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document.write(".fsSubFieldGroup .fsSubField:nth-child(3):nth-last-child(2).fsNameFirst,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(4):nth-last-child(1).fsNameFirst {"+"\n");
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document.write("}"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(1):nth-last-child(4).fsNamePrefix, .fsSubFieldGroup .fsSubField:nth-child(1):nth-last-child(4).fsNameInitial, .fsSubFieldGroup .fsSubField:nth-child(1):nth-last-child(4).fsNameMiddle, .fsSubFieldGroup .fsSubField:nth-child(1):nth-last-child(4).fsNameSuffix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(2):nth-last-child(3).fsNamePrefix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(2):nth-last-child(3).fsNameInitial,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(2):nth-last-child(3).fsNameMiddle,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(2):nth-last-child(3).fsNameSuffix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(3):nth-last-child(2).fsNamePrefix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(3):nth-last-child(2).fsNameInitial,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(3):nth-last-child(2).fsNameMiddle,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(3):nth-last-child(2).fsNameSuffix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(4):nth-last-child(1).fsNamePrefix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(4):nth-last-child(1).fsNameInitial,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(4):nth-last-child(1).fsNameMiddle,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(4):nth-last-child(1).fsNameSuffix {"+"\n");
document.write("  width: calc(15% - 5px);"+"\n");
document.write("}"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(1):nth-last-child(5).fsNameFirst,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(2):nth-last-child(4).fsNameFirst,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(3):nth-last-child(3).fsNameFirst,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(4):nth-last-child(2).fsNameFirst,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(5):nth-last-child(1).fsNameFirst {"+"\n");
document.write("  width: calc(32% - 5px);"+"\n");
document.write("}"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(1):nth-last-child(5).fsNamePrefix, .fsSubFieldGroup .fsSubField:nth-child(1):nth-last-child(5).fsNameInitial, .fsSubFieldGroup .fsSubField:nth-child(1):nth-last-child(5).fsNameMiddle, .fsSubFieldGroup .fsSubField:nth-child(1):nth-last-child(5).fsNameSuffix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(2):nth-last-child(4).fsNamePrefix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(2):nth-last-child(4).fsNameInitial,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(2):nth-last-child(4).fsNameMiddle,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(2):nth-last-child(4).fsNameSuffix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(3):nth-last-child(3).fsNamePrefix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(3):nth-last-child(3).fsNameInitial,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(3):nth-last-child(3).fsNameMiddle,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(3):nth-last-child(3).fsNameSuffix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(4):nth-last-child(2).fsNamePrefix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(4):nth-last-child(2).fsNameInitial,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(4):nth-last-child(2).fsNameMiddle,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(4):nth-last-child(2).fsNameSuffix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(5):nth-last-child(1).fsNamePrefix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(5):nth-last-child(1).fsNameInitial,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(5):nth-last-child(1).fsNameMiddle,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(5):nth-last-child(1).fsNameSuffix {"+"\n");
document.write("  width: calc(12% - 5px);"+"\n");
document.write("}"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(1):nth-last-child(6).fsNameFirst,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(2):nth-last-child(5).fsNameFirst,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(3):nth-last-child(4).fsNameFirst,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(4):nth-last-child(3).fsNameFirst,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(5):nth-last-child(2).fsNameFirst,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(6):nth-last-child(1).fsNameFirst {"+"\n");
document.write("  width: calc(28% - 5px);"+"\n");
document.write("}"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(1):nth-last-child(6).fsNamePrefix, .fsSubFieldGroup .fsSubField:nth-child(1):nth-last-child(6).fsNameInitial, .fsSubFieldGroup .fsSubField:nth-child(1):nth-last-child(6).fsNameMiddle, .fsSubFieldGroup .fsSubField:nth-child(1):nth-last-child(6).fsNameSuffix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(2):nth-last-child(5).fsNamePrefix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(2):nth-last-child(5).fsNameInitial,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(2):nth-last-child(5).fsNameMiddle,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(2):nth-last-child(5).fsNameSuffix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(3):nth-last-child(4).fsNamePrefix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(3):nth-last-child(4).fsNameInitial,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(3):nth-last-child(4).fsNameMiddle,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(3):nth-last-child(4).fsNameSuffix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(4):nth-last-child(3).fsNamePrefix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(4):nth-last-child(3).fsNameInitial,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(4):nth-last-child(3).fsNameMiddle,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(4):nth-last-child(3).fsNameSuffix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(5):nth-last-child(2).fsNamePrefix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(5):nth-last-child(2).fsNameInitial,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(5):nth-last-child(2).fsNameMiddle,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(5):nth-last-child(2).fsNameSuffix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(6):nth-last-child(1).fsNamePrefix,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(6):nth-last-child(1).fsNameInitial,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(6):nth-last-child(1).fsNameMiddle,"+"\n");
document.write(".fsSubFieldGroup .fsSubField:nth-child(6):nth-last-child(1).fsNameSuffix {"+"\n");
document.write("  width: calc(11% - 5px);"+"\n");
document.write("}"+"\n");
document.write(".fsBody .fsSubField.fsFieldAddress {"+"\n");
document.write("  width: 100%;"+"\n");
document.write("}"+"\n");
document.write(".fsBody .fsSubField.fsFieldAddress2 {"+"\n");
document.write("  width: 100%;"+"\n");
document.write("}"+"\n");
document.write(".fsBody .fsSubField.fsFieldCity {"+"\n");
document.write("  width: calc(60% - 5px);"+"\n");
document.write("}"+"\n");
document.write(".fsBody .fsSubField.fsFieldState {"+"\n");
document.write("  width: calc(30% - 5px);"+"\n");
document.write("}"+"\n");
document.write(".fsBody .fsSubFieldGroup ~ select[name*=-country] {"+"\n");
document.write("  margin-top: 5px !important;"+"\n");
document.write("}"+"\n");
document.write(".fsBody .fsSubField.fsFieldAddress,"+"\n");
document.write(".fsBody .fsSubField.fsFieldAddress2 {"+"\n");
document.write("  margin-bottom: 5px;"+"\n");
document.write("}"+"\n");
document.write("@media all and (max-width: 699px), all and (device-height: 1024px) and (device-width: 768px) and (orientation: portrait), all and (device-height: 1024px) and (device-width: 768px) and (orientation: landscape) {"+"\n");
document.write("  .fsBody .fsSubField.fsFieldCity {"+"\n");
document.write("    margin-bottom: 5px;"+"\n");
document.write("  }"+"\n");
document.write("  .fsBody .fsSubField.fsFieldState {"+"\n");
document.write("    width: calc(70% - 5px);"+"\n");
document.write("  }"+"\n");
document.write("}"+"\n");
document.write("@media (max-width: 40em) {"+"\n");
document.write("  div.fsSubField.fsFieldState {"+"\n");
document.write("    margin-right: 5px;"+"\n");
document.write("  }"+"\n");
document.write("}"+"\n");
document.write("div.fsSliderValue {"+"\n");
document.write("  padding: 6px 12px;"+"\n");
document.write("  -webkit-border-radius: 0px;"+"\n");
document.write("  -moz-border-radius: 0px;"+"\n");
document.write("  -ms-border-radius: 0px;"+"\n");
document.write("  -o-border-radius: 0px;"+"\n");
document.write("  border-radius: 0px;"+"\n");
document.write("  font-size: 12px;"+"\n");
document.write("  line-height: 18px;"+"\n");
document.write("  color: #ffffff;"+"\n");
document.write("  background-color: #595d64;"+"\n");
document.write("}"+"\n");
document.write(".fsSliderDiv {"+"\n");
document.write("  font-size: 12px;"+"\n");
document.write("  background-color: #595d64;"+"\n");
document.write("}"+"\n");
document.write(".fsSliderDiv .ui-state-default,"+"\n");
document.write(".fsSliderDiv .ui-widget-content .ui-state-default {"+"\n");
document.write("  background-color: #595d64;"+"\n");
document.write("}"+"\n");
document.write(".fsSliderDiv .ui-state-active,"+"\n");
document.write(".fsSliderDiv .ui-widget-content .ui-state-active {"+"\n");
document.write("  background-color: #595d64;"+"\n");
document.write("}"+"\n");
document.write(".fsSliderDiv .ui-corner-all, .fsSliderDiv.ui-corner-all {"+"\n");
document.write("  -moz-border-radius-topleft: 0px;"+"\n");
document.write("  -webkit-border-top-left-radius: 0px;"+"\n");
document.write("  border-top-left-radius: 0px;"+"\n");
document.write("  -moz-border-radius-topright: 0px;"+"\n");
document.write("  -webkit-border-top-right-radius: 0px;"+"\n");
document.write("  border-top-right-radius: 0px;"+"\n");
document.write("  -moz-border-radius-bottomleft: 0px;"+"\n");
document.write("  -webkit-border-bottom-left-radius: 0px;"+"\n");
document.write("  border-bottom-left-radius: 0px;"+"\n");
document.write("  -moz-border-radius-bottomright: 0px;"+"\n");
document.write("  -webkit-border-bottom-right-radius: 0px;"+"\n");
document.write("  border-bottom-right-radius: 0px;"+"\n");
document.write("}"+"\n");
document.write(".fsSliderDiv.ui-widget-content {"+"\n");
document.write("  border: 1px solid #d4d4d4 !important;"+"\n");
document.write("}"+"\n");
document.write(".fsSliderDiv .ui-widget-header {"+"\n");
document.write("  background-color: #d4d4d4;"+"\n");
document.write("}"+"\n");
document.write(".fsCurrency {"+"\n");
document.write("  margin-right: 2.5px !important;"+"\n");
document.write("  font-size: 12px;"+"\n");
document.write("  line-height: 36px;"+"\n");
document.write("  color: #595d64;"+"\n");
document.write("}"+"\n");
document.write(".fsCurrency.fsCurrencySuffix {"+"\n");
document.write("  margin-right: 0 !important;"+"\n");
document.write("  margin-left: 2.5px !important;"+"\n");
document.write("}"+"\n");
document.write(".fsCurrency ~ input.fsField {"+"\n");
document.write("  width: calc(96% - 2.5px) !important;"+"\n");
document.write("}"+"\n");
document.write(".fsRowBody input[type=email] ~ p {"+"\n");
document.write("  margin-top: 5px;"+"\n");
document.write("}"+"\n");
document.write("@font-face {"+"\n");
document.write("  font-family: \"TextMask\";"+"\n");
document.write("  src: url(\"/forms/fonts/3/password.ttf\") format(\"truetype\");"+"\n");
document.write("  font-weight: 400;"+"\n");
document.write("  font-style: normal;"+"\n");
document.write("}"+"\n");
document.write(".fsTextMask {"+"\n");
document.write("  font-family: \"TextMask\" !important;"+"\n");
document.write("}"+"\n");
document.write(".fsRowBody input[type=text] ~ p {"+"\n");
document.write("  margin-top: 5px;"+"\n");
document.write("}"+"\n");
document.write(".fsProductField__fields__quantity {"+"\n");
document.write("  color: #595d64;"+"\n");
document.write("}"+"\n");
document.write(".fsProductField__fields__fixed-amount,"+"\n");
document.write(".fsProductField__fields__no-charge {"+"\n");
