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	<title>Compensation Survey Report Access Request Form | Society for Vascular Medicine</title>


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			<p class="form-instructions"><p>Thank you for completing the 2025 SVM Practice and Compensation survey. Please complete the form below to request access to the survey report.&nbsp; Once received, we will verify your participation and send you an email with instructions to access the report.&nbsp;</p>

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	<form action="index.cfm?id=63&popup=false" method="POST" id="iform" name="iform" enctype="multipart/form-data">
		
		<input type="hidden" id="num_questions" name="num_questions" value="8">
		<input type="hidden" name="form_id" value="63">
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			<input type="hidden" name="formtitle" value="Compensation Survey Report Access Request Form">
		
	
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		//$('#business_radio').trigger('change');
		
		
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			var jsDesc = "First Name";
			
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			var jsDesc = "Last Name";
			
				obj = document.iform.response_2;
				val = "";
				
				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
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			var jsDesc = "Credentials";
			
				obj = document.iform.response_3;
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				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
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			var jsDesc = "City";
			
				obj = document.iform.response_4;
				val = "";
				
				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
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			var jsDesc = "State";
			
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			var jsDesc = "Email address";
			
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					arrReqMissing[arrReqMissing.length] = jsDesc;
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			var jsDesc = "Institution (Hospital/University)";
			
				obj = document.iform.response_7;
				val = "";
				
				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
				}
				
			
			var jsDesc = "Title/Position";
			
				obj = document.iform.response_8;
				val = "";
				
				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
				}
				
			
		if(arrReqMissing.length > 0) {
			//errStr = "We're sorry, but the following fields are required before you can submit this form. Please click OK, then correct these entries.<br>";
			errStr = "";
			for(i=0; i<arrReqMissing.length; i++) {
				errStr += arrReqMissing[i] + "<br>";
			}
			swal({
	  			title: 'Missing required fields',
	  			html: true,
	  			text: errStr,
	  			animation: 'slide-from-top',
	  			type: 'info',
	  			confirmButtonText: 'Ok',
	  			confirmButtonColor: '#337ab7'
	  		});
			return false;
		}

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		 		if (document.iform.elements[i].value.length > 2147483647) {
		 			swal({
			  			title: 'Maximum allowable length',
			  			html: true,
			  			text: "One or more field responses exceeds the maximum allowable length of 2147483647 characters. Please adjust your responses and re-submit.",
			  			animation: 'slide-from-top',
			  			type: 'info',
			  			confirmButtonText: 'Ok',
			  			confirmButtonColor: '#337ab7'
			  		});
		 			return false;
		 		}
		 	}
		}

		if (sent == 1) {
	          swal({
	  			title: 'Processing..',
	  			html: true,
	  			text: "Your request is processing. Please do not click Submit more than once.",
	  			animation: 'slide-from-top',
	  			type: 'info',
	  			confirmButtonText: 'Ok',
	  			confirmButtonColor: '#337ab7'
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	      if (ValidChars.indexOf(Char) == -1) {
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	      }
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	   return IsNumber;
	}

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		// first set the price attribute on the element
		el.price = price;
		// now set the value of a hidden field for the associated radio button
		document.getElementById(itemID).price = price;
		document.getElementById(itemID).value = 1;
		// now call the calcTotalFix function to recaculate the total amount due
		calcTotalFix();
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		  }
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		selectedPrice = parseFloat(selectedPrice);
		return selectedPrice;
	}

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		var priceFields = $(".calculateTotal");
		// console.log('priceFields length: ' + priceFields.length);
		var updateTotal = 0; // initialize total before looping over array
		var processedRadioButtons = [];	/// reset array every time this function is called
		for (var i=0; i < priceFields.length; i++) {
			myFieldObj = priceFields[i];
			if (myFieldObj.value == '') { myFieldObj.value = 0; }
			fieldName = myFieldObj.name;
			value = myFieldObj.value;
			fieldID = myFieldObj.getAttribute('id');
			price = myFieldObj.getAttribute('price');

