

<!DOCTYPE html>
<html>
<head>
<meta charset="UTF-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<meta name="viewport" content="width=device-width, initial-scale=1">
<meta name="referrer" content="no-referrer-when-downgrade">
<link rel="stylesheet" href="/i4a/includes/css/lucee_dump_i4a_light.css">

	
					<style type="text/css">
						
#i4awidget_widget_responsivemenu_207 {
	position: relative;
	margin-top: 0;
	margin-right: 0;
	margin-bottom: 0;
	margin-left: 0;
	z-index: 1000;
	
	
	top: 0px;
	left: 0px;
	width: auto;
	height: auto;
}
						
					
#i4awidget_footercompanyinfo_206 {
	position: relative;
	margin-top: 0;
	margin-right: 0;
	margin-bottom: 0;
	margin-left: 0;
	z-index: 1000;
	
	
	top: 0px;
	left: 0px;
	width: auto;
	height: auto;
	color: #666666;
}
						
					
#i4awidget_widget_responsiveimage_211 {
	position: relative;
	margin-top: 5;
	margin-right: 5;
	margin-bottom: 5;
	margin-left: 5;
	z-index: 100;
	
	
	top: 5px;
	left: 5px;
	width: auto;
	height: auto;
}
						
					
#i4awidget_widget_responsivelogin_202 {
	position: relative;
	margin-top: 0;
	margin-right: 0;
	margin-bottom: 0;
	margin-left: 0;
	z-index: 100;
	
	
	top: 0px;
	right: 0px;
	width: auto;
	height: auto;
}
						
					
#i4awidget_widget_responsivemenu_201 {
	position: relative;
	margin-top: 0;
	margin-right: 0;
	margin-bottom: 0;
	margin-left: 0;
	z-index: 100;
	
	
	top: 0px;
	left: 0px;
	width: auto;
	height: auto;
}
						
					
#i4awidget_widget_responsivemenu_203 {
	position: relative;
	margin-top: 0;
	margin-right: 0;
	margin-bottom: 0;
	margin-left: 0;
	z-index: 100;
	
	
	top: 0px;
	right: 0px;
	width: auto;
	height: auto;
}
						
					</style>
				
			
				<script type='text/javascript'>
					if (typeof i4a === 'undefined') {
						var i4a = {
							admin: {},
							ext: {},
							editor: {},
							dbConfig: {},
							siteInfo: {},
							broadcastParams: 0
						};
					}
					
					i4a.adminVersion				= 2;
					i4a.admin.id					= '0';
					i4a.admin.superAdmin 			= '0';
					i4a.admin.accessLevel 			= '0';
					i4a.admin.sendsEmail 			= '';
					i4a.admin.fullAccess 			= '';
					i4a.admin.editorToolbar 		= 'i4a';
					i4a.admin.enableGenerativeAI    = '0';
					i4a.ext.version 				= '';
					i4a.ext.theme					= 'i4a-admin2';
					i4a.ext.dateFormat              = 'm/d/Y';
					i4a.ext.defaultDateTimeFormat   = 'm/d/Y g:i A';
					i4a.editor.theme				= 'moonocolor';
   					i4a.resourceId 					= 'memberAppsRenewals';
   					i4a.aboutText 					= 'I4A-Membership - Association Management Software<br />' +
   														'&copy; 2026 D.W. Rome, Incorporated 1996-2026 &reg;' +
   														'<br />Version 15.0 Released 10/02/2025';
   					i4a.dbConfig.system_db 			= 'mysql';
   					i4a.dbConfig.collateCharset 	= 'utf8mb4_unicode_CI';
   					i4a.dbConfig.leftBracket 		= '`';
   					i4a.dbConfig.rightBracket 		= '`';
   					i4a.siteInfo.defaultTemplateId 	= 1003;
   					i4a.siteInfo.isResponsive 		= 1;
   				</script>
		<script type="text/javascript" src="/common/jquery/jquery.js?v=202605251621556"></script>

<script type="text/javascript" src="/common/jquery/jquery-migrate-3.4.0.min.js?v=202605251621556"></script>

<script type="text/javascript" src="/common/popper/popper.min.js"></script>
<script type="text/javascript" src="/common/bootstrap431/js/bootstrap.min.js"></script>
<script type="text/javascript" src="/common/bootstrap431/plugins/statefulButton.js"></script>
<link rel="stylesheet" href="/i4a/includes/css/bootstrap_i4a.css">
<link rel="stylesheet" href="/common/bootstrap431/themes/bootswatch/431/lumen.min.css">
<script type="text/javascript" src="/common/bootstrap431/plugins/bootstrap-select/js/bootstrap-select.min.js"></script>
<link rel="stylesheet" href="/common/bootstrap431/plugins/bootstrap-select/css/bootstrap-select.min.css">
<link rel="stylesheet" href="/common/bootstrap431/plugins/bootstrap-select/css/bootstrap-select-i4a.css">
<script type="text/javascript" src="/common/bootstrap431/plugins/datepicker/js/bootstrap-datepicker.min.js"></script>
<link rel="stylesheet" href="/common/bootstrap431/plugins/datepicker/css/bootstrap-datepicker.standalone.min.css">
<script type="text/javascript" src="/common/bootstrap431/plugins/bootstrap-input-spinner/bootstrap-input-spinner.js"></script>

<link rel="stylesheet" href="/common/bootstrap431/plugins/bootstrap-toggle/css/bootstrap4-toggle.min.css">

<script type="text/javascript" src="/common/bootstrap431/plugins/bootstrap-toggle/js/bootstrap4-toggle.min.js"></script>

<link rel="stylesheet" href="/common/bootstrap431/plugins/colorpicker2/css/bootstrap-colorpicker.min.css">

<script type="text/javascript" src="/common/bootstrap431/plugins/colorpicker2/js/bootstrap-colorpicker.min.js"></script>

<link rel="stylesheet" href="/common/fontawesome642/css/all.min.css">

<link rel="stylesheet" href="/common/fontawesome642/css/v4-shims.min.css">

<link rel="stylesheet" href="/common/sweetalert/sweetalert.min.css">

<script type="text/javascript" src="/common/sweetalert/sweetalert.min.js"></script>

<link rel="stylesheet" href="/common/bootstrap431/plugins/lightbox/ekko-lightbox.min.css">

<script type="text/javascript" src="/common/bootstrap431/plugins/lightbox/ekko-lightbox.min.js"></script>


	<script>
		$(function() {
			// add Bootstrap responsive class to all images, except those with class name of 'noResponsive'
			$('img').each(function(index) {
				if ($(this).hasClass('noResponsive') == false) {
					$(this).addClass('img-fluid');
				}
			});
		});
	</script>


	<title>Membership Application | National Coalition of Dentists for Health Equity</title>


<link rel="canonical" href="https://member.ncdhe.org/apply/">


	<link rel="stylesheet" type="text/css" href="/templates/common/styles_responsive.css?v=9870">


<link rel="stylesheet" href="/i4a/css/widgets/font_resizer.css" type="text/css" />
<link rel="stylesheet" href="/i4a/css/widgets/login.css" type="text/css" />
<link rel="stylesheet" href="/i4a/css/widgets/search.css" type="text/css" />
<link rel="stylesheet" href="/i4a/css/widgets/i4afooterlink.css" type="text/css" />


			<link rel="stylesheet" type="text/css" href="/templates/1003/styles_i4a_menu_secondarymenu.css?v=1331">
			
		
			<link rel="stylesheet" type="text/css" href="/templates/1003/styles_i4a_menu_submenu.css?v=7020">
			
		
	  	<link rel="stylesheet" type="text/css" href="/templates/1003/styles_latestNews.css?v=6578">
	  	
	  	
	  	<link rel="stylesheet" type="text/css" href="/templates/1003/styles_template.css?v=7993">
	  	
	  	
	  	<link rel="stylesheet" type="text/css" href="/templates/1003/styles_wysiwyg.css?v=7632">
	  	
	  	
<script>
	function MM_openBrWindow(theURL,winName,features) {
		window.open(theURL,winName,features);
	}
</script>


<link type="text/css" rel="stylesheet" href="/i4a/css/html5.css">
<script src="/i4a/jslib/consent.js?ts=0.4833953530653254"></script></head>


	<body class="page-3277 childof-1 toplevelpage-3277 theme-1003 level-1 section-1 section-3277 innerpage">
<script>checkConsentStatus();</script>


<div class="container">
    <div class="fixed-top">
	    <div class="row i4a_header_row1">
	        <div class="col-6 i4a_header_row1_col1 widgets" id="header_row1_column1"></div>
	        <div class="col-6 i4a_header_row1_col2 widgets justify-content-end d-flex" id="header_row1_column2"></div>
	    </div>
		<div class="row i4a_header_row2">
			<div class="col-12 i4a_header_row2_col1 widgets" id="header_row2_column1"></div>
		</div>
	</div>

     <div class="row i4a_main_content_row"> 
        <div class="col-md-8 i4a_page_content"> 
            
            
<div id="i4acontent_area_outer">
		
		
<link rel="stylesheet" type="text/css" href="/i4a/css/modules/memberAppsRenewals.css">


<noscript>
	<meta http-equiv="Refresh" content="0;URL=http://member.ncdhe.org/i4a/nojavascript.cfm">
</noscript>

<style>
	.paymentProfileListGroupItem {
	padding-top: 0.5rem !important;
	padding-right: 0.5rem !important;
	padding-bottom: 3rem !important;
	padding-left: 1rem !important;
	margin-bottom: 0px !important;
	font-size: 13px;
}
 .previewOverlay {
  	position:fixed;
	left:0;
	top: 0;
	z-index:10;
	background: rgba(0,0,0,.75);
	width:100%;
	padding:10px;
	color:#fff;
	font-weight: 300;
}
</style>


	<h2 class="appsRenewals_h2">Membership Application</h2>


		<div id="appDescriptionDiv" >
			<p>NCDHE has no membership dues. However, we gratefully welcome voluntary contributions from members to support our mission and ongoing initiatives.</p>

			<br />
			<button type="button" class="btn btn-primary" id="appDescriptionBtn">Next</button>
			<br /><br /><br />
		</div>

		<div id="appMainDiv" style="display: none;">
			
				
			<form id="memberAppForm" name="memberAppForm">
				<div class="accordion" id="accordion">

				  <div class="card" id="panelDues">
				    <div class="card-header" id="headingOne">
				      <h5 class="mb-0">
				       	<a role="button" data-toggle="collapse" data-parent="#accordion" href="#collapseOne" id="accordionBtnOne"
				       	 aria-expanded="true" aria-controls="collapseOne">
				          Membership Dues
				        </a>
				      </h5>
				    </div>
				    <div id="collapseOne" class="collapse show" aria-labelledby="headingOne" data-parent="#accordion">
				      <div class="card-body">
				        
				        
<input type="hidden" id="numberOfYears" name="numberOfYears" value="1" />
<input type="hidden" id="isSuccessor" name="isSuccessor" value="0" />


<input type="hidden" name="origDuesValue" id="origDuesValue" value="">
	

	<input type="hidden" name="orgCode" value="">


	<input type="hidden" name="newMbrAppFee" id="newMbrAppFee" value="0">


		<input type="hidden" id="duesSelectionsMemberTypeAutoRenewVals" name="duesSelectionsMemberTypeAutoRenewVals" value="2_0,1_0" >

		
		<input type="hidden" id="addOnInfoValues" name="addOnInfoValues" value="2_0.00_0,1_0.00_0" >

		
		<input type="hidden" id="bUnenrollAutoDues" name="bUnenrollAutoDues" value="0">
			
		<input type="hidden" name="formulaType" id="formulaType" value="">

		<br />

		<div class="row">
			<div class="col-md-9">
				<div class="form-group" id="dues-group">
					<label class="col-form-label" for="dues">Membership Type </label><span class="appsRenewals_required-string"> *</span>
					<select class="form-control" name="dues" id="dues" required onchange="updateAmount(this.value);">
						<option value="">select a membership type</option>
						
							<option value="2_1" amount="0.00" data-membertypeautorenew="2_0" 
								data-addoninfo="2_0.00_0" data-installments="0" data-installmentsFee="0" 
								data-installmentIDs="" data-installmentsMultiYear="0"
								data-isSuccessor="0"
								>Associate - Non-Dental Professionals</option>
						
							<option value="1_1" amount="0.00" data-membertypeautorenew="1_0" 
								data-addoninfo="1_0.00_0" data-installments="0" data-installmentsFee="0" 
								data-installmentIDs="" data-installmentsMultiYear="0"
								data-isSuccessor="0"
								>General - Dentists and Other Dental Professionals</option>
						
					</select>
				</div>
			</div>
		</div>
		
			
	<input type="hidden" name="bDisplayAddons" id="bDisplayAddons" value="0">


<input type="hidden" name="mbrAppID" id="mbrAppID" value="1">
<input type="hidden" name="orgID" value="0">
<input type="hidden" name="amount" id="amount" value="0.00">
<input type="hidden" name="isCorp" id="isCorp" value="0">
<input type="hidden" name="newMemberApp" id="newMemberApp" value="1">


				        <br />
						<center>
							<button type="button" class="btn btn-primary btn-md" id="btnDues">
								Next <i class="fa fa-arrow-down" aria-hidden="true"></i>
							</button>
						</center>
				      </div>
				    </div>
				  </div>

				  
					  <div class="card" id="panelContact">
					    <div class="card-header" role="tab" id="headingTwo">
					      <h5 class="mb-0">
					        <a class="collapsed" style="display: none;" role="button" data-toggle="collapse" data-parent="#accordion" href="#collapseTwo" id="accordionBtnTwo"
					        	aria-expanded="false" aria-controls="collapseTwo">
					          Contact Information
					        </a>
					        <span id="accordionTitleTwo">Contact Information</span>
					      </h5>
					    </div>
					    <div id="collapseTwo" class="collapse" aria-labelledby="headingTwo">
					      <div class="card-body">
					        

<input type="hidden" id="fldUniqueEmail" name="uniqueEmail" value="1" />


	<input type="hidden" class="form-control" name="prefix" id="prefix" value="">


	<input type="hidden" class="form-control" name="pronouns" id="pronouns" value="">	

	
<input type="hidden" name="company_hidden" value="">


	<input type="hidden" class="form-control" name="address3" id="address3" value="">


	<input type="hidden" class="form-control" name="country" id="country" value="US">


	<input type="hidden" class="form-control" name="url" id="url" value="">


	<input type="hidden" class="form-control" name="org_profile_photo" id="org_profile_photo" value="">


	<input type="hidden" class="form-control" name="fax" id="fax" value="">


	<input type="hidden" class="form-control" name="CCMail" id="CCMail" value="">


<script>
	$(document).ready(function() {
		$(document).on('click', '*[data-toggle="lightbox"]', function(event) {
			event.preventDefault();
	    	$(this).ekkoLightbox();
		});
	});
</script>


			<div class="row">
		
		<div class="col-md-6">
			
	<div class="form-group" id="appemail-group">
		<label class="col-form-label" for="appemail">Email</label> <span class="appsRenewals_required-string"> *</span>
		<input type="text" class="form-control" name="email" id="appemail" autocomplete="email" maxlength="255" value="" required onchange="validateUniqueEmail()">
	</div>
	<span id="emailMsg" class="text-danger"></span>

		</div>
		
	
		<div class="col-md-6">
			
	<div class="form-group" id="appemail2-group">
		<label class="col-form-label" for="appemail2">Re-enter your email</label> <span class="appsRenewals_required-string"> *</span>
		<input type="text" class="form-control" name="email2" id="appemail2" autocomplete="email" maxlength="255" value="" required onchange="validateUniqueEmail()">
	</div>

		</div>
		
			</div>
		
	
			<div class="row">
		
		<div class="col-md-6">
			
		<div class="form-group" id="firstname-group">
			<label class="col-form-label" for="firstname">First Name</label> <span class="appsRenewals_required-string"> *</span>
			<input type="text" class="form-control" name="firstname" id="firstname" maxlength="50" autocomplete="given-name"
				value="" required >
		</div>
	
		</div>
		
	
		<div class="col-md-6">
			
		<div class="form-group" id="middle-group">
			<label class="col-form-label" for="middle">Middle</label> 
			<input type="text" class="form-control" name="middle" id="middle" maxlength="25" autocomplete="additional-name"
				value=""  >
		</div>
	
		</div>
		
			</div>
		
	
			<div class="row">
		
		<div class="col-md-6">
			
		<div class="form-group" id="lastname-group">
			<label class="col-form-label" for="lastname">Last Name</label> <span class="appsRenewals_required-string"> *</span>
			<input type="text" class="form-control" name="lastname" id="lastname" maxlength="100" autocomplete="family-name"
				value="" required >
		</div>
	
		</div>
		
	
		<div class="col-md-6">
			
		<div class="form-group" id="suffix-group">
			<label class="col-form-label" for="suffix">Credentials (DDS, MPH, etc.)</label> 
			<input type="text" class="form-control" name="suffix" id="suffix" autocomplete="honorific-suffix" maxlength="150"
				value="" >
		</div>
	
		</div>
		
			</div>
		
	
			<div class="row">
		
		<div class="col-md-6">
			
		<div class="form-group" id="title-group">
			<label class="col-form-label" for="title">Current Job Title</label> <span class="appsRenewals_required-string"> *</span>
			<input type="text" class="form-control" name="title" id="title" maxlength="255" autocomplete="organization-title"
				value="" required>
		</div>
	
		</div>
		
	
		<div class="col-md-6">
			
		<div class="form-group" id="informalName-group">
			<label class="col-form-label" for="informalName">Preferred Name</label> 
			<input type="text" class="form-control" name="informalName" id="informalName" maxlength="50" autocomplete="nickname"
				value="" >
		</div>
	
		</div>
		
			</div>
		
	
			<div class="row">
		
		<div class="col-md-6">
			
		<div class="form-group" id="company-group">
			<label class="col-form-label" for="company">Current Employer</label> 
			<input type="text" class="form-control" name="company" id="company" maxlength="200"  autocomplete="organization"
				value="" >
		</div>
	
		</div>
		
	
		<div class="col-md-6">
			
	<div class="form-group" id="address1-group">
		<label class="col-form-label" for="address1">Primary Address Line 1</label> <span class="appsRenewals_required-string"> *</span>
		<input type="text" class="form-control" name="address1" id="address1" maxlength="255" value="" autocomplete="address-line1" required>
	</div>

		</div>
		
			</div>
		
	
			<div class="row">
		
		<div class="col-md-6">
			
		<div class="form-group" id="address2-group">
			<label class="col-form-label" for="address2">Primary Address Line 2</label> 
			<input type="text" class="form-control" name="address2" id="address2" maxlength="100" value="" autocomplete="address-line2" >
		</div>
	
		</div>
		
	
		<div class="col-md-6">
			
		<div class="form-group" id="city-group">
			<label class="col-form-label" for="city">City</label> <span class="appsRenewals_required-string"> *</span>
			<input type="text" class="form-control" name="city" id="city" maxlength="50" autocomplete="address-level2" value="" required>
		</div>
	
		</div>
		
			</div>
		
	
			<div class="row">
		
		<div class="col-md-6">
			
		<div class="form-group" id="stateCode-group">
			<label class="col-form-label" for="stateCode">State</label> <span class="appsRenewals_required-string"> *</span>
			<select class="form-control" name="stateCode" id="stateCode" autocomplete="address-level1" required>
				<option value="">select a state</option>
				
					
					<option value="AB" >AB - Alberta</option>
				
					
					<option value="AK" >AK - Alaska</option>
				
					
					<option value="AL" >AL - Alabama</option>
				
					
					<option value="AR" >AR - Arkansas</option>
				
					
					<option value="AZ" >AZ - Arizona</option>
				
					
					<option value="BC" >BC - British Columbia</option>
				
					
					<option value="CA" >CA - California</option>
				
					
					<option value="CO" >CO - Colorado</option>
				
					
					<option value="CT" >CT - Connecticut</option>
				
					
					<option value="DC" >DC - District of Columbia</option>
				
					
					<option value="DE" >DE - Delaware</option>
				
					
					<option value="FL" >FL - Florida</option>
				
					
					<option value="GA" >GA - Georgia</option>
				
					
					<option value="HI" >HI - Hawaii</option>
				
					
					<option value="IA" >IA - Iowa</option>
				
					
					<option value="ID" >ID - Idaho</option>
				
					
					<option value="IL" >IL - Illinois</option>
				
					
					<option value="IN" >IN - Indiana</option>
				
					
					<option value="KS" >KS - Kansas</option>
				
					
					<option value="KY" >KY - Kentucky</option>
				
					
					<option value="LA" >LA - Louisiana</option>
				
					
					<option value="MA" >MA - Massachusetts</option>
				
					
					<option value="MB" >MB - Manitoba</option>
				
					
					<option value="MD" >MD - Maryland</option>
				
					
					<option value="ME" >ME - Maine</option>
				
					
					<option value="MI" >MI - Michigan</option>
				
					
					<option value="MN" >MN - Minnesota</option>
				
					
					<option value="MO" >MO - Missouri</option>
				
					
					<option value="MS" >MS - Mississippi</option>
				
					
					<option value="MT" >MT - Montana</option>
				
					
					<option value="NB" >NB - New Brunswick</option>
				
					
					<option value="NC" >NC - North Carolina</option>
				
					
					<option value="ND" >ND - North Dakota</option>
				
					
					<option value="NE" >NE - Nebraska</option>
				
					
					<option value="NF" >NF - Newfoundland</option>
				
					
					<option value="NH" >NH - New Hampshire</option>
				
					
					<option value="NJ" >NJ - New Jersey</option>
				
					
					<option value="NM" >NM - New Mexico</option>
				
					
					<option value="NS" >NS - Nova Scotia</option>
				
					
					<option value="NV" >NV - Nevada</option>
				
					
					<option value="NY" >NY - New York</option>
				
					
					<option value="OH" >OH - Ohio</option>
				
					
					<option value="OK" >OK - Oklahoma</option>
				
					
					<option value="ON" >ON - Ontario</option>
				
					
					<option value="OR" >OR - Oregon</option>
				
					
					<option value="PA" >PA - Pennsylvania</option>
				
					
					<option value="PE" >PE - Prince Edward Island</option>
				
					
					<option value="PR" >PR - Puerto Rico</option>
				
					
					<option value="QC" >QC - Quebec</option>
				
					
					<option value="RI" >RI - Rhode Island</option>
				
					
					<option value="SC" >SC - South Carolina</option>
				
					
					<option value="SD" >SD - South Dakota</option>
				
					
					<option value="SK" >SK - Saskatchewan</option>
				
					
					<option value="TN" >TN - Tennessee</option>
				
					
					<option value="TX" >TX - Texas</option>
				
					
					<option value="UT" >UT - Utah</option>
				
					
					<option value="VA" >VA - Virginia</option>
				
					
					<option value="VT" >VT - Vermont</option>
				
					
					<option value="WA" >WA - Washington</option>
				
					
					<option value="WI" >WI - Wisconsin</option>
				
					
					<option value="WV" >WV - West Virginia</option>
				
					
					<option value="WY" >WY - Wyoming</option>
				
			</select>
		</div>
	
		</div>
		
	
		<div class="col-md-6">
			
		<div class="form-group" id="zip-group">
			<label class="col-form-label" for="zip">Zip Code</label> <span class="appsRenewals_required-string"> *</span>
			<input type="text" class="form-control" name="zip" id="zip" maxlength="15" autocomplete="postal-code" value="" required>
		</div>
	
		</div>
		
			</div>
		
	
			<div class="row">
		
		<div class="col-md-6">
			
		<input type="hidden" id="currentProfilePhoto" name="currentProfilePhoto" value="">
		<div class="form-group" id="photo-group">
			<label class="col-form-label" for="contact_profile_photo">Profile Photo</label> 
			
				<i class="fa fa-question-circle" data-toggle="tooltip" data-placement="top"
					title="File name should not contain any special characters (e.g., / : * ? < > |).">
				</i>
			
			<input type="file" accept="image/*" class="form-control-file" name="contact_profile_photo" id="contact_profile_photo" >
		</div>
	
		</div>
		
	
		<div class="col-md-6">
			
		<div class="form-group" id="phone-group">
			<label class="col-form-label" for="phone">Primary Phone Number</label> <span class="appsRenewals_required-string"> *</span>
			<input type="text" class="form-control" name="phone" id="phone" autocomplete="tel" maxlength="50" value="" required>
		</div>
	
		</div>
		
			</div>
		
	
<div class="row">
	<div class="col-md-12">
		
				<div class="form-group" id="isDirectory-group">
					<label class="col-form-label" for="isDirectory">Include me in Membership Directories</label> <span class="appsRenewals_required-string"> *</span><br />
					<label class="radio-inline appsRenewals-radio">
					  <input type="radio" name="isDirectory" id="directoryYes" value="1" required
					  	> Yes
					</label>&nbsp;
					<label class="radio-inline appsRenewals-radio">
					  <input type="radio" name="isDirectory" id="directoryNo" value="0" required
					  	> No
					</label>
				</div>
			
	</div>
</div>

<div class="row">
	<div class="col-md-12">
		
				
				<input type="hidden" name="messagingTypeSubscriptionsToUpdate" value="">
				
					<input type="hidden" name="messagingTypeSubscriptionsConfirmed" value="">
					<div class="form-group" id="isEmail-group">
						<label class="col-form-label" for="isEmail">Include me in Broadcast Email</label>  <span class="appsRenewals_required-string"> *</span>
						<i class="fa fa-question-circle" data-toggle="tooltip" data-placement="top"
							title="This will not exclude emails pertaining directly to your membership, such as dues renewal notices,
						store order receipts, or meeting registration receipts."></i>
						<br />
						<label class="radio-inline appsRenewals-radio">
						  <input type="radio" name="isEmail" id="isEmailYes" value="1" required
						  	> Yes
						</label>&nbsp;
						<label class="radio-inline appsRenewals-radio">
						  <input type="radio" name="isEmail" id="isEmailNo" value="0" required
						  	> No
						</label>
					</div>
				
			
	</div>
</div>


					        <br />
							<center>
								<button type="button" class="btn btn-primary btn-md" id="btnFormNext">
									Next <i class="fa fa-arrow-down" aria-hidden="true"></i>
								</button> &nbsp;
								<button type="button" class="btn btn-secondary btn-md" id="btnFormPrev">
									Previous <i class="fa fa-arrow-up" aria-hidden="true"></i>
								</button>
							</center>
					      </div>
					    </div>
					  </div>

					  
<div class="card">
    <div class="card-header" role="tab" id="headingThree">
      <h5 class="mb-0">
       <a class="collapsed" style="display: none;" role="button" data-toggle="collapse" data-parent="#accordion" href="#collapseThree" id="accordionBtnThree"
       	 aria-expanded="false" aria-controls="collapseThree">
          Username/Password
        </a>
		<span id="accordionTitleThree">Username/Password</span>
      </h2>
    </div>
    <div id="collapseThree" class="collapse" aria-labelledby="headingThree">
      <div class="card-body">
      	<p>Please enter the Username/Password you would like to use to login to this website.</p>
      	<ul>
			<li>Your Username must be unique and must be at least 6 characters.</li>
			<li>Passwords must be a minimum of 8 alpha-numeric characters with at least 1 number or 1 letter.</li>
		</ul>
	    <div class="row">
			<div class="col-md-6">
				<div class="form-group" id="username-group">
					<label class="col-form-label" for="username">Username</label> <span class="appsRenewals_required-string"> *</span>
					<input class="form-control" name="username" id="username" value="" maxlength="50" autocomplete="off" required onchange="validateUser();">
				</div>
				<div id="userMsg" style="margin-top: -15px;"></div>
			</div>
		</div>
		<div class="row">
			<div class="col-md-6">
				<div class="form-group" id="password-group">
					<label class="col-form-label" for="password">Password</label> <span class="appsRenewals_required-string"> *</span>
					<input class="form-control" type="password" name="password" id="password" value="" maxlength="50"
					autocomplete="off" required onchange="validatePassword();">
				</div>
				<div id="passMsg" style="margin-top: -15px;"></div>
			</div>
		</div>
		<div class="row">
			<div class="col-md-6">
				<div class="form-group" id="password2-group">
					<label class="col-form-label" for="password2">Confirm Password</label> <span class="appsRenewals_required-string"> *</span>
					<input class="form-control" type="password" name="password2" id="password2" value="" maxlength="50"
					autocomplete="off" required onchange="validateMatch();">
				</div>
				<div id="matchMsg" style="margin-top: -15px;"></div>
			</div>
		</div>
        <br />
		<center>
			<button type="button" class="btn btn-primary btn-md" id="btnCredentialsNext">
				Next <i class="fa fa-arrow-down" aria-hidden="true"></i>
			</button> &nbsp;
			<button type="button" class="btn btn-secondary btn-md" id="btnCredentialsPrev">
				Previous <i class="fa fa-arrow-up" aria-hidden="true"></i>
			</button>
		</center>
      </div>
    </div>
 </div>

					  
						  <div class="card" id="panelInformation">
						    <div class="card-header" role="tab" id="headingFour">
						      <h5 class="mb-0">
						        <a class="collapsed" style="display: none;" role="button" data-toggle="collapse" data-parent="#accordion" href="#collapseFour" id="accordionBtnFour"
						        	aria-expanded="false" aria-controls="collapseFour">
						          Additional Information
						        </a>
						        <span id="accordionTitleFour">Additional Information</span>
						      </h5>
						    </div>

						    <div id="collapseFour" class="collapse" aria-labelledby="headingFour">
						    	<div class="card-body">
							         

<script type="text/javascript" src="/i4a/ams/include/checkemail.js"></script>


<style type="text/css">
	.conditionalQuestion {display:none;}
	.memberTypeRestrictedQuestion {display:none;}
</style>


	<script src="/i4a/jslib/i4a/validation.js"></script>
	<script>
		function validateCustomQuestions(frm) {
			var cansubmit = true;

			
					docfilename = frm.response_258.value.toLowerCase();
					if (docfilename != '') {
						ext = docfilename.split(".").pop(); // gets the extension from part of the filename after the last period
						if (
							
							
								ext != 'doc' && 
								
							
								ext != 'docx' && 
								
							
								ext != 'pdf' && 
								
							
								ext != 'ppt' && 
								
							
								ext != 'pptx' && 
								
							
								ext != 'xls' && 
								
							
								ext != 'xlsx' && 
								
							
								ext != 'txt' && 
								
							
								ext != 'gif' && 
								
							
								ext != 'jpg' && 
								
							
								ext != 'png' && 
								
							
								ext != 'jpe' 
								
							
							) {
							swal({
					  			title: 'Invalid file',
					  			html: true,
					  			text: 'Sorry, you can only upload files of the following types: doc,docx,pdf,ppt,pptx,xls,xlsx,txt,gif,jpg,png,jpe',
					  			animation: 'slide-from-top',
					  			type: 'info',
					  			confirmButtonText: 'Ok',
					  			confirmButtonColor: '#32557B'
					  		});
							return false;
						}
					}
				
			
					docfilename = frm.response_268.value.toLowerCase();
					if (docfilename != '') {
						ext = docfilename.split(".").pop(); // gets the extension from part of the filename after the last period
						if (
							
							
								ext != 'doc' && 
								
							
								ext != 'docx' && 
								
							
								ext != 'pdf' && 
								
							
								ext != 'ppt' && 
								
							
								ext != 'pptx' && 
								
							
								ext != 'xls' && 
								
							
								ext != 'xlsx' && 
								
							
								ext != 'txt' && 
								
							
								ext != 'gif' && 
								
							
								ext != 'jpg' && 
								
							
								ext != 'png' && 
								
							
								ext != 'jpe' 
								