document.write("  font-size: 12px;"+"\n");
document.write("  color: #595d64;"+"\n");
document.write("}"+"\n");
document.write(".fsProductField__info__name {"+"\n");
document.write("  font-size: 18px;"+"\n");
document.write("  color: #595d64;"+"\n");
document.write("}"+"\n");
document.write(".fsProductField__info__description {"+"\n");
document.write("  margin-top: 2.5px;"+"\n");
document.write("  font-size: 9px;"+"\n");
document.write("  line-height: 9px;"+"\n");
document.write("  color: #595d64;"+"\n");
document.write("}"+"\n");
document.write(".fsProductField__fields__sold-out {"+"\n");
document.write("  font-size: 12px;"+"\n");
document.write("  color: #f80000;"+"\n");
document.write("}"+"\n");
document.write(".fsProductField__wait-list {"+"\n");
document.write("  margin-top: 5px;"+"\n");
document.write("}"+"\n");
document.write("@media (max-width: 40em) {"+"\n");
document.write("  .fsProductField__image {"+"\n");
document.write("    -webkit-border-radius: 0px;"+"\n");
document.write("    -moz-border-radius: 0px;"+"\n");
document.write("    -ms-border-radius: 0px;"+"\n");
document.write("    -o-border-radius: 0px;"+"\n");
document.write("    border-radius: 0px;"+"\n");
document.write("  }"+"\n");
document.write("  .fsProductField__fields__fixed-amount,"+"\n");
document.write(".fsProductField__fields__quantity {"+"\n");
document.write("    font-size: 12px;"+"\n");
document.write("  }"+"\n");
document.write("}"+"\n");
document.write(".fsMatrix {"+"\n");
document.write("  font-size: 9px;"+"\n");
document.write("  color: #595d64;"+"\n");
document.write("}"+"\n");
document.write(".fsMatrix th,"+"\n");
document.write(".fsMatrix td {"+"\n");
document.write("  border-top: 1px solid #cfd4d8;"+"\n");
document.write("  border-left: 1px solid #cfd4d8;"+"\n");
document.write("}"+"\n");
document.write(".fsMatrix th:nth-child(2) {"+"\n");
document.write("  -webkit-border-radius: 0px 0 0 0;"+"\n");
document.write("  -moz-border-radius: 0px 0 0 0;"+"\n");
document.write("  -ms-border-radius: 0px 0 0 0;"+"\n");
document.write("  -o-border-radius: 0px 0 0 0;"+"\n");
document.write("  border-radius: 0px 0 0 0;"+"\n");
document.write("}"+"\n");
document.write(".fsMatrix tr:first-child th:last-child {"+"\n");
document.write("  -webkit-border-radius: 0 0px 0 0;"+"\n");
document.write("  -moz-border-radius: 0 0px 0 0;"+"\n");
document.write("  -ms-border-radius: 0 0px 0 0;"+"\n");
document.write("  -o-border-radius: 0 0px 0 0;"+"\n");
document.write("  border-radius: 0 0px 0 0;"+"\n");
document.write("}"+"\n");
document.write(".fsMatrix tr:last-child td:last-child {"+"\n");
document.write("  -webkit-border-radius: 0 0 0px 0;"+"\n");
document.write("  -moz-border-radius: 0 0 0px 0;"+"\n");
document.write("  -ms-border-radius: 0 0 0px 0;"+"\n");
document.write("  -o-border-radius: 0 0 0px 0;"+"\n");
document.write("  border-radius: 0 0 0px 0;"+"\n");
document.write("}"+"\n");
document.write(".fsMatrix tr:last-child th {"+"\n");
document.write("  -webkit-border-radius: 0 0 0 0px;"+"\n");
document.write("  -moz-border-radius: 0 0 0 0px;"+"\n");
document.write("  -ms-border-radius: 0 0 0 0px;"+"\n");
document.write("  -o-border-radius: 0 0 0 0px;"+"\n");
document.write("  border-radius: 0 0 0 0px;"+"\n");
document.write("}"+"\n");
document.write(".fsMatrix tr:last-child th,"+"\n");
document.write(".fsMatrix tr:last-child td {"+"\n");
document.write("  border-bottom: 1px solid #cfd4d8;"+"\n");
document.write("}"+"\n");
document.write(".fsMatrix tr th:last-child,"+"\n");
document.write(".fsMatrix tr td:last-child {"+"\n");
document.write("  border-right: 1px solid #cfd4d8;"+"\n");
document.write("}"+"\n");
document.write(".fsMatrix th.fsMatrixLabelColumn {"+"\n");
document.write("  text-align: center;"+"\n");
document.write("}"+"\n");
document.write(".fsMatrix th.fsMatrixLabelRow {"+"\n");
document.write("  text-align: right;"+"\n");
document.write("}"+"\n");
document.write(".fsMatrix th.fsMatrixLabelColumn,"+"\n");
document.write(".fsMatrix th.fsMatrixLabelRow {"+"\n");
document.write("  padding: 4.5px;"+"\n");
document.write("}"+"\n");
document.write(".fsMatrixCol1 {"+"\n");
document.write("  background: #eaeaea;"+"\n");
document.write("  background: rgba(234,234,234, 0.2);"+"\n");
document.write("}"+"\n");
document.write(".fsMatrixCol2 {"+"\n");
document.write("  background: #d4d4d4;"+"\n");
document.write("  background: rgba(212,212,212, 0.2);"+"\n");
document.write("}"+"\n");
document.write(".rtl .fsMatrix th, .rtl .fsMatrix td {"+"\n");
document.write("  border-right: 1px solid #cfd4d8;"+"\n");
document.write("}"+"\n");
document.write(".fsForm input[type=file]::-webkit-file-upload-button, .fsForm .fsFileUploadButton {"+"\n");
document.write("  height: 36px;"+"\n");
document.write("  -webkit-border-radius: 0px;"+"\n");
document.write("  -moz-border-radius: 0px;"+"\n");
document.write("  -ms-border-radius: 0px;"+"\n");
document.write("  -o-border-radius: 0px;"+"\n");
document.write("  border-radius: 0px;"+"\n");
document.write("  font-size: 12px;"+"\n");
document.write("  color: #ffffff;"+"\n");
document.write("  background-color: #595d64;"+"\n");
document.write("}"+"\n");
document.write(".fsFileUploadName {"+"\n");
document.write("  font-size: 12px;"+"\n");
document.write("}"+"\n");
document.write(".fsBody .fieldset-content .always-ltr {"+"\n");
document.write("  margin-top: 5px;"+"\n");
document.write("}"+"\n");
document.write(".fsBody .fieldset-content select span,"+"\n");
document.write(".fsBody .fieldset-content .always-ltr span, .fsBody .fieldset-content .always-ltr-align-right span {"+"\n");
document.write("  top: 9px;"+"\n");
document.write("}"+"\n");
document.write(".fsBody .fieldset-content select {"+"\n");
document.write("  margin-right: 5px;"+"\n");
document.write("}"+"\n");
document.write(".fsBody .fieldset-content span {"+"\n");
document.write("  right: 2.5px;"+"\n");
document.write("}"+"\n");
document.write(".fsBody .ui-datepicker-trigger {"+"\n");
document.write("  top: 9px;"+"\n");
document.write("  margin-left: 5px;"+"\n");
document.write("}"+"\n");
document.write(".fsSignatureClear {"+"\n");
document.write("  font-size: 9px;"+"\n");
document.write("  color: #595d64;"+"\n");
document.write("}"+"\n");
document.write(".fsSignature + div {"+"\n");
document.write("  margin-left: 5px;"+"\n");
document.write("  line-height: 9px;"+"\n");
document.write("}"+"\n");
document.write(".wf-active .fsSignature {"+"\n");
document.write("  font-family: Arial, Tahoma, sans-serif;"+"\n");
document.write("}"+"\n");
document.write("img.fsCreditCardLogo {"+"\n");
document.write("  margin-top: 2.5px;"+"\n");
document.write("}"+"\n");
document.write(".fsBody .fsSectionHeader {"+"\n");
document.write("  background-color: #edeff0;"+"\n");
document.write("}"+"\n");
document.write(".fsBody .fsForm .fsSectionHeading {"+"\n");
document.write("  margin-bottom: 5px;"+"\n");
document.write("  text-align: left;"+"\n");
document.write("  font-size: 27px;"+"\n");
document.write("  font-weight: 400;"+"\n");
document.write("  font-style: normal;"+"\n");
document.write("  line-height: 27px;"+"\n");
document.write("  color: #000000;"+"\n");
document.write("}"+"\n");
document.write(".fsborderradius .fsBody .fsSectionHeader {"+"\n");
document.write("  -webkit-border-radius: 0px;"+"\n");
document.write("  -moz-border-radius: 0px;"+"\n");
document.write("  -ms-border-radius: 0px;"+"\n");
document.write("  -o-border-radius: 0px;"+"\n");
document.write("  border-radius: 0px;"+"\n");
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document.write("          url_src = urlParams.get(\'extsrc\')"+"\n");
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document.write("        document.getElementById(\'field107091850\').value = url_src;"+"\n");
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document.write("        // Which page is this?"+"\n");
document.write("        "+"\n");
document.write("        document.getElementById(\'field119765327\').value = window.location.href;"+"\n");
document.write("        document.getElementById(\'field120444756\').value = document.documentURI;"+"\n");
document.write("        "+"\n");
document.write("     });"+"\n");
document.write("</script>"+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                                    </div>"+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
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document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                                "+"\n");
document.write("                <div id=\"fsRow3603297-3\" class=\"fsRow fsFieldRow fsLastRow\">"+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100\" id=\"fsCell82930561\" lang=\"en\" fs-field-type=\"text\" fs-field-validation-name=\"First Name\">"+"\n");
document.write("                                                                                                        <label id=\"label82930561\" class=\"fsLabel fsRequiredLabel\" for=\"field82930561\">First Name<span class=\"fsRequiredMarker\">*</span>                                                    </label>"+"\n");
document.write("                                            "+"\n");
document.write("                                        "+"\n");
document.write("                    <input"+"\n");
document.write("  type=\"text\" id=\"field82930561\""+"\n");
document.write("  name=\"field82930561\""+"\n");
document.write("  size=\"50\""+"\n");
document.write("   required       value=\"\""+"\n");
document.write("  "+"\n");
document.write("  class=\"fsField fsFormatText fsRequired   \""+"\n");
document.write("   aria-required=\"true\"     />"+"\n");
document.write("                                                                "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                                    </div>"+"\n");
document.write("                        "+"\n");
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document.write("                                        "+"\n");
document.write("                                        "+"\n");
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document.write("            "+"\n");
document.write("                                                "+"\n");
document.write("                <div id=\"fsRow3603297-4\" class=\"fsRow fsFieldRow fsLastRow\">"+"\n");
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document.write("                                        "+"\n");
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document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100\" id=\"fsCell82930562\" lang=\"en\" fs-field-type=\"text\" fs-field-validation-name=\"Last Name\">"+"\n");
document.write("                                                                                                        <label id=\"label82930562\" class=\"fsLabel fsRequiredLabel\" for=\"field82930562\">Last Name<span class=\"fsRequiredMarker\">*</span>                                                    </label>"+"\n");
document.write("                                            "+"\n");
document.write("                                        "+"\n");
document.write("                    <input"+"\n");
document.write("  type=\"text\" id=\"field82930562\""+"\n");
document.write("  name=\"field82930562\""+"\n");
document.write("  size=\"50\""+"\n");
document.write("   required       value=\"\""+"\n");
document.write("  "+"\n");
document.write("  class=\"fsField fsFormatText fsRequired   \""+"\n");
document.write("   aria-required=\"true\"     />"+"\n");
document.write("                                                                "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                                    </div>"+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
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document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                                "+"\n");
document.write("                <div id=\"fsRow3603297-5\" class=\"fsRow fsFieldRow fsLastRow\">"+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100\" id=\"fsCell82930563\" aria-describedby=\"fsCallout82930563\" lang=\"en\" fs-field-type=\"email\" fs-field-validation-name=\"Primary Email (Please provide a non-military email address that you check regularly)\">"+"\n");