			// check to see if this is a radioVal by the item id
			if(fieldID != undefined){
				var nRadioVal = fieldID.indexOf("radioVal");
				if(nRadioVal > -1){
					fieldtype = 'radioval';
				} else {
					fieldtype = 'notradioval';
				}
			} else {
				fieldtype = 'nofieldid';
			}

			// if this is just an open price field, there is no notion of quantity times price, so the price to the value of the field
			if(fieldtype === 'radioval'){
				// radio price field - use "price" attribute since we have funky stuff in the "value" attribute that we can't parse easily
				arrNum = $.inArray(fieldName, processedRadioButtons);
				if(arrNum > -1) {
					// set price and calcualted value to zero for the rest of the checkboxes in this array because don't want to keep adding to price
					price = 0;
					calculatedValue = parseFloat(0);
				} else {
					price = getRadioButtonValForTotal(fieldName);
					calculatedValue = parseFloat(price);
					// add radio button field name to array of radio fields processed so we don't check again
					processedRadioButtons.push(fieldName);
				}
				// console.log('fieldName: ' + fieldName + ' / value: ' + value + ' fieldID: ' + fieldID + ' / price: ' + price + ' / calculatedValue: ' + calculatedValue);
			} else {
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				// check to see if it's a radio price field first
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						//alert("Open Prices must be numbers only, no formatting is allowed.");
						swal({
				  			title: 'Numbers only',
				  			html: true,
				  			text: "Open Prices must be numbers only, no formatting is allowed.",
				  			animation: 'slide-from-top',
				  			type: 'info',
				  			confirmButtonText: 'Ok',
				  			confirmButtonColor: '#337ab7'
				  		});
						myFieldObj.value = 0;
						return;
					}
					calculatedValue = parseFloat(value);
					// console.log('fieldName: ' + fieldName + ' / value: ' + value + ' fieldID: ' + fieldID + ' / price: ' + price + ' / calculatedValue: ' + calculatedValue);
				} else {
					if (!IsNumeric(value)) {
						//alert("Price fields only allow numbers.");
						swal({
				  			title: 'Price fields',
				  			html: true,
				  			text: "Price fields only allow numbers.",
				  			animation: 'slide-from-top',
				  			type: 'info',
				  			confirmButtonText: 'Ok',
				  			confirmButtonColor: '#337ab7'
				  		});
						myFieldObj.value = 0;
						return;
					}
					myVal = parseFloat(value);
					// console.log('in parseint with 10 - fieldName: ' + fieldName + ' / value: ' + value + ' fieldID: ' + fieldID + ' / price: ' + price + ' / myVal: ' + myVal);
					calculatedValue = myVal * parseFloat(price);

				}
			}


			// console.log('Field id: ' + fieldID + ' / Fieldtype: ' + fieldtype + ' / Field name: ' + fieldName + ' / value: ' + value + ' / Price: ' + price + ' / Calculated Field Total: ' + calculatedValue);
			updateTotal = updateTotal + calculatedValue;
		}

		// update hidden total amount
		if (document.iform.hiddentotal) { document.iform.hiddentotal.value = updateTotal; }
		// console.log('The updateTotal is now: ' + updateTotal);
		
		
		// update total value with formatted amount
		if (typeof(formatCurrency) == "function") { document.iform.total.value = formatCurrency(updateTotal); }
		
		if ($('#ordertotal_work').length > 0) {
            $('#ordertotal_work').val(updateTotal.toFixed(2));
        }
        
        if ($('#pmt_method').length > 0) {
        	$('#pmt_method').val('');
        }
        $('.paymentProfileRadio').prop('checked', false);
        $('.card').removeClass('active');
        
		// need to update the cc_info tag fields...
		if (typeof(checkTotal) == "function") { checkTotal(); }
	}

