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have read and agree to the Terms and Conditions and Replacement Schedule provided.&nbsp; You agree that you are the person accepting liability for any missing, broken or chipped items, which will be deducted from the bond (paid by you and held by Jacaranda), and charged as per the Replacement Schedule.\\nYou agree to pay any additional breakage\/damage charges as set out in the Replacement Schedule, that are not covered by the bond.\\nThe amount of the bond required is $200 for order up to $500, or 40% of orders over $500.\\nTo secure your booking, please make payment to:\\n&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Jacaranda Tea Party Hire &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; BSB: 062-009 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Account no: 10719221\",\"type\":\"control_text\"},{\"name\":\"collectionDate\",\"qid\":\"16\",\"text\":\"Collection Date (Or Delivery Date)\",\"type\":\"control_datetime\"},{\"name\":\"returnDate17\",\"qid\":\"17\",\"text\":\"Return Date (or Collection Date)\",\"type\":\"control_datetime\"}]);\n   setTimeout(function() {\nJotForm.paymentExtrasOnTheFly([null,null,{\"name\":\"submit\",\"qid\":\"2\",\"text\":\"Submit\",\"type\":\"control_button\"},{\"name\":\"fullName3\",\"qid\":\"3\",\"text\":\"Full Name\",\"type\":\"control_fullname\"},{\"name\":\"email4\",\"qid\":\"4\",\"text\":\"E-mail\",\"type\":\"control_email\"},{\"name\":\"mobile\",\"qid\":\"5\",\"text\":\"Mobile\",\"type\":\"control_phone\"},{\"name\":\"homework\",\"qid\":\"6\",\"text\":\"Home\/Work\",\"type\":\"control_phone\"},{\"name\":\"address7\",\"qid\":\"7\",\"text\":\"Address\",\"type\":\"control_address\"},{\"name\":\"dateOf8\",\"qid\":\"8\",\"text\":\"Date of Event\",\"type\":\"control_datetime\"},{\"name\":\"eventType\",\"qid\":\"9\",\"text\":\"Event Type\",\"type\":\"control_textbox\"},{\"name\":\"transport\",\"qid\":\"10\",\"text\":\"Transport\",\"type\":\"control_checkbox\"},{\"name\":\"addressFor\",\"qid\":\"11\",\"text\":\"Address for Delivery\",\"type\":\"control_textbox\"},null,null,{\"name\":\"tableSetup\",\"qid\":\"14\",\"text\":\"Table Setup Required?\",\"type\":\"control_checkbox\"},{\"name\":\"clickTo\",\"qid\":\"15\",\"text\":\"By signing (submitting) below, you, as the Hirer, acknowledge that you have read and agree to the Terms and Conditions and Replacement Schedule provided.&nbsp; You agree that you are the person accepting liability for any missing, broken or chipped items, which will be deducted from the bond (paid by you and held by Jacaranda), and charged as per the Replacement Schedule.\\nYou agree to pay any additional breakage\/damage charges as set out in the Replacement Schedule, that are not covered by the bond.\\nThe amount of the bond required is $200 for order up to $500, or 40% of orders over $500.\\nTo secure your booking, please make payment to:\\n&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Jacaranda Tea Party Hire &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; BSB: 062-009 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Account no: 10719221\",\"type\":\"control_text\"},{\"name\":\"collectionDate\",\"qid\":\"16\",\"text\":\"Collection Date (Or Delivery Date)\",\"type\":\"control_datetime\"},{\"name\":\"returnDate17\",\"qid\":\"17\",\"text\":\"Return Date (or Collection Date)\",\"type\":\"control_datetime\"}]);}, 20); \n<\/script>\n<\/head>\n<body>\n<form class=\"jotform-form\" action=\"https:\/\/submit.jotform.co\/submit\/31947999102869\/\" method=\"post\" name=\"form_31947999102869\" id=\"31947999102869\" accept-charset=\"utf-8\">\n  <input type=\"hidden\" name=\"formID\" value=\"31947999102869\" \/>\n  <div class=\"form-all\">\n    <ul class=\"form-section page-section\">\n      <li class=\"form-line jf-required\" data-type=\"control_fullname\" id=\"id_3\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_3\" for=\"first_3\">\n          Full Name\n          <span class=\"form-required\">\n            *\n          <\/span>\n        <\/label>\n        <div id=\"cid_3\" class=\"form-input jf-required\">\n          <div data-wrapper-react=\"true\">\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input type=\"text\" id=\"first_3\" name=\"q3_fullName3[first]\" class=\"form-textbox validate[required]\" size=\"10\" value=\"\" data-component=\"first\" required=\"\" \/>\n              <label class=\"form-sub-label\" for=\"first_3\" id=\"sublabel_first\" style=\"min-height:13px;\"> First Name <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input type=\"text\" id=\"last_3\" name=\"q3_fullName3[last]\" class=\"form-textbox validate[required]\" size=\"15\" value=\"\" data-component=\"last\" required=\"\" \/>\n              <label class=\"form-sub-label\" for=\"last_3\" id=\"sublabel_last\" style=\"min-height:13px;\"> Last Name <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_email\" id=\"id_4\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_4\" for=\"input_4\">\n          E-mail\n          <span class=\"form-required\">\n            *\n          <\/span>\n        <\/label>\n        <div id=\"cid_4\" class=\"form-input jf-required\">\n          <input type=\"email\" id=\"input_4\" name=\"q4_email4\" class=\"form-textbox validate[required, Email]\" size=\"30\" value=\"\" placeholder=\"ex: myname@example.com\" data-component=\"email\" required=\"\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_phone\" id=\"id_5\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_5\" for=\"input_5_area\">\n          Mobile\n          <span class=\"form-required\">\n            *\n          <\/span>\n        <\/label>\n        <div id=\"cid_5\" class=\"form-input jf-required\">\n          <div data-wrapper-react=\"true\">\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input