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signup.html
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signup.html
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<!DOCTYPE html>
<html>
<head>
<title></title>
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<link href="css/app.css" rel="stylesheet" media="screen">
<link rel="stylesheet" href="http://cdn.leafletjs.com/leaflet-0.5.1/leaflet.css" />
<!--[if lte IE 8]>
<link rel="stylesheet" href="http://cdn.leafletjs.com/leaflet-0.5.1/leaflet.ie.css" />
<![endif]-->
</head>
<body class="leads">
<header class="out">
<div class="photo">
<div class="a">
<h1 class="logo"><a href="index">LocalData</a></h1>
</div>
</div>
<div class="text">
<div class="b">
<h1 class="case"></h1>
<h1>How can we help?</h1>
<h2>We'd like to get to know you better. Please tell us about your needs and we'll be in touch. Or, email us at <a href="mailto:info@localdata.com">info@localdata.com</a> </h2>
<div class="hidden" id="sec-thanks">
<h1>Thank you! We will get back to you shortly.</h1>
</div>
<form action="" id="sec-form">
<div class="hidden req" id="req-message">Oops, you're missing some required fields.</div>
<div class="single">
<label for="form-name">Name<a class="req">*</a></label>
<input type="text" name="entry.0.single" id="form-name" placeholder="Your name" data-required="true" />
</div>
<div class="pair">
<div class="single">
<label for="form-email">Email<a class="req">*</a></label>
<input type="text" name="entry.23.single" id="form-email" data-required="true" placeholder="you@example.com" />
</div>
<div class="single">
<label for="form-phone">Phone<a class="req">*</a></label>
<input type="text" name="entry.22.single" id="form-phone" data-required="true" placeholder="(555) 555-1234" />
</div>
</div>
<div class="pair">
<div class="single">
<label for="form-title">Title</label>
<input type="text" name="entry.4.single" id="form-title" />
</div>
<div class="single">
<label for="form-organization">Organization</label>
<input type="text" name="entry.5.single" id="form-organization" class="wide" />
</div>
</div>
<!-- Organization type -->
<div class="multi">
<p class="question">What type of organization are you with?</p>
<div>
<input type="radio" name="entry.6.group" id="org-0" for="org-0" value="nonprofit" />
<label for="org-0">Nonprofit</label>
</div>
<div>
<input type="radio" name="entry.6.group" id="org-1" for="org-1" value="private" />
<label for="org-1">Private sector</label>
</div>
<div>
<input type="radio" name="entry.6.group" id="org-2" for="org-2" value="government" />
<label for="org-2">Government</label>
</div>
</div>
<!-- Data collection history -->
<div class="hidden" data-condition="past-yes">
<div class="multi">
<p class="question">What tools do you use for data collection?</p>
<div>
<input type="checkbox" name="entry.19.group" id="tech-0" value="paper" />
<label for="tech-0">Pen and paper</label>
</div>
<div>
<input type="checkbox" name="entry.19.group" id="tech-1" value="__option__" />
<label for="tech-1">Technology</label>
</div>
<div class="hidden" data-condition="tech-1">
<label>Which products?</label>
<input type="text" name="entry.19.group.other_option_" id="tech-other" />
</div>
</div>
</div>
<div class="multi">
<p class="question">Does your team have access to smartphones or tablets?</p>
<div>
<input type="radio" name="entry.20.group" id="access-0" value="all" />
<label for="access-0">Nearly everyone does</label>
</div>
<div>
<input type="radio" name="entry.20.group" id="access-1" value="most" />
<label for="access-1">Most do</label>
</div>
<div>
<input type="radio" name="entry.20.group" id="access-2" value="few" />
<label for="access-2">Few or none have access</label>
</div>
</div>
<div class="multi">
<p class="question">What is the ballpark budget for projects that require data collection?</p>
<div>
<input type="radio" name="entry.21.group" id="budget-0" value="<1000" />
<label for="budget-0">Under $1,000</label>
</div>
<div>
<input type="radio" name="entry.21.group" id="budget-1" value="1000-5000" />
<label for="budget-1">$1,000 - $5,000</label>
</div>
<div>
<input type="radio" name="entry.21.group" id="budget-2" value="5000-15000" />
<label for="budget-2">$5,000 - $15,000</label>
</div>
<div>
<input type="radio" name="entry.21.group" id="budget-3" value=">15000" />
<label for="budget-3">greater than $15,000</label>
</div>
<div>
<input type="radio" name="entry.21.group" id="budget-4" value="unknown" />
<label for="budget-4">I don't know</label>
</div>
</div>
<div class="req">* Required</div>
<div style="display:none;">
<input type="text" name="entry.2.single" id="form-last-name" value="_"/>
</div>
<input type="hidden" name="pageNumber" value="0" />
<input type="hidden" name="backupCache" value= />
<input type="hidden" name="submit" value="Submit" />
<input type="submit" value="Submit" class="input-submit" id="form-submit" />
</form>
</form>
</div>
</div>
</header>
<footer class="out">
<div class="in">
<h1 class="logo"><a href="index">LocalData</a></h1>
<nav>
<a href="case-muncie">In Action</a>
<a href="about">Our Story</a>
<a href="http://blog.localdata.com">News</a>
<a href="privacy">Privacy</a>
<a href="signup">Contact</a>
<span class="social">
<a href="http://twitter.com/goLocalData">Twitter</a>
<a href="https://github.com/LocalData">GitHub</a>
</span>
</nav>
</div>
</div>
<script src="http://code.jquery.com/jquery.js"></script>
<script src="js/interested.js"></script>
<script src="js/app.js" type="text/javascript"></script>
<script type="text/javascript">
var _gaq = _gaq || [];
_gaq.push(['_setAccount', 'UA-34929479-1']);
_gaq.push(['_trackPageview']);
(function() {
var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true;
ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js';
var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s);
})();
</script>
</body>
</html>