put the exhibitor application form at 2014/exhibit/index.html
authorrsiddharth <rsd@gnu.org>
Fri, 18 Oct 2013 15:54:43 +0000 (21:24 +0530)
committerrsiddharth <rsd@gnu.org>
Fri, 18 Oct 2013 15:54:43 +0000 (21:24 +0530)
2014/exhibit/index.html

index 3c068e41968824a8ee0434ab8256811aae40fa7a..16c9070fd03bac3ad19aed764934a752d9b0b186 100644 (file)
                  <div class="col-sm-8"> <!-- start of LPC 14 main text -->
                        <h2> Exhibitor <small>application</small> </h2>
 
-                       PLACEHOLDER: Exhitor form will go here. It's currently in construction at <a href="https://crm.fsf.org/civicrm/profile/create?gid=177&reset=1">https://crm.fsf.org/civicrm/profile/create?gid=177&reset=1</a>.
+                       <p>LibrePlanet is the perfect place to
+                         spread the word about your organization to an inspired and engaged
+                         audience. Exhibitor tables will be located in a highly visible primary
+                         thoroughfare for both of the two days of the conference. In addition to
+                         receiving a table, each exhibitor will be featured in a conference
+                         program ad that will reach hundreds of software developers, free
+                         software activists, academics, students, and computer users.
+                       </p>
+
+                       <p>The deadline to apply for is&nbsp;<strong>January 31st,
+                               2013</strong>. &nbsp;We will get in touch once we receive your
+                         application. If you have questions, please contact&nbsp;
+                         <a href="mailto:campaigns@fsf.org">campaigns@fsf.org</a>.&nbsp;Please
+                         note we offer discounted rates for non-profit
+                         organizations.
+                       </p>
+
+                       <p>Here is a list of the kinds of groups that might exhibit at our
+                         conference:</p>
+                       <ul>
+                         <li>Free software related organizations</li>
+                         <li>Free software projects</li>
+                         <li>Businesses offering hardware that the FSF endorses or certifies</li>
+                         <li>Companies that provide free software services</li>
+                         <li>Colleges and universities</li>
+                       </ul>
+                       <h3><span id="Tables" class="mw-headline">Tables</span></h3>
+                       <p>All exhibits will include:</p>
+                       <ul>
+                         <li>Two complimentary conference registrations</li>
+                         <li>Wireless Internet</li>
+                         <li>Organization's name listed in the conference program</li>
+                         <li>Display table</li>
+                         <li>Two folding chairs</li>
+                         <li>Exhibitor sign</li>
+                       </ul>
+                       <p>Exhibits for nonprofit organizations cost $250. Exhibits for
+                         for-profit organizations cost $800.</p>
+
+                       <form class="form-horizontal"
+                                 action="https://crm.fsf.org/civicrm/profile/create?gid=177&amp;reset=1"
+                                 method="post" name="Edit" id="Edit1" >
+
+                         <div><input name="postURL" type="hidden"
+                                                 value="https://libreplanet.org/2014/exhibit/confirmation.html" />
+                               <input name="cancelURL" type="hidden"
+                                          value="https://libreplanet.org/2014/exhibit/" />
+                               <input name="add_to_group" type="hidden" value="253" />
+                               <input name="_qf_default" type="hidden" value="Edit:cancel" />
+                         </div>
+
+
+                         <div id="crm-container1" class="crm-container crm-public" lang="en"
+                                  xml:lang="en">
+
+                               <div id="editrow-organization_name" class="form-group">
+                                 <label for="organization_name" class="col-sm-3 control-label">
+                                       Organization Name
+                                 </label>
+                                 <div class="col-sm-5">
+                                       <input name="organization_name"
+                                                  type="text" id="organization_name"
+                                                  class="form-control" />
+                                 </div>
+                               </div>
+
+
+                               <div id="editrow-custom_136"
+                                        class="form-group">
+                                 <label for="custom_136" class="col-sm-3 control-label">
+                                       Exhibitor type
+                                 </label>
+                                 <div class="col-sm-5">
+                                       <select name="custom_136"
+                                                       id="custom_136" class="form-control" required>
+                                         <option value="">- select -</option>
+                                         <option value="1">Non-profit ($250)</option>
+                                         <option value="2">Commercial ($800)</option>
+                                       </select>
+                                 </div>
+                               </div>
+
+                               <div id="editrow-nick_name" class="form-group">
+                                 <label for="nick_name" class="col-sm-3 control-label">
+                                       Contact Name
+                                 </label>
+                                 <div class="col-sm-5">
+                                       <input name="nick_name"
+                                                  type="text" id="nick_name"
+                                                  class="form-control" />
+                                 </div>
+                               </div>
+
+                               <div id="editrow-phone-Primary-1" class="form-group">
+                                 <label for="phone-Primary-1"
+                                                class="col-sm-3 control-label">
+                                       Phone
+                                 </label>
+                                 <div class="col-sm-5">
+                                       <input name="phone-Primary-1" type="tel"
+                                                  id="phone-Primary-1" class="form-control"
+                                                  />
+                                 </div>
+                               </div>
+
