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bioguide: B001230
contact_form:
method: post
action: "https://www.baldwin.senate.gov/contact/contact-tammy"
steps:
- visit: "https://www.baldwin.senate.gov/contact/contact-tammy"
- wait:
- value: 5
- javascript:
- value: document.querySelector('.SiteLayout__main').innerHTML = '<div id=\"form-B03E03FC-4040-F985-52CD-BCD7E00A8A6C\" class=\"amend-form-container loaded\"><form id=\"B03E03FC-4040-F985-52CD-BCD7E00A8A6C\" action=\"https://www.baldwin.senate.gov/contact/contact-tammy\" method=\"post\"><fieldset><legend class=\"zipauthtitle\">Zip Code Authentication</legend><div class=\"zipauth\"><div class=\"row\"><div class=\"col-6\"><div class=\"control-group\"><label class=\"control-label\" for=\"yourname\">What\'s Your First Name?<span class=\"required\">*</span></label><div class=\"controls\"><input id=\"yourname\" name=\"input_8F37221E-909E-5E41-E8ED-6D7933D8F31F\" class=\"validate[\'required\']\" type=\"text\" placeholder=\"Required\"></div></div></div><div class=\"col-6\"><div class=\"control-group\"><label class=\"control-label\" for=\"zip-input\">What\'s Your Zip Code?<span class=\"required\">*</span></label><div class=\"controls\"><input id=\"zip-input\" name=\"input_8F37D8B1-A2A9-89EE-A24E-90C94156F786\" class=\"validate[\'required\',\'%creativengine_forms_builder.validate.zip\']\" type=\"text\" placeholder=\"Required\"></div></div></div></div></div><button type=\"submit\" class=\"Button--secondary pull-right Button--redArrowRight\" id=\"zip-submit\">Get Started</button></fieldset><div class=\"show-form\"><fieldset><legend>Your Name</legend><div class=\"control-group\"><label class=\"control-label\" for=\"input-B03E0527-4040-F985-52CD-C0DD6BEF325F\">Preferred Prefix</label><div class=\"controls\"><select id=\"input-B03E0527-4040-F985-52CD-C0DD6BEF325F\" name=\"input_B03E0527-4040-F985-52CD-C0DD6BEF325F\"><option value=\"\">--</option><option value=\"Mr.\">Mr.</option><option value=\"Ms.\">Ms.</option><option value=\"Mrs.\">Mrs.</option><option value=\"Mx.\">Mx.</option><option value=\"Professor\">Professor</option><option value=\"Dr.\">Dr.</option><option value=\"Father\">Father</option><option value=\"Sister\">Sister</option><option value=\"Rabbi\">Rabbi</option><option value=\"Reverend\">Reverend</option><option value=\"General\">Air Force - General</option><option value=\"Lieutenant General\">Air Force - Lieutenant General</option><option value=\"Major General\">Air Force - Major General</option><option value=\"Brigadier General\">Air Force - Brigadier General</option><option value=\"Colonel\">Air Force - Colonel</option><option value=\"Lieutenant Colonel\">Air Force - Lieutenant Colonel</option><option value=\"Major\">Air Force - Major</option><option value=\"Captain\">Air Force - Captain</option><option value=\"First Lieutenant\">Air Force - First Lieutenant</option><option value=\"Second Lieutenant\">Air Force - Second Lieutenant</option><option value=\"Chief Master Sergeant of the Air Force\">Air Force - Chief Master Sergeant of the Air Force</option><option value=\"Command Chief Master Sergeant\">Air Force - Command Chief Master Sergeant</option><option value=\"First Sergeant (E-9)\">Air Force - First Sergeant (E-9)</option><option value=\"Chief Master Sergeant\">Air Force - Chief Master Sergeant</option><option value=\"First Sergeant (E-8)\">Air Force - First Sergeant (E-8)</option><option value=\"Senior Master Sergeant\">Air Force - Senior Master Sergeant</option><option value=\"First Sergeant (E-7)\">Air Force - First Sergeant (E-7)</option><option value=\"Master Sergeant\">Air Force - Master Sergeant</option><option value=\"Technical Sergeant\">Air Force - Technical Sergeant</option><option value=\"Staff Sergeant\">Air Force - Staff Sergeant</option><option value=\"Senior Airman\">Air Force - Senior Airman</option><option value=\"Airman First Class\">Air Force - Airman First Class</option><option value=\"Airman\">Air Force - Airman</option><option value=\"Airman Basic\">Air Force - Airman Basic</option><option value=\"General\">Army - General</option><option value=\"Lieutenant General\">Army - Lieutenant General</option><option value=\"Major General\">Army - Major General</option><option value=\"Brigadier General\">Army - Brigadier General</option><option value=\"Colonel\">Army - Colonel</option><option value=\"Lieutenant Colonel\">Army - Lieutenant Colonel</option><option value=\"Major\">Army - Major</option><option value=\"Captain\">Army - Captain</option><option value=\"First Lieutenant\">Army - First Lieutenant</option><option value=\"Second Lieutenant\">Army - Second Lieutenant</option><option value=\"Chief Warrant Officer - 5\">Army - Chief Warrant Officer - 5</option><option value=\"Chief Warrant Officer - 4\">Army - Chief Warrant Officer - 4</option><option value=\"Chief Warrant Officer - 3\">Army - Chief Warrant Officer - 3</option><option value=\"Chief Warrant Officer - 2\">Army - Chief Warrant Officer - 2</option><option value=\"Warrant Officer\">Army - Warrant Officer</option><option value=\"Sergeant Major of the Army\">Army - Sergeant Major of the Army</option><option value=\"Command Sergeant Major\">Army - Command Sergeant Major</option><option value=\"Sergeant Major\">Army - Sergeant Major</option><option value=\"First Sergeant\">Army - First Sergeant</option><option value=\"Master Sergeant\">Army - Master Sergeant</option><option value=\"Sergeant First Class\">Army - Sergeant First Class</option><option value=\"Staff Sergeant\">Army - Staff Sergeant</option><option value=\"Sergeant\">Army - Sergeant</option><option value=\"Corporal\">Army - Corporal</option><option value=\"Specialist\">Army - Specialist</option><option value=\"Private First Class\">Army - Private First Class</option><option value=\"Private (E-2)\">Army - Private (E-2)</option><option value=\"Private\">Army - Private</option><option value=\"Admiral\">Coast Guard - Admiral</option><option