--- title: Mini Study Canada Education Fair 23 october 2022 --- ``` <div id="custom-form"> <meta http-equiv="Content-type" content="text/html; charset=UTF-8"> <script src="https://www.google.com/recaptcha/api.js"></script> <script> function timestamp() { var response = document.getElementById("g-recaptcha-response"); if (response == null || response.value.trim() == "") { var elems = JSON.parse(document.getElementsByName("captcha_settings")[0].value); elems["ts"] = JSON.stringify(new Date().getTime()); document.getElementsByName("captcha_settings")[0].value = JSON.stringify(elems); } } setInterval(timestamp, 500); </script> <div style="background-color: #ED1B1B; padding:20px"> <div> <div class="wsite-image wsite-image-border-none " style="padding-top:10px;padding-bottom:10px;margin-left:0px;margin-right:0px;text-align:center"> <a> <img src="/uploads/8/5/9/5/8595376/editor/bb38f280-d6d1-4dfd-8e9a-12e85bbf9fb9.png?1663473961" alt="Picture" style="width:auto;max-width:100%"> </a> <div style="display:block;font-size:90%"></div> </div> </div> <h2 class="wsite-content-title" style="text-align:center;"><strong> <font color="#d5d5d5" size="6" id="institute-title-text"></font> </strong></h2> <div> <div id="970853277681337773" align="left" style="width: 100%; overflow-y: hidden;" class="wcustomhtml"> <h3 class="wsite-content-title" style="text-align:center;"><strong> <font id="event-title-text" color="#d5d5d5" size="6"></font> </strong></h3> <div id="form-wrapper"> <form id="drop-lead" action="https://webto.salesforce.com/servlet/servlet.WebToLead?encoding=UTF-8" method="POST" accept-charset="UTF-8" target="form-935602057775070212-target-1663475784551"> <div id="935602057775070212-form-parent" class="wsite-form-container" style="margin-top:10px;"> <ul class="formlist" id="935602057775070212-form-list"> <h2 class="wsite-content-title" style="text-align:center;"></h2> <label class="wsite-form-label wsite-form-fields-required-label"> <span class="form-required" id="warn-text"></span> </label> <div> <div class="wsite-form-field" style="margin:5px 0px 5px 0px;"> <label class="wsite-form-label" for="input-370235593594950446">First Name <span class="form-required">*</span></label> <div class="wsite-form-input-container"> <input aria-required="true" id="first_name" class="wsite-form-input wsite-input" type="text" name="first_name"> </div> <div id="instructions-370235593594950446" class="wsite-form-instructions" style="display:none;"> </div> </div> </div> <div> <div class="wsite-form-field" style="margin:5px 0px 5px 0px;"> <label class="wsite-form-label" for="input-540850868208445536">Last Name <span class="form-required">*</span></label> <div class="wsite-form-input-container"> <input aria-required="true" id="last_name" class="wsite-form-input wsite-input" type="text" name="last_name"> </div> <div id="instructions-540850868208445536" class="wsite-form-instructions" style="display:none;"> </div> </div> </div> <div> <div class="wsite-form-field" style="margin:5px 0px 5px 0px;"> <label class="wsite-form-label" for="input-525027244101996381">Nickname <span class="form-required">*</span></label> <div class="wsite-form-input-container"> <input aria-required="true" id="00N90000002ckwZ" class="wsite-form-input wsite-input" type="text" name="00N90000002ckwZ"> </div> <div id="instructions-525027244101996381" class="wsite-form-instructions" style="display:none;"> </div> </div> </div> <div> <div class="wsite-form-field" style="margin:5px 0px 5px 0px;"> <label class="wsite-form-label" for="input-331020445454254584">Email Address <span class="form-required">*</span></label> <div class="wsite-form-input-container"> <input aria-required="true" id="email" class="wsite-form-input wsite-input" type="text" name="email"> </div> <div id="instructions-331020445454254584" class="wsite-form-instructions" style="display:none;"> </div> </div> </div> <div> <div class="wsite-form-field" style="margin-top:5px;"> <label class="wsite-form-label" for="input-850433711311613067">Mobile Phone Number <span class="form-required">*</span></label> <div style="clear:both;"></div> <div class="wsite-form-input-container" style="margin-bottom:5px;"> <input aria-required="true" id="mobile" class="wsite-form-input wsite-input" type="text" name="mobile"> </div> <div id="instructions-850433711311613067" class="wsite-form-instructions" style="display:none;"> </div> </div> <div style="clear:both;"></div> </div> <div> <div class="wsite-form-field" style="margin:5px 0px 0px 0px;"> <label class="wsite-form-label" for="input-235662309235078998">Interested Institution<span class="form-required">*</span></label> <div class="wsite-form-radio-container"> <select id="input-235662309235078998" multiple="multiple" name="00N90000002ckyQ" class="form-select" aria-required="true" style="height:150px;"> <option value="Southern Alberta Institute of Technology (SAIT)">Southern Alberta Institute of Technology (SAIT)</option> <option value="British Columbia Institute of Technology (BCIT)">British Columbia Institute of Technology (BCIT)</option> <option value="Langara College">Langara College</option> <option value="NorQuest College">NorQuest College</option> <option value="UBC English Language Institute">UBC English Language Institute</option> <option value="MacEwan University">MacEwan University</option> <option value="Ontario Tech University">Ontario Tech University</option> <option value="Mount Saint Vincent University">Mount Saint Vincent