<br><\/p>","sendemail_form":"1","senddispatch_form":"","ecommerced_form":"0","location_form":"1","kind_form":"0","email_preview_response":"","name_preview_response":"","img_introduction_form":"\r\nimg_introduction_4309.png","img_conclusion_form":"","caption_introduction_form":"","caption_conclusion_form":"","log_created":"2023-08-08 12:29:29","log_modified":"2023-08-08 12:29:29","waiver":"0","private":"0"},{"id_form":"4310","position_form":"0","idvendor":"613","log_user":"3","required_form":"0","active_form":"1","total_customer":"0","colling_billing":"0","activities_form":"0","calculate_amount":"0","relation_activities_form":"","title_form":"Planning a Fundraiser?","label_form":"We can help! Click here to complete our short Fundraiser questionnaire","blurb_form":"Planning a Fundraiser?","introduction_form":"<p>We have everything you need for a successful fundraiser<\/p><ul><li>Location<\/li><li>Materials<\/li><li>Ideas <\/li><li>Enthusiam<\/li><\/ul><p>Please complete this short questionnaire to help us gather information about your plans, needs, timing and ideas. Our staff will review and follow up.<br><\/p>","conclusion_form":"","email_body_response":"<p>Your request has been submitted. One of our staff members will contact you soon.<\/p><p>Roller Magic<\/p><p>60 Harvester Rd.<\/p><p>Waterbury, CT 06706<\/p><p>(203) 753-4983<br><\/p>","sendemail_form":"1","senddispatch_form":"","ecommerced_form":"0","location_form":"1","kind_form":"0","email_preview_response":"","name_preview_response":"","img_introduction_form":"\r\nimg_introduction_4310.png","img_conclusion_form":"","caption_introduction_form":"","caption_conclusion_form":"","log_created":"2023-08-08 12:30:43","log_modified":"2023-08-08 12:30:43","waiver":"0","private":"0"}],"html_forms":"<ul style='list-style: none; padding: 0;'>\n                                            <li>\n                                                <label style='font-size:30px;'>Donation Request Form<\/label>\n                                            <\/li>\n                                            <li>\n                                                <label style='font-size:12px;text-align: justify;text-justify: inter-word;'>Thanks for considering us in your planning process. The first step is to complete this form.  This will begin the process to review your needs and see if and we can assist.  Please complete all of the information as accurately as possible so that we can respond in a timely manner.\r\n<\/label>\n                                            <\/li><li>\n                                                                    <label for='txtResponse' '><span style='color:red'>*<\/span> Organization's State<\/label>\n                                                                    <input type='text' class='form-control  inputRequerido validarForms' id='txtResponse41901' name='txtResponse41901'><\/br>\n                                                                <\/li><li><label for='chkChooseMany'><span style='color:red'>*<\/span> Thank you taking the time to complete our Donation Request Form. Before you go we would like to know how you chose us for participation in your event. Please select the most appropriate selection.<\/label><\/br><input type='checkbox' class='inputRequerido validarForms' id='1chkChooseMany[]' name='1chkChooseMany[]' value='0|E-newsletter|41910|0|0' >\n                                                                    E-newsletter\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='1chkChooseMany[]' name='1chkChooseMany[]' value='0|Television Commercial|41910|0|0' >\n                                                                    Television Commercial\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='1chkChooseMany[]' name='1chkChooseMany[]' value='0|Print Ad|41910|0|0' >\n                                                                    Print Ad\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='1chkChooseMany[]' name='1chkChooseMany[]' value='0|Refered by a Friend|41910|0|0' >\n                                                                    Refered by a Friend\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='1chkChooseMany[]' name='1chkChooseMany[]' value='0|Attended a Birthday Party|41910|0|0' >\n                                                                    Attended a Birthday Party\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='1chkChooseMany[]' name='1chkChooseMany[]' value='0|Yellow Pages|41910|0|0' >\n                                                                    Yellow Pages\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='1chkChooseMany[]' name='1chkChooseMany[]' value='0|Website|41910|0|0' >\n                                                                    Website\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='1chkChooseMany[]' name='1chkChooseMany[]' value='0|Radio Commercial|41910|0|0' >\n                                                                    Radio Commercial\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='1chkChooseMany[]' name='1chkChooseMany[]' value='0|This is a Return Request|41910|0|0' >\n                                                                    This is a Return Request\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='1chkChooseMany[]' name='1chkChooseMany[]' value='0|Other|41910|0|0' >\n                                                                    Other\n                                                                    <\/br><li style='color:blue; font-size:12px;'>Thank you again and great success with your event!