document.write("                                                                                                        <label id=\"label82930563\" class=\"fsLabel fsRequiredLabel\" for=\"field82930563\">Primary Email (Please provide a non-military email address that you check regularly)<span class=\"fsRequiredMarker\">*</span>                                                    </label>"+"\n");
document.write("                                            "+"\n");
document.write("                                        "+"\n");
document.write("                    <input type=\"email\" id=\"field82930563\" name=\"field82930563\" size=\"50\" required=\"required\" value=\"\" class=\"fsField fsFormatEmail fsRequired\" aria-required=\"true\" aria-describedby=\"fsCallout82930563\" />"+"\n");
document.write("    <p>"+"\n");
document.write("                    <label"+"\n");
document.write("                for=\"field82930563_confirm\""+"\n");
document.write("                class=\"fsLabel fsRequiredLabel\""+"\n");
document.write("            >"+"\n");
document.write("                                    Confirm Primary Email (Please provide a non-military email address that you check regularly)"+"\n");
document.write("                                <span>*</span>"+"\n");
document.write("            </label>"+"\n");
document.write("                        <input type=\"email\" id=\"field82930563_confirm\" name=\"field82930563_confirm\" size=\"50\" required=\"required\" class=\"fsField fsFieldConfirm fsFormatEmail fsRequired\" aria-required=\"true\" aria-describedby=\"fsCallout82930563\"  />"+"\n");
document.write("            </p>"+"\n");
document.write("                                                                                                        <div class=\"fsSupporting fsCallout\" style=\"display:none\" id=\"fsCallout82930563\" role=\"tooltip\" tabindex=\"-1\">"+"\n");
document.write("                                    <div class=\"fsCalloutTop\"></div>"+"\n");
document.write("                                    <div class=\"fsCalloutBody\">This email address will be used for all O2O-VCTP program information</div>"+"\n");
document.write("                                    <div class=\"fsCalloutBottom\"></div>"+"\n");
document.write("                                </div>"+"\n");
document.write("                                                                        "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                                    </div>"+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("                "+"\n");
document.write("                    "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                                "+"\n");
document.write("                <div id=\"fsRow3603297-6\" class=\"fsRow fsFieldRow fsLastRow\">"+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100\" id=\"fsCell82930564\" lang=\"en\" fs-field-type=\"phone\" fs-field-validation-name=\"Primary Phone Number\">"+"\n");
document.write("                                                                                                        <label id=\"label82930564\" class=\"fsLabel fsRequiredLabel\" for=\"field82930564\">Primary Phone Number<span class=\"fsRequiredMarker\">*</span>                                                    </label>"+"\n");
document.write("                                            "+"\n");
document.write("                                        "+"\n");
document.write("                    <input type=\"tel\" id=\"field82930564\" name=\"field82930564\" size=\"20\" required value=\"\" class=\"fsField fsFormatPhoneUS  fsRequired\" aria-required=\"true\" data-country=\"US\" data-format=\"international\" />"+"\n");
document.write("                                                                "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                                    </div>"+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("                "+"\n");
document.write("                    "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                                "+"\n");
document.write("                <div id=\"fsRow3603297-7\" class=\"fsRow fsFieldRow fsLastRow\">"+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100\" id=\"fsCell82930565\" lang=\"en\" fs-field-type=\"richtext\" fs-field-validation-name=\"\">"+"\n");
document.write("                                                        "+"\n");
document.write("                                        "+"\n");
document.write("                    <p>&nbsp;&nbsp;</p>"+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                                    </div>"+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("                "+"\n");
document.write("                    "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                                "+"\n");
document.write("                <div id=\"fsRow3603297-8\" class=\"fsRow fsFieldRow fsLastRow\">"+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100\" id=\"fsCell82930566\" lang=\"en\" fs-field-type=\"datetime\" fs-field-validation-name=\"Date of Birth\">"+"\n");
document.write("                                                                                <fieldset role=\"group\" aria-labelledby=\"fsLegend82930566\" id=\"label82930566\">"+"\n");
document.write("                            <legend id=\"fsLegend82930566\" class=\"fsLabel fsRequiredLabel fsLabelVertical\"><span>Date of Birth<span class=\"fsRequiredMarker\">*</span></span></legend>"+"\n");
document.write("                            <div class=\"fieldset-content\">"+"\n");
document.write("                    "+"\n");
document.write("                                        "+"\n");
document.write("                                <!-- Used to pull in url for jquery -->"+"\n");
document.write("        <span aria-hidden=\"true\" style=\"display:none;\" id=\"fsCalendar82930566ImageUrl\">https://syr-uqtrw.formstack.com/forms/images/2/calendar.png</span>"+"\n");
document.write("    "+"\n");
document.write("    "+"\n");
document.write("    "+"\n");
document.write("    <input data-skip-validation data-date-format=\"m/d/YY\" type=\"hidden\" id=\"field82930566Format\" name=\"field82930566Format\" value=\"MDY\" />"+"\n");
document.write("    "+"\n");
document.write("                    <div class=\"hidden\"><label for=\"field82930566M\">Month</label></div>"+"\n");
document.write("        <select id=\"field82930566M\" name=\"field82930566M\" class=\" fsField fsRequired\" aria-required=\"true\">"+"\n");
document.write("                    <option value=\"\"> </option>"+"\n");
document.write("                    <option value=\"01\" selected=\"selected\">01</option>"+"\n");
document.write("                    <option value=\"02\">02</option>"+"\n");
document.write("                    <option value=\"03\">03</option>"+"\n");
document.write("                    <option value=\"04\">04</option>"+"\n");
document.write("                    <option value=\"05\">05</option>"+"\n");
document.write("                    <option value=\"06\">06</option>"+"\n");
document.write("                    <option value=\"07\">07</option>"+"\n");
document.write("                    <option value=\"08\">08</option>"+"\n");
document.write("                    <option value=\"09\">09</option>"+"\n");
document.write("                    <option value=\"10\">10</option>"+"\n");
document.write("                    <option value=\"11\">11</option>"+"\n");
document.write("                    <option value=\"12\">12</option>"+"\n");
document.write("                </select>"+"\n");
document.write("             <div class=\"hidden\"><label for=\"field82930566D\">Day</label></div>"+"\n");
document.write("        <select id=\"field82930566D\" name=\"field82930566D\" class=\" fsField fsRequired\" aria-required=\"true\">"+"\n");
document.write("                    <option value=\"\"> </option>"+"\n");
document.write("                    <option value=\"01\" selected=\"selected\">01</option>"+"\n");
document.write("                    <option value=\"02\">02</option>"+"\n");
document.write("                    <option value=\"03\">03</option>"+"\n");
document.write("                    <option value=\"04\">04</option>"+"\n");
document.write("                    <option value=\"05\">05</option>"+"\n");
document.write("                    <option value=\"06\">06</option>"+"\n");
document.write("                    <option value=\"07\">07</option>"+"\n");
document.write("                    <option value=\"08\">08</option>"+"\n");
document.write("                    <option value=\"09\">09</option>"+"\n");
document.write("                    <option value=\"10\">10</option>"+"\n");
document.write("                    <option value=\"11\">11</option>"+"\n");
document.write("                    <option value=\"12\">12</option>"+"\n");
document.write("                    <option value=\"13\">13</option>"+"\n");
document.write("                    <option value=\"14\">14</option>"+"\n");
document.write("                    <option value=\"15\">15</option>"+"\n");
document.write("                    <option value=\"16\">16</option>"+"\n");
document.write("                    <option value=\"17\">17</option>"+"\n");
document.write("                    <option value=\"18\">18</option>"+"\n");
document.write("                    <option value=\"19\">19</option>"+"\n");
document.write("                    <option value=\"20\">20</option>"+"\n");
document.write("                    <option value=\"21\">21</option>"+"\n");
document.write("                    <option value=\"22\">22</option>"+"\n");
document.write("                    <option value=\"23\">23</option>"+"\n");
document.write("                    <option value=\"24\">24</option>"+"\n");
document.write("                    <option value=\"25\">25</option>"+"\n");
document.write("                    <option value=\"26\">26</option>"+"\n");
document.write("                    <option value=\"27\">27</option>"+"\n");
document.write("                    <option value=\"28\">28</option>"+"\n");
document.write("                    <option value=\"29\">29</option>"+"\n");
document.write("                    <option value=\"30\">30</option>"+"\n");
document.write("                    <option value=\"31\">31</option>"+"\n");
document.write("                </select>"+"\n");
document.write("             <div class=\"hidden\"><label for=\"field82930566Y\">Year</label></div>"+"\n");
document.write("        <select id=\"field82930566Y\" name=\"field82930566Y\" class=\" fsField fsRequired\" aria-required=\"true\">"+"\n");
document.write("                    <option value=\"\"> </option>"+"\n");
document.write("                    <option value=\"1944\">1944</option>"+"\n");
document.write("                    <option value=\"1945\">1945</option>"+"\n");
document.write("                    <option value=\"1946\">1946</option>"+"\n");
document.write("                    <option value=\"1947\">1947</option>"+"\n");
document.write("                    <option value=\"1948\">1948</option>"+"\n");
document.write("                    <option value=\"1949\">1949</option>"+"\n");
document.write("                    <option value=\"1950\">1950</option>"+"\n");
document.write("                    <option value=\"1951\">1951</option>"+"\n");
document.write("                    <option value=\"1952\">1952</option>"+"\n");
document.write("                    <option value=\"1953\">1953</option>"+"\n");
document.write("                    <option value=\"1954\">1954</option>"+"\n");
document.write("                    <option value=\"1955\">1955</option>"+"\n");
document.write("                    <option value=\"1956\">1956</option>"+"\n");
document.write("                    <option value=\"1957\">1957</option>"+"\n");
document.write("                    <option value=\"1958\">1958</option>"+"\n");
document.write("                    <option value=\"1959\">1959</option>"+"\n");
document.write("                    <option value=\"1960\">1960</option>"+"\n");