							
							) {
							swal({
					  			title: 'Invalid file',
					  			html: true,
					  			text: 'Sorry, you can only upload files of the following types: doc,docx,pdf,ppt,pptx,xls,xlsx,txt,gif,jpg,png,jpe',
					  			animation: 'slide-from-top',
					  			type: 'info',
					  			confirmButtonText: 'Ok',
					  			confirmButtonColor: '#32557B'
					  		});
							return false;
						}
					}
				
			
			var elements = frm.elements;
			var result = true;
			
			for (var i = 0; i < elements.length; i++) {
				element = elements[i];
				result = validateInput(element);
				
				if (result.isValid == false) {
					cansubmit = false;
					swal({
			  			title: 'Invalid field(s)',
			  			html: true,
			  			text: result.message,
			  			animation: 'slide-from-top',
			  			type: 'info',
			  			confirmButtonText: 'Ok',
			  			confirmButtonColor: '#32557B'
			  		});
					// return false;
				}
			}

			return cansubmit;
		}

		function radioSelected(frm,itm) {
			var radio = eval(itm);
			var radio_choice = false;
			for (counter = 0; counter < radio.length; counter++) {
				if (radio[counter].checked) {
					radio_choice = true;
				}
			}
			if (!radio_choice) {
				return (0);
			}
			return (1);
		}

		function checkInvalidCharacter(field) {
			strFileName = field.value.replace('C:\\fakepath\\','');
			iTemp = strFileName.indexOf(":");
			if (iTemp > -1) {
				swal({
		  			title: 'Invalid character',
		  			html: true,
		  			text: "Invalid character ':' found in file name. Please change the file name before attempting to upload this file.",
		  			animation: 'slide-from-top',
		  			type: 'info',
		  			confirmButtonText: 'Ok',
		  			confirmButtonColor: '#32557B'
		  		});
				field.value = '';
			}
			else {
				iTemp = strFileName.indexOf(",");
				if (iTemp > -1) {
					swal({
		  			title: 'Invalid character',
		  			html: true,
		  			text: "Invalid character ',' found in file name. Please change the file name before attempting to upload this file.",
		  			animation: 'slide-from-top',
		  			type: 'info',
		  			confirmButtonText: 'Ok',
		  			confirmButtonColor: '#32557B'
		  		});
					field.value = '';
				}
			}
		}
	</script>

		<input type="hidden" name="num_questions" value="14">
		<input type="hidden" name="formid" value="1">
		<INPUT TYPE="hidden" NAME="report_id" VALUE="">
		<INPUT TYPE="hidden" NAME="AllowedUploads" VALUE="doc,docx,pdf,ppt,pptx,xls,xlsx,txt,gif,jpg,png,jpe">
		<input type="hidden" name="curpage" value="2">
		<input type="hidden" name="savepage" value="1">
		<input type="hidden" name="debug" value="0">
		

		<input type="hidden" name="question_289" value="The address listed is my:">

		<textarea name="primaryQuestionResponseVal-289" id="primaryQuestionResponseVal-289" style="display:none;"></textarea>

		
				<div class="row appsRenewals_row_custom_questions   "
					id="question_289-group" data-membertypes="" data-questionid="289" data-primaryquestionid="0">
					<div class="col-md-12">
						

					<div class="form-group" id="response_289-group"> 
					
						
						<label class="col-form-label" for="response_289">The address listed is my:</label>
					
					 <span style="color: #FF0000; font-weight: bold;">*</span>
					
				
				<span title="">
			
			
								<br />
								
								
								<label for="response_1_response_289" style="font-weight: normal;">
									<input id="response_1_response_289" type="radio" name="response_289" value="Home address"
										 class="FORMLABELLEFT conditionalQuestionField" 
										
										 required 
										 />
									<span class="radio-choice">Home address</span>
								</label>
							
							
								<br />
								
								
								<label for="response_2_response_289" style="font-weight: normal;">
									<input id="response_2_response_289" type="radio" name="response_289" value="Work address"
										 class="FORMLABELLEFT conditionalQuestionField" 
										
										 required 
										 />
									<span class="radio-choice">Work address</span>
								</label>
							
							
				</span>

			</div> 

			
					</div>
				</div>
			
		
			<INPUT TYPE="hidden" NAME="response_289_required" VALUE="Please provide a response for 'The address listed is my:'.">
		
		<INPUT TYPE="hidden" NAME="response_289_question_id" VALUE="289">
		
	
		<input type="hidden" name="question_290" value="The phone number listed is my:">

		<textarea name="primaryQuestionResponseVal-290" id="primaryQuestionResponseVal-290" style="display:none;"></textarea>

		
				<div class="row appsRenewals_row_custom_questions   "
					id="question_290-group" data-membertypes="" data-questionid="290" data-primaryquestionid="0">
					<div class="col-md-12">
						

					<div class="form-group" id="response_290-group"> 
					
						
						<label class="col-form-label" for="response_290">The phone number listed is my:</label>
					
					 <span style="color: #FF0000; font-weight: bold;">*</span>
					
				
				<span title="">
			
			
								<br />
								
								
								<label for="response_1_response_290" style="font-weight: normal;">
									<input id="response_1_response_290" type="radio" name="response_290" value="Home Phone"
										 class="FORMLABELLEFT conditionalQuestionField" 
										
										 required 
										 />
									<span class="radio-choice">Home Phone</span>
								</label>
							
							
								<br />
								
								
								<label for="response_2_response_290" style="font-weight: normal;">
									<input id="response_2_response_290" type="radio" name="response_290" value="Work Phone"
										 class="FORMLABELLEFT conditionalQuestionField" 
										
										 required 
										 />
									<span class="radio-choice">Work Phone</span>
								</label>
							
							
								<br />
								
								
								<label for="response_3_response_290" style="font-weight: normal;">
									<input id="response_3_response_290" type="radio" name="response_290" value="Cell Phone"
										 class="FORMLABELLEFT conditionalQuestionField" 
										
										 required 
										 />
									<span class="radio-choice">Cell Phone</span>
								</label>
							
							
				</span>

			</div> 

			
					</div>
				</div>
			
		
			<INPUT TYPE="hidden" NAME="response_290_required" VALUE="Please provide a response for 'The phone number listed is my:'.">
		
		<INPUT TYPE="hidden" NAME="response_290_question_id" VALUE="290">
		
	
		<input type="hidden" name="question_291" value="Would you like to provide any additional contact information?">

		<textarea name="primaryQuestionResponseVal-291" id="primaryQuestionResponseVal-291" style="display:none;"></textarea>

		
				<div class="row appsRenewals_row_custom_questions   "
					id="question_291-group" data-membertypes="" data-questionid="291" data-primaryquestionid="0">
					<div class="col-md-12">
						

					<div class="form-group" id="response_291-group"> 
					
						
						<label class="col-form-label" for="response_291">Would you like to provide any additional contact information?</label>
					
					 <span style="color: #FF0000; font-weight: bold;">*</span>
					
				
				<span title="">
			
			
								<br />
								
								
								<label for="response_1_response_291" style="font-weight: normal;">
									<input id="response_1_response_291" type="radio" name="response_291" value="Yes"
										 class="FORMLABELLEFT conditionalQuestionField conditionalPrimaryQuestion" 
										
										 required 
										 />
									<span class="radio-choice">Yes</span>
								</label>
							
							
								<br />
								
								
								<label for="response_2_response_291" style="font-weight: normal;">
									<input id="response_2_response_291" type="radio" name="response_291" value="No"
										 class="FORMLABELLEFT conditionalQuestionField conditionalPrimaryQuestion" 
										
										 required 
										 />
									<span class="radio-choice">No</span>
								</label>
							
							
				</span>

			</div> 

			
					</div>
				</div>
			
		
			<INPUT TYPE="hidden" NAME="response_291_required" VALUE="Please provide a response for 'Would you like to provide any additional contact information?'.">
		
		<INPUT TYPE="hidden" NAME="response_291_question_id" VALUE="291">
		
	
		<input type="hidden" name="question_292" value="List an additional address, phone number, or email here:">

		<textarea name="primaryQuestionResponseVal-292" id="primaryQuestionResponseVal-292" style="display:none;">Yes</textarea>

		
		<div class="row appsRenewals_row_custom_questions conditionalQuestion primaryQuestionGroup-291 "
			id="question_292-group" data-membertypes="" data-questionid="292" data-primaryquestionid="291"><div class="col-md-12">
		

					<div class="form-group" id="response_292-group"> 
					
						
						<label class="col-form-label" for="response_292">List an additional address, phone number, or email here:</label>
					
					
				<span title="">
			
			
					<input class="form-control" ID="response_292"
						type="text"
						
						
						name="response_292"
						value=""
						maxlength="255"
						allowblank="true"
						
						
						 title="'List an additional address, phone number, or email here:' must be a valid "
						
						
						/>
				

				</span>

			</div> 

			
		</div></div>
	

		<INPUT TYPE="hidden" NAME="response_292_question_id" VALUE="292">
		
	
		<input type="hidden" name="question_274" value="Are you retired?">

		<textarea name="primaryQuestionResponseVal-274" id="primaryQuestionResponseVal-274" style="display:none;"></textarea>

		
				<div class="row appsRenewals_row_custom_questions   "
					id="question_274-group" data-membertypes="" data-questionid="274" data-primaryquestionid="0">
					<div class="col-md-12">
						

					<div class="form-group" id="response_274-group"> 
					
						
						<label class="col-form-label" for="response_274">Are you retired?</label>
					
					 <span style="color: #FF0000; font-weight: bold;">*</span>
					
				
				<span title="">
			
			
								<br />
								
								
								<label for="response_1_response_274" style="font-weight: normal;">
									<input id="response_1_response_274" type="radio" name="response_274" value="Yes"
										 class="FORMLABELLEFT conditionalQuestionField" 
										
										 required 
										 />
									<span class="radio-choice">Yes</span>
								</label>
							
							
								<br />
								
								
								<label for="response_2_response_274" style="font-weight: normal;">
									<input id="response_2_response_274" type="radio" name="response_274" value="No"
										 class="FORMLABELLEFT conditionalQuestionField" 
										
										 required 
										 />
									<span class="radio-choice">No</span>
								</label>
							
							
				</span>

			</div> 

			
					</div>
				</div>
			
		
			<INPUT TYPE="hidden" NAME="response_274_required" VALUE="Please provide a response for 'Are you retired?'.">
		
		<INPUT TYPE="hidden" NAME="response_274_question_id" VALUE="274">
		
	
		<input type="hidden" name="question_258" value="Upload your current resume:">

		<textarea name="primaryQuestionResponseVal-258" id="primaryQuestionResponseVal-258" style="display:none;"></textarea>

		
		<div class="row appsRenewals_row_custom_questions   "
			id="question_258-group" data-membertypes="" data-questionid="258" data-primaryquestionid="0">
			<div class="col-md-12">
				<div class="form-group" id="response_258-group">
					
					<label for="response_258" class="col-form-label">Upload your current resume:</label>
					 <span style="color: #FF0000; font-weight: bold;">*</span>
					<input type="file" name="response_258" id="response_258" size="30" accpet="*/*"  required
						 onchange="checkInvalidCharacter(this);">
						<span class="form-text text-muted">Allowed file types: doc,docx,pdf,ppt,pptx,xls,xlsx,txt,gif,jpg,png,jpe</span>
					</div>
				</div>
			</div>
			
			
			<INPUT TYPE="hidden" NAME="response_258_required" VALUE="Please provide a response for 'Upload your current resume:'.">
		
		<INPUT TYPE="hidden" NAME="response_258_question_id" VALUE="258">
		
	
		<input type="hidden" name="question_268" value="Upload your current bio:">

		<textarea name="primaryQuestionResponseVal-268" id="primaryQuestionResponseVal-268" style="display:none;"></textarea>

		
		<div class="row appsRenewals_row_custom_questions   "
			id="question_268-group" data-membertypes="" data-questionid="268" data-primaryquestionid="0">
			<div class="col-md-12">
				<div class="form-group" id="response_268-group">
					
					<label for="response_268" class="col-form-label">Upload your current bio:</label>
					
					<input type="file" name="response_268" id="response_268" size="30" accpet="*/*" 
						 onchange="checkInvalidCharacter(this);">
						<span class="form-text text-muted">Allowed file types: doc,docx,pdf,ppt,pptx,xls,xlsx,txt,gif,jpg,png,jpe</span>
					</div>
				</div>
			</div>
			
			
		<INPUT TYPE="hidden" NAME="response_268_question_id" VALUE="268">
		
	
		<input type="hidden" name="question_279" value="List all academic degrees, including the name of degree, university, city and state.">

		<textarea name="primaryQuestionResponseVal-279" id="primaryQuestionResponseVal-279" style="display:none;"></textarea>

		
		<div class="row appsRenewals_row_custom_questions   "
			id="question_279-group" data-membertypes="" data-questionid="279" data-primaryquestionid="0"><div class="col-md-12">
		

					<div class="form-group" id="response_279-group"> 
					
						
						<label class="col-form-label" for="response_279">List all academic degrees, including the name of degree, university, city and state.</label>
					
					 <span style="color: #FF0000; font-weight: bold;">*</span>
					
				
				<span title="">
			
			
					<input class="form-control" ID="response_279"
						type="text"
						
						
						name="response_279"
						value=""
						maxlength="4000"
						allowblank="false"
						 required 
						
						
						 title="'List all academic degrees, including the name of degree, university, city and state.' must be a valid "
						
						
						/>
				

				</span>

			</div> 

			
		</div></div>
	

			<INPUT TYPE="hidden" NAME="response_279_required" VALUE="Please provide a response for 'List all academic degrees, including the name of degree, university, city and state.'.">
		
		<INPUT TYPE="hidden" NAME="response_279_question_id" VALUE="279">
		
	
		<input type="hidden" name="question_277" value="List all past positions starting with most recent, including the date range, job title, name of company or organization, city and 
state.">

		<textarea name="primaryQuestionResponseVal-277" id="primaryQuestionResponseVal-277" style="display:none;"></textarea>

		
		<div class="row appsRenewals_row_custom_questions   "
			id="question_277-group" data-membertypes="" data-questionid="277" data-primaryquestionid="0"><div class="col-md-12">
		

					<div class="form-group" id="response_277-group"> 
					
						
						<label class="col-form-label" for="response_277">List all past positions starting with most recent, including the date range, job title, name of company or organization, city and state.</label>
					
					 <span style="color: #FF0000; font-weight: bold;">*</span>
					
				
					<textarea id="response_277" name="response_277" 
						
						rows="5" cols="29" class="form-control"
						 required 
						
						></textarea>
				
				
			</div> 

			
		</div></div>
	

			<INPUT TYPE="hidden" NAME="response_277_required" VALUE="Please provide a response for 'List all past positions starting with most recent, including the date range, job title, name of company or organization, city and 
state.'.">
		
		<INPUT TYPE="hidden" NAME="response_277_question_id" VALUE="277">
		
	
		<input type="hidden" name="question_267" value="Can we use the positions listed above publicly when sharing information about our members?">

		<textarea name="primaryQuestionResponseVal-267" id="primaryQuestionResponseVal-267" style="display:none;"></textarea>

		
			<div class="row appsRenewals_row_custom_questions   "
				id="question_267-group" data-membertypes="" data-questionid="267" data-primaryquestionid="0"><div class="col-md-12">
			

					<div class="form-group" id="response_267-group"> 
					
						
						<label class="col-form-label" for="response_267">Can we use the positions listed above publicly when sharing information about our members?</label>
					
					 <span style="color: #FF0000; font-weight: bold;">*</span>
					
				
				<span title="">
			
			
					<div id="form_divs_response_267">
					
					
						<select
						class="form-control conditionalQuestionField conditionalPrimaryQuestion"
						id="response_267" name="response_267" 
							 required 
							
							
							>
							
								
								<option value="" title="">select one</option>
							

									<option value="Yes" title="Yes" >Yes</option>
								
									
									<option value="No" title="No" >No</option>
								
							
						</select>
					
				</div>

				
				</span>

			</div> 

			
			</div>
		</div>
	

			<INPUT TYPE="hidden" NAME="response_267_required" VALUE="Please provide a response for 'Can we use the positions listed above publicly when sharing information about our members?'.">
		
		<INPUT TYPE="hidden" NAME="response_267_question_id" VALUE="267">
		
	
		<input type="hidden" name="question_278" value="What positions would you like kept private?">

		<textarea name="primaryQuestionResponseVal-278" id="primaryQuestionResponseVal-278" style="display:none;">No</textarea>

		
		<div class="row appsRenewals_row_custom_questions conditionalQuestion primaryQuestionGroup-267 "
			id="question_278-group" data-membertypes="" data-questionid="278" data-primaryquestionid="267"><div class="col-md-12">
		

					<div class="form-group" id="response_278-group"> 
					
						
						<label class="col-form-label" for="response_278">What positions would you like kept private?</label>
					
					 <span style="color: #FF0000; font-weight: bold;">*</span>
					
				
					<textarea id="response_278" name="response_278" 
						
						rows="5" cols="29" class="form-control"
						 required 
						
						></textarea>
				
				
			</div> 

			
		</div></div>
	

		<INPUT TYPE="hidden" NAME="response_278_question_id" VALUE="278">
		
	
		<input type="hidden" name="question_259" value="Name of the NCDHE member who referred you.">

		<textarea name="primaryQuestionResponseVal-259" id="primaryQuestionResponseVal-259" style="display:none;"></textarea>

		
		<div class="row appsRenewals_row_custom_questions   "
			id="question_259-group" data-membertypes="" data-questionid="259" data-primaryquestionid="0"><div class="col-md-12">
		

					<div class="form-group" id="response_259-group"> 
					
						
						<label class="col-form-label" for="response_259">Name of the NCDHE member who referred you.</label>
					
					 <span style="color: #FF0000; font-weight: bold;">*</span>
					
				
				<span title="">
			
			
					<input class="form-control" ID="response_259"
						type="text"
						
						
						name="response_259"
						value=""
						maxlength="255"
						allowblank="false"
						 required 
						
						
						 title="'Name of the NCDHE member who referred you.' must be a valid "
						
						
						/>
				

				</span>

			</div> 

			
		</div></div>
	

			<INPUT TYPE="hidden" NAME="response_259_required" VALUE="Please provide a response for 'Name of the NCDHE member who referred you.'.">
		
		<INPUT TYPE="hidden" NAME="response_259_question_id" VALUE="259">
		
	
		<input type="hidden" name="question_293" value="Each of us is committed to improving health equity, especially oral health equity by means of evidence-based measures and/or by 
means of sharing innovations that are measured and documented. All members commit to the principles of social justice and racial 
equity in health policies and practices and believes that every American deserves the right to have the achievable opportunity for 
health regardless of race, income, education, abilities, or sexual orientation. One example of this is that members commit to the 
equitable inclusion of oral health in all local, state, and national primary health care policies, whether they are financing, such as 
Medicare, Medicaid and Federally Qualified Health Centers legislation etc. or disease driven such as policies for the prevention, 
detection or remediation of cancer, diabetes, and others. Another example of the above is that each of us is responsible to be aware 
of the global and US history and experience with the care provided by dental therapists, their scope, quality, education, supervision, 
and the cost effectiveness when utilized in private practice, FQHCs and other nonprofit programs and support state adoption of 
dental therapy legislation that incorporates the standards established by the Commission on Dental Accreditation. What are we 
asking members to do? Primary Responsibilities are 1. Be familiar with and fully support the 
NCDHE position statements and 2. Be prepared to engage in advocacy to support the Mission, Vision and Values. Do you accept 
these responsibilities as a member of NCHDE?">

		<textarea name="primaryQuestionResponseVal-293" id="primaryQuestionResponseVal-293" style="display:none;"></textarea>

		
			<div class="row appsRenewals_row_custom_questions   "
				id="question_293-group" data-membertypes="" data-questionid="293" data-primaryquestionid="0"><div class="col-md-12">
			

					<div class="form-group" id="response_293-group"> 
					
						
						<label class="col-form-label" for="response_293">Each of us is committed to improving health equity, especially oral health equity by means of evidence-based measures and/or by means of sharing innovations that are measured and documented. All members commit to the principles of social justice and racial equity in health policies and practices and believes that every American deserves the right to have the achievable opportunity for health regardless of race, income, education, abilities, or sexual orientation. One example of this is that members commit to the equitable inclusion of oral health in all local, state, and national primary health care policies, whether they are financing, such as Medicare, Medicaid and Federally Qualified Health Centers legislation etc. or disease driven such as policies for the prevention, detection or remediation of cancer, diabetes, and others. Another example of the above is that each of us is responsible to be aware of the global and US history and experience with the care provided by dental therapists, their scope, quality, education, supervision, and the cost effectiveness when utilized in private practice, FQHCs and other nonprofit programs and support state adoption of dental therapy legislation that incorporates the standards established by the Commission on Dental Accreditation. What are we asking members to do? Primary Responsibilities are 1. Be familiar with and fully support the NCDHE position statements and 2. Be prepared to engage in advocacy to support the Mission, Vision and Values. Do you accept these responsibilities as a member of NCHDE?</label>
					
					 <span style="color: #FF0000; font-weight: bold;">*</span>
					
				
				<span title="Yes">
			
			
					<div id="form_divs_response_293">
					
					
						<select
						class="form-control conditionalQuestionField"
						id="response_293" name="response_293" 
							 required 
							
							
							>
							
								
								<option value="" title="">select one</option>
							

									<option value="Yes" title="Yes" selected>Yes</option>
								
									
									<option value="No" title="No" >No</option>
								
							
						</select>
					
				</div>

				
				</span>

			</div> 

			
			</div>
		</div>
	

			<INPUT TYPE="hidden" NAME="response_293_required" VALUE="Please provide a response for 'Each of us is committed to improving health equity, especially oral health equity by means of evidence-based measures and/or by 
means of sharing innovations that are measured and documented. All members commit to the principles of social justice and racial 
equity in health policies and practices and believes that every American deserves the right to have the achievable opportunity for 
health regardless of race, income, education, abilities, or sexual orientation. One example of this is that members commit to the 
equitable inclusion of oral health in all local, state, and national primary health care policies, whether they are financing, such as 
Medicare, Medicaid and Federally Qualified Health Centers legislation etc. or disease driven such as policies for the prevention, 
detection or remediation of cancer, diabetes, and others. Another example of the above is that each of us is responsible to be aware 
of the global and US history and experience with the care provided by dental therapists, their scope, quality, education, supervision, 
and the cost effectiveness when utilized in private practice, FQHCs and other nonprofit programs and support state adoption of 
dental therapy legislation that incorporates the standards established by the Commission on Dental Accreditation. What are we 
asking members to do? Primary Responsibilities are 1. Be familiar with and fully support the 
NCDHE position statements and 2. Be prepared to engage in advocacy to support the Mission, Vision and Values. Do you accept 
these responsibilities as a member of NCHDE?'.">
		
		<INPUT TYPE="hidden" NAME="response_293_question_id" VALUE="293">
		
	
		<input type="hidden" name="question_294" value="Check all that apply:">

		<textarea name="primaryQuestionResponseVal-294" id="primaryQuestionResponseVal-294" style="display:none;"></textarea>

		
			<div class="row appsRenewals_row_custom_questions   "
				id="question_294-group" data-membertypes="" data-questionid="294" data-primaryquestionid="0"><div class="col-sm-12">
			

					<div class="form-group" id="response_294-group"> 
					
						
						<label class="col-form-label" for="response_294">Check all that apply:</label>
					
					
				<span title="">
			
			
					<div id="checkboxGroup_response_294">
						<div style="display:none;">
							
							
									<input id="response_294_0"
										type="checkbox"
										name="response_294"
										value="I will participate in the business of the organization either providing administrative or content support"
										
										 /> I will participate in the business of the organization either providing administrative or content support
										
										<br>
								
									
									<input id="response_294_1"
										type="checkbox"
										name="response_294"
										value="I will testify at public hearings, sign letters to the editor and Op-eds"
										
										 /> I will testify at public hearings, sign letters to the editor and Op-eds
										
										<br>
								
									
									<input id="response_294_2"
										type="checkbox"
										name="response_294"
										value="I will participate in or be supportive of a speaker’s bureau"
										
										 /> I will participate in or be supportive of a speaker’s bureau
										
										<br>
								
									
									<input id="response_294_3"
										type="checkbox"
										name="response_294"
										value="I will respond to media requests following agreed upon media protocols"
										
										 /> I will respond to media requests following agreed upon media protocols
										
										<br>
								
									
									<input id="response_294_4"
										type="checkbox"
										name="response_294"
										value="I will participate in webinar training and conduct or participate in educational sessions for community groups, health professionals and advocates for the underserved, etc."
										
										 /> I will participate in webinar training and conduct or participate in educational sessions for community groups, health professionals and advocates for the underserved, etc.
										
										<br>
								
									
									<input id="response_294_5"
										type="checkbox"
										name="response_294"
										value="I am willing to write white papers"
										
										 /> I am willing to write white papers
										
										<br>
								
									
									<input id="response_294_6"
										type="checkbox"
										name="response_294"
										value="I will assist in writing grant proposals"
										
										 /> I will assist in writing grant proposals
										
										<br>
								
									
									<input id="response_294_7"
										type="checkbox"
										name="response_294"
										value="I will seek out and recommend other ways for NCDHE to increase visibility and gain public and policy maker support"
										
										 /> I will seek out and recommend other ways for NCDHE to increase visibility and gain public and policy maker support
										
										<br>
								
							
							<br><br>
						</div>
						
						
								<input id="display_response_294_0" type="checkbox"
									name="response_294_multicheckbox" value="I will participate in the business of the organization either providing administrative or content support" class="multicheckboxDisplay"
									data-fieldname="response_294" data-fieldctr="0"
								
								 />
								<label for="display_response_294_0" style="font-weight: normal;" class="radio-choice">I will participate in the business of the organization either providing administrative or content support</label>
								
								<br />
							
								
								<input id="display_response_294_1" type="checkbox"
									name="response_294_multicheckbox" value="I will testify at public hearings, sign letters to the editor and Op-eds" class="multicheckboxDisplay"
									data-fieldname="response_294" data-fieldctr="1"
								
								 />
								<label for="display_response_294_1" style="font-weight: normal;" class="radio-choice">I will testify at public hearings, sign letters to the editor and Op-eds</label>
								
								<br />
							
								
								<input id="display_response_294_2" type="checkbox"
									name="response_294_multicheckbox" value="I will participate in or be supportive of a speaker’s bureau" class="multicheckboxDisplay"
									data-fieldname="response_294" data-fieldctr="2"
								
								 />
								<label for="display_response_294_2" style="font-weight: normal;" class="radio-choice">I will participate in or be supportive of a speaker’s bureau</label>
								
								<br />
							
								
								<input id="display_response_294_3" type="checkbox"
									name="response_294_multicheckbox" value="I will respond to media requests following agreed upon media protocols" class="multicheckboxDisplay"
									data-fieldname="response_294" data-fieldctr="3"
								
								 />
								<label for="display_response_294_3" style="font-weight: normal;" class="radio-choice">I will respond to media requests following agreed upon media protocols</label>
								
								<br />
							
								
								<input id="display_response_294_4" type="checkbox"
									name="response_294_multicheckbox" value="I will participate in webinar training and conduct or participate in educational sessions for community groups, health professionals and advocates for the underserved, etc." class="multicheckboxDisplay"
									data-fieldname="response_294" data-fieldctr="4"
								
								 />
								<label for="display_response_294_4" style="font-weight: normal;" class="radio-choice">I will participate in webinar training and conduct or participate in educational sessions for community groups, health professionals and advocates for the underserved, etc.</label>
								
								<br />
							
								
								<input id="display_response_294_5" type="checkbox"
									name="response_294_multicheckbox" value="I am willing to write white papers" class="multicheckboxDisplay"
									data-fieldname="response_294" data-fieldctr="5"
								
								 />
								<label for="display_response_294_5" style="font-weight: normal;" class="radio-choice">I am willing to write white papers</label>
								
								<br />
							
								
								<input id="display_response_294_6" type="checkbox"
									name="response_294_multicheckbox" value="I will assist in writing grant proposals" class="multicheckboxDisplay"
									data-fieldname="response_294" data-fieldctr="6"
								
								 />
								<label for="display_response_294_6" style="font-weight: normal;" class="radio-choice">I will assist in writing grant proposals</label>
								
								<br />
							
								
								<input id="display_response_294_7" type="checkbox"
									name="response_294_multicheckbox" value="I will seek out and recommend other ways for NCDHE to increase visibility and gain public and policy maker support" class="multicheckboxDisplay"
									data-fieldname="response_294" data-fieldctr="7"
								
								 />
								<label for="display_response_294_7" style="font-weight: normal;" class="radio-choice">I will seek out and recommend other ways for NCDHE to increase visibility and gain public and policy maker support</label>
								
								<br />
							
						
					</div>
					
					<script type="text/javascript">
						    $(".multicheckboxDisplay").on("change", function () {
						         var thisChecked = $(this).prop("checked");
						         var thisVal = $(this).val().replace(/'/g, "\\'");
						         var thisUpdateFieldName = $(this).data('fieldname');
						          var thisUpdateFieldCtr = $(this).data('fieldctr');
						         $("#" + thisUpdateFieldName + "_" + thisUpdateFieldCtr +":checkbox[value='" + thisVal + "']").prop("checked",thisChecked);
						    });
					</script>

				
				</span>

			</div> 

			
			</div>
		</div>
	

		<INPUT TYPE="hidden" NAME="response_294_question_id" VALUE="294">
		
	
<INPUT TYPE="hidden" NAME="UploadFields" VALUE="258,268">


									<br />
							        <center>
										<button type="button" class="btn btn-primary btn-md" id="btnQuestionsNext">
											Next <i class="fa fa-arrow-down" aria-hidden="true"></i>
										</button> &nbsp;
										<button type="button" class="btn btn-secondary btn-md" id="btnQuestionsPrev">
									        Previous <i class="fa fa-arrow-up" aria-hidden="true"></i>
										</button>
									</center>
								</div>
						    </div>
						  </div>
					  
			      
					  <div class="card" id="panelOptions" >
					    <div class="card-header" role="tab" id="headingFive">
					      <h5 class="mb-0">
					       <a class="collapsed" style="display: none;" role="button" data-toggle="collapse" data-parent="#accordion" href="#collapseFive" id="accordionBtnFive"
					       	 aria-expanded="false" aria-controls="collapseFive">
					          Additional Options
					        </a>
					        <span id="accordionTitleFive">Additional Options</span>
					      </h5>
					    </div>
					    <div id="collapseFive" class="collapse" aria-labelledby="headingFive">
					      <div class="card-body">
							

		<div><strong>
		
			Select additional contact types to include as part of your membership:
		
		
		</strong></div>
		
	
		<div class="checkbox">
			<label for="ct_11_0">
				<input type="checkbox" class="ctCheckboxes" 
					name="ct_11_0" id="ct_11_0" value="0" onclick="updateCTTotal(this);"
					data-one-year="0" data-two-year="0" data-three-year="0" data-ct-id="11"
					data-ct-description="Board member">
				<span id="ct11">Board member - $0.00</span>
			</label>
		</div>
	
		
		<div class="checkbox">
			<label for="ct_12_0">
				<input type="checkbox" class="ctCheckboxes" 
					name="ct_12_0" id="ct_12_0" value="0" onclick="updateCTTotal(this);"
					data-one-year="0" data-two-year="0" data-three-year="0" data-ct-id="12"
					data-ct-description="Non-board member">
				<span id="ct12">Non-board member - $0.00</span>
			</label>
		</div>
	

							<br />
					        <center>
								<button type="button" class="btn btn-primary btn-md" id="btnCTNext">
									Next <i class="fa fa-arrow-down" aria-hidden="true"></i>
								</button> &nbsp;
								<button type="button" class="btn btn-secondary btn-md" id="btnCTPrev">
							        Previous <i class="fa fa-arrow-up" aria-hidden="true"></i>
								</button>
							</center>
					      </div>
					    </div>
					 </div>
			      