value=\"Vice Admiral\">Coast Guard - Vice Admiral</option><option value=\"Rear Admiral, Upper Half\">Coast Guard - Rear Admiral, Upper Half</option><option value=\"Rear Admiral, Lower Half\">Coast Guard - Rear Admiral, Lower Half</option><option value=\"Captain\">Coast Guard - Captain</option><option value=\"Commander\">Coast Guard - Commander</option><option value=\"Lieutenant Commander\">Coast Guard - Lieutenant Commander</option><option value=\"Lieutenant\">Coast Guard - Lieutenant</option><option value=\"Lieutenant Junior Grade\">Coast Guard - Lieutenant Junior Grade</option><option value=\"Ensign\">Coast Guard - Ensign</option><option value=\"Chief Warrant Officer - 4\">Coast Guard - Chief Warrant Officer - 4</option><option value=\"Chief Warrant Officer - 3\">Coast Guard - Chief Warrant Officer - 3</option><option value=\"Chief Warrant Officer - 2\">Coast Guard - Chief Warrant Officer - 2</option><option value=\"Master Chief Petty Officer of the Coast Guard\">Coast Guard - Master Chief Petty Officer of the Coast Guard</option><option value=\"Master Chief Petty Officer\">Coast Guard - Master Chief Petty Officer</option><option value=\"Senior Chief Petty Officer\">Coast Guard - Senior Chief Petty Officer</option><option value=\"Chief Petty Officer\">Coast Guard - Chief Petty Officer</option><option value=\"Petty Officer First Class\">Coast Guard - Petty Officer First Class</option><option value=\"Petty Officer Second Class\">Coast Guard - Petty Officer Second Class</option><option value=\"Petty Officer Third Class\">Coast Guard - Petty Officer Third Class</option><option value=\"Seaman\">Coast Guard - Seaman</option><option value=\"Seaman Apprentice\">Coast Guard - Seaman Apprentice</option><option value=\"Seaman Recruit\">Coast Guard - Seaman Recruit</option><option value=\"General\">Marine Corps - General</option><option value=\"Lieutenant General\">Marine Corps - Lieutenant General</option><option value=\"Major General\">Marine Corps - Major General</option><option value=\"Brigadier General\">Marine Corps - Brigadier General</option><option value=\"Colonel\">Marine Corps - Colonel</option><option value=\"Lieutenant Colonel\">Marine Corps - Lieutenant Colonel</option><option value=\"Major\">Marine Corps - Major</option><option value=\"Captain\">Marine Corps - Captain</option><option value=\"First Lieutenant\">Marine Corps - First Lieutenant</option><option value=\"Second Lieutenant\">Marine Corps - Second Lieutenant</option><option value=\"Chief Warrant Officer - 5\">Marine Corps - Chief Warrant Officer - 5</option><option value=\"Chief Warrant Officer - 4\">Marine Corps - Chief Warrant Officer - 4</option><option value=\"Chief Warrant Officer - 3\">Marine Corps - Chief Warrant Officer - 3</option><option value=\"Chief Warrant Officer - 2\">Marine Corps - Chief Warrant Officer - 2</option><option value=\"Warrant Officer\">Marine Corps - Warrant Officer</option><option value=\"Sergeant Major of the Marine Corps\">Marine Corps - Sergeant Major of the Marine Corps</option><option value=\"Sergeant Major\">Marine Corps - Sergeant Major</option><option value=\"Master Gunnery Sergeant\">Marine Corps - Master Gunnery Sergeant</option><option value=\"First Sergeant\">Marine Corps - First Sergeant</option><option value=\"Master Sergeant\">Marine Corps - Master Sergeant</option><option value=\"Gunnery Sergeant\">Marine Corps - Gunnery Sergeant</option><option value=\"Staff Sergeant\">Marine Corps - Staff Sergeant</option><option value=\"Sergeant\">Marine Corps - Sergeant</option><option value=\"Corporal\">Marine Corps - Corporal</option><option value=\"Lance Corporal\">Marine Corps - Lance Corporal</option><option value=\"Private First Class\">Marine Corps - Private First Class</option><option value=\"Private\">Marine Corps - Private</option><option value=\"Admiral\">Navy - Admiral</option><option value=\"Vice Admiral\">Navy - Vice Admiral</option><option value=\"Rear Admiral, Upper Half\">Navy - Rear Admiral, Upper Half</option><option value=\"Rear Admiral, Lower Half\">Navy - Rear Admiral, Lower Half</option><option value=\"Captain\">Navy - Captain</option><option value=\"Commander\">Navy - Commander</option><option value=\"Lieutenant Commander\">Navy - Lieutenant Commander</option><option value=\"Lieutenant\">Navy - Lieutenant</option><option value=\"Lieutenant Junior Grade\">Navy - Lieutenant Junior Grade</option><option value=\"Ensign\">Navy - Ensign</option><option value=\"Chief Warrant Officer - 4\">Navy - Chief Warrant Officer - 4</option><option value=\"Chief Warrant Officer - 3\">Navy - Chief Warrant Officer - 3</option><option value=\"Chief Warrant Officer - 2\">Navy - Chief Warrant Officer - 2</option><option value=\"Master Chief Petty Officer of the Navy\">Navy - Master Chief Petty Officer of the Navy</option><option value=\"Master Chief Petty Officer\">Navy - Master Chief Petty Officer</option><option value=\"Senior Chief Petty Officer\">Navy - Senior Chief Petty Officer</option><option value=\"Chief Petty Officer\">Navy - Chief Petty Officer</option><option value=\"Petty Officer First Class\">Navy - Petty Officer First Class</option><option value=\"Petty Officer Second Class\">Navy - Petty Officer Second Class</option><option value=\"Petty Officer Third Class\">Navy - Petty Officer Third Class</option><option value=\"Seaman Apprentice\">Navy - Seaman Apprentice</option><option value=\"Seaman\">Navy - Seaman</option><option value=\"Seaman Recruit\">Navy - Seaman Recruit</option></select></div></div><div class=\"row\"><div class=\"col-md-6\"><div class=\"control-group\"><label class=\"control-label\" for=\"firstname\">First Name<span class=\"required\">*</span></label><div class=\"controls\"><input id=\"firstname\" name=\"input_B03E05C4-4040-F985-52CD-9CA44623DE5E\" class=\"validate[\'required\']\" type=\"text\" placeholder=\"Required\"></div></div></div><div class=\"col-md-6\"><div class=\"control-group\"><label