document.write("                    <option value=\"1961\">1961</option>"+"\n");
document.write("                    <option value=\"1962\">1962</option>"+"\n");
document.write("                    <option value=\"1963\">1963</option>"+"\n");
document.write("                    <option value=\"1964\">1964</option>"+"\n");
document.write("                    <option value=\"1965\">1965</option>"+"\n");
document.write("                    <option value=\"1966\">1966</option>"+"\n");
document.write("                    <option value=\"1967\">1967</option>"+"\n");
document.write("                    <option value=\"1968\">1968</option>"+"\n");
document.write("                    <option value=\"1969\">1969</option>"+"\n");
document.write("                    <option value=\"1970\">1970</option>"+"\n");
document.write("                    <option value=\"1971\">1971</option>"+"\n");
document.write("                    <option value=\"1972\">1972</option>"+"\n");
document.write("                    <option value=\"1973\">1973</option>"+"\n");
document.write("                    <option value=\"1974\">1974</option>"+"\n");
document.write("                    <option value=\"1975\">1975</option>"+"\n");
document.write("                    <option value=\"1976\">1976</option>"+"\n");
document.write("                    <option value=\"1977\">1977</option>"+"\n");
document.write("                    <option value=\"1978\">1978</option>"+"\n");
document.write("                    <option value=\"1979\">1979</option>"+"\n");
document.write("                    <option value=\"1980\">1980</option>"+"\n");
document.write("                    <option value=\"1981\">1981</option>"+"\n");
document.write("                    <option value=\"1982\">1982</option>"+"\n");
document.write("                    <option value=\"1983\">1983</option>"+"\n");
document.write("                    <option value=\"1984\">1984</option>"+"\n");
document.write("                    <option value=\"1985\">1985</option>"+"\n");
document.write("                    <option value=\"1986\">1986</option>"+"\n");
document.write("                    <option value=\"1987\">1987</option>"+"\n");
document.write("                    <option value=\"1988\">1988</option>"+"\n");
document.write("                    <option value=\"1989\">1989</option>"+"\n");
document.write("                    <option value=\"1990\" selected=\"selected\">1990</option>"+"\n");
document.write("                    <option value=\"1991\">1991</option>"+"\n");
document.write("                    <option value=\"1992\">1992</option>"+"\n");
document.write("                    <option value=\"1993\">1993</option>"+"\n");
document.write("                    <option value=\"1994\">1994</option>"+"\n");
document.write("                    <option value=\"1995\">1995</option>"+"\n");
document.write("                    <option value=\"1996\">1996</option>"+"\n");
document.write("                    <option value=\"1997\">1997</option>"+"\n");
document.write("                    <option value=\"1998\">1998</option>"+"\n");
document.write("                    <option value=\"1999\">1999</option>"+"\n");
document.write("                    <option value=\"2000\">2000</option>"+"\n");
document.write("                    <option value=\"2001\">2001</option>"+"\n");
document.write("                    <option value=\"2002\">2002</option>"+"\n");
document.write("                    <option value=\"2003\">2003</option>"+"\n");
document.write("                    <option value=\"2004\">2004</option>"+"\n");
document.write("                </select>"+"\n");
document.write("    "+"\n");
document.write("    "+"\n");
document.write("    "+"\n");
document.write("    <input data-skip-validation type=\"text\" id=\"fsCalendar82930566Link\" class=\"fsCalendarPickerLink\" style=\"display:none;\" aria-hidden=\"true\" />"+"\n");
document.write("        <div id=\"fsCalendar82930566\" class=\"fsCalendar\" style=\" position:absolute\"></div>"+"\n");
document.write("        "+"\n");
document.write("                                                                "+"\n");
document.write("                    "+"\n");
document.write("                                                </div></fieldset>"+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                                    </div>"+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("                "+"\n");
document.write("                    "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                                "+"\n");
document.write("                <div id=\"fsRow3603297-9\" class=\"fsRow fsFieldRow fsLastRow\">"+"\n");
document.write("            "+"\n");
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document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100\" id=\"fsCell82930575\" lang=\"en\" fs-field-type=\"richtext\" fs-field-validation-name=\"\">"+"\n");
document.write("                                                        "+"\n");
document.write("                                        "+"\n");
document.write("                    <p>&nbsp;</p>"+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                                    </div>"+"\n");
document.write("                        "+"\n");
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document.write("                    "+"\n");
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document.write("            "+"\n");
document.write("                                        "+"\n");
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document.write("                                                "+"\n");
document.write("                <div id=\"fsRow3603297-10\" class=\"fsRow fsFieldRow fsLastRow\">"+"\n");
document.write("            "+"\n");
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document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100\" id=\"fsCell82930568\" lang=\"en\" fs-field-type=\"radio\" fs-field-validation-name=\"Which of the following \"best\" describes your current status?\">"+"\n");
document.write("                                                                                <fieldset role=\"group\" aria-labelledby=\"fsLegend82930568\" id=\"label82930568\">"+"\n");
document.write("                            <legend id=\"fsLegend82930568\" class=\"fsLabel fsRequiredLabel fsLabelVertical\"><span>Which of the following \"best\" describes your current status?<span class=\"fsRequiredMarker\">*</span></span></legend>"+"\n");
document.write("                            <div class=\"fieldset-content\">"+"\n");
document.write("                    "+"\n");
document.write("                                        "+"\n");
document.write("                                    "+"\n");
document.write("            "+"\n");
document.write("            <label class=\"fsOptionLabel vertical\" for=\"field82930568_1\"><input type=\"radio\" id=\"field82930568_1\" name=\"field82930568\" value=\"Active duty / Activated National Guard / Activated Reserve\" class=\"fsField fsRequired vertical\" aria-required=\"true\" />Active duty / Activated National Guard / Activated Reserve</label>"+"\n");
document.write("            "+"\n");
document.write("                    "+"\n");
document.write("            "+"\n");
document.write("            <label class=\"fsOptionLabel vertical\" for=\"field82930568_2\"><input type=\"radio\" id=\"field82930568_2\" name=\"field82930568\" value=\"National Guard\" class=\"fsField fsRequired vertical\" aria-required=\"true\" />National Guard</label>"+"\n");
document.write("            "+"\n");
document.write("                    "+"\n");
document.write("            "+"\n");
document.write("            <label class=\"fsOptionLabel vertical\" for=\"field82930568_3\"><input type=\"radio\" id=\"field82930568_3\" name=\"field82930568\" value=\"Reserves\" class=\"fsField fsRequired vertical\" aria-required=\"true\" />Reserves</label>"+"\n");
document.write("            "+"\n");
document.write("                    "+"\n");
document.write("            "+"\n");
document.write("            <label class=\"fsOptionLabel vertical\" for=\"field82930568_4\"><input type=\"radio\" id=\"field82930568_4\" name=\"field82930568\" value=\"Veteran\" class=\"fsField fsRequired vertical\" aria-required=\"true\" />Veteran</label>"+"\n");
document.write("            "+"\n");
document.write("                    "+"\n");
document.write("            "+"\n");
document.write("            <label class=\"fsOptionLabel vertical\" for=\"field82930568_5\"><input type=\"radio\" id=\"field82930568_5\" name=\"field82930568\" value=\"Spouse of a service member / veteran\" class=\"fsField fsRequired vertical\" aria-required=\"true\" />Spouse of a service member / veteran</label>"+"\n");
document.write("            "+"\n");
document.write("                    "+"\n");
document.write("            "+"\n");
document.write("            <label class=\"fsOptionLabel vertical\" for=\"field82930568_6\"><input type=\"radio\" id=\"field82930568_6\" name=\"field82930568\" value=\"None of the above\" class=\"fsField fsRequired vertical\" aria-required=\"true\" />None of the above</label>"+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("    "+"\n");
document.write("                                                                "+"\n");
document.write("                    "+"\n");
document.write("                                                </div></fieldset>"+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
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document.write("                        "+"\n");
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document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
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document.write("                                                "+"\n");
document.write("                <div id=\"fsRow3603297-11\" class=\"fsRow fsFieldRow fsLastRow\">"+"\n");
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document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                        "+"\n");
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document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100\" id=\"fsCell84007952\" lang=\"en\" fs-field-type=\"richtext\" fs-field-validation-name=\"\">"+"\n");
document.write("                                                        "+"\n");
document.write("                                        "+"\n");
document.write("                    <p>&nbsp;</p>"+"\n");
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document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
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document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                                "+"\n");
document.write("                <div id=\"fsRow3603297-12\" class=\"fsRow fsFieldRow fsLastRow fsHidden\">"+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsHidden fsSpan100\" id=\"fsCell82930628\" lang=\"en\" fs-field-type=\"radio\" fs-field-validation-name=\"Which of the following best describes your active duty status?\">"+"\n");
document.write("                                                                                <fieldset role=\"group\" aria-labelledby=\"fsLegend82930628\" id=\"label82930628\">"+"\n");
document.write("                            <legend id=\"fsLegend82930628\" class=\"fsLabel fsRequiredLabel fsLabelVertical\"><span>Which of the following best describes your active duty status?<span class=\"fsRequiredMarker\">*</span></span></legend>"+"\n");
document.write("                            <div class=\"fieldset-content\">"+"\n");
document.write("                    "+"\n");
document.write("                                        "+"\n");
document.write("                                    "+"\n");
document.write("            "+"\n");
document.write("            <label class=\"fsOptionLabel vertical\" for=\"field82930628_1\"><input type=\"radio\" id=\"field82930628_1\" name=\"field82930628\" value=\"Active duty Army, Navy, Marine, Air Force, or Coast Guard\" class=\"fsField fsRequired vertical\" aria-required=\"true\" disabled=\"disabled\" />Active duty Army, Navy, Marine, Air Force, or Coast Guard</label>"+"\n");
