Ali'i Beach Rentals (421) -- Ali'i Beach Rentals OptIn (254)

join - Join Our Program

FormID: 964 AccountID: 254

RESPONSIVE config-join.php file: <?php $arHandlebarView["template"] = "form-whatever"; if ($useThanks!=true) { $arHandlebarView["headerText"] = 'Contact Us For More Information'; $arHandlebarView["descriptionText"] = $reqmessage.'<p>We would like the opportunity to provide you with more information about our Vacation Rental program. Please fill in the simple form below, select the <strong>Submit</strong> button, and we will get back to you shortly.</p>'; $arHandlebarForm["hiddenSection"][] = array("name"=>"FormID","value"=>"0000000964"); $arHandlebarForm["hiddenSection"][] = array("name"=>"AID","value"=>"0000000254"); $arHandlebarForm["hiddenSection"][] = array("name"=>"ref","value"=>$_REQUEST['ref']); $arHandlebarForm["hiddenSection"][] = array("name"=>"ET","value"=>$_REQUEST['ET']); $arHandlebarForm["hiddenSection"][] = array("name"=>"FT","value"=>$_REQUEST['FT']); if ($_REQUEST['PID']<>"") $_REQUEST['Num']=$_REQUEST['PID']; if ($_REQUEST['Num']<>"") $arHandlebarForm["hiddenSection"][] = array("name"=>"PID","value"=>$_REQUEST['Num']); $arContactSection["FirstName"] = array("type"=>"input","required"=>1,"label"=>" First Name:","name"=>"FirstName","id"=>"FirstName","maxlength"=>24,"value"=>$_REQUEST["FirstName"]); $arContactSection["LastName"] = array("type"=>"input","required"=>0,"label"=>" Last Name:","name"=>"LastName","id"=>"LastName","maxlength"=>32,"value"=>$_REQUEST["LastName"]); $arContactSection["Email"] = array("type"=>"input","required"=>1,"label"=>" Email:","name"=>"Email","id"=>"Email","maxlength"=>64,"value"=>$_REQUEST["Email"]); $arContactSection["Phone"] = array("type"=>"input","required"=>0,"label"=>" Phone:","name"=>"Phone","id"=>"Phone","maxlength"=>16,"value"=>$_REQUEST["Phone"]); $arContactSection["Phone2"] = array("type"=>"input","required"=>0,"label"=>" Phone2:","name"=>"Phone2","id"=>"Phone2","maxlength"=>16,"value"=>$_REQUEST["Phone2"]); $arContactSection["Address1"] = array("type"=>"input","required"=>0,"label"=>" Address1:","name"=>"Address1","id"=>"Address1","maxlength"=>48,"value"=>$_REQUEST["Address1"]); $arContactSection["Address2"] = array("type"=>"input","required"=>0,"label"=>" Address2:","name"=>"Address2","id"=>"Address2","maxlength"=>48,"value"=>$_REQUEST["Address2"]); $arContactSection["City"] = array("type"=>"input","required"=>0,"label"=>" City:","name"=>"City","id"=>"City","maxlength"=>24,"value"=>$_REQUEST["City"]); $arContactSection["State"] = array("type"=>"select","required"=>0,"label"=>" State:","name"=>"State","id"=>"State","data"=>array( array("value"=>"","label"=>"State/Province"),array("value"=>"AL","label"=>"Alabama","selected"=>(($URL_State=="AL")?1:0)),array("value"=>"AK","label"=>"Alaska","selected"=>(($URL_State=="AK")?1:0)),array("value"=>"AZ","label"=>"Arizona","selected"=>(($URL_State=="AZ")?1:0)),array("value"=>"AR","label"=>"Arkansas","selected"=>(($URL_State=="AR")?1:0)),array("value"=>"CA","label"=>"California","selected"=>(($URL_State=="CA")?1:0)),array("value"=>"CO","label"=>"Colorado","selected"=>(($URL_State=="CO")?1:0)),array("value"=>"CT","label"=>"Connecticut","selected"=>(($URL_State=="CT")?1:0)),array("value"=>"DE","label"=>"Delaware","selected"=>(($URL_State=="DE")?1:0)),array("value"=>"DC","label"=>"Dist. of Columbia","selected"=>(($URL_State=="DC")?1:0)),array("value"=>"FL","label"=>"Florida","selected"=>(($URL_State=="FL")?1:0)),array("value"=>"GA","label"=>"Georgia","selected"=>(($URL_State=="GA")?1:0)),array("value"=>"HI","label"=>"Hawaii","selected"=>(($URL_State=="HI")?1:0)),array("value"=>"ID","label"=>"Idaho","selected"=>(($URL_State=="ID")?1:0)),array("value"=>"IL","label"=>"Illinois","selected"=>(($URL_State=="IL")?1:0)),array("value"=>"IN","label"=>"Indiana","selected"=>(($URL_State=="IN")?1:0)),array("value"=>"IA","label"=>"Iowa","selected"=>(($URL_State=="IA")?1:0)),array("value"=>"KS","label"=>"Kansas","selected"=>(($URL_State=="KS")?1:0)),array("value"=>"KY","label"=>"Kentucky","selected"=>(($URL_State=="