	/* remove after confirming ok without it - 8/8/13 CJV */
	function calcTotal(myField){
		thisVal = myField.value;
		// alert(thisVal);
		if (thisVal == '') {
			thisVal = 0;
			myField.value = 0;
			}
			if (!IsNumeric(myField.value)) {
				//alert('Please enter only numbers or decimal points in a price field');
				swal({
		  			title: 'Price field',
		  			html: true,
		  			text: "Please enter only numbers or decimal points in a price field.",
		  			animation: 'slide-from-top',
		  			type: 'info',
		  			confirmButtonText: 'Ok',
		  			confirmButtonColor: '#337ab7'
		  		});
				myField.value = 0;
				thisVal = 0;
				}
				// get the current total
				var origTotal = document.iform.hiddentotal.value;
				// now backout the prior value from the total
				var priorTotal = origTotal - myField.priorval;
				if(priorTotal == ''){
					priorTotal = 0;
					}
				// add the open price to the total
				updateTotal = parseFloat(eval(priorTotal)) + parseFloat(eval(thisVal));
				// update hidden total amount
				document.iform.hiddentotal.value = updateTotal;
				
					
				// update total value with formatted amount
				document.iform.total.value = formatCurrency(updateTotal);
		checkTotal(); // need to update the cc_info tag fields...
	}
	/* */

	function setOpenPriceInput(thisField,thisPrice){
		if(thisPrice == ''){
			thisField.priorval = 0;
		} else {
			thisField.priorval = thisPrice;
		}
	}

	
		var div_bottom_moved = false;

		function addLoadEvent(func) {
 			var oldonload = window.onload;
  			if (typeof window.onload != 'function') {
    			window.onload = func;
  			}
  			else {
    			window.onload = function() {
      				if (oldonload) {
        				oldonload();
      				}
      				func();
    			}
  			}
 		}

		addLoadEvent(calcTotalFix);
	
</script>

	
<style>
.has-error {
	color: #f70404 !important;
}
.has-error input {
	border: 1px solid #f70404 !important;
}
</style>


<script>
	function checkInvalidCharacter(objName){
		var obj = document.iform[objName];
		var strFileName = obj.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: '#337ab7'
	  		});
			obj.value = '';
			return false;
		}
		else {
			iTemp = obj.value.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: '#337ab7'
		  		});
				obj.value = '';
				return false;
			}
		}
	}
	function clearRadio(rd) {
		if (document.iform) {
			var v;
			var ln;
			var ev;
			submitted = 0;
			v = "document.iform." + rd + ".length";
			ln = eval(v);
			// This will ensure we uncheck if there is only 1 radio button..
			v = "document.iform." + rd + ".checked = false;";
			ev = eval(v);
			// Now loop through the list of radio buttons and uncheck them all
			for (i=0;i<ln;i++) {
				v = "document.iform." + rd + "[" + i + "].checked = false;";
				//console.log(v);
				ev = eval(v);
			}
			calcTotalFix();
		}
	}
</script>


<div class="form_layout_wrapper" style="max-width:940px;" >

	
			<!-- The inner div, for the sake of IE -->
			<div id="layout_form_item" style="clear:both;border:0px solid orange;margin:0 0 0px 0;padding:0;min-height:0px;">
		

		<div id="form-item-1348" class="layout form item outer row-1 item-1348 row_num-20 row_pos-10 rowlength-3 type-Text" style="clear:both;;position:relative;">

			<div class="inner">

				
							First Name<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_1"
									name="response_1"
								
								
								 style="width:200px;"
								
									
										value=""
									
								
								class="form-control type-Text row-1 item-1348"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_1_required"
							VALUE="The field First Name is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_1" value="First Name">
				<INPUT TYPE="hidden" NAME="response_1_question_id" VALUE="1348">
				<INPUT TYPE="hidden" NAME="question_type_1" value="Text">
				<INPUT TYPE="hidden" NAME="label_1" value="First Name">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
		<div id="form-item-1351" class="layout form item outer row-2 item-1351 row_num-20 row_pos-20 rowlength-3 type-Text" style=";position:relative;">

			<div class="inner">

				
							Last Name<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_2"
									name="response_2"
								
								
								 style="width:200px;"
								
									
										value=""
									
								
								class="form-control type-Text row-2 item-1351"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_2_required"
							VALUE="The field Last Name is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_2" value="Last Name">
				<INPUT TYPE="hidden" NAME="response_2_question_id" VALUE="1351">
				<INPUT TYPE="hidden" NAME="question_type_2" value="Text">
				<INPUT TYPE="hidden" NAME="label_2" value="Last Name">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
		<div id="form-item-1379" class="layout form item outer row-3 item-1379 row_num-20 row_pos-30 rowlength-3 type-Text" style=";position:relative;">