document.write("            "+"\n");
document.write("                    "+"\n");
document.write("            "+"\n");
document.write("            <label class=\"fsOptionLabel vertical\" for=\"field82930628_2\"><input type=\"radio\" id=\"field82930628_2\" name=\"field82930628\" value=\"Activated National Guard or Reserves\" class=\"fsField fsRequired vertical\" aria-required=\"true\" disabled=\"disabled\" />Activated National Guard or Reserves</label>"+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("    "+"\n");
document.write("                                                                "+"\n");
document.write("                    "+"\n");
document.write("                                                </div></fieldset>"+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
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document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                                "+"\n");
document.write("                <div id=\"fsRow3603297-13\" class=\"fsRow fsFieldRow fsLastRow fsHidden\">"+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsHidden fsSpan100\" id=\"fsCell82930634\" lang=\"en\" fs-field-type=\"radio\" fs-field-validation-name=\"Which of the following best describes your spouse\'s status?\">"+"\n");
document.write("                                                                                <fieldset role=\"group\" aria-labelledby=\"fsLegend82930634\" id=\"label82930634\">"+"\n");
document.write("                            <legend id=\"fsLegend82930634\" class=\"fsLabel fsRequiredLabel fsLabelVertical\"><span>Which of the following best describes your spouse\'s status?<span class=\"fsRequiredMarker\">*</span></span></legend>"+"\n");
document.write("                            <div class=\"fieldset-content\">"+"\n");
document.write("                    "+"\n");
document.write("                                        "+"\n");
document.write("                                    "+"\n");
document.write("            "+"\n");
document.write("            <label class=\"fsOptionLabel vertical\" for=\"field82930634_1\"><input type=\"radio\" id=\"field82930634_1\" name=\"field82930634\" value=\"Active duty Army, Navy, Marine, Air Force, or Coast Guard\" class=\"fsField fsRequired vertical\" aria-required=\"true\" disabled=\"disabled\" />Active duty Army, Navy, Marine, Air Force, or Coast Guard</label>"+"\n");
document.write("            "+"\n");
document.write("                    "+"\n");
document.write("            "+"\n");
document.write("            <label class=\"fsOptionLabel vertical\" for=\"field82930634_2\"><input type=\"radio\" id=\"field82930634_2\" name=\"field82930634\" value=\"Activated National Guard or Reserves\" class=\"fsField fsRequired vertical\" aria-required=\"true\" disabled=\"disabled\" />Activated National Guard or Reserves</label>"+"\n");
document.write("            "+"\n");
document.write("                    "+"\n");
document.write("            "+"\n");
document.write("            <label class=\"fsOptionLabel vertical\" for=\"field82930634_3\"><input type=\"radio\" id=\"field82930634_3\" name=\"field82930634\" value=\"Spouse not currently on active duty\" class=\"fsField fsRequired vertical\" aria-required=\"true\" disabled=\"disabled\" />Spouse not currently on active duty</label>"+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("    "+"\n");
document.write("                                                                "+"\n");
document.write("                    "+"\n");
document.write("                                                </div></fieldset>"+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                                    </div>"+"\n");
document.write("                        "+"\n");
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document.write("            "+"\n");
document.write("                                        "+"\n");
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document.write("                                                "+"\n");
document.write("                <div id=\"fsRow3603297-14\" class=\"fsRow fsFieldRow fsLastRow fsHidden\">"+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
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document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsHidden fsSpan100\" id=\"fsCell84006393\" lang=\"en\" fs-field-type=\"richtext\" fs-field-validation-name=\"\">"+"\n");
document.write("                                                        "+"\n");
document.write("                                        "+"\n");
document.write("                    <p>&nbsp;</p>"+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
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document.write("                        "+"\n");
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document.write("                                        "+"\n");
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document.write("            "+"\n");
document.write("                                                "+"\n");
document.write("                <div id=\"fsRow3603297-15\" class=\"fsRow fsFieldRow fsLastRow fsHidden\">"+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsHidden fsSpan100\" id=\"fsCell82930630\" lang=\"en\" fs-field-type=\"datetime\" fs-field-validation-name=\"What is/was your exact date of separation?\">"+"\n");
document.write("                                                                                <fieldset role=\"group\" aria-labelledby=\"fsLegend82930630\" id=\"label82930630\">"+"\n");
document.write("                            <legend id=\"fsLegend82930630\" class=\"fsLabel fsRequiredLabel fsLabelVertical\"><span>What is/was your exact date of separation?<span class=\"fsRequiredMarker\">*</span></span></legend>"+"\n");
document.write("                            <div class=\"fieldset-content\">"+"\n");
document.write("                    "+"\n");
document.write("                                        "+"\n");
document.write("                                <!-- Used to pull in url for jquery -->"+"\n");
document.write("        <span aria-hidden=\"true\" style=\"display:none;\" id=\"fsCalendar82930630ImageUrl\">https://syr-uqtrw.formstack.com/forms/images/2/calendar.png</span>"+"\n");
document.write("    "+"\n");
document.write("    "+"\n");
document.write("    "+"\n");
document.write("    <input data-skip-validation data-date-format=\"M d, Y\" type=\"hidden\" id=\"field82930630Format\" name=\"field82930630Format\" value=\"MDY\" />"+"\n");
document.write("    "+"\n");
document.write("                    <div class=\"hidden\"><label for=\"field82930630M\">Month</label></div>"+"\n");
document.write("        <select id=\"field82930630M\" name=\"field82930630M\" class=\" fsField fsRequired\" aria-required=\"true\" disabled=\"disabled\">"+"\n");
document.write("                    <option value=\"\"> </option>"+"\n");
document.write("                    <option value=\"Jan\">Jan</option>"+"\n");
document.write("                    <option value=\"Feb\">Feb</option>"+"\n");
document.write("                    <option value=\"Mar\">Mar</option>"+"\n");
document.write("                    <option value=\"Apr\">Apr</option>"+"\n");
document.write("                    <option value=\"May\">May</option>"+"\n");
document.write("                    <option value=\"Jun\">Jun</option>"+"\n");
document.write("                    <option value=\"Jul\">Jul</option>"+"\n");
document.write("                    <option value=\"Aug\">Aug</option>"+"\n");
document.write("                    <option value=\"Sep\">Sep</option>"+"\n");
document.write("                    <option value=\"Oct\">Oct</option>"+"\n");
document.write("                    <option value=\"Nov\">Nov</option>"+"\n");
document.write("                    <option value=\"Dec\">Dec</option>"+"\n");
document.write("                </select>"+"\n");
document.write("             <div class=\"hidden\"><label for=\"field82930630D\">Day</label></div>"+"\n");
document.write("        <select id=\"field82930630D\" name=\"field82930630D\" class=\" fsField fsRequired\" aria-required=\"true\" disabled=\"disabled\">"+"\n");
document.write("                    <option value=\"\"> </option>"+"\n");
document.write("                    <option value=\"01\">01</option>"+"\n");
document.write("                    <option value=\"02\">02</option>"+"\n");
document.write("                    <option value=\"03\">03</option>"+"\n");
document.write("                    <option value=\"04\">04</option>"+"\n");
document.write("                    <option value=\"05\">05</option>"+"\n");
document.write("                    <option value=\"06\">06</option>"+"\n");
document.write("                    <option value=\"07\">07</option>"+"\n");
document.write("                    <option value=\"08\">08</option>"+"\n");
document.write("                    <option value=\"09\">09</option>"+"\n");
document.write("                    <option value=\"10\">10</option>"+"\n");
document.write("                    <option value=\"11\">11</option>"+"\n");
document.write("                    <option value=\"12\">12</option>"+"\n");
document.write("                    <option value=\"13\">13</option>"+"\n");
document.write("                    <option value=\"14\">14</option>"+"\n");
document.write("                    <option value=\"15\">15</option>"+"\n");
document.write("                    <option value=\"16\">16</option>"+"\n");
document.write("                    <option value=\"17\">17</option>"+"\n");
document.write("                    <option value=\"18\">18</option>"+"\n");
document.write("                    <option value=\"19\">19</option>"+"\n");
document.write("                    <option value=\"20\">20</option>"+"\n");
document.write("                    <option value=\"21\">21</option>"+"\n");
document.write("                    <option value=\"22\">22</option>"+"\n");
document.write("                    <option value=\"23\">23</option>"+"\n");
document.write("                    <option value=\"24\">24</option>"+"\n");
document.write("                    <option value=\"25\">25</option>"+"\n");
document.write("                    <option value=\"26\">26</option>"+"\n");
document.write("                    <option value=\"27\">27</option>"+"\n");
document.write("                    <option value=\"28\">28</option>"+"\n");
document.write("                    <option value=\"29\">29</option>"+"\n");
document.write("                    <option value=\"30\">30</option>"+"\n");
document.write("                    <option value=\"31\">31</option>"+"\n");
document.write("                </select>"+"\n");
document.write("             <div class=\"hidden\"><label for=\"field82930630Y\">Year</label></div>"+"\n");
document.write("        <select id=\"field82930630Y\" name=\"field82930630Y\" class=\" fsField fsRequired\" aria-required=\"true\" disabled=\"disabled\">"+"\n");
document.write("                    <option value=\"\"> </option>"+"\n");
document.write("                    <option value=\"1982\">1982</option>"+"\n");
document.write("                    <option value=\"1983\">1983</option>"+"\n");
document.write("                    <option value=\"1984\">1984</option>"+"\n");
document.write("                    <option value=\"1985\">1985</option>"+"\n");
document.write("                    <option value=\"1986\">1986</option>"+"\n");
document.write("                    <option value=\"1987\">1987</option>"+"\n");
document.write("                    <option value=\"1988\">1988</option>"+"\n");
document.write("                    <option value=\"1989\">1989</option>"+"\n");
document.write("                    <option value=\"1990\">1990</option>"+"\n");
document.write("                    <option value=\"1991\">1991</option>"+"\n");
document.write("                    <option value=\"1992\">1992</option>"+"\n");
document.write("                    <option value=\"1993\">1993</option>"+"\n");