type=\"tel\" id=\"input_5_area\" name=\"q5_mobile[area]\" class=\"form-textbox validate[required]\" size=\"3\" value=\"\" data-component=\"areaCode\" required=\"\" \/>\n              <span class=\"phone-separate\">\n                \u00a0-\n              <\/span>\n              <label class=\"form-sub-label\" for=\"input_5_area\" id=\"sublabel_area\" style=\"min-height:13px;\"> Area Code <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input type=\"tel\" id=\"input_5_phone\" name=\"q5_mobile[phone]\" class=\"form-textbox validate[required]\" size=\"8\" value=\"\" data-component=\"phone\" required=\"\" \/>\n              <label class=\"form-sub-label\" for=\"input_5_phone\" id=\"sublabel_phone\" style=\"min-height:13px;\"> Phone Number <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_phone\" id=\"id_6\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_6\" for=\"input_6_area\"> Home\/Work <\/label>\n        <div id=\"cid_6\" class=\"form-input\">\n          <div data-wrapper-react=\"true\">\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input type=\"tel\" id=\"input_6_area\" name=\"q6_homework[area]\" class=\"form-textbox\" size=\"3\" value=\"\" data-component=\"areaCode\" \/>\n              <span class=\"phone-separate\">\n                \u00a0-\n              <\/span>\n              <label class=\"form-sub-label\" for=\"input_6_area\" id=\"sublabel_area\" style=\"min-height:13px;\"> Area Code <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input type=\"tel\" id=\"input_6_phone\" name=\"q6_homework[phone]\" class=\"form-textbox\" size=\"8\" value=\"\" data-component=\"phone\" \/>\n              <label class=\"form-sub-label\" for=\"input_6_phone\" id=\"sublabel_phone\" style=\"min-height:13px;\"> Phone Number <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_address\" id=\"id_7\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_7\" for=\"input_7_addr_line1\">\n          Address\n          <span class=\"form-required\">\n            *\n          <\/span>\n        <\/label>\n        <div id=\"cid_7\" class=\"form-input jf-required\">\n          <table summary=\"\" class=\"form-address-table\" cellpadding=\"0\" cellspacing=\"0\">\n            <tbody>\n              <tr>\n                <td colspan=\"2\">\n                  <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                    <input type=\"text\" id=\"input_7_addr_line1\" name=\"q7_address7[addr_line1]\" class=\"form-textbox validate[required] form-address-line\" value=\"\" data-component=\"address_line_1\" required=\"\" \/>\n                    <label class=\"form-sub-label\" for=\"input_7_addr_line1\" id=\"sublabel_7_addr_line1\" style=\"min-height:13px;\"> Street Address <\/label>\n                  <\/span>\n                <\/td>\n              <\/tr>\n              <tr>\n                <td colspan=\"2\">\n                  <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                    <input type=\"text\" id=\"input_7_addr_line2\" name=\"q7_address7[addr_line2]\" class=\"form-textbox form-address-line\" size=\"46\" value=\"\" data-component=\"address_line_2\" required=\"\" \/>\n                    <label class=\"form-sub-label\" for=\"input_7_addr_line2\" id=\"sublabel_7_addr_line2\" style=\"min-height:13px;\"> Street Address Line 2 <\/label>\n                  <\/span>\n                <\/td>\n              <\/tr>\n              <tr>\n                <td width=\"50%\">\n                  <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                    <input type=\"text\" id=\"input_7_city\" name=\"q7_address7[city]\" class=\"form-textbox validate[required] form-address-city\" size=\"21\" value=\"\" data-component=\"city\" required=\"\" \/>\n                    <label class=\"form-sub-label\" for=\"input_7_city\" id=\"sublabel_7_city\" style=\"min-height:13px;\"> City <\/label>\n                  <\/span>\n                <\/td>\n                <td>\n                  <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                    <input type=\"text\" id=\"input_7_state\" name=\"q7_address7[state]\" class=\"form-textbox validate[required] form-address-state\" size=\"22\" value=\"\" data-component=\"state\" required=\"\" \/>\n                    <label class=\"form-sub-label\" for=\"input_7_state\" id=\"sublabel_7_state\" style=\"min-height:13px;\"> State \/ Province <\/label>\n                  <\/span>\n                <\/td>\n              <\/tr>\n              <tr>\n                <td width=\"50%\">\n                  <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                    <input type=\"text\" id=\"input_7_postal\" name=\"q7_address7[postal]\" class=\"form-textbox form-address-postal\" size=\"10\" value=\"\" data-component=\"zip\" required=\"\" \/>\n                    <label class=\"form-sub-label\" for=\"input_7_postal\" id=\"sublabel_7_postal\" style=\"min-height:13px;\"> Postal \/ Zip Code <\/label>\n                  <\/span>\n                <\/td>\n                <td>\n                  <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                    <select class=\"form-dropdown validate[required] form-address-country\" name=\"q7_address7[country]\" id=\"input_7_country\" data-component=\"country\" required=\"\">\n                      <option value=\"\"> Please Select <\/option>\n                      <option value=\"United States\"> United States <\/option>\n                      <option value=\"Afghanistan\"> Afghanistan <\/option>\n                      <option value=\"Albania\"> Albania <\/option>\n                      <option value=\"Algeria\"> Algeria <\/option>\n                      <option value=\"American Samoa\"> American Samoa <\/option>\n                      <option value=\"Andorra\"> Andorra <\/option>\n                      <option value=\"Angola\"> Angola <\/option>\n                      <option value=\"Anguilla\"> Anguilla <\/option>\n                      <option value=\"Antigua and Barbuda\"> Antigua and Barbuda <\/option>\n                      <option value=\"Argentina\"> Argentina <\/option>\n                      <option value=\"Armenia\"> Armenia <\/option>\n                      <option value=\"Aruba\"> Aruba <\/option>\n                      <option selected=\"\" value=\"Australia\"> Australia <\/option>\n                      <option value=\"Austria\"> Austria <\/option>\n                      <option value=\"Azerbaijan\"> Azerbaijan <\/option>\n                      <option value=\"The Bahamas\"> The Bahamas <\/option>\n                      <option value=\"Bahrain\"> Bahrain <\/option>\n                      <option value=\"Bangladesh\"> Bangladesh <\/option>\n                      <option value=\"Barbados\"> Barbados <\/option>\n                      <option value=\"Belarus\"> Belarus <\/option>\n                      <option value=\"Belgium\"> Belgium <\/option>\n                      <option value=\"Belize\"> Belize <\/option>\n                      <option value=\"Benin\"> Benin <\/option>\n                      <option value=\"Bermuda\"> Bermuda <\/option>\n                      <option value=\"Bhutan\"> Bhutan <\/option>\n                      <option value=\"Bolivia\"> Bolivia <\/option>\n                      <option value=\"Bosnia and Herzegovina\"> Bosnia and Herzegovina <\/option>\n                      <option value=\"Botswana\"> Botswana <\/option>\n                      <option value=\"Brazil\"> Brazil <\/option>\n                      <option value=\"Brunei\"> Brunei <\/option>\n                      <option value=\"Bulgaria\"> Bulgaria <\/option>\n                      <option value=\"Burkina Faso\"> Burkina Faso <\/option>\n                      <option value=\"Burundi\"> Burundi <\/option>\n                      <option value=\"Cambodia\"> Cambodia <\/option>\n                      <option value=\"Cameroon\"> Cameroon <\/option>\n                      <option value=\"Canada\"> Canada <\/option>\n                      <option value=\"Cape Verde\"> Cape Verde <\/option>\n                      <option value=\"Cayman Islands\"> Cayman Islands <\/option>\n                      <option value=\"Central African Republic\"> Central African Republic <\/option>\n                      <option value=\"Chad\"> Chad <\/option>\n                      <option value=\"Chile\"> Chile <\/option>\n                      <option value=\"China\"> China <\/option>\n                      <option value=\"Christmas Island\"> Christmas Island <\/option>\n                      <option value=\"Cocos (Keeling) Islands\"> Cocos (Keeling) Islands <\/option>\n                      <option value=\"Colombia\"> Colombia <\/option>\n                      <option value=\"Comoros\"> Comoros <\/option>\n                      <option value=\"Congo\"> Congo <\/option>\n                      <option value=\"Cook Islands\"> Cook Islands <\/option>\n                      <option value=\"Costa Rica\"> Costa Rica <\/option>\n                      <option value=\"Cote d&#x27;Ivoire\"> Cote d&#x27;Ivoire <\/option>\n                      <option value=\"Croatia\"> Croatia <\/option>\n                      <option value=\"Cuba\"> Cuba <\/option>\n                      <option value=\"Cyprus\"> Cyprus <\/option>\n                      <option value=\"Czech Republic\"> Czech Republic <\/option>\n                      <option value=\"Democratic Republic of the Congo\"> Democratic Republic of the Congo <\/option>\n                      <option value=\"Denmark\"> Denmark <\/option>\n                      <option value=\"Djibouti\"> Djibouti <\/option>\n                      <option value=\"Dominica\"> Dominica <\/option>\n                      <option value=\"Dominican Republic\"> Dominican Republic <\/option>\n                      <option value=\"Ecuador\"> Ecuador <\/option>\n                      <option value=\"Egypt\"> Egypt <\/option>\n                      <option value=\"El Salvador\"> El Salvador <\/option>\n                      <option value=\"Equatorial Guinea\"> Equatorial Guinea <\/option>\n                      <option value=\"Eritrea\"> Eritrea <\/option>\n                      <option value=\"Estonia\"> Estonia <\/option>\n                      <option value=\"Ethiopia\"> Ethiopia <\/option>\n                      <option value=\"Falkland Islands\"> Falkland Islands <\/option>\n                      <option value=\"Faroe Islands\"> Faroe Islands <\/option>\n                      <option value=\"Fiji\"> Fiji <\/option>\n                      <option value=\"Finland\"> Finland <\/option>\n                      <option value=\"France\"> France <\/option>\n                      <option value=\"French Polynesia\"> French Polynesia <\/option>\n                      <option value=\"Gabon\"> Gabon <\/option>\n                      <option value=\"The Gambia\"> The Gambia <\/option>\n                      <option value=\"Georgia\"> Georgia <\/option>\n                      <option value=\"Germany\"> Germany <\/option>\n                      <option value=\"Ghana\"> Ghana <\/option>\n                      <option value=\"Gibraltar\"> Gibraltar <\/option>\n                      <option value=\"Greece\"> Greece <\/option>\n                      <option value=\"Greenland\"> Greenland <\/option>\n                      <option value=\"Grenada\"> Grenada <\/option>\n                      <option value=\"Guadeloupe\"> Guadeloupe <\/option>\n                      <option value=\"Guam\"> Guam <\/option>\n                      <option value=\"Guatemala\"> Guatemala <\/option>\n                      <option value=\"Guernsey\"> Guernsey <\/option>\n                      <option value=\"Guinea\"> Guinea <\/option>\n                      <option value=\"Guinea-Bissau\"> Guinea-Bissau <\/option>\n                      <option value=\"Guyana\"> Guyana <\/option>\n                      <option value=\"Haiti\"> Haiti <\/option>\n                      <option value=\"Honduras\"> Honduras <\/option>\n                      <option value=\"Hong Kong\"> Hong Kong <\/option>\n                      <option value=\"Hungary\"> Hungary <\/option>\n                      <option value=\"Iceland\"> Iceland <\/option>\n                      <option value=\"India\"> India <\/option>\n                      <option value=\"Indonesia\"> Indonesia <\/option>\n                      <option value=\"Iran\"> Iran <\/option>\n                      <option value=\"Iraq\"> Iraq <\/option>\n                      <option value=\"Ireland\"> Ireland <\/option>\n                      <option value=\"Israel\"> Israel <\/option>\n                      <option value=\"Italy\"> Italy <\/option>\n                      <option value=\"Jamaica\"> Jamaica <\/option>\n                      <option value=\"Japan\"> Japan <\/option>\n                      <option value=\"Jersey\"> Jersey <\/option>\n                      <option value=\"Jordan\"> Jordan <\/option>\n                      <option value=\"Kazakhstan\"> Kazakhstan <\/option>\n                      <option value=\"Kenya\"> Kenya <\/option>\n                      <option value=\"Kiribati\"> Kiribati <\/option>\n                      <option value=\"North Korea\"> North Korea <\/option>\n                      <option value=\"South Korea\"> South Korea <\/option>\n                      <option value=\"Kosovo\"> Kosovo <\/option>\n                      <option value=\"Kuwait\"> Kuwait <\/option>\n                      <option value=\"Kyrgyzstan\"> Kyrgyzstan <\/option>\n                      <option value=\"Laos\"> Laos <\/option>\n                      <option value=\"Latvia\"> Latvia <\/option>\n                      <option value=\"Lebanon\"> Lebanon <\/option>\n                      <option value=\"Lesotho\"> Lesotho <\/option>\n                      <option value=\"Liberia\"> Liberia <\/option>\n                      <option value=\"Libya\"> Libya <\/option>\n                      <option value=\"Liechtenstein\"> Liechtenstein <\/option>\n                      <option value=\"Lithuania\"> Lithuania <\/option>\n                      <option value=\"Luxembourg\"> Luxembourg <\/option>\n                      <option value=\"Macau\"> Macau <\/option>\n                      <option value=\"Macedonia\"> Macedonia <\/option>\n                      <option value=\"Madagascar\"> Madagascar <\/option>\n                      <option value=\"Malawi\"> Malawi <\/option>\n                      <option value=\"Malaysia\"> Malaysia <\/option>\n                      <option value=\"Maldives\"> Maldives <\/option>\n                      <option value=\"Mali\"> Mali <\/option>\n                      <option value=\"Malta\"> Malta <\/option>\n                      <option value=\"Marshall Islands\"> Marshall Islands <\/option>\n                      <option value=\"Martinique\"> Martinique <\/option>\n                      <option value=\"Mauritania\"> Mauritania <\/option>\n                      <option value=\"Mauritius\"> Mauritius <\/option>\n                      <option value=\"Mayotte\"> Mayotte <\/option>\n                      <option value=\"Mexico\"> Mexico <\/option>\n                      <option value=\"Micronesia\"> Micronesia <\/option>\n                      <option value=\"Moldova\"> Moldova <\/option>\n                      <option value=\"Monaco\"> Monaco <\/option>\n                      <option value=\"Mongolia\"> Mongolia <\/option>\n                      <option value=\"Montenegro\"> Montenegro <\/option>\n                      <option value=\"Montserrat\"> Montserrat <\/option>\n                      <option value=\"Morocco\"> Morocco <\/option>\n                      <option value=\"Mozambique\"> Mozambique <\/option>\n                      <option value=\"Myanmar\"> Myanmar <\/option>\n                      <option value=\"Nagorno-Karabakh\"> Nagorno-Karabakh <\/option>\n                      <option value=\"Namibia\"> Namibia <\/option>\n                      <option value=\"Nauru\"> Nauru <\/option>\n                      <option value=\"Nepal\"> Nepal <\/option>\n                      <option value=\"Netherlands\"> Netherlands <\/option>\n                      <option value=\"Netherlands Antilles\"> Netherlands Antilles <\/option>\n                      <option value=\"New Caledonia\"> New Caledonia <\/option>\n                      <option value=\"New Zealand\"> New Zealand <\/option>\n                      <option value=\"Nicaragua\"> Nicaragua <\/option>\n                      <option value=\"Niger\"> Niger <\/option>\n                      <option value=\"Nigeria\"> Nigeria <\/option>\n                      <option value=\"Niue\"> Niue <\/option>\n                      <option value=\"Norfolk Island\"> Norfolk Island <\/option>\n                      <option value=\"Turkish Republic of Northern Cyprus\"> Turkish Republic of Northern Cyprus <\/option>\n                      <option value=\"Northern Mariana\"> Northern Mariana <\/option>\n                      <option value=\"Norway\"> Norway <\/option>\n                      <option value=\"Oman\"> Oman <\/option>\n                      <option value=\"Pakistan\"> Pakistan <\/option>\n                      <option value=\"Palau\"> Palau <\/option>\n                      <option value=\"Palestine\"> Palestine <\/option>\n                      <option value=\"Panama\"> Panama <\/option>\n                      <option value=\"Papua New Guinea\"> Papua New Guinea <\/option>\n                      <option