KY")?1:0)),array("value"=>"LA","label"=>"Louisiana","selected"=>(($URL_State=="LA")?1:0)),array("value"=>"ME","label"=>"Maine","selected"=>(($URL_State=="ME")?1:0)),array("value"=>"MD","label"=>"Maryland","selected"=>(($URL_State=="MD")?1:0)),array("value"=>"MA","label"=>"Massachusetts","selected"=>(($URL_State=="MA")?1:0)),array("value"=>"MI","label"=>"Michigan","selected"=>(($URL_State=="MI")?1:0)),array("value"=>"MN","label"=>"Minnesota","selected"=>(($URL_State=="MN")?1:0)),array("value"=>"MS","label"=>"Mississippi","selected"=>(($URL_State=="MS")?1:0)),array("value"=>"MO","label"=>"Missouri","selected"=>(($URL_State=="MO")?1:0)),array("value"=>"MT","label"=>"Montana","selected"=>(($URL_State=="MT")?1:0)),array("value"=>"NE","label"=>"Nebraska","selected"=>(($URL_State=="NE")?1:0)),array("value"=>"NV","label"=>"Nevada","selected"=>(($URL_State=="NV")?1:0)),array("value"=>"NH","label"=>"New Hampshire","selected"=>(($URL_State=="NH")?1:0)),array("value"=>"NJ","label"=>"New Jersey","selected"=>(($URL_State=="NJ")?1:0)),array("value"=>"NM","label"=>"New Mexico","selected"=>(($URL_State=="NM")?1:0)),array("value"=>"NY","label"=>"New York","selected"=>(($URL_State=="NY")?1:0)),array("value"=>"NC","label"=>"North Carolina","selected"=>(($URL_State=="NC")?1:0)),array("value"=>"ND","label"=>"North Dakota","selected"=>(($URL_State=="ND")?1:0)),array("value"=>"OH","label"=>"Ohio","selected"=>(($URL_State=="OH")?1:0)),array("value"=>"OK","label"=>"Oklahoma","selected"=>(($URL_State=="OK")?1:0)),array("value"=>"OR","label"=>"Oregon","selected"=>(($URL_State=="OR")?1:0)),array("value"=>"PA","label"=>"Pennsylvania","selected"=>(($URL_State=="PA")?1:0)),array("value"=>"RI","label"=>"Rhode Island","selected"=>(($URL_State=="RI")?1:0)),array("value"=>"SC","label"=>"South Carolina","selected"=>(($URL_State=="SC")?1:0)),array("value"=>"SD","label"=>"South Dakota","selected"=>(($URL_State=="SD")?1:0)),array("value"=>"TN","label"=>"Tennessee","selected"=>(($URL_State=="TN")?1:0)),array("value"=>"TX","label"=>"Texas","selected"=>(($URL_State=="TX")?1:0)),array("value"=>"UT","label"=>"Utah","selected"=>(($URL_State=="UT")?1:0)),array("value"=>"VT","label"=>"Vermont","selected"=>(($URL_State=="VT")?1:0)),array("value"=>"VA","label"=>"Virginia","selected"=>(($URL_State=="VA")?1:0)),array("value"=>"WA","label"=>"Washington","selected"=>(($URL_State=="WA")?1:0)),array("value"=>"WV","label"=>"West Virginia","selected"=>(($URL_State=="WV")?1:0)),array("value"=>"WI","label"=>"Wisconsin","selected"=>(($URL_State=="WI")?1:0)),array("value"=>"WY","label"=>"Wyoming","selected"=>(($URL_State=="WY")?1:0)),array("value"=>"GU","label"=>"Guam","selected"=>(($URL_State=="GU")?1:0)),array("value"=>"PR","label"=>"Puerto Rico","selected"=>(($URL_State=="PR")?1:0)),array("value"=>"VI","label"=>"Virgin Island","selected"=>(($URL_State=="VI")?1:0)),array("value"=>"AB","label"=>"Alberta","selected"=>(($URL_State=="AB")?1:0)),array("value"=>"BC","label"=>"British Columbia","selected"=>(($URL_State=="BC")?1:0)),array("value"=>"MB","label"=>"Manitoba","selected"=>(($URL_State=="MB")?1:0)),array("value"=>"NB","label"=>"New Brunswick","selected"=>(($URL_State=="NB")?1:0)),array("value"=>"NF","label"=>"Newfoundland","selected"=>(($URL_State=="NF")?1:0)),array("value"=>"NT","label"=>"NW Territories","selected"=>(($URL_State=="NT")?1:0)),array("value"=>"NS","label"=>"Nova Scotia","selected"=>(($URL_State=="NS")?1:0)),array("value"=>"ON","label"=>"Ontario","selected"=>(($URL_State=="ON")?1:0)),array("value"=>"PE","label"=>"Prince Edward Isl","selected"=>(($URL_State=="PE")?1:0)),array("value"=>"QB","label"=>"Quebec","selected"=>(($URL_State=="QB")?1:0)),array("value"=>"SK","label"=>"Saskatchewan","selected"=>(($URL_State=="SK")?1:0)),array("value"=>"YT","label"=>"Yukon Territory","selected"=>(($URL_State=="YT")?1:0)) ) ); $arContactSection["Zip"] = array("type"=>"input","required"=>0,"label"=>" Zip:","name"=>"Zip","id"=>"Zip","maxlength"=>10,"value"=>$_REQUEST["Zip"]); $arContactSection["Country"] = array("type"=>"select","required"=>0,"label"=>" Country:","name"=>"Country","id"=>"Country","data"=>array( array("value"=>"","label"=>"Country"),array("value"=>"United