                    
				  <div class="card" id="panelPayment">
				    <div class="card-header" role="tab" id="headingSix">
				      <h5 class="mb-0">
				        <a class="collapsed" style="display: none;" role="button" data-toggle="collapse" data-parent="#accordion" href="#collapseSix" id="accordionBtnSix"
				        	aria-expanded="false" aria-controls="collapseSix">
				          Payment Details
				        </a>
				        <span id="accordionTitleSix">Payment Details</span>
				      </h5>
				    </div>

				    <div id="collapseSix" class="collapse" aria-labelledby="headingSix">
				      <div class="card-body">
					    
					    
		<br />
		<div class="row">
			<div class="col-sm-9">
				<label for="comments"><strong>Comments</strong></label><br />
				<textarea class="form-control" name="comments" id="comments" maxlength="500"></textarea>
			</div>
		</div>
		<br />
	

	<div id="memberTypeCouponDiv">
		
<input type="hidden" id="typecouponamount" name="typecouponamount" value="0" />


	<div class="form-group row" style="margin-bottom: 0rem;">
		<label for="typecouponcode" class="col-sm-3 col-form-label"><strong><span id="typeCouponCodeLabel"></span></strong></label>
		<div class="col-sm-3">
			<div class="input-group input-group-sm" style="max-width: 250px;">
				<input class="form-control" id="typecouponcode" name="typecouponcode" maxlength="100">
				<div class="input-group-append">
					<button class="btn btn-secondary" type="button" id="btnCouponApply" data-loading-text="Please wait..." onclick="validateTypeCoupon();">Apply</button>
		      	</div>
	      	</div>
		</div>
		<div class="col-sm-6" id="couponresult" style="margin-top: 7px;">
			
		</div>
	</div>
	<div class="row">
		<div class="col-md-12 form-text text-muted"><span id="typeCouponCodeDescription"></span></div>
	</div>

		<br />
	</div>

	
	<div id="memberApp_paymentDetails">
		
		
			<input type="hidden" id="expected_amount" name="expected_amount" value="0">
			<input type="hidden" id="expected_amount_work" name="expected_amount_work" value="0">
		
		
        <div class="row">
			<div class="col-lg-10 col-md-11 col-sm-12">
				
				
<style>
div#credit_card_number_work > iframe, div#csc_work > iframe, div#check_routingNumber > iframe, div#check_accountNumber > iframe {
    height: 35px;
    margin-top: -7px !important;
    border: 0px !important;
}
.form-check-inline .form-check-input {
	min-width: 15px;
}
.cscPopover {
	z-index: 1000000 !important;
}
.popover{
	max-width: 60% !important;
}
.dim-for-popover:after {
	content: '';
  	position: fixed;
  	top: 0;
  	left: 0;
  	width: 100%;
  	height: 100%;
  	background: rgba(0, 0, 0, .5);
  	z-index: 1000;
}
#savePaymentProfile_yes {
	height: 20px !important;
	width: 20px !important;
	margin-top: 0px;
}
#savePaymentProfile_label {
	margin-top: 0px !important;
	margin-left: 5px !important;
}
.paymentProfileListGroupItem {
	padding-top: 0.5rem !important;
	padding-right: 0.5rem !important;
	padding-bottom: 0.5rem;
	padding-left: 1rem !important;
	margin-bottom: 0px !important;
	font-size: 13px;
}
.paymentProfileRadio {
	height: 20px !important;
	width: 20px !important;
	margin-left: 0px !important;
	margin-top: .6rem !important;
}
.payment-popover-body {
	padding-top: 0.2rem !important;
	padding-right: 0.25rem !important;
	padding-bottom: 0.2rem !important;
	padding-left: 0.25rem !important;
}
.open-amount-description > p {
	margin-bottom: 0px;
}
.input-icon {
  position: relative;
}

.input-icon > i {
  position: absolute;
  display: block;
  transform: translate(0, -50%);
  top: 50%;
  pointer-events: none;
  width: 25px;
  text-align: center;
  font-style: normal;
}

.input-icon > input {
  padding-left: 25px;
  padding-right: 0;
  font-size: large;
}

.autoRenewRadio {
	height: 20px !important;
	width: 20px !important;
	margin-left: 0px !important;
	margin-top: .15rem !important;
}

.paymentTag_required-string {
	color: #bf110b;
}

.memberProfile_primaryInstallment {
	color: #13c0d2;
	margin-top: 13px;
}
.memberProfile_primaryStar {
	color: #f2cb30;
	margin-top: 13px;
}
.fa-star::before, .fa-star-o::before, .fa-refresh::before, .fa-chart-pie::before {
	padding-left: 15px !important;
}
.card {
	cursor: pointer;
	border-radius: 5px;
	overflow: hidden;
	-moz-transition: all 0.3s cubic-bezier(0.165, 0.84, 0.44, 1);
	-o-transition: all 0.3s cubic-bezier(0.165, 0.84, 0.44, 1);
	transition: all 0.3s cubic-bezier(0.165, 0.84, 0.44, 1);
}
.card.active {
	border: solid 3px var(--primary);
  	-webkit-transform: translate(0, -8px);
	-moz-transform: translate(0, -8px);
	-ms-transform: translate(0, -8px);
	-o-transform: translate(0, -8px);
	transform: translate(0, -8px);
	box-shadow: 0 20px 20px rgba(0, 0, 0, 0.2);
}
.card-body {
	padding: 1rem;
}
.checkInputColumn {
	display: none !important;
}
.tooltip {
	pointer-events: none;
}
.sweet-alert.surcharge > .sa-button-container > .sa-confirm-button-container > button.confirm {
    background-color: #bf110b !important;
}
			
@media (max-width: 767px) {
	.fa-2x {
		font-size: 1.5em;
	}
	.paymentProfileRadio {
		height: 15px !important;
		width: 15px !important;
	}
	.endingInColumn {
		min-width: 65px;
	}
	.checkInputColumn  {
		padding-left: 5px; max-width: 30px;
	}
}
</style>


	<input id="multiTotal" type="hidden" name="multiTotal" value="No">
	<input id="ordertotal_org" type="hidden" name="ordertotal_org" value="0">

	<div id="paymentAmountsTable" class="ccInfoTable">
		
			
				<input id="mordertotal" type="hidden" name="mordertotal" value="0">
				<input id="installmentslDueToday" type="hidden" value="0">
				<input id="firstInstallment" type="hidden" value="0">
						
				
					<input id="ordertotal_open" type="hidden" name="ordertotal_open" value="0" />
				

					<input id="ordertotal_open2" type="hidden" name="ordertotal_open2" value="0">
				
			
	</div>
	
	
		<input type="hidden" name="usePaymentProfile" value="">
		<input type="hidden" name="customerProfileID" value="">
		<input type="hidden" name="paymentProfileID" value="">
	
	
	<div class="ccInfoTable" id="paymentMethodsList">
		
		
		<div class="form-group row"> 
			<label for="pmt_method" class="col-sm-6 col-md-4 col-form-label"><strong>Payment Method</strong></label>
			<div class="col-sm-6 col-md-8">
				<select class="form-control" id="pmt_method" name="pmt_method" onchange="chgPmt();">
					<option value="">Select a new payment method</option>
					
						
						<option value="Visa">Visa</option>
					
						
						<option value="MC">Mastercard</option>
					
						
						<option value="AMEX">American Express</option>
					
						
						<option value="Disc">Discover</option>
					
				</select>
			</div>
		</div>
	</div>
	
		
		<div class="ccInfoTable" style="display:none;" id="electronicCheckPaymentInstructions">
			<div class="form-text text-muted" style="margin-bottom:20px;">
				Enter the name on the bank account according to the information shown on your bank statement.
				The account number and routing number can be copied from the lower left corner of the check.
				<a tabindex="-1" class="cscPopover" href="javascript:void(0);" data-toggle="popover" title="" data-content="
			<img src='/i4a/images/check-routing-account-number.jpg' class='img-fluid' style='max-width:400px;'>
		">
					<i class="fa fa-question-circle"></i>
				</a>
			</div>
		</div>
	

	<div class="ccInfoTable" style="display:none;" id="electronicCheckPaymentFields">
		<div class="form-group row">
			<label class="col-sm-4 col-form-label">Account Type</label>
			<div class="col-sm-8" style="margin-top: 7px;">
				<div class="form-check form-check-inline">
  					<input class="form-check-input" type="radio" name="check_accountType" id="checking_radio" value="checking" checked>
  					<label class="form-check-label" for="checking_radio">Checking</label>
				</div>
				<div class="form-check form-check-inline">
  					<input class="form-check-input" type="radio" name="check_accountType" id="savings_radio" value="savings">
  					<label class="form-check-label" for="savings_radio">Savings</label>
				</div>
			</div>
		</div>
		<div class="form-group row">
			<label for="check_routingNumber" class="col-sm-4 col-form-label">Routing Number</label>
			<div class="col-sm-8">
				<div class="form-control" id="check_routingNumber"></div>
			</div>
		</div>
		<div class="form-group row">
			<label for="check_accountNumber" class="col-sm-4 col-form-label">Account Number</label>
			<div class="col-sm-8">
				<div class="form-control" id="check_accountNumber"></div>
			</div>
		</div>
		<div class="form-group row">
			<label class="col-sm-4 col-form-label">Account Holder Type</label>
			<div class="col-sm-8" style="margin-top: 7px;">
				<div class="form-check form-check-inline">
  					<input class="form-check-input" type="radio" name="account_holderType" id="business_radio" value="business" checked onchange="updateBusinessName(this.value)">
  					<label class="form-check-label" for="business_radio">Business</label>
				</div>
				<div class="form-check form-check-inline">
  					<input class="form-check-input" type="radio" name="account_holderType" id="personal_radio" value="individual" onchange="updateBusinessName(this.value)">
  					<label class="form-check-label" for="personal_radio">Personal</label>
				</div>
			</div>
		</div>
		<div class="form-group row" id="row_businessName">
			<label for="check_businessName" class="col-sm-4 col-form-label">Business Name</label>
			<div class="col-sm-8">
				<input class="form-control" type="text" id="check_businessName" name="check_businessName" maxlength="64">
			</div>
		</div>
		<div class="form-group row" id="row_nameOnAccount" style="display:none;">
			<label for="check_nameOnAccount" class="col-sm-4 col-form-label">Account Holder Name</label>
			<div class="col-sm-8">
				<input class="form-control" type="text" id="check_nameOnAccount" name="check_nameOnAccount" maxlength="64">
			</div>
		</div>
		
		<small class="form-text text-muted">
			<i>By submitting payment, I am authorizing National Coalition of Dentists for Health Equity to initiate a single or recurring ACH/electronic debit
			in the amount indicated from the bank account I designated above. I understand that this Authorization will remain in
			full force and effect until the transaction is cancelled by me by contacting National Coalition of Dentists for Health Equity, or the ACH/electronic debit
			is processed from the designated account. I certify that (1) I am authorized to debit the bank account above and
			(2) the ACH/electronic payment I am authorizing complies with all applicable laws.</i>
		</small>
		<br />
	</div>

	<div class="ccInfoTable" style="display:none;" id="standardPaymentFields">
		<div class="form-group row" id="row_nameOnCard">
			<label for="credit_card_name_work" id="credit_card_name_work_label" class="col-sm-4 col-form-label">Name on Card</label>
			<div class="col-sm-8">
				<input class="form-control" type="text" id="credit_card_name_work" name="credit_card_name_work" maxlength="64" autocomplete="cc-name">
			</div>
		</div>
		<div class="form-group row" id="row_creditCardNumber">
			<label for="credit_card_number_work" class="col-sm-4 col-form-label">Card Number</label>
	  		<div class="col-sm-8">
	  			<div id="credit_card_number_work" class="form-control"></div>
  			</div>
		</div>

		
		<div class="form-group row" id="row_creditCardExpires">
			<label class="col-sm-4 col-form-label">Expiration</label>
			<div class="col-4">
				<select class="form-control" id="credit_card_expires_month_work" name="credit_card_expires_month_work">
					<option value=""></option>
					
					
						<option value="1">01 - January</option>
					
					
						<option value="2">02 - February</option>
					
					
						<option value="3">03 - March</option>
					
					
						<option value="4">04 - April</option>
					
					
						<option value="5">05 - May</option>
					
					
						<option value="6">06 - June</option>
					
					
						<option value="7">07 - July</option>
					
					
						<option value="8">08 - August</option>
					
					
						<option value="9">09 - September</option>
					
					
						<option value="10">10 - October</option>
					
					
						<option value="11">11 - November</option>
					
					
						<option value="12">12 - December</option>
					
				</select>
			</div>
			<div class="col-4">
				<select class="form-control" id="credit_card_expires_year_work" name="credit_card_expires_year_work">
					<option value=""></option>
					
						<option value="2026">2026</option>
					
						<option value="2027">2027</option>
					
						<option value="2028">2028</option>
					
						<option value="2029">2029</option>
					
						<option value="2030">2030</option>
					
						<option value="2031">2031</option>
					
						<option value="2032">2032</option>
					
						<option value="2033">2033</option>
					
						<option value="2034">2034</option>
					
						<option value="2035">2035</option>
					
						<option value="2036">2036</option>
					
						<option value="2037">2037</option>
					
						<option value="2038">2038</option>
					
						<option value="2039">2039</option>
					
						<option value="2040">2040</option>
					
						<option value="2041">2041</option>
					
				</select>
			</div>
		</div>

		
		<div class="form-group row" id="row_creditCardCSC">
			<label class="col-sm-4 col-form-label">
				CSC
				<a tabindex="-1" class="cscPopover" href="javascript:void(0);" data-toggle="popover" title="Card Security Code (CSC) Information" data-content="
			The card security code (CSC) is a 3 or 4 digit number (not part of the credit card number) that is printed on the credit card.
			Because the CSC appears only on the card and not on receipts or statements, the CSC provides additional security.
			<br /><br />
			<img src='/i4a/images/cv_card.jpg' class='img-fluid'>
		">
					<i class="fa fa-question-circle"></i>
				</a>
			</label>
			<div class="col-sm-8">
  				<div id="csc_work" class="form-control"></div>
			</div>
		</div>

		<div class="form-group row" id="row_creditCardAVS">
			<label for="avs_street" class="col-sm-4 col-form-label">Billing Street</label>
			<div class="col-sm-8">
				<input class="form-control" type="text" id="avs_street" name="avs_street" maxlength="255">
			</div>
		</div>
		<div class="form-group row" id="row_creditCardAVSZip">
			<label for="avs_zip" class="col-sm-4 col-form-label">Billing Zip Code</label>
			<div class="col-sm-8">
				<input class="form-control" type="text" id="avs_zip" name="avs_zip" maxlength="50">
			</div>
		</div>

		
			<input id="checknumber_work" type="hidden" name="checknumber_work" value="">
		

			<input id="ponumber_work" type="hidden" name="ponumber_work" value="">
		
	</div>
	
	<div class="ccInfoTable" id="additionalPaymentFields">
		
		
			<input type="hidden" name="savePaymentProfile" value="0">
		
		
			<div class="form-group row" id="installmentsTotalRow" style="display:none;">
				<label for="installmentsTotal" style="font-size: large;" class="col-sm-6 col-md-4 col-form-label text-info"><strong>Due Today</strong></label>
				<div class="col-sm-6 col-md-8">
					<strong style="font-size: large;">
					<div class="input-icon">
						<input class="form-control-plaintext text-info" style="background-color:transparent; box-shadow: none; font-weight: bold;" tabindex="-1" id="installmentsTotal" type="text" size="10" value="0.00" readonly>  
							<i class="text-info">$</i>
					</div>
					</strong>
				</div>
			</div>

            
                <input type="hidden" id="surcharge_amount" name="surcharge_amount" value="0">
            	<input type="hidden" id="surcharge_amount_work" name="surcharge_amount_work" value="0">
        		<input type="hidden" id="surchargeable" name="surchargeable" value="0">   
            
            
			<div class="form-group row">
				<label for="ordertotal_work" style="font-size: large;" class="col-sm-6 col-md-4 col-form-label text-info"><strong>Total Amount Due</strong></label>
				<div class="col-sm-6 col-md-8">
					<strong style="font-size: large;">
					<div class="input-icon">
                        <input class="form-control-plaintext text-info" style="background-color:transparent; box-shadow: none; font-weight: bold;" tabindex="-1" id="ordertotal_work" type="text" name="ordertotal_work" size="10" value="0.00" readonly>
						<i class="text-info">$</i>
					</div>
					</strong>
				</div>
				<input id="ordertotal" type="hidden" name="ordertotal" value="0.00">
				<input id="ordertotal_original" type="hidden" value="0.00">	
			</div>
		
		
			<br />
			
			
			<div id="autoRenewRow" style="visibility:visible;">
				<strong>Enable Automatic Renewals?</strong><span class="paymentTag_required-string"> *</span>
				<br />
				<div style="margin-bottom:10px;" class="form-text text-muted" id="autoRenewHelpText">
					Select <strong>"Yes"</strong> to enroll in automatic membership renewal. The payment method submitted with this form will be used
					for your future membership renewals. You can change the automatic renewal setting or saved payment method at any time in either
					the "Payment Methods" or "Renewal Settings" where you edit your profile.
				</div>
				<div style="margin-bottom:10px; display: none;" class="form-text text-muted" id="autoRenewInstallmentsHelpText">
					Select <strong>"Yes"</strong> to enroll in automatic membership renewal on installment payments. The payment method submitted 
					with this form will be used for future renewals. You can change the automatic renewal setting or saved payment method at any 
					time in either the "Payment Methods" or "Renewal Settings" where you edit your profile.
				</div>
				<div class="form-check form-check-inline">
  					<input class="form-check-input autoRenewRadio" type="radio" name="dues_autorenew" id="dues_autorenew_yes" value="1" onclick="setDuesAutoRenewSavedCard(1)" required>
  					<label class="form-check-label" for="dues_autorenew_yes" style="font-size: 16px; margin-top: 3px;">Yes</label>
				</div>
				<div class="form-check form-check-inline">
					<input class="form-check-input autoRenewRadio" type="radio" name="dues_autorenew" id="dues_autorenew_no" value="0" onclick="setDuesAutoRenewSavedCard(0)" required>
					<label class="form-check-label" for="dues_autorenew_no" style="font-size: 16px; margin-top: 3px;">No</label>
				</div>
			</div>
		
	</div>

	<input type="hidden" name="reloadFunction" value="onload='chgPmt();'">
	<input type="text" name="ccList" value="Visa,MC,AMEX,Disc" style="display:none !important;">
	<input type="hidden" name="poNumNotRequiredList" value="">
	<input type="hidden" name="payment_method" value="">
	<input type="hidden" name="payment_desc" value="">
	<input type="hidden" name="credit_card_type" value="">
	<input type="hidden" name="checknumber" value="">
	<input type="hidden" name="ponumber" value="">
	<input type="hidden" name="credit_card_name" value="">
	<input type="hidden" name="credit_card_number" value="">
	<input type="hidden" name="credit_card_expires_month" value="">
	<input type="hidden" name="credit_card_expires_year" value="">
	<input type="hidden" name="csc" value="">
	
	<input type="hidden" name="paymentToken" id="paymentToken" value="">

	
	<script src="https://cdn.affinipay.com/hostedfields/1.5.3/fieldGen_1.5.3.js" integrity="sha384-OInNoiApwwsc6xI2N+o4KHZ522+EmLGDTJFLwDEmuUum73mVEuytiQgy1/xpoEJO" crossorigin="anonymous"></script>

	<script>
		$(function () {
			$('[data-toggle="tooltip"]').tooltip();

			$('.cscPopover').popover({
	    		container: 'body',
	    		trigger: 'focus',
	    		html: true
	  		})
	  		.on('show.bs.popover', function () {
  				$('body').addClass('dim-for-popover');
			})
			.on('hide.bs.popover', function () {
  				$('body').removeClass('dim-for-popover');
			});
		});
		
		 
		const surcharge = 'false';
		const surchargeThreshold = '0';
		const publicKey = 'm_Trr2RbVRSUCzt1nVSsCPag';
		const bankAccountID = 'bank_McsCtQ8TNI6SiXhzWHz3P';

		const creditCardHostedFieldsConfig = {
			publicKey: publicKey,  // merchant public key
			surchargeEnabled: true,
    		fields: [
      			{ selector: '#credit_card_number_work', input: { type: 'credit_card_number' } },
      			{ selector: '#csc_work', input: { type: 'cvv' } }
    		]
  		};

  		const eCheckHostedFieldsConfig = {
    		publicKey: publicKey,  // merchant public key
    		surchargeEnabled: true,
    		fields: [
      			{ selector: '#check_routingNumber', input: { type: 'routing_number' }, error: 'Please provide the Routing Number.' },
      			{ selector: '#check_accountNumber', input: { type: 'bank_account_number' }, error: 'Please provide the Account Number.' }
    		]
  		};

		const hostedFieldsCallBack = function(state) {
			//console.log(JSON.stringify(state, null, 2));
			//console.log(state);
		};

		const creditCardHostedFields = window.AffiniPay.HostedFields.initializeFields(
			creditCardHostedFieldsConfig,
			hostedFieldsCallBack
  		);

  		const eCheckHostedFields = window.AffiniPay.HostedFields.initializeFields(
			eCheckHostedFieldsConfig,
			hostedFieldsCallBack
		);

		reloadPmt = 0;
        
        $('#avs_street, #avs_zip').on('blur', function () {
            if (creditCardHostedFields.getState() && creditCardHostedFields.getState().isReady) {
                // check to make sure the credit card is surchargeable
                var pmtMethodSurchargeable = false;
                
                $.each(creditCardHostedFields.getState().fields, function(index, field) { 
                    if (typeof field.surchargeable !== 'undefined') {
                        if (field.surchargeable == false || field.surchargeable == 'unknown' || field.surchargeable == 'false') {
                            $('#surchargeable').val(0);
                            $('#surcharge_amount').val(0);
                            $('#surcharge_amount_work').val(0);
                            if ($('#ordertotal_work').length > 0 && $('#ordertotal_work').val() > 0) {
                                $('#ordertotal_work').val($('#ordertotal_original').val());   
                            }
                        }
                        if (field.surchargeable == true || field.surchargeable == 'true') {
                            $('#surchargeable').val(1);
                            pmtMethodSurchargeable = true;
                        }       
                    }
                });
                
                if (pmtMethodSurchargeable == false) {
                    $('#surchargeable').val(0);
                    $('#surcharge_amount').val(0);
                    $('#surcharge_amount_work').val(0);
                    if ($('#ordertotal_work').length > 0 && $('#ordertotal_work').val() > 0) {
                        $('#ordertotal_work').val($('#ordertotal_original').val());   
                    } 
                }
            }
        });
        
		function updateBusinessName(value) {
			if (value == 'individual') {
				$('#row_businessName').hide('fast');
				$('#row_nameOnAccount').show('fast');
			}
			else {
				$('#row_businessName').show('fast');
				$('#row_nameOnAccount').hide('fast');
			}
		}

		function setDuesAutoRenewSavedCard(bEnrollAutoDues) {
			if ($('#savePaymentProfile_yes').length > 0) {
				if (bEnrollAutoDues == 1) {
					// require saved credit card when enrolling in auto dues renewal
					if (!$("input[name='usePaymentProfile']:checked").val()) {
						// none of the saved payments are checked
						$('#savePaymentProfile_yes').prop('checked', true).css('pointer-events', 'none').css('cursor', 'not-allowed');
						$('#savePaymentProfile_label').css('pointer-events', 'none');
					}
				}
				else {
					if ($('#installmentOptions').length > 0) {
						if ($('#installmentOptions').val() == 'full') {
							$('#savePaymentProfile_yes').css('pointer-events', 'auto').css('cursor', 'auto');
							$('#savePaymentProfile_label').css('pointer-events', 'auto');		
						}
						else {
							$('#savePaymentProfile_yes').prop('checked', true).css('pointer-events', 'none').css('cursor', 'not-allowed');
							$('#savePaymentProfile_label').css('pointer-events', 'none');
						}
					}
					else {
						$('#savePaymentProfile_yes').css('pointer-events', 'auto').css('cursor', 'auto');
						$('#savePaymentProfile_label').css('pointer-events', 'auto');
					}
				}
			}
		}

		function trim(strText) {
		    // this will get rid of leading spaces
		    while (strText.substring(0,1) == ' ')
		        strText = strText.substring(1, strText.length);

		    // this will get rid of trailing spaces
		    while (strText.substring(strText.length-1,strText.length) == ' ')
		        strText = strText.substring(0, strText.length-1);

		   return strText;
		}

		function isNumeric(sText) {
		   var ValidChars = "0123456789.";
		   var IsNumber=true;
		   var Char;

		   for (i = 0; i < sText.length && IsNumber == true; i++) {
		      Char = sText.charAt(i);
		      if (ValidChars.indexOf(Char) == -1) {
		         IsNumber = false;
		      }
		   }
		   return IsNumber;
		}

		function updateExpectedAmount() {
			
		}

		function validateCC(ccfrm) {
			var frm = eval('document.' + ccfrm);

			if (frm.multiTotal.value == 'Yes') {
				checkTotal();

				if (frm.ordertotal_work.value == '') {
					swal({
			  			title: 'Price',
			  			html: true,
			  			text: 'You must select a Price.',
			  			animation: 'slide-from-top',
			  			type: 'info',
			  			confirmButtonText: 'Ok',
			  			confirmButtonColor: '#337ab7'
			  		});
			  		return false;
				}
			}
			var obj = frm.pmt_method;
			var i = obj.selectedIndex;
			var pmt = $('#pmt_method').val();

			
				bUsePaymentProfile = 0;
			

			frm.credit_card_name.value = frm.credit_card_name_work.value;
			frm.credit_card_expires_month.value = frm.credit_card_expires_month_work.value;
			frm.credit_card_expires_year.value = frm.credit_card_expires_year_work.value;
			frm.checknumber.value = frm.checknumber_work.value;
			frm.ponumber.value = frm.ponumber_work.value;
			frm.ordertotal_work.value = frm.ordertotal_work.value.replace("$","");
			frm.ordertotal_work.value = frm.ordertotal_work.value.replace(",","");
			frm.ordertotal_open.value = frm.ordertotal_open.value.replace("$","");
			frm.ordertotal_open.value = frm.ordertotal_open.value.replace(",","");
			frm.ordertotal.value = frm.ordertotal_work.value;

			var autoRenewDiv = $('#autoRenewRow');
			if (autoRenewDiv.length > 0) {
				if (autoRenewDiv.is(':visible')) {
					var autoRenewYes = $('#dues_autorenew_yes').is(':checked');
					var autoRenewNo = $('#dues_autorenew_no').is(':checked');
					if (autoRenewYes == false && autoRenewNo == false) {
						swal({
				  			title: 'Automatic Renewals',
				  			html: true,
				  			text: 'Please select if you would like to enable Automatic Renewals.',
				  			animation: 'slide-from-top',
				  			type: 'info',
				  			confirmButtonText: 'Ok',
				  			confirmButtonColor: '#337ab7'
				  		});
				  		return false;
					}
				}
			}
			
			// if the payment selection is disabled (IE total = 0) then we just want to skip further validation
			if (obj.disabled == true) {
				return true;
			};

			if (bUsePaymentProfile == 1 && pmt == '') {
				
				return true;
			}

			// if they aren't using a payment profile AND haven't selected a payment type, can't continue - skip further validation
			if (bUsePaymentProfile == 0 && pmt == '') {
				swal({
		  			title: 'Payment Method',
		  			html: true,
		  			text: 'Please select a payment method.',
		  			animation: 'slide-from-top',
		  			type: 'info',
		  			confirmButtonText: 'Ok',
		  			confirmButtonColor: '#337ab7'
		  		});
		  		return false;
			}
			else {
				

				if (pmt != 'Check' && pmt != 'PO' && pmt != 'Purchase Order' && pmt != 'Apply' && $('#paymentToken').val() != '') {
					// this is either an electronic check or a credit card
					// and we have already validated the form and got the payment token
					return true;
				}

				if (pmt == 'Check') {
					frm.checknumber_work.value = trim(frm.checknumber_work.value);

					if (frm.credit_card_name_work.value == "") {
						swal({
				  			title: 'Payor Name',
				  			html: true,
				  			text: 'Please provide the name of the payor for the check.',
				  			animation: 'slide-from-top',
				  			type: 'info',
				  			confirmButtonText: 'Ok',
				  			confirmButtonColor: '#337ab7'
				  		});
				  		return false;
					}
					else if (frm.checknumber_work.value == "") {
						swal({
				  			title: 'Check Number',
				  			html: true,
				  			text: 'Please provide a check number.',
				  			animation: 'slide-from-top',
				  			type: 'info',
				  			confirmButtonText: 'Ok',
				  			confirmButtonColor: '#337ab7'
				  		});
				  		return false;
					}
					else {
						return true;
					}
				}
				else if (pmt == 'PO' || pmt == 'Purchase Order') {
					frm.ponumber_work.value = trim(frm.ponumber_work.value);
					if (frm.ponumber_work.value == '') {
						bPoNumDisabled = isPoNumDisabled(frm.poNumNotRequiredList.value,i);	// check to see if the po number field is disabled
						if (bPoNumDisabled == 1) {
							frm.ponumber_work.value = "N/A";	// set the value to N/A, don't require the user to enter anything
						}
						else {
							swal({
					  			title: 'PO Number',
					  			html: true,
					  			text: 'Please provide a PO Number.',
					  			animation: 'slide-from-top',
					  			type: 'info',
					  			confirmButtonText: 'Ok',
					  			confirmButtonColor: '#337ab7'
					  		});
					  		return false;
						}
					}
					return true;
				}
				else if (pmt == 'Electronic Check') {
					if (eCheckHostedFields.getState()) {
						const name = $('#check_nameOnAccount').val().trim();
						var given_name = '';
						var surname = '';
						
						if (name != '') {
							var nameArr = name.split(' ');
							if (nameArr.length == 1) {
								given_name = nameArr[0];
								surname = nameArr[0];
							}
							else if (nameArr.length == 2) {
								given_name = nameArr[0];
								surname = nameArr[1];
							}
							else {
								given_name = nameArr[0];
								let i = 1;
					
								while (i < nameArr.length) {
									thisValue = nameArr[i].replace('.', '').replace(',', '');
									if (thisValue.length > 1) {
										surname += thisValue + ' ';	
									}
								    i++;
								}
							}
						}
	  					const business_name = $('#check_businessName').val().trim();
	  					const isBusiness = $('#business_radio').is(':checked');
	  					const isSavings = $('#savings_radio').is(':checked');

						if (isBusiness && business_name == '') {
							swal({
					  			title: 'Business Name',
					  			html: true,
					  			text: 'Please provide the Business Name.',
					  			animation: 'slide-from-top',
					  			type: 'info',
					  			confirmButtonText: 'Ok',
					  			confirmButtonColor: '#337ab7'
					  		});
					  		return false;
						}
						else if (isBusiness == false && name == '') {
							swal({
					  			title: 'Account Holder Name',
					  			html: true,
					  			text: 'Please provide the Account Holder Name.',
					  			animation: 'slide-from-top',
					  			type: 'info',
					  			confirmButtonText: 'Ok',
					  			confirmButtonColor: '#337ab7'
					  		});
					  		return false;
						}
						else if (isBusiness == false && (typeof given_name === 'undefined' || typeof surname === 'undefined' || given_name == '' || surname == '')) {
							swal({
					  			title: 'Account Holder Name',
					  			html: true,
					  			text: 'Please provide the first and last name of the Account Holder.',
					  			animation: 'slide-from-top',
					  			type: 'info',
					  			confirmButtonText: 'Ok',
					  			confirmButtonColor: '#337ab7'
					  		});
					  		return false;
						}

						if (eCheckHostedFields.getState().isReady == false) {
							if (typeof grecaptcha !== 'undefined' && typeof grecaptcha.reset === 'function') {
								grecaptcha.reset();
							}
							
