rendered paste body <form action="#" method="post">
<h2 class="formStep"><span class="formStepNumber">2</span> Name & Contact Information</h2>
<fieldset id="nameContactFieldset">
<div class="infoBox">Note: Since English is not the primary language of your organization, you can enter certain information in your primary language by filling out the 2nd Language boxes.</div>
<label><span class="textFieldLabel">Organization Name:</span><input type="text" name="orgName" class="textFieldMedium" value="<%$orgName|escape%>" /></label>
<label><span class="textFieldLabel">2nd Language:</span><input name="orgName2" type="text" class="textFieldMedium" value="<%$orgNameSecond|escape%>" />
</label>
<div class="formSpacer"></div>
<label><span class="textFieldLabel">Organization Acronym:</span><input type="text" name="orgAcro" class="textFieldTiny" value="<%$orgAcro|escape%>" /></label>
<label><span class="textFieldLabel">2nd Language:</span><input type="text" name="orgAcro2" class="textFieldTiny" value="<%$orgAcroSecond|escape%>" />
</label>
<div class="formSpacer"></div>
<label><span class="textFieldLabel">Phone Number:</span><input name="phone" type="text" class="textFieldSmall" value="<%$phoneNumber|escape%>" />
</label>
<label><span class="textFieldLabel">Fax Number:</span><input name="fax" type="text" class="textFieldSmall" value="<%$faxNumber|escape%>" />
</label>
<div class="formSpacer"></div>
<label id="contact1"><span class="textFieldLabel">Email Contact 1:</span><input name="emailContacts[]" type="text" class="textFieldSmall" value="<%$emailContact1|escape%>" />
</label>
<label id="contact2"><span class="textFieldLabel">Email Contact 2:</span><input name="emailContacts[]" type="text" class="textFieldSmall" value="<%$emailContact2|escape%>" />
</label>
<label id="contact3"><span class="textFieldLabel">Email Contact 3:</span><input name="emailContacts[]" type="text" class="textFieldSmall" value="<%$emailContact3|escape%>" />
</label>
<label id="contact4"><span class="textFieldLabel">Email Contact 4:</span><input name="emailContacts[]" type="text" class="textFieldSmall" value="<%$emailContact4|escape%>" />
</label>
<label id="contact5"><span class="textFieldLabel">Email Contact 5:</span><input name="emailContacts[]" type="text" class="textFieldSmall" value="<%$emailContact5|escape%>" />
</label>
</fieldset>
<fieldset id="addressFieldset">
<h2 class="formStep"><span class="formStepNumber">2</span> Address Information</h2>
<label><span class="textFieldLabel">Address Line 1:</span>
<input name="address1" type="text" class="textFieldAddress" value="<%$address1|escape%>" maxlength="255" />
</label>
<label><span class="textFieldLabel">2nd Language:</span><input name="address12" type="text" class="textFieldAddress" value="<%$address1Second|escape%>" maxlength="255" />
</label>
<div class="formSpacer"></div>
<label><span class="textFieldLabel">Address Line 2:</span><input name="address2" type="text" class="textFieldAddress" value="<%$address2|escape%>" maxlength="255" />
</label>
<label><span class="textFieldLabel">2nd Language:</span><input name="address22" type="text" class="textFieldAddress" value="<%$address2Second|escape%>" maxlength="255" />
</label>
<div class="formSpacer"></div>
<label><span class="textFieldLabel">City:</span><input name="city" type="text" class="textFieldSmallMed" value="<%$city|escape%>" maxlength="45" />
</label>
<div class="formSpacer"></div>
<label>
<span class="selectFieldLabel">US State:</span>
<select name="usState" class="selectFieldStatesCountries">
<%html_options values=$usStates output=$usStates selected="na"%>
</select>
Postal </label>
<label><span class="textFieldLabel">Code:</span>
<input name="zipCode" type="text" class="textFieldTiny" value="<%$postalCode|escape%>" maxlength="20" />
</label>
<div class="formSpacer"></div>
<label><span class="textFieldLabel">Other Region:</span><input name="state" type="text" class="textFieldSmall" value="<%$otherRegion|escape%>" maxlength="45" />
<span class="fieldInfo">(if not in United States)</span></label>
<div class="formSpacer"></div>
<label>
<span class="selectFieldLabel">Country:</span>
<select name="country" class="selectFieldStatesCountries">
<%html_options values=$countries output=$countries selected="Select"%>
</select>
</label>
</fieldset>
<fieldset id="missionFieldset">
<h2 class="formStep"><span class="formStepNumber">3</span> Mission & History Information</h2>
<label>
<span class="textBoxLabel">Brief Background:</span>
<span class="textBoxInfo">Please provide a brief summary of your organizations mission and history. (200 words maximum).</span>
<textarea name="background" class="textBox" cols="30" rows="10">
<%$missionHistory|escape%>
</textarea>
</label>
</fieldset>
<h2 class="formStep"><span class="formStepNumber">5</span> Affiliations
Information</h2>
<h2 class="elementLabel">Sponsors:</h2>
<div class="elementContainer">
<div class="element elementSmall">
<div class="elementInfoTwo">
<h3><span class="elementAttributeLabelSmall">Name:</span></h3>
<div class="elementInfoLabelMainSmall">Coca Cola Corporation</div>
<span class="elementAttributeLabelSmall">Type:</span>
<div class="elementInfoLabelSubSmall">Sponsor</div>
</div>
<div class="elementActions">
<input type="submit" class="submitButton" name="btnAction2" value="Edit" />
<input type="submit" class="submitButton" name="btnAction2" value="Delete" />
<input type="hidden" name="req2" value="process" />
</div>
</div>
<div class="addbutton">
<input type="submit" name="btnAdd" value="Add Sponsor (+)" class="elementContainerButton" />
</div>
</div>
<fieldset class="threeButtonFieldset">
<input type="submit" class="submitButton" name="btnAction" value="Save Changes" />
<input type="submit" class="submitButton" name="btnAction" value="Next >" />
<input type="reset" name="resetForm" value="Cancel" />
</fieldset>
<input type="hidden" name="req" value="process" />
</form>