<script src=”https://cdn03.jotfor.ms/static/prototype.forms.js?3.3.47168″ type=”text/javascript”></script> <script src=”https://cdn01.jotfor.ms/static/jotform.forms.js?3.3.47168″ type=”text/javascript”></script> <script src=”https://cdn02.jotfor.ms/js/payments/validategateways.js?v=3.3.47168″ type=”text/javascript”></script> <script src=”https://cdn01.jotfor.ms/s/umd/c012f3979c8/for-form-branding-footer.js?v=3.3.47168″ type=”text/javascript” defer></script> <script type=”text/javascript”> JotForm.newDefaultTheme = true; JotForm.extendsNewTheme = false; JotForm.singleProduct = false; JotForm.newPaymentUIForNewCreatedForms = true; JotForm.texts = {“confirmEmail”:”E-mail does not match”,”pleaseWait”:”Please wait…”,”validateEmail”:”You need to validate this e-mail”,”confirmClearForm”:”Are you sure you want to clear the form”,”lessThan”:”Your score should be less than or equal to”,”incompleteFields”:”There are incomplete required fields. Please complete them.”,”required”:”This field is required.”,”requireOne”:”At least one field required.”,”requireEveryRow”:”Every row is required.”,”requireEveryCell”:”Every cell is required.”,”email”:”Enter a valid e-mail address”,”alphabetic”:”This field can only contain letters”,”numeric”:”This field can only contain numeric values”,”alphanumeric”:”This field can only contain letters and numbers.”,”cyrillic”:”This field can only contain cyrillic characters”,”url”:”This field can only contain a valid URL”,”currency”:”This field can only contain currency values.”,”fillMask”:”Field value must fill mask.”,”uploadExtensions”:”You can only upload following files:”,”noUploadExtensions”:”File has no extension file type (e.g. .txt, .png, .jpeg)”,”uploadFilesize”:”File size cannot be bigger than:”,”uploadFilesizemin”:”File size cannot be smaller than:”,”gradingScoreError”:”Score total should only be less than or equal to”,”inputCarretErrorA”:”Input should not be less than the minimum value:”,”inputCarretErrorB”:”Input should not be greater than the maximum value:”,”maxDigitsError”:”The maximum digits allowed is”,”minCharactersError”:”The number of characters should not be less than the minimum value:”,”maxCharactersError”:”The number of characters should not be more than the maximum value:”,”freeEmailError”:”Free email accounts are not allowed”,”minSelectionsError”:”The minimum required number of selections is “,”maxSelectionsError”:”The maximum number of selections allowed is “,”pastDatesDisallowed”:”Date must not be in the past.”,”dateLimited”:”This date is unavailable.”,”dateInvalid”:”This date is not valid. The date format is {format}”,”dateInvalidSeparate”:”This date is not valid. Enter a valid {element}.”,”ageVerificationError”:”You must be older than {minAge} years old to submit this form.”,”multipleFileUploads_typeError”:”{file} has invalid extension. Only {extensions} are allowed.”,”multipleFileUploads_sizeError”:”{file} is too large, maximum file size is {sizeLimit}.”,”multipleFileUploads_minSizeError”:”{file} is too small, minimum file size is {minSizeLimit}.”,”multipleFileUploads_emptyError”:”{file} is empty, please select files again without it.”,”multipleFileUploads_uploadFailed”:”File upload failed, please remove it and upload the file again.”,”multipleFileUploads_onLeave”:”The files are being uploaded, if you leave now the upload will be cancelled.”,”multipleFileUploads_fileLimitError”:”Only {fileLimit} file uploads allowed.”,”dragAndDropFilesHere_infoMessage”:”Drag and drop files here”,”chooseAFile_infoMessage”:”Choose a file”,”maxFileSize_infoMessage”:”Max. file size”,”generalError”:”There are errors on the form. Please fix them before continuing.”,”generalPageError”:”There are errors on this page. Please fix them before continuing.”,”wordLimitError”:”Too many words. The limit is”,”wordMinLimitError”:”Too few words. The minimum is”,”characterLimitError”:”Too many Characters. The limit is”,”characterMinLimitError”:”Too