States of America","label"=>"United States of America","selected"=>(($URL_Country=="United States of America")?1:0)),array("value"=>"Canada","label"=>"Canada","selected"=>(($URL_Country=="Canada")?1:0)),array("value"=>"United Kingdom","label"=>"United Kingdom","selected"=>(($URL_Country=="United Kingdom")?1:0)),array("value"=>"Afghanistan","label"=>"Afghanistan","selected"=>(($URL_Country=="Afghanistan")?1:0)),array("value"=>"Aland Islands","label"=>"Aland Islands","selected"=>(($URL_Country=="Aland Islands")?1:0)),array("value"=>"Albania","label"=>"Albania","selected"=>(($URL_Country=="Albania")?1:0)),array("value"=>"Algeria","label"=>"Algeria","selected"=>(($URL_Country=="Algeria")?1:0)),array("value"=>"American Samoa","label"=>"American Samoa","selected"=>(($URL_Country=="American Samoa")?1:0)),array("value"=>"Andorra","label"=>"Andorra","selected"=>(($URL_Country=="Andorra")?1:0)),array("value"=>"Angola","label"=>"Angola","selected"=>(($URL_Country=="Angola")?1:0)),array("value"=>"Anguilla","label"=>"Anguilla","selected"=>(($URL_Country=="Anguilla")?1:0)),array("value"=>"Antigua and Barbuda","label"=>"Antigua and Barbuda","selected"=>(($URL_Country=="Antigua and Barbuda")?1:0)),array("value"=>"Argentina","label"=>"Argentina","selected"=>(($URL_Country=="Argentina")?1:0)),array("value"=>"Armenia","label"=>"Armenia","selected"=>(($URL_Country=="Armenia")?1:0)),array("value"=>"Aruba","label"=>"Aruba","selected"=>(($URL_Country=="Aruba")?1:0)),array("value"=>"Australia","label"=>"Australia","selected"=>(($URL_Country=="Australia")?1:0)),array("value"=>"Austria","label"=>"Austria","selected"=>(($URL_Country=="Austria")?1:0)),array("value"=>"Azerbaijan","label"=>"Azerbaijan","selected"=>(($URL_Country=="Azerbaijan")?1:0)),array("value"=>"Bahamas","label"=>"Bahamas","selected"=>(($URL_Country=="Bahamas")?1:0)),array("value"=>"Bahrain","label"=>"Bahrain","selected"=>(($URL_Country=="Bahrain")?1:0)),array("value"=>"Bangladesh","label"=>"Bangladesh","selected"=>(($URL_Country=="Bangladesh")?1:0)),array("value"=>"Barbados","label"=>"Barbados","selected"=>(($URL_Country=="Barbados")?1:0)),array("value"=>"Belarus","label"=>"Belarus","selected"=>(($URL_Country=="Belarus")?1:0)),array("value"=>"Belgium","label"=>"Belgium","selected"=>(($URL_Country=="Belgium")?1:0)),array("value"=>"Belize","label"=>"Belize","selected"=>(($URL_Country=="Belize")?1:0)),array("value"=>"Benin","label"=>"Benin","selected"=>(($URL_Country=="Benin")?1:0)),array("value"=>"Bermuda","label"=>"Bermuda","selected"=>(($URL_Country=="Bermuda")?1:0)),array("value"=>"Bhutan","label"=>"Bhutan","selected"=>(($URL_Country=="Bhutan")?1:0)),array("value"=>"Bolivia","label"=>"Bolivia","selected"=>(($URL_Country=="Bolivia")?1:0)),array("value"=>"Bosnia and Herzegovina","label"=>"Bosnia and Herzegovina","selected"=>(($URL_Country=="Bosnia and Herzegovina")?1:0)),array("value"=>"Botswana","label"=>"Botswana","selected"=>(($URL_Country=="Botswana")?1:0)),array("value"=>"Brazil","label"=>"Brazil","selected"=>(($URL_Country=="Brazil")?1:0)),array("value"=>"British Virgin Islands","label"=>"British Virgin Islands","selected"=>(($URL_Country=="British Virgin Islands")?1:0)),array("value"=>"Brunei Darussalam","label"=>"Brunei Darussalam","selected"=>(($URL_Country=="Brunei Darussalam")?1:0)),array("value"=>"Bulgaria","label"=>"Bulgaria","selected"=>(($URL_Country=="Bulgaria")?1:0)),array("value"=>"Burkina Faso","label"=>"Burkina Faso","selected"=>(($URL_Country=="Burkina Faso")?1:0)),array("value"=>"Burundi","label"=>"Burundi","selected"=>(($URL_Country=="Burundi")?1:0)),array("value"=>"Cambodia","label"=>"Cambodia","selected"=>(($URL_Country=="Cambodia")?1:0)),array("value"=>"Cameroon","label"=>"Cameroon","selected"=>(($URL_Country=="Cameroon")?1:0)),array("value"=>"Cape Verde","label"=>"Cape Verde","selected"=>(($URL_Country=="Cape Verde")?1:0)),array("value"=>"Cayman Islands","label"=>"Cayman Islands","selected"=>(($URL_Country=="Cayman