class=\"control-label\" for=\"input-B03E04BD-4040-F985-52CD-48E090E769DA\">Last Name<span class=\"required\">*</span></label><div class=\"controls\"><input id=\"input-B03E04BD-4040-F985-52CD-48E090E769DA\" name=\"input_B03E04BD-4040-F985-52CD-48E090E769DA\" class=\"validate[\'required\']\" type=\"text\" placeholder=\"Required\"></div></div></div></div></fieldset><fieldset><legend>Your Contact Information</legend><div class=\"row\"><div class=\"col-md-6\"><div class=\"control-group\"><label class=\"control-label\" for=\"input-B03E05F1-4040-F985-52CD-A580E72A7D41\">Street Address<span class=\"required\">*</span></label><div class=\"controls\"><input id=\"input-B03E05F1-4040-F985-52CD-A580E72A7D41\" name=\"input_B03E05F1-4040-F985-52CD-A580E72A7D41\" class=\"validate[\'required\']\" type=\"text\" placeholder=\"Required\"></div></div></div><div class=\"col-md-6\"><div class=\"control-group\"><label class=\"control-label\" for=\"input-B03E0518-4040-F985-52CD-CF33EF97DA3A\">Street Address (2)</label><div class=\"controls\"><input id=\"input-B03E0518-4040-F985-52CD-CF33EF97DA3A\" name=\"input_B03E0518-4040-F985-52CD-CF33EF97DA3A\" type=\"text\"></div></div></div></div><div class=\"row\"><div class=\"col-md-6\"><div class=\"control-group\"><label class=\"control-label\" for=\"input-B03E0595-4040-F985-52CD-C572364023FE\">City<span class=\"required\">*</span></label><div class=\"controls\"><input id=\"input-B03E0595-4040-F985-52CD-C572364023FE\" name=\"input_B03E0595-4040-F985-52CD-C572364023FE\" class=\"validate[\'required\']\" type=\"text\" placeholder=\"Required\"></div></div></div><div class=\"col-md-2\"><div class=\"control-group\"><label class=\"control-label\" for=\"input-B03E0669-4040-F985-52CD-11B231195172\">State<span class=\"required\">*</span></label><div class=\"controls\"><select id=\"input-B03E0669-4040-F985-52CD-11B231195172\" name=\"input_B03E0669-4040-F985-52CD-11B231195172\" class=\"validate[\'required\']\"><option value=\"\">--</option><option value=\"AL\">AL</option><option value=\"AK\">AK</option><option value=\"AR\">AR</option><option value=\"AZ\">AZ</option><option value=\"CA\">CA</option><option value=\"CO\">CO</option><option value=\"CT\">CT</option><option value=\"DC\">DC</option><option value=\"DE\">DE</option><option value=\"FL\">FL</option><option value=\"GA\">GA</option><option value=\"HI\">HI</option><option value=\"ID\">ID</option><option value=\"IL\">IL</option><option value=\"IN\">IN</option><option value=\"IA\">IA</option><option value=\"KS\">KS</option><option value=\"KY\">KY</option><option value=\"LA\">LA</option><option value=\"ME\">ME</option><option value=\"MD\">MD</option><option value=\"MA\">MA</option><option value=\"MI\">MI</option><option value=\"MN\">MN</option><option value=\"MS\">MS</option><option value=\"MO\">MO</option><option value=\"MT\">MT</option><option value=\"NE\">NE</option><option value=\"NV\">NV</option><option value=\"NH\">NH</option><option value=\"NJ\">NJ</option><option value=\"NM\">NM</option><option value=\"NY\">NY</option><option value=\"NC\">NC</option><option value=\"ND\">ND</option><option value=\"OH\">OH</option><option value=\"OK\">OK</option><option value=\"OR\">OR</option><option value=\"PA\">PA</option><option value=\"RI\">RI</option><option value=\"SC\">SC</option><option value=\"SD\">SD</option><option value=\"TN\">TN</option><option value=\"TX\">TX</option><option value=\"UT\">UT</option><option value=\"VT\">VT</option><option value=\"VA\">VA</option><option value=\"WA\">WA</option><option value=\"WV\">WV</option><option value=\"WI\">WI</option><option value=\"WY\">WY</option></select></div></div></div><div class=\"col-md-4\"><div class=\"control-group\"><label class=\"control-label\" for=\"zipcode\">Zip<span class=\"required\">*</span></label><div class=\"controls\"><input id=\"zipcode\" name=\"input_B03E04CC-4040-F985-52CD-4DDB58DA474A\" class=\"validate[\'required\',\'%creativengine_forms_builder.validate.zip\']\" type=\"text\" placeholder=\"Required\"></div></div></div></div><div class=\"row\"><div class=\"col-md-6\"><div class=\"control-group\"><label class=\"control-label\" for=\"input-B03E046E-4040-F985-52CD-A2F10450D58D\">Phone Number<span class=\"required\">*</span></label><div class=\"controls\"><input id=\"input-B03E046E-4040-F985-52CD-A2F10450D58D\" name=\"input_B03E046E-4040-F985-52CD-A2F10450D58D\" class=\"validate[\'required\',\'phone\']\" type=\"text\" placeholder=\"Required\"></div></div></div><div class=\"col-md-6\"><div class=\"control-group\"><label class=\"control-label\" for=\"input-B03E060F-4040-F985-52CD-AAFEC51D6525\">Alternate Phone Number</label><div class=\"controls\"><input id=\"input-B03E060F-4040-F985-52CD-AAFEC51D6525\" name=\"input_B03E060F-4040-F985-52CD-AAFEC51D6525\" type=\"text\"></div></div></div></div><div class=\"row\"><div class=\"col-md-6\"><div class=\"control-group\"><label class=\"control-label\" for=\"email\">Email<span class=\"required\">*</span></label><div class=\"controls\"><input id=\"email\" name=\"input_B03E0536-4040-F985-52CD-AFE12CDE8D31\" class=\"validate[\'required\',\'email\']\" type=\"text\" placeholder=\"Required\"></div></div></div><div class=\"col-md-6\"><div class=\"control-group\"><label class=\"control-label\" for=\"input-B03E05A4-4040-F985-52CD-730C08912F4F\">Verify Email<span class=\"required\">*</span></label><div class=\"controls\"><input id=\"input-B03E05A4-4040-F985-52CD-730C08912F4F\" name=\"input_B03E05A4-4040-F985-52CD-730C08912F4F\" class=\"validate[\'custom\',\'%window.validate_B03E05A4_4040_F985_52CD_730C08912F4F\']\" type=\"text\" placeholder=\"Required\"></div></div></div></div></fieldset><fieldset><legend>Your Message</legend><div class=\"control-group\"><label class=\"control-label\" for=\"input-561C6766-5056-A066-60C9-A3C3AE42D8BE\">Subject:<span class=\"required\">*</span></label><div class=\"controls\"><input id=\"input-561C6766-5056-A066-60C9-A3C3AE42D8BE\" name=\"input_561C6766-5056-A066-60C9-A3C3AE42D8BE\" class=\"validate[\'required\']\" type=\"text\" placeholder=\"Please