							$.each(eCheckHostedFields.getState().fields, function(index, field) {
  								if (field.error == 'Input field is empty') {
  									switch(field.type) {
  										case 'bank_account_number':
  											var alertTitle = 'Account Number';
  											break;
  										default:
  											var alertTitle = 'Routing Number';
  									}

  									swal({
							  			title: alertTitle,
							  			html: true,
							  			text: 'Please provide the ' + alertTitle + '.',
							  			animation: 'slide-from-top',
							  			type: 'info',
							  			confirmButtonText: 'Ok',
							  			confirmButtonColor: '#337ab7'
							  		});
							  		return false;
  								}
  								else if (field.error != '') {
									swal({
							  			title: 'Error',
							  			html: true,
							  			text: field.error + '.',
							  			animation: 'slide-from-top',
							  			type: 'info',
							  			confirmButtonText: 'Ok',
							  			confirmButtonColor: '#337ab7'
							  		});
							  		return false;
  								}
							});
						}
                        
						if (eCheckHostedFields.getState() && eCheckHostedFields.getState().isReady && (given_name != '' || business_name != '')) {
							// check to make sure the bank account is surchargeable
							var proceed = true;
							
							/*
							var pmtMethodSurchargeable = false;
							
                            $.each(eCheckHostedFields.getState().fields, function(index, field) {
                                if (typeof field.surchargeable !== 'undefined') {
                                    if (field.surchargeable == false || field.surchargeable == 'unknown' || field.surchargeable == 'false') {
                                        $('#surchargeable').val(0);
                                        $('#surcharge_amount').val(0);
                                        $('#surcharge_amount_work').val(0);
                                        
                                        if ($('#ordertotal_work').length > 0 && $('#ordertotal_work').val() != 0) {
                                            $('#ordertotal_work').val($('#ordertotal_original').val());
                                            
                                            // if expected_amount_work is enabled, need to stop and let them know about surcharge so they could update the amount received
                                            if ($('#expected_amount_work').length > 0) {
                                                swal({
                                                    title: '<span style="color:#bf110b;">Surcharge Removed</span>',
                                                    html: true,
                                                    text: 'This bank account is not surchargeable. Please update the Amount Received before proceeding.',
                                                    animation: 'slide-from-top',
                                                    type: 'error',
                                                    confirmButtonText: 'Ok',
                                                    confirmButtonColor: '#bf110b'
                                                });
                                                proceed = false;
                                                return false;
                                            }
                                            else {
                                                swal({
                                                    title: 'Surcharge Removed',
                                                    html: true,
                                                    text: 'This bank account is not surchargeable. Click Ok and then Submit to proceed.',
                                                    animation: 'slide-from-top',
                                                    type: 'info',
                                                    confirmButtonText: 'Ok',
                                                    confirmButtonColor: '#337ab7'
                                                });
                                                proceed = false;
                                                return false;
                                            }	
                                        }
                                    }
                                    if (field.surchargeable == true || field.surchargeable == 'true') {
                                    	$('#surchargeable').val(1);
                                    	pmtMethodSurchargeable = true;
                                    }
                                } 
                            });
                            
                            if (pmtMethodSurchargeable == false) {
                            	$('#surchargeable').val(0);
                                $('#surcharge_amount').val(0);
                                $('#surcharge_amount_work').val(0);
                                
                                if ($('#ordertotal_work').length > 0) {
                                    $('#ordertotal_work').val($('#ordertotal_original').val());
                                }
                            }
                            */
                            
                            if (proceed) {
                                var extra_fields = {
                                    account_holder_type: isBusiness ? 'business' : 'individual',
                                    account_type: isSavings ? 'savings' : 'checking'
                                };
    
                                if (isBusiness) {
                                    extra_fields.name = business_name;
                                }
                                else {
                                    extra_fields.given_name = given_name;
                                    extra_fields.surname = surname;
                                    if (surname.length > 40) {
                                        extra_fields.surname = surname.substring(0, 40);    
                                    }
                                }
    
                                eCheckHostedFields.getPaymentToken(extra_fields)
                                .then(function (result) {
                                    // if getPaymentToken returns successfully you may pass your payment token to your backend service
                                    $('#paymentToken').val(result.id);
                                    
                                        $('#btnPaymentNext').trigger('click');
                                    
                                }).catch(function (err) {
                                    console.log(err);
                                    return false;
                                });	
                            }
						}
					}
					else {
						// something is wrong with eCheck hosted fields
						console.log(eCheckHostedFields.getState());
						return false;
					}

				}
				else if (pmt == "Apply") {
					return true;
				}

				else {
					// credit card payment
					if (creditCardHostedFields.getState()) {
						const exp_month = $('#credit_card_expires_month_work').val();
			      		const exp_year = $('#credit_card_expires_year_work').val();
			      		const avs_street = $('#avs_street').val().trim();
			      		const avs_zip = $('#avs_zip').val().trim();
			      		const card_name = $('#credit_card_name_work').val().trim();

						if (card_name == '') {
							swal({
					  			title: 'Name on Card',
					  			html: true,
					  			text: 'Please provide the Name on Card.',
					  			animation: 'slide-from-top',
					  			type: 'info',
					  			confirmButtonText: 'Ok',
					  			confirmButtonColor: '#337ab7'
					  		});
					  		return false;
						}
						if (exp_month == '') {
							swal({
					  			title: 'Expiration Month',
					  			html: true,
					  			text: 'Please provide the Expiration Month.',
					  			animation: 'slide-from-top',
					  			type: 'info',
					  			confirmButtonText: 'Ok',
					  			confirmButtonColor: '#337ab7'
					  		});
					  		return false;
						}
						if (exp_year == '') {
							swal({
					  			title: 'Expiration Year',
					  			html: true,
					  			text: 'Please provide the Expiration Year.',
					  			animation: 'slide-from-top',
					  			type: 'info',
					  			confirmButtonText: 'Ok',
					  			confirmButtonColor: '#337ab7'
					  		});
					  		return false;
						}
						if (avs_street == '') {
							swal({
					  			title: 'Billing Street',
					  			html: true,
					  			text: 'Please provide the Billing Street.',
					  			animation: 'slide-from-top',
					  			type: 'info',
					  			confirmButtonText: 'Ok',
					  			confirmButtonColor: '#337ab7'
					  		});
					  		return false;
						}
						if (avs_zip == '') {
							swal({
					  			title: 'Billing Zip Code',
					  			html: true,
					  			text: 'Please provide the Billing Zip Code.',
					  			animation: 'slide-from-top',
					  			type: 'info',
					  			confirmButtonText: 'Ok',
					  			confirmButtonColor: '#337ab7'
					  		});
					  		return false;
						}
						
						if ($('#installmentOptions').length > 0 && $('#installmentOptions').val() != 'full') {
							var thisCardExp = exp_month + '-01-' + exp_year;
							var installmentsLastPayment = $('#installmentsLastPayment').val();
							
							const thisCardExpDate = Date.parse(thisCardExp);
							const installmentsLastPaymentDate = Date.parse(installmentsLastPayment);
							
							if (thisCardExpDate <= installmentsLastPaymentDate) {
				  				swal({
						  			title: 'Card Expiration',
						  			html: true,
						  			text: 'Your credit card expiration date is prior to the last installment payment. Please use a different card, or select the option to pay in full.',
						  			animation: 'slide-from-top',
						  			type: 'info',
						  			confirmButtonText: 'Ok',
						  			confirmButtonColor: '#337ab7'
						  		});
						  		return false;
							}	
						}
						
						var proceed = true;
						
						if (creditCardHostedFields.getState().isReady == false) {
							if (typeof grecaptcha !== 'undefined' && typeof grecaptcha.reset === 'function') {
								grecaptcha.reset();
							}
							
							$.each(creditCardHostedFields.getState().fields, function(index, field) {
  								if (field.error == 'Input field is empty') {
  									switch(field.type) {
  										case 'credit_card_number':
  											var alertTitle = 'Card Number';
  											break;
  										default:
  											var alertTitle = 'Card CSC';
  									}

  									swal({
							  			title: alertTitle,
							  			html: true,
							  			text: 'Please provide the ' + alertTitle + '.',
							  			animation: 'slide-from-top',
							  			type: 'info',
							  			confirmButtonText: 'Ok',
							  			confirmButtonColor: '#337ab7'
							  		});
							  		proceed = false;
							  		return false;
  								}
  								else if (field.error == 'Invalid credit card number') {
  									swal({
							  			title: 'Card Number',
							  			html: true,
							  			text: 'Invalid credit card number.',
							  			animation: 'slide-from-top',
							  			type: 'info',
							  			confirmButtonText: 'Ok',
							  			confirmButtonColor: '#337ab7'
							  		});
							  		proceed = false;
							  		return false;
  								}
  								else if (field.error == 'Invalid CVV number') {
  									swal({
							  			title: 'CSC Number',
							  			html: true,
							  			text: 'Invalid card CSC number.',
							  			animation: 'slide-from-top',
							  			type: 'info',
							  			confirmButtonText: 'Ok',
							  			confirmButtonColor: '#337ab7'
							  		});
							  		proceed = false;
							  		return false;
  								}
  								else if (field.error != '') {
  									swal({
							  			title: 'Warning',
							  			html: true,
							  			text: field.error,
							  			animation: 'slide-from-top',
							  			type: 'info',
							  			confirmButtonText: 'Ok',
							  			confirmButtonColor: '#337ab7'
							  		});
							  		proceed = false;
							  		return false;
  								}
							});
						}
						else {
							var pmtMethodSurchargeable = false;
							
							$.each(creditCardHostedFields.getState().fields, function(index, field) {
								// need to check the CSC for being blank; seems like an AffiniPay bug in hosted fields
								if (field.type == 'cvv' && field.length == 0) {
									swal({
							  			title: 'Card CSC',
							  			html: true,
							  			text: 'Please provide the Card CSC.',
							  			animation: 'slide-from-top',
							  			type: 'info',
							  			confirmButtonText: 'Ok',
							  			confirmButtonColor: '#337ab7'
							  		});
							  		proceed = false;
							  		return false;
								}
						        
								// check to make sure the card is surchargeable
                                if (typeof field.surchargeable !== 'undefined') {
                                    if (field.surchargeable == false || field.surchargeable == 'unknown' || field.surchargeable == 'false') {
                                        $('#surchargeable').val(0);
                                        $('#surcharge_amount').val(0);
                                        $('#surcharge_amount_work').val(0);
                                        
                                        if ($('#ordertotal_work').length > 0 && $('#ordertotal_work').val() != 0) {
                                            $('#ordertotal_work').val($('#ordertotal_original').val());
                                            
                                            // if expected_amount_work is enabled, need to stop and let them know about surcharge so they could update the amount received
                                            /*
                                            if ($('#expected_amount_work').length > 0 && $('#expected_amount_work').is(':visible') && $('#expected_amount_work').val() != $('#ordertotal_work').val()) {
                                                swal({
                                                    title: '<span style="color:#bf110b;">Surcharge Removed</span>',
                                                    html: true,
                                                    text: 'This card is not surchargeable. Please update the Amount Received before proceeding.',
                                                    animation: 'slide-from-top',
                                                    type: 'warning',
                                                    confirmButtonText: 'Ok',
                                                    confirmButtonColor: '#bf110b !important',
                                                    customClass: 'surcharge'
                                                });
                                                proceed = false;
                                                return false;
                                            }
                                            else {
                                                swal({
                                                    title: 'Surcharge Removed',
                                                    html: true,
                                                    text: 'This card is not surchargeable. Click Ok and then Submit to proceed.',
                                                    animation: 'slide-from-top',
                                                    type: 'info',
                                                    confirmButtonText: 'Ok',
                                                    confirmButtonColor: '#337ab7'
                                                });
                                                proceed = false;
                                                return false;
                                            }*/	
                                        }   
                                    }
                                    if (field.surchargeable == true || field.surchargeable == 'true') {
                                        $('#surchargeable').val(1);
                                        pmtMethodSurchargeable = true;
                                    }    	
                                }
							});
							
							if (pmtMethodSurchargeable == false) {
								$('#surchargeable').val(0);
                                $('#surcharge_amount').val(0);
                                $('#surcharge_amount_work').val(0);
                                if ($('#ordertotal_work').length > 0) {
                                    $('#ordertotal_work').val($('#ordertotal_original').val());   
                                } 
							}
							
							if (proceed) {
								if (creditCardHostedFields.getState() && creditCardHostedFields.getState().isReady && avs_street != '' && avs_zip != '' && exp_month != '' && exp_year != '') {
									var extra_fields = {
						  				postal_code: avs_zip,
						  				address1: avs_street,
						  				exp_year: exp_year,
						  				exp_month: exp_month,
						  				name: card_name,
						  				given_name: card_name
						  			};
		
									creditCardHostedFields.getPaymentToken(extra_fields)
						        	.then(function (result) {
						          		// if getPaymentToken returns successfully you may pass your payment token to your backend service
						         		$('#paymentToken').val(result.id);
						         		
						         			$('#btnPaymentNext').trigger('click');
						         		
						        	}).catch(function (err) {
						        		console.log(err);
						        		return false;
						      		});
								}		
							}
						}
					}
					else {
						// something is wrong with credit card hosted fields
						console.log(creditCardHostedFields.getState());
						return false;
					}
				}
			}
			return false;
		}

		function checkTotal() {
			chgPmt();
			
			var frm = eval('document.memberAppForm');
			obj = frm.mordertotal;
			i = obj.selectedIndex;
			var thisTotal = 0;
			for (counter = 0; counter < obj.length; counter++) {
				if (obj[counter].checked) thisTotal = obj[counter].value;
			}
			if (obj.length == undefined) {
				thisTotal = (obj.value * 1);
			}

			thisTotal = (thisTotal * 1);
			
			
				thisTotal = (frm.ordertotal_org.value * 1);
			
			
			fmoTotal = 0;
			
			if ($('#ordertotal_open').length > 0) {
				if ($('#ordertotal_open').val() == '' || $('#ordertotal_open').val() < 0) {
					$('#ordertotal_open').val(0);
				}
				fmoTotal += parseFloat($('#ordertotal_open').val());
			}

			if ($('#ordertotal_open2').length > 0) {
				if ($('#ordertotal_open2').val() == '' || $('#ordertotal_open2').val()< 0) {
					$('#ordertotal_open2').val(0);
				}
				fmoTotal += parseFloat($('#ordertotal_open2').val());
			}
			
			if (fmoTotal == '') fmoTotal = 0;

            var newTotal = (thisTotal * 1) + (fmoTotal * 1);
            newTotal = Math.round(newTotal * 100) / 100;
            newTotal = parseFloat(newTotal).toFixed(2);
            
            $('#ordertotal_work').val(newTotal);
            if ($('#ordertotal').length > 0) {
                $('#ordertotal').val(newTotal);	
            }
            
            if ($('#ordertotal_original').length > 0) {
            	$('#ordertotal_original').val(newTotal);
            }
			
			if ($('#showAmountOrderTotal').length > 0) {
				$('#showAmountOrderTotal').val(newTotal);
			}
			
			
			thisTotal = frm.ordertotal_work.value;
			 
			
    			if (thisTotal == 0) {
    				disableObj('credit_card_name_work');
    				disableObj('credit_card_number_work');
    				disableObj('credit_card_expires_month_work');
    				disableObj('credit_card_expires_year_work');
    				frm.payment_method.value = "";
    				disableObj('pmt_method');
    				frm.credit_card_type.value="";
    				frm.checknumber_work.value="";
    				frm.ponumber_work.value="";
    				
    				disableObj('checknumber_work');
    				disableObj('ponumber_work');
    				$('.paymentProfileListGroupItem').removeClass('active');
    				$('.paymentProfileRadio').prop('checked', false);
    				if ($('#autoRenewRow').length > 0) {
    					$('#autoRenewRow').hide();	
    				}
    				if ($('#savedPaymentMethodsDetails').length > 0) {
    					$('#savedPaymentMethodsDetails').hide();	
    				}
    				if ($('#paymentMethodsList').length > 0) {
    					$('#paymentMethodsList').hide();
    				}
    				if ($('#amountReceived').length > 0) {
    					$('#amountReceived').hide();
    				}
    			}
    			else {
    				enableObj('pmt_method');
    				if ($('#savedPaymentMethodsDetails').length > 0) {
    					$('#savedPaymentMethodsDetails').show();	
    				}
    				if ($('#paymentMethodsList').length > 0) {
    					$('#paymentMethodsList').show();
    				}
    				if ($('#amountReceived').length > 0) {
    					$('#amountReceived').show();
    				}
    				chgPmt();
    			}
			
			
			chgPmt();
		}

		function hideAutoRenewOptions(frm){
			
				$('#autoRenewRow').hide();
				if (document.getElementById('dues_autorenew_no')) {
					//document.getElementById('dues_autorenew_no').checked = true;	// set auto renew value back to false/No if not paying by credit card
				}
			
			return;
		}

		function showAutoRenewOptions() {
			
				if ($('#autoRenewRow').is(':visible') == false) {
					document.getElementById('dues_autorenew_yes').checked = false;
					document.getElementById('dues_autorenew_no').checked = false;
					$('#autoRenewRow').show();
					if ($('#installmentOptions').length > 0 && $('#installmentOptions').val() != 'full') {
						$('#autoRenewInstallmentsHelpText').show();
						$('#autoRenewHelpText').hide();
					}
					else {
						$('#autoRenewInstallmentsHelpText').hide();
						$('#autoRenewHelpText').show();
					}
				}
			
			return;
		}

		function disableCreditCardFields(frm) {
			disableObj('credit_card_name_work');
			disableObj('credit_card_number_work');
			disableObj('credit_card_expires_month_work');
			disableObj('credit_card_expires_year_work');

			$('#credit_card_name_work').val('');
			$('#credit_card_number_work').val('');
			$('#credit_card_expires_month_work').val('');
			$('#credit_card_expires_year_work').val('');
			$('#credit_card_type').val('');

			disableObj('csc_work');
			$('#csc_work').val('');

			disableObj('avs_street');
			disableObj('avs_zip');
			$('#avs_street').val('');
			$('#avs_zip').val('');

			
		}
		
		function useStoredPayment(paymentProfileID, paymentType) {
			var frm = eval('document.memberAppForm');
			// remove previously entered values in payment fields if using stored credits cards and run chgPmt() function to reset
			
				$('#usePaymentProfile_'+paymentProfileID).prop("checked", true);
				$('.card').removeClass('active');
				$('.card_'+paymentProfileID).addClass('active');
                $('#paymentProfileType').val(paymentType);
                
				// using stored card - remove other payment method info
				frm.pmt_method.selectedIndex = 0;
				
				// make sure save new payment profile option is unchecked and disabled
				if (document.getElementById('savePaymentProfile_yes')) {
					document.getElementById('savePaymentProfile_yes').checked = false;
					$('#savePaymentProfileRow').hide();
				}
				$('#standardPaymentFields').hide();
				
				if (surcharge == 'true') {
					var thisCard = $('input[name="' +paymentProfileID+ '"]');
                    var surchargeable = thisCard.data('surchargeable');
                
					$('#surcharge_amount').val(0);
                    $('#surcharge_amount_work').val(0);
                    $('#ordertotal_work').val($('#ordertotal_original').val());
                    
                    var amount = '0';
                    if ($('#ordertotal_work').length > 0 && $('#ordertotal_work').val() != '') {
                    	amount = $('#ordertotal_work').val();
                    }
                    
                    // check if installments fee is enabled, if so, include it in the total
                    if ($('#installmentsFee').length > 0 && $('#installmentOptions').val() != 'full') {
                        var installmentsFee = $('#installmentsFee').val();
                        if (installmentsFee == '') {
                        	installmentsFee = 0;
                        }
                        amount = parseFloat(amount) + parseFloat(installmentsFee); 
                    }
                    
                    // need to check for surcharge with AffiniPay
                    if (amount > 0 && amount >= parseFloat(surchargeThreshold) && (surchargeable == 1 || surchargeable == '1')) {
                    	swal({
                            title: 'Please wait...',
                            text: '<h1 style="font-size: 4rem;"><i class="fa-solid fa-circle-notch fa-spin text-success"></i></h1><br>We\'re gathering the surcharge details.',
                            html: true,
                            type: '',
                            animation: 'slide-from-top',
                            allowOutsideClick: false,
                            allowEscapeKey: false,
                            showConfirmButton: false
                        });
                    	
                        $.ajax({
                            url: '/i4a/utilities/cfc/affiniPay.cfc?method=getSurchargeAmount&_nodom=true',
                            type: 'POST',
                            data: {
                                public_key: 'm_Trr2RbVRSUCzt1nVSsCPag',
                                bank_account_id: 'bank_McsCtQ8TNI6SiXhzWHz3P',
                                amount: amount
                              },
                            error: function(data, status, error) {
                                swal('Error', 'Sorry, something went wrong.', 'error');
                            }
                        }).done(function(jsonReturn) {
                            var result = JSON.parse(jsonReturn);
                            if (result.success) {
                                var surcharges = JSON.parse(result.data);
                                if (surcharges.length > 0) {
                                    $.each(surcharges, function(index, value) {
                                        if ((value.type == 'card' && paymentType == 'creditcard') || (value.type == 'bank' && paymentType == 'echeck') && value.surcharge_amount > 0) {
                                            var surcharge_amount = value.surcharge_amount / 100;
                                            surcharge_amount = parseFloat(surcharge_amount);
                                            surcharge_amount = surcharge_amount.toFixed(2);
                                            var surcharge_rate = value.surcharge_rate / 100;
                                            
                                            $('#surcharge_amount').val(surcharge_amount);
                                            $('#surcharge_amount_work').val(surcharge_amount);
                                            
                                            orderTotal = $('#ordertotal_original').val().replace("$","");
                                            orderTotal = orderTotal.replace(",","");
                                            var newTotal = parseFloat(orderTotal) + parseFloat(surcharge_amount);
                                            $('#ordertotal_work').val(newTotal.toFixed(2));
                                        }
                                    });
                                }
                                swal.close();
                            }
                            else {
                                swal('Error', result.message, 'error');
                            }
                        }); 
                    }
                }
			
		}
		
		function chgPmt() {
			// first reset total and surcharge amounts
			if (surcharge == 'true') {
                $('#surcharge_amount').val(0);
                $('#surcharge_amount_work').val(0);
                $('#ordertotal_work').val($('#ordertotal_original').val());	
			}
			
			var frm = eval('document.memberAppForm');
			obj = frm.pmt_method;
			i = obj.selectedIndex;
			var bAutoRenewOptionsShown = 0;	// set default value
			
			if ($('#installmentOptions').length > 0) {
				$('#installmentOptions').val('full');
			}

			if (i == 0) {
				// run when no payment method is selected
				disableCreditCardFields(frm);	// combined function to disable all credit card related fields
				disableObj('checknumber_work');
				disableObj('ponumber_work');

				if ($('#electronicCheckPaymentInstructions').length > 0) {
					$('#electronicCheckPaymentInstructions').hide();
				}
				if ($('#electronicCheckPaymentFields').length > 0) {
					$('#electronicCheckPaymentFields').hide();
				}

				$('#row_poNumber').hide();
				$('#row_nameOnCard').hide();
				$('#row_creditCardNumber').hide();
				$('#row_creditCardExpires').hide();
				$('#row_creditCardCSC').hide();
				$('#row_creditCardAVS').hide();
				$('#row_creditCardAVSZip').hide();
				$('#installmentsTotalRow').hide();
				
				
				frm.payment_method.value = "";
				frm.payment_desc.value = "";
				frm.credit_card_type.value="";

				
			} 
			else {
				pmt = obj.options[i].value;

				
				// code to show/hide group of fields for payment fields
				if (pmt == "Electronic Check") {
					// show electronic check payment fields and info and proceed with validateCC
					$('#standardPaymentFields').hide();
					$('#electronicCheckPaymentFields').show();

					
						$('#electronicCheckPaymentInstructions').show();
					
					$('#checking_radio').trigger('focus');
					
				} 
				else {
					// show standard payment fields and proceed with validateCC
					$('#electronicCheckPaymentFields').hide();
					
						$('#electronicCheckPaymentInstructions').hide();
					
					$('#standardPaymentFields').show();
					// make sure no data is left in the checking fields if not paying by electronic check
					$('#check_nameOnAccount').val('');
					$('#check_routingNumber').val('');
					$('#check_accountNumber').val('');
				}

				
				frm.payment_desc.value = obj.options[i].text;

				if (pmt == "Check") {
					//alert("payment is check");
					disableCreditCardFields(frm);	// combined function to disable all credit card related fields
					$('#row_creditCardNumber').hide();
					$('#row_creditCardExpires').hide();
					$('#row_creditCardCSC').hide();
					$('#row_creditCardAVS').hide();
					$('#row_creditCardAVSZip').hide();
					$('#installmentsTotalRow').hide();
					
					enableObj('credit_card_name_work');	// turn on credit card name because it's labeled as "Payor"
					if (document.all) {
						document.getElementById('credit_card_name_work_label').innerText = 'Payor';
					}
					else {
						document.getElementById('credit_card_name_work_label').textContent = 'Payor';
					}
					enableObj('checknumber_work');
					$('#row_checkNumber').show();
					$('#row_nameOnCard').show();
					disableObj('ponumber_work');
					$('#row_poNumber').hide();

					
					frm.payment_method.value = "Check";
					frm.ponumber_work.value = "";
					
				} 
				
				else if (pmt == "Electronic Check") {
					if (surcharge == 'true') {
                        var amount = '0';
                        if ($('#ordertotal_work').length > 0 && $('#ordertotal_work').val() != '') {
                            amount = $('#ordertotal_work').val();
                        }
                        
                        // check if installments fee is enabled, if so, include it in the total
                        if ($('#installmentsFee').length > 0 && $('#installmentOptions').val() != 'full') {
                            var installmentsFee = $('#installmentsFee').val();
                            if (installmentsFee == '') {
                                installmentsFee = 0;
                            }
                            amount = parseFloat(amount) + parseFloat(installmentsFee); 
                        }
                            
                        // need to check for surcharge with AffiniPay
                        if (amount > 0 && amount >= parseFloat(surchargeThreshold)) {
                        	swal({
                                title: 'Please wait...',
                                text: '<h1 style="font-size: 4rem;"><i class="fa-solid fa-circle-notch fa-spin text-success"></i></h1><br>We\'re gathering the surcharge details.',
                                html: true,
                                type: '',
                                animation: 'slide-from-top',
                                allowOutsideClick: false,
                                allowEscapeKey: false,
                                showConfirmButton: false
                            });
                            
                            $.ajax({
                                url: '/i4a/utilities/cfc/affiniPay.cfc?method=getSurchargeAmount&_nodom=true',
                                type: 'POST',
                                data: {
                                    public_key: 'm_Trr2RbVRSUCzt1nVSsCPag',
                                    bank_account_id: 'bank_McsCtQ8TNI6SiXhzWHz3P',
                                    amount: amount
                                  },
                                error: function(data, status, error) {
                                    swal('Error', 'Sorry, something went wrong.', 'error');
                                }
                            }).done(function(jsonReturn) {
                                var result = JSON.parse(jsonReturn);
                                if (result.success) {
                                    var surcharges = JSON.parse(result.data);
                                    if (surcharges.length > 0) {
                                        $.each(surcharges, function(index, value) {
                                            if (value.type == 'bank' && value.surcharge_amount > 0) {
                                                var surcharge_amount = value.surcharge_amount / 100;
                                                surcharge_amount = parseFloat(surcharge_amount);
                                                surcharge_amount = surcharge_amount.toFixed(2);
                                                var surcharge_rate = value.surcharge_rate / 100;
                                                
                                                $('#surcharge_amount').val(surcharge_amount);
                                                $('#surcharge_amount_work').val(surcharge_amount);
                                                
                                                orderTotal = $('#ordertotal_original').val().replace("$","");
                                                orderTotal = orderTotal.replace(",","");
                                                var newTotal = parseFloat(orderTotal) + parseFloat(surcharge_amount);
                                                $('#ordertotal_work').val(newTotal.toFixed(2));
                                            }
                                        });
                                    }
                                    swal.close();
                                }
                                else {
                                    swal('Error', result.message, 'error');
                                }
                            }); 	
                    	}
					}
					else {
						// check if surchargeable in case we are just manually adding a payment method
						swal({
                            title: 'Please wait...',
                            text: '<h1 style="font-size: 4rem;"><i class="fa-solid fa-circle-notch fa-spin text-success"></i></h1><br>We\'re gathering the surcharge details.',
                            html: true,
                            type: '',
                            animation: 'slide-from-top',
                            allowOutsideClick: false,
                            allowEscapeKey: false,
                            showConfirmButton: false
                        });
                        
                        $.ajax({
                            url: '/i4a/utilities/cfc/affiniPay.cfc?method=getSurchargeAmount&_nodom=true',
                            type: 'POST',
                            data: {
                                public_key: 'm_Trr2RbVRSUCzt1nVSsCPag',
                                bank_account_id: 'bank_McsCtQ8TNI6SiXhzWHz3P',
                                amount: 100
                              },
                            error: function(data, status, error) {
                                swal('Error', 'Sorry, something went wrong.', 'error');
                            }
                        }).done(function(jsonReturn) {
                            var result = JSON.parse(jsonReturn);
                            if (result.success) {
                                var surcharges = JSON.parse(result.data);
                                if (surcharges.length > 0) {
                                    $.each(surcharges, function(index, value) {
                                        if (value.type == 'bank' && value.surcharge_amount > 0) {
                                            $('#surchargeable').val(1);
                                        }
                                    });
                                }
                                swal.close();
                            }
                            else {
                                swal('Error', result.message, 'error');
                            }
                        }); 
					}
					
					frm.payment_method.value = "Electronic Check";
					
					
				} 
				else if (pmt == "PO" || pmt == "Purchase Order") {
					//alert("Payment Method: PO");
					disableCreditCardFields(frm);	// combined function to disable all credit card related fields
					disableObj('checknumber_work');
					$('#row_checkNumber').hide();

					$('#row_nameOnCard').hide();
					$('#row_creditCardNumber').hide();
					$('#row_creditCardExpires').hide();
					$('#row_creditCardCSC').hide();
					$('#row_creditCardAVS').hide();
					$('#row_creditCardAVSZip').hide();

					// check to see if we want to disable the po number for this payment type selected index - hidden field with index list to disable is "poNumNotRequiredList"
					bPoNumFieldDisabled = isPoNumDisabled(frm.poNumNotRequiredList.value,i);
					//alert("bPoNumFieldDisabled: " + bPoNumFieldDisabled);
					if(bPoNumFieldDisabled == 1) {
						// po number not required - disable
						disableObj('ponumber_work');
						$('#row_poNumber').hide();
					} else {
						// this is  not a po number that is disabled field - enable the po number field nows
						enableObj('ponumber_work');
						$('#row_poNumber').show();
					}
					
					frm.payment_method.value = "Purchase Order";
					frm.checknumber_work.value = "";
					
					$('#ponumber_work').trigger('focus');
					
					if ($('#installmentsTotalRow').length > 0) {
						$('#installmentsTotalRow').hide();	
					}

				} 
				else if (pmt == "Apply") {
					//alert("Payment Method: Apply");
					disableCreditCardFields(frm);	// combined function to disable all credit card related fields
					disableObj('checknumber_work');
					disableObj('ponumber_work');
					$('#row_checkNumber').hide();
					$('#row_poNumber').hide();
					
					frm.payment_method.value = "Apply";
					frm.checknumber_work.value = "";
					
					
					if ($('#installmentsTotalRow').length > 0) {
						$('#installmentsTotalRow').hide();	
					}
				}	
				else {
					//alert("Payment Method: Credit Card");
					
					if (surcharge == 'true') {
                        var amount = '0';
                        if ($('#ordertotal_work').length > 0 && $('#ordertotal_work').val() != '') {
                            amount = $('#ordertotal_work').val();
                        }
                        