+                               <div id="editrow-email-Primary1" class="form-group">
+                                 <label for="email-Primary1" class="col-sm-3 control-label">
+                                       Email
+                                 </label>
+                                 <div class="col-sm-5">
+                                       <input name="email-Primary" type="email" id="email-Primary1"
+                                                  class="form-control" required>
+                                 </div>
+                               </div>
+
+                               <div id="editrow-street_address-Primary"
+                                        class="form-group">
+                                 <label for="street_address-Primary"
+                                                class="col-sm-3 control-label">
+                                       Street Address
+                                 </label>
+                                 <div class="col-sm-6">
+                                       <input
+                                          name="street_address-Primary" type="text"
+                                          id="street_address-Primary" class="form-control" />
+                                 </div>
+                               </div>
+
+                               <div id="editrow-city-Primary"
+                                        class="form-group">
+                                 <label for="city-Primary" class="col-sm-3 control-label">
+                                       City
+                                 </label>
+                                 <div class="col-sm-5">
+                                       <input
+                                          name="city-Primary" type="text"
+                                          id="city-Primary" class="form-control"/>
+                                 </div>
+                               </div>
+
+                               <div id="editrow-state_province-Primary"
+                                        class="form-group">
+                                 <label for="state_province-Primary"
+                                                class="col-sm-3 control-label">
+                                       State
+                                 </label>
+                                 <div class="col-sm-5">
+                                       <select name="state_province-Primary"
+                                                       id="state_province-Primary"
+                                                       class="form-control">
+                                         <option value="">- select -</option>
+                                         <option value="1000">Alabama</option>
+                                         <option value="1001">Alaska</option>
+                                         <option value="1052">American Samoa</option>
+                                         <option value="1002">Arizona</option>
+                                         <option value="1003">Arkansas</option>
+                                         <option value="1060">Armed Forces Americas</option>
+                                         <option value="1059">Armed Forces Europe</option>
+                                         <option value="1061">Armed Forces Pacific</option>
+                                         <option value="1004">California</option>
+                                         <option value="1005">Colorado</option>
+                                         <option value="1006">Connecticut</option>
+                                         <option value="1007">Delaware</option>
+                                         <option value="1050">District of Columbia</option>
+                                         <option value="1008">Florida</option>
+                                         <option value="1009">Georgia</option>
+                                         <option value="1053">Guam</option>
+                                         <option value="1010">Hawaii</option>
+                                         <option value="1011">Idaho</option>
+                                         <option value="1012">Illinois</option>
+                                         <option value="1013">Indiana</option>
+                                         <option value="1014">Iowa</option>
+                                         <option value="1015">Kansas</option>
+                                         <option value="1016">Kentucky</option>
+                                         <option value="1017">Louisiana</option>
+                                         <option value="1018">Maine</option>
+                                         <option value="1019">Maryland</option>
+                                         <option value="1020">Massachusetts</option>
+                                         <option value="1021">Michigan</option>
+                                         <option value="1022">Minnesota</option>
+                                         <option value="1023">Mississippi</option>
+                                         <option value="1024">Missouri</option>
+                                         <option value="1025">Montana</option>
+                                         <option value="1026">Nebraska</option>
+                                         <option value="1027">Nevada</option>
+                                         <option value="1028">New Hampshire</option>
+                                         <option value="1029">New Jersey</option>
+                                         <option value="1030">New Mexico</option>
+                                         <option value="1031">New York</option>
+                                         <option value="1032">North Carolina</option>
+                                         <option value="1033">North Dakota</option>
+                                         <option value="1055">Northern Mariana Islands</option>
+                                         <option value="1034">Ohio</option>
+                                         <option value="1035">Oklahoma</option>
+                                         <option value="1036">Oregon</option>
+                                         <option value="1037">Pennsylvania</option>
+                                         <option value="1056">Puerto Rico</option>
+                                         <option value="1038">Rhode Island</option>
+                                         <option value="1039">South Carolina</option>
+                                         <option value="1040">South Dakota</option>
+                                         <option value="1041">Tennessee</option>
+                                         <option value="1042">Texas</option>
+                                         <option value="1058">United States Minor Outlying Islands</option>