document.write("                    <option value=\"1994\">1994</option>"+"\n");
document.write("                    <option value=\"1995\">1995</option>"+"\n");
document.write("                    <option value=\"1996\">1996</option>"+"\n");
document.write("                    <option value=\"1997\">1997</option>"+"\n");
document.write("                    <option value=\"1998\">1998</option>"+"\n");
document.write("                    <option value=\"1999\">1999</option>"+"\n");
document.write("                    <option value=\"2000\">2000</option>"+"\n");
document.write("                    <option value=\"2001\">2001</option>"+"\n");
document.write("                    <option value=\"2002\">2002</option>"+"\n");
document.write("                    <option value=\"2003\">2003</option>"+"\n");
document.write("                    <option value=\"2004\">2004</option>"+"\n");
document.write("                    <option value=\"2005\">2005</option>"+"\n");
document.write("                    <option value=\"2006\">2006</option>"+"\n");
document.write("                    <option value=\"2007\">2007</option>"+"\n");
document.write("                    <option value=\"2008\">2008</option>"+"\n");
document.write("                    <option value=\"2009\">2009</option>"+"\n");
document.write("                    <option value=\"2010\">2010</option>"+"\n");
document.write("                    <option value=\"2011\">2011</option>"+"\n");
document.write("                    <option value=\"2012\">2012</option>"+"\n");
document.write("                    <option value=\"2013\">2013</option>"+"\n");
document.write("                    <option value=\"2014\">2014</option>"+"\n");
document.write("                    <option value=\"2015\">2015</option>"+"\n");
document.write("                    <option value=\"2016\">2016</option>"+"\n");
document.write("                    <option value=\"2017\">2017</option>"+"\n");
document.write("                    <option value=\"2018\">2018</option>"+"\n");
document.write("                    <option value=\"2019\">2019</option>"+"\n");
document.write("                    <option value=\"2020\">2020</option>"+"\n");
document.write("                    <option value=\"2021\">2021</option>"+"\n");
document.write("                    <option value=\"2022\">2022</option>"+"\n");
document.write("                    <option value=\"2023\">2023</option>"+"\n");
document.write("                    <option value=\"2024\">2024</option>"+"\n");
document.write("                    <option value=\"2025\">2025</option>"+"\n");
document.write("                    <option value=\"2026\">2026</option>"+"\n");
document.write("                    <option value=\"2027\">2027</option>"+"\n");
document.write("                    <option value=\"2028\">2028</option>"+"\n");
document.write("                    <option value=\"2029\">2029</option>"+"\n");
document.write("                    <option value=\"2030\">2030</option>"+"\n");
document.write("                    <option value=\"2031\">2031</option>"+"\n");
document.write("                    <option value=\"2032\">2032</option>"+"\n");
document.write("                    <option value=\"2033\">2033</option>"+"\n");
document.write("                    <option value=\"2034\">2034</option>"+"\n");
document.write("                    <option value=\"2035\">2035</option>"+"\n");
document.write("                    <option value=\"2036\">2036</option>"+"\n");
document.write("                    <option value=\"2037\">2037</option>"+"\n");
document.write("                    <option value=\"2038\">2038</option>"+"\n");
document.write("                    <option value=\"2039\">2039</option>"+"\n");
document.write("                    <option value=\"2040\">2040</option>"+"\n");
document.write("                    <option value=\"2041\">2041</option>"+"\n");
document.write("                    <option value=\"2042\">2042</option>"+"\n");
document.write("                    <option value=\"2043\">2043</option>"+"\n");
document.write("                    <option value=\"2044\">2044</option>"+"\n");
document.write("                    <option value=\"2045\">2045</option>"+"\n");
document.write("                    <option value=\"2046\">2046</option>"+"\n");
document.write("                    <option value=\"2047\">2047</option>"+"\n");
document.write("                    <option value=\"2048\">2048</option>"+"\n");
document.write("                    <option value=\"2049\">2049</option>"+"\n");
document.write("                    <option value=\"2050\">2050</option>"+"\n");
document.write("                    <option value=\"2051\">2051</option>"+"\n");
document.write("                    <option value=\"2052\">2052</option>"+"\n");
document.write("                </select>"+"\n");
document.write("    "+"\n");
document.write("    "+"\n");
document.write("    "+"\n");
document.write("    <input data-skip-validation type=\"text\" id=\"fsCalendar82930630Link\" class=\"fsCalendarPickerLink\" style=\"display:none;\" aria-hidden=\"true\" disabled=\"disabled\" />"+"\n");
document.write("        <div id=\"fsCalendar82930630\" class=\"fsCalendar\" style=\" position:absolute\"></div>"+"\n");
document.write("        "+"\n");
document.write("                                                                "+"\n");
document.write("                    "+"\n");
document.write("                                                </div></fieldset>"+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                                    </div>"+"\n");
document.write("                        "+"\n");
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document.write("                <div id=\"fsRow3603297-16\" class=\"fsRow fsFieldRow fsLastRow fsHidden\">"+"\n");
document.write("            "+"\n");
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document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsHidden fsSpan100\" id=\"fsCell82930635\" lang=\"en\" fs-field-type=\"datetime\" fs-field-validation-name=\"What is/was the exact date of separation of your service member / veteran?\">"+"\n");
document.write("                                                                                <fieldset role=\"group\" aria-labelledby=\"fsLegend82930635\" id=\"label82930635\">"+"\n");
document.write("                            <legend id=\"fsLegend82930635\" class=\"fsLabel fsRequiredLabel fsLabelVertical\"><span>What is/was the exact date of separation of your service member / veteran?<span class=\"fsRequiredMarker\">*</span></span></legend>"+"\n");
document.write("                            <div class=\"fieldset-content\">"+"\n");
document.write("                    "+"\n");
document.write("                                        "+"\n");
document.write("                                <!-- Used to pull in url for jquery -->"+"\n");
document.write("        <span aria-hidden=\"true\" style=\"display:none;\" id=\"fsCalendar82930635ImageUrl\">https://syr-uqtrw.formstack.com/forms/images/2/calendar.png</span>"+"\n");
document.write("    "+"\n");
document.write("    "+"\n");
document.write("    "+"\n");
document.write("    <input data-skip-validation data-date-format=\"M d, Y\" type=\"hidden\" id=\"field82930635Format\" name=\"field82930635Format\" value=\"MDY\" />"+"\n");
document.write("    "+"\n");
document.write("                    <div class=\"hidden\"><label for=\"field82930635M\">Month</label></div>"+"\n");
document.write("        <select id=\"field82930635M\" name=\"field82930635M\" class=\" fsField fsRequired\" aria-required=\"true\" disabled=\"disabled\">"+"\n");
document.write("                    <option value=\"\"> </option>"+"\n");
document.write("                    <option value=\"Jan\">Jan</option>"+"\n");
document.write("                    <option value=\"Feb\">Feb</option>"+"\n");
document.write("                    <option value=\"Mar\">Mar</option>"+"\n");
document.write("                    <option value=\"Apr\">Apr</option>"+"\n");
document.write("                    <option value=\"May\">May</option>"+"\n");
document.write("                    <option value=\"Jun\">Jun</option>"+"\n");
document.write("                    <option value=\"Jul\">Jul</option>"+"\n");
document.write("                    <option value=\"Aug\">Aug</option>"+"\n");
document.write("                    <option value=\"Sep\">Sep</option>"+"\n");
document.write("                    <option value=\"Oct\">Oct</option>"+"\n");
document.write("                    <option value=\"Nov\">Nov</option>"+"\n");
document.write("                    <option value=\"Dec\">Dec</option>"+"\n");
document.write("                </select>"+"\n");
document.write("             <div class=\"hidden\"><label for=\"field82930635D\">Day</label></div>"+"\n");
document.write("        <select id=\"field82930635D\" name=\"field82930635D\" class=\" fsField fsRequired\" aria-required=\"true\" disabled=\"disabled\">"+"\n");
document.write("                    <option value=\"\"> </option>"+"\n");
document.write("                    <option value=\"01\">01</option>"+"\n");
document.write("                    <option value=\"02\">02</option>"+"\n");
document.write("                    <option value=\"03\">03</option>"+"\n");
document.write("                    <option value=\"04\">04</option>"+"\n");
document.write("                    <option value=\"05\">05</option>"+"\n");
document.write("                    <option value=\"06\">06</option>"+"\n");
document.write("                    <option value=\"07\">07</option>"+"\n");
document.write("                    <option value=\"08\">08</option>"+"\n");
document.write("                    <option value=\"09\">09</option>"+"\n");
document.write("                    <option value=\"10\">10</option>"+"\n");
document.write("                    <option value=\"11\">11</option>"+"\n");
document.write("                    <option value=\"12\">12</option>"+"\n");
document.write("                    <option value=\"13\">13</option>"+"\n");
document.write("                    <option value=\"14\">14</option>"+"\n");
document.write("                    <option value=\"15\">15</option>"+"\n");
document.write("                    <option value=\"16\">16</option>"+"\n");
document.write("                    <option value=\"17\">17</option>"+"\n");
document.write("                    <option value=\"18\">18</option>"+"\n");
document.write("                    <option value=\"19\">19</option>"+"\n");
document.write("                    <option value=\"20\">20</option>"+"\n");
document.write("                    <option value=\"21\">21</option>"+"\n");
document.write("                    <option value=\"22\">22</option>"+"\n");
document.write("                    <option value=\"23\">23</option>"+"\n");
document.write("                    <option value=\"24\">24</option>"+"\n");
document.write("                    <option value=\"25\">25</option>"+"\n");
document.write("                    <option value=\"26\">26</option>"+"\n");
document.write("                    <option value=\"27\">27</option>"+"\n");
document.write("                    <option value=\"28\">28</option>"+"\n");
document.write("                    <option value=\"29\">29</option>"+"\n");
document.write("                    <option value=\"30\">30</option>"+"\n");
document.write("                    <option value=\"31\">31</option>"+"\n");
document.write("                </select>"+"\n");
document.write("             <div class=\"hidden\"><label for=\"field82930635Y\">Year</label></div>"+"\n");
document.write("        <select id=\"field82930635Y\" name=\"field82930635Y\" class=\" fsField fsRequired\" aria-required=\"true\" disabled=\"disabled\">"+"\n");
document.write("                    <option value=\"\"> </option>"+"\n");
document.write("                    <option value=\"1922\">1922</option>"+"\n");
document.write("                    <option value=\"1923\">1923</option>"+"\n");
document.write("                    <option value=\"1924\">1924</option>"+"\n");
document.write("                    <option value=\"1925\">1925</option>"+"\n");