type a subject\"></div></div><div class=\"control-group\"><label class=\"control-label\" for=\"input-B03E04DB-4040-F985-52CD-18F332336F99\">Message Topic<span class=\"required\">*</span></label><div class=\"controls\"><select id=\"input-B03E04DB-4040-F985-52CD-18F332336F99\" name=\"input_B03E04DB-4040-F985-52CD-18F332336F99\" class=\"validate[\'required\']\"><option value=\"\">--Select an Issue--</option><option value=\"GENERAL\">Adoption</option><option value=\"AG\">Agriculture</option><option value=\"AN\">Animal Welfare</option><option value=\"APPROPS\">Appropriations</option><option value=\"BANK\">Banking / Securities</option><option value=\"BUD\">Budget</option><option value=\"JUD\">Civil Rights</option><option value=\"NICE NOTE\">Congratulations</option><option value=\"CONG\">Congressional Issues</option><option value=\"DEF\">Defense</option><option value=\"DRUG\">Drugs</option><option value=\"ECON\">Economy</option><option value=\"EAGLE SCOUT\">Eagle Scout</option><option value=\"ED\">Education</option><option value=\"ELEC\">Elections</option><option value=\"EN\">Energy / Natural Resources</option><option value=\"ENV\">Environment</option><option value=\"FR\">Foreign Affairs</option><option value=\"HE\">Healthcare</option><option value=\"HUD\">Housing</option><option value=\"IM\">Immigration</option><option value=\"2016ELECTION\">Inauguration</option><option value=\"JUD\">Judiciary</option><option value=\"LAB\">Labor</option><option value=\"HE\">Medicaid / Medicare</option><option value=\"WELF\">Nutrition</option><option value=\"GENERAL\">Other</option><option value=\"IP\">Patents</option><option value=\"PEN\">Pensions</option><option value=\"GUN\">Second Amendment</option><option value=\"BUS\">Small Business</option><option value=\"SS\">Social Security</option><option value=\"TAX\">Taxes</option><option value=\"TELECOM\">Telecommunications</option><option value=\"TRD\">Trade / Commerce</option><option value=\"TRAN\">Transportation</option><option value=\"VET\">Veterans</option><option value=\"WELF\">Welfare</option></select></div></div><div class=\"control-group\"><label class=\"control-label\" for=\"input-B03E05B4-4040-F985-52CD-8DF0BC10EEE2\">Message<span class=\"required\">*</span></label><div class=\"controls\"><textarea id=\"input-B03E05B4-4040-F985-52CD-8DF0BC10EEE2\" name=\"input_B03E05B4-4040-F985-52CD-8DF0BC10EEE2\" class=\"validate[\'required\']\"></textarea></div></div><div class=\"control-group\"><input id=\"affl_toggle\" name=\"input_5621849A-5056-A066-6027-8AAEC82327A0\" type=\"checkbox\" value=\"ENEWS.SUB.CURRENT\"><label for=\"affl_toggle\">I would like to receive enews updates from Senator Baldwin</label></div><div class=\"control-group\"><div class=\"controls\"><input id=\"affl_del\" name=\"input_29296BAB-5056-A066-6086-DC8DC2F33DCE\" type=\"hidden\"></div></div><div class=\"control-group\"><div>Would you like a response?</div><div class=\"controls\"><div id=\"input-CF837338-919A-CD0B-755E-51BAEFFF30FD\" name=\"input_CF837338-919A-CD0B-755E-51BAEFFF30FD\" class=\"validate[\'required\']\"><div ><div class=\"checkbox-container\"><input type=\"radio\" id=\"input-FDC00FDA-BE38-FFF7-2435-28171988F9D9\" name=\"input_CF837338-919A-CD0B-755E-51BAEFFF30FD\" value=\"FDC00FDA-BE38-FFF7-2435-28171988F9D9\" class=\"validate[\'group[1]\']\"><label for=\"input-FDC00FDA-BE38-FFF7-2435-28171988F9D9\">Yes, please contact me</label></div><div class=\"checkbox-container\"><input type=\"radio\" id=\"input-FDC0100A-9282-D116-5180-CB8642FD2C7A\" name=\"input_CF837338-919A-CD0B-755E-51BAEFFF30FD\" value=\"FDC0100A-9282-D116-5180-CB8642FD2C7A\" class=\"validate[\'group[1]\']\"><label for=\"input-FDC0100A-9282-D116-5180-CB8642FD2C7A\">No, I wanted to voice my opinion</label></div></div><div></div></div></div></div></fieldset></div><div><input type=\"hidden\" id=\"creativengine-form-identifier\" name=\"creativengine_form_identifier\" value=\"B03E03FC-4040-F985-52CD-BCD7E00A8A6C\"><input type=\"hidden\" id=\"email-address-validation-field\" name=\"email_address_validation_field\" value=\"\"></div><div class=\"control-group\"><div class=\"controls\"><button type=\"submit\" class=\"btn\">Submit</button></div></div></form></div></div></div></div></div>'
- fill_in:
- name: input_8F37221E-909E-5E41-E8ED-6D7933D8F31F
selector: "#yourname"
value: $NAME_FIRST
required: true
- name: input_8F37D8B1-A2A9-89EE-A24E-90C94156F786
selector: "#zip-input"
value: $ADDRESS_ZIP5
required: true
- click_on:
- selector: "#zip-submit"
- javascript:
- value: document.querySelector('.SiteLayout__main').innerHTML = '<div id=\"form-B03E03FC-4040-F985-52CD-BCD7E00A8A6C\" class=\"amend-form-container loaded\"><form id=\"B03E03FC-4040-F985-52CD-BCD7E00A8A6C\" action=\"https://www.baldwin.senate.gov/contact/contact-tammy\" method=\"post\"><fieldset><legend class=\"zipauthtitle\">Zip Code Authentication</legend><div class=\"zipauth\"><div class=\"row\"><div class=\"col-6\"><div class=\"control-group\"><label class=\"control-label\" for=\"yourname\">What\'s Your First Name?<span class=\"required\">*</span></label><div class=\"controls\"><input id=\"yourname\" name=\"input_8F37221E-909E-5E41-E8ED-6D7933D8F31F\" class=\"validate[\'required\']\" type=\"text\" placeholder=\"Required\"></div></div></div><div class=\"col-6\"><div class=\"control-group\"><label class=\"control-label\" for=\"zip-input\">What\'s Your Zip Code?<span class=\"required\">*</span></label><div class=\"controls\"><input id=\"zip-input\" name=\"input_8F37D8B1-A2A9-89EE-A24E-90C94156F786\" class=\"validate[\'required\',\'%creativengine_forms_builder.validate.zip\']\" type=\"text\" placeholder=\"Required\"></div></div></div></div></div><button type=\"submit\" class=\"Button--secondary pull-right Button--redArrowRight\" id=\"zip-submit\">Get Started</button></fieldset><div class=\"show-form\"><fieldset><legend>Your Name</legend><div class=\"control-group\"><label class=\"control-label\" for=\"input-B03E0527-4040-F985-52CD-C0DD6BEF325F\">Preferred Prefix</label><div class=\"controls\"><select id=\"input-B03E0527-4040-F985-52CD-C0DD6BEF325F\" name=\"input_B03E0527-4040-F985-52CD-C0DD6BEF325F\"><option value=\"\">--</option><option value=\"Mr.