+                                         <option value="1043">Utah</option>
+                                         <option value="1044">Vermont</option>
+                                         <option value="1057">Virgin Islands</option>
+                                         <option value="1045">Virginia</option>
+                                         <option value="1046">Washington</option>
+                                         <option value="1047">West Virginia</option>
+                                         <option value="1048">Wisconsin</option>
+                                         <option value="1049">Wyoming</option>
+                                       </select>
+                                 </div>
+                               </div>
+
+                               <div id="editrow-postal_code-Primary"
+                                        class="form-group">
+                                 <label for="postal_code-Primary"
+                                                class="col-sm-3 control-label">
+                                       ZIP
+                                 </label>
+                                 <div class="col-sm-5">
+                                       <input name="postal_code-Primary"
+                                                  type="number" id="postal_code-Primary"
+                                                  class="form-control"/>
+                                 </div>
+                               </div>
+
+                               <div id="editrow-country-Primary"
+                                        class="form-group">
+                                 <label for="country-Primary"
+                                                class="col-sm-3 control-label">
+                                       Country (if outside the US)
+                                 </label>
+                                 <div class="col-sm-5">
+                                       <select name="country-Primary"
+                                          id="country-Primary" class="form-control">
+                                         <option value="">- select -</option>
+                                         <option value="1228" selected="selected">United States</option>
+                                         <option value="1001">Afghanistan</option>
+                                         <option value="1241">Ã…land Islands</option>
+                                         <option value="1002">Albania</option>
+                                         <option value="1003">Algeria</option>
+                                         <option value="1004">American Samoa</option>
+                                         <option value="1005">Andorra</option>
+                                         <option value="1006">Angola</option>
+                                         <option value="1007">Anguilla</option>
+                                         <option value="1008">Antarctica</option>
+                                         <option value="1009">Antigua and Barbuda</option>
+                                         <option value="1010">Argentina</option>
+                                         <option value="1011">Armenia</option>
+                                         <option value="1012">Aruba</option>
+                                         <option value="1013">Australia</option>
+                                         <option value="1014">Austria</option>
+                                         <option value="1015">Azerbaijan</option>
+                                         <option value="1212">Bahamas</option>
+                                         <option value="1016">Bahrain</option>
+                                         <option value="1017">Bangladesh</option>
+                                         <option value="1018">Barbados</option>
+                                         <option value="1019">Belarus</option>
+                                         <option value="1020">Belgium</option>
+                                         <option value="1021">Belize</option>
+                                         <option value="1022">Benin</option>
+                                         <option value="1023">Bermuda</option>
+                                         <option value="1024">Bhutan</option>
+                                         <option value="1025">Bolivia</option>
+                                         <option value="1250">Bonaire, Saint Eustatius and Saba</option>
+                                         <option value="1026">Bosnia and Herzegovina</option>
+                                         <option value="1027">Botswana</option>
+                                         <option value="1028">Bouvet Island</option>
+                                         <option value="1029">Brazil</option>
+                                         <option value="1030">British Indian Ocean Territory</option>
+                                         <option value="1032">Brunei Darussalam</option>
+                                         <option value="1033">Bulgaria</option>
+                                         <option value="1034">Burkina Faso</option>
+                                         <option value="1036">Burundi</option>
+                                         <option value="1037">Cambodia</option>
+                                         <option value="1038">Cameroon</option>
+                                         <option value="1039">Canada</option>
+                                         <option value="1040">Cape Verde</option>
+                                         <option value="1041">Cayman Islands</option>
+                                         <option value="1042">Central African Republic</option>
+                                         <option value="1043">Chad</option>
+                                         <option value="1044">Chile</option>
+                                         <option value="1045">China</option>
+                                         <option value="1046">Christmas Island</option>
+                                         <option value="1047">Cocos (Keeling) Islands</option>
+                                         <option value="1048">Colombia</option>
+                                         <option value="1049">Comoros</option>
+                                         <option value="1051">Congo, Republic of the</option>
+                                         <option value="1050">Congo, The Democratic Republic of the</option>
+                                         <option value="1052">Cook Islands</option>
+                                         <option value="1053">Costa Rica</option>
+                                         <option value="1054">Côte d'Ivoire</option>
+                                         <option value="1055">Croatia</option>
