Place in the preheated oven until cheese melts, 10 to 15 minutes. Fried chicken and waffles is THE specialty at Poppy + Rose. field_id.split() : window['required_fields'+form_id]; var not_filled = {}; jQuery(req_fields).each(function(index, wdid){ if(x.find(jQuery("div[wdid='"+wdid+"']")).length != 0 && x.find(jQuery("div[wdid='"+wdid+"']")).css("display") != "none" ) { switch(window['labels_and_ids'+form_id][wdid]){ case 'type_text': case 'type_textarea': case 'type_paypal_price_new': case 'type_spinner': case 'type_number': case 'type_submitter_mail': { var element = "#wdform_" + wdid + "_element" + form_id; if(x.find(jQuery("div[wdid='"+wdid+"']")).closest(".wdform-page-and-images").css('display') !="none") { if(jQuery(element).val() == jQuery(element).attr('title') || jQuery(element).val() == ""){ not_filled[wdid] = element; } } if(!field_id && !window['check_submit'+form_id]){ jQuery(element).focus(function() { jQuery("#form"+form_id+" #wd_required_"+wdid).remove(); jQuery("#form"+form_id+" div[wdid='"+wdid+"'] .wdform-label-section:first .error_label").removeClass("error_label"); }).blur(function() { wd_is_filled(form_id, wdid); }); } break; } case 'type_own_select': case 'type_country': case 'type_paypal_select': { var element = "#wdform_" + wdid + "_element" + form_id; if(x.find(jQuery("div[wdid='"+wdid+"']")).closest(".wdform-page-and-images").css('display') !="none"){ if(jQuery(element).val() == ""){ not_filled[wdid] = element; } } if(!field_id && !window['check_submit'+form_id]){ jQuery(element).focus(function() { jQuery("#form"+form_id+" #wd_required_"+wdid).remove(); jQuery("#form"+form_id+" div[wdid='"+wdid+"'] .wdform-label-section:first .error_label").removeClass("error_label"); }).blur(function() { wd_is_filled(form_id, wdid); }).change(function() { jQuery("#form"+form_id+" div[wdid='"+wdid+"'] .wdform-label-section:first .error_label").removeClass("error_label"); wd_is_filled(form_id, wdid); }); } break; } case 'type_phone': { var element = ["#wdform_" + wdid + "_element_first" + form_id, "#wdform_" + wdid + "_element_last" + form_id]; jQuery(element).each(function(ind,elem){ if(x.find(jQuery("div[wdid='"+wdid+"']")).closest(".wdform-page-and-images").css('display') !="none") { if(jQuery(elem).val() == "" || jQuery(elem).val() == jQuery(elem).attr('title')){ not_filled[wdid] = elem; } } if(!field_id && !window['check_submit'+form_id]){ jQuery(elem).focus(function() { jQuery("#form"+form_id+" #wd_required_"+wdid).remove(); jQuery("#form"+form_id+" div[wdid='"+wdid+"'] .wdform-label-section:first .error_label").removeClass("error_label"); }).blur(function() { wd_is_filled(form_id, wdid); }); } }); break; } case 'type_name': { var element = ["#wdform_" + wdid + "_element_title" + form_id, "#wdform_" + wdid + "_element_first" + form_id, "#wdform_" + wdid + "_element_last" + form_id, "#wdform_" + wdid + "_element_middle" + form_id]; jQuery(element).each(function(ind,elem){ if(x.find(jQuery("div[wdid='"+wdid+"']")).closest(".wdform-page-and-images").css('display') !="none") { if((jQuery(elem).val() == "" || jQuery(elem).val() == jQuery(elem).attr('title')) && typeof jQuery(elem).val() != "undefined"){ not_filled[wdid] = elem; } } if(!field_id && !window['check_submit'+form_id]){ jQuery(elem).focus(function() { jQuery("#form"+form_id+" div[wdid='"+wdid+"'] .wdform-label-section:first .error_label").removeClass("error_label"); jQuery("#form"+form_id+" #wd_required_"+wdid).remove(); }).blur(function() { wd_is_filled(form_id, wdid); }); } }); break; } case 'type_address': { var element = ["#wdform_" + wdid + "_street1" + form_id, "#wdform_" + wdid + "_street2" + form_id, "#wdform_" + wdid + "_city" + form_id, "#wdform_" + wdid + "_state" + form_id, "#wdform_" + wdid + "_postal" + form_id, "#wdform_" + wdid + "_country" + form_id]; jQuery(element).each(function(ind,elem){ if(x.find(jQuery("div[wdid='"+wdid+"']")).closest(".wdform-page-and-images").css('display') !