Islands")?1:0)),array("value"=>"Central African Republic","label"=>"Central African Republic","selected"=>(($URL_Country=="Central African Republic")?1:0)),array("value"=>"Chad","label"=>"Chad","selected"=>(($URL_Country=="Chad")?1:0)),array("value"=>"Channel Islands","label"=>"Channel Islands","selected"=>(($URL_Country=="Channel Islands")?1:0)),array("value"=>"Chile","label"=>"Chile","selected"=>(($URL_Country=="Chile")?1:0)),array("value"=>"China","label"=>"China","selected"=>(($URL_Country=="China")?1:0)),array("value"=>"Hong Kong","label"=>"Hong Kong","selected"=>(($URL_Country=="Hong Kong")?1:0)),array("value"=>"Macao","label"=>"Macao","selected"=>(($URL_Country=="Macao")?1:0)),array("value"=>"Colombia","label"=>"Colombia","selected"=>(($URL_Country=="Colombia")?1:0)),array("value"=>"Comoros","label"=>"Comoros","selected"=>(($URL_Country=="Comoros")?1:0)),array("value"=>"Congo","label"=>"Congo","selected"=>(($URL_Country=="Congo")?1:0)),array("value"=>"Cook Islands","label"=>"Cook Islands","selected"=>(($URL_Country=="Cook Islands")?1:0)),array("value"=>"Costa Rica","label"=>"Costa Rica","selected"=>(($URL_Country=="Costa Rica")?1:0)),array("value"=>"Cote d Ivoire","label"=>"Cote d Ivoire","selected"=>(($URL_Country=="Cote d Ivoire")?1:0)),array("value"=>"Croatia","label"=>"Croatia","selected"=>(($URL_Country=="Croatia")?1:0)),array("value"=>"Cuba","label"=>"Cuba","selected"=>(($URL_Country=="Cuba")?1:0)),array("value"=>"Cyprus","label"=>"Cyprus","selected"=>(($URL_Country=="Cyprus")?1:0)),array("value"=>"Czech Republic","label"=>"Czech Republic","selected"=>(($URL_Country=="Czech Republic")?1:0)),array("value"=>"Denmark","label"=>"Denmark","selected"=>(($URL_Country=="Denmark")?1:0)),array("value"=>"Djibouti","label"=>"Djibouti","selected"=>(($URL_Country=="Djibouti")?1:0)),array("value"=>"Dominica","label"=>"Dominica","selected"=>(($URL_Country=="Dominica")?1:0)),array("value"=>"Dominican Republic","label"=>"Dominican Republic","selected"=>(($URL_Country=="Dominican Republic")?1:0)),array("value"=>"Ecuador","label"=>"Ecuador","selected"=>(($URL_Country=="Ecuador")?1:0)),array("value"=>"Egypt","label"=>"Egypt","selected"=>(($URL_Country=="Egypt")?1:0)),array("value"=>"El Salvador","label"=>"El Salvador","selected"=>(($URL_Country=="El Salvador")?1:0)),array("value"=>"Equatorial Guinea","label"=>"Equatorial Guinea","selected"=>(($URL_Country=="Equatorial Guinea")?1:0)),array("value"=>"Eritrea","label"=>"Eritrea","selected"=>(($URL_Country=="Eritrea")?1:0)),array("value"=>"Estonia","label"=>"Estonia","selected"=>(($URL_Country=="Estonia")?1:0)),array("value"=>"Ethiopia","label"=>"Ethiopia","selected"=>(($URL_Country=="Ethiopia")?1:0)),array("value"=>"Faeroe Islands","label"=>"Faeroe Islands","selected"=>(($URL_Country=="Faeroe Islands")?1:0)),array("value"=>"Falkland Islands (Malvinas)","label"=>"Falkland Islands (Malvinas)","selected"=>(($URL_Country=="Falkland Islands (Malvinas)")?1:0)),array("value"=>"Fiji","label"=>"Fiji","selected"=>(($URL_Country=="Fiji")?1:0)),array("value"=>"Finland","label"=>"Finland","selected"=>(($URL_Country=="Finland")?1:0)),array("value"=>"France","label"=>"France","selected"=>(($URL_Country=="France")?1:0)),array("value"=>"French Guiana","label"=>"French Guiana","selected"=>(($URL_Country=="French Guiana")?1:0)),array("value"=>"French Polynesia","label"=>"French Polynesia","selected"=>(($URL_Country=="French Polynesia")?1:0)),array("value"=>"Gabon","label"=>"Gabon","selected"=>(($URL_Country=="Gabon")?1:0)),array("value"=>"Gambia","label"=>"Gambia","selected"=>(($URL_Country=="Gambia")?1:0)),array("value"=>"Georgia","label"=>"Georgia","selected"=>(($URL_Country=="Georgia")?1:0)),array("value"=>"Germany","label"=>"Germany","selected"=>(($URL_Country=="Germany")?1:0)),array("value"=>"Ghana","label"=>"Ghana","selected"=>(($URL_Country=="Ghana")?1:0)),array("value"=>"Gibraltar","label"=>"Gibraltar","selected"=>(($URL_Country=="Gibraltar")?1:0)),array("value"=>"Greece","label"=>"Greece","selected"=>(($URL_Country=="Greece")?1:0)),array("value"=>"Greenland","label"=>"Greenland","selected"