few characters. The minimum is”,”ccInvalidNumber”:”Credit Card Number is invalid.”,”ccInvalidCVC”:”CVC number is invalid.”,”ccInvalidExpireDate”:”Expire date is invalid.”,”ccInvalidExpireMonth”:”Expiration month is invalid.”,”ccInvalidExpireYear”:”Expiration year is invalid.”,”ccMissingDetails”:”Please fill up the credit card details.”,”ccMissingProduct”:”Please select at least one product.”,”ccMissingDonation”:”Please enter numeric values for donation amount.”,”disallowDecimals”:”Please enter a whole number.”,”restrictedDomain”:”This domain is not allowed”,”ccDonationMinLimitError”:”Minimum amount is {minAmount} {currency}”,”requiredLegend”:”All fields marked with * are required and must be filled.”,”geoPermissionTitle”:”Permission Denied”,”geoPermissionDesc”:”Check your browser’s privacy settings.”,”geoNotAvailableTitle”:”Position Unavailable”,”geoNotAvailableDesc”:”Location provider not available. Please enter the address manually.”,”geoTimeoutTitle”:”Timeout”,”geoTimeoutDesc”:”Please check your internet connection and try again.”,”appointmentSelected”:”You’ve selected {time} on {date}”,”noSlotsAvailable”:”No slots available”,”slotUnavailable”:”{time} on {date} has been selected is unavailable. Please select another slot.”,”multipleError”:”There are {count} errors on this page. Please correct them before moving on.”,”oneError”:”There is {count} error on this page. Please correct it before moving on.”,”doneMessage”:”Well done! All errors are fixed.”,”doneButton”:”Done”,”reviewSubmitText”:”Review and Submit”,”nextButtonText”:”Next”,”prevButtonText”:”Previous”,”seeErrorsButton”:”See Errors”,”notEnoughStock”:”Not enough stock for the current selection”,”notEnoughStock_remainedItems”:”Not enough stock for the current selection ({count} items left)”,”soldOut”:”Sold Out”,”justSoldOut”:”Just Sold Out”,”selectionSoldOut”:”Selection Sold Out”,”subProductItemsLeft”:”({count} items left)”,”startButtonText”:”START”,”submitButtonText”:”Submit”,”submissionLimit”:”Sorry! Only one entry is allowed. Multiple submissions are disabled for this form.”,”reviewBackText”:”Back to Form”,”seeAllText”:”See All”,”progressMiddleText”:”of”,”fieldError”:”field has an error.”,”error”:”Error”}; JotForm.newPaymentUI = true; JotForm.clearFieldOnHide=”disable”; JotForm.submitError=”jumpToFirstError”; window.addEventListener(‘DOMContentLoaded’,function(){window.brandingFooter.init({“formID”:233094503232043,”campaign”:”powered_by_jotform_le”,”isCardForm”:false,”isLegacyForm”:true})}); JotForm.isFullSource = true; try{ var isEUDomain = /(?:eu.jotform)|(jotformeu.com)/.test(window.location.host); var isHipaaDomain = /(?:hipaa.jotform)/.test(window.location.host); var isEnterprise = JotForm.enterprise !== ‘undefined’ && JotForm.enterprise; if (!isEUDomain && !isHipaaDomain && !isEnterprise) { var sesApiUrl = /jotform.pro/.test(window.location.host) ? ‘/API’ : ‘https://api.jotform.com’; function sendOpenId(uuid, eventType) { fetch(sesApiUrl + ‘/form/233094503232043/event/’ + uuid + ‘/’ + eventType, { method: ‘POST’ }) .then(function() {}) .catch(function(sendOpenIdError) {console.log(sendOpenIdError)}); } var formOpenId = crypto.getRandomValues(new BigUint64Array(1)).toString(); sendOpenId = sendOpenId.bind(this, formOpenId); function sendOpenIdOnSubmit() { var currentForm = $(‘233094503232043’); currentForm.addEventListener(‘submit’, function() { sendOpenId(‘submit’)}, true); } sendOpenId(‘view’); if (document.readyState == ‘complete’ || (this.jsForm && (document.readyState === undefined || document.readyState === ‘interactive’))) { sendOpenIdOnSubmit(); } else { document.ready(sendOpenIdOnSubmit); } } } catch(openIdBlockError) { console.log(openIdBlockError); } JotForm.init(function(){ /*INIT-START*/ if (window.JotForm && JotForm.accessible) $(‘input_4’).setAttribute(‘tabindex’,0); if (window.JotForm && JotForm.accessible) $(‘input_5’).setAttribute(‘tabindex’,0); if (window.JotForm && JotForm.accessible) $(‘input_6’).setAttribute(‘tabindex’,0); if (window.JotForm && JotForm.accessible) $(‘input_9’).setAttribute(‘tabindex’,0); JotForm.alterTexts(undefined); /*INIT-END*/ }); setTimeout(function() { JotForm.paymentExtrasOnTheFly([null,{“name”:”heading”,”qid”:”1″,”text”:”Station Tracker Form”,”type”:”control_head”},{“name”:”submit2″,”qid”:”2″,”text”:”Submit”,”type”:”control_button”},null,{“description”:””,”name”:”stationName”,”qid”:”4″,”subLabel”:””,”text”:”Station Name”,”type”:”control_textbox”},{“description”:””,”name”:”address”,”qid”:”5″,”subLabel”:””,”text”:”Address”,”type”:”control_textbox”},{“description”:””,”name”:”chargingType”,”qid”:”6″,”subLabel”:””,”text”:”Charging Type”,”type”:”control_textbox”},{“description”:””,”name”:”numberOf”,”qid”:”7″,”subLabel”:””,”text”:”Number of Ports”,”type”:”control_number”},{“description”:””,”name”:”publicOr”,”qid”:”8″,”text”:”Public or Private”,”type”:”control_radio”},{“description”:””,”name”:”howDid”,”qid”:”9″,”subLabel”:””,”text”:”How did you hear about us?”,”type”:”control_textarea”}]);}, 20); </script> <link type=”text/css” rel=”stylesheet” href=”https://cdn01.jotfor.ms/themes/CSS/form-common.css?v=1461e8a “/> <style type=”text/css”>@media print{*{-webkit-print-color-adjust: exact !important;color-adjust: exact !important;}.form-section{display:inline!important}.form-pagebreak{display:none!important}.form-section-closed{height:auto!important}.page-section{position:initial!important}}</style> <link type=”text/css” rel=”stylesheet” href=”https://cdn02.jotfor.ms/themes/CSS/5e6b428acc8c4e222d1beb91.css?v=3.3.47168″/> <link type=”text/css” rel=”stylesheet” href=”https://cdn03.jotfor.ms/css/styles/payment/payment_styles.css?3.3.47168″ /> <link type=”text/css” rel=”stylesheet” href=”https://cdn01.jotfor.ms/css/styles/payment/payment_feature.css?3.3.47168″ /> <link type=”text/css” rel=”stylesheet” href=”https://cdn02.jotfor.ms/stylebuilder/donationBox.css?v=3.3.47168″> <form class=”jotform-form” onsubmit=”return typeof testSubmitFunction !== ‘undefined’ && testSubmitFunction();” action=”https://submit.jotform.com/submit/233094503232043″ method=”post” name=”form_233094503232043″ id=”233094503232043″ accept-charset=”utf-8″ autocomplete=”on”><input type=”hidden” name=”formID” value=”233094503232043″ /><input type=”hidden” id=”JWTContainer” value=”” /><input type=”hidden” id=”cardinalOrderNumber” value=”” /><input type=”hidden” id=”jsExecutionTracker” name=”jsExecutionTracker” value=”build-date-1699287561971″ /><input type=”hidden” id=”submitSource” name=”submitSource” value=”unknown” /><input type=”hidden” id=”buildDate” name=”buildDate” value=”1699287561971″ /> <div role=”main” class=”form-all”> <ul class=”form-section page-section”> <li id=”cid_1″ class=”form-input-wide” data-type=”control_head”> <div class=”form-header-group header-large”> <div class=”header-text httal htvam”> <h1 id=”header_1″ class=”form-header” data-component=”header”>Station Tracker Form</h1> </div> </div> </li> <li class=”form-line” data-type=”control_textbox” id=”id_4″><label class=”form-label form-label-top form-label-auto” id=”label_4″ for=”input_4″ aria-hidden=”false”> Station Name </label> <div id=”cid_4″ class=”form-input-wide” data-layout=”half”> <input type=”text” id=”input_4″ name=”q4_stationName” data-type=”input-textbox” class=”form-textbox” data-defaultvalue=”” style=”width:310px” size=”310″ data-component=”textbox” aria-labelledby=”label_4″ value=”” /> </div> </li> <li class=”form-line jf-required” data-type=”control_textbox” id=”id_5″><label class=”form-label form-label-top form-label-auto” id=”label_5″ for=”input_5″ aria-hidden=”false”> Address<span class=”form-required”>*</span> </label> <div id=”cid_5″ class=”form-input-wide jf-required” data-layout=”half”> <input type=”text” id=”input_5″ name=”q5_address” data-type=”input-textbox” class=”form-textbox validate[required]” data-defaultvalue=”” style=”width:310px” size=”310″ data-component=”textbox” aria-labelledby=”label_5″ required=”” value=”” /> </div> </li> <li class=”form-line jf-required” data-type=”control_textbox” id=”id_6″><label class=”form-label form-label-top form-label-auto” id=”label_6″ for=”input_6″ aria-hidden=”false”> Charging Type<span class=”form-required”>*</span> </label> <div id=”cid_6″ class=”form-input-wide jf-required” data-layout=”half”> <input type=”text” id=”input_6″ name=”q6_chargingType” data-type=”input-textbox” class=”form-textbox validate[required]” data-defaultvalue=”” style=”width:310px” size=”310″ data-component=”textbox” aria-labelledby=”label_6″ required=”” value=”” /> </div> </li> <li class=”form-line” data-type=”control_number” id=”id_7″><label class=”form-label form-label-top form-label-auto” id=”label_7″ for=”input_7″ aria-hidden=”false”> Number of Ports </label> <div id=”cid_7″ class=”form-input-wide” data-layout=”half”> <input type=”number” id=”input_7″ name=”q7_numberOf” data-type=”input-number” class=” form-number-input form-textbox” data-defaultvalue=”” style=”width:310px” size=”310″ placeholder=”e.g., 23″ data-component=”number” aria-labelledby=”label_7″ step=”any” value=”” /> </div> </li> <li class=”form-line jf-required” data-type=”control_radio” id=”id_8″><label class=”form-label form-label-top form-label-auto” id=”label_8″ for=”input_8″ aria-hidden=”false”> Public or Private<span class=”form-required”>*</span> </label> <div id=”cid_8″ class=”form-input-wide jf-required” data-layout=”full”> <div class=”form-single-column” role=”group” aria-labelledby=”label_8″ data-component=”radio”><span class=”form-radio-item” style=”clear:left”><span class=”dragger-item”></span><input type=”radio” aria-describedby=”label_8″ class=”form-radio validate[required]” id=”input_8_0″ name=”q8_publicOr” value=”Public” required=”” /><label id=”label_input_8_0″ for=”input_8_0″>Public</label></span><span class=”form-radio-item” style=”clear:left”><span class=”dragger-item”></span><input type=”radio” aria-describedby=”label_8″ class=”form-radio validate[required]” id=”input_8_1″ name=”q8_publicOr” value=”Private” required=”” /><label id=”label_input_8_1″ for=”input_8_1″>Private</label></span></div> </div> </li> <li class=”form-line” data-type=”control_textarea” id=”id_9″><label class=”form-label form-label-top form-label-auto” id=”label_9″ for=”input_9″ aria-hidden=”false”> How did you hear about us? </label> <div id=”cid_9″ class=”form-input-wide” data-layout=”full”> <textarea id=”input_9″ class=”form-textarea” name=”q9_howDid” style=”width:648px;height:163px” data-component=”textarea” aria-labelledby=”label_9″></textarea> </div> </li> <li class=”form-line” data-type=”control_button” id=”id_2″> <div id=”cid_2″ class=”form-input-wide” data-layout=”full”> <div data-align=”auto” class=”form-buttons-wrapper form-buttons-auto jsTest-button-wrapperField”><button id=”input_2″ type=”submit” class=”form-submit-button submit-button jf-form-buttons jsTest-submitField” data-component=”button” data-content=””>Submit</button></div> </div> </li> <li style=”display:none”>Should be Empty: <input type=”text” name=”website” value=”” /></li> </ul> </div> <script> JotForm.showJotFormPowered = “new_footer”; </script> <script> JotForm.poweredByText = “Powered by Jotform”; </script><input type=”hidden” class=”simple_spc” id=”simple_spc” name=”simple_spc” value=”233094503232043″ /> <script type=”text/javascript”> var all_spc = document.querySelectorAll(“form[id=’233094503232043′] .si” + “mple” + “_spc”); for (var i = 0; i < all_spc.length; i++) { all_spc[i].value = “233094503232043-233094503232043″; } </script> </form><script type=”text/javascript”>JotForm.ownerView=true;</script><script src=”https://cdn.jotfor.ms//js/vendor/smoothscroll.min.js?v=3.3.47168″></script> <script src=”https://cdn.jotfor.ms//js/errorNavigation.js?v=3.3.47168″></script> <script type=”text/javascript”>JotForm.isNewSACL=true;</script>