<h2>{global:formtitle}</h2>
{error}
<!-- Do not remove this ID, it is used to identify the page so that the pagination script can work correctly -->
<div class="formContainer" id="rsform_{global:formid}_page_0">
	<div class="row">
		<div class="col-md-12">
			<div class="rsform-block rsform-block-give-back-gift-cards-to-to-pay-for-mom-magazine rsform-type-freetext{Give_Back_Gift_Cards_to_to_pay_for_Mom_Magazine:errorClass}">
					{Give_Back_Gift_Cards_to_to_pay_for_Mom_Magazine:body}
			</div>
			<div class="mb-3 rsform-block rsform-block-advertise-in-meaningful-savings-magazine-yes-or-no rsform-type-checkboxgroup{Advertise in Meaningful Savings Magazine Yes or No:errorClass}">
{if {Advertise in Meaningful Savings Magazine Yes or No:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{Advertise in Meaningful Savings Magazine Yes or No:descriptionhtml}" id="Advertise in Meaningful Savings Magazine Yes or No-grouplbl">{Advertise in Meaningful Savings Magazine Yes or No:caption}</label>
{/if}
				<div class="formControls" role="group" aria-labelledby="Advertise in Meaningful Savings Magazine Yes or No-grouplbl">
					{Advertise in Meaningful Savings Magazine Yes or No:body}
					<div><span class="formValidation">{Advertise in Meaningful Savings Magazine Yes or No:validation}</span></div>
				</div>
			</div>
			<div class="mb-3 rsform-block rsform-block-no-we-are-not-interested-in-the-magazine rsform-type-textarea{No_we_are_not_interested_in_the_Magazine_:errorClass}">
{if {No_we_are_not_interested_in_the_Magazine_:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{No_we_are_not_interested_in_the_Magazine_:descriptionhtml}" for="No_we_are_not_interested_in_the_Magazine_">{No_we_are_not_interested_in_the_Magazine_:caption}</label>
{/if}
				<div class="formControls">
					{No_we_are_not_interested_in_the_Magazine_:body}
					<div><span class="formValidation">{No_we_are_not_interested_in_the_Magazine_:validation}</span></div>
				</div>
			</div>
			<div class="mb-3 rsform-block rsform-block-advertising-options rsform-type-checkboxgroup{Advertising_Options:errorClass}">
{if {Advertising_Options:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{Advertising_Options:descriptionhtml}" id="Advertising_Options-grouplbl">{Advertising_Options:caption}</label>
{/if}
				<div class="formControls" role="group" aria-labelledby="Advertising_Options-grouplbl">
					{Advertising_Options:body}
					<div><span class="formValidation">{Advertising_Options:validation}</span></div>
				</div>
			</div>
			<div class="rsform-block rsform-block-pay-vs-give-why-sponsorship-ads-are-dead rsform-type-freetext{PAY_vs_GIVE_Why_Sponsorship_Ads_are_dead:errorClass}">
					{PAY_vs_GIVE_Why_Sponsorship_Ads_are_dead:body}
			</div>
			<div class="mb-3 rsform-block rsform-block-which-durham-communities rsform-type-radiogroup{Which_DURHAM_Communities:errorClass}">
{if {Which_DURHAM_Communities:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{Which_DURHAM_Communities:descriptionhtml}" id="Which_DURHAM_Communities-grouplbl">{Which_DURHAM_Communities:caption}<strong class="formRequired">(*)</strong></label>
{/if}
				<div class="formControls" role="group" aria-labelledby="Which_DURHAM_Communities-grouplbl">
					{Which_DURHAM_Communities:body}
					<div><span class="formValidation">{Which_DURHAM_Communities:validation}</span></div>
				</div>
			</div>
			<div class="mb-3 rsform-block rsform-block-not-interested-in-fundraising rsform-type-textarea{Not_Interested_in_Fundraising:errorClass}">
{if {Not_Interested_in_Fundraising:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{Not_Interested_in_Fundraising:descriptionhtml}" for="Not_Interested_in_Fundraising">{Not_Interested_in_Fundraising:caption}</label>
{/if}
				<div class="formControls">
					{Not_Interested_in_Fundraising:body}
					<div><span class="formValidation">{Not_Interested_in_Fundraising:validation}</span></div>
				</div>
			</div>
			<div class="rsform-block rsform-block-not-interested-button-claim-business-listing rsform-type-freetext{Not_Interested_Button_-_Claim_Business_Listing:errorClass}">
					{Not_Interested_Button_-_Claim_Business_Listing:body}
			</div>
			<div class="mb-3 rsform-block rsform-block-company-name rsform-type-textbox{Company_Name:errorClass}">
{if {Company_Name:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{Company_Name:descriptionhtml}" for="Company_Name">{Company_Name:caption}<strong class="formRequired">(*)</strong></label>
{/if}
				<div class="formControls">
					{Company_Name:body}
					<div><span class="formValidation">{Company_Name:validation}</span></div>