                        // check if installments fee is enabled, if so, include it in the total
                        if ($('#installmentsFee').length > 0 && $('#installmentOptions').val() != 'full') {
                            var installmentsFee = $('#installmentsFee').val();
                            if (installmentsFee == '') {
                                installmentsFee = 0;
                            }
                            amount = parseFloat(amount) + parseFloat(installmentsFee); 
                        }
                            
                        // need to check for surcharge with AffiniPay
                        if (amount > 0 && amount >= parseFloat(surchargeThreshold)) {
                        	swal({
                                title: 'Please wait...',
                                text: '<h1 style="font-size: 4rem;"><i class="fa-solid fa-circle-notch fa-spin text-success"></i></h1><br>We\'re gathering the surcharge details.',
                                html: true,
                                type: '',
                                animation: 'slide-from-top',
                                allowOutsideClick: false,
                                allowEscapeKey: false,
                                showConfirmButton: false
                            });
                            
                            $.ajax({
                                url: '/i4a/utilities/cfc/affiniPay.cfc?method=getSurchargeAmount&_nodom=true',
                                type: 'POST',
                                data: {
                                    public_key: 'm_Trr2RbVRSUCzt1nVSsCPag',
                                    bank_account_id: 'bank_McsCtQ8TNI6SiXhzWHz3P',
                                    amount: amount
                                  },
                                error: function(data, status, error) {
                                    swal('Error', 'Sorry, something went wrong.', 'error');
                                }
                            }).done(function(jsonReturn) {
                                var result = JSON.parse(jsonReturn);
                                if (result.success) {
                                    var surcharges = JSON.parse(result.data);
                                    if (surcharges.length > 0) {
                                        $.each(surcharges, function(index, value) {
                                            if (value.type == 'card' && value.surcharge_amount > 0) {
                                                var surcharge_amount = value.surcharge_amount / 100;
                                                surcharge_amount = parseFloat(surcharge_amount);
                                                surcharge_amount = surcharge_amount.toFixed(2);
                                                var surcharge_rate = value.surcharge_rate / 100;
                                                
                                                $('#surcharge_amount').val(surcharge_amount);
                                                $('#surcharge_amount_work').val(surcharge_amount);
                                                
                                                orderTotal = $('#ordertotal_original').val().replace("$","");
                                                orderTotal = orderTotal.replace(",","");
                                                var newTotal = parseFloat(orderTotal) + parseFloat(surcharge_amount);
                                                $('#ordertotal_work').val(newTotal.toFixed(2));
                                            }
                                        });
                                    }
                                    swal.close();
                                }
                                else {
                                    swal('Error', result.message, 'error');
                                }
                            }); 	
                        }
					}
					else {
						// check if surchargeable in case we are just manually adding a payment method
						swal({
                            title: 'Please wait...',
                            text: '<h1 style="font-size: 4rem;"><i class="fa-solid fa-circle-notch fa-spin text-success"></i></h1><br>We\'re gathering the surcharge details.',
                            html: true,
                            type: '',
                            animation: 'slide-from-top',
                            allowOutsideClick: false,
                            allowEscapeKey: false,
                            showConfirmButton: false
                        });
                        
                        $.ajax({
                            url: '/i4a/utilities/cfc/affiniPay.cfc?method=getSurchargeAmount&_nodom=true',
                            type: 'POST',
                            data: {
                                public_key: 'm_Trr2RbVRSUCzt1nVSsCPag',
                                bank_account_id: 'bank_McsCtQ8TNI6SiXhzWHz3P',
                                amount: 100
                              },
                            error: function(data, status, error) {
                                swal('Error', 'Sorry, something went wrong.', 'error');
                            }
                        }).done(function(jsonReturn) {
                            var result = JSON.parse(jsonReturn);
                            if (result.success) {
                                var surcharges = JSON.parse(result.data);
                                if (surcharges.length > 0) {
                                    $.each(surcharges, function(index, value) {
                                        if (value.type == 'card' && value.surcharge_amount > 0) {
                                            $('#surchargeable').val(1);
                                        }
                                    });
                                }
                                swal.close();
                            }
                            else {
                                swal('Error', result.message, 'error');
                            }
                        }); 
					}
					
					var isCC = 0;
					ccList = frm.ccList.value;
					isCC = isCreditCard(ccList,pmt);

					if (isCC == 1) {
						enableObj('credit_card_name_work');
						if (document.all) {
							document.getElementById('credit_card_name_work_label').innerText = 'Name on Card';
						} else {
							document.getElementById('credit_card_name_work_label').textContent = 'Name on Card';
						}
						enableObj('credit_card_number_work');
						enableObj('credit_card_expires_month_work');
						enableObj('credit_card_expires_year_work');
						enableObj('avs_street');
						enableObj('avs_zip');
						enableObj('csc_work');

						$('#row_nameOnCard').show();
						$('#row_creditCardNumber').show();
						$('#row_creditCardExpires').show();
						$('#row_creditCardAVS').show();
						$('#row_creditCardAVSZip').show();
						$('#row_creditCardCSC').show();

						
						frm.payment_method.value = "Credit Card";
						frm.credit_card_type.value = pmt;
						frm.checknumber_work.value = "";
						frm.ponumber_work.value = "";
						
						
					} 
					else {
						disableCreditCardFields(frm);	// combined function to disable all credit card related fields
						frm.payment_method.value = pmt;
						frm.checknumber_work.value = "";
						frm.ponumber_work.value = "";
						
					}
					disableObj('checknumber_work');
					disableObj('ponumber_work');
					$('#row_checkNumber').hide();
					$('#row_poNumber').hide();
				}
			}

			// if auto renew was never shown in this script, hide it now
			
				if (bAutoRenewOptionsShown == 0) {
					hideAutoRenewOptions(frm);
				}
			
			if (typeof checkAutoRenew === 'function') {
				checkAutoRenew();
			}
			
			if (typeof updateInstallmentsDiv === 'function') {
				updateInstallmentsDiv();
			}
			
			if (typeof updateAmount === 'function') {
				updateAmount();
			}
		}
		
		function isCreditCard(lst,pmt) {
			var isCC = 0;
			var ctr = 0;
			var ccList_array=lst.split(",");
			while (ctr < ccList_array.length) {
				if (ccList_array[ctr] == pmt) {
					isCC = 1;
					}
				ctr+=1;
				}
			return isCC;
		}

		function isPoNumDisabled(lst,i) {
			var isDisabled = 0;
			var ctr = 0;

			var poNumNotRequiredList_array = lst.split(",");
			while (ctr < poNumNotRequiredList_array.length) {
				if (poNumNotRequiredList_array[ctr] == i) {
					isDisabled = 1;
				}
				ctr+=1;
			}

			return isDisabled;
		}

		function enableObj(fieldID) {
			if (typeof fieldID == 'object') {
				$(fieldID).prop('disabled', false);
			}
			else {
				// it is a string
				if ($('#'+fieldID)) {
					$('#'+fieldID).prop('disabled', false);
				}
			}
		}

		function disableObj(fieldID) {
			if (typeof fieldID == 'object') {
				$(fieldID).prop('disabled', true);
			}
			else {
				// it is a string
				if ($('#'+fieldID)) {
					$('#'+fieldID).prop('disabled', true);
				}
			}
		}

		function isDigit (c) {
		   var strAllowed = "1234567890";
		   return (strAllowed.indexOf (c) != -1);
		}

		chgPmt();
		checkTotal();
	</script>


			</div>
		</div>
	</div>

	
		<br />
		

				<style>
				div.g-recaptcha > div > div > iframe {
					height: 78px !important;
				}
				
				@media screen and (max-width: 575px) {
					#rc-imageselect, .g-recaptcha  {
						transform:scale(0.77);
						-webkit-transform:scale(0.77);transform-origin:0 0;
						-webkit-transform-origin:0 0;
					}
				}
				</style>
				
				<script src="https://www.recaptcha.net/recaptcha/api.js" async defer></script>
				<div class="g-recaptcha" data-sitekey="6LceJfwqAAAAAJ-o7coZCe2Qi8bECskHSnPxqa_W"></div>
			
			
		<br />
	

						<br />
						
    				        <center>
    							<button type="button" class="btn btn-primary btn-md" id="btnPaymentNext" data-loading-text="Please wait...">
    								Submit <i class="fa fa-arrow-right" aria-hidden="true"></i>
    							</button> &nbsp;
    							<button type="button" class="btn btn-secondary btn-md" id="btnPaymentPrev">
    						        Previous <i class="fa fa-arrow-up" aria-hidden="true"></i>
    							</button>
    						</center>
    	               
				      </div>
				    </div>
				  </div>
				</div>

				
				<input type="hidden" name="supressCustomQuestions" value="0">
			</form>

			
					<br /><br />
				
			
		</div>

		
<script>
	sysPaymentProcessor = 'AffiniPay';
	couponLabel = "";
	sysLoginLabel = "Username";
	sysPasswordLabel = "Password";
	label_addOnPassword = "Add-On Password";
	
	// username and password validation functions
	checks = { usernameValid: false, passwordValid: false, matchValid: false};
	
	function enableObj(fieldID) {
        if (typeof fieldID == 'object') {
            $(fieldID).prop('disabled', false);
        }
        else {
            // it is a string
            if ($('#'+fieldID)) {
                $('#'+fieldID).prop('disabled', false);
            }
        }
    }
    
	function validateUser(options) {
		if (!options) { var options = {}; }
		var default_args = {
			'callback_enabled' : true,
			'callback'	:	checkUsernamePassword,
			'callback_arguments': {}
		};
		for (var index in default_args) {
			if (typeof options[index] == "undefined") options[index] = default_args[index];
		}
	
		$.ajax({
			url: "/i4a/ams/public/ajaxvalidation.cfc",
			async: false,
			method: 'POST',
			data: {
				method: 'username',
				username: $('#username').val().trim()
			},
			dataType: 'text'
		}).done(function(msg,result) {
			response = JSON.parse(msg);
			if (!response.isvalid) {
				$('#userMsg').addClass("text-danger").removeClass("text-success").text(sysLoginLabel + " is invalid or not available.");
			}
			else {
				$('#userMsg').addClass("text-success").removeClass("text-danger").text(sysLoginLabel + " is valid and available.");
			}
			checks.usernameValid = response.isvalid;
			if (options.callback_enabled) {
				options.callback.call(options.callback_arguments);
			}
		});
	}
	
	function validatePassword(options) {
		if (!options) { var options = {}; }
		var default_args = {
			'callback_enabled': true,
			'callback': validateMatch,
			'callback_arguments': {}
		};
		for (var index in default_args) {
			if (typeof options[index] == "undefined") options[index] = default_args[index];
		}
	
		$.ajax({
				url: "/i4a/ams/public/ajaxvalidation.cfc",
				async: false,
				method: 'POST',
			data: {
				method: 'password',
				password: $('#password').val().trim()
			},
				dataType: 'text'
		}).done(function(msg,result) {
			response = JSON.parse(msg);
			if (!response.isvalid) {
				$('#passMsg').addClass("text-danger").removeClass("text-success").text(sysPasswordLabel + " is not valid");
			}
			else {
				$('#passMsg').addClass("text-success").removeClass("text-danger").text(sysPasswordLabel + " is valid");
			}
			checks.passwordValid = response.isvalid;
			if (options.callback_enabled) {
				options.callback.call(options.callback_arguments);
			}
		});
	}
	
	function validateMatch(options) {
		if (!options) { var options = {}; }
		var default_args = {
			'callback_enabled': true,
			'callback': checkUsernamePassword,
			'callback_arguments': {}
		};
		for (var index in default_args) {
			if (typeof options[index] == "undefined") options[index] = default_args[index];
		}
	
		if ($('#password').val().trim() == $('#password2').val().trim()) {
			checks.matchValid = true;
			$('#matchMsg').addClass("text-success").removeClass("text-danger").text(sysPasswordLabel + "s match.");
		}
		else {
			checks.matchValid = false;
			$('#matchMsg').addClass("text-danger").removeClass("text-success").text(sysPasswordLabel + "s do not match.");
		}
		if (options.callback_enabled) {
			options.callback.call(options.callback_arguments);
		}
	}
	
	function checkUsernamePassword() {
		if (checks.usernameValid && checks.passwordValid && checks.matchValid) {
			return true;
		}
		else {
			return false;
		 }
	}
	
	function validateUsernamePassword() {
		validateUser({ callback_enabled: false });
		validatePassword({ callback_enabled: false });
		validateMatch({callback_enabled: false });
		return checkUsernamePassword();
	}

	function isUrlValid(url) {
		return /^(www\.)[A-Za-z0-9_-]+\.+[A-Za-z0-9.\/%&=\?_:;-]+$/.test(url);
	}

	function validateRequiredFields(divName) {
		var memberTypeChangeOnly = 0;
		var inputs = $('#' + divName + ' :input');
        var isValid = true;
        var invalidFieldNames = '';
        var fieldsAdded = [];
		
        for (var x = 0; x < inputs.length; x++) {
			$('#'+inputs[x].name+'-group').removeClass('has-error');
			var thisInputGroupID = inputs[x].id;
			// check to see if the id of this input has 3 parts (a group of checkboxes with multiple response options)
			var inputIdPartsArr = thisInputGroupID.split("_");
			var inputIdPartsLength = inputIdPartsArr.length;
			if (inputIdPartsLength == 3) {
				thisInputGroupID = inputIdPartsArr[0] + "_" + inputIdPartsArr[1];
			}
			else if (inputIdPartsLength == 4) {
				thisInputGroupID = inputIdPartsArr[2] + "_" + inputIdPartsArr[3];
			}
			
			// workaround for isDirectory radio fields
			if (thisInputGroupID == 'directoryYes' || thisInputGroupID == 'directoryNo') {
				thisInputGroupID = 'isDirectory';
			}
			
			// workaround for isEmail radio fields
			if (thisInputGroupID == 'isEmailYes' || thisInputGroupID == 'isEmailNo') {
				thisInputGroupID = 'isEmail';
			}
			
        	// get a numeric value of the fieldgroup object length to see if the group is visible; it's only required if they can see it
        	var fieldGroupIsVisibleCount = $('#'+thisInputGroupID+'-group:visible').length;
			
        	// only check if it's required if the field group is showing
        	if (inputs[x].required && fieldGroupIsVisibleCount > 0) {
			
            	// check for duplicates
            	if ( $.inArray( inputs[x].name, fieldsAdded ) == -1 ) {
            		fieldsAdded.push(inputs[x].name);

            		// special validation for checkbox and radio fields
	            	if (inputs[x].type == 'radio' || inputs[x].type == 'checkbox') {
	            		if (!$('input[name="'+ inputs[x].name +'"]').is(':checked')) {
	            			var $label = $("label[for='"+inputs[x].name+"']");
							/*if ($label.length == 0) {
							    	$label = $element.closest('label');
						   	}*/
						   	if ($label.length == 0) {
						     	// label wasn't found
						   	}
						   	else {
						     	// label was found
						     	if (invalidFieldNames != '') {
						     		invalidFieldNames += '<br>';
						     	}
						     	invalidFieldNames += $label.text();
						   	}

					        $('#'+inputs[x].name+'-group').addClass('has-error');
					        isValid = false;
	            		}
	            	}
		            else if (inputs[x].value == '') {
		            	var skip = false;
		            	// special case for profile photo and org logo file uploads
	            		if (inputs[x].id == 'contact_profile_photo') {
	            			// need to check the hidden current profile field first
	            			if ($('#currentProfilePhoto').length > 0 && $('#currentProfilePhoto').val() != '') {
	            				skip = true;
	            			}
	            		}
	            		if (inputs[x].id == 'org_profile_photo') {
	            			// need to check the hidden current org field first
	            			if ($('#currentOrgPhoto').length > 0 && $('#currentOrgPhoto').val() != '') {
	            				skip = true;
	            			}
	            		}
	            		if (skip == false) {
	            			var $label = $("label[for='"+inputs[x].id+"']");
							if ($label.length == 0) {
								// label wasn't found
							}
							else {
								// label was found
								if (invalidFieldNames != '') {
									invalidFieldNames += '<br>';
								}
								invalidFieldNames += $label.text();
						   	}

							$('#'+inputs[x].id+'-group').addClass('has-error');
							isValid = false;
	            		}
					}

				}	// end check for duplicates

			} // end check for required and visible field
        }

        
        if (!isValid) {
    		if (invalidFieldNames == '') {
    			invalidFieldNames = 'Please fill in the field(s) outlined or displayed in red.';
    		}
        	swal({
				title: 'Missing required field(s)',
				html: true,
				text: invalidFieldNames,
				animation: 'slide-from-top',
				type: 'info',
				confirmButtonText: 'Ok',
				confirmButtonColor: '#32557B'
			});

			return isValid;
        }

		// if dues tab, need to validate orgCoupon (if present) & and a few other things
        if (divName == 'collapseOne') {
			if ($('#orgCoupon').length > 0 && $('#orgCoupon').is(':visible') && $('#orgCoupon').val().trim() != '') {
				$('#orgCoupon-group').removeClass('has-error');

				$.ajax({
		 			url: "/i4a/ams/public/ajaxvalidation.cfc",
		 			async: false,
		 			method: 'POST',
		 			dataType: 'text',
		 			data: {
		 				method: 'orgCoupon',
		 				orgCoupon: $('#orgCoupon').val().trim()
		 			}
				}).done(function(msg, result) {
					response = JSON.parse(msg);
					if (!response.isvalid) {
						swal({
				  			title: 'Invalid ' + label_addOnPassword,
				  			html: true,
				  			text: label_addOnPassword + " already in use, please choose another.",
				  			animation: 'slide-from-top',
				  			type: 'info',
				  			confirmButtonText: 'Ok',
				  			confirmButtonColor: '#32557B'
				  		});
						isValid = false;
						$('#orgCoupon-group').addClass('has-error');
					}
					else {
						isValid = true;
					}
				});
			}

			var selectedValue = $('#dues').val();

			
			// update add-on amount displayed on member app on member type change
			changeDisplayedAddOnAmount(selectedValue);
			checkMemberTypeCoupons(selectedValue);
       	}

        // if contact form, need to check a few other things
        if (divName == 'collapseTwo' && memberTypeChangeOnly == 0) {
			isValid = validateUniqueEmail();
        }

		if (divName == 'collapseFour') {
			// validate custom questions
			if (typeof validateCustomQuestions == 'function') {
				isValid = validateCustomQuestions(document.getElementById('memberAppForm'));
			}
			// validate file names
			var form = $('#memberAppForm');
			var inputs = form.find('input, select, button, textarea');

			const specialChars = /[`!@#$%^&*()+=\[\]{};':"\\|,<>\/?~]/;
			var badFiles = '';
			
			for (i = 0; i < form[0].elements.length; i++) {
				if (form[0].elements[i].type == 'file') {
					var fullPath = form[0].elements[i].value;
					var filename = fullPath.replace(/^.*[\\\/]/, '');
					if (specialChars.test(filename) == true) {
						badFiles += '<br>' + filename;	
					}
			  	}
			}
			
			if (badFiles != '') {
				swal({
		  			title: 'Warning',
		  			html: true,
		  			text: 'Filenames cannot contain special characters. Please rename the following file(s):<br>' + badFiles,
		  			animation: 'slide-from-top',
		  			type: 'info',
		  			confirmButtonText: 'Ok',
		  			confirmButtonColor: '#337ab7'
		  		});
				return false;	
			}
		}

		// if contact types, need more validation
		if (divName == 'collapseFive') {
			
				// need to make sure at least one contact type is selected
				var howMany = 0;
				$('.ctCheckboxes').each(function(index, data) {
					if ($(this).is(':checked')) {
						howMany++;
					}
				});
				if (howMany == 0) {
					swal({
			  			title: 'Required field',
			  			html: true,
			  			text: "You must select at least one Contact Type.",
			  			animation: 'slide-from-top',
			  			type: 'info',
			  			confirmButtonText: 'Ok',
			  			confirmButtonColor: '#32557B'
			  		});

					$('.ctCheckboxes').each(function(index, data) {
						$(this).css('outline-color', 'red').css('outline-style', 'solid').css('outline-width', 'thin');
					});

					isValid = false;
				}
			
		}

		updateAmount();

        return isValid;
	}

	// since Sweet Alert is asynchronous, I had to use an extra variable to bypass the check if user chooses to do so
	confirmDuplicate = true;

	function validateUniqueEmail() {
		var isValid = true;
		var email = $('#appemail').val().trim().toLowerCase();
		var email2 = $('#appemail2').val().trim().toLowerCase();

		$('#appemail-group').removeClass('has-error');
		$('#appemail2-group').removeClass('has-error');
		
		if (email != email2 && email2 != '') {
			swal({
	  			title: 'Invalid email address',
	  			html: true,
	  			text: "Email addresses do not match; please confirm email address.",
	  			animation: 'slide-from-top',
	  			type: 'info',
	  			confirmButtonText: 'Ok',
	  			confirmButtonColor: '#337ab7'
	  		});
			isValid = false;
			$('#appemail-group').addClass('has-error');
			$('#appemail2-group').addClass('has-error');
		}
		else {
			isValid = verifyEmailAddress(email);
			if (!isValid) {
				$('#appemail-group').addClass('has-error');
				$('#appemail2-group').addClass('has-error');
			}
		}
		
		
			if (email == '') {
				if ($('#savePaymentProfile_yes').length > 0) {
					if ($('#savePaymentProfile_yes').prop('checked') == true) {
						swal({
				  			title: 'Email address',
				  			html: true,
				  			text: "Email address is required when saving a payment method.",
				  			animation: 'slide-from-top',
				  			type: 'info',
				  			confirmButtonText: 'Ok',
				  			confirmButtonColor: '#337ab7'
				  		});
						isValid = false;	
					}
				}
				if ($('#savePaymentNoEmailMsg').length > 0) {
					$('#savePaymentNoEmailMsg').show();	
				}
			}
			else {
				if ($('#savePaymentProfile_yes').length > 0) {
					if ($('#installmentOptions').length > 0 && $('#installmentOptions').val() != 'full') {
						$('#savePaymentProfile_yes').prop('checked', true).css('pointer-events', 'none').css('cursor', 'not-allowed');
						$('#savePaymentProfile_label').css('pointer-events', 'none');
					}
					else {
						$('#savePaymentProfile_yes').css('pointer-events', 'auto').css('cursor', 'auto');
						$('#savePaymentProfile_label').css('pointer-events', 'auto');
					}
				}
				if ($('#savePaymentNoEmailMsg')) {
					$('#savePaymentNoEmailMsg').hide();	
				}
			}
		
		
		return isValid;
	}

	function verifyEmailAddress(email) {
		var toReturn = true;
		$('#emailMsg').html('');
		// escape any apostrophes in an email address (PM 105697)
		var contactEmail = '';

		
			$.ajax({
				async: false,
  				url: "/i4a/ams/public/ajaxvalidation.cfc",
  				method: 'POST',
  				data: {
  					method: 'email',
  					email: email.toLowerCase().trim()
  				},
  				dataType: 'text'
			}).done(function(msg, result) {
				response = JSON.parse(msg);

				if (!response.uniqueemail && email.toLowerCase().trim() != contactEmail.toLowerCase().trim()) {
					
						swal({
							title: 'Duplicate Account',
							text: 'You already have an account in our system; please <a href="/i4a/ams/amsLogin.cfm"><strong>log in</strong></a> before joining. ' +
								'If you forgot your login info, your username and a password reset link can be sent to you. ' +
								'Please check your email and return to the site to reset your password and login. If you are not currently a member, ' +
								'you may join once you are logged in.',
							html: true,
							type: 'warning',
							showCancelButton: true,
							animation: 'slide-from-top',
							confirmButtonColor: '#32557B',
							confirmButtonText: 'OK, send email',
							closeOnConfirm: true,
							closeOnCancel: true,
							showLoaderOnConfirm: true
							},
							function(btn) {
								if (btn == true) {
									window.location = '/i4a/ams/forgotlogin.cfm?returnURL=/i4a/ams/publicLogin.cfm&doSubmit=1&email=' + email;
								}
							}
						);
						$('#emailMsg').html("Notice: You already have an account in our system.<br><strong>Please <a href='/i4a/ams/publicLogin.cfm'>log in</a> or <a href='/i4a/ams/forgotlogin.cfm?returnURL=/i4a/ams/publicLogin.cfm&doSubmit=1&email=" + email  + "'>reset your password</a></strong>.");
						toReturn = false;

					
				}

				if (!response.validemail) {
					swal({
						title: 'Invalid Email',
						text: 'Email address entered is not valid; please confirm email address.',
						html: false,
						type: 'warning',
						showCancelButton: false,
						animation: 'slide-from-top',
						confirmButtonColor: '##32557B',
						confirmButtonText: 'OK',
						closeOnConfirm: true,
						closeOnCancel: true,
						showLoaderOnConfirm: true
					});
					toReturn = false;
				}
			});

		
		return toReturn;
	}

	function ValidateDues() {
		if ($('#dues').val() != '') {
			return true;
		}
		else {
			swal({
	  			title: 'Missing required field',
	  			html: true,
	  			text: "You must select a Membership Type.",
	  			animation: 'slide-from-top',
	  			type: 'info',
	  			confirmButtonText: 'Ok',
	  			confirmButtonColor: '#32557B'
	  		});
	  		$("#btnFormPrev").trigger('click');
			return false;
		}
	}

// TODO: check/update this function
	function selectDues(selectedValue) {
		var numberOfYears = 1;	// default value
		if (selectedValue !== undefined && selectedValue.indexOf('_') != -1) {
			numberOfYears = selectedValue.split('_')[1];
		}
		$('#numberOfYears').val(numberOfYears);

		// We only want to reload the page if a formula rate is selected, otherwise, stay on this page...
		var arrSelectedValue = selectedValue.split("_");
		var thisSelectedMemberType = arrSelectedValue[0];
		var isFormula = 0;
		var t1 = $('#formulaType').val().split(";");
		var t2;
		var t_num = 0;
		while (t_num < t1.length) {
			t2 = t1[t_num].split(",");
			if (t2[1] == thisSelectedMemberType) {
				isFormula = t2[0];
			}
			t_num+=1;
		}
		if (isFormula == 1) {
			window.location='#cgi.script_name#?#cgi.querystring#&dues='+thisSelectedMemberType;
		}

		// alert autoDues notice if member type change
		

		// update add-on amount displayed on member app on member type change
		changeDisplayedAddOnAmount(selectedValue);
	}

	function checkAutoRenew() {
		// check for auto-renewal option for specific due selected
		// show/hide auto-renew Div dynamically
		
			var memberTypeAutoRenew = $('#dues option:selected').attr('data-membertypeautorenew');
			if (memberTypeAutoRenew !== undefined) {
				var autoRenew = memberTypeAutoRenew.split('_')[1];
				var paymentMethod = $('#pmt_method').val().toLowerCase();
			
				if (paymentMethod == 'visa' || paymentMethod == 'disc' || paymentMethod == 'mc' || paymentMethod == 'diners' || paymentMethod == 'amex' || paymentMethod == 'electronic check' 
				|| ($("input[name='usePaymentProfile']") && $("input[name='usePaymentProfile']:checked").length > 0) || ($('#usePaymentProfile_yes') && $('#usePaymentProfile_yes').is(':checked'))) {
					if (autoRenew == 1 || autoRenew.toLowerCase() == 'yes') {
						$('#autoRenewRow').show();
						if ($('#installmentOptions').length > 0 && $('#installmentOptions').val() != 'full') {
							$('#autoRenewInstallmentsHelpText').show();
							$('#autoRenewHelpText').hide();
						}
						else {
							$('#autoRenewInstallmentsHelpText').hide();
							$('#autoRenewHelpText').show();
						}
					}
					else {
						$('#autoRenewRow').hide();
						setDuesAutoRenewSavedCard(0);
					}
				}
				else {
					$('#autoRenewRow').hide();
					setDuesAutoRenewSavedCard(0);
				}
			}
		
	}

	if ($('#expected_amount_work').length > 0) {
		enableObj(document.getElementById('expected_amount_work'));
	}

	function checkMemberTypeCoupons(selectedValue) {
		if (selectedValue !== undefined && selectedValue != '') {
			if (selectedValue.indexOf('_') != -1) {
				var duesID = selectedValue.split('_')[0];
			}
			else {
				var duesID = selectedValue;
			}
			$.ajax({
 				url: "?controller=memberApps&action=checkMemberTypeCoupons",
 				method: "post",
 				data: { duesID: duesID },
 				dataType: 'text'
			}).done(function(msg,result) {
				response = JSON.parse(msg);
				if (response.data.hasmembertypecoupons == true) {
					$('#memberTypeCouponDiv').show();
					// need to update coupon label and description based on the memeber dues selected
					$('#typeCouponCodeLabel').html(response.data.couponlabel);
					APPCOUPONS.memberType.label = response.data.couponlabel;
					$('#typeCouponCodeDescription').html(response.data.coupondescription);
				}
				else {
					$('#memberTypeCouponDiv').hide();
					$('#typecouponamount').val(0);
					$('#typecouponcode').val('');
				}
			});
		}
	}

	function updateAmount() { 
		var selectedValue = $('#dues').val();
		
		// if this is a successor member type, then we need to reload with the appropriate member app
		if ($('#dues').find(":selected").attr('data-issuccessor') != 'undefined' && $('#dues').find(":selected").attr('data-issuccessor') != undefined) {
			if ($('#dues').find(":selected").attr('data-issuccessor') == 1 || $('#dues').find(":selected").attr('data-issuccessor') == '1') {
				
		  		swal({
					title: 'Please wait...',
				  	text: '<h1 style="font-size: 4rem;"><i class="fa-solid fa-circle-notch fa-spin text-success"></i></h1><br>We\'re getting things ready to change your member type.',
				  	html: true,
				  	type: '',
				  	animation: 'slide-from-top',
				  	allowOutsideClick: false,
				  	allowEscapeKey: false,
				  	showConfirmButton: false
				});
				
				$.ajax({
	 				url: "?controller=memberApps&action=encryptURLString&duesID="+selectedValue,
	 				method: "post",
	 				data: { duesID: selectedValue },
	 				dataType: 'text'
				}).done(function(msg,result) {
					if (msg) {
						var response = JSON.parse(msg);
						if (response.success == true) {
							var pageID = '3277';
							var newURL = 'memberapp1.cfm?action=MemberApp&p='+response.urlparams+'&preselectedType='+selectedValue;
							if (pageID != '' && pageID != 0) {
								newURL += '&pageID=' + pageID;
							}
							window.location = newURL;
						}
						else {
							console.log(response);
						}	
					}
				});
			}
		}
		
		// update add-on amount displayed on member app on member type change
		changeDisplayedAddOnAmount(selectedValue);
		
		var memberTypeID = 0;	// default value
		var numberOfYears = 1;	// default value
		if (selectedValue !== undefined && selectedValue.indexOf('_') != -1) {
			memberTypeID = selectedValue.split('_')[0];
			numberOfYears = selectedValue.split('_')[1];
		}
		else if (selectedValue !== undefined && selectedValue != '' && selectedValue != 0) {
			memberTypeID = selectedValue;
		}

		$('#numberOfYears').val(numberOfYears);
		