=>(($URL_Country=="Greenland")?1:0)),array("value"=>"Grenada","label"=>"Grenada","selected"=>(($URL_Country=="Grenada")?1:0)),array("value"=>"Guadeloupe","label"=>"Guadeloupe","selected"=>(($URL_Country=="Guadeloupe")?1:0)),array("value"=>"Guam","label"=>"Guam","selected"=>(($URL_Country=="Guam")?1:0)),array("value"=>"Guatemala","label"=>"Guatemala","selected"=>(($URL_Country=="Guatemala")?1:0)),array("value"=>"Guernsey","label"=>"Guernsey","selected"=>(($URL_Country=="Guernsey")?1:0)),array("value"=>"Guinea","label"=>"Guinea","selected"=>(($URL_Country=="Guinea")?1:0)),array("value"=>"Guinea-Bissau","label"=>"Guinea-Bissau","selected"=>(($URL_Country=="Guinea-Bissau")?1:0)),array("value"=>"Guyana","label"=>"Guyana","selected"=>(($URL_Country=="Guyana")?1:0)),array("value"=>"Haiti","label"=>"Haiti","selected"=>(($URL_Country=="Haiti")?1:0)),array("value"=>"Holy See","label"=>"Holy See","selected"=>(($URL_Country=="Holy See")?1:0)),array("value"=>"Honduras","label"=>"Honduras","selected"=>(($URL_Country=="Honduras")?1:0)),array("value"=>"Hungary","label"=>"Hungary","selected"=>(($URL_Country=="Hungary")?1:0)),array("value"=>"Iceland","label"=>"Iceland","selected"=>(($URL_Country=="Iceland")?1:0)),array("value"=>"India","label"=>"India","selected"=>(($URL_Country=="India")?1:0)),array("value"=>"Indonesia","label"=>"Indonesia","selected"=>(($URL_Country=="Indonesia")?1:0)),array("value"=>"Iran (Islamic Republic of)","label"=>"Iran (Islamic Republic of)","selected"=>(($URL_Country=="Iran (Islamic Republic of)")?1:0)),array("value"=>"Iraq","label"=>"Iraq","selected"=>(($URL_Country=="Iraq")?1:0)),array("value"=>"Ireland","label"=>"Ireland","selected"=>(($URL_Country=="Ireland")?1:0)),array("value"=>"Isle of Man","label"=>"Isle of Man","selected"=>(($URL_Country=="Isle of Man")?1:0)),array("value"=>"Israel","label"=>"Israel","selected"=>(($URL_Country=="Israel")?1:0)),array("value"=>"Italy","label"=>"Italy","selected"=>(($URL_Country=="Italy")?1:0)),array("value"=>"Jamaica","label"=>"Jamaica","selected"=>(($URL_Country=="Jamaica")?1:0)),array("value"=>"Japan","label"=>"Japan","selected"=>(($URL_Country=="Japan")?1:0)),array("value"=>"Jordan","label"=>"Jordan","selected"=>(($URL_Country=="Jordan")?1:0)),array("value"=>"Kazakhstan","label"=>"Kazakhstan","selected"=>(($URL_Country=="Kazakhstan")?1:0)),array("value"=>"Kenya","label"=>"Kenya","selected"=>(($URL_Country=="Kenya")?1:0)),array("value"=>"Kiribati","label"=>"Kiribati","selected"=>(($URL_Country=="Kiribati")?1:0)),array("value"=>"Korea","label"=>"Korea","selected"=>(($URL_Country=="Korea")?1:0)),array("value"=>"Kuwait","label"=>"Kuwait","selected"=>(($URL_Country=="Kuwait")?1:0)),array("value"=>"Kyrgyzstan","label"=>"Kyrgyzstan","selected"=>(($URL_Country=="Kyrgyzstan")?1:0)),array("value"=>"Lao","label"=>"Lao","selected"=>(($URL_Country=="Lao")?1:0)),array("value"=>"Latvia","label"=>"Latvia","selected"=>(($URL_Country=="Latvia")?1:0)),array("value"=>"Lebanon","label"=>"Lebanon","selected"=>(($URL_Country=="Lebanon")?1:0)),array("value"=>"Lesotho","label"=>"Lesotho","selected"=>(($URL_Country=="Lesotho")?1:0)),array("value"=>"Liberia","label"=>"Liberia","selected"=>(($URL_Country=="Liberia")?1:0)),array("value"=>"Libyan Arab Jamahiriya","label"=>"Libyan Arab Jamahiriya","selected"=>(($URL_Country=="Libyan Arab Jamahiriya")?1:0)),array("value"=>"Liechtenstein","label"=>"Liechtenstein","selected"=>(($URL_Country=="Liechtenstein")?1:0)),array("value"=>"Lithuania","label"=>"Lithuania","selected"=>(($URL_Country=="Lithuania")?1:0)),array("value"=>"Luxembourg","label"=>"Luxembourg","selected"=>(($URL_Country=="Luxembourg")?1:0)),array("value"=>"Macedonia","label"=>"Macedonia","selected"=>(($URL_Country=="Macedonia")?1:0)),array("value"=>"Madagascar","label"=>"Madagascar","selected"=>(($URL_Country=="Madagascar")?1:0)),array("value"=>"Malawi","label"=>"Malawi","selected"=>(($URL_Country=="Malawi")?1:0)),array("value"=>"Malaysia","label"=>"Malaysia","selected"=>(($URL_Country=="Malaysia")?1:0)),array("value"=>"Maldives","label"=>"Maldives","selected"=>(($URL_Country=="Maldives")?1:0)),array("value"=>"Mali","label"=>"Mali","selected"=>(($URL_Country=="Mali")?1:0)),array("value"=>"Malta","label"=>"Malta","selected"=>(($URL_Country=="Malta")?1:0)),array("value"=>"Marshall