			<div class="inner">

				
							Credentials<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_3"
									name="response_3"
								
								
								 style="width:200px;"
								
									
										value=""
									
								
								class="form-control type-Text row-3 item-1379"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_3_required"
							VALUE="The field Credentials is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_3" value="Credentials">
				<INPUT TYPE="hidden" NAME="response_3_question_id" VALUE="1379">
				<INPUT TYPE="hidden" NAME="question_type_3" value="Text">
				<INPUT TYPE="hidden" NAME="label_3" value="Credentials">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
				</div> <!-- /The inner div, for the sake of IE -->
			
			<!-- The inner div, for the sake of IE -->
			<div id="layout_form_item" style="clear:both;border:0px solid orange;margin:0 0 0px 0;padding:0;min-height:0px;">
		

		<div id="form-item-1380" class="layout form item outer row-4 item-1380 row_num-40 row_pos-10 rowlength-2 type-Text" style="clear:both;;position:relative;">

			<div class="inner">

				
							City<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_4"
									name="response_4"
								
								
								 style="width:200px;"
								
									
										value=""
									
								
								class="form-control type-Text row-4 item-1380"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_4_required"
							VALUE="The field City is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_4" value="City">
				<INPUT TYPE="hidden" NAME="response_4_question_id" VALUE="1380">
				<INPUT TYPE="hidden" NAME="question_type_4" value="Text">
				<INPUT TYPE="hidden" NAME="label_4" value="City">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
		<div id="form-item-1381" class="layout form item outer row-5 item-1381 row_num-40 row_pos-20 rowlength-2 type-StateSelect" style="max-width:50%;position:relative;">

			<div class="inner">

				
							State<span class="text-danger"> *</span>
					

								<select
									id="response_5"
									name="response_5"
									