value=\"Paraguay\"> Paraguay <\/option>\n                      <option value=\"Peru\"> Peru <\/option>\n                      <option value=\"Philippines\"> Philippines <\/option>\n                      <option value=\"Pitcairn Islands\"> Pitcairn Islands <\/option>\n                      <option value=\"Poland\"> Poland <\/option>\n                      <option value=\"Portugal\"> Portugal <\/option>\n                      <option value=\"Puerto Rico\"> Puerto Rico <\/option>\n                      <option value=\"Qatar\"> Qatar <\/option>\n                      <option value=\"Republic of the Congo\"> Republic of the Congo <\/option>\n                      <option value=\"Romania\"> Romania <\/option>\n                      <option value=\"Russia\"> Russia <\/option>\n                      <option value=\"Rwanda\"> Rwanda <\/option>\n                      <option value=\"Saint Barthelemy\"> Saint Barthelemy <\/option>\n                      <option value=\"Saint Helena\"> Saint Helena <\/option>\n                      <option value=\"Saint Kitts and Nevis\"> Saint Kitts and Nevis <\/option>\n                      <option value=\"Saint Lucia\"> Saint Lucia <\/option>\n                      <option value=\"Saint Martin\"> Saint Martin <\/option>\n                      <option value=\"Saint Pierre and Miquelon\"> Saint Pierre and Miquelon <\/option>\n                      <option value=\"Saint Vincent and the Grenadines\"> Saint Vincent and the Grenadines <\/option>\n                      <option value=\"Samoa\"> Samoa <\/option>\n                      <option value=\"San Marino\"> San Marino <\/option>\n                      <option value=\"Sao Tome and Principe\"> Sao Tome and Principe <\/option>\n                      <option value=\"Saudi Arabia\"> Saudi Arabia <\/option>\n                      <option value=\"Senegal\"> Senegal <\/option>\n                      <option value=\"Serbia\"> Serbia <\/option>\n                      <option value=\"Seychelles\"> Seychelles <\/option>\n                      <option value=\"Sierra Leone\"> Sierra Leone <\/option>\n                      <option value=\"Singapore\"> Singapore <\/option>\n                      <option value=\"Slovakia\"> Slovakia <\/option>\n                      <option value=\"Slovenia\"> Slovenia <\/option>\n                      <option value=\"Solomon Islands\"> Solomon Islands <\/option>\n                      <option value=\"Somalia\"> Somalia <\/option>\n                      <option value=\"Somaliland\"> Somaliland <\/option>\n                      <option value=\"South Africa\"> South Africa <\/option>\n                      <option value=\"South Ossetia\"> South Ossetia <\/option>\n                      <option value=\"South Sudan\"> South Sudan <\/option>\n                      <option value=\"Spain\"> Spain <\/option>\n                      <option value=\"Sri Lanka\"> Sri Lanka <\/option>\n                      <option value=\"Sudan\"> Sudan <\/option>\n                      <option value=\"Suriname\"> Suriname <\/option>\n                      <option value=\"Svalbard\"> Svalbard <\/option>\n                      <option value=\"Swaziland\"> Swaziland <\/option>\n                      <option value=\"Sweden\"> Sweden <\/option>\n                      <option value=\"Switzerland\"> Switzerland <\/option>\n                      <option value=\"Syria\"> Syria <\/option>\n                      <option value=\"Taiwan\"> Taiwan <\/option>\n                      <option value=\"Tajikistan\"> Tajikistan <\/option>\n                      <option value=\"Tanzania\"> Tanzania <\/option>\n                      <option value=\"Thailand\"> Thailand <\/option>\n                      <option value=\"Timor-Leste\"> Timor-Leste <\/option>\n                      <option value=\"Togo\"> Togo <\/option>\n                      <option value=\"Tokelau\"> Tokelau <\/option>\n                      <option value=\"Tonga\"> Tonga <\/option>\n                      <option value=\"Transnistria Pridnestrovie\"> Transnistria Pridnestrovie <\/option>\n                      <option value=\"Trinidad and Tobago\"> Trinidad and Tobago <\/option>\n                      <option value=\"Tristan da Cunha\"> Tristan da Cunha <\/option>\n                      <option value=\"Tunisia\"> Tunisia <\/option>\n                      <option value=\"Turkey\"> Turkey <\/option>\n                      <option value=\"Turkmenistan\"> Turkmenistan <\/option>\n                      <option value=\"Turks and Caicos Islands\"> Turks and Caicos Islands <\/option>\n                      <option value=\"Tuvalu\"> Tuvalu <\/option>\n                      <option value=\"Uganda\"> Uganda <\/option>\n                      <option value=\"Ukraine\"> Ukraine <\/option>\n                      <option value=\"United Arab Emirates\"> United Arab Emirates <\/option>\n                      <option value=\"United Kingdom\"> United Kingdom <\/option>\n                      <option value=\"Uruguay\"> Uruguay <\/option>\n                      <option value=\"Uzbekistan\"> Uzbekistan <\/option>\n                      <option value=\"Vanuatu\"> Vanuatu <\/option>\n                      <option value=\"Vatican City\"> Vatican City <\/option>\n                      <option value=\"Venezuela\"> Venezuela <\/option>\n                      <option value=\"Vietnam\"> Vietnam <\/option>\n                      <option value=\"British Virgin Islands\"> British Virgin Islands <\/option>\n                      <option value=\"Isle of Man\"> Isle of Man <\/option>\n                      <option value=\"US Virgin Islands\"> US Virgin Islands <\/option>\n                      <option value=\"Wallis and Futuna\"> Wallis and Futuna <\/option>\n                      <option value=\"Western Sahara\"> Western Sahara <\/option>\n                      <option value=\"Yemen\"> Yemen <\/option>\n                      <option value=\"Zambia\"> Zambia <\/option>\n                      <option value=\"Zimbabwe\"> Zimbabwe <\/option>\n                      <option value=\"other\"> Other <\/option>\n                    <\/select>\n                    <label class=\"form-sub-label\" for=\"input_7_country\" id=\"sublabel_7_country\" style=\"min-height:13px;\"> Country <\/label>\n                  <\/span>\n                <\/td>\n              <\/tr>\n            <\/tbody>\n          <\/table>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_datetime\" id=\"id_8\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_8\" for=\"month_8\">\n          Date of Event\n          <span class=\"form-required\">\n            *\n          <\/span>\n        <\/label>\n        <div id=\"cid_8\" class=\"form-input jf-required\">\n          <div data-wrapper-react=\"true\">\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"form-textbox validate[required, limitDate]\" id=\"month_8\" name=\"q8_dateOf8[month]\" type=\"tel\" size=\"2\" data-maxlength=\"2\" value=\"02\" required=\"\" \/>\n              <span class=\"date-separate\">\n                \u00a0-\n              <\/span>\n              <label class=\"form-sub-label\" for=\"month_8\" id=\"sublabel_month\" style=\"min-height:13px;\"> Month <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"currentDate form-textbox validate[required, limitDate]\" id=\"day_8\" name=\"q8_dateOf8[day]\" type=\"tel\" size=\"2\" data-maxlength=\"2\" value=\"25\" required=\"\" \/>\n              <span class=\"date-separate\">\n                \u00a0-\n              <\/span>\n              <label class=\"form-sub-label\" for=\"day_8\" id=\"sublabel_day\" style=\"min-height:13px;\"> Day <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"form-textbox validate[required, limitDate]\" id=\"year_8\" name=\"q8_dateOf8[year]\" type=\"tel\" size=\"4\" data-maxlength=\"4\" value=\"2018\" required=\"\" \/>\n              <label class=\"form-sub-label\" for=\"year_8\" id=\"sublabel_year\" style=\"min-height:13px;\"> Year <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <img class=\"showAutoCalendar\" alt=\"Pick a Date\" id=\"input_8_pick\" src=\"https:\/\/cdn.jotfor.ms\/images\/calendar.png\" style=\"vertical-align:middle;\" data-component=\"datetime\" \/>\n              <label class=\"form-sub-label\" for=\"input_8_pick\" style=\"min-height:13px;\">  <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textbox\" id=\"id_9\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_9\" for=\"input_9\"> Event Type <\/label>\n        <div id=\"cid_9\" class=\"form-input\">\n          <input type=\"text\" id=\"input_9\" name=\"q9_eventType\" data-type=\"input-textbox\" class=\"form-textbox\" size=\"20\" value=\"\" placeholder=\" \" data-component=\"textbox\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_checkbox\" id=\"id_10\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_10\" for=\"input_10_0\"> Transport <\/label>\n        <div id=\"cid_10\" class=\"form-input\">\n          <div class=\"form-single-column\" data-component=\"checkbox\">\n            <span class=\"form-checkbox-item\" style=\"clear:left;\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"checkbox\" class=\"form-checkbox\" id=\"input_10_0\" name=\"q10_transport[]\" value=\"Delivery\" \/>\n              <label id=\"label_input_10_0\" for=\"input_10_0\"> Delivery <\/label>\n            <\/span>\n            <span class=\"form-checkbox-item\" style=\"clear:left;\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"checkbox\" class=\"form-checkbox\" id=\"input_10_1\" name=\"q10_transport[]\" value=\"Pickup\" \/>\n              <label id=\"label_input_10_1\" for=\"input_10_1\"> Pickup <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textbox\" id=\"id_11\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_11\" for=\"input_11\"> Address for Delivery <\/label>\n        <div id=\"cid_11\" class=\"form-input\">\n          <input type=\"text\" id=\"input_11\" name=\"q11_addressFor\" data-type=\"input-textbox\" class=\"form-textbox\" size=\"20\" value=\"\" placeholder=\" \" data-component=\"textbox\" \/>\n        <\/div>\n      <\/li>\n      <li class=\"form-line allowTime\" data-type=\"control_datetime\" id=\"id_16\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_16\" for=\"month_16\"> Collection Date (Or Delivery Date) <\/label>\n        <div id=\"cid_16\" class=\"form-input\">\n          <div data-wrapper-react=\"true\">\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"form-textbox validate[limitDate]\" id=\"month_16\" name=\"q16_collectionDate[month]\" type=\"tel\" size=\"2\" data-maxlength=\"2\" value=\"02\" \/>\n              <span class=\"date-separate\">\n                \u00a0-\n              <\/span>\n              <label class=\"form-sub-label\" for=\"month_16\" id=\"sublabel_month\" style=\"min-height:13px;\"> Month <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"currentDate form-textbox validate[limitDate]\" id=\"day_16\" name=\"q16_collectionDate[day]\" type=\"tel\" size=\"2\" data-maxlength=\"2\" value=\"25\" \/>\n              <span class=\"date-separate\">\n                \u00a0-\n              <\/span>\n              <label class=\"form-sub-label\" for=\"day_16\" id=\"sublabel_day\" style=\"min-height:13px;\"> Day <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"form-textbox validate[limitDate]\" id=\"year_16\" name=\"q16_collectionDate[year]\" type=\"tel\" size=\"4\" data-maxlength=\"4\" value=\"2018\" \/>\n              <label class=\"form-sub-label\" for=\"year_16\" id=\"sublabel_year\" style=\"min-height:13px;\"> Year <\/label>\n            <\/span>\n            <span style=\"white-space:nowrap;display:inline-block;\" class=\"allowTime-container\">\n              <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                <div id=\"at_16\">\n                  at\n                <\/div>\n                <label class=\"form-sub-label\" for=\"at_16\" style=\"min-height:13px;\">  <\/label>\n              <\/span>\n              <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                <select class=\"currentTime time-dropdown form-dropdown validate[limitDate]\" id=\"hour_16\" name=\"q16_collectionDate[hour]\">\n                  <option>  <\/option>\n                  <option value=\"1\"> 1 <\/option>\n                  <option selected=\"\" value=\"2\"> 2 <\/option>\n                  <option value=\"3\"> 3 <\/option>\n                  <option value=\"4\"> 4 <\/option>\n                  <option value=\"5\"> 5 <\/option>\n                  <option value=\"6\"> 6 <\/option>\n                  <option value=\"7\"> 7 <\/option>\n                  <option value=\"8\"> 8 <\/option>\n                  <option value=\"9\"> 9 <\/option>\n                  <option value=\"10\"> 10 <\/option>\n                  <option value=\"11\"> 11 <\/option>\n                  <option value=\"12\"> 12 <\/option>\n                <\/select>\n                <span class=\"date-separate\">\n                  \u00a0:\n                <\/span>\n                <label class=\"form-sub-label\" for=\"hour_16\" id=\"sublabel_hour\" style=\"min-height:13px;\"> Hour <\/label>\n              <\/span>\n              <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                <select class=\"time-dropdown form-dropdown validate[limitDate]\" id=\"min_16\" name=\"q16_collectionDate[min]\">\n                  <option>  <\/option>\n                  <option value=\"00\"> 00 <\/option>\n                  <option value=\"10\"> 10 <\/option>\n                  <option value=\"20\"> 20 <\/option>\n                  <option value=\"30\"> 30 <\/option>\n                  <option selected=\"\" value=\"40\"> 40 <\/option>\n                  <option value=\"50\"> 50 <\/option>\n                <\/select>\n                <label class=\"form-sub-label\" for=\"min_16\" id=\"sublabel_minutes\" style=\"min-height:13px;\"> Minutes <\/label>\n              <\/span>\n              <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                <select class=\"time-dropdown form-dropdown validate[limitDate]\" id=\"ampm_16\" name=\"q16_collectionDate[ampm]\">\n                  <option selected=\"\" value=\"AM\"> AM <\/option>\n                  <option value=\"PM\"> PM <\/option>\n                <\/select>\n                <label class=\"form-sub-label\" for=\"ampm_16\" style=\"min-height:13px;\">  <\/label>\n              <\/span>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <img class=\"showAutoCalendar\" alt=\"Pick a Date\" id=\"input_16_pick\" src=\"https:\/\/cdn.jotfor.ms\/images\/calendar.png\" style=\"vertical-align:middle;\" data-component=\"datetime\" \/>\n              <label class=\"form-sub-label\" for=\"input_16_pick\" style=\"min-height:13px;\">  <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line allowTime\" data-type=\"control_datetime\" id=\"id_17\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_17\" for=\"month_17\"> Return Date (or Collection Date) <\/label>\n        <div id=\"cid_17\" class=\"form-input\">\n          <div data-wrapper-react=\"true\">\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"form-textbox validate[limitDate]\" id=\"month_17\" name=\"q17_returnDate17[month]\" type=\"tel\" size=\"2\" data-maxlength=\"2\" value=\"02\" \/>\n              <span class=\"date-separate\">\n                \u00a0-\n              <\/span>\n              <label class=\"form-sub-label\" for=\"month_17\" id=\"sublabel_month\" style=\"min-height:13px;\"> Month <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"currentDate form-textbox validate[limitDate]\" id=\"day_17\" name=\"q17_returnDate17[day]\" type=\"tel\" size=\"2\" data-maxlength=\"2\" value=\"25\" \/>\n              <span class=\"date-separate\">\n                \u00a0-\n              <\/span>\n              <label class=\"form-sub-label\" for=\"day_17\" id=\"sublabel_day\" style=\"min-height:13px;\"> Day <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <input class=\"form-textbox validate[limitDate]\" id=\"year_17\" name=\"q17_returnDate17[year]\" type=\"tel\" size=\"4\" data-maxlength=\"4\" value=\"2018\" \/>\n              <label class=\"form-sub-label\" for=\"year_17\" id=\"sublabel_year\" style=\"min-height:13px;\"> Year <\/label>\n            <\/span>\n            <span style=\"white-space:nowrap;display:inline-block;\" class=\"allowTime-container\">\n              <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                <div id=\"at_17\">\n                  at\n                <\/div>\n                <label class=\"form-sub-label\" for=\"at_17\" style=\"min-height:13px;\">  <\/label>\n              <\/span>\n              <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                <select class=\"currentTime time-dropdown form-dropdown validate[limitDate]\" id=\"hour_17\" name=\"q17_returnDate17[hour]\">\n                  <option>  <\/option>\n                  <option value=\"1\"> 1 <\/option>\n                  <option selected=\"\" value=\"2\"> 2 <\/option>\n                  <option value=\"3\"> 3 <\/option>\n                  <option value=\"4\"> 4 <\/option>\n                  <option value=\"5\"> 5 <\/option>\n                  <option value=\"6\"> 6 <\/option>\n                  <option value=\"7\"> 7 <\/option>\n                  <option value=\"8\"> 8 <\/option>\n                  <option value=\"9\"> 9 <\/option>\n                  <option value=\"10\"> 10 <\/option>\n                  <option value=\"11\"> 11 <\/option>\n                  <option value=\"12\"> 12 <\/option>\n                <\/select>\n                <span class=\"date-separate\">\n                  \u00a0:\n                <\/span>\n                <label class=\"form-sub-label\" for=\"hour_17\" id=\"sublabel_hour\" style=\"min-height:13px;\"> Hour <\/label>\n              <\/span>\n              <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                <select class=\"time-dropdown form-dropdown validate[limitDate]\" id=\"min_17\" name=\"q17_returnDate17[min]\">\n                  <option>  <\/option>\n                  <option value=\"00\"> 00 <\/option>\n                  <option value=\"10\"> 10 <\/option>\n                  <option value=\"20\"> 20 <\/option>\n                  <option value=\"30\"> 30 <\/option>\n                  <option selected=\"\" value=\"40\"> 40 <\/option>\n                  <option value=\"50\"> 50 <\/option>\n                <\/select>\n                <label class=\"form-sub-label\" for=\"min_17\" id=\"sublabel_minutes\" style=\"min-height:13px;\"> Minutes <\/label>\n              <\/span>\n              <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n                <select class=\"time-dropdown form-dropdown validate[limitDate]\" id=\"ampm_17\" name=\"q17_returnDate17[ampm]\">\n                  <option selected=\"\" value=\"AM\"> AM <\/option>\n                  <option value=\"PM\"> PM <\/option>\n                <\/select>\n                <label class=\"form-sub-label\" for=\"ampm_17\" style=\"min-height:13px;\">  <\/label>\n              <\/span>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top;\">\n              <img class=\"showAutoCalendar\" alt=\"Pick a Date\" id=\"input_17_pick\" src=\"https:\/\/cdn.jotfor.ms\/images\/calendar.png\" style=\"vertical-align:middle;\" data-component=\"datetime\" \/>\n              <label class=\"form-sub-label\" for=\"input_17_pick\" style=\"min-height:13px;\">  <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_checkbox\" id=\"id_14\">\n        <label class=\"form-label form-label-left form-label-auto\" id=\"label_14\" for=\"input_14_0\"> Table Setup Required? <\/label>\n        <div id=\"cid_14\" class=\"form-input\">\n          <div class=\"form-single-column\" data-component=\"checkbox\">\n            <span class=\"form-checkbox-item\" style=\"clear:left;\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"checkbox\" class=\"form-checkbox\" id=\"input_14_0\" name=\"q14_tableSetup[]\" value=\"Yes - I understand there will be a cost involved with this\" \/>\n              <label id=\"label_input_14_0\" for=\"input_14_0\"> Yes - I understand there will be a cost involved with this <\/label>\n            <\/span>\n            <span class=\"form-checkbox-item\" style=\"clear:left;\">\n              <span class=\"dragger-item\">\n              <\/span>\n              <input type=\"checkbox\" class=\"form-checkbox\" id=\"input_14_1\" name=\"q14_tableSetup[]\" value=\"No\" \/>\n              <label id=\"label_input_14_1\" for=\"input_14_1\"> No <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_text\" id=\"id_15\">\n        <div id=\"cid_15\" class=\"form-input-wide\">\n          <div id=\"text_15\" class=\"form-html\" data-component=\"text\">\n            <p class=\"MsoNormal\" style=\"margin-top: 6.0pt;\"><span style=\"font-size: 10.0pt; line-height: 115%;\">By signing (submitting) below, you, as the Hirer, acknowledge that you have read and agree to the Terms and Conditions and Replacement Schedule provided.  You agree that you are the person accepting liability for any missing, broken or chipped items, which will be deducted from the bond (paid by you and held by Jacaranda), and charged as per the Replacement Schedule.<\/span><\/p>\n            <p class=\"MsoNormal\"><span style=\"font-size: 10.0pt; line-height: 115%;\">You agree to pay any additional breakage\/damage charges as set out in the Replacement Schedule, that are not covered by the bond.<\/span><\/p>\n            <p class=\"MsoNormal\"><span style=\"font-size: 10.0pt; line-height: 115%;\">The amount of the bond required is $200 for order up to $500, or 40% of orders over $500.<\/span><\/p>\n            <p class=\"MsoNormal\"><span style=\"font-size: 10.0pt; line-height: 115%;\">To secure your booking, please make payment to:<\/span><\/p>\n            <p class=\"MsoNormal\"><span style=\"font-size: 10.0pt; line-height: 115%;\">                Jacaranda Tea Party Hire<br \/>                 BSB: 062-009<br \/>                 Account no: 10719221<\/span><\/p>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_button\" id=\"id_2\">\n        <div id=\"cid_2\" class=\"form-input-wide\">\n          <div style=\"margin-left:156px;\" class=\"form-buttons-wrapper\">\n            <button id=\"input_2\" type=\"submit\" class=\"form-submit-button\" data-component=\"button\">\n              Submit\n            <\/button>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li style=\"display:none\">\n        Should be Empty:\n        <input type=\"text\" name=\"website\" value=\"\" \/>\n      <\/li>\n    <\/ul>\n  <\/div>\n  <script>\n  JotForm.showJotFormPowered = \"0\";\n  <\/script>\n  <input type=\"hidden\" id=\"simple_spc\" name=\"simple_spc\" value=\"31947999102869\" \/>\n  <script type=\"text\/javascript\">\n  document.getElementById(\"si\" + \"mple\" + \"_spc\").value = \"31947999102869-31947999102869\";\n  <\/script>\n<\/form><\/body>\n<\/html>\n","Jacaranda",Array,0);(function(){window.handleIFrameMessage=function(e){if(!e.data||!e.data.split)return;var args=e.data.split(":");var iframe=document.getElementById("31947999102869");if(!iframe){return};switch(args[0]){case"scrollIntoView":if(!("nojump"in FrameBuilder.get)){iframe.scrollIntoView();}
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