<\/li><\/br><li><li>\n                                                                    <label for='txtResponse' '> If your organization has a Tax ID number, please enter it here<\/label>\n                                                                    <input type='text' class='form-control  validarForms' id='txtResponse41909' name='txtResponse41909'><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtTextArea'> Please provide full mailing address and details if you requested the donation items to be mailed and if it is DIFFERENT than the address listed above.<\/label>\n                                                                    <textarea id='txtTextArea41908' name='txtTextArea41908' class='form-control  validarForms' rows='6' cols='40'><\/textarea><\/br>\n                                                                <\/li> <span style='color:red'>*<\/span> Please select best answer:<li><select name='select_choose_one_sub_41907' id='select_choose_one' class='form-control  inputRequerido validarForms'  onchange='down_load_components_elements(this.value,41907,);'><option value='0|'>- Select -<\/option><option value='0|I will pick up any donation items at your location|41907|0|0|69405|4308'>I will pick up any donation items at your location<\/option><option value='0|Please Mail my Donation items|41907|0|0|69406|4308'>Please Mail my Donation items<\/option><\/select><br\/><\/li><div id='div_components_elements_41907'><\/div><li>\n                                                                    <label for='txtResponse' '> Please provide the Organization's Website Address<\/label>\n                                                                    <input type='text' class='form-control  validarForms' id='txtResponse41906' name='txtResponse41906'><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtResponse' '> Please list any other email address associated with the Organization<\/label>\n                                                                    <input type='text' class='form-control  validarForms' id='txtResponse41905' name='txtResponse41905'><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtResponse' '><span style='color:red'>*<\/span> Organization's Primary Number<\/label>\n                                                                    <input type='text' class='form-control  inputRequerido validarForms' id='txtResponse41904' name='txtResponse41904'><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtResponse' '><span style='color:red'>*<\/span> Please list the best contact phone number for you<\/label>\n                                                                    <input type='text' class='form-control  inputRequerido validarForms' id='txtResponse41903' name='txtResponse41903'><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtResponse' '><span style='color:red'>*<\/span> Organization's Zip Code (prefer full nine digit number)<\/label>\n                                                                    <input type='text' class='form-control  inputRequerido validarForms' id='txtResponse41902' name='txtResponse41902'><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtTextArea'><span style='color:red'>*<\/span> Please tell us in detail, what you would like from us in terms of a donation?<\/label>\n                                                                    <textarea id='txtTextArea41892' name='txtTextArea41892' class='form-control  inputRequerido validarForms' rows='6' cols='40'><\/textarea><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtResponse' '><span style='color:red'>*<\/span> Organization's City<\/label>\n                                                                    <input type='text' class='form-control  inputRequerido validarForms' id='txtResponse41900' name='txtResponse41900'><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtResponse' '> Please list any important routing information such as; Building A, 2nd Floor, Department ZZ9<\/label>\n                                                                    <input type='text' class='form-control  validarForms' id='txtResponse41899' name='txtResponse41899'><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtResponse' '><span style='color:red'>*<\/span> Organization's Street Address<\/label>\n                                                                    <input type='text' class='form-control  inputRequerido validarForms' id='txtResponse41898' name='txtResponse41898'><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtResponse' '><span style='color:red'>*<\/span> Organization Name<\/label>\n                                                                    <input type='text' class='form-control  inputRequerido validarForms' id='txtResponse41897' name='txtResponse41897'><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtResponse' '><span style='color:red'>*<\/span> Your position with the organization<\/label>\n                                                                    <input type='text' class='form-control  inputRequerido validarForms' id='txtResponse41896' name='txtResponse41896'><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtResponse' '><span style='color:red'>*<\/span> What is the date of your event?