+                                         <option value="1056">Cuba</option>
+                                         <option value="1248">Curaçao</option>
+                                         <option value="1057">Cyprus</option>
+                                         <option value="1058">Czech Republic</option>
+                                         <option value="1059">Denmark</option>
+                                         <option value="1060">Djibouti</option>
+                                         <option value="1061">Dominica</option>
+                                         <option value="1062">Dominican Republic</option>
+                                         <option value="1064">Ecuador</option>
+                                         <option value="1065">Egypt</option>
+                                         <option value="1066">El Salvador</option>
+                                         <option value="1067">Equatorial Guinea</option>
+                                         <option value="1068">Eritrea</option>
+                                         <option value="1069">Estonia</option>
+                                         <option value="1070">Ethiopia</option>
+                                         <option value="1072">Falkland Islands (Malvinas)</option>
+                                         <option value="1073">Faroe Islands</option>
+                                         <option value="1074">Fiji</option>
+                                         <option value="1075">Finland</option>
+                                         <option value="1076">France</option>
+                                         <option value="1077">French Guiana</option>
+                                         <option value="1078">French Polynesia</option>
+                                         <option value="1079">French Southern Territories</option>
+                                         <option value="1080">Gabon</option>
+                                         <option value="1213">Gambia</option>
+                                         <option value="1081">Georgia</option>
+                                         <option value="1082">Germany</option>
+                                         <option value="1083">Ghana</option>
+                                         <option value="1084">Gibraltar</option>
+                                         <option value="1085">Greece</option>
+                                         <option value="1086">Greenland</option>
+                                         <option value="1087">Grenada</option>
+                                         <option value="1088">Guadeloupe</option>
+                                         <option value="1089">Guam</option>
+                                         <option value="1090">Guatemala</option>
+                                         <option value="1245">Guernsey</option>
+                                         <option value="1091">Guinea</option>
+                                         <option value="1092">Guinea-Bissau</option>
+                                         <option value="1093">Guyana</option>
+                                         <option value="1094">Haiti</option>
+                                         <option value="1095">Heard Island and McDonald Islands</option>
+                                         <option value="1096">Holy See (Vatican City State)</option>
+                                         <option value="1097">Honduras</option>
+                                         <option value="1098">Hong Kong</option>
+                                         <option value="1099">Hungary</option>
+                                         <option value="1100">Iceland</option>
+                                         <option value="1101">India</option>
+                                         <option value="1102">Indonesia</option>
+                                         <option value="1103">Iran, Islamic Republic of</option>
+                                         <option value="1104">Iraq</option>
+                                         <option value="1105">Ireland</option>
+                                         <option value="1246">Isle of Man</option>
+                                         <option value="1106">Israel</option>
+                                         <option value="1107">Italy</option>
+                                         <option value="1108">Jamaica</option>
+                                         <option value="1109">Japan</option>
+                                         <option value="1244">Jersey</option>
+                                         <option value="1110">Jordan</option>
+                                         <option value="1111">Kazakhstan</option>
+                                         <option value="1112">Kenya</option>
+                                         <option value="1113">Kiribati</option>
+                                         <option value="1114">Korea, Democratic People's Republic of</option>
+                                         <option value="1115">Korea, Republic of</option>
+                                         <option value="1251">Kosovo</option>
+                                         <option value="1116">Kuwait</option>
+                                         <option value="1117">Kyrgyzstan</option>
+                                         <option value="1118">Lao People's Democratic Republic</option>
+                                         <option value="1119">Latvia</option>
+                                         <option value="1120">Lebanon</option>
+                                         <option value="1121">Lesotho</option>
+                                         <option value="1122">Liberia</option>
+                                         <option value="1123">Libya</option>
+                                         <option value="1124">Liechtenstein</option>
+                                         <option value="1125">Lithuania</option>
+                                         <option value="1126">Luxembourg</option>
+                                         <option value="1127">Macao</option>
+                                         <option value="1128">Macedonia, Republic of</option>
+                                         <option value="1129">Madagascar</option>
+                                         <option value="1130">Malawi</option>
+                                         <option value="1131">Malaysia</option>
+                                         <option value="1132">Maldives</option>
+                                         <option value="1133">Mali</option>
+                                         <option value="1134">Malta</option>
+                                         <option value="1135">Marshall Islands</option>
+                                         <option value="1136">Martinique</option>