="none") { if(jQuery(elem).val() == "" && typeof jQuery(elem).val() != "undefined"){ not_filled[wdid] = elem; } } if(!field_id && !window['check_submit'+form_id]){ jQuery(elem).focus(function() { jQuery("#form"+form_id+" div[wdid='"+wdid+"'] .wdform-label-section:first .error_label").removeClass("error_label"); jQuery("#form"+form_id+" #wd_required_"+wdid).remove(); }).blur(function() { wd_is_filled(form_id, wdid); }); } }); break; } case 'type_checkbox': case 'type_radio': case 'type_scale_rating': case 'type_paypal_checkbox': case 'type_paypal_radio': case 'type_paypal_shipping': { if(x.find(jQuery("div[wdid='"+wdid+"']")).closest(".wdform-page-and-images").css('display') !="none"){ if(x.find(jQuery("div[wdid='"+ wdid +"'] input:checked")).length == 0 || jQuery("#wdform_"+ wdid +"_other_input" + form_id).val() == ""){ not_filled[wdid] = true; 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jQuery("#form"+form_id+" #wd_required_"+wdid).remove(); } }); } break; } case 'type_range': { var element = ["#wdform_" + wdid + "_element" + form_id + "0", "#wdform_" + wdid + "_element" + form_id + "1"]; jQuery(element).each(function(ind,elem){ if(x.find(jQuery("div[wdid='"+wdid+"']")).closest(".wdform-page-and-images").css('display') !="none") { if(jQuery(elem).val() == ""){ not_filled[wdid] = elem; } } if(!field_id && !window['check_submit'+form_id]){ jQuery(elem).focus(function() { jQuery("#form"+form_id+" div[wdid='"+wdid+"'] .wdform-label-section:first .error_label").removeClass("error_label"); jQuery("#form"+form_id+" #wd_required_"+wdid).remove(); }).blur(function() { wd_is_filled(form_id, wdid); }); } }); break; } case 'type_grading': { if(x.find(jQuery("div[wdid='"+wdid+"']")).closest(".wdform-page-and-images").css('display') !="none") { var count_grading = 0; jQuery.each(jQuery("#wdform_" + wdid + "_element" + form_id + " input"), function( i, val ){ if(jQuery(this).val() != "") count_grading ++; }); if(count_grading == 0) not_filled[wdid] = true; } if(!field_id && !window['check_submit'+form_id]){ jQuery.each(jQuery("#wdform_" + wdid + "_element" + form_id + " input"), function( i, val ){ jQuery(this).focus(function() { jQuery("#form"+form_id+" div[wdid='"+wdid+"'] .wdform-label-section:first .error_label").removeClass("error_label"); jQuery("#form"+form_id+" #wd_required_"+wdid).remove(); }).blur(function() { wd_is_filled(form_id, wdid); }); }); } break; } case 'type_slider': { var slider_element = "#wdform_" + wdid + "_element" + form_id; var element = "#wdform_" + wdid + "_slider_value" + form_id; var min_value = "#wdform_" + wdid + "_element_min" + form_id; if(x.find(jQuery("div[wdid='"+wdid+"']")).closest(".wdform-page-and-images").css('display') !="none") { if(jQuery(element).val() == jQuery(min_value).html()){ not_filled[wdid] = true; } } if(!field_id && !window['check_submit'+form_id]){ jQuery(slider_element).slider({ change: function( event, ui ) { jQuery("#form"+form_id+" div[wdid='"+wdid+"'] .wdform-label-section:first .error_label").removeClass("error_label"); jQuery("#form"+form_id+" #wd_required_"+wdid).remove(); wd_is_filled(form_id, wdid); } }); } break; } case 'type_date': case 'type_date_new': { var element = "#wdform_" + wdid + "_element" + form_id; if(x.find(jQuery("div[wdid='"+wdid+"']")).closest(".wdform-page-and-images").css('display') !="none") { if(jQuery(element).val() == ""){ not_filled[wdid] = element; } } if(!field_id && !window['check_submit'+form_id]){ jQuery(element).focus(function() { jQuery("#form"+form_id+" #wd_required_"+wdid).remove(); }).change(function() { jQuery("#form"+form_id+" div[wdid='"+wdid+"'] .wdform-label-section:first .error_label").removeClass("error_label"); wd_is_filled(form_id, wdid); }); } break; } case 'type_date_range': { var element = ["#wdform_" + wdid + "_element" + form_id + "0", "#wdform_" + wdid + "_element" + form_id + "1"]; jQuery(element).each(function(ind,elem){ if(x.find(jQuery("div[wdid='"+wdid+"']")).closest(".wdform-page-and-images").css('display') !