<\/label>\n                                                                    <input type='text' class='form-control  inputRequerido validarForms' id='txtResponse41895' name='txtResponse41895'><li style='color:blue; font-size:12px;'>***Please allow at least 15 business days for processing***<\/li><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtResponse' '><span style='color:red'>*<\/span> Today's Date<\/label>\n                                                                    <input type='text' class='form-control  inputRequerido validarForms' id='txtResponse41894' name='txtResponse41894'><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtResponse' '><span style='color:red'>*<\/span> Name of Event<\/label>\n                                                                    <input type='text' class='form-control  inputRequerido validarForms' id='txtResponse41893' name='txtResponse41893'><\/br>\n                                                                <\/li><\/ul><ul style='list-style: none; padding: 0;'>\n                                            <li>\n                                                <label style='font-size:30px;'>Planning a Group Event?<\/label>\n                                            <\/li>\n                                            <li>\n                                                <label style='font-size:12px;text-align: justify;text-justify: inter-word;'>Need help or ideas for your next team party, business celebration or other special event?  \r\nWe specialize in large groups and would be happy to suggest ideas for yours. With our convenient location, great food and fun atmosphere everyone will have a great time here.\r\nPlease take a minute to complete this short questionnaire.  This helps us collect important information so we can get started. \r\nOur staff will follow-up with ideas and suggestions.\r\nLet's get this party started!<\/label>\n                                            <\/li><li>\n                                                                    <label for='txtResponse' '><span style='color:red'>*<\/span> If we need to reach you by phone, what is the best phone number for us to call? If you have a time preference, please let us know that as well.<\/label>\n                                                                    <input type='text' class='form-control  inputRequerido validarForms' id='txtResponse41911' name='txtResponse41911'><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtResponse' '> If you have a name for your group, what would that name be?<\/label>\n                                                                    <input type='text' class='form-control  validarForms' id='txtResponse41912' name='txtResponse41912'><\/br>\n                                                                <\/li> What name best describes your type of group?<li><select name='select_choose_one_sub_41913' id='select_choose_one' class='form-control  validarForms'  onchange='down_load_components_elements(this.value,41913,);'><option value='0|'>- Select -<\/option><option value='0|Business|41913|0|0|69417|4309'>Business<\/option><option value='0|Church|41913|0|0|69418|4309'>Church<\/option><option value='0|School|41913|0|0|69419|4309'>School<\/option><option value='0|League|41913|0|0|69420|4309'>League<\/option><option value='0|Government Agency|41913|0|0|69421|4309'>Government Agency<\/option><option value='0|Sports Group|41913|0|0|69422|4309'>Sports Group<\/option><option value='0|Non-Profit|41913|0|0|69423|4309'>Non-Profit<\/option><option value='0|Family|41913|0|0|69424|4309'>Family<\/option><option value='0|Other|41913|0|0|69425|4309'>Other<\/option><\/select><br\/><\/li><div id='div_components_elements_41913'><\/div><li>\n                                                                    <label for='txtTextArea'><span style='color:red'>*<\/span> Depending on the reason for your event, we may have some ideas and suggestions. What is the reason behind this event? Please let us know as much information as you think will be helpful for us to know so we can plan accordingly.<\/label>\n                                                                    <textarea id='txtTextArea41914' name='txtTextArea41914' class='form-control  inputRequerido validarForms' rows='6' cols='40'><\/textarea><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtResponse' '><span style='color:red'>*<\/span> What is the estimated number of people in your group?<\/label>\n                                                                    <input type='text' class='form-control  inputRequerido validarForms' id='txtResponse41915' name='txtResponse41915'><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtResponse' '><span style='color:red'>*<\/span> What dates are you interested in?