		// if monthly installemnts, then start with today's installment 
		if ($('#installmentOptions').length > 0 && $('#installmentOptions').val() != 'full') {
			var amount = $('#installmentsTotal').val();
		}
		else {
			// look for dues drop-down first
			var amount = $('#dues option:selected').attr('amount');
			if (amount == undefined) {
				// no drop-down found, look for dues hidden field instead
				amount = $('#dues').attr('data-amount');
			}
			else {
				checkAutoRenew();
			}	
		}
		
		amount = parseFloat(amount);
		if (isNaN(amount)) {
			amount = 0;
		}
		
		if ($('#surcharge_amount').length > 0) {
			var surchargeFee = $('#surcharge_amount').val();
			if (surchargeFee == '') {
				surchargeFee = 0;
			}
			amount = amount + parseFloat(surchargeFee);
		}
		
		if ($('#installmentOptions').length > 0 && $('#installmentOptions').val() != 'full' && $('#firstInstallment') && $('#firstInstallment').val() != '') {
			// do nothing, we already have the amount due
		}
		else {	
			//console.log('dues: '+amount);
			// need to also check the calculated amount, in case this is a formula app
			if ($('#calcAmount').length > 0) {
				var calcAmount = parseFloat($('#calcAmount').val().replace(/[^\d\.]/g,''));
				if (isNaN(calcAmount)) {
					calcAmount = 0;
				}
				amount = parseFloat(amount) + parseFloat(calcAmount);
				//console.log('calc amount: '+calcAmount);
				//console.log('total after calcAmount: '+amount);
			}
	
			// need to check for late fees
			if ($('#lateFeeAmount').length > 0) {
				var lateFeeAmount = parseFloat($('#lateFeeAmount').val().replace(/[^\d\.]/g,''));
				if (isNaN(lateFeeAmount)) {
					lateFeeAmount = 0;
				}
				amount = parseFloat(amount) + parseFloat(lateFeeAmount);
				//console.log('late fee: '+lateFeeAmount);
				//console.log('total after late fee: '+amount);
			}
	
			// need to check for Dues for Individuals
			if ($('#fullAddOnAmount').length > 0) {
				var fullAddOnAmount = parseFloat($('#fullAddOnAmount').val().replace(/[^\d\.]/g,''));
				if (isNaN(fullAddOnAmount)) {
					fullAddOnAmount = 0;
				}
				amount = parseFloat(amount) + parseFloat(fullAddOnAmount);
				//console.log('fullAddOnAmount: '+fullAddOnAmount);
				//console.log('total after fullAddOnAmount: '+amount);
			}
	
			// need to check for Add-On Contact Type Dues
			if ($('#addOnContactDues').length > 0) {
				var addOnContactDues = parseFloat($('#addOnContactDues').val().replace(/[^\d\.]/g,''));
				if (isNaN(addOnContactDues)) {
					addOnContactDues = 0;
				}
				amount = parseFloat(amount) + parseFloat(addOnContactDues);
				//console.log('addOnContactDues: '+addOnContactDues);
				//console.log('total after addOnContactDues: '+amount);
			}
	
			// need to check for open amounts
			if ($('#ordertotal_open').length > 0) {
				var ordertotal_open = parseFloat($('#ordertotal_open').val().replace(/[^\d\.]/g,''));
				if (isNaN(ordertotal_open) || ordertotal_open < 0) {
					ordertotal_open = 0;
					$('#ordertotal_open').val(0);
				}
				amount = parseFloat(amount) + parseFloat(ordertotal_open);
				//console.log('ordertotal_open: '+ordertotal_open);
				//console.log('total after ordertotal_open: '+amount);
			}
			if ($('#ordertotal_open2').length > 0) {
				var ordertotal_open2 = parseFloat($('#ordertotal_open2').val().replace(/[^\d\.]/g,''));
				if (isNaN(ordertotal_open2) || ordertotal_open2 < 0) {
					ordertotal_open2 = 0;
					$('#ordertotal_open2').val(0);
				}
				amount = parseFloat(amount) + parseFloat(ordertotal_open2);
				//console.log('ordertotal_open2: '+ordertotal_open2);
				//console.log('total after ordertotal_open2: '+amount);
			}
	
			// need to check if contact types are present on page, if so add them to total amount
			$('.ctCheckboxes').each(function(index, data) {
				// first need to update all prices & descriptions for contact types before totaling them up
				if (numberOfYears == 1) {
					var newCTAmount = data.getAttribute('data-one-year');
				}
				else if (numberOfYears == 2) {
					var newCTAmount = data.getAttribute('data-two-year');
				}
				else if (numberOfYears == 3) {
					var newCTAmount = data.getAttribute('data-three-year');
				}
				// update the price value of checkbox
				$(this).val(newCTAmount.replace(/[^\d\.]/g,''));
				// now update the label to match new price
				var label = $("#ct" + data.getAttribute('data-ct-id'));
				var ctAmount = Math.round(newCTAmount * 100) / 100;
				ctAmount = parseFloat(ctAmount).toFixed(2);
				var amountDescriptionText = i4aFormatter(ctAmount);
				label.html(data.getAttribute('data-ct-description') + ' - ' + amountDescriptionText);
				// and finally update the checkbox name and id attributes
				$(this).attr('name', 'ct_' + data.getAttribute('data-ct-id') + '_' + newCTAmount);
	
				if ($(this).is(':checked')) {
					amount = parseFloat(amount) + parseFloat(data.value.replace(/[^\d\.]/g,''));
					//console.log('contact type checkbox: '+data.value);
					//console.log('total after contact type checkbox: '+amount);
				}
			});
	
	
			// need to check if hidden contact types are present on page, if so add them to total amount
			$('.ctHidden').each(function(index, data) {
				// first need to update all prices & descriptions for contact types before totaling them up
				if (numberOfYears == 1) {
					var newCTAmount = data.getAttribute('data-one-year');
				}
				else if (numberOfYears == 2) {
					var newCTAmount = data.getAttribute('data-two-year');
				}
				else if (numberOfYears == 3) {
					var newCTAmount = data.getAttribute('data-three-year');
				}
				// update the price value of hidden field
				$(this).val(newCTAmount.replace(/[^\d\.]/g,''));
				// now update the label to match new price
				var label = $("#currentCT" + data.getAttribute('data-ct-id'));
				// label.html(data.getAttribute('data-ct-description') + ' - $' + parseFloat(Math.round(newCTAmount * 100) / 100).toFixed(2));
				var ctAmount = Math.round(newCTAmount * 100) / 100;
				ctAmount = parseFloat(ctAmount).toFixed(2);
				var amountDescriptionText = i4aFormatter(ctAmount);
				label.html(data.getAttribute('data-ct-description') + ' - ' + amountDescriptionText);
	
				// and finally update the hidden field name attribute
				$(this).attr('name', 'ct_' + data.getAttribute('data-ct-id') + '_' + newCTAmount);
				amount = parseFloat(amount) + parseFloat(data.value.replace(/[^\d\.]/g,''));
				//console.log('contact type hidden: '+data.value);
				//console.log('total after contact type hidden: '+amount);
			});
	
			// need to subtract app coupon amount
			if ($('#couponAmount').length > 0) {
				var couponAmount = parseFloat($('#couponAmount').val().replace(/[^\d\.]/g,''));
				if (isNaN(couponAmount)) {
					couponAmount = 0;
				}
				amount = parseFloat(amount) - parseFloat(couponAmount);
				//console.log('couponAmount: '+couponAmount);
				//console.log('total after couponAmount: '+amount);
			}
	
			// need to subtract member type coupon amount
			if ($('#typecouponamount').length > 0) {
				var typecouponamount = parseFloat($('#typecouponamount').val().replace(/[^\d\.]/g,''));
				if (isNaN(typecouponamount)) {
					typecouponamount = 0;
				}
				amount = parseFloat(amount) - parseFloat(typecouponamount);
				//console.log('typecouponamount: '+typecouponamount);
				//console.log('total after typecouponamount: '+amount);
	
			}
	
			if ($('#contactTypeDues').length > 0) {
				if (numberOfYears == 1) {
					$('#1year_displayContactTypeDues').show();
					$('#2year_displayContactTypeDues').hide();
					$('#3year_displayContactTypeDues').hide();
					var addOnContactTypeDuesAmount = parseFloat($('#1yearAddOnContactDues').val().replace(/[^\d\.]/g,''));
				} else if (numberOfYears == 2) {
					$('#1year_displayContactTypeDues').hide();
					$('#2year_displayContactTypeDues').show();
					$('#3year_displayContactTypeDues').hide();
					var addOnContactTypeDuesAmount = parseFloat($('#2yearAddOnContactDues').val().replace(/[^\d\.]/g,''));
				} else {
					$('#1year_displayContactTypeDues').hide();
					$('#2year_displayContactTypeDues').hide();
					$('#3year_displayContactTypeDues').show();
					var addOnContactTypeDuesAmount = parseFloat($('#3yearAddOnContactDues').val().replace(/[^\d\.]/g,''));
				}
				//add the add-on contact type dues to the total since they cannot be changed in the full member app and haven't been added in yet
				amount = amount + addOnContactTypeDuesAmount;
			}
	
			var newMbrAppFee = $('#newMbrAppFee').val().replace(/[^\d\.]/g,'');
			if (isNaN(newMbrAppFee)) {
				newMbrAppFee = 0;
			}
			
			var installmentsFee = 0;
			
			if ($('#installmentsFee').length > 0) {
				if ($('#installmentOptions').length > 0 && $('#installmentOptions').val() != 'full') {
					if ($('#installmentsFee').val() == '' || $('#installmentsFee').val() < 0) {
						$('#installmentsFee').val(0);
					}
					amount = amount + parseFloat($('#installmentsFee').val());
					installmentsFee = $('#installmentsFee').val();
				}
			}
			
			var newTotal = parseFloat(amount) + parseFloat(newMbrAppFee);
			
			if ($('#installmentOptions').length > 0 && $('#installmentOptions').val() != 'full') {
				$('#expected_amount').val(parseFloat(newTotal).toFixed(2));
				$('#installmentsTotal').val(parseFloat(newTotal).toFixed(2));
			}
			else {
				$('#ordertotal_work').val(parseFloat(newTotal).toFixed(2));
				$('#ordertotal_org').val(parseFloat(newTotal).toFixed(2));
				
				var originalTotal = parseFloat(newTotal) - parseFloat(installmentsFee) - parseFloat(surchargeFee);
				//$('#ordertotal_original').val(parseFloat(newTotal).toFixed(2));
				$('#ordertotal_original').val(parseFloat(originalTotal).toFixed(2));  	
			}
			
			if ($('.installmentTodayDiv').length > 0) {
				$('.installmentTodayDiv').html(i4aFormatter(newTotal));
				var installmentsGrandTotal = newTotal;
				
				$('.installmentOthersDiv').each(function(index) {
					var thisInstallmentTotal = $(this).text().replace('$', '');
				  	installmentsGrandTotal += parseFloat(thisInstallmentTotal);
				});
				
				$('.installmentAllTotalDiv').html('<strong>' + i4aFormatter(installmentsGrandTotal) + '</strong>');
				
				if ($('#installmentOptions').length > 0 && $('#installmentOptions').val() != 'full') {
					$('#ordertotal_work').val(installmentsGrandTotal.toFixed(2));
					$('#ordertotal_org').val(installmentsGrandTotal.toFixed(2));
					var originalTotal = parseFloat(newTotal) - parseFloat($('#installmentsFee').val()) - parseFloat(surchargeFee);
                    //$('#ordertotal_original').val(parseFloat(newTotal).toFixed(2));
                    $('#ordertotal_original').val(parseFloat(originalTotal).toFixed(2));   
				}
			}
			
			if ($('#showAmountOrderTotal').length > 0) {
				if (sysPaymentProcessor == 'AffiniPay') {
					$('#showAmountOrderTotal').val(i4aFormatter(newTotal));
				}
				else {
					$('#showAmountOrderTotal').text(i4aFormatter(newTotal));	
				}
			}
	
			if (newTotal > 0) {
				enableObj(document.getElementById('pmt_method'));
				$('.paymentProfileListGroupItem').prop('disabled', false);
				
				if ($('#savedPaymentMethodsDetails').length > 0) {
					$('#savedPaymentMethodsDetails').show();	
				}
				if ($('#paymentMethodsList').length > 0) {
					$('#paymentMethodsList').show();
				}
				if ($('#amountReceived').length > 0) {
					$('#amountReceived').show();
				}
			}
			else {
				disableObj(document.getElementById('pmt_method'));
				$('.paymentProfileListGroupItem').prop('disabled', true);
				
				if ($('#savedPaymentMethodsDetails').length > 0) {
					$('#savedPaymentMethodsDetails').hide();	
				}
				if ($('#paymentMethodsList').length > 0) {
					$('#paymentMethodsList').hide();
				}
				if ($('#amountReceived').length > 0) {
					$('#amountReceived').hide();
				}
			}
	
			// if open amounts are not present, let's check the total and hide the payment tag if zero
			if ($('#ordertotal_open').attr('type') == 'hidden' && $('#ordertotal_open2').attr('type') == 'hidden') {
				if (newTotal == 0) {
					$('#memberApp_paymentDetails').hide();
					$('.paymentProfileListGroupItem').removeClass('active');
					$('#autoRenewRow').hide();
					$('.paymentProfileListGroupItem').prop('disabled', true);
					$('.paymentProfileRadio').prop('checked', false);
					
					if ($('#savedPaymentMethodsDetails').length > 0) {
						$('#savedPaymentMethodsDetails').hide();	
					}
					if ($('#paymentMethodsList').length > 0) {
						$('#paymentMethodsList').hide();
					}
					if ($('#amountReceived').length > 0) {
						$('#amountReceived').hide();
					}
				}
				else {
					$('#memberApp_paymentDetails').show();
					$('.paymentProfileListGroupItem').prop('disabled', false);
					
					if ($('#savedPaymentMethodsDetails').length > 0) {
						$('#savedPaymentMethodsDetails').show();	
					}
					if ($('#paymentMethodsList').length > 0) {
						$('#paymentMethodsList').show();
					}
					if ($('#amountReceived').length > 0) {
						$('#amountReceived').show();
					}
				}
			}
			else {
				$('#memberApp_paymentDetails').show();
				if (newTotal == 0) {
					$('.paymentProfileRadio').each(function(index) {
		  				$(this).prop('checked', false);
					});
					$('.paymentProfileListGroupItem').removeClass('active');
					$('#autoRenewRow').hide();
					$('.paymentProfileListGroupItem').prop('disabled', true);
					
					if ($('#savedPaymentMethodsDetails').length > 0) {
						$('#savedPaymentMethodsDetails').hide();	
					}
					if ($('#paymentMethodsList').length > 0) {
						$('#paymentMethodsList').hide();
					}
					if ($('#amountReceived').length > 0) {
						$('#amountReceived').hide();
					}
				}
				else {
					$('.paymentProfileListGroupItem').prop('disabled', false);
					
					if ($('#savedPaymentMethodsDetails').length > 0) {
						$('#savedPaymentMethodsDetails').show();	
					}
					if ($('#paymentMethodsList').length > 0) {
						$('#paymentMethodsList').show();
					}
					if ($('#amountReceived').length > 0) {
						$('#amountReceived').show();
					}
				}
			}	
		}

		// show any conditional questions that are only displayed for certain member type IDs
		var conditionalQuestionMemberTypeID = memberTypeID;
		
		showConditionalMemberTypeQuestions(conditionalQuestionMemberTypeID);
	}

	function validateAppCoupon() {
		
			var appType = 'new';
		
		
		// reset installments, if available
		if ($('#installmentOptions').length > 0) {
			$('#pmt_method').val('');
			$('#installmentOptions').val('full');
		}
		if ($('#installmentsTotal').length > 0) {
			$('#installmentsTotal').val('');
		}
		if ($('input[name="usePaymentProfile"]').length > 0) {
			$('input[name="usePaymentProfile"]').prop('checked', false);
			$('.paymentProfileListGroupItem').removeClass('active');
		} 
		if (typeof updateInstallmentsDiv === 'function') {
			updateInstallmentsDiv();
		}
		if (typeof showInstallmentPrices === 'function') {
			showInstallmentPrices();
		}
		
		// if app coupons are enabled on this app, continue
		if ($('#appCouponCode').length > 0) {
			var code = $('#appCouponCode');
			var couponIDs = $('#couponIDs');
			var couponresult = $('#appCouponResult');
			var ordertotal = $('#ordertotal');
			var ordertotal_work = $('#ordertotal_work');
			var ordertotal_org = $('#ordertotal_org');
			var couponAmount = $('#couponAmount');

			if (code.val().trim() == '') {
				if (!isNaN(couponAmount.val()) && couponAmount.val() > 0) {
					couponresult.removeClass('text-danger').removeClass('text-success').addClass('text-primary');
					couponresult.text(couponLabel + " removed.");
					var newTotal = ordertotal_work.val();
					newTotal = parseFloat(newTotal) + parseFloat(couponAmount.val());
					newTotal = parseFloat(Math.round(newTotal * 100) / 100).toFixed(2);

					ordertotal_work.val(newTotal);
					ordertotal.val(newTotal);
					ordertotal_org.val(newTotal);
					$('#ordertotal_original').val(newTotal); 

					if ($('#showAmountOrderTotal').length > 0) {
						if (sysPaymentProcessor == 'AffiniPay') {
							$('#showAmountOrderTotal').val(i4aFormatter(newTotal));
						}
						else {
							$('#showAmountOrderTotal').text(i4aFormatter(newTotal));	
						}
					}
					couponAmount.val(0);
					APPCOUPONS.appType.code = '';
					if (newTotal > 0) {
						enableObj(document.getElementById('pmt_method'));
						$('.paymentProfileListGroupItem').prop('disabled', false);
					}
					else {
						disableObj(document.getElementById('pmt_method'));
						$('.paymentProfileListGroupItem').prop('disabled', true);
					}
				}
				else {
					couponresult.text('');
					couponAmount.val(0);
				}
			}
			else {
				couponresult.removeClass('text-danger').removeClass('text-success').addClass('text-primary');
				couponresult.text("Checking " + couponLabel + ", please wait...");

				var total = ordertotal_work.val();
				var oldCoupon = couponAmount.val();
				var ordertotal_open = 0;
				var ordertotal_open2 = 0;

				if (isNaN(oldCoupon)) {
					oldCoupon = 0;
				}

				if ($('#ordertotal_open').length > 0) {
					ordertotal_open = $('#ordertotal_open').val();
					if (isNaN(ordertotal_open)) {
						ordertotal_open = 0;
					}
				}
				if ($('#ordertotal_open2').length > 0) {
					ordertotal_open2 = $('#ordertotal_open2').val();
					if (isNaN(ordertotal_open2)) {
						ordertotal_open2 = 0;
					}
				}

				// if they already used an app coupon, add it back into total
				total = 	parseFloat(total) + parseFloat(oldCoupon);

				// we need to subtract off the open amount as that is not subject to a discount
				total = parseFloat(total) - parseFloat(ordertotal_open);
				total = parseFloat(total) - parseFloat(ordertotal_open2);

				$.ajax({
					url: '/i4a/ams/public/ajaxcoupon.cfc',
					method: 'post',
					data: {
						method: 'validateCoupon',
						total: total,
						code: code.val().trim(),
						couponIDs: couponIDs.val(),
						appType: appType
					},
					dataType: 'text',
					error: function(data, status, error) {
						couponresult.text('');
						swal("Error", "There was an error processing your " + couponLabel + ".", 'error');
					}
				}).done(function(jsonReturn) {
					var result = JSON.parse(jsonReturn);
					if (result.success) {
						// first, let's backout the previous coupon amount in case either a diff coupon was entered or the total was changed independently
						if (result.couponamount != 0) {
							var newCouponAmount = result.couponamount;
							var newTotal = ordertotal_work.val();
							newTotal = parseFloat(newTotal) + parseFloat(oldCoupon);
							newTotal = parseFloat(newTotal) - parseFloat(newCouponAmount);
							// if coupon was for more than the order total, reset back to 0.
							if (newTotal < 0) {
								newCouponAmount = total;
								newTotal = 0;
								newTotal = parseFloat(newTotal) + parseFloat(ordertotal_open);
								newTotal = parseFloat(newTotal) + parseFloat(ordertotal_open2);
							}
							newTotal = parseFloat(Math.round(newTotal * 100) / 100).toFixed(2);
							ordertotal_work.val(newTotal);
							ordertotal.val(newTotal);
							ordertotal_org.val(newTotal);
                            $('#ordertotal_original').val(newTotal);
                            
							if ($('#showAmountOrderTotal').length > 0) {
								if (sysPaymentProcessor == 'AffiniPay') {
									$('#showAmountOrderTotal').val(i4aFormatter(newTotal));
								}
								else {
									$('#showAmountOrderTotal').text(i4aFormatter(newTotal));	
								}
							}

							if (newTotal > 0) {
								enableObj(document.getElementById('pmt_method'));
								$('.paymentProfileListGroupItem').prop('disabled', false);
							}
							else {
								disableObj(document.getElementById('pmt_method'));
								$('.paymentProfileRadio').each(function(index) {
					  				$(this).prop('checked', false);
								});
								$('.paymentProfileListGroupItem').removeClass('active');
								$('#autoRenewRow').hide();
								$('.paymentProfileListGroupItem').prop('disabled', true);
							}

							couponAmount.val(newCouponAmount);
							if (newCouponAmount == 0) {
								couponresult.text('');
							}
							else {
								couponresult.removeClass('text-danger').removeClass('text-primary').addClass('text-success');
								couponAmountText = i4aFormatter(newCouponAmount)
								couponresult.text(couponLabel + " amount: " + couponAmountText);
								// save coupon code so it is not used again
								APPCOUPONS.appType.code = code.val().trim();
							}
						}
						else {
							couponresult.removeClass('text-success').removeClass('text-primary').addClass('text-danger');
							couponresult.text(couponLabel + " not available.");
						}
					}
					else {
						// this would get called if the CFC ran but threw an error.
						couponresult.text(result.message);
					}
				});
			}
		}
	}

	function validateTypeCoupon() {
		
			var appType = 'new';
		

		// reset installments, if available
		if ($('#installmentOptions').length > 0) {
			$('#pmt_method').val('');
			$('#installmentOptions').val('full');
		}
		if ($('#installmentsTotal').length > 0) {
			$('#installmentsTotal').val('');
		}
		if ($('input[name="usePaymentProfile"]').length > 0) {
			$('input[name="usePaymentProfile"]').prop('checked', false);
			$('.paymentProfileListGroupItem').removeClass('active');
		} 
		if (typeof updateInstallmentsDiv === 'function') {
			updateInstallmentsDiv();
		}
		if (typeof showInstallmentPrices === 'function') {
			showInstallmentPrices();
		}
		
		var dues = $('#dues');
		var couponresult = $('#couponresult');
		var typecouponcode = $('#typecouponcode');
		var typecouponamount = $('#typecouponamount');
		var calcAmount = $('#calcAmount');
		var ordertotal = $('#ordertotal');
		var ordertotal_work = $('#ordertotal_work');
		var ordertotal_org = $('#ordertotal_org');

		// first need to get member type total
		var selectedValue = $('#dues').val();
		var numberOfYears = 1;
		if (selectedValue !== undefined && selectedValue.indexOf('_') != -1) {
			numberOfYears = selectedValue.split('_')[1];
		}

		// look for dues drop-down first
		var memTypeTotal = $('#dues option:selected').attr('amount');
		if (memTypeTotal == undefined) {
			// no drop-down found, look for dues hidden field instead
			memTypeTotal = $('#dues').attr('data-amount');
		}
		memTypeTotal = parseFloat(memTypeTotal);
		if (isNaN(memTypeTotal)) {
			memTypeTotal = 0;
		}

		// need to also check the calculated amount, in case this is a formula app
		if ($('#calcAmount').length > 0) {
			var memTypeTotal = parseFloat($('#calcAmount').val());
			if (isNaN(memTypeTotal)) {
				memTypeTotal = 0;
			}
		}

		if (typecouponcode.val().trim() == '') {
			if (!isNaN(typecouponamount.val()) && typecouponamount.val() > 0) {
				couponresult.removeClass('text-danger').removeClass('text-success').addClass('text-primary');
				couponresult.text(APPCOUPONS.memberType.label + " removed.");
				var newTotal = ordertotal_work.val();
				newTotal = parseFloat(newTotal) + parseFloat(typecouponamount.val());
				newTotal = parseFloat(Math.round(newTotal * 100) / 100).toFixed(2);
				ordertotal_work.val(newTotal);
				ordertotal.val(newTotal);
				ordertotal_org.val(newTotal);
                $('#ordertotal_original').val(newTotal);
                
				if ($('#showAmountOrderTotal').length > 0) {
					if (sysPaymentProcessor == 'AffiniPay') {
						$('#showAmountOrderTotal').val(i4aFormatter(newTotal));
					}
					else {
						$('#showAmountOrderTotal').text(i4aFormatter(newTotal));	
					}
				}

				typecouponamount.val(0);
				APPCOUPONS.memberType.code = '';
				if (newTotal > 0) {
					enableObj(document.getElementById('pmt_method'));
					$('.paymentProfileListGroupItem').prop('disabled', false);
				}
				else {
					disableObj(document.getElementById('pmt_method'));
					$('.paymentProfileListGroupItem').prop('disabled', true);
				}
			}
			else {
				couponresult.text('');
				typecouponamount.val(0);
			}
		}
		else {
			couponresult.removeClass('text-danger').removeClass('text-success').addClass('text-primary');
			couponresult.text("Checking " + APPCOUPONS.memberType.label + ", please wait...");

			$.ajax({
				url: '/i4a/ams/public/ajaxcoupon.cfc',
				method: 'post',
				data: {
					method: 'validateMbrTypeCoupon',
					dues: dues.val(),
					code: typecouponcode.val().trim(),
					total: memTypeTotal,
					appType: appType
				},
				dataType: 'text',
	            error: function(data, status, error) {
					couponresult.text('');
					swal("Error", "There was an error processing your " + APPCOUPONS.memberType.label + ".", 'error');
				}
			}).done(function(jsonReturn) {
				var result = JSON.parse(jsonReturn);
				var dispTotal = 0;
				if (result.success) {
					var newCouponAmount = result.couponamount;
					var oldCouponAmount = typecouponamount.val();
					typecouponamount.val(newCouponAmount);
					couponresult.removeClass('text-danger').removeClass('text-primary').addClass('text-success');
					couponresult.text(APPCOUPONS.memberType.label + " amount: " + i4aFormatter(newCouponAmount));
					// add coupon code so it is not used again
					APPCOUPONS.memberType.code = typecouponcode.val().trim();
				}
				else {
					// this would get called if the CFC ran but threw an error.
					var newCouponAmount = 0;
					var oldCouponAmount = typecouponamount.val();
					typecouponamount.val(0);
					typecouponcode.val('');
					// remove coupon code
					APPCOUPONS.memberType.code = '';
					couponresult.removeClass('text-success').removeClass('text-primary').addClass('text-danger');
					if (result.message == 'Coupon not available.') {
						couponresult.text(APPCOUPONS.memberType.label + " not available.");
					}
					else {
						couponresult.text(result.message);
					}
				}

				var newTotal = parseFloat(ordertotal_work.val()) + parseFloat(oldCouponAmount) - parseFloat(newCouponAmount);
				newTotal = parseFloat(Math.round(newTotal * 100) / 100).toFixed(2);
				if (newTotal < 0) {
					newTotal = 0;
				}
				ordertotal_work.val(newTotal);
				ordertotal.val(newTotal);
				ordertotal_org.val(newTotal);
                $('#ordertotal_original').val(newTotal);
                
				if ($('#showAmountOrderTotal').length > 0) {
					if (sysPaymentProcessor == 'AffiniPay') {
						$('#showAmountOrderTotal').val(i4aFormatter(newTotal));
					}
					else {
						$('#showAmountOrderTotal').text(i4aFormatter(newTotal));	
					}
				}

				if (newTotal > 0) {
					enableObj(document.getElementById('pmt_method'));
					$('.paymentProfileListGroupItem').prop('disabled', false);
				}
				else {
					disableObj(document.getElementById('pmt_method'));
					$('.paymentProfileRadio').each(function(index) {
		  				$(this).prop('checked', false);
					});
					$('.paymentProfileListGroupItem').removeClass('active');
					$('#autoRenewRow').hide();
					$('.paymentProfileListGroupItem').prop('disabled', true);
				}
			});
		}
	}

	function alertAutoDuesEnrollmentChange(selectedValue) {
		// alert autoDues unenroll if changing dues type to different from orig and new type does not support automatic dues
		if (BYPASSAUTODUESALERT == false) {
			var origDuesValue = $('#origDuesValue').val();
			if (origDuesValue != selectedValue) {
				if (selectedValue.indexOf('_') != -1) {
					//numberOfYears = selectedValue.split('_')[1];
					//thisDues = listGetAt(thisDues, 1, "_");
					var selectedValueMemberType = selectedValue.split('_')[0];	// get the selected member type from the selected value - 1st position in array split
				}
				else {
					var selectedValueMemberType = selectedValue;
				}

				// get a list of member types and their auto-dues settings and save to array for comparison loop
				var strMemberTypeSettings = $('#duesSelectionsMemberTypeAutoRenewVals').val();
				var str_array = strMemberTypeSettings.split(',');

				for (var i=0; i<str_array.length; i++) {
				   thisMemberTypeSetting = str_array[i];
				   thisMemberTypeSettingArray = thisMemberTypeSetting.split('_');
				   thisMemberType = thisMemberTypeSettingArray[0];
				   thisMemberTypeAutoDues = thisMemberTypeSettingArray[1];

				   // we found the member type that they are changing to - now see if it supports autoDues
				   if (thisMemberType == selectedValueMemberType) {
				   		if (thisMemberTypeAutoDues == 0 || thisMemberTypeAutoDues.toLowerCase() == 'no') {
				   			// new member type doesn't support autoDues - alert to change and update hidden field to remove autoDues flag from record on submit of renewal app
				   			$('#bUnenrollAutoDues').val(1);
				   			swal({
					  			title: 'Automatic dues renewal program',
					  			html: true,
					  			text: "Changing your membership type will cancel your participation in the automatic dues renewal program.",
					  			animation: 'slide-from-top',
					  			type: 'info',
					  			confirmButtonText: 'Ok',
					  			confirmButtonColor: '#337ab7'
					  		});
				   			BYPASSAUTODUESALERT = true;
				   			break;
				   		}
				   }
				}
			}
		}
	}

	
	var formatter = new Intl.NumberFormat('en-US', {
	  style: 'currency',
	  currency: 'USD',
	  minimumFractionDigits: 2,
	});

	function i4aFormatter(thisAmt){
		formattedAmt = formatter.format(thisAmt);
		formattedAmt = formattedAmt.replace("CA", "C");		// format Canadian currency in the I4A format - with just "C" instead of "CA"
		return formattedAmt;
	}

	function changeDisplayedAddOnAmount(selectedValue) {
		// check to see if add-on string is displayed on member app before proceeding
		var bDisplayAddons = $('#bDisplayAddons').val();
		$('#addOnDisplayRow').hide();
		
		if (bDisplayAddons == 1) {
			var selectedValueMemberType = selectedValue.split('_')[0];
			var numberOfYears = 1; // default
			if (selectedValue !== undefined && selectedValue.indexOf('_') != -1) {
				numberOfYears = selectedValue.split('_')[1];
			}

			// get a list of member types and their addOn amounts and addOn limits and save to array for comparison loop
			var strMemberTypeAddOnOptions = $('#addOnInfoValues').val();
			var str_array = strMemberTypeAddOnOptions.split(',');

			var orgContactCount = $('#orgContactCount').val();

			// deduct one from the orgContactCount so we don't count the primary contact, included in membership (not an add-on)
			orgContactCount = parseInt(orgContactCount) - 1;
		
			for (var i=0; i<str_array.length; i++) {
			   thisMemberTypeAddOnAmount = str_array[i];
			   thisMemberTypeAddOnAmountArray = thisMemberTypeAddOnAmount.split('_');
			   thisMemberType = thisMemberTypeAddOnAmountArray[0];
			   thisMemberTypeAddOnAmount = thisMemberTypeAddOnAmountArray[1];
			   thisMemberTypeAddOnLimit = parseInt(thisMemberTypeAddOnAmountArray[2]);