="none") { if(jQuery(elem).val() == ""){ not_filled[wdid] = elem; } } if(!field_id && !window['check_submit'+form_id]){ jQuery(elem).focus(function() { jQuery("#form"+form_id+" div[wdid='"+wdid+"'] .wdform-label-section:first .error_label").removeClass("error_label"); jQuery("#form"+form_id+" #wd_required_"+wdid).remove(); }).change(function() { wd_is_filled(form_id, wdid); }); } }); break; } case 'type_date_fields': { var element = ["#wdform_" + wdid + "_day" + form_id, "#wdform_" + wdid + "_month" + form_id, "#wdform_" + wdid + "_year" + form_id]; jQuery(element).each(function(ind,elem){ if(x.find(jQuery("div[wdid='"+wdid+"']")).closest(".wdform-page-and-images").css('display') !="none") { if(jQuery(elem).val() == ""){ not_filled[wdid] = elem; } } if(!field_id && !window['check_submit'+form_id]){ jQuery(elem).focus(function() { jQuery("#form"+form_id+" div[wdid='"+wdid+"'] .wdform-label-section:first .error_label").removeClass("error_label"); jQuery("#form"+form_id+" #wd_required_"+wdid).remove(); }).blur(function() { wd_is_filled(form_id, wdid); }).change(function() { wd_is_filled(form_id, wdid); 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jQuery("#form"+form_id+" div[wdid='"+wdid+"'] .wdform-label-section:first .error_label").removeClass("error_label"); }).blur(function() { wd_is_filled(form_id, wdid); }); } break; } case 'type_file_upload': { var element = "#wdform_" + wdid + "_element" + form_id; if(x.find(jQuery("div[wdid='"+wdid+"']")).closest(".wdform-page-and-images").css('display') !="none") { if(jQuery(element).val() == jQuery(element).attr('title') || jQuery(element).val() == ""){ not_filled[wdid] = element; } } if(!field_id && !window['check_submit'+form_id]){ jQuery(element).focus(function() { jQuery("#form"+form_id+" div[wdid='"+wdid+"'] .wdform-label-section:first .error_label").removeClass("error_label"); jQuery("#form"+form_id+" #wd_required_"+wdid).remove(); }).change(function() { jQuery("#form"+form_id+" #wd_required_"+wdid).remove(); jQuery("#form"+form_id+" div[wdid='"+wdid+"'] .wdform-label-section:first .error_label").removeClass("error_label"); wd_is_filled(form_id, wdid); }); } break; } case 'type_matrix': { if(jQuery("#form" + form_id + " div[wdid='"+ wdid +"'] input").attr('type') =="radio" || jQuery("#form" + form_id + " div[wdid='"+ wdid +"'] input").attr('type') =="checkbox"){ if(x.find(jQuery("div[wdid='"+wdid+"']")).closest(".wdform-page-and-images").css('display') !="none") { if(x.find(jQuery("div[wdid='"+ wdid +"'] input:checked")).length == 0){ not_filled[wdid] = true; 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Funky Chicken Rescue | Funky Chicken Rescue Fat Kitty City - El Dorado Hills TNR Group No-Kill Rescue. Former laying hens from the egg-industry comprise the bulk of our incoming residents. Berkeley. My predator protection includes (check all that apply): I collect feed before the birds are locked up at night? Help individual chickens by adopting them as companions. At Happy Hen, we have a full-time veterinarian and an on-siteclinic that enables us to provide intensive carefor rescued animals. On a 40 acre ranch between Los Angeles and San Francisco, Happy Hen Animal Sanctuary gives refuge to abused and abandoned farm animals from across California. 