Islands","label"=>"Marshall Islands","selected"=>(($URL_Country=="Marshall Islands")?1:0)),array("value"=>"Martinique","label"=>"Martinique","selected"=>(($URL_Country=="Martinique")?1:0)),array("value"=>"Mauritania","label"=>"Mauritania","selected"=>(($URL_Country=="Mauritania")?1:0)),array("value"=>"Mauritius","label"=>"Mauritius","selected"=>(($URL_Country=="Mauritius")?1:0)),array("value"=>"Mayotte","label"=>"Mayotte","selected"=>(($URL_Country=="Mayotte")?1:0)),array("value"=>"Mexico","label"=>"Mexico","selected"=>(($URL_Country=="Mexico")?1:0)),array("value"=>"Micronesia","label"=>"Micronesia","selected"=>(($URL_Country=="Micronesia")?1:0)),array("value"=>"Monaco","label"=>"Monaco","selected"=>(($URL_Country=="Monaco")?1:0)),array("value"=>"Mongolia","label"=>"Mongolia","selected"=>(($URL_Country=="Mongolia")?1:0)),array("value"=>"Montserrat","label"=>"Montserrat","selected"=>(($URL_Country=="Montserrat")?1:0)),array("value"=>"Morocco","label"=>"Morocco","selected"=>(($URL_Country=="Morocco")?1:0)),array("value"=>"Mozambique","label"=>"Mozambique","selected"=>(($URL_Country=="Mozambique")?1:0)),array("value"=>"Myanmar","label"=>"Myanmar","selected"=>(($URL_Country=="Myanmar")?1:0)),array("value"=>"Namibia","label"=>"Namibia","selected"=>(($URL_Country=="Namibia")?1:0)),array("value"=>"Nauru","label"=>"Nauru","selected"=>(($URL_Country=="Nauru")?1:0)),array("value"=>"Nepal","label"=>"Nepal","selected"=>(($URL_Country=="Nepal")?1:0)),array("value"=>"Netherlands","label"=>"Netherlands","selected"=>(($URL_Country=="Netherlands")?1:0)),array("value"=>"Netherlands Antilles","label"=>"Netherlands Antilles","selected"=>(($URL_Country=="Netherlands Antilles")?1:0)),array("value"=>"New Caledonia","label"=>"New Caledonia","selected"=>(($URL_Country=="New Caledonia")?1:0)),array("value"=>"New Zealand","label"=>"New Zealand","selected"=>(($URL_Country=="New Zealand")?1:0)),array("value"=>"Nicaragua","label"=>"Nicaragua","selected"=>(($URL_Country=="Nicaragua")?1:0)),array("value"=>"Niger","label"=>"Niger","selected"=>(($URL_Country=="Niger")?1:0)),array("value"=>"Nigeria","label"=>"Nigeria","selected"=>(($URL_Country=="Nigeria")?1:0)),array("value"=>"Niue","label"=>"Niue","selected"=>(($URL_Country=="Niue")?1:0)),array("value"=>"Norfolk Island","label"=>"Norfolk Island","selected"=>(($URL_Country=="Norfolk Island")?1:0)),array("value"=>"Northern Mariana Islands","label"=>"Northern Mariana Islands","selected"=>(($URL_Country=="Northern Mariana Islands")?1:0)),array("value"=>"Norway","label"=>"Norway","selected"=>(($URL_Country=="Norway")?1:0)),array("value"=>"Occupied Palestinian Territory","label"=>"Occupied Palestinian Territory","selected"=>(($URL_Country=="Occupied Palestinian Territory")?1:0)),array("value"=>"Oman","label"=>"Oman","selected"=>(($URL_Country=="Oman")?1:0)),array("value"=>"Pakistan","label"=>"Pakistan","selected"=>(($URL_Country=="Pakistan")?1:0)),array("value"=>"Palau","label"=>"Palau","selected"=>(($URL_Country=="Palau")?1:0)),array("value"=>"Panama","label"=>"Panama","selected"=>(($URL_Country=="Panama")?1:0)),array("value"=>"Papua New Guinea","label"=>"Papua New Guinea","selected"=>(($URL_Country=="Papua New Guinea")?1:0)),array("value"=>"Paraguay","label"=>"Paraguay","selected"=>(($URL_Country=="Paraguay")?1:0)),array("value"=>"Peru","label"=>"Peru","selected"=>(($URL_Country=="Peru")?1:0)),array("value"=>"Philippines","label"=>"Philippines","selected"=>(($URL_Country=="Philippines")?1:0)),array("value"=>"Pitcairn","label"=>"Pitcairn","selected"=>(($URL_Country=="Pitcairn")?1:0)),array("value"=>"Poland","label"=>"Poland","selected"=>(($URL_Country=="Poland")?1:0)),array("value"=>"Portugal","label"=>"Portugal","selected"=>(($URL_Country=="Portugal")?1:0)),array("value"=>"Puerto Rico","label"=>"Puerto Rico","selected"=>(($URL_Country=="Puerto