<\/label>\n                                                                    <input type='text' class='form-control  inputRequerido validarForms' id='txtResponse41916' name='txtResponse41916'><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtResponse' '><span style='color:red'>*<\/span> What times of day would you like your event to begin and end?<\/label>\n                                                                    <input type='text' class='form-control  inputRequerido validarForms' id='txtResponse41917' name='txtResponse41917'><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtResponse' '> Would you like to speak with us about catering or providing other good services for this event?<\/label>\n                                                                    <input type='text' class='form-control  validarForms' id='txtResponse41918' name='txtResponse41918'><\/br>\n                                                                <\/li> <span style='color:red'>*<\/span> Approximately how much time do we have before a final decision is made?<li><select name='select_choose_one_sub_41919' id='select_choose_one' class='form-control  inputRequerido validarForms'  onchange='down_load_components_elements(this.value,41919,);'><option value='0|'>- Select -<\/option><option value='0|15 days|41919|0|0|69426|4309'>15 days<\/option><option value='0|30 days|41919|0|0|69427|4309'>30 days<\/option><option value='0|60 days|41919|0|0|69428|4309'>60 days<\/option><option value='0|90 days|41919|0|0|69429|4309'>90 days<\/option><\/select><br\/><\/li><div id='div_components_elements_41919'><\/div><li>\n                                                                    <label for='cboYesNo'><span style='color:red'>*<\/span> Have you ever hosted or attended a group event at our facility before?<\/label>\n                                                                    <select name='cboYesNo41920' id='cboYesNo41920' class='form-control col-md-3  inputRequerido validarForms'>\n                                                                        <option value='0'>- Select -<\/option>\n                                                                        <option value='1'>No<\/option>\n                                                                        <option value='2'>Yes<\/option>\n                                                                    <\/select><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtTextArea'> Please let us know any additional comments, questions or requests you have.<\/label>\n                                                                    <textarea id='txtTextArea41921' name='txtTextArea41921' class='form-control  validarForms' rows='6' cols='40'><\/textarea><\/br>\n                                                                <\/li><li><label for='chkChooseMany'><span style='color:red'>*<\/span> Thank you for including us in your planning process. How did you hear of us?<\/label><\/br><input type='checkbox' class='inputRequerido validarForms' id='2chkChooseMany[]' name='2chkChooseMany[]' value='0|Referral|41922|0|0' >\n                                                                    Referral\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='2chkChooseMany[]' name='2chkChooseMany[]' value='0|Website|41922|0|0' >\n                                                                    Website\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='2chkChooseMany[]' name='2chkChooseMany[]' value='0|Search Engine|41922|0|0' >\n                                                                    Search Engine\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='2chkChooseMany[]' name='2chkChooseMany[]' value='0|Direct Mail|41922|0|0' >\n                                                                    Direct Mail\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='2chkChooseMany[]' name='2chkChooseMany[]' value='0|Party Flier|41922|0|0' >\n                                                                    Party Flier\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='2chkChooseMany[]' name='2chkChooseMany[]' value='0|Postcard|41922|0|0' >\n                                                                    Postcard\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='2chkChooseMany[]' name='2chkChooseMany[]' value='0|Employee|41922|0|0' >\n                                                                    Employee\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='2chkChooseMany[]' name='2chkChooseMany[]' value='0|Advertisement|41922|0|0' >\n                                                                    Advertisement\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='2chkChooseMany[]' name='2chkChooseMany[]' value='0|Email Offer|41922|0|0' >\n                                                                    Email Offer\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='2chkChooseMany[]' name='2chkChooseMany[]' value='0|Facebook|41922|0|0' >\n                                                                    Facebook\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='2chkChooseMany[]' name='2chkChooseMany[]' value='0|Other|41922|0|0' >\n                                                                    