+                                         <option value="1137">Mauritania</option>
+                                         <option value="1138">Mauritius</option>
+                                         <option value="1139">Mayotte</option>
+                                         <option value="1140">Mexico</option>
+                                         <option value="1141">Micronesia, Federated States of</option>
+                                         <option value="1142">Moldova</option>
+                                         <option value="1143">Monaco</option>
+                                         <option value="1144">Mongolia</option>
+                                         <option value="1243">Montenegro</option>
+                                         <option value="1145">Montserrat</option>
+                                         <option value="1146">Morocco</option>
+                                         <option value="1147">Mozambique</option>
+                                         <option value="1035">Myanmar</option>
+                                         <option value="1148">Namibia</option>
+                                         <option value="1149">Nauru</option>
+                                         <option value="1150">Nepal</option>
+                                         <option value="1152">Netherlands</option>
+                                         <option value="1153">New Caledonia</option>
+                                         <option value="1154">New Zealand</option>
+                                         <option value="1155">Nicaragua</option>
+                                         <option value="1156">Niger</option>
+                                         <option value="1157">Nigeria</option>
+                                         <option value="1158">Niue</option>
+                                         <option value="1159">Norfolk Island</option>
+                                         <option value="1160">Northern Mariana Islands</option>
+                                         <option value="1161">Norway</option>
+                                         <option value="1162">Oman</option>
+                                         <option value="1163">Pakistan</option>
+                                         <option value="1164">Palau</option>
+                                         <option value="1165">Palestinian Territory, Occupied</option>
+                                         <option value="1166">Panama</option>
+                                         <option value="1167">Papua New Guinea</option>
+                                         <option value="1168">Paraguay</option>
+                                         <option value="1169">Peru</option>
+                                         <option value="1170">Philippines</option>
+                                         <option value="1171">Pitcairn</option>
+                                         <option value="1172">Poland</option>
+                                         <option value="1173">Portugal</option>
+                                         <option value="1174">Puerto Rico</option>
+                                         <option value="1175">Qatar</option>
+                                         <option value="1179">Reunion</option>
+                                         <option value="1176">Romania</option>
+                                         <option value="1177">Russian Federation</option>
+                                         <option value="1178">Rwanda</option>
+                                         <option value="1180">Saint Helena</option>
+                                         <option value="1181">Saint Kitts and Nevis</option>
+                                         <option value="1182">Saint Lucia</option>
+                                         <option value="1183">Saint Pierre and Miquelon</option>
+                                         <option value="1184">Saint Vincent and the Grenadines</option>
+                                         <option value="1185">Samoa</option>
+                                         <option value="1186">San Marino</option>
+                                         <option value="1207">Sao Tome and Principe</option>
+                                         <option value="1187">Saudi Arabia</option>
+                                         <option value="1188">Senegal</option>
+                                         <option value="1242">Serbia</option>
+                                         <option value="1238">Serbia and Montenegro</option>
+                                         <option value="1189">Seychelles</option>
+                                         <option value="1190">Sierra Leone</option>
+                                         <option value="1191">Singapore</option>
+                                         <option value="1249">Sint Maarten (Dutch Part)</option>
+                                         <option value="1192">Slovakia</option>
+                                         <option value="1193">Slovenia</option>
+                                         <option value="1194">Solomon Islands</option>
+                                         <option value="1195">Somalia</option>
+                                         <option value="1196">South Africa</option>
+                                         <option value="1197">South Georgia and the South Sandwich Islands</option>
+                                         <option value="1247">South Sudan</option>
+                                         <option value="1198">Spain</option>
+                                         <option value="1199">Sri Lanka</option>
+                                         <option value="1200">Sudan</option>
+                                         <option value="1201">Suriname</option>
+                                         <option value="1202">Svalbard and Jan Mayen</option>
+                                         <option value="1203">Swaziland</option>
+                                         <option value="1204">Sweden</option>
+                                         <option value="1205">Switzerland</option>
+                                         <option value="1206">Syrian Arab Republic</option>
+                                         <option value="1208">Taiwan</option>
+                                         <option value="1209">Tajikistan</option>
+                                         <option value="1210">Tanzania, United Republic of</option>
+                                         <option value="1211">Thailand</option>
+                                         <option value="1063">Timor-Leste</option>
+                                         <option value="1214">Togo</option>
+                                         <option value="1215">Tokelau</option>