Rico")?1:0)),array("value"=>"Qatar","label"=>"Qatar","selected"=>(($URL_Country=="Qatar")?1:0)),array("value"=>"Republic of Korea","label"=>"Republic of Korea","selected"=>(($URL_Country=="Republic of Korea")?1:0)),array("value"=>"Republic of Moldova","label"=>"Republic of Moldova","selected"=>(($URL_Country=="Republic of Moldova")?1:0)),array("value"=>"Reunion","label"=>"Reunion","selected"=>(($URL_Country=="Reunion")?1:0)),array("value"=>"Romania","label"=>"Romania","selected"=>(($URL_Country=="Romania")?1:0)),array("value"=>"Russian Federation","label"=>"Russian Federation","selected"=>(($URL_Country=="Russian Federation")?1:0)),array("value"=>"Rwanda","label"=>"Rwanda","selected"=>(($URL_Country=="Rwanda")?1:0)),array("value"=>"Saint Helena","label"=>"Saint Helena","selected"=>(($URL_Country=="Saint Helena")?1:0)),array("value"=>"Saint Kitts and Nevis","label"=>"Saint Kitts and Nevis","selected"=>(($URL_Country=="Saint Kitts and Nevis")?1:0)),array("value"=>"Saint Lucia","label"=>"Saint Lucia","selected"=>(($URL_Country=="Saint Lucia")?1:0)),array("value"=>"Saint Pierre and Miquelon","label"=>"Saint Pierre and Miquelon","selected"=>(($URL_Country=="Saint Pierre and Miquelon")?1:0)),array("value"=>"Saint Vincent","label"=>"Saint Vincent","selected"=>(($URL_Country=="Saint Vincent")?1:0)),array("value"=>"Samoa","label"=>"Samoa","selected"=>(($URL_Country=="Samoa")?1:0)),array("value"=>"San Marino","label"=>"San Marino","selected"=>(($URL_Country=="San Marino")?1:0)),array("value"=>"Sao Tome and Principe","label"=>"Sao Tome and Principe","selected"=>(($URL_Country=="Sao Tome and Principe")?1:0)),array("value"=>"Saudi Arabia","label"=>"Saudi Arabia","selected"=>(($URL_Country=="Saudi Arabia")?1:0)),array("value"=>"Senegal","label"=>"Senegal","selected"=>(($URL_Country=="Senegal")?1:0)),array("value"=>"Serbia and Montenegro","label"=>"Serbia and Montenegro","selected"=>(($URL_Country=="Serbia and Montenegro")?1:0)),array("value"=>"Seychelles","label"=>"Seychelles","selected"=>(($URL_Country=="Seychelles")?1:0)),array("value"=>"Sierra Leone","label"=>"Sierra Leone","selected"=>(($URL_Country=="Sierra Leone")?1:0)),array("value"=>"Singapore","label"=>"Singapore","selected"=>(($URL_Country=="Singapore")?1:0)),array("value"=>"Slovakia","label"=>"Slovakia","selected"=>(($URL_Country=="Slovakia")?1:0)),array("value"=>"Slovenia","label"=>"Slovenia","selected"=>(($URL_Country=="Slovenia")?1:0)),array("value"=>"Solomon Islands","label"=>"Solomon Islands","selected"=>(($URL_Country=="Solomon Islands")?1:0)),array("value"=>"Somalia","label"=>"Somalia","selected"=>(($URL_Country=="Somalia")?1:0)),array("value"=>"South Africa","label"=>"South Africa","selected"=>(($URL_Country=="South Africa")?1:0)),array("value"=>"Spain","label"=>"Spain","selected"=>(($URL_Country=="Spain")?1:0)),array("value"=>"Sri Lanka","label"=>"Sri Lanka","selected"=>(($URL_Country=="Sri Lanka")?1:0)),array("value"=>"Sudan","label"=>"Sudan","selected"=>(($URL_Country=="Sudan")?1:0)),array("value"=>"Suriname","label"=>"Suriname","selected"=>(($URL_Country=="Suriname")?1:0)),array("value"=>"Svalbard and Jan Mayen Islands","label"=>"Svalbard and Jan Mayen Islands","selected"=>(($URL_Country=="Svalbard and Jan Mayen Islands")?1:0)),array("value"=>"Swaziland","label"=>"Swaziland","selected"=>(($URL_Country=="Swaziland")?1:0)),array("value"=>"Sweden","label"=>"Sweden","selected"=>(($URL_Country=="Sweden")?1:0)),array("value"=>"Switzerland","label"=>"Switzerland","selected"=>(($URL_Country=="Switzerland")?1:0)),array("value"=>"Syrian Arab Republic","label"=>"Syrian Arab Republic","selected"=>(($URL_Country=="Syrian Arab Republic")?1:0)),array("value"=>"Tajikistan","label"=>"Tajikistan","selected"=>(($URL_Country=="Tajikistan")?1:0)),array("value"=>"Thailand","label"=>"Thailand","selected"=>(($URL_Country=="Thailand")?1:0)),array("value"=>"Timor-Leste","label"=>"Timor-Leste","selected"=>(($URL_Country=="Timor-Leste")?1:0)),array("value"=>"Togo","label"=>"Togo","selected"=>(($URL_Country=="Togo")?1:0)),array("value"=>"Tokelau","label"=>"Tokelau","selected"=>(($URL_Country=="Tokelau")?1:0)),array("value"=>"Tonga","label"=>"Tonga","selected"=>(($URL_Country=="Tonga")?1:0)),array("value"=>"Trinidad