				</div>
			</div>
			<div class="mb-3 rsform-block rsform-block-city rsform-type-textbox{City:errorClass}">
{if {City:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{City:descriptionhtml}" for="City">{City:caption}<strong class="formRequired">(*)</strong></label>
{/if}
				<div class="formControls">
					{City:body}
					<div><span class="formValidation">{City:validation}</span></div>
				</div>
			</div>
			<div class="mb-3 rsform-block rsform-block-address rsform-type-textarea{Address:errorClass}">
{if {Address:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{Address:descriptionhtml}" for="Address">{Address:caption}<strong class="formRequired">(*)</strong></label>
{/if}
				<div class="formControls">
					{Address:body}
					<div><span class="formValidation">{Address:validation}</span></div>
				</div>
			</div>
			<div class="mb-3 rsform-block rsform-block-first-name rsform-type-textbox{First Name:errorClass}">
{if {First Name:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{First Name:descriptionhtml}" for="First Name">{First Name:caption}<strong class="formRequired">(*)</strong></label>
{/if}
				<div class="formControls">
					{First Name:body}
					<div><span class="formValidation">{First Name:validation}</span></div>
				</div>
			</div>
			<div class="mb-3 rsform-block rsform-block-last-name rsform-type-textbox{Last_Name:errorClass}">
{if {Last_Name:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{Last_Name:descriptionhtml}" for="Last_Name">{Last_Name:caption}<strong class="formRequired">(*)</strong></label>
{/if}
				<div class="formControls">
					{Last_Name:body}
					<div><span class="formValidation">{Last_Name:validation}</span></div>
				</div>
			</div>
			<div class="mb-3 rsform-block rsform-block-email rsform-type-textbox{Email:errorClass}">
{if {Email:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{Email:descriptionhtml}" for="Email">{Email:caption}<strong class="formRequired">(*)</strong></label>
{/if}
				<div class="formControls">
					{Email:body}
					<div><span class="formValidation">{Email:validation}</span></div>
				</div>
			</div>
			<div class="mb-3 rsform-block rsform-block-phone rsform-type-textbox{Phone:errorClass}">
{if {Phone:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{Phone:descriptionhtml}" for="Phone">{Phone:caption}<strong class="formRequired">(*)</strong></label>
{/if}
				<div class="formControls">
					{Phone:body}
					<div><span class="formValidation">{Phone:validation}</span></div>
				</div>
			</div>
			<div class="mb-3 rsform-block rsform-block-upload-image-files rsform-type-fileupload{Upload_Image_Files_:errorClass}">
{if {Upload_Image_Files_:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{Upload_Image_Files_:descriptionhtml}" for="Upload_Image_Files_">{Upload_Image_Files_:caption}</label>
{/if}
				<div class="formControls">
					{Upload_Image_Files_:body}
					<div><span class="formValidation">{Upload_Image_Files_:validation}</span></div>
				</div>
			</div>
			<div class="mb-3 rsform-block rsform-block-captcha rsform-type-captcha{Captcha:errorClass}">
{if {Captcha:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{Captcha:descriptionhtml}" for="captchaTxt344">{Captcha:caption}<strong class="formRequired">(*)</strong></label>
{/if}
				<div class="formControls">
					{Captcha:body}
					<div><span class="formValidation">{Captcha:validation}</span></div>
				</div>
			</div>
			<div class="mb-3 rsform-block rsform-block-submit rsform-type-submitbutton{Submit:errorClass}">
{if {Submit:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{Submit:descriptionhtml}">{Submit:caption}</label>
{/if}
				<div class="formControls">
					{Submit:body}
					<div><span class="formValidation">{Submit:validation}</span></div>
				</div>
			</div>
			<div class="mb-3 rsform-block rsform-block-durham-community-select rsform-type-checkboxgroup{DURHAM_COMMUNITY_SELECT:errorClass}">
{if {DURHAM_COMMUNITY_SELECT:caption}}
				<label class="form-label formControlLabel" data-bs-toggle="tooltip" title="{DURHAM_COMMUNITY_SELECT:descriptionhtml}" id="DURHAM_COMMUNITY_SELECT-grouplbl">{DURHAM_COMMUNITY_SELECT:caption}<strong class="formRequired">(*)</strong></label>
{/if}
				<div class="formControls" role="group" aria-labelledby="DURHAM_COMMUNITY_SELECT-grouplbl">
					{DURHAM_COMMUNITY_SELECT:body}
					<div><span class="formValidation">{DURHAM_COMMUNITY_SELECT:validation}</span></div>
				</div>
			</div>
		</div>
	</div>
	<div class="row">
		<div class="col-md-12">
		</div>
	</div>
</div>