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document.write('<script type=\"text/javascript\" src=\"https://assets.bravenet.com/bn/js/emailfwd/bn_email_forms.min.js\"></script><link rel=\"stylesheet\" href=\"https://pub49.bravenet.com/emailfwd/v2/bnet-form.css.php?usernum=4200076513&formid=4031&formpadding=0\"><form method=\"post\" class=\"bnet-form\" enctype=\"multipart/form-data\" action=\"#bn-ajax-post:4200076513:49:4031\"><div class=\"bn-form-header\"><div class=\"bn-form-legend\"><div>Voting</div></div> <div class=\"bn-form-desc\"><p>When voting for a draft program please number the boxes from 1 to 3 according to your preference. Please note if you do not want to cast a preference vote then simply place a number 1 against your selected program. ');
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document.write('Please Ring Tony Perkins between 9 am and 12 for your unique code.</p></div></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">Name <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-1\" placeholder=\"your first and last name\" validator=\"\" required=\"required\" value=\"\"></span></label></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">Email Address </span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-2\" placeholder=\"you must enter a valid email address\" validator=\"email\" value=\"\"></span></label></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">My unique code obtained from Tony Perkins <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-177372398370799\" placeholder=\"\" validator=\"\" required=\"required\" value=\"\"></span></label></div><div class=\"fields-wrapper ui-sortable-handle\"><div class=\"bn-row rowcb\"><span class=\"bn-label\">Election of Chairman of SAHPA <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><span class=\"bn-optionwrapper\"><label class=\"bn-radio\"><input type=\"radio\" name=\"Field-177372398370787\" value=\"Harris\" checked=\"checked\"> <span class=\"bn-inner-label\">Harris</span></label></span><span class=\"bn-optionwrapper\"><label class=\"bn-radio\"><input type=\"radio\" name=\"Field-177372398370787\" value=\"Donnellan\"> <span class=\"bn-inner-label\">Donnellan</span></label></span></span></div></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">Below you will find the choices for lines of flight </span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-1773880380799102\" placeholder=\"\" validator=\"\" value=\"\"></span></label></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">Draft 1 (number from 1 to 3) NW &amp; SE </span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-177372454971933\" placeholder=\"\" validator=\"\" value=\"\"></span></label></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">Draft 2 (number from 1 to 3) NW &amp; NE </span> <span class=\"bn-input\"><input type=\"text\" name=\"-177372449922067\" placeholder=\"\" validator=\"\" value=\"\"></span></label></div><div class=\"fields-wrapper ui-sortable-handle\"><label class=\"bn-row\"><span class=\"bn-label\">Draft 3 (number from 1 to 3) N, NW &amp; NE </span> <span class=\"bn-input\"><input type=\"text\" name=\"-177372449760347\" placeholder=\"\" validator=\"\" value=\"\"></span></label></div>  <input type=\"hidden\" name=\"carboncopy\" value=\"sahpa.secretary@gmail.com\"> <input type=\"hidden\" name=\"thankyou\" value=\"\"> <input type=\"hidden\" name=\"thankyoutext\" value=\"Thank you for your form submission\"> <input type=\"hidden\" name=\"subject\" value=\"voting\"><div class=\"bn-form-submit\"><button type=\"submit\" class=\"formbtn\">Submit Form</button></div> <style type=\"text/css\">.bnet-form ::-webkit-input-placeholder {');
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