rendered paste body <label for="represent" style="padding-right:170px">* I am authorized to represent:<br/></label>
<span>Secondary School / College</span><input type="radio" name="represent" value="secondary"><br/>
<span>Tertiary Education Institution</span><input type="radio" name="represent" value="tertiary"><br/>
<span>A Business</span><input type="radio" name="represent" value="business"><br/>
<span>My Family</span><input type="radio" name="represent" value="family"><br/>
<span>Myself</span><input type="radio" name="represent" value="myself"><br/>