									
									class="form-control type-StateSelect row-5 item-1381"
									>
									
									
										<option value="AB" >AB</option>
									
										<option value="AK" >AK</option>
									
										<option value="AL" >AL</option>
									
										<option value="AR" >AR</option>
									
										<option value="AZ" >AZ</option>
									
										<option value="BC" >BC</option>
									
										<option value="CA" >CA</option>
									
										<option value="CO" >CO</option>
									
										<option value="CT" >CT</option>
									
										<option value="DC" >DC</option>
									
										<option value="DE" >DE</option>
									
										<option value="FL" >FL</option>
									
										<option value="GA" >GA</option>
									
										<option value="HI" >HI</option>
									
										<option value="IA" >IA</option>
									
										<option value="ID" >ID</option>
									
										<option value="IL" >IL</option>
									
										<option value="IN" >IN</option>
									
										<option value="KS" >KS</option>
									
										<option value="KY" >KY</option>
									
										<option value="LA" >LA</option>
									
										<option value="MA" >MA</option>
									
										<option value="MB" >MB</option>
									
										<option value="MD" >MD</option>
									
										<option value="ME" >ME</option>
									
										<option value="MI" >MI</option>
									
										<option value="MN" >MN</option>
									
										<option value="MO" >MO</option>
									
										<option value="MS" >MS</option>
									
										<option value="MT" >MT</option>
									
										<option value="NB" >NB</option>
									
										<option value="NC" >NC</option>
									
										<option value="ND" >ND</option>
									
										<option value="NE" >NE</option>
									
										<option value="NF" >NF</option>
									
										<option value="NH" >NH</option>
									
										<option value="NJ" >NJ</option>
									
										<option value="NM" >NM</option>
									
										<option value="NS" >NS</option>
									
										<option value="NV" >NV</option>
									
										<option value="NY" >NY</option>
									
										<option value="OH" >OH</option>
									
										<option value="OK" >OK</option>
									
										<option value="ON" >ON</option>
									
										<option value="OR" >OR</option>
									
										<option value="PA" >PA</option>
									
										<option value="PE" >PE</option>
									
										<option value="QC" >QC</option>
									
										<option value="RI" >RI</option>
									
										<option value="SC" >SC</option>
									
										<option value="SD" >SD</option>
									
										<option value="SK" >SK</option>
									
										<option value="TN" >TN</option>
									
										<option value="TX" >TX</option>
									
										<option value="UT" >UT</option>
									
										<option value="VA" >VA</option>
									
										<option value="VT" >VT</option>
									
										<option value="WA" >WA</option>
									
										<option value="WI" >WI</option>
									
										<option value="WV" >WV</option>
									
										<option value="WY" >WY</option>
									
								</select>
							
							
						<INPUT
							TYPE="hidden"
							NAME="response_5_required"
							VALUE="The field State is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_5" value="State">
				<INPUT TYPE="hidden" NAME="response_5_question_id" VALUE="1381">
				<INPUT TYPE="hidden" NAME="question_type_5" value="StateSelect">
				<INPUT TYPE="hidden" NAME="label_5" value="State">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
				</div> <!-- /The inner div, for the sake of IE -->
			
			<!-- The inner div, for the sake of IE -->
			<div id="layout_form_item" style="clear:both;border:0px solid orange;margin:0 0 0px 0;padding:0;min-height:0px;">
		

		<div id="form-item-1349" class="layout form item outer row-6 item-1349 row_num-60 row_pos-10 rowlength-1 type-Email" style="clear:both;;position:relative;">

			<div class="inner">

				
							Email address<span class="text-danger"> *</span>
					

								<script type="text/javascript" src="/i4a/ams/include/checkemail.js"></script>
							

							<input type="text"
								
									id="response_6"
									name="response_6"
								
								
								 style="width:200px;"
								
									
										onchange="VerifyEmailAddress('iform', this.name,'Email address')" value=""
									
								
								class="form-control type-Email row-6 item-1349"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_6_required"
							VALUE="The field Email address is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_6" value="Email address">
				<INPUT TYPE="hidden" NAME="response_6_question_id" VALUE="1349">
				<INPUT TYPE="hidden" NAME="question_type_6" value="Email">
				<INPUT TYPE="hidden" NAME="label_6" value="Email address">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
				</div> <!-- /The inner div, for the sake of IE -->
			
			<!-- The inner div, for the sake of IE -->
			<div id="layout_form_item" style="clear:both;border:0px solid orange;margin:0 0 0px 0;padding:0;min-height:0px;">
		

		<div id="form-item-1350" class="layout form item outer row-7 item-1350 row_num-80 row_pos-10 rowlength-2 type-Text" style="clear:both;;position:relative;">

			<div class="inner">

				
							Institution (Hospital/University)<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_7"
									name="response_7"
								
								
								 style="width:200px;"
								
									
										value=""
									
								
								class="form-control type-Text row-7 item-1350"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_7_required"
							VALUE="The field Institution (Hospital/University) is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_7" value="Institution (Hospital/University)">
				<INPUT TYPE="hidden" NAME="response_7_question_id" VALUE="1350">
				<INPUT TYPE="hidden" NAME="question_type_7" value="Text">
				<INPUT TYPE="hidden" NAME="label_7" value="Institution ">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
		<div id="form-item-1352" class="layout form item outer row-8 item-1352 row_num-80 row_pos-20 rowlength-2 type-Text" style=";position:relative;">

			<div class="inner">

				
							Title/Position<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_8"
									name="response_8"
								
								
								 style="width:200px;"
								
									
										value=""
									
								
								class="form-control type-Text row-8 item-1352"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_8_required"
							VALUE="The field Title/Position is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_8" value="Title/Position">
				<INPUT TYPE="hidden" NAME="response_8_question_id" VALUE="1352">
				<INPUT TYPE="hidden" NAME="question_type_8" value="Text">
				<INPUT TYPE="hidden" NAME="label_8" value="Title">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
	</div><!-- /The inner div, for the sake of IE -->

	
	<input type="hidden" id="hasOpenPriceField" name="hasOpenPriceField" value="0">

	
</div><!-- /form_layout_wrapper -->


		<div id="_ssdiv2" style="display:none">
			<input type="hidden" id="fld_uploadfields" name="UploadFields" value="">
			<input type="hidden" id="fld_id_column" name="id_column" value="ID">
			<input type="hidden" id="fld_id_value" name="id_value" value="">
			<input type="hidden" id="fld_form_overrideid" name="form_overrideID" value="0">
			