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jQuery("").appendTo("#form15"); jQuery("").appendTo("#form15"); jQuery("").appendTo("#form15"); jQuery("").appendTo("#form15"); jQuery("").appendTo("#form15"); jQuery("").appendTo("#form15"); jQuery("").appendTo("#form15"); var disabled_fields =""; jQuery("div[wdid]").each(function() { if(jQuery(this).css("display")=="none") { disabled_fields += jQuery(this).attr("wdid"); disabled_fields += ","; } if(disabled_fields) jQuery("").appendTo("#form15"); });jQuery("").appendTo("#form"+form_id); a[form_id] = 1; var checkStripe = 2; if(checkStripe == 1){ var jq_mainForm = jQuery("form[id='form"+form_id+"']"); if (jq_mainForm.find(".wdfm_stripe_elem").first().parents(".wdform_row").is(":visible")) { wdfm_call_stripe(); } else{ document.getElementById("form"+form_id).submit(); } } else{ document.getElementById("form"+form_id).submit(); } } function check15(id, form_id) { if(!wd_is_filled(form_id)) return false; if(!wd_check_regExp(form_id)) return false; if(!wd_check_price_min_max(form_id)) return false; if(!wd_file_upload_check(form_id)) return false; x = jQuery("#15form_view"+id); return true; } function before_load() { } function before_submit() { } function before_reset() { }#form15 input[type="text"] {box-sizing: border-box;} .form15 .wdform-page-and-images .other_input{max-width: none;}.form15 button, .form15input, .form15select, .form15textarea{font-size:14px;}.form15 .warning, .form15.error{background-color: #F0EFEF;border: 1px solid #013D7C;border-radius: 5px;color: #013D7C;padding: 5px;}.form15 .warning *, .form15.error *{margin:0;}.form15 .recaptcha_input_area input{height:initial !important;}.form15 input[type="radio"]{border:none !important;outline:none !important;}.form15 input[type="checkbox"]{border:none !important;outline:none !important;}.form15 a.ui-spinner-button{border-radius:0px !important;background: none!important;}.form15 a.ui-slider-handle {width: 13px;height: 13px;top: -4px;border: 0px;border-radius: 13px;background: #FAFAFA;border: 3px solid #B1B1B1;outline: none;}.form15 .ui-slider { height: 6px; background: #F5F5F5 !important; margin: 7px 0px;}.form15 .wdform_grading input { width: 100px;}.form15 .wdform-matrix-cell input[type="text"] { width: 100px;font-size: 14px !important;}.form15 .wdform-matrix-cell select { width: 60px;font-size: 14px !important;}.form15 .wdform_section .wdform_column:last-child { padding-right: 0px !important;}.form15 .wdform_preload { display: none;}.form15 .wdform_grading { padding: 3px 0px;}.form15 .wdform-matrix-table { display: table; border-spacing: 0px;}.form15 .wdform-matrix-column { text-align: left; display: table-cell;}.form15 .wdform-matrix-cell { text-align: center; display: table-cell; padding: 6px 10px;}.form15 .wdform-matrix-head>div { display: table-cell; text-align: center;}.form15 .wdform-matrix-head { display: table-row;}.form15 .wdform-matrix-row0 { background: #DFDFDF; display: table-row;}.form15 .wdform-matrix-row1 { background: #E9E9E9; display: table-row;}.form15 .selected-text { text-align: left; color: #000;}.form15 .wdform-quantity { width: 30px; margin: 2px 0px;}.form15 .wdform_scale_rating label { vertical-align: middle;}.form15 .ui-corner-all { border-radius: 0px;}.form15 .ui-widget-content { border: 0px; background: transparent;}.form15 .ui-slider-range { background: #8A8A8A !important;}.form15 .wdform_map { border: 6px solid #fff;}.form15 .wdform-page-and-images { width: 100%; border: 0px solid #000 !important;padding-left:10px;}.form15 .paypal-property { display: inline-block; margin-right: 15px; vertical-align: middle;}.form15 .sel-wrap { display: inline-block; vertical-align: middle; width:100%;}.form15 .sel-imul { display: none;}.form15 .sel-imul .sel-selected { cursor: pointer; position: relative; display: inline-block; border-radius: 0px; padding: 0px 0px 0px 2px; font-size: 13px; height: 22px; line-height: 22px; overflow: hidden; background: #F8F8F8; border: 0px solid #D3D3D3; background-position: right 2px center; width: 100%;}.form15 .sel-imul.act .sel-selected { background: #fff;}.form15 .sel-selected .sel-arraw { height: 23px; width: 30px; background: url(https://animalplace.org/wp-content/plugins/form-maker/images/09/01.png) 50% 50% no-repeat; position: absolute; top: 0px; right: 0px; padding: 0px;}.form15 .sel-imul:hover .sel-selected .sel-arraw { }.form15 .sel-imul.act .sel-selected .sel-arraw { }.form15 .sel-imul .sel-options { background: #fff; border: 1px solid #dbdbdb; border-top: none; position: absolute; width: inherit; display: none; z-index: 10; max-height: 200px; overflow-y: auto; overflow-x: hidden;}.form15 .sel-options .sel-option { padding: 3px 4px; font-size: 13px; border: 1px solid #fff; border-right: none; border-left: none; text-align: left;}.form15 .sel-options .sel-option:hover { border-color: #dbdbdb; cursor: pointer;}.form15 .sel-options .sel-option.sel-ed { background: #dbdbdb; border-color: #dbdbdb;}.form15 input[type=text]{ margin: 0px;}.form15 input[type=password]{ margin: 0px;}.form15 input[type=url]{ margin: 0px;}.form15 input[type=email]{ margin: 0px;}.form15 input.text{ margin: 0px;}.form15 input.title{ margin: 0px;}.form15 textarea{ margin: 0px;}.form15 select { margin: 0px;}.form15 .form-error { border-color: red !important;}.form15 .form-error:focus { border-color: red !important;}.form15 .wdform-field { display: table-cell; padding: 5px 0px;}.form15 .wdform-label-section{ text-align: left; display: table-cell;}.form15 .wdform-element-section { text-align: left; display: table-cell; min-width: 140px;}.form15 .file-upload input { position: absolute; visibility: hidden;}.form15 .file-upload-status { margin-left: 10px; max-width: 200px; font-weight: bold; font-size: 16px; color: #888; position: absolute; border-radius: 0px; height: 23px; padding-left: 5px; padding-right: 5px; white-space: nowrap; overflow: hidden; }.form15 .file-picker { width: 41px; height: 32px; background: url(https://animalplace.org/wp-content/plugins/form-maker/images/10/01/upload.png) no-repeat; display: inline-block;}.form15 .next-page div.wdform-page-button {color: #FFF;cursor: pointer;display: inline-block;height: 38px;line-height: 35px;background:url(https://animalplace.org/wp-content/plugins/form-maker/images/10/next.png) no-repeat right #013D7C;padding: 0px 36px 0 20px;vertical-align: middle;font-size: 18px;border-top-right-radius: 7px;border-bottom-right-radius: 7px;}.form15 .previous-page div.wdform-page-button {color: #A2A2A2;cursor: pointer;display: inline-block;height: 37px;line-height: 35px;background:url(https://animalplace.org/wp-content/plugins/form-maker/images/09/previous.png) no-repeat left #F1F1F1;padding: 0 20px 0 36px;vertical-align: middle;font-size: 18px;border-top-left-radius: 7px;border-bottom-left-radius: 7px;}.form15 .button-submit { color: #ffffff; cursor: pointer; display: inline-block; line-height: 35px; background: #013D7C; padding: 0px 20px; vertical-align: middle; font-size: 18px; min-width: 80px; min-height: 35px; font-family: Segoe UI; border: 1px solid transparent; margin: 5px;}.form15 .button-reset { color: #787878; cursor: pointer; display: inline-block; line-height: 35px; background: #F0EFEF; padding: 0px 20px; vertical-align: middle; font-size: 18px; min-width: 80px; min-height: 35px; font-family: Segoe UI; float: right; border: 1px solid transparent; margin: 5px;}.form15 .wdform_page { background: #FFFFFF; padding-top: 15px; border-radius: 0px; font-family: Segoe UI;}.form15 .wdform_column { border-right: none !important; padding-right: 50px !important; float: left; border-spacing: 2px; border-collapse: separate !important;}.form15 .wdform_section_break2 { color: #013D7C; display: inline-block; text-align: left; font-size: 23px;margin: 16px 10px 40px 0px;}.form15 .wdform_section_break { color: #013D7C; font-size: 23px;margin: 16px 0px;}.form15 .wdform_section { display: inline-block;}.form15 select { padding: 2px; 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background: transparent