document.write("                    <option value=\"1926\">1926</option>"+"\n");
document.write("                    <option value=\"1927\">1927</option>"+"\n");
document.write("                    <option value=\"1928\">1928</option>"+"\n");
document.write("                    <option value=\"1929\">1929</option>"+"\n");
document.write("                    <option value=\"1930\">1930</option>"+"\n");
document.write("                    <option value=\"1931\">1931</option>"+"\n");
document.write("                    <option value=\"1932\">1932</option>"+"\n");
document.write("                    <option value=\"1933\">1933</option>"+"\n");
document.write("                    <option value=\"1934\">1934</option>"+"\n");
document.write("                    <option value=\"1935\">1935</option>"+"\n");
document.write("                    <option value=\"1936\">1936</option>"+"\n");
document.write("                    <option value=\"1937\">1937</option>"+"\n");
document.write("                    <option value=\"1938\">1938</option>"+"\n");
document.write("                    <option value=\"1939\">1939</option>"+"\n");
document.write("                    <option value=\"1940\">1940</option>"+"\n");
document.write("                    <option value=\"1941\">1941</option>"+"\n");
document.write("                    <option value=\"1942\">1942</option>"+"\n");
document.write("                    <option value=\"1943\">1943</option>"+"\n");
document.write("                    <option value=\"1944\">1944</option>"+"\n");
document.write("                    <option value=\"1945\">1945</option>"+"\n");
document.write("                    <option value=\"1946\">1946</option>"+"\n");
document.write("                    <option value=\"1947\">1947</option>"+"\n");
document.write("                    <option value=\"1948\">1948</option>"+"\n");
document.write("                    <option value=\"1949\">1949</option>"+"\n");
document.write("                    <option value=\"1950\">1950</option>"+"\n");
document.write("                    <option value=\"1951\">1951</option>"+"\n");
document.write("                    <option value=\"1952\">1952</option>"+"\n");
document.write("                    <option value=\"1953\">1953</option>"+"\n");
document.write("                    <option value=\"1954\">1954</option>"+"\n");
document.write("                    <option value=\"1955\">1955</option>"+"\n");
document.write("                    <option value=\"1956\">1956</option>"+"\n");
document.write("                    <option value=\"1957\">1957</option>"+"\n");
document.write("                    <option value=\"1958\">1958</option>"+"\n");
document.write("                    <option value=\"1959\">1959</option>"+"\n");
document.write("                    <option value=\"1960\">1960</option>"+"\n");
document.write("                    <option value=\"1961\">1961</option>"+"\n");
document.write("                    <option value=\"1962\">1962</option>"+"\n");
document.write("                    <option value=\"1963\">1963</option>"+"\n");
document.write("                    <option value=\"1964\">1964</option>"+"\n");
document.write("                    <option value=\"1965\">1965</option>"+"\n");
document.write("                    <option value=\"1966\">1966</option>"+"\n");
document.write("                    <option value=\"1967\">1967</option>"+"\n");
document.write("                    <option value=\"1968\">1968</option>"+"\n");
document.write("                    <option value=\"1969\">1969</option>"+"\n");
document.write("                    <option value=\"1970\">1970</option>"+"\n");
document.write("                    <option value=\"1971\">1971</option>"+"\n");
document.write("                    <option value=\"1972\">1972</option>"+"\n");
document.write("                    <option value=\"1973\">1973</option>"+"\n");
document.write("                    <option value=\"1974\">1974</option>"+"\n");
document.write("                    <option value=\"1975\">1975</option>"+"\n");
document.write("                    <option value=\"1976\">1976</option>"+"\n");
document.write("                    <option value=\"1977\">1977</option>"+"\n");
document.write("                    <option value=\"1978\">1978</option>"+"\n");
document.write("                    <option value=\"1979\">1979</option>"+"\n");
document.write("                    <option value=\"1980\">1980</option>"+"\n");
document.write("                    <option value=\"1981\">1981</option>"+"\n");
document.write("                    <option value=\"1982\">1982</option>"+"\n");
document.write("                    <option value=\"1983\">1983</option>"+"\n");
document.write("                    <option value=\"1984\">1984</option>"+"\n");
document.write("                    <option value=\"1985\">1985</option>"+"\n");
document.write("                    <option value=\"1986\">1986</option>"+"\n");
document.write("                    <option value=\"1987\">1987</option>"+"\n");
document.write("                    <option value=\"1988\">1988</option>"+"\n");
document.write("                    <option value=\"1989\">1989</option>"+"\n");
document.write("                    <option value=\"1990\">1990</option>"+"\n");
document.write("                    <option value=\"1991\">1991</option>"+"\n");
document.write("                    <option value=\"1992\">1992</option>"+"\n");
document.write("                    <option value=\"1993\">1993</option>"+"\n");
document.write("                    <option value=\"1994\">1994</option>"+"\n");
document.write("                    <option value=\"1995\">1995</option>"+"\n");
document.write("                    <option value=\"1996\">1996</option>"+"\n");
document.write("                    <option value=\"1997\">1997</option>"+"\n");
document.write("                    <option value=\"1998\">1998</option>"+"\n");
document.write("                    <option value=\"1999\">1999</option>"+"\n");
document.write("                    <option value=\"2000\">2000</option>"+"\n");
document.write("                    <option value=\"2001\">2001</option>"+"\n");
document.write("                    <option value=\"2002\">2002</option>"+"\n");
document.write("                    <option value=\"2003\">2003</option>"+"\n");
document.write("                    <option value=\"2004\">2004</option>"+"\n");
document.write("                    <option value=\"2005\">2005</option>"+"\n");
document.write("                    <option value=\"2006\">2006</option>"+"\n");
document.write("                    <option value=\"2007\">2007</option>"+"\n");
document.write("                    <option value=\"2008\">2008</option>"+"\n");
document.write("                    <option value=\"2009\">2009</option>"+"\n");
document.write("                    <option value=\"2010\">2010</option>"+"\n");
document.write("                    <option value=\"2011\">2011</option>"+"\n");
document.write("                    <option value=\"2012\">2012</option>"+"\n");
document.write("                    <option value=\"2013\">2013</option>"+"\n");
document.write("                    <option value=\"2014\">2014</option>"+"\n");
document.write("                    <option value=\"2015\">2015</option>"+"\n");
document.write("                    <option value=\"2016\">2016</option>"+"\n");
document.write("                    <option value=\"2017\">2017</option>"+"\n");
document.write("                    <option value=\"2018\">2018</option>"+"\n");
document.write("                    <option value=\"2019\">2019</option>"+"\n");
document.write("                    <option value=\"2020\">2020</option>"+"\n");
document.write("                    <option value=\"2021\">2021</option>"+"\n");
document.write("                    <option value=\"2022\">2022</option>"+"\n");
document.write("                    <option value=\"2023\">2023</option>"+"\n");
document.write("                    <option value=\"2024\">2024</option>"+"\n");
document.write("                    <option value=\"2025\">2025</option>"+"\n");
document.write("                    <option value=\"2026\">2026</option>"+"\n");
document.write("                    <option value=\"2027\">2027</option>"+"\n");
document.write("                    <option value=\"2028\">2028</option>"+"\n");
document.write("                    <option value=\"2029\">2029</option>"+"\n");
document.write("                    <option value=\"2030\">2030</option>"+"\n");
document.write("                    <option value=\"2031\">2031</option>"+"\n");
document.write("                    <option value=\"2032\">2032</option>"+"\n");
document.write("                    <option value=\"2033\">2033</option>"+"\n");
document.write("                    <option value=\"2034\">2034</option>"+"\n");
document.write("                    <option value=\"2035\">2035</option>"+"\n");
document.write("                    <option value=\"2036\">2036</option>"+"\n");
document.write("                    <option value=\"2037\">2037</option>"+"\n");
document.write("                    <option value=\"2038\">2038</option>"+"\n");
document.write("                    <option value=\"2039\">2039</option>"+"\n");
document.write("                    <option value=\"2040\">2040</option>"+"\n");
document.write("                    <option value=\"2041\">2041</option>"+"\n");
document.write("                    <option value=\"2042\">2042</option>"+"\n");
document.write("                    <option value=\"2043\">2043</option>"+"\n");
document.write("                    <option value=\"2044\">2044</option>"+"\n");
document.write("                    <option value=\"2045\">2045</option>"+"\n");
document.write("                    <option value=\"2046\">2046</option>"+"\n");
document.write("                    <option value=\"2047\">2047</option>"+"\n");
document.write("                    <option value=\"2048\">2048</option>"+"\n");
document.write("                    <option value=\"2049\">2049</option>"+"\n");
document.write("                    <option value=\"2050\">2050</option>"+"\n");
document.write("                    <option value=\"2051\">2051</option>"+"\n");
document.write("                    <option value=\"2052\">2052</option>"+"\n");
document.write("                    <option value=\"2053\">2053</option>"+"\n");
document.write("                    <option value=\"2054\">2054</option>"+"\n");
document.write("                    <option value=\"2055\">2055</option>"+"\n");
document.write("                    <option value=\"2056\">2056</option>"+"\n");
document.write("                    <option value=\"2057\">2057</option>"+"\n");
document.write("                    <option value=\"2058\">2058</option>"+"\n");
document.write("                    <option value=\"2059\">2059</option>"+"\n");
document.write("                    <option value=\"2060\">2060</option>"+"\n");
document.write("                    <option value=\"2061\">2061</option>"+"\n");
document.write("                    <option value=\"2062\">2062</option>"+"\n");
document.write("                    <option value=\"2063\">2063</option>"+"\n");
document.write("                    <option value=\"2064\">2064</option>"+"\n");
document.write("                    <option value=\"2065\">2065</option>"+"\n");
document.write("                    <option value=\"2066\">2066</option>"+"\n");
document.write("                    <option value=\"2067\">2067</option>"+"\n");
document.write("                    <option value=\"2068\">2068</option>"+"\n");
document.write("                    <option value=\"2069\">2069</option>"+"\n");
document.write("                    <option value=\"2070\">2070</option>"+"\n");
document.write("                    <option value=\"2071\">2071</option>"+"\n");
document.write("                    <option value=\"2072\">2072</option>"+"\n");
document.write("                </select>"+"\n");
document.write("    "+"\n");
document.write("    "+"\n");
document.write("    "+"\n");
document.write("    <input data-skip-validation type=\"text\" id=\"fsCalendar82930635Link\" class=\"fsCalendarPickerLink\" style=\"display:none;\" aria-hidden=\"true\" disabled=\"disabled\" />"+"\n");