Other\n                                                                    <\/br><\/br><li><\/ul><ul style='list-style: none; padding: 0;'>\n                                            <li>\n                                                <label style='font-size:30px;'>We can help! Click here to complete our short Fundraiser questionnaire<\/label>\n                                            <\/li>\n                                            <li>\n                                                <label style='font-size:12px;text-align: justify;text-justify: inter-word;'><p>We have everything you need for a successful fundraiser<\/p><ul><li>Location<\/li><li>Materials<\/li><li>Ideas <\/li><li>Enthusiam<\/li><\/ul><p>Please complete this short questionnaire to help us gather information about your plans, needs, timing and ideas. Our staff will review and follow up.<br><\/p><\/label>\n                                            <\/li><li>\n                                                                    <label for='txtTextArea'><span style='color:red'>*<\/span> Please explain in as much detail as possible, the purpose of your fundraiser - who or what is it for? What are you trying to accomplish?<br><\/label>\n                                                                    <textarea id='txtTextArea41923' name='txtTextArea41923' class='form-control  inputRequerido validarForms' rows='6' cols='40'><\/textarea><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtResponse' '><span style='color:red'>*<\/span> For planning purposes, how many guests are you hoping to participate in your Fundraiser?<br><\/label>\n                                                                    <input type='text' class='form-control  inputRequerido validarForms' id='txtResponse41924' name='txtResponse41924'><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtResponse' '><span style='color:red'>*<\/span> What dates are you interested in? Please provide several options unless there is only one specific date that will work.<br><\/label>\n                                                                    <input type='text' class='form-control  inputRequerido validarForms' id='txtResponse41925' name='txtResponse41925'><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtResponse' '><span style='color:red'>*<\/span> What time(s) are you interested in for your event?<br><\/label>\n                                                                    <input type='text' class='form-control  inputRequerido validarForms' id='txtResponse41926' name='txtResponse41926'><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtResponse' '><span style='color:red'>*<\/span> What is the budget for your Fundraiser?<br><\/label>\n                                                                    <input type='text' class='form-control  inputRequerido validarForms' id='txtResponse41927' name='txtResponse41927'><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtResponse' '><span style='color:red'>*<\/span> Are you considering holding your Fundraiser at our facility or do you have another location in mind?<br><\/label>\n                                                                    <input type='text' class='form-control  inputRequerido validarForms' id='txtResponse41928' name='txtResponse41928'><\/br>\n                                                                <\/li> <span style='color:red'>*<\/span> When do you expect to make a decision about when and where your Fundraiser will be held?<br><li><select name='select_choose_one_sub_41929' id='select_choose_one' class='form-control  inputRequerido validarForms'  onchange='down_load_components_elements(this.value,41929,);'><option value='0|'>- Select -<\/option><option value='0|Within Weeks|41929|0|0|69441|4310'>Within Weeks<\/option><option value='0|30 Days|41929|0|0|69442|4310'>30 Days<\/option><option value='0|60 Days|41929|0|0|69443|4310'>60 Days<\/option><option value='0|90 Days|41929|0|0|69444|4310'>90 Days<\/option><\/select><br\/><\/li><div id='div_components_elements_41929'><\/div><li>\n                                                                    <label for='txtTextArea'><span style='color:red'>*<\/span> Who will be in charge of your Fundraiser? Yourself? A committee? Please provide details so we know who we need to communicate with. Include names, emails addresses and phone numbers of key contacts.<br><\/label>\n                                                                    <textarea id='txtTextArea41930' name='txtTextArea41930' class='form-control  inputRequerido validarForms' rows='6' cols='40'><\/textarea><\/br>\n                                                                <\/li><li><label for='chkChooseMany'><span style='color:red'>*<\/span> Who will be invited to your Fundraiser?