University</option> <option value="Alexander College">Alexander College</option> <option value="St. Michaels University School (SMUS)">St. Michaels University School (SMUS)</option> <option value="Coquitlam School District">Coquitlam School District</option> <option value="Stanstead College">Stanstead College</option> <option value="Appleby College">Appleby College</option> <option value="RichmondSchool District">RichmondSchool District</option> <option value="Algonquin College">Algonquin College</option> <option value="Douglas College">Douglas College</option> <option value="Northern Alberta Institute of Technology (NAIT)">Northern Alberta Institute of Technology (NAIT)</option> <option value="Bodwell">Bodwell</option> <option value="Glenlyon Norfolk School">Glenlyon Norfolk School</option> <option value="Lakefield College">Lakefield College</option> <option value="University of Toronto">University of Toronto</option> </select> </div> <div id="instructions-Interested Institution สนใจสถาบันใดเป็นพิเศษ" class="wsite-form-instructions" style="display:none;"></div> </div> </div> <div> <div class="wsite-form-field" style="margin:5px 0px 5px 0px;"> <label class="wsite-form-label" for="input-691892186311268192">Other Interested Institutions</label> <div class="wsite-form-input-container"> <textarea id="input-691892186311268192" class="wsite-form-input wsite-input" name="00NBB000000PrK7" style="height: 100px"></textarea> </div> </div> </div> <div> <div class="wsite-form-field" style="margin:5px 0px 5px 0px;"> <label class="wsite-form-label" for="input-691892186311268192">Remark <span class="form-required">*</span></label> <div class="wsite-form-input-container"> <textarea aria-required="true" id="input-691892186311268192" class="wsite-form-input wsite-input" name="00N90000002eptE" style="height: 100px"></textarea> </div> <div id="instructions-691892186311268192" class="wsite-form-instructions" style="display:none;"> </div> </div> </div> </ul> </div> <div style="display:none; visibility:hidden;"> <input type="hidden" name="wsite_subject"> </div> <div class="g-recaptcha" data-sitekey="6LcvYcQhAAAAALNsVM_z0sHuFMSxFSOaoBomPJvj" data-callback="callback"></div> <br> <div style="text-align:left; margin-top:10px; margin-bottom:10px;"> <input type="hidden" name="captcha_settings" value="{"keyname":"recaptcha_pacificpremiere","fallback":"true","orgId":"00D90000000a9YL","ts":"1663485877056"}"> <input type="hidden" name="oid" value="00D90000000a9YL"> <input type="hidden" name="retURL" value="https://www.pacificpremiere.com/thank-you-page---program-inquiry-form.html"> <input type="hidden" name="recordType" value="01290000000WLDF"> <input type="hidden" name="company" value="Pacific Premiere Team"> <input id="Campaign_ID" type="hidden" name="Campaign_ID" value="701BB0000009la1"> <input id="Lead_Campaign_ID" type=hidden name="00NBB000000Q1QZ" value="701BB0000009la1" /> <input id="instituteName-value" type="hidden" name="instituteName" value=""> <input id="eventName-value" type="hidden" name="eventName" value="Mini Study Canada Education Fair 23 october 2022"> <input aria-required="true" id="submit-button" type="button" role="button" aria-label="Submit" value="Subscribe" disabled> </div> </form> </div> <style> #form-wrapper { padding: 10px; background-color: #fff; } form#drop-lead label { width: 100%; font-size: 16px; color: #bebdbd; line-height: 150%; } form#drop-lead .wsite-form-field, form#drop-lead .wsite-form-input, form#drop-lead .wsite-form-field select { max-width: none; } form#drop-lead input#submit-button:disabled { background-color: #dddddd; } form#drop-lead input#submit-button { background-color: #ED1B1B; padding: 14px 28px; color: #fff; text-transform: uppercase; font-weight: 700; border: 0; cursor: pointer; } form#drop-lead #campaign-field { display: none; } #custom-form h2.wsite-content-title font, #custom-form h3.wsite-content-title font { color: #fff; } </style> <script> window.onload = function () { var form = document.getElementById('drop-lead'); document.getElementById('submit-button').onclick = function () { errorElemets = {} for (var i = 0; i < form.elements.length; i++) { if ((form.elements[i].value === '' || form.elements[i].value === '-') && form.elements[i].hasAttribute('aria-required')) { form.elements[i].parentElement.parentElement.classList.add("form-field-error"); form.elements[i].classList.add("form-input-error"); errorElemets[form.elements[i].name] = 1 } else { form.elements[i].parentElement.parentElement.classList.remove("form-field-error"); form.elements[i].classList.remove("form-input-error"); delete errorElemets[form.elements[i].name] } } formNotErr = errorElemets && Object.keys(errorElemets).length === 0 && Object.getPrototypeOf(errorElemets) === Object.prototype if (formNotErr) form.submit(); }; setInstituteName(); setEventName(); }; function setInstituteName() { if (document.getElementById("instituteName-value").value) { document.getElementById("institute-title-text").innerText = document.getElementById("instituteName-value").value } } function setEventName() { if (document.getElementById("eventName-value").value) { document.getElementById("event-title-text").innerText = document.getElementById("eventName-value").value } } function callback() { const submitButton = document.getElementById("submit-button"); submitButton.removeAttribute("disabled"); } </script> </div> </div> </div> </div> ```
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