\">Mr.</option><option value=\"Ms.\">Ms.</option><option value=\"Mrs.\">Mrs.</option><option value=\"Mx.\">Mx.</option><option value=\"Professor\">Professor</option><option value=\"Dr.\">Dr.</option><option value=\"Father\">Father</option><option value=\"Sister\">Sister</option><option value=\"Rabbi\">Rabbi</option><option value=\"Reverend\">Reverend</option><option value=\"General\">Air Force - General</option><option value=\"Lieutenant General\">Air Force - Lieutenant General</option><option value=\"Major General\">Air Force - Major General</option><option value=\"Brigadier General\">Air Force - Brigadier General</option><option value=\"Colonel\">Air Force - Colonel</option><option value=\"Lieutenant Colonel\">Air Force - Lieutenant Colonel</option><option value=\"Major\">Air Force - Major</option><option value=\"Captain\">Air Force - Captain</option><option value=\"First Lieutenant\">Air Force - First Lieutenant</option><option value=\"Second Lieutenant\">Air Force - Second Lieutenant</option><option value=\"Chief Master Sergeant of the Air Force\">Air Force - Chief Master Sergeant of the Air Force</option><option value=\"Command Chief Master Sergeant\">Air Force - Command Chief Master Sergeant</option><option value=\"First Sergeant (E-9)\">Air Force - First Sergeant (E-9)</option><option value=\"Chief Master Sergeant\">Air Force - Chief Master Sergeant</option><option value=\"First Sergeant (E-8)\">Air Force - First Sergeant (E-8)</option><option value=\"Senior Master Sergeant\">Air Force - Senior Master Sergeant</option><option value=\"First Sergeant (E-7)\">Air Force - First Sergeant (E-7)</option><option value=\"Master Sergeant\">Air Force - Master Sergeant</option><option value=\"Technical Sergeant\">Air Force - Technical Sergeant</option><option value=\"Staff Sergeant\">Air Force - Staff Sergeant</option><option value=\"Senior Airman\">Air Force - Senior Airman</option><option value=\"Airman First Class\">Air Force - Airman First Class</option><option value=\"Airman\">Air Force - Airman</option><option value=\"Airman Basic\">Air Force - Airman Basic</option><option value=\"General\">Army - General</option><option value=\"Lieutenant General\">Army - Lieutenant General</option><option value=\"Major General\">Army - Major General</option><option value=\"Brigadier General\">Army - Brigadier General</option><option value=\"Colonel\">Army - Colonel</option><option value=\"Lieutenant Colonel\">Army - Lieutenant Colonel</option><option value=\"Major\">Army - Major</option><option value=\"Captain\">Army - Captain</option><option value=\"First Lieutenant\">Army - First Lieutenant</option><option value=\"Second Lieutenant\">Army - Second Lieutenant</option><option value=\"Chief Warrant Officer - 5\">Army - Chief Warrant Officer - 5</option><option value=\"Chief Warrant Officer - 4\">Army - Chief Warrant Officer - 4</option><option value=\"Chief Warrant Officer - 3\">Army - Chief Warrant Officer - 3</option><option value=\"Chief Warrant Officer - 2\">Army - Chief Warrant Officer - 2</option><option value=\"Warrant Officer\">Army - Warrant Officer</option><option value=\"Sergeant Major of the Army\">Army - Sergeant Major of the Army</option><option value=\"Command Sergeant Major\">Army - Command Sergeant Major</option><option value=\"Sergeant Major\">Army - Sergeant Major</option><option value=\"First Sergeant\">Army - First Sergeant</option><option value=\"Master Sergeant\">Army - Master Sergeant</option><option value=\"Sergeant First Class\">Army - Sergeant First Class</option><option value=\"Staff Sergeant\">Army - Staff Sergeant</option><option value=\"Sergeant\">Army - Sergeant</option><option value=\"Corporal\">Army - Corporal</option><option value=\"Specialist\">Army - Specialist</option><option value=\"Private First Class\">Army - Private First Class</option><option value=\"Private (E-2)\">Army - Private (E-2)</option><option value=\"Private\">Army - Private</option><option value=\"Admiral\">Coast Guard - Admiral</option><option value=\"Vice Admiral\">Coast Guard - Vice Admiral</option><option value=\"Rear Admiral, Upper Half\">Coast Guard - Rear Admiral, Upper Half</option><option value=\"Rear Admiral, Lower Half\">Coast Guard - Rear Admiral, Lower Half</option><option value=\"Captain\">Coast Guard - Captain</option><option value=\"Commander\">Coast Guard - Commander</option><option value=\"Lieutenant Commander\">Coast Guard - Lieutenant Commander</option><option value=\"Lieutenant\">Coast Guard - Lieutenant</option><option value=\"Lieutenant Junior Grade\">Coast Guard - Lieutenant Junior Grade</option><option value=\"Ensign\">Coast Guard - Ensign</option><option value=\"Chief Warrant Officer - 4\">Coast Guard - Chief Warrant Officer - 4</option><option value=\"Chief Warrant Officer - 3\">Coast Guard - Chief Warrant Officer - 3</option><option value=\"Chief Warrant Officer - 2\">Coast Guard - Chief Warrant Officer - 2</option><option value=\"Master Chief Petty Officer of the Coast Guard\">Coast Guard - Master Chief Petty Officer of the Coast Guard</option><option value=\"Master Chief Petty Officer\">Coast Guard - Master Chief Petty Officer</option><option value=\"Senior Chief Petty Officer\">Coast Guard - Senior Chief Petty Officer</option><option value=\"Chief Petty Officer\">Coast Guard - Chief Petty Officer</option><option value=\"Petty Officer First Class\">Coast Guard - Petty Officer First Class</option><option value=\"Petty Officer Second Class\">Coast Guard - Petty Officer Second Class</option><option value=\"Petty Officer Third Class\">Coast Guard - Petty Officer Third Class</option><option value=\"Seaman\">Coast Guard - Seaman</option><option value=\"Seaman Apprentice\">Coast Guard - Seaman Apprentice</option><option value=\"Seaman Recruit\">Coast Guard - Seaman Recruit</option><option value=\"General\">Marine Corps - General</option><option value=\"Lieutenant General\">Marine Corps - Lieutenant General</option><option value=\"Major General\">Marine Corps - Major General</option><option value=\"Brigadier General\">Marine Corps - Brigadier General</option><option value=\"Colonel\">Marine Corps - Colonel</option><option value=\"Lieutenant Colonel\">Marine Corps - Lieutenant Colonel</option><option value=\"Major\">Marine Corps - Major</option><option value=\"Captain\">Marine Corps - Captain</option><option value=\"First Lieutenant\">Marine Corps - First Lieutenant</option><option value=\"Second Lieutenant\">Marine Corps - Second Lieutenant</option><option value=\"Chief Warrant Officer - 5\">Marine Corps - Chief Warrant Officer - 5</option><option value=\"Chief Warrant Officer - 4\">Marine Corps - Chief Warrant Officer - 4</option><option value=\"Chief Warrant Officer - 3\">Marine Corps - Chief Warrant Officer - 3</option><option value=\"Chief Warrant Officer - 2\">Marine Corps - Chief Warrant Officer - 2</option><option value=\"Warrant Officer\">Marine Corps - Warrant Officer</option><option value=\"Sergeant Major of the Marine Corps\">Marine Corps - Sergeant Major of the Marine Corps</option><option value=\"Sergeant Major\">Marine Corps - Sergeant Major</option><option value=\"Master Gunnery Sergeant\">Marine Corps - Master Gunnery Sergeant</option><option value=\"First Sergeant\">Marine Corps - First Sergeant</option><option value=\"Master Sergeant\">Marine Corps - Master Sergeant</option><option value=\"Gunnery Sergeant\">Marine Corps - Gunnery Sergeant</option><option value=\"Staff Sergeant\">Marine Corps - Staff Sergeant</option><option value=\"Sergeant\">Marine Corps - Sergeant</option><option value=\"Corporal\">Marine Corps - Corporal</option><option value=\"Lance Corporal\">Marine Corps - Lance Corporal</option><option value=\"Private First Class\">Marine Corps - Private First Class</option><option value=\"Private\">Marine Corps - Private</option><option value=\"Admiral\">Navy - Admiral</option><option value=\"Vice Admiral\">Navy - Vice Admiral</option><option value=\"Rear Admiral, Upper Half\">Navy - Rear Admiral, Upper Half</option><option value=\"Rear Admiral, Lower Half\">Navy - Rear Admiral, Lower Half</option><option value=\"Captain\">Navy - Captain</option><option value=\"Commander\">Navy - Commander</option><option value=\"Lieutenant Commander\">Navy - Lieutenant Commander</option><option value=\"Lieutenant\">Navy - Lieutenant</option><option value=\"Lieutenant Junior Grade\">Navy - Lieutenant Junior Grade</option><option value=\"Ensign\">Navy - Ensign</option><option value=\"Chief Warrant Officer - 4\">Navy - Chief Warrant Officer - 4</option><option value=\"Chief Warrant Officer - 3\">Navy - Chief Warrant Officer - 3</option><option value=\"Chief Warrant Officer - 2\">Navy - Chief Warrant Officer - 2</option><option value=\"Master Chief Petty Officer of the Navy\">Navy - Master Chief Petty Officer of the Navy</option><option value=\"Master Chief Petty Officer\">Navy - Master Chief Petty Officer</option><option value=\"Senior Chief Petty Officer\">Navy - Senior Chief Petty Officer</option><option value=\"Chief Petty Officer\">Navy - Chief Petty Officer</option><option value=\"Petty Officer First Class\">Navy - Petty Officer First Class</option><option value=\"Petty Officer Second Class\">Navy - Petty Officer Second Class</option><option value=\"Petty Officer Third Class\">Navy - Petty Officer Third Class</option><option value=\"Seaman Apprentice\">Navy - Seaman Apprentice</option><option value=\"Seaman\">Navy - Seaman</option><option value=\"Seaman Recruit\">Navy - Seaman Recruit</option></select></div></div><div class=\"row\"><div class=\"col-md-6\"><div class=\"control-group\"><label class=\"control-label\" for=\"firstname\">First Name<span class=\"required\">*</span></label><div class=\"controls\"><input id=\"firstname\" name=\"input_B03E05C4-4040-F985-52CD-9CA44623DE5E\" class=\"validate[\'required\']\" type=\"text\" placeholder=\"Required\"></div></div></div><div class=\"col-md-6\"><div class=\"control-group\"><label class=\"control-label\" for=\"input-B03E04BD-4040-F985-52CD-48E090E769DA\">Last Name<span class=\"required\">*</span></label><div class=\"controls\"><input id=\"input-B03E04BD-4040-F985-52CD-48E090E769DA\" name=\"input_B03E04BD-4040-F985-52CD-48E090E769DA\" class=\"validate[\'required\']\" type=\"text\" placeholder=\"Required\"></div></div></div></div></fieldset><fieldset><legend>Your Contact Information</legend><div class=\"row\"><div class=\"col-md-6\"><div class=\"control-group\"><label class=\"control-label\" for=\"input-B03E05F1-4040-F985-52CD-A580E72A7D41\">Street Address<span class=\"required\">*</span></label><div class=\"controls\"><input id=\"input-B03E05F1-4040-F985-52CD-A580E72A7D41\" name=\"input_B03E05F1-4040-F985-52CD-A580E72A7D41\" class=\"validate[\'required\']\" type=\"text\" placeholder=\"Required\"></div></div></div><div class=\"col-md-6\"><div class=\"control-group\"><label class=\"control-label\" for=\"input-B03E0518-4040-F985-52CD-CF33EF97DA3A\">Street Address (2)</label><div class=\"controls\"><input id=\"input-B03E0518-4040-F985-52CD-CF33EF97DA3A\" name=\"input_B03E0518-4040-F985-52CD-CF33EF97DA3A\" type=\"text\"></div></div></div></div><div class=\"row\"><div class=\"col-md-6\"><div class=\"control-group\"><label class=\"control-label\" for=\"input-B03E0595-4040-F985-52CD-C572364023FE\">City<span class=\"required\">*</span></label><div class=\"controls\"><input id=\"input-B03E0595-4040-F985-52CD-C572364023FE\" name=\"input_B03E0595-4040-F985-52CD-C572364023FE\" class=\"validate[\'required\']\" type=\"text\" placeholder=\"Required\"></div></div></div><div class=\"col-md-2\"><div class=\"control-group\"><label