<br><\/label><\/br><input type='checkbox' class='inputRequerido validarForms' id='3chkChooseMany[]' name='3chkChooseMany[]' value='0|Adults Only|41931|0|0' >\n                                                                    Adults Only\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='3chkChooseMany[]' name='3chkChooseMany[]' value='0|Adults & Kids|41931|0|0' >\n                                                                    Adults & Kids\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='3chkChooseMany[]' name='3chkChooseMany[]' value='0|Kids Only|41931|0|0' >\n                                                                    Kids Only\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='3chkChooseMany[]' name='3chkChooseMany[]' value='0|Private Event|41931|0|0' >\n                                                                    Private Event\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='3chkChooseMany[]' name='3chkChooseMany[]' value='0|Open to the Public|41931|0|0' >\n                                                                    Open to the Public\n                                                                    <\/br><\/br><li><li>\n                                                                    <label for='txtResponse' '><span style='color:red'>*<\/span> How much money are you trying to raise?<br><\/label>\n                                                                    <input type='text' class='form-control  inputRequerido validarForms' id='txtResponse41932' name='txtResponse41932'><\/br>\n                                                                <\/li><li>\n                                                                    <label for='txtResponse' '><span style='color:red'>*<\/span> If we need to reach you by phone, what is the best number to call? Is there a time of day that is better?<br><\/label>\n                                                                    <input type='text' class='form-control  inputRequerido validarForms' id='txtResponse41933' name='txtResponse41933'><\/br>\n                                                                <\/li><li>\n                                                                    <label for='cboYesNo'><span style='color:red'>*<\/span> Have you ever hosted or attended a group event at our facility before?<br><\/label>\n                                                                    <select name='cboYesNo41934' id='cboYesNo41934' class='form-control col-md-3  inputRequerido validarForms'>\n                                                                        <option value='0'>- Select -<\/option>\n                                                                        <option value='1'>No<\/option>\n                                                                        <option value='2'>Yes<\/option>\n                                                                    <\/select><\/br>\n                                                                <\/li><li><label for='chkChooseMany'><span style='color:red'>*<\/span> Can you tell us how you first heard of us?<br><\/label><\/br><input type='checkbox' class='inputRequerido validarForms' id='4chkChooseMany[]' name='4chkChooseMany[]' value='0|Referral|41935|0|0' >\n                                                                    Referral\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='4chkChooseMany[]' name='4chkChooseMany[]' value='0|Website|41935|0|0' >\n                                                                    Website\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='4chkChooseMany[]' name='4chkChooseMany[]' value='0|Search Engine|41935|0|0' >\n                                                                    Search Engine\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='4chkChooseMany[]' name='4chkChooseMany[]' value='0|Direct Mail|41935|0|0' >\n                                                                    Direct Mail\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='4chkChooseMany[]' name='4chkChooseMany[]' value='0|Brochure|41935|0|0' >\n                                                                    Brochure\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='4chkChooseMany[]' name='4chkChooseMany[]' value='0|Window Sign|41935|0|0' >\n                                                                    Window Sign\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='4chkChooseMany[]' name='4chkChooseMany[]' value='0|Advertisement|41935|0|0' >\n                                                                    Advertisement\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='4chkChooseMany[]' name='4chkChooseMany[]' value='0|Email Offer|41935|0|0' >\n                                                                    Email Offer\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='4chkChooseMany[]' name='4chkChooseMany[]' value='0|Staff Member|41935|0|0' >\n                                                                    Staff Member\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='4chkChooseMany[]' name='4chkChooseMany[]' value='0|Facebook|41935|0|0' >\n                                                                    Facebook\n                                                                    <\/br><input type='checkbox' class='inputRequerido validarForms' id='4chkChooseMany[]' name='4chkChooseMany[]' value='0|Other|41935|0|0' >\n                                                                    Other\n                                                                    <\/br><\/br><li><\/ul>"}