			   // we found the member type that they are changing to - now update the addOn Amount text displayed on the member app
			   if (thisMemberType == selectedValueMemberType) {
			   		// set default for billable addon count
			   		billableAddOnCount = 0;

			   		// see if the number of org add-on contacts is more than the included add-on amount for this member type
			   		if (orgContactCount > thisMemberTypeAddOnLimit) {
			   			billableAddOnCount = orgContactCount - thisMemberTypeAddOnLimit;
			   		}

			   		// calculate total add-on amount for selected member type
			   		totalAddOnAmount = parseFloat(thisMemberTypeAddOnAmount) * billableAddOnCount * numberOfYears;

			   		// format total addOn amount and member type add on amount for display string
			   		totalAddOnAmount = formatter.format(totalAddOnAmount).replace("CA", "C");
			   		thisMemberTypeAddOnAmount = formatter.format(thisMemberTypeAddOnAmount).replace("CA", "C");

			   		// create display message
			   		if(numberOfYears == 1){
			   			var strAddOnDisplayMsg = totalAddOnAmount + " (" + thisMemberTypeAddOnAmount + " x " + billableAddOnCount + " individuals)";
			   		} else {
			   			var strAddOnDisplayMsg = totalAddOnAmount + " (" + thisMemberTypeAddOnAmount + " x " + numberOfYears + " years x " + billableAddOnCount + " individuals)";
			   		}

			   		// update display message DOM innerHTML
			   		$('#addOnDisplayRow').show();
			   		$('#addOnDisplayString').html(strAddOnDisplayMsg);
					$('#fullAddOnAmount').val(totalAddOnAmount.replace('$',''));
			   		break;
			   }// end check for matching member type

			} // end for loop over str_array
			
			if ((str_array.length == 1 && str_array[0] == '') && parseInt($('#fullAddOnAmount').val()) != 0) {
				$('#addOnDisplayRow').show();
			}

		} // end check for bDisplayAddons = 1

	}

	function getFormulaDues(formula) {
		var formulaDuesRate = $('#formulaDuesRate');
		var duesFormulaMin = $('#duesFormulaMin').val();
		var duesFormulaMax = $('#duesFormulaMax').val();
		var formulaX = $('#formulaX');
		var formulaY = $('#formulaY');
		var calcAmount = $('#calcAmount');
		var formulaXValue = formulaX.val(); 	// value to use for X
		var formulaYValue = formulaY.val();		// value to use for Y

		// convert formula to lowercase so we can do string compare and replacement without case sensitivity
		lowerCaseFormula = formula.toLowerCase();

		// check to see if there is a "Y" variable in the dues formula
		if (lowerCaseFormula.indexOf("y") > -1) {
			bHasY_Variable = 1;
		}
		else {
			bHasY_Variable = 0;
		}

		// don't do anything unless they put in a value for X and Y if it has a Y variable
		if (bHasY_Variable == 1) {
			if (formulaXValue == '' || formulaYValue == '') {
				return false;
			}
		}

		// make sure formulaX value is not a negative number or empty, set to value of zero if it is
		if (!isNaN(formulaXValue) && formulaXValue < 0) {
			swal({
	  			title: 'Invalid number',
	  			html: true,
	  			text: "'X' cannot be a negative number.",
	  			animation: 'slide-from-top',
	  			type: 'info',
	  			confirmButtonText: 'Ok',
	  			confirmButtonColor: '#337ab7'
	  		});
	  		formulaX.val('');
			return false;
		}

		if (isNaN(formulaXValue)) {
			swal({
	  			title: 'Missing required field',
	  			html: true,
	  			text: "Please enter a number for 'X'.",
	  			animation: 'slide-from-top',
	  			type: 'info',
	  			confirmButtonText: 'Ok',
	  			confirmButtonColor: '#337ab7'
	  		});
			return false;
		}

		if (formulaXValue == '') {
			formulaXValue = 0;
		}

		if (bHasY_Variable == 1) {
			// make sure formulaX value is not a negative number or empty, set to value of zero if it is
			if (!isNaN(formulaYValue) && formulaYValue < 0) {
				swal({
		  			title: 'Invalid number',
		  			html: true,
		  			text: "'Y' cannot be a negative number.",
		  			animation: 'slide-from-top',
		  			type: 'info',
		  			confirmButtonText: 'Ok',
		  			confirmButtonColor: '#337ab7'
		  		});
		  		formulaY.val('');
				return false;
			}

			if (isNaN(formulaYValue)) {
				swal({
		  			title: 'Missing required field',
		  			html: true,
		  			text: "Please enter a number for 'Y'.",
		  			animation: 'slide-from-top',
		  			type: 'info',
		  			confirmButtonText: 'Ok',
		  			confirmButtonColor: '#337ab7'
		  		});
				return false;
			}

			if (formulaYValue == '') {
				formulaYValue = 0;
			}
		}

		// save formula to lower case and then string variable to use in evaluation function
		temp = "" + lowerCaseFormula; // temporary holder (convert to lowercase in case user enters formula with lowercase letters for variables)

		// replace value of "x" in formula with the formulaX value
		// case insensitive global replacement
		temp = lowerCaseFormula.replace(/x/gi, formulaXValue);

		// if there is a "y" value in the formula, replace the value of "y" with the formulaY value
		// case insensitive global replacement
		if(bHasY_Variable == 1){
			temp = temp.replace(/y/gi, formulaYValue);
		}

		// evaluate the formula and save to myDues variable
		myDues = eval(temp);
		// need this in order to round to 2 decimal places
		myDues = parseFloat(Math.round(myDues * 100) / 100).toFixed(2);
		myDuesDisplayVal = i4aFormatter(myDues);

		// set value on form
		if (formulaXValue == parseFloat(formulaXValue)) {
			if (duesFormulaMin != '' && myDues < parseFloat(duesFormulaMin)) {
				var originalCalc = myDues;
				var originalCalDisplayVal = i4aFormatter(originalCalc);
				myDues = parseFloat(duesFormulaMin).toFixed(2);
				var duesFormulaMinDisplayVal = i4aFormatter(duesFormulaMin);
				var newHTML = "Minimum Dues Amount: " + duesFormulaMinDisplayVal + " <br />(Overrides Calculated Amount of " + originalCalDisplayVal + ")";
			}
			else if (duesFormulaMax != '' && myDues > parseFloat(duesFormulaMax)) {
				var originalCalc = myDues;
				var originalCalDisplayVal = i4aFormatter(originalCalc);
				myDues = parseFloat(duesFormulaMax).toFixed(2);
				var duesFormulaMaxDisplayVal = i4aFormatter(duesFormulaMax);
				var newHTML = "Maximum Dues Amount: " + duesFormulaMaxDisplayVal + " <br />(Overrides Calculated Amount of " + originalCalDisplayVal + ")";
			}
			else {
				var newHTML = "Calculated dues rate: " + myDuesDisplayVal;
			}
			calcAmount.val(myDues);
			updateAmount();

			if (formulaXValue == '') {
				formulaDuesRate.html("Calculated dues rate: N/A");
				calcAmount.val(0);
			}
			else {
				formulaDuesRate.html('<strong>' + newHTML + '</strong>');
			}
		}
		else {
			// something went wrong, let's clear value
			calcAmount.val(0);
			dues.val(0);
			formulaDuesRate.html("<strong>Something went wrong, please try again.</strong>");
		}

		updateAmount();
	}

	
	function updateCTTotal(m) {
		
			// need to limit the contact types checkboxes to only 1
			var thisCheckbox = $('[name="' + m.name + '"]');
			if (thisCheckbox.is(':checked')) {
				// just got checked by user; need to make sure it is allowed (only one)
				var howMany = 0;
				$('.ctCheckboxes').each(function(index, data) {
					$(this).css('outline-color', '').css('outline-style', 'none').css('outline-width', 'none');
					if ($(this).is(':checked')) {
						howMany++;
					}
				});
				if (howMany > 1) {
					// uncheck the current checkbox
					thisCheckbox.prop('checked', false);
					swal({
			  			title: 'Invalid',
			  			html: true,
			  			text: "Only one contact type can be selected.",
			  			animation: 'slide-from-top',
			  			type: 'info',
			  			confirmButtonText: 'Ok',
			  			confirmButtonColor: '#337ab7'
			  		});
					return false;
				}
			}
		
		
		if ($('#installmentOptions').length > 0) {
			$('#pmt_method').val('');
			$('#installmentOptions').val('full');
		}
		if ($('#installmentsTotal').length > 0) {
			$('#installmentsTotal').val('');
		}
		if (typeof updateInstallmentsDiv === 'function') {
			updateInstallmentsDiv();
		}
		if (typeof showInstallmentPrices === 'function') {
			showInstallmentPrices();
		}
		
		
			updateAmount();
		
	}

	function openAmountRecalc() {
		// we need to call the original onchange func checktotal()
		// but then must recalculate coupons...
		checkTotal();
	}

	function gotoTopofApp() {
		var i4acontainer = document.getElementById('i4acontent_area_outer');
		if (i4acontainer) {
			var headerContainer = document.getElementById('header-container');

		    // Some themes have a fixed header that remains in view when scrolling the page.
		    // this causes problems with accordions, so to fix and not break anything else
		    // we will check for a custom DOM paramter and if present, adjust the
		    // scroll accordingly.
		    var adjustment = 0;
		    if (headerContainer) {
		    	if (typeof headerContainer.attributes.fixedheader !== 'undefined') {
		    		if (headerContainer.attributes.fixedheader.value == 'true') {
		    			adjustment = headerContainer.offsetHeight;
	    			}
	    		}
	    	}
	    	else {
	    		// look for fixed header of a responsive template
	    		headerContainer = $('.fixed-top');
	    		if (headerContainer && headerContainer[0]) {
	    			adjustment = headerContainer[0].clientHeight;
	    		}
	    	}
		 	$('html,body').animate({
        	 	scrollTop: i4acontainer.offsetTop - adjustment
   		 	}, 200);
		}
	}

	$(function () {
		$('[data-toggle="tooltip"]').tooltip();

		var memberTypeChangeOnly = 0;
		var pageID = '3277';

		// run updateAmount() on page load
		updateAmount();
		
		if ($('#ordertotal_open').length > 0) {
			$('#ordertotal_open').on('change', function () {
				if ($('#installmentOptions').length > 0) {
					$('#installmentOptions').val('full');	
				}
				
				clearInstallmentsData();
				
				$('#pmt_method').val('');
				$('.paymentProfileListGroupItem').removeClass('active');
				$('.paymentProfileRadio').prop('checked', false);
				
				updateAmount();
				//showInstallmentPrices();
			});	
		}
		
		if ($('#ordertotal_open2').length > 0) {
			$('#ordertotal_open2').on('change', function () {
				if ($('#installmentOptions').length > 0) {
					$('#installmentOptions').val('full');	
				}
				
				clearInstallmentsData();
				
				$('#pmt_method').val('');
				$('.paymentProfileListGroupItem').removeClass('active');
				$('.paymentProfileRadio').prop('checked', false);
				
				updateAmount();
				//showInstallmentPrices();
			});	
		}
		
		$('#appDescriptionBtn').on('click', function () {
			$('#appDescriptionDiv').hide('slow', function(){ });
			//$('#appMainDiv').removeClass('hidden', 1000);
			$('#appMainDiv').show('slow', function(){ });
		});

		$('#excludeFromAllEmailMarketing').on('click', function () {
			$(".emailSubscriptionTypes").prop("checked", false);
		});

		$('.emailSubscriptionTypes').on('click', function () {
			$("#excludeFromAllEmailMarketing").prop("checked", false);
		});

		// will use this to keep track of coupons used so same coupon is not applied more than once
		APPCOUPONS = {
			appType: { code: '', label: '' },
			memberType: { code: '', label: '' }
		};

		BYPASSAUTODUESALERT = false;

		
		if ($('#dues').length > 0) {
			$('#dues').on('change', function () {
				if ($('#pmt_method').length > 0) {
					$('#pmt_method').val('');
					if (typeof chgPmt === 'function') {
						chgPmt();
					}
					if (typeof clearInstallmentsData === 'function') {
						clearInstallmentsData();	
					}
				}	
			});
			
			var selectedValue = $('#dues').val();
			changeDisplayedAddOnAmount(selectedValue);
			checkMemberTypeCoupons(selectedValue);
		}
		
		if ($('#savePaymentProfile_yes').length > 0) {
			$('#savePaymentProfile_yes').on('change', function () {
				if ($('#installmentOptions').length > 0 && $('#installmentOptions').val() != 'full') {
					// do not let them uncheck it
					$('#savePaymentProfile_yes').prop('checked', true);
				}
				
				/*if (!document.getElementById('savePaymentProfile_yes').checked) {
					$('#installmentOptions').val('full');
					if (typeof showInstallmentPrices === 'function') {
						showInstallmentPrices();	
					}
				}*/
			});
		}
		
		var dateFormat = 'mm/dd/yyyy';

		$('.dateField').datepicker({
			format: dateFormat.toLowerCase(),
		    todayBtn: 'linked',
		    multidate: false,
		    autoclose: true,
		    todayHighlight: true,
		    zIndexOffset: 1000
		});

		$('.collapse').on('shown.bs.collapse', function (e) {
		    var $card = $(this).closest('.card');
		    var headerContainer = document.getElementById('header-container');

		    // Some themes have a fixed header that remains in view when scrolling the page.
		    // this causes problems with accordions, so to fix and not break anything else
		    // we will check for a custom DOM paramter and if present, adjust the
		    // scroll accordingly.
		    var adjustment = 0;
		    if (headerContainer) {
		    	if (typeof headerContainer.attributes.fixedheader !== 'undefined') {
		    		if (headerContainer.attributes.fixedheader.value == 'true') {
		    			adjustment = headerContainer.offsetHeight;
	    			}
	    		}
	    	}
	    	else {
	    		// look for fixed header of a responsive template
	    		headerContainer = $('.fixed-top');
	    		if (headerContainer && headerContainer[0]) {
	    			adjustment = headerContainer[0].clientHeight;
	    		}
	    	}
		    var $firstFormElem = e.target.firstElementChild.firstElementChild;
		    if (typeof $firstFormElem.trigger == 'function') {
				$firstFormElem.trigger('focus');
			}

			$('html,body').animate({
        	 	scrollTop: $card.offset().top - adjustment
			}, 200);
		});

		$('#memberApp_paymentDetails :input').each(function() {
			if ($(this).attr('id') != 'savePaymentProfile_yes' && $(this).attr('id') != 'usePaymentProfile_yes' && $(this).attr('id') != 'dues_autorenew_no' && $(this).attr('id') != 'dues_autorenew_yes') {
				$(this).addClass('form-control').css('margin-bottom', '10px').css('margin-left', '2px');
			}
		});
		$('#memberApp_paymentDetails table').css('width', '100%');
		$('#autoRenewFields').css('width', '100%');
		$('#ordertotal_work').css("font-weight", "Bold");

		$('#btnOrgCode').on('click', function () {
			var orgCode = $('#orgCode').val();
			var mbrAppID = $('#mbrAppID').val();
			if (orgCode != '') {
				var btn = $(this);
				btn.button('loading');
				//btn.prop('disabled', true);

				$('<form>', {
					"method": "post",
				    "id": "formOrgCode",
				    "html": '<input type="text" name="orgCode" value="' + orgCode + '" />' +
				    	'<input type="text" name="mbrAppID" value="' + mbrAppID + '" />',
				    "action": '?controller=memberApps&action=index&firstPage=false&pageID='+pageID
				}).appendTo(document.body).trigger('submit');
			}
		});

		// need to re-validate the member type coupon
		$('#dues').on('change', function() {
			if ($('#installmentOptions').length > 0) {
				$('#installmentOptions').val('full');	
			}
			if (typeof updateInstallmentsDiv === 'function') {
				updateInstallmentsDiv();
			}
			if (typeof showInstallmentPrices === 'function') {
				showInstallmentPrices();
			}
			updateAmount();
			validateTypeCoupon();
			validateAppCoupon();
		});

		// need to re-validate the member type coupon
		$('#calcAmount').on('change', function() {
			updateAmount();
			validateTypeCoupon();
			validateAppCoupon();
		});

		checkAutoRenew();

		/* collapse ID assignments: Dues and Payment Details are always show, others vary on situation
		* collapseOne = Dues
		* collapseTwo = Contact Form
		* collapseThree = Username/Password
		* collapseFour = Custom Questions
		* collapseFive = Contact Types
		* collapseSix = Payment Details
		*/

		$("#btnDues").on('click', function () {
			//validate, then proceed
			var isValid = validateRequiredFields('collapseOne');
			if (isValid) {
				$("#collapseOne").collapse('hide');
				if (memberTypeChangeOnly == 0) {
					$("#collapseTwo").collapse('show');
			        $('#accordionBtnTwo').show();
			        $('#accordionTitleTwo').hide();
			        $('#collapseTwo :input:enabled:visible:first').trigger('focus');
				}
				else {
				    
						$("#collapseFive").collapse('show');
					    $('#collapseFive :input:enabled:visible:first').trigger('focus');
					    $('#accordionBtnFive').show();
				        $('#accordionTitleFive').hide();
				    
				}
			}
	    });

		$("#btnFormPrev").on('click', function () {
	        $("#collapseOne").collapse('show');
	        $("#collapseTwo").collapse('hide');
	        $("#collapseThree").collapse('hide');
	        $("#collapseFour").collapse('hide');
	        $("#collapseFive").collapse('hide');
	        $("#collapseSix").collapse('hide');
	        $('#collapseOne :input:enabled:visible:first').trigger('focus');
	    });

		$("#btnFormNext").on('click', function () {
			//validate then proceed
			var isValid = validateRequiredFields('collapseTwo');
			if (isValid) {
				$('#username').val($('#appemail').val());
		        $("#collapseTwo").collapse('hide');
		        
			        $("#collapseThree").collapse('show');
			        $('#collapseThree :input:enabled:visible:first').trigger('focus');
			        $('#accordionBtnThree').show();
			        $('#accordionTitleThree').hide();
			    
			}
	    });

	    
			$("#btnCredentialsPrev").on('click', function () {
				$("#collapseOne").collapse('hide');
		        $("#collapseTwo").collapse('show');
		        $("#collapseThree").collapse('hide');
		        $("#collapseFour").collapse('hide');
		        $("#collapseFive").collapse('hide');
		        $('#collapseTwo :input:enabled:visible:first').trigger('focus');
			});

			$("#btnCredentialsNext").on('click', function () {
				// validate then proceed
				var isValid = validateRequiredFields('collapseThree');

				if (isValid) {
					// need to verify the field values now
					isValid = validateUsernamePassword();
					if (isValid) {
				        $("#collapseThree").collapse('hide');
						
							$("#collapseFour").collapse('show');
							//$('#collapseFour :input:enabled:visible:first').trigger('focus');
							$('#accordionBtnFour').show();
					        $('#accordionTitleFour').hide();
						
					}
				}
			});
		

		    $("#btnQuestionsPrev").on('click', function () {
		        $("#collapseFour").collapse('hide');
		        
					$("#collapseThree").collapse('show');
					$('#collapseThree :input:enabled:visible:first').trigger('focus');
				
		    });

		    $("#btnQuestionsNext").on('click', function () {
		    	// validate then proceed
		    	var isValid = validateRequiredFields('collapseFour');
		    	if (isValid) {
		        $("#collapseFour").collapse('hide');
		        
					$("#collapseFive").collapse('show');
			        $('#collapseFive :input:enabled:visible:first').trigger('focus');
			        $('#accordionBtnFive').show();
			        $('#accordionTitleFive').hide();
				
		    	}
		    });
		

			$("#btnCTPrev").on('click', function () {
		        $("#collapseFive").collapse('hide');
		        if (memberTypeChangeOnly == 0) {
		        	
				        $("#collapseFour").collapse('show');
				        //$('#collapseFour :input:enabled:visible:first').trigger('focus');
				    
		        }
		        else {
		        	$("#collapseOne").collapse('show');
			        $('#collapseOne :input:enabled:visible:first').trigger('focus');
		        }

		    });

		    $("#btnCTNext").on('click', function () {
		    	// validate then proceed
		    	var isValid = validateRequiredFields('collapseFive');
		    	if (isValid) {
		        	$("#collapseFive").collapse('hide');
		        	$("#collapseSix").collapse('show');
		        	$('#collapseSix :input:enabled:visible:first').trigger('focus');
		        	$('#accordionBtnSix').show();
		        	$('#accordionTitleSix').hide();
	    		}
		    });
		

		$("#btnPaymentPrev").on('click', function () {
	        $("#collapseSix").collapse('hide');
	        
		        $("#collapseFive").collapse('show');
		        $('#collapseFive :input:enabled:visible:first').trigger('focus');
	        
	    });

		var request;
		var isLoading = false;
		
		function submitForm() {
			if (!isLoading) {
				isLoading = true;
				
				
					var captchaResponse = $("[name='g-recaptcha-response']");
					if (captchaResponse && captchaResponse.val() == '') {
						swal({
				  			title: 'reCAPTCHA Validation',
				  			text: 'The "I\'m not a robot" checkbox is required. Please try again.',
				  			animation: "slide-from-top",
				  			type: 'info',
				  			confirmButtonText: "Ok",
				  			confirmButtonColor: "#337ab7"
						});
						isLoading = false;
						return false;
					}
				
	
				var btn = $('#btnPaymentNext');
				btn.prop('disabled', true);
				btn.button('loading');
	
				var form = $('#memberAppForm');
				var inputs = form.find('input, select, button, textarea');
	
				// hack for Safari bug (Submitting data which includes an empty file input), added 6-27-2018
				// TODO: need to revisit at some point to see if fixed by Safari
				/*
				for (i = 0; i < form[0].elements.length; i++) {
					if (form[0].elements[i].type == 'file') {
						if (form[0].elements[i].value == '') {
							form[0].elements[i].parentNode.removeChild(form[0].elements[i]);
				    	}
				  	}
				}*/
	
				// since we might be sending a file, we can't serialize the form here
				var formObj = new FormData(form[0]);
	
				request = $.ajax({
					url: '?controller=memberApps&action=commitApp&_nodom=true',
	                type: 'POST',
	                //contentType: 'multipart/form-data',
				   	//mimeType: 'multipart/form-data',
				    data: formObj,
				    dataType: 'text',
				    cache: false,
				 	contentType: false,
				 	processData: false
				});
	
				request.done(function(response, textStatus, jqXHR) {
	                 var messageType = 'error';
	                 var messageTitle = 'Error';
	
	                 if (textStatus == 'success') {
	                     var decodedObj = JSON.parse(response);
	                     if (decodedObj.success) {
	                         messageType = 'success';
	                         messageTitle = 'Success';
	                     }
	                 }
	                 else {
	                     decodedObj.message = 'Oops, something went wrong; please try again.';
	                 }
	
	                 if (messageType == 'success') {
	                		swal({
				  			title: messageTitle,
				  			text: decodedObj.message,
				  			animation: "slide-from-top",
				  			type: messageType,
				  			confirmButtonText: "Ok",
				  			confirmButtonColor: "#337ab7",
				  			showLoaderOnConfirm: true
				  		},
				  		function() {
				  			isLoading = false;
				  			window.location.href = '?controller=memberApps&action=appConfirmation&pageID='+pageID;
				  		});
	                 }
	                 else {
	                 	// reset the payment token in case the payment method is invalid
	               		if ($('#paymentToken')) {
	               			$('#paymentToken').val('');	
	               		}
	               		
	                 	if (decodedObj.timeout == true) {
	                 		swal({
					  			title: messageTitle,
					  			text: decodedObj.message,
					  			animation: "slide-from-top",
					  			type: messageType,
					  			confirmButtonText: "Ok",
					  			confirmButtonColor: "#337ab7",
					  			showLoaderOnConfirm: true
					  		},
					  		function() {
					  			isLoading = false;
					  			window.location.href = '?controller=memberApps&action=index&pageID='+pageID;
					  		});
	               		}
	                	else if (decodedObj.recaptchareset == true) {
	                		swal({
					  			title: messageTitle,
					  			text: decodedObj.message,
					  			animation: "slide-from-top",
					  			type: messageType,
					  			confirmButtonText: "Ok",
					  			confirmButtonColor: "#337ab7",
					  			showLoaderOnConfirm: true
					  		},
					  		function() {
					  			grecaptcha.reset();
					  			btn.prop('disabled', false);
				                btn.button('reset');
				                isLoading = false;
					  		});
	                	}
	                 	else {
	                 		swal({
					  			title: messageTitle,
					  			text: decodedObj.message,
					  			html: true,
					  			animation: "slide-from-top",
					  			type: messageType,
					  			confirmButtonText: "Ok",
					  			confirmButtonColor: "#337ab7",
					  		});
		
					  		btn.prop('disabled', false);
							btn.button('reset');
			     		    inputs.prop('disabled', false);
			     		    isLoading = false;
						}
					}
				});
	
				request.fail(function(jqXHR, textStatus, errorThrown) {
					swal({
			  			title: "Error",
			  			text: errorThrown,
			  			animation: "slide-from-top",
			  			type: "error",
			  			confirmButtonText: "Ok",
			  			confirmButtonColor: "#337ab7"
			  		});
	
			  		btn.prop('disabled', false);
	                btn.button('reset');
	                inputs.prop('disabled', false);
	                isLoading = false;
				});	
			}

			return false;
		}

		$("#btnPaymentNext").on('click', function () {
			// validate the form and submit
			// need to re-validate all tabs since user has the ability to open each one and change data
			var isValid = validateRequiredFields('collapseOne');	
			if (isValid) {
				isValid = validateRequiredFields('collapseTwo');
				if (isValid) {
					isValid = validateRequiredFields('collapseThree');
					if (isValid) {
						isValid = validateRequiredFields('collapseFour');
						if (isValid) {
							isValid = validateRequiredFields('collapseFive');
							if (isValid) {
								var ccValid = validateCC('memberAppForm');
								if (!ccValid) {
									return false;
								}
								else {
									
										submitForm();
									
								}
							}
						}
					}
				}
			}
		});
	});

	// code for conditional questions on member apps

	// add listeners to a change in conditionalPrimaryQuestion fields
	$(".conditionalPrimaryQuestion").on('change', function () {
		myObj = $(this);
		checkPrimaryConditionalQuestion(myObj);
	});

	function checkPrimaryConditionalQuestion(myObj){

		var selectedMemberTypeIDString = $('#dues').val();
		var selectedMemberTypeArr = selectedMemberTypeIDString.split("_");
		var selectedMemberTypeID = selectedMemberTypeArr[0];

		if(myObj[0].type != 'radio'){
			primaryQuestionResponse = myObj.val();
		} else {
			// console.log("object type is radio");
			primaryQuestionName = myObj[0].name;
			primaryQuestionResponse = $("input[name='" + primaryQuestionName + "']:checked").val();
			// console.log("primaryQuestionName: " + primaryQuestionName + " / primaryQuestionResponse: " + primaryQuestionResponse);
		}


		// primaryQuestionID = myObj.data('questionid');
		primaryQuestionIDStr = myObj[0].id
		primaryQuestionIDArr = primaryQuestionIDStr.split("_");
		primaryQuestionID = primaryQuestionIDArr.pop();
		// console.log(primaryQuestionIDArr);

		// console.log("in checkPrimaryConditionalQuestion -- primaryQuestionResponse: " + primaryQuestionResponse + " / primaryQuestionID: " + primaryQuestionID);

		// define the class name of the conditional question to display if the right response is selected
		primaryQuestionGroupClassname = 'primaryQuestionGroup-' + primaryQuestionID;
		// console.log('primaryQuestionGroupClassname: ' + primaryQuestionGroupClassname);

		// get all rows and conditional questions associated with the primaryQuestionID

		// display any rows with this primary question group classname
		$('.'+ primaryQuestionGroupClassname).each(function(){
			conditionalQuestionObj = $(this);
			// console.log(conditionalQuestionObj);
			// console.log(conditionalQuestionObj[0].id);
			// alert(conditionalQuestionObj[0].id);


			var bPassedMemberTypeRestrictions = true;
			var bMemberTypeRestrictions = conditionalQuestionObj.hasClass('memberTypeRestrictedQuestion');
			if(bMemberTypeRestrictions) {
				memberTypesAllowed = conditionalQuestionObj.data('membertypes');
				memberTypeArray = memberTypesAllowed.toString().split(",");
				if(!memberTypeArray.includes(selectedMemberTypeID)) {
					bPassedMemberTypeRestrictions = false;
				}
			}

			if(bPassedMemberTypeRestrictions) {

				// get the question ID number of the conditional question
				conditionalQuestionID = conditionalQuestionObj[0].id;
				// console.log("conditionalQuestionID: " + conditionalQuestionID);
				arrConditionalQuestionID = conditionalQuestionID.split('-');
				// console.log("array length of arrConditionalQuestionID: " + arrConditionalQuestionID.length);
				// console.log(arrConditionalQuestionID);
				arrConditionalQuestionIDNumber = arrConditionalQuestionID[0].split('_');
				conditionalQuestionIDNumber = arrConditionalQuestionIDNumber[1];
				// console.log("conditionalQuestionIDNumber: " + conditionalQuestionIDNumber);

				// get the value of the required response from the primary question in order to display this conditional question
				requiredResponseVal = $('#primaryQuestionResponseVal-' + conditionalQuestionIDNumber).val();
				// console.log("conditionalQuestionIDNumber: " + conditionalQuestionIDNumber + " / requiredResponseVal: " + requiredResponseVal + " / primaryQuestionResponse: " + primaryQuestionResponse);

				// convert required response and actual response to lowercase for exact string comparison in javascript
				requiredResponseVal = requiredResponseVal.toLowerCase();
				primaryQuestionResponse = primaryQuestionResponse.toLowerCase();

				if(requiredResponseVal == primaryQuestionResponse){
					conditionalQuestionObj.show();
				} else {
					conditionalQuestionObj.hide();
					// make sure there is no value on the conditional question form field anymore
					$(this).find(':input').each(function() {
					    switch(this.type) {
					        case 'password':
					        case 'text':
					        case 'textarea':
					        case 'file':
					        case 'select-one':
					        case 'select-multiple':
					        case 'date':
					        case 'number':
					        case 'tel':
					        case 'email':
					            jQuery(this).val('');
					            break;
					        case 'checkbox':
					        case 'radio':
					            this.checked = false;
					            break;
					    }
					});
				}

			}	// end check for passed member type restrictions

		});

		return;
	}

	function showConditionalMemberTypeQuestions(memberTypeID) {
		$('.memberTypeRestrictedQuestion').each(function() {
			conditionalQuestionObj = $(this);

			var bPassedParentChildRestrictions = true;
			var bParentChildRestrictions = conditionalQuestionObj.hasClass('conditionalQuestion');

			if(bParentChildRestrictions) {
				// there is a parent/child restriction on this question; don't display according to member type restriction rules unless it passes parent/child rules first
				var thisQuestionID = conditionalQuestionObj.data("questionid");
				var thisPrimaryQuestionID = conditionalQuestionObj.data("primaryquestionid");
				if(thisPrimaryQuestionID > 0) {
					primaryQuestionObj = $('#response_' + thisPrimaryQuestionID);
					if (typeof primaryQuestionObj[0] !== "undefined") {
						if(primaryQuestionObj[0].type != 'radio'){
							primaryQuestionResponse = primaryQuestionObj.val();
						} else {
							primaryQuestionName = primaryQuestionObj[0].name;
							primaryQuestionResponse = $("input[name='" + primaryQuestionName + "']:checked").val();
						}
						requiredResponseVal = $('#primaryQuestionResponseVal-' + thisQuestionID).val();
						if(requiredResponseVal != primaryQuestionResponse) {
							bPassedParentChildRestrictions = false;
						}
					} // end check for undefined
				}
			}


			if(bPassedParentChildRestrictions) {
				if(memberTypeID == 0) {
					conditionalQuestionObj.hide();
				} else {
					memberTypesAllowed = conditionalQuestionObj.data('membertypes');
					memberTypeArray = memberTypesAllowed.toString().split(",");
					if(memberTypeArray.includes(memberTypeID)) {
						conditionalQuestionObj.show();
					} else {
						conditionalQuestionObj.hide();
					}
				}
			}