document.write("        <div id=\"fsCalendar82930635\" class=\"fsCalendar\" style=\" position:absolute\"></div>"+"\n");
document.write("        "+"\n");
document.write("                                                                "+"\n");
document.write("                    "+"\n");
document.write("                                                </div></fieldset>"+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                                    </div>"+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("                "+"\n");
document.write("                    "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                                "+"\n");
document.write("                <div id=\"fsRow3603297-17\" class=\"fsRow fsFieldRow fsLastRow\">"+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100\" id=\"fsCell84122917\" lang=\"en\" fs-field-type=\"richtext\" fs-field-validation-name=\"\">"+"\n");
document.write("                                                        "+"\n");
document.write("                                        "+"\n");
document.write("                    <p wiid=\"N39079\">&nbsp;</p>"+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                                    </div>"+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("                "+"\n");
document.write("                    "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                                "+"\n");
document.write("                <div id=\"fsRow3603297-18\" class=\"fsRow fsFieldRow fsLastRow\">"+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100\" id=\"fsCell82930633\" lang=\"en\" fs-field-type=\"select\" fs-field-validation-name=\"Please indicate the type of your discharge status:\">"+"\n");
document.write("                                                                                                        <label id=\"label82930633\" class=\"fsLabel fsRequiredLabel\" for=\"field82930633\">Please indicate the type of your discharge status:<span class=\"fsRequiredMarker\">*</span>                                                    </label>"+"\n");
document.write("                                            "+"\n");
document.write("                                        "+"\n");
document.write("                    <select id=\"field82930633\" name=\"field82930633\" size=\"1\"required class=\"fsField fsRequired\" aria-required=\"true\">"+"\n");
document.write("        <option value=\"&quot;Honorable&quot; discharge\">&quot;Honorable&quot; discharge</option>"+"\n");
document.write("        <option value=\"&quot;General&quot; discharge\">&quot;General&quot; discharge</option>"+"\n");
document.write("        <option value=\"&quot;Under Honorable&quot; Conditions discharge\">&quot;Under Honorable&quot; Conditions discharge</option>"+"\n");
document.write("        <option value=\"&quot;Under Other than Honorable&quot; Conditions discharge\">&quot;Under Other than Honorable&quot; Conditions discharge</option>"+"\n");
document.write("        <option value=\"&quot;Bad Conduct&quot; discharge\">&quot;Bad Conduct&quot; discharge</option>"+"\n");
document.write("        <option value=\"&quot;Dishonorable&quot; discharge\">&quot;Dishonorable&quot; discharge</option>"+"\n");
document.write("        <option value=\"Other form of discharge status\">Other form of discharge status</option>"+"\n");
document.write("        <option value=\"Not sure\">Not sure</option>"+"\n");
document.write("        <option value=\"Prefer not to answer\">Prefer not to answer</option>"+"\n");
document.write("</select>"+"\n");
document.write("                                                                "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                                    </div>"+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("                "+"\n");
document.write("                    "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                                "+"\n");
document.write("                <div id=\"fsRow3603297-19\" class=\"fsRow fsFieldRow fsLastRow fsHidden\">"+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsHidden fsSpan100\" id=\"fsCell82930638\" lang=\"en\" fs-field-type=\"select\" fs-field-validation-name=\"Please indicate your spouse\'s discharge status:\">"+"\n");
document.write("                                                                                                        <label id=\"label82930638\" class=\"fsLabel\" for=\"field82930638\">Please indicate your spouse\'s discharge status:                                                    </label>"+"\n");
document.write("                                            "+"\n");
document.write("                                        "+"\n");
document.write("                    <select id=\"field82930638\" name=\"field82930638\" size=\"1\" class=\"fsField\" disabled=\"disabled\">"+"\n");
document.write("        <option value=\"Honorable discharge\">Honorable discharge</option>"+"\n");
document.write("        <option value=\"General discharge\">General discharge</option>"+"\n");
document.write("        <option value=\"Under Honorable Conditions discharge\">Under Honorable Conditions discharge</option>"+"\n");
document.write("        <option value=\"Under Other than Honorable Conditions discharge\">Under Other than Honorable Conditions discharge</option>"+"\n");
document.write("        <option value=\"Bad Conduct discharge\">Bad Conduct discharge</option>"+"\n");
document.write("        <option value=\"Dishonorable discharge\">Dishonorable discharge</option>"+"\n");
document.write("        <option value=\"Other form of discharge status\">Other form of discharge status</option>"+"\n");
document.write("        <option value=\"Not sure\">Not sure</option>"+"\n");
document.write("        <option value=\"Prefer not to answer\">Prefer not to answer</option>"+"\n");
document.write("        <option value=\"Still on active duty\">Still on active duty</option>"+"\n");
document.write("</select>"+"\n");
document.write("                                                                "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                                    </div>"+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("                "+"\n");
document.write("                    "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                                "+"\n");
document.write("                <div id=\"fsRow3603297-20\" class=\"fsRow fsFieldRow fsLastRow fsHidden\">"+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsHidden fsSpan100\" id=\"fsCell84007747\" lang=\"en\" fs-field-type=\"richtext\" fs-field-validation-name=\"\">"+"\n");
document.write("                                                        "+"\n");
document.write("                                        "+"\n");
document.write("                    <p wiid=\"N39079\">&nbsp;</p>"+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                                    </div>"+"\n");
document.write("                        "+"\n");
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document.write("                    "+"\n");
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document.write("                    "+"\n");
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document.write("                    "+"\n");
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document.write("            <label class=\"fsOptionLabel vertical\" for=\"field82930576_23\"><input type=\"radio\" id=\"field82930576_23\" name=\"field82930576\" value=\"Peterson Air Force Base\" class=\"fsField fsRequired vertical\" aria-required=\"true\" />Peterson Air Force Base</label>"+"\n");
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document.write("                    "+"\n");
document.write("            "+"\n");
document.write("            <label class=\"fsOptionLabel vertical\" for=\"field82930576_24\"><input type=\"radio\" id=\"field82930576_24\" name=\"field82930576\" value=\"San Diego, CA Military Community\" class=\"fsField fsRequired vertical\" aria-required=\"true\" />San Diego, CA Military Community</label>"+"\n");
document.write("            "+"\n");
document.write("                    "+"\n");
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document.write("            <label class=\"fsOptionLabel vertical\" for=\"field82930576_25\"><input type=\"radio\" id=\"field82930576_25\" name=\"field82930576\" value=\"Not located near any of the above listed installations\" class=\"fsField fsRequired vertical\" aria-required=\"true\" />Not located near any of the above listed installations</label>"+"\n");
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document.write("                    <p>&nbsp;</p>"+"\n");
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document.write("                                                        "+"\n");
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document.write("                    <p><br></p><p><span style=\"color: rgb(184, 49, 47);\"><strong>**</strong></span><strong> If you were directed to this form from a <span style=\"color: rgb(184, 49, 47);\">CyberVetsUSA</span> provided link, please check this box. Otherwise please leave this box unchecked. </strong><span style=\"color: rgb(184, 49, 47);\"><strong>**</strong></span></p>"+"\n");
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document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsSpan100\" id=\"fsCell82930573\" lang=\"en\" fs-field-type=\"checkbox\" fs-field-validation-name=\"Check this box if you are a CyberVetsUSA referral\">"+"\n");
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document.write("                            <legend id=\"fsLegend82930573\" class=\"fsLabel fsLabelVertical\"><span>Check this box if you are a CyberVetsUSA referral</span></legend>"+"\n");
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document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLast fsLabelVertical fsHidden fsSpan100\" id=\"fsCell82930574\" lang=\"en\" fs-field-type=\"select\" fs-field-validation-name=\"Please select the value below that most accurately describes your current or prospective state of residence:\">"+"\n");
document.write("                                                                                                        <label id=\"label82930574\" class=\"fsLabel fsRequiredLabel\" for=\"field82930574\">Please select the value below that most accurately describes your current or prospective state of residence:<span class=\"fsRequiredMarker\">*</span>                                                    </label>"+"\n");
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document.write("        <option value=\"Relocating to Arizona\">Relocating to Arizona</option>"+"\n");
document.write("        <option value=\"Relocating to California\">Relocating to California</option>"+"\n");
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document.write("        <option value=\"Relocating to Maryland\">Relocating to Maryland</option>"+"\n");
document.write("        <option value=\"Relocating to Michigan\">Relocating to Michigan</option>"+"\n");
document.write("        <option value=\"Relocating to New York\">Relocating to New York</option>"+"\n");
document.write("        <option value=\"Relocating to North Carolina\">Relocating to North Carolina</option>"+"\n");
document.write("        <option value=\"Relocating to Texas\">Relocating to Texas</option>"+"\n");
document.write("        <option value=\"Relocating to Virginia\">Relocating to Virginia</option>"+"\n");
document.write("        <option value=\"None of the above\">None of the above</option>"+"\n");
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document.write("                    <p wiid=\"N39079\">&nbsp;</p>"+"\n");
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document.write("                            <legend id=\"fsLegend82930629\" class=\"fsLabel fsLabelVertical\"><span>In which branch of the military do/did you serve? (Select all that apply)</span></legend>"+"\n");
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