url(https://animalplace.org/wp-content/plugins/form-maker/images/03/date.png) no-repeat !important; border: 0px; color: transparent; width: 22px; height: 22px; position: relative; left: -22px; vertical-align: top; outline: none;}.form15 .forlabs { float: right; margin-right: 20px;}.form15 .if-ie-div-label { -ms-filter: "progid:DXImageTransform.Microsoft.Alpha(Opacity=100)" !important; filter: alpha(opacity=100) !important; opacity: 1 !important;}.form15 .wdform-ch-rad-label { display: inline; margin: -4px 5px 5px 5px; float: left; color: #000; cursor: pointer}.form15 textarea { padding-top: 5px;}.form15 .wdform-date { display:inline-block; width: 105px}.form15 .wdform_footer { margin-top: 15px;}.form15 .page-numbers { vertical-align: middle;}.form15 .time_box { text-align: right; width: 30px; vertical-align: middle}.form15 .mini_label { font-size: 10px; font-family: "Lucida Grande", Tahoma, Arial, Verdana, sans-serif; color: #8A8A8A;}.form15 .wdform-label { border: none; color: #000; vertical-align: top; line-height: 17px;}.form15 .wdform_colon { color: #000}.form15 .wdform_separator { font-style: bold; vertical-align: middle; color: #000;}.form15 .wdform_line { color: #000}.form15 .wdform-required { border: none; color: red; vertical-align: top;}.form15 .captcha_img { border-width: 0px; margin: 0px; padding: 0px; cursor: pointer; border-radius: 0px;}.form15 .captcha_refresh { width: 30px; height: 30px; border-width: 0px; margin: 0px; padding: 0px; vertical-align: middle; cursor: pointer; background-image: url(https://animalplace.org/wp-content/plugins/form-maker/images/refresh_black.png);}.form15 .captcha_input { height: 20px; border-width: 1px; margin: 0px; padding: 0px; vertical-align: middle;}.form15 .file_upload { border: 0px solid white; border-radius: 0px; margin: 0px; padding: 0px; color: black; background-color: white;}.form15 .page_deactive {color: #013E7D;background-color: #FFF;cursor: pointer;display: inline-block;height: 29px;text-align: center;vertical-align: bottom;padding: 5px 25px 0px 25px;font-size: 16px;font-weight:bold;}.form15 .page_active {color: #FFF;cursor: pointer;background-color: #013E7D;display: inline-block;vertical-align: bottom;height: 29px;text-align: center;font-size: 20px;padding: 5px 25px 0px 25px;line-height: 26px;font-weight:bold;}.form15 .page_percentage_active {padding: 0px;margin: 0px;border-spacing: 0px;height: 16px;line-height: 16px;font-size: 15px;float: left;text-align: right !important;z-index: 1;position: relative;vertical-align: middle;background: #013E7F;color: #fff;border-top-left-radius: 5px;border-bottom-left-radius: 5px;}.form15 .page_percentage_deactive {height: 16px;line-height: 16px;background-color: #F1F1F1;text-align: left !important;margin-bottom: 1px;border-radius: 5px;}.form15 .page_numbers { font-size: 14px; color: #000;}.form15 .phone_area_code { width: 50px;}.form15 .phone_number { width: 100px;}.form15 button { cursor: pointer;}.form15 .other_input { border-radius: 0px; border-width: 1px; height: 16px; font-size: 12px; padding: 1px; margin: 1px; margin-left: 25px; z-index: 100; position: absolute;}.form15 .wdform_page_navigation { text-align: right !important;}.form15 .wdform_percentage_text {margin: 3px 5px 3px 9px;color: #FFF;font-size: 12px;}.form15 .wdform_percentage_title { color: #6E6E6E; font-style: italic; margin: 0px 0px 0px 40px; display: inline-block; line-height: 27px; height: 27px; vertical-align: middle;}.form15 .wdform_button button { background: #4D792C; cursor: pointer; font-size: 17px; border-radius: 0px; min-width: 80px; min-height: 31px; color: #fff; border: 2px solid #68943B; margin: 5px; box-shadow: 0px 0px 2px #c9c9c9; font-family: Segoe UI;}.form15 Name:* First Last E-mail:*Address:* Street AddressCityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountryPhone:* Area Code - Phone Number Do you own, rent, or lease?