		});

	}

	
</script>

		<script>
function clearInstallmentsData() {
	if ($('#installmentslDueToday').length > 0) {
		$('#installmentslDueToday').val('');
	}
	if ($('#firstInstallment').length > 0) {
		$('#firstInstallment').val('');
	}
	if ($('#installmentsFee').length > 0) {
		$('#installmentsFee').val('');
	}
	if ($('#installmentsLastPayment').length > 0) {
		$('#installmentsLastPayment').val('');
	}
	if ($('#installmentsTotal').length > 0) {
		$('#installmentsTotal').val('');
	} 
	if ($("input[name='expected_amount']").length > 0) {
		$("input[name='expected_amount']").val(0);
	}
	if ($('#installmentsPaymentContent').length > 0) {
		$('#installmentsPaymentContent').hide();
	}
	
	$('#installmentPaymentsPlan').html('');
	$('#installmentPaymentsDiv').hide('slow');
	$('#installmentsTotalRow').hide();
}

function updateInstallmentsDiv() {
	clearInstallmentsData();
	
	var pmt_method = $('#pmt_method').val();
	var savedPayment = '';
	
	if ($("input[name='usePaymentProfile']").length > 0) {
		if ($("input[name='usePaymentProfile']:checked").length > 0) {
			savedPayment = $("input[name='usePaymentProfile']:checked").val();
		}	
	}
	
	if (savedPayment == '' && (pmt_method == '' || pmt_method == 'Check' || pmt_method == 'PO' || pmt_method == 'Purchase Order' || pmt_method == 'Apply')) {
		$('#installmentOptionsDiv').hide();
		$('#installmentsDiv').hide();
		$('#installmentPaymentsDiv').hide();
		$('#installmentOptions').val('full');
		
		if ($('#installmentsFee').length > 0) {
			$('#installmentsFee').val(0);	
		}
		
		if ($('#installmentsTotal').length > 0) {
			$('#installmentsTotal').val('');
		}
	}
	else {
		// Electronic Check, or any Credit Card, or saved payment method
		
		if ($('#dues').prop('type') == 'hidden') {
			var installmentsEnabled = parseInt($('#dues').data('installments'));
		}	
		else {
			var installmentsEnabled = parseInt($('#dues').find(':selected').data('installments'));
			
		}

		if (installmentsEnabled == 1) {
			if ($('#dues').prop('type') == 'hidden') {
				var installmentIDs = $('#dues').data('installmentids');
			}	
			else {
				var installmentIDs = $('#dues').find(':selected').data('installmentids');
				
			}

			if (installmentIDs != '') {
				if ($('#dues').prop('type') == 'hidden') {
					var installmentsMultiYear = parseInt($('#dues').data('installmentsmultiyear'));
				}	
				else {
					var installmentsMultiYear = parseInt($('#dues').find(':selected').data('installmentsmultiyear'));
					
				}
				
				var selectedValue = $('#dues').val();
				var numberOfYears = 1;
				if (selectedValue !== undefined && selectedValue.indexOf('_') != -1) {
					memberTypeID = selectedValue.split('_')[0];
					numberOfYears = selectedValue.split('_')[1];
				}
				else if (selectedValue !== undefined && selectedValue != '' && selectedValue != 0) {
					memberTypeID = selectedValue;
				}
				
				// for short-form renewals
				if ($('#numberOfYears').length > 0) {
					numberOfYears = $('#numberOfYears').val();
				}
				
				numberOfYears = parseInt(numberOfYears);
			
				if (installmentsMultiYear == 0 && numberOfYears > 1) {
					$('#installmentOptionsDiv').hide();
					$('#installmentsDiv').hide();
				}
				else {
					// before we display installment options, need to check if the user is just paying for open amounts (when coupon is for total amount)
					var total = $('#ordertotal_work').val();
					//var newMbrAppFee = 0;
					var ordertotal_open = 0;
					var ordertotal_open2 = 0;
					//var lateFeeAmount = 0;
					var openTotal = 0;
					
					/*if ($('#newMbrAppFee').length > 0) {
						newMbrAppFee = parseFloat($('#newMbrAppFee').val().replace(/[^\d\.]/g,''));
						if (isNaN(newMbrAppFee) || newMbrAppFee < 0) {
							newMbrAppFee = 0;
						}
					}*/
					if ($('#ordertotal_open').length > 0) {
						var ordertotal_open = parseFloat($('#ordertotal_open').val().replace(/[^\d\.]/g,''));
						if (isNaN(ordertotal_open) || ordertotal_open < 0) {
							ordertotal_open = 0;
						}
						openTotal += ordertotal_open;
					}
					if ($('#ordertotal_open2').length > 0) {
						var ordertotal_open2 = parseFloat($('#ordertotal_open2').val().replace(/[^\d\.]/g,''));
						if (isNaN(ordertotal_open2) || ordertotal_open2 < 0) {
							ordertotal_open2 = 0;
						}
						openTotal += ordertotal_open2;
					}
					/*
					if ($('#lateFeeAmount').length > 0) {
						var lateFeeAmount = parseFloat($('#lateFeeAmount').val().replace(/[^\d\.]/g,''));
						if (isNaN(lateFeeAmount) || lateFeeAmount < 0) {
							lateFeeAmount = 0;
						}
					}*/
					
					if (openTotal != total) {
						$('#installmentOptionsDiv').show();
						$('#installmentsDiv').show();	
					}
					else {
						$('#installmentOptionsDiv').hide();
						$('#installmentsDiv').hide();
					}
				}
				
				$('#installmentOptions').children('option').hide();
				$("#installmentOptions").children("option[value^=full]").show();
				
				// more than 1 installment option is enabled in member type
				if (installmentIDs.toString().search(',') > -1) {
					var installmentIDsArr = installmentIDs.split(',');
					for (let i = 0; i < installmentIDsArr.length; ++i) {
						$("#installmentOptions").children("option[value^=" + installmentIDsArr[i] + "]").show();
					}	
				}
				else {
					$("#installmentOptions").children("option[value^=" + installmentIDs + "]").show();
				}
			}
			else {
				$('#installmentOptionsDiv').hide();
				$('#installmentsDiv').hide();
				$('#installmentPaymentsDiv').hide();
				$('#installmentOptions').val('full');
			}
		}
		else {
			$('#installmentOptionsDiv').hide();
			$('#installmentsDiv').hide();
			$('#installmentPaymentsDiv').hide();
			$('#installmentOptions').val('full');
		}
	}
}

function showInstallmentPrices() {
	// figure out member type selected
	var selectedValue = $('#dues').val();
	
	if ($('#dues').prop('type') == 'hidden') {
		var installmentsMultiYear = parseInt($('#dues').data('installmentsmultiyear'));
	}	
	else {
		var installmentsMultiYear = parseInt($('#dues').find(':selected').data('installmentsmultiyear'));
		
	}
	
	var memberTypeID = 0;	
	var numberOfYears = 1;
	
	if (selectedValue !== undefined && selectedValue.indexOf('_') != -1) {
		memberTypeID = selectedValue.split('_')[0];
		numberOfYears = selectedValue.split('_')[1];
	}
	else if (selectedValue !== undefined && selectedValue != '' && selectedValue != 0) {
		memberTypeID = selectedValue;
	}
	
	// if this is a renewal with multiple year options
	if ($('#numberOfYears').length > 0 && $('#numberOfYears').val() != '') {
		numberOfYears = $('#numberOfYears').val();
	}
	numberOfYears = parseInt(numberOfYears);
	
	clearInstallmentsData();
	
	if (installmentsMultiYear == 0 && numberOfYears > 1) {
		if ($('#installmentsFee').length > 0) {
			$('#installmentsFee').val(0);	
		}
		if ($('#installmentsTotal').length > 0) {
			$('#installmentsTotal').val('');
		}
		$('#installmentPaymentsDiv').hide('slow');
		$('#installmentsDiv').hide();
		$('#installmentPaymentsPlan').html('');
		$('#installmentsTotalRow').hide();
		$('#savePaymentProfile_yes').prop('checked', false).css('pointer-events', 'auto').css('cursor', 'auto');
		$('#savePaymentProfile_label').css('pointer-events', 'auto');
	}
	else {
		if ($('#installmentOptions').length > 0) {
			var option = $('#installmentOptions').val();
		
			if (option == 'full') {
				$('#installmentPaymentsDiv').hide('slow');
				$('#installmentPaymentsPlan').html('');
				$('#installmentsTotalRow').hide();
				$('#savePaymentProfile_yes').prop('checked', false).css('pointer-events', 'auto').css('cursor', 'auto');
				$('#savePaymentProfile_label').css('pointer-events', 'auto');
				$('#installmentsTotalRow').hide();
				
				if (typeof updateAmount === 'function') {
					updateAmount();	
					if (typeof chgPmt === 'function') {
						chgPmt();	
					}
				}
				else if (typeof checkTotal === 'function') {
					checkTotal();
				}
			}
			else {
				$('#installmentPaymentsDiv').hide('slow');
				
				$('#savePaymentProfile_yes').prop('checked', true).css('pointer-events', 'none').css('cursor', 'not-allowed');
				$('#savePaymentProfile_label').css('pointer-events', 'none');
				//var installmentType = '';
	            var installmentType = $('#installmentOptions').find('option:selected').text();
	   
	            /*
				$.each(installmentOptions, function(key, value) {
					if (parseInt(option) == parseInt(value.id)) {
						installmentType = value.title;
					}
				});
				*/
				
				// figure out the payment amounts
				var total = $('#ordertotal_work').val();
				var newMbrAppFee = 0;
				var ordertotal_open = 0;
				var ordertotal_open2 = 0;
				var lateFeeAmount = 0;
				var surcharge_amount = 0;
				
				if ($('#newMbrAppFee').length > 0) {
					newMbrAppFee = parseFloat($('#newMbrAppFee').val().replace(/[^\d\.]/g,''));
					if (isNaN(newMbrAppFee) || newMbrAppFee < 0) {
						newMbrAppFee = 0;
					}
				}
				if ($('#ordertotal_open').length > 0) {
					var ordertotal_open = parseFloat($('#ordertotal_open').val().replace(/[^\d\.]/g,''));
					if (isNaN(ordertotal_open) || ordertotal_open < 0) {
						ordertotal_open = 0;
					}
				}
				if ($('#ordertotal_open2').length > 0) {
					var ordertotal_open2 = parseFloat($('#ordertotal_open2').val().replace(/[^\d\.]/g,''));
					if (isNaN(ordertotal_open2) || ordertotal_open2 < 0) {
						ordertotal_open2 = 0;
					}
				}
				if ($('#lateFeeAmount').length > 0) {
					var lateFeeAmount = parseFloat($('#lateFeeAmount').val().replace(/[^\d\.]/g,''));
					if (isNaN(lateFeeAmount) || lateFeeAmount < 0) {
						lateFeeAmount = 0;
					}
				}
				
				if ($('#surcharge_amount').length > 0) {
                    var surcharge_amount = parseFloat($('#surcharge_amount').val().replace(/[^\d\.]/g,''));
                    if (isNaN(surcharge_amount) || surcharge_amount < 0) {
                        surcharge_amount = 0;
                    }
                }
				
				$.ajax({
					url: "/i4a/utilities/cfc/installmentPayments.cfc?_nodom=true",
	 				method: 'POST',
	 				data: {
	 					method: 'getPaymentAmounts',
	 					memberTypeID: memberTypeID,
	 					numberOfYears: numberOfYears,
	 					installmentType: installmentType,
	 					total: total, 
	 					openAmount: ordertotal_open,
	 					openAmount2: ordertotal_open2,
	 					newMbrAppFee: newMbrAppFee,
	 					lateFeeAmount: lateFeeAmount,
	 					mbrAppID: mbrAppID.value,
	 					surcharge_amount: surcharge_amount
	 				},
	 				dataType: 'text'
				}).done(function(msg, result) {					
					response = JSON.parse(msg);
					
					var message = '<br><strong style="font-size:large;">' + response.data.header + '</strong><br><br>';
					
					if (response.data.message2 != '') {
						message += response.data.message2 + '<br><br>';
					}
					if (response.data.message != '') {
						message += response.data.message;
					}
					
					if ($('#installmentsFee').length > 0) {
						$('#installmentsFee').val(response.data.installmentsfee);	
					}
					if ($('#firstInstallment').length > 0) {
						$('#firstInstallment').val(response.data.firstinstallment);	
					}
					
					var thisTotal = 0;
					$.each(response.data.payments, function(key, value) {
						message += '<div class="row">';
						
						if (key == 0) {
							// if renewing and already on installments, then we do not charge 1st payment today; only open amounts
							if (response.data.hasinstallments == true) {
								message += '<div class="col-6 col-sm-6 col-md-6 col-lg-3 text-right">Today:</div>';
								message += '<div class="col-6 col-sm-6 col-md-6 col-lg-2 text-right installmentOthersDiv">' + response.data.currencysymbol + parseFloat(response.data.firstinstallment).toFixed(2) + '</div>';
								message += '</div><div class="row">';
								message += '<div class="col-6 col-sm-6 col-md-6 col-lg-3 text-right">' + value.date + ':</div>';
								message += '<div class="col-6 col-sm-6 col-md-6 col-lg-2 text-right installmentOthersDiv">' + response.data.currencysymbol + parseFloat(value.amount).toFixed(2) + '</div>';
								
								$('#installmentsTotal').val(parseFloat(response.data.firstinstallment).toFixed(2));
								$('#installmentslDueToday').val(parseFloat(response.data.firstinstallment).toFixed(2));
								$('#expected_amount').val(parseFloat(response.data.firstinstallment).toFixed(2));
								
								thisTotal += parseFloat(response.data.firstinstallment);
								thisTotal += parseFloat(value.amount);
								
								if ($('#showAmountOrderTotal').length > 0) {
									$('#showAmountOrderTotal').val(parseFloat(response.data.firstinstallment).toFixed(2));
									$("label[for='showAmountOrderTotal']").html('<strong>Amount Due Today</strong>');
								}
								
								if (parseFloat(response.data.firstinstallment) == 0) {
									disableCreditCardFields(frm={});
									disableObj('checknumber_work');
									disableObj('ponumber_work');
									disableObj('pmt_method');
									if ($('#electronicCheckPaymentInstructions').length > 0) {
										$('#electronicCheckPaymentInstructions').hide();
									}
									if ($('#electronicCheckPaymentFields').length > 0) {
										$('#electronicCheckPaymentFields').hide();
									}
									$('#row_poNumber').hide();
									$('#row_nameOnCard').hide();
									$('#row_creditCardNumber').hide();
									$('#row_creditCardExpires').hide();
									$('#row_creditCardCSC').hide();
									$('#row_creditCardAVS').hide();
									$('#row_creditCardAVSZip').hide();
									if ($('#savedPaymentMethodsDetails').length > 0) {
										$('#savedPaymentMethodsDetails').hide();	
									}
									if ($('#paymentMethodsList').length > 0) {
										$('#paymentMethodsList').hide();
									}
									if ($('#amountReceived').length > 0) {
										$('#amountReceived').hide();
									}
									$('.card').removeClass('active');
									$('.paymentProfileListGroupItem').prop('disabled', true);
									$('.paymentProfileRadio').prop('checked', false);
									
									if ($('#installmentsPaymentContent').length > 0) {
										$('#card-saved-installments').addClass('active');
										$('#installmentsPaymentContent').show();
									}
								} 
								else {
									if ($('#installmentsPaymentContent').length > 0) {
										$('#installmentsPaymentContent').hide();
									}
								}
							}
							else {
								message += '<div class="col-6 col-sm-6 col-md-6 col-lg-3 text-right">Today:</div>';
								message += '<div class="col-6 col-sm-6 col-md-6 col-lg-2 text-right installmentTodayDiv">' + response.data.currencysymbol + parseFloat(value.amount).toFixed(2) + '</div>';
								$('#installmentsTotal').val(parseFloat(value.amount).toFixed(2));
								$('#installmentslDueToday').val(parseFloat(value.amount).toFixed(2));
								$('#expected_amount').val(parseFloat(value.amount).toFixed(2));
								
								if ($('#showAmountOrderTotal').length > 0) {
									$('#showAmountOrderTotal').val(parseFloat(value.amount).toFixed(2));
									$("label[for='showAmountOrderTotal']").html('<strong>Amount Due Today</strong>');
								}
								
								thisTotal += parseFloat(value.amount);
							}
						}
						else {
							$('#installmentsLastPayment').val(value.date);
							message += '<div class="col-6 col-sm-6 col-md-6 col-lg-3 text-right">' + value.date + ':</div>';
							message += '<div class="col-6 col-sm-6 col-md-6 col-lg-2 text-right installmentOthersDiv">' + response.data.currencysymbol + parseFloat(value.amount).toFixed(2) + '</div>';
							
							thisTotal += parseFloat(value.amount);
						}
						message += '</div>';
					});
					
					message += '<div class="row">';
					message += '<div class="col-6 col-sm-6 col-md-6 col-lg-3 text-right"><strong>Total:</strong></div>';
					message += '<div class="col-6 col-sm-6 col-md-6 col-lg-2 text-right installmentAllTotalDiv"><strong>' + response.data.currencysymbol + parseFloat(thisTotal).toFixed(2) + '</strong></div>';
					message += '</div>';
					
					$('#ordertotal_work').val(parseFloat(response.data.total).toFixed(2));
					$('#installmentPaymentsPlan').html(message);
					$('#installmentPaymentsDiv').show('slow');
					$('#installmentsTotalRow').show();
					
					if ($('#autoRenewRow').is(':visible')) { 
						if ($('#installmentOptions').length > 0 && $('#installmentOptions').val() != 'full') {
							$('#autoRenewInstallmentsHelpText').show();
							$('#autoRenewHelpText').hide();
						}
						else {
							$('#autoRenewInstallmentsHelpText').hide();
							$('#autoRenewHelpText').show();
						}
					}
				});
			}	
		}	
	}
}

updateInstallmentsDiv();
</script>
		

<script type="text/javascript">
	var timer, redirTimer, adminTimer;

	// function to warn of session about to expire
	function startSessionTimer() {
        // Clear session timer
        clearTimeout(timer);

        // Set session timer
        timer = setTimeout(function() {
            warnSessionExpiring();
        }, 900000);	//  // 240000 ms = 4 minues / 900000 milliseconds = 15 minutes (60000 milliseconds = 1 minute)
    }

	// function to alert expired session - they have to start over
	function startRedirTimer() {
        // Clear redirect timer
        clearTimeout(redirTimer);

        // Set redirect timer
        redirTimer = setTimeout(function() {
            sessionExpiredHandler();
        }, 1200000);	 // // 360000 ms = 6 minutes / 1200000 milliseconds = 20 minutes (120000 milliseconds = 2 minutes)
    }

    // function to make sure that an admin's session is always kept alive
    function adminKeepAlive() {
    		// Clear redirect timer
        clearTimeout(adminTimer);

        // Set redirect timer
        adminTimer = setTimeout(function() {
           // make ajax request to keep alive every 15 minutes if this page is still sitting here
           $.ajax({
	            url: '?controller=memberApps&action=keepAlive',
	            type: 'POST',
	            dataType: 'text',
	            success: function () {
	            		adminKeepAlive();	// start the session timer again
	            }
	        });
        }, 900000);	// 360000 ms = 6 minutes / 900000 milliseconds = 15 minutes (120000 milliseconds = 2 minutes)
    }


	function warnSessionExpiring() {
		swal({
	        title: "Warning",
	        html: true,
	        text: "Your session is about to expire.<br>Click 'Continue' or 'Quit' to exit.",
	        type: "warning",
	        animation: "slide-from-top",
	        confirmButtonColor: "#337ab7",
	        confirmButtonText: "Continue",
	        showLoaderOnConfirm: true,
	        showCancelButton: true,
	        cancelButtonText: "Quit",
	        closeOnConfirm: false
	    	},
	    	function (isConfirm) {
	        if (!isConfirm) {
	        		// quit button
	        		window.location = '/';
	        }
	        else {
	        		// continue button - make ajax request to extend the session
	        		$.ajax({
		            url: "?controller=memberApps&action=keepAlive",
		            type: 'POST',
		            dataType: 'text',
		            success: function () {
		            		startSessionTimer();	// start the session timer again
		            		startRedirTimer();	// start redirect timer again
		            		swal.close();
		            }
		        });
	        		return;
			}
	    });
	}

	function sessionExpiredHandler() {
		swal({
	        title: "Session Expired",
	        html: true,
	        text: "Your session has expired.<br>Please start over to submit your application.",
	        type: "warning",
	        animation: "slide-from-top",
	        confirmButtonColor: "#337ab7",
	        confirmButtonText: "Start Over",
	        showLoaderOnConfirm: true,
	        showCancelButton: true,
	        cancelButtonText: "Quit",
	        closeOnConfirm: false
	    },
	    function (isConfirm) {
	        if (!isConfirm) {
		        	// quit button
		        	window.location = '/';
	        }
	        else {
	        		// start over button
	        		
					window.location = '?controller=memberApps&action=chooseApp&resetSession=true';
				
	        }
	    });
		return false;
	}


	// start the session and redirect timers on page load
	
    		startSessionTimer();
	    startRedirTimer();
	

</script>

		
			<script>
				gotoTopofApp();
			</script>
		

			</div>


					</div> 
		
        <div class="col-md-4 i4a_right_sidebar widgets" id="right_sidebar"></div>
    </div> 
</div>


<div class="container">
	<div class="row i4a_footer_row1">
        <div class="col-sm-4 i4a_footer_row1_col1 widgets" id="footer_row1_column1"></div>
		<div class="col-sm-4 i4a_footer_row1_col2 d-flex justify-content-center widgets" id="footer_row1_column2"></div>
		<div class="col-sm-4 i4a_footer_row1_col3 d-flex justify-content-end widgets" id="footer_row1_column3"></div>
    </div>
    <div class="row i4a_footer_row2">
        <div class="col-md-12 i4a_footer_row2_col1 text-center widgets" id="footer_row2_column1"></div>
    </div>
	<div class="row i4a_footer_row3">
        <div class="col-md-6 i4a_footer_row3_col1 widgets" id="footer_row3_column1"></div>
		<div class="col-md-6 i4a_footer_row3_col2 text-right widgets" id="footer_row3_column2"></div>
    </div>
</div> 
		
	
			<div id="i4awidget_widget_responsivemenu_207" class="widget_responsivemenu"  >
				
					
			</div>
			
				
				<script type="text/javascript">
					
					_getComputedStyle = function(_elem, _style) {
  						var computedStyle;
  						if (typeof _elem.currentStyle != 'undefined') {
  							computedStyle = _elem.currentStyle; }
  						else {
  							computedStyle = document.defaultView.getComputedStyle(_elem, null);
  							}
						return computedStyle[_style];
						}
					
					var _widget_parentDiv = document.getElementById('footer_row2_column1');
					if (_widget_parentDiv) {
						var _wpdposition = _getComputedStyle(_widget_parentDiv,"position");
						if (_wpdposition == 'static') {
							_widget_parentDiv.style.position = 'relative';
						}
						_widget_parentDiv.appendChild(document.getElementById('i4awidget_widget_responsivemenu_207'));
					}
				</script>
				
			
			<div id="i4awidget_footercompanyinfo_206" class="footerCompanyInfo"  >
				
					
						<i class="fa fa-copyright"></i> 2026 National Coalition of Dentists for Health Equity <br />

					
			</div>
			
				
				<script type="text/javascript">
					
					var _widget_parentDiv = document.getElementById('footer_row3_column2');
					if (_widget_parentDiv) {
						var _wpdposition = _getComputedStyle(_widget_parentDiv,"position");
						if (_wpdposition == 'static') {
							_widget_parentDiv.style.position = 'relative';
						}
						_widget_parentDiv.appendChild(document.getElementById('i4awidget_footercompanyinfo_206'));
					}
				</script>
				
			
			<div id="i4awidget_widget_responsiveimage_211" class="widget_responsiveimage"  >
				
					
			</div>
			
				
				<script type="text/javascript">
					
					var _widget_parentDiv = document.getElementById('header_row1_column1');
					if (_widget_parentDiv) {
						var _wpdposition = _getComputedStyle(_widget_parentDiv,"position");
						if (_wpdposition == 'static') {
							_widget_parentDiv.style.position = 'relative';
						}
						_widget_parentDiv.appendChild(document.getElementById('i4awidget_widget_responsiveimage_211'));
					}
				</script>
				
			
			<div id="i4awidget_widget_responsivelogin_202" class="widget_responsivelogin"  >
				
					
<div class="login-wrapper">
	
		<style>
			.loginWidgetFormGroup {
				margin-bottom: 6px;
			}
		</style>

		
		<form name="lgn" action="https://member.ncdhe.org/i4a/ams/amslogin.cfm" method="POST"  class="form-inline">
			

			<div class="form-group loginWidgetFormGroup">
				
				<input type="text" class="form-control form-control-sm" name="username" id="loginWidgetUsername" placeholder="username" maxlength="50">
			</div>
			&nbsp;
			<div class="form-group loginWidgetFormGroup">
				
				<input type="password" class="form-control form-control-sm" name="password" id="loginWidgetPassword" placeholder="password" maxlength="50">
			</div>

			
					&nbsp;
					<button class="btn btn-primary btn-sm buttonGreen" type="submit">Log In</button>
				
			
			<input type="hidden" name="nextPage" value="/i4a/ams/home">
			<input type="hidden" name="nextParams" value="controller=memberHome&action=index">
		</form>

		
</div>


			</div>
			
				
				<script type="text/javascript">
					
					var _widget_parentDiv = document.getElementById('header_row1_column2');
					if (_widget_parentDiv) {
						var _wpdposition = _getComputedStyle(_widget_parentDiv,"position");
						if (_wpdposition == 'static') {
							_widget_parentDiv.style.position = 'relative';
						}
						_widget_parentDiv.appendChild(document.getElementById('i4awidget_widget_responsivelogin_202'));
					}
				</script>
				
			
			<div id="i4awidget_widget_responsivemenu_201" class="widget_responsivemenu"  >
				
					
<link rel="stylesheet" href="/common/smartMenus/addons/bootstrap-4/jquery.smartmenus.bootstrap-4.css">

<script type="text/javascript" src="/common/smartMenus/jquery.smartmenus.min.js"></script>

<script type="text/javascript" src="/common/smartMenus/addons/bootstrap-4/jquery.smartmenus.bootstrap-4.min.js"></script>


				<nav class="navbar navbar-dark bg-dark navbar-expand-md mainNavigation">
			      	
					<button class="navbar-toggler" type="button" data-toggle="collapse" data-target="#mainNavbar" 
						aria-controls="mainNavbar" aria-expanded="false" aria-label="Toggle navigation">
							<span class="navbar-toggler-icon"></span>
					</button>
				    <div class="collapse navbar-collapse" id="mainNavbar">
			
	      	
	      		<ul class="navbar-nav " data-sm-options="{bootstrapHighlightClasses: 'text-white bg-dark'}">	
	      	
				
					<li class="nav-item dropdown has-submenu">
						
							
						<a class="nav-link" href="/login/">
							Member Login
						</a>
						
						
					</li>
				
					
					<li class="nav-item dropdown has-submenu">
						
							
						<a class="nav-link" href="/apply/">
							Membership Application
						</a>
						
						
					</li>
				
					
					<li class="nav-item dropdown has-submenu">
						
							
						<a class="nav-link" href="/i4a/pages/index.cfm?pageid=3268">
							Resources
						</a>
						
						
					</li>
				
					
					<li class="nav-item dropdown has-submenu">
						
							
						<a class="nav-link" href="/contributions/">
							Contributions
						</a>
						
						
					</li>
				
					
					<li class="nav-item dropdown has-submenu">
						
							
						<a class="nav-link" href="/i4a/pages/index.cfm?pageid=3274" target="_blank">
							NCDHE Website
						</a>
						
						
					</li>
				
	      	</ul>
		    
					</div> 
				</nav> 
			
		
			</div>
			
				
				<script type="text/javascript">
					
					var _widget_parentDiv = document.getElementById('header_row2_column1');
					if (_widget_parentDiv) {
						var _wpdposition = _getComputedStyle(_widget_parentDiv,"position");
						if (_wpdposition == 'static') {
							_widget_parentDiv.style.position = 'relative';
						}
						_widget_parentDiv.appendChild(document.getElementById('i4awidget_widget_responsivemenu_201'));
					}
				</script>
				
			
			<div id="i4awidget_widget_responsivemenu_203" class="widget_responsivemenu"  >
				
					
		<div id="menu_submenu_wrapper">
			

		</div>
	

			</div>
			
				
				<script type="text/javascript">
					
					var _widget_parentDiv = document.getElementById('right_sidebar');
					if (_widget_parentDiv) {
						var _wpdposition = _getComputedStyle(_widget_parentDiv,"position");
						if (_wpdposition == 'static') {
							_widget_parentDiv.style.position = 'relative';
						}
						_widget_parentDiv.appendChild(document.getElementById('i4awidget_widget_responsivemenu_203'));
					}
				</script>
				
			
	<style>
		div.i4a_consent_main {
			display: none;
			position: fixed;
			
				bottom: 0px;
				margin-bottom: 0px;
			
			z-index: 999999999;
			background-image: none;
			background-color: #02155A;
			border-color: #02155A;
			color: white;
			width: 100%;
		}

		div.i4a_consent_text {
			color: white;
		}

		.i4a_consent_btnAccept, .i4a_consent_btnAccept:hover {
			background-image: none;
			background-color: #ffffff;
			border-color: #ffffff;
			color: white;
			margin-top: 5px;
		}
	</style>


<div id="i4a_consent_main" class="alert alert-warning alert-dismissible fade show i4a_consent_main" role="alert">
	<div class="row">
		<div class="col-lg-11 col-md-10 col-sm-10">
			<div class="i4a_consent_text">This site uses cookies to recognize members so as to provide the benefits of membership. We may also use cookies to understand in general how people use and visit this site. Please indicate your acceptance to the right. To learn more, <a href=/i4a/pages/index.cfm?pageID=#>click here</a>.</div>
			<div class="i4a_consent_moreinfo"></div>
		</div>
		<div class="col-lg-1 col-md-2 col-sm-2 text-center" style="padding-left: 0px; padding-right: 0px;">
			<button class="btn btn-primary btn-sm i4a_consent_btnAccept" onclick="consentAccept();">Accept</button>
		</div>
	</div>
	  <button type="button" class="close" data-dismiss="alert" aria-label="Close">
		<span>&times;</span>
	</button>
</div>

<script>
	function consentAccept() {
		// Enable Cookies again
		// Write our cookie that stores that cookie was accepted.
		_i4a_enableCookies();
		_i4a_createCookie("i4aconsent", "true", 365);
		$('#i4a_consent_main').fadeToggle( "slow", "linear" );
	}

	function consentDecline() {
		// Now set our session cookie to ensure we don't keep displaying the banner...
		_i4a_enableCookies();
		_i4a_createCookie("i4askipconsent", "true", null, _i4a_disableCookies);
		$('#i4a_consent_main').fadeToggle( "slow", "linear" );
	}

	$(function() {
		// find links to modify
		//$('.i4a_consent_text > a').addClass('alert-link');
		
		// check to see if we should be displaying the banner
		i4aConsent = _i4a_readCookie("i4aconsent");
		i4aSkipConsent = _i4a_readCookie("i4askipconsent");

		if (i4aConsent != "true"  && i4aSkipConsent != "true") {
			$('#i4a_consent_main').show();
		}

		$('#i4a_consent_main').on('closed.bs.alert', function () {
			consentDecline();
		});
	});
</script>
	

</body>
</html>