class=\"control-label\" for=\"input-B03E0669-4040-F985-52CD-11B231195172\">State<span class=\"required\">*</span></label><div class=\"controls\"><select id=\"input-B03E0669-4040-F985-52CD-11B231195172\" name=\"input_B03E0669-4040-F985-52CD-11B231195172\" class=\"validate[\'required\']\"><option value=\"\">--</option><option value=\"AL\">AL</option><option value=\"AK\">AK</option><option value=\"AR\">AR</option><option value=\"AZ\">AZ</option><option value=\"CA\">CA</option><option value=\"CO\">CO</option><option value=\"CT\">CT</option><option value=\"DC\">DC</option><option value=\"DE\">DE</option><option value=\"FL\">FL</option><option value=\"GA\">GA</option><option value=\"HI\">HI</option><option value=\"ID\">ID</option><option value=\"IL\">IL</option><option value=\"IN\">IN</option><option value=\"IA\">IA</option><option value=\"KS\">KS</option><option value=\"KY\">KY</option><option value=\"LA\">LA</option><option value=\"ME\">ME</option><option value=\"MD\">MD</option><option value=\"MA\">MA</option><option value=\"MI\">MI</option><option value=\"MN\">MN</option><option value=\"MS\">MS</option><option value=\"MO\">MO</option><option value=\"MT\">MT</option><option value=\"NE\">NE</option><option value=\"NV\">NV</option><option value=\"NH\">NH</option><option value=\"NJ\">NJ</option><option value=\"NM\">NM</option><option value=\"NY\">NY</option><option value=\"NC\">NC</option><option value=\"ND\">ND</option><option value=\"OH\">OH</option><option value=\"OK\">OK</option><option value=\"OR\">OR</option><option value=\"PA\">PA</option><option value=\"RI\">RI</option><option value=\"SC\">SC</option><option value=\"SD\">SD</option><option value=\"TN\">TN</option><option value=\"TX\">TX</option><option value=\"UT\">UT</option><option value=\"VT\">VT</option><option value=\"VA\">VA</option><option value=\"WA\">WA</option><option value=\"WV\">WV</option><option value=\"WI\">WI</option><option value=\"WY\">WY</option></select></div></div></div><div class=\"col-md-4\"><div class=\"control-group\"><label class=\"control-label\" for=\"zipcode\">Zip<span class=\"required\">*</span></label><div class=\"controls\"><input id=\"zipcode\" name=\"input_B03E04CC-4040-F985-52CD-4DDB58DA474A\" class=\"validate[\'required\',\'%creativengine_forms_builder.validate.zip\']\" type=\"text\" placeholder=\"Required\"></div></div></div></div><div class=\"row\"><div class=\"col-md-6\"><div class=\"control-group\"><label class=\"control-label\" for=\"input-B03E046E-4040-F985-52CD-A2F10450D58D\">Phone Number<span class=\"required\">*</span></label><div class=\"controls\"><input id=\"input-B03E046E-4040-F985-52CD-A2F10450D58D\" name=\"input_B03E046E-4040-F985-52CD-A2F10450D58D\" class=\"validate[\'required\',\'phone\']\" type=\"text\" placeholder=\"Required\"></div></div></div><div class=\"col-md-6\"><div class=\"control-group\"><label class=\"control-label\" for=\"input-B03E060F-4040-F985-52CD-AAFEC51D6525\">Alternate Phone Number</label><div class=\"controls\"><input id=\"input-B03E060F-4040-F985-52CD-AAFEC51D6525\" name=\"input_B03E060F-4040-F985-52CD-AAFEC51D6525\" type=\"text\"></div></div></div></div><div class=\"row\"><div class=\"col-md-6\"><div class=\"control-group\"><label class=\"control-label\" for=\"email\">Email<span class=\"required\">*</span></label><div class=\"controls\"><input id=\"email\" name=\"input_B03E0536-4040-F985-52CD-AFE12CDE8D31\" class=\"validate[\'required\',\'email\']\" type=\"text\" placeholder=\"Required\"></div></div></div><div class=\"col-md-6\"><div class=\"control-group\"><label class=\"control-label\" for=\"input-B03E05A4-4040-F985-52CD-730C08912F4F\">Verify Email<span class=\"required\">*</span></label><div class=\"controls\"><input id=\"input-B03E05A4-4040-F985-52CD-730C08912F4F\" name=\"input_B03E05A4-4040-F985-52CD-730C08912F4F\" class=\"validate[\'custom\',\'%window.validate_B03E05A4_4040_F985_52CD_730C08912F4F\']\" type=\"text\" placeholder=\"Required\"></div></div></div></div></fieldset><fieldset><legend>Your Message</legend><div class=\"control-group\"><label class=\"control-label\" for=\"input-561C6766-5056-A066-60C9-A3C3AE42D8BE\">Subject:<span class=\"required\">*</span></label><div class=\"controls\"><input id=\"input-561C6766-5056-A066-60C9-A3C3AE42D8BE\" name=\"input_561C6766-5056-A066-60C9-A3C3AE42D8BE\" class=\"validate[\'required\']\" type=\"text\" placeholder=\"Please type a subject\"></div></div><div class=\"control-group\"><label class=\"control-label\" for=\"input-B03E04DB-4040-F985-52CD-18F332336F99\">Message Topic<span class=\"required\">*</span></label><div class=\"controls\"><select id=\"input-B03E04DB-4040-F985-52CD-18F332336F99\" name=\"input_B03E04DB-4040-F985-52CD-18F332336F99\" class=\"validate[\'required\']\"><option value=\"\">--Select an Issue--</option><option value=\"GENERAL\">Adoption</option><option value=\"AG\">Agriculture</option><option value=\"AN\">Animal Welfare</option><option value=\"APPROPS\">Appropriations</option><option value=\"BANK\">Banking / Securities</option><option value=\"BUD\">Budget</option><option value=\"JUD\">Civil Rights</option><option value=\"NICE NOTE\">Congratulations</option><option value=\"CONG\">Congressional Issues</option><option value=\"DEF\">Defense</option><option value=\"DRUG\">Drugs</option><option value=\"ECON\">Economy</option><option value=\"EAGLE SCOUT\">Eagle Scout</option><option value=\"ED\">Education</option><option value=\"ELEC\">Elections</option><option value=\"EN\">Energy / Natural Resources</option><option value=\"ENV\">Environment</option><option value=\"FR\">Foreign Affairs</option><option value=\"HE\">Healthcare</option><option value=\"HUD\">Housing</option><option value=\"IM\">Immigration</option><option value=\"2016ELECTION\">Inauguration</option><option value=\"JUD\">Judiciary</option><option value=\"LAB\">Labor</option><option value=\"HE\">Medicaid / Medicare</option><option value=\"WELF\">Nutrition</option><option