and Tobago","label"=>"Trinidad and Tobago","selected"=>(($URL_Country=="Trinidad and Tobago")?1:0)),array("value"=>"Tunisia","label"=>"Tunisia","selected"=>(($URL_Country=="Tunisia")?1:0)),array("value"=>"Turkey","label"=>"Turkey","selected"=>(($URL_Country=="Turkey")?1:0)),array("value"=>"Turkmenistan","label"=>"Turkmenistan","selected"=>(($URL_Country=="Turkmenistan")?1:0)),array("value"=>"Turks and Caicos Islands","label"=>"Turks and Caicos Islands","selected"=>(($URL_Country=="Turks and Caicos Islands")?1:0)),array("value"=>"Tuvalu","label"=>"Tuvalu","selected"=>(($URL_Country=="Tuvalu")?1:0)),array("value"=>"Uganda","label"=>"Uganda","selected"=>(($URL_Country=="Uganda")?1:0)),array("value"=>"Ukraine","label"=>"Ukraine","selected"=>(($URL_Country=="Ukraine")?1:0)),array("value"=>"United Arab Emirates","label"=>"United Arab Emirates","selected"=>(($URL_Country=="United Arab Emirates")?1:0)),array("value"=>"United Republic of Tanzania","label"=>"United Republic of Tanzania","selected"=>(($URL_Country=="United Republic of Tanzania")?1:0)),array("value"=>"United States Virgin Islands","label"=>"United States Virgin Islands","selected"=>(($URL_Country=="United States Virgin Islands")?1:0)),array("value"=>"Uruguay","label"=>"Uruguay","selected"=>(($URL_Country=="Uruguay")?1:0)),array("value"=>"Uzbekistan","label"=>"Uzbekistan","selected"=>(($URL_Country=="Uzbekistan")?1:0)),array("value"=>"Vanuatu","label"=>"Vanuatu","selected"=>(($URL_Country=="Vanuatu")?1:0)),array("value"=>"Venezuela","label"=>"Venezuela","selected"=>(($URL_Country=="Venezuela")?1:0)),array("value"=>"Viet Nam","label"=>"Viet Nam","selected"=>(($URL_Country=="Viet Nam")?1:0)),array("value"=>"Wallis and Futuna Islands","label"=>"Wallis and Futuna Islands","selected"=>(($URL_Country=="Wallis and Futuna Islands")?1:0)),array("value"=>"Western Sahara","label"=>"Western Sahara","selected"=>(($URL_Country=="Western Sahara")?1:0)),array("value"=>"Yemen","label"=>"Yemen","selected"=>(($URL_Country=="Yemen")?1:0)),array("value"=>"Zambia","label"=>"Zambia","selected"=>(($URL_Country=="Zambia")?1:0)),array("value"=>"Zimbabwe","label"=>"Zimbabwe","selected"=>(($URL_Country=="Zimbabwe")?1:0)) ) ); $arHandlebarForm["contactSection"] = $arContactSection; $arQuestionSection["TEXT:0000004296"] = array("input"=>1,"required"=>0,"label"=>"House Name/Address:","name"=>"TEXT:0000004296","id"=>"TEXT:0000004296","maxlength"=>64,"value"=>$_REQUEST["TEXT:0000004296"]); $arQuestionSection["MAID:0000008208"] = array("select"=>1,"name"=>"MAID:0000008208","id"=>"MAID:0000008208","required"=>0,"label"=>"How did you hear about us?","data"=>array ( array('value'=>'0000065578','label'=>'-select one-'), array('value'=>'0000065579','label'=>'Google, Bing, or other search engine'), array('value'=>'0000065580','label'=>'Social Media'), array('value'=>'0000065581','label'=>'Advertisement or physical mailing'), array('value'=>'0000065582','label'=>'Email'), array('value'=>'0000065583','label'=>'Blog Post'), array('value'=>'0000065584','label'=>'Word of mouth'), array('value'=>'0000065585','label'=>'Other'))); $arQuestionSection["TEXT:0000004292"] = array("textarea"=>1,"required"=>0,"label"=>"Questions and Comments:","name"=>"TEXT:0000004292","id"=>"TEXT:0000004292","value"=>$_REQUEST["TEXT:0000004292"]); $arHandlebarForm["questionSection"] = $arQuestionSection; $arHandlebarView["form"] = array("name"=>"join_form","id"=>"join_form","action"=>"/contact/form_join","method"=>"post","onsubmit"=>$formOnSubmit,"submitID"=>"submitform","fields"=>$arHandlebarForm); } else { $arHandlebarView["headerText"] = 'Thanks for your time!'; $arHandlebarView["descriptionText"] = '<P>Many thanks for contacting us. A representative will be responding to your on-line request shortly. We appreciate your business and will do our best to serve your needs! </p>'; $arHandlebarView["form"] = ''; }

Prepared by Visual Data Systems, Inc. Copyright © 2002-2025 by Visual Data Systems. All Rights Reserved.