			<input type="hidden" id="fld_ss_form_testid" name="ss_form_testid" value="0" />
			<div id="_ssdiv">
				<p style="background-color: blue"><input type="text" name="ss_email" value="" /></p>
			</div>
		</div>
		
			<input type="hidden" name="form_isEdit" value="0">
		
	
		<div id="div_bottom" style="clear:both;">
			
			
				<input type="hidden" name="useCaptcha" value="0">
			
			
				<INPUT TYPE="hidden" NAME="send_mail_ind" VALUE="0">
				<INPUT TYPE="hidden" NAME="no_opt_out" VALUE="1">
			
	
			<div id="frm_submit_button">
				<br />
				<button class="btn btn-primary" type="button" data-loading-text="Please wait..." id="submitBtn"
					
						onclick="startValidate();"
					
				>Submit Form</button>
				<br /><br />
			</div>
	
			
			<div id="frm_verisign_seal_box">
				
				
	<!-- display verisign seal if SSL connection -->
	
		
		<img alt="void" src="/i4a/sysimages/blank.gif" width="98" height="102" border="0">
	

			</div>
			
	
				<div id="frm_required_copy_bottom">
					<p>Fields marked with <span class="text-danger">*</span> are required.</p>
				</div>
			
	
				<div id="frm_ssl_copy_bottom"><p>Your form submission WILL be encrypted using SSL to ensure your privacy.</p></div>
			
	
		</div><!-- div_bottom -->
	
		
	</form>
</div>


	</div>


				</div> 
		
        <div class="col-sm-3 i4a_right_sidebar widgets" id="right_sidebar"></div>
    </div> 
</div>

<div class="container-fluid">
	
  	<div class="row i4a_footer_row1">
		<div class="col-sm-6 i4a_footer_row1_col1 widgets" id="i4a_footer_row1_column1"></div>
      	<div class="col-sm-6 i4a_footer_row1_col3 widgets" id="i4a_footer_row1_column3"></div>
	</div>
  	<div class="row i4a_footer_row2">
    	<div class="col-sm-12 text-center i4a_footer_row2_col1 widgets" id="i4a_footer_row2_column1"></div>
  	</div>
	
</div> 


			<div id="i4awidget_1006_363" class="1006"  >
				
					
			</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('Document');
					if (_widget_parentDiv) {
						var _wpdposition = _getComputedStyle(_widget_parentDiv,"position");
						if (_wpdposition == 'static') {
							_widget_parentDiv.style.position = 'relative';
						}
						_widget_parentDiv.appendChild(document.getElementById('i4awidget_1006_363'));
					}
				</script>
				
			
			<div id="i4awidget_widget_responsivesearch_254" class="widget_responsivesearch"  >
				
					
<div class="form-inline bootstrap-search-wrapper">
	<form action="/i4a/search/search.cfm" method="POST">
		
		<div class="input-group"> 
			<input type="text" class="form-control" id="bootstrapsearchstring" name="searchstring" required placeholder="Search the site">
  			<div class="input-group-append">
    			<button class="btn btn-primary bootstrap-search-submit buttonBlue" type="submit">Search</button>
  			</div>
		</div>
		<input type="hidden" name="searchstring_required" value="">
		<input type="hidden" name="collections" value="vascularmed_pages,vascularmed_pages_files">
	</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_responsivesearch_254'));
					}
				</script>
				
			
			<div id="i4awidget_widget_responsivelogin_240" class="widget_responsivelogin"  >
				
					
<div class="login-wrapper">
	
		<style>
			.loginWidgetFormGroup {
				margin-bottom: 6px;
			}
		</style>

		
		<form name="lgn" action="https://members.vascularmed.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 buttonBlue" 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_column3');
					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_240'));
					}
				</script>
				
			
			<div id="i4awidget_widget_responsivemenu_244" 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-light bg-light navbar-expand-lg mainNavigation">
			      	
				      	
							<a class="navbar-brand" href="/">
								<img src="/templates/1006/images/svm_logo.gif" class="noResponsive" />
							</a>
						
					
					<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">
			
	      	
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