value=\"GENERAL\">Other</option><option value=\"IP\">Patents</option><option value=\"PEN\">Pensions</option><option value=\"GUN\">Second Amendment</option><option value=\"BUS\">Small Business</option><option value=\"SS\">Social Security</option><option value=\"TAX\">Taxes</option><option value=\"TELECOM\">Telecommunications</option><option value=\"TRD\">Trade / Commerce</option><option value=\"TRAN\">Transportation</option><option value=\"VET\">Veterans</option><option value=\"WELF\">Welfare</option></select></div></div><div class=\"control-group\"><label class=\"control-label\" for=\"input-B03E05B4-4040-F985-52CD-8DF0BC10EEE2\">Message<span class=\"required\">*</span></label><div class=\"controls\"><textarea id=\"input-B03E05B4-4040-F985-52CD-8DF0BC10EEE2\" name=\"input_B03E05B4-4040-F985-52CD-8DF0BC10EEE2\" class=\"validate[\'required\']\"></textarea></div></div><div class=\"control-group\"><input id=\"affl_toggle\" name=\"input_5621849A-5056-A066-6027-8AAEC82327A0\" type=\"checkbox\" value=\"ENEWS.SUB.CURRENT\"><label for=\"affl_toggle\">I would like to receive enews updates from Senator Baldwin</label></div><div class=\"control-group\"><div class=\"controls\"><input id=\"affl_del\" name=\"input_29296BAB-5056-A066-6086-DC8DC2F33DCE\" type=\"hidden\"></div></div><div class=\"control-group\"><div>Would you like a response?</div><div class=\"controls\"><div id=\"input-CF837338-919A-CD0B-755E-51BAEFFF30FD\" name=\"input_CF837338-919A-CD0B-755E-51BAEFFF30FD\" class=\"validate[\'required\']\"><div ><div class=\"checkbox-container\"><input type=\"radio\" id=\"input-FDC00FDA-BE38-FFF7-2435-28171988F9D9\" name=\"input_CF837338-919A-CD0B-755E-51BAEFFF30FD\" value=\"FDC00FDA-BE38-FFF7-2435-28171988F9D9\" class=\"validate[\'group[1]\']\"><label for=\"input-FDC00FDA-BE38-FFF7-2435-28171988F9D9\">Yes, please contact me</label></div><div class=\"checkbox-container\"><input type=\"radio\" id=\"input-FDC0100A-9282-D116-5180-CB8642FD2C7A\" name=\"input_CF837338-919A-CD0B-755E-51BAEFFF30FD\" value=\"FDC0100A-9282-D116-5180-CB8642FD2C7A\" class=\"validate[\'group[1]\']\"><label for=\"input-FDC0100A-9282-D116-5180-CB8642FD2C7A\">No, I wanted to voice my opinion</label></div></div><div></div></div></div></div></fieldset></div><div><input type=\"hidden\" id=\"creativengine-form-identifier\" name=\"creativengine_form_identifier\" value=\"B03E03FC-4040-F985-52CD-BCD7E00A8A6C\"><input type=\"hidden\" id=\"email-address-validation-field\" name=\"email_address_validation_field\" value=\"\"></div><div class=\"control-group\"><div class=\"controls\"><button type=\"submit\" class=\"btn\">Submit</button></div></div></form></div></div></div></div></div>'
- fill_in:
- name: input_8F37221E-909E-5E41-E8ED-6D7933D8F31F
selector: "#yourname"
value: $NAME_FIRST
required: true
- name: input_8F37D8B1-A2A9-89EE-A24E-90C94156F786
selector: "#zip-input"
value: $ADDRESS_ZIP5
required: true
- name: input_B03E05C4-4040-F985-52CD-9CA44623DE5E
selector: "#firstname"
value: $NAME_FIRST
required: true
- name: input_B03E04CC-4040-F985-52CD-4DDB58DA474A
selector: "#zipcode"
value: $ADDRESS_ZIP5
required: true
- name: input_B03E04BD-4040-F985-52CD-48E090E769DA
selector: "#input-B03E04BD-4040-F985-52CD-48E090E769DA"
value: $NAME_LAST
required: true
- name: input_B03E05F1-4040-F985-52CD-A580E72A7D41
selector: "#input-B03E05F1-4040-F985-52CD-A580E72A7D41"
value: $ADDRESS_STREET
required: true
- name: input_B03E0595-4040-F985-52CD-C572364023FE
selector: "#input-B03E0595-4040-F985-52CD-C572364023FE"
value: $ADDRESS_CITY
required: true
- name: input_B03E046E-4040-F985-52CD-A2F10450D58D
selector: "#input-B03E046E-4040-F985-52CD-A2F10450D58D"
value: $PHONE
required: true
- name: input_B03E0536-4040-F985-52CD-AFE12CDE8D31
selector: "#email"
value: $EMAIL
required: true
- name: input_B03E05A4-4040-F985-52CD-730C08912F4F
selector: "#input-B03E05A4-4040-F985-52CD-730C08912F4F"
value: $EMAIL
required: true
- name: input_561C6766-5056-A066-60C9-A3C3AE42D8BE
selector: "#input-561C6766-5056-A066-60C9-A3C3AE42D8BE"
value: $SUBJECT
required: true
- name: input_B03E05B4-4040-F985-52CD-8DF0BC10EEE2
selector: "#input-B03E05B4-4040-F985-52CD-8DF0BC10EEE2"
value: $MESSAGE
required: true
- select:
- name: input_B03E0669-4040-F985-52CD-11B231195172
selector: "#input-B03E0669-4040-F985-52CD-11B231195172"
value: $ADDRESS_STATE_POSTAL_ABBREV
required: true
options:
AL: AL
AK: AK
AR: AR
AZ: AZ
CA: CA
CO: CO
CT: CT
DC: DC
DE: DE
FL: FL
GA: GA
HI: HI
ID: ID
IL: IL
IN: IN
IA: IA
KS: KS
KY: KY
LA: LA
ME: ME
MD: MD
MA: MA
MI: MI
MN: MN
MS: MS
MO: MO
MT: MT
NC: NC
ND: ND
NE: NE
NV: NV
NH: NH
NJ: NJ
NM: NM
NY: NY
OH: OH
OK: OK
OR: OR
PA: PA
RI: RI
SC: SC
SD: SD
TN: TN
TX: TX
UT: UT
VT: VT
VA: VA
WA: WA
WV: WV
WI: WI
WY: WY
- name: input_B03E04DB-4040-F985-52CD-18F332336F99
selector: "#input-B03E04DB-4040-F985-52CD-18F332336F99"
value: $TOPIC
required: true
options:
Adoption: GENERAL
Agriculture: AG
Animal Welfare: AN
Appropriations: APPROPS
Banking / Securities: BANK
Budget: BUD
Civil Rights: JUD
Congratulations: NICE NOTE
Congressional Issues: CONG
Defense: DEF
Drugs: DRUG
Economy: ECON
Eagle Scout: EAGLE SCOUT
Education: ED
Elections: ELEC
Energy / Natural Resources: EN
Environment: ENV
Foreign Affairs: FR
Healthcare: HE
Housing: HUD
Immigration: IM
Inauguration: 2016ELECTION
Judiciary: JUD
Labor: LAB
Medicaid / Medicare: HE
Nutrition: WELF
Other: GENERAL
Patents: IP
Pensions: PEN
Second Amendment: GUN
Small Business: BUS
Social Security: SS
Taxes: TAX
Telecommunications: TELECOM
Trade / Commerce: TRD
Transportation: TRAN
Veterans: VET
Welfare: WELF
- javascript:
- value: document.querySelector("#input-B03E05B4-4040-F985-52CD-8DF0BC10EEE2").value = document.querySelector("#input-B03E05B4-4040-F985-52CD-8DF0BC10EEE2").value.replace(/"/g, '');
- javascript:
- value: document.querySelector('#input-FDC0100A-9282-D116-5180-CB8642FD2C7A').click();
- click_on:
- selector: ".controls .btn"
success:
headers:
status: 200
body:
contains: "Contact Tammy"