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<style type="text/css">div.form-group {
overflow: auto;
}
</style>
<!-- Bootstrap v3.0.3 -->
<link href="https://s3.amazonaws.com/mturk-public/bs30/css/bootstrap.min.css" rel="stylesheet" />
<section class="container" id="DataCollection" style="margin-bottom:15px; padding: 10px 10px; font-family: Verdana, Geneva, sans-serif; color:#333333; font-size:0.9em;">
<div class="row">
<div class="panel panel-primary">
<div class="panel-heading"><strong>Instructions</strong></div>
<div class="panel-body">
<div class="col-xs-6 col-md-6">
<table>
<tbody>
<tr>
<td><label>Legislator:</label></td>
<td>${name}</td>
</tr>
<tr>
<td><label>URL:</label></td>
<td><a href="${url}" target="_blank">${url}</a></td>
</tr>
<tr>
<td><label>Office:</label></td>
<td>${office}</td>
</tr>
</tbody>
</table>
</div>
<div class="col-xs-6 col-md-6"><!-- Instructions -->
<p>Find the contact details for a legislator's district office.</p>
<ul>
<li>Go to the legislator's home page: <a href="${url}" target="_blank">${url}</a>.</li>
<li>Find information for the specified district office, <strong>"${office}"</strong>.</li>
<li>This will <strong>NOT be the DC office</strong>. (Exception: non-voting District of Columbia delegate.) </li>
<li>It is usually on the <strong>bottom of the page</strong>, or on a sub-page called <strong>Office Locations</strong> or <strong>Contact Us</strong>.</li>
<li>Fill out the form below with the details for that office.</li>
<li>Some fields, such as Building, Suite, Fax, and Hours may not apply to every office, but please include whatever information is available.</li>
</ul>
</div>
<div class="col-xs-12 col-md-12">
<p><a href="https://s3.amazonaws.com/demo.actionkit.com/images/office_details.png" id="show-example" target="_blank"><b>Show Example</b></a></p>
</div>
</div>
</div>
<div class="row col-xs-12 col-md-12">
<div class="form-group"><label class="col-sm-2 control-label" for="address1">Address Line 1</label>
<div class="col-sm-10"><input class="form-control" name="address" placeholder="123 Main St." type="text" /> <span class="help-block">Street Address</span></div>
</div>
<div class="form-group"><label class="col-sm-2 control-label" for="building">Building</label>
<div class="col-sm-10"><input class="form-control" name="building" placeholder="County Courthouse" type="text" /></div>
</div>
<div class="form-group"><label class="col-sm-2 control-label" for="suite">Suite</label>
<div class="col-sm-10"><input class="form-control" name="suite" placeholder="Suite 100" type="text" /> <span class="help-block">Suite, unit, number, floor, etc.</span></div>
</div>
<div class="form-group"><label class="col-sm-2 control-label" for="textinput">City</label>
<div class="col-sm-10"><input class="form-control" name="city" placeholder="Pleasantville" type="text" /></div>
</div>
<datalist id="state_abbr"><option value="AL"></option><option value="AK"></option><option value="AZ"></option><option value="AR"></option><option value="CA"></option><option value="CO"></option><option value="CT"></option><option value="DC"></option><option value="DE"></option><option value="FL"></option><option value="GA"></option><option value="HI"></option><option value="ID"></option><option value="IL"></option><option value="IN"></option><option value="IA"></option><option value="KS"></option><option value="KY"></option><option value="LA"></option><option value="ME"></option><option value="MD"></option><option value="MA"></option><option value="MI"></option><option value="MN"></option><option value="MS"></option><option value="MO"></option><option value="MT"></option><option value="NE"></option><option value="NV"></option><option value="NH"></option><option value="NJ"></option><option value="NM"></option><option value="NY"></option><option value="NC"></option><option value="ND"></option><option value="OH"></option><option value="OK"></option><option value="OR"></option><option value="PA"></option><option value="RI"></option><option value="SC"></option><option value="SD"></option><option value="TN"></option><option value="TX"></option><option value="UT"></option><option value="VT"></option><option value="VA"></option><option value="WA"></option><option value="WV"></option><option value="WI"></option><option value="WY"></option></datalist>
<div class="form-group"><label class="col-sm-2 control-label" for="state">State</label>
<div class="col-sm-2"><input class="form-control" list="state_abbr" maxlength="2" name="state" type="text" value="${state}" /></div>
</div>
<div class="form-group"><label class="col-sm-2 control-label" for="zip">ZIP Code</label>
<div class="col-sm-2"><input class="form-control" maxlength="10" name="zip" placeholder="12345" type="text" /></div>
</div>
<div class="form-group"><label class="col-sm-2 control-label" for="phone">Phone</label>
<div class="col-sm-10"><input class="form-control" name="phone" placeholder="510-555-1234" type="tel" /></div>
</div>
<div class="form-group"><label class="col-sm-2 control-label" for="fax">Fax</label>
<div class="col-sm-10"><input class="form-control" name="fax" placeholder="510-555-5678" type="tel" /></div>
</div>
<div class="form-group"><label class="col-sm-2 control-label" for="hours">Hours</label>
<div class="col-sm-10"><input class="form-control" name="hours" placeholder="Mon-Fri 9am-2pm" type="text" /></div>
</div>
</div>
</div>
</section>
<!-- close container -->
<style type="text/css">td { font-size:1.0em; padding: 5px 5px; }
</style>
<script>
document.getElementById("show-example").addEventListener('click',
function (evt) {
evt.preventDefault();
window.open(this.href, "Office Details Example", "width=800");
}
);
</script>