+                                         <option value="1216">Tonga</option>
+                                         <option value="1217">Trinidad and Tobago</option>
+                                         <option value="1218">Tunisia</option>
+                                         <option value="1219">Turkey</option>
+                                         <option value="1220">Turkmenistan</option>
+                                         <option value="1221">Turks and Caicos Islands</option>
+                                         <option value="1222">Tuvalu</option>
+                                         <option value="1223">Uganda</option>
+                                         <option value="1224">Ukraine</option>
+                                         <option value="1225">United Arab Emirates</option>
+                                         <option value="1226">United Kingdom</option>
+                                         <option value="1227">United States Minor Outlying Islands</option>
+                                         <option value="1229">Uruguay</option>
+                                         <option value="1230">Uzbekistan</option>
+                                         <option value="1231">Vanuatu</option>
+                                         <option value="1232">Venezuela</option>
+                                         <option value="1233">Viet Nam</option>
+                                         <option value="1031">Virgin Islands, British</option>
+                                         <option value="1234">Virgin Islands, U.S.</option>
+                                         <option value="1235">Wallis and Futuna</option>
+                                         <option value="1236">Western Sahara</option>
+                                         <option value="1237">Yemen</option>
+                                         <option value="1239">Zambia</option>
+                                         <option value="1240">Zimbabwe</option>
+                                       </select>
+                                 </div>
+                               </div>
+
+                               <div id="editrow-custom_791" class="form-group">
+                                 <div class="col-sm-3">
+                                       <p class="lp-left-form-checkbox-text">
+                                         Would you like to join our
+                                         low-volume mailing list and receive our monthly
+                                         newsletter?
+                                       </p>
+                                 </div>
+                                 <div class="col-sm-5">
+                                       <div class="checkbox">
+                                         <input type="hidden" name="custom_79[yes]" value="" />
+                                         <label for="custom_79_yes1" class="control-label">
+                                               <input id="custom_79_yes1" name="custom_79[yes]"
+                                                          type="checkbox" value="1" checked="checked"
+                                                      />
+                                               Sign me up!
+                                         </label>
+                                       </div>
+                                 </div>
+                               </div>
+
+                         </div><!-- end form-layout-compressed for last profile -->
+
+                         <div class="form-group">
+                               <p>
+                                 <strong>
+                                       Exhibitors, please review the following exhibit-hall
+                                       guidelines:
+                                 </strong>
+                               </p>
+                               <ul>
+                                 <li>The Free Software Foundation reserves the right to accept or decline
+                                       exhibit applications on a case-by-case basis. Products and services in
+                                       the exhibit hall must meet the FSF's criteria.</li>
+                                 <li>Space will be assigned on a first-come, first-served basis.</li>
+                                 <li>Exhibitors must follow our
+                                       <a href="http://libreplanet.org/2014/anti-harassment/">anti-harassment
+                                         policy</a>.</li>
+                                 <li>Logistical details, including shipping information, will be provided
+                                       at a later date.</li>
+                               </ul>
+                               <p>We will not publish or share your information with any party outside
+                                 the FSF. See our <a href="https://my.fsf.org/donate/privacypolicy.html">privacy policy</a>
+                                 for more information.
+                               </p>
+                         </div>
+
+                         <div class="form-group">
+                               <div class="col-sm-8">
+                               <input class="btn btn-default"
+                                          accesskey="S"
+                                          name="_qf_Edit_next"
+                                          value="Save" type="submit"
+                                          id="_qf_Edit_next1" />
+                               <input class="btn btn-default"
+                                          name="_qf_Edit_cancel"
+                                          value="Cancel"
+                                          type="submit"
+                                          id="_qf_Edit_cancel1"
+                                          />
+                               </div>
+                         </div>
+                       </form>
 
                  </div> <!-- end of LPC 14 main text -->
                </div>
                </p>
          </div>
        </div>
+       <script type="text/javascript"
+                       src="/2014/assets/js/jquery-1.8.3.min.js">
+       </script>
+
+       <script type="text/javascript"
+                       src="/2014/assets/js/jquery.chainedSelects.js">
+       </script>
+
+       <script type="text/javascript"
+                       src="/2014/assets/js/jquery.form.js">
+       </script>
+
+       <script type="text/javascript">
+         var cj = jQuery.noConflict(); $ = cj;
+       </script>
+
+       <script type="text/javascript">
+         cj(function() {
+         countryID = "#country-Primary"
+         stateProvinceID = "#state_province-Primary"
+         callbackURL = "https://crm.fsf.org/civicrm/ajax/jqState"
+         cj(countryID).chainSelect(stateProvinceID, callbackURL, null);
+         });
+       </script>
   </body>
 </html>