thmcmahon/gist:3160ded7ac181bf51df3

## gistfile1.html
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      /**
 * @license
 *! H5F
 * https://github.com/ryanseddon/H5F/
 * Copyright (c) Ryan Seddon | Licensed MIT
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<body class="ss-base-body" dir="ltr">


<div class="ss-form-container"><div class="ss-header-image"></div>
<div class="ss-top-of-page"><div class="ss-form-heading"><h1 class="ss-form-title" dir="ltr">Fill out the form below</h1>
<div class="ss-form-desc ss-no-ignore-whitespace">Tell us about yourself</div>

<hr class="ss-email-break" style="display:none;">
<div class="ss-required-asterisk" aria-hidden="true">* Required</div></div></div>
<div class="ss-form"><form action="https://docs.google.com/forms/d/1ONXeo4ycB4xV5oy6HvzVdxPLbt5_rSyTaXMGP9fxLlM/formResponse?embedded=true" method="POST" id="ss-form" target="hidden_iframe" onsubmit="submitted=true;"><ol role="list" class="ss-question-list" style="padding-left: 0">
<div class="ss-form-question errorbox-good" role="listitem">
<div dir="ltr" class="ss-item  ss-text"><div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_1413134530"><div class="ss-q-title">What is your preferred title?
</div>
<div class="ss-q-help ss-secondary-text" dir="ltr">eg. Mr, Mrs, Ms, Dr </div></label>
<input type="text" name="entry.1413134530" value="" class="ss-q-short" id="entry_1413134530" dir="auto" aria-label="What is your preferred title? eg. Mr, Mrs, Ms, Dr  " title="">
<div class="error-message" id="566926331_errorMessage"></div>
<div class="required-message">This is a required question</div>
</div></div></div> <div class="ss-form-question errorbox-good" role="listitem">
<div dir="ltr" class="ss-item ss-item-required ss-text"><div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_412766108"><div class="ss-q-title">What is your first name?
<label for="itemView.getDomIdToLabel()" aria-label="(Required field)"></label>
<span class="ss-required-asterisk">*</span></div>
<div class="ss-q-help ss-secondary-text" dir="ltr"></div></label>
<input type="text" name="entry.412766108" value="" class="ss-q-short" id="entry_412766108" dir="auto" aria-label="What is your first name?  " aria-required="true" required="" title="">
<div class="error-message" id="1816684451_errorMessage"></div>
<div class="required-message">This is a required question</div>
</div></div></div> <div class="ss-form-question errorbox-good" role="listitem">
<div dir="ltr" class="ss-item ss-item-required ss-text"><div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_631662558"><div class="ss-q-title">What is your last name?
<label for="itemView.getDomIdToLabel()" aria-label="(Required field)"></label>
<span class="ss-required-asterisk">*</span></div>
<div class="ss-q-help ss-secondary-text" dir="ltr"></div></label>
<input type="text" name="entry.631662558" value="" class="ss-q-short" id="entry_631662558" dir="auto" aria-label="What is your last name?  " aria-required="true" required="" title="">
<div class="error-message" id="1499157186_errorMessage"></div>
<div class="required-message">This is a required question</div>
</div></div></div> <div class="ss-form-question errorbox-good" role="listitem">
<div dir="ltr" class="ss-item  ss-text"><div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_65623590"><div class="ss-q-title">If you have a preferred name, enter it here.
</div>
<div class="ss-q-help ss-secondary-text" dir="ltr"></div></label>
<input type="text" name="entry.65623590" value="" class="ss-q-short" id="entry_65623590" dir="auto" aria-label="If you have a preferred name, enter it here.  " title="">
<div class="error-message" id="1675882950_errorMessage"></div>
<div class="required-message">This is a required question</div>
</div></div></div> <div class="ss-form-question errorbox-good" role="listitem">
<div dir="ltr" class="ss-item ss-item-required ss-date"><div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_1254194880"><div class="ss-q-title">What is your date of birth?
<label for="itemView.getDomIdToLabel()" aria-label="(Required field)"></label>
<span class="ss-required-asterisk">*</span></div>
<div class="ss-q-help ss-secondary-text" dir="ltr"></div></label>
<input type="date" name="entry.1254194880" value="" class="ss-q-date" dir="auto" id="entry_1254194880" aria-label="What is your date of birth?  " aria-required="true" required="">
<div class="required-message">This is a required question</div></div></div></div> <div class="ss-form-question errorbox-good" role="listitem">
<div dir="ltr" class="ss-item ss-item-required ss-paragraph-text"><div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_995572488"><div class="ss-q-title">What is your residential Address?
<label for="itemView.getDomIdToLabel()" aria-label="(Required field)"></label>
<span class="ss-required-asterisk">*</span></div>
<div class="ss-q-help ss-secondary-text" dir="ltr">Number, street, suburb, and postcode.</div></label>
<textarea name="entry.995572488" rows="8" cols="0" class="ss-q-long" id="entry_995572488" dir="auto" aria-label="What is your residential Address? Number, street, suburb, and postcode. " aria-required="true" required=""></textarea>
<div class="error-message" id="1386447200_errorMessage"></div>
<div class="required-message">This is a required question</div>
</div></div></div> <div class="ss-form-question errorbox-good" role="listitem">
<div dir="ltr" class="ss-item  ss-paragraph-text"><div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_1263666193"><div class="ss-q-title">What is your postal address if different from above?
</div>
<div class="ss-q-help ss-secondary-text" dir="ltr"></div></label>
<textarea name="entry.1263666193" rows="8" cols="0" class="ss-q-long" id="entry_1263666193" dir="auto" aria-label="What is your postal address if different from above?  "></textarea>
<div class="error-message" id="1804983443_errorMessage"></div>
<div class="required-message">This is a required question</div>
</div></div></div> <div class="ss-form-question errorbox-good" role="listitem">
<div dir="ltr" class="ss-item ss-item-required ss-radio"><div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_1773874063"><div class="ss-q-title">Are you enrolled to vote in the ACT?
<label for="itemView.getDomIdToLabel()" aria-label="(Required field)"></label>
<span class="ss-required-asterisk">*</span></div>
<div class="ss-q-help ss-secondary-text" dir="ltr">Due to regulations, you must be enrolled in the ACT to be a member.</div></label>

<ul class="ss-choices" role="radiogroup" aria-label="Are you enrolled to vote in the ACT? Due to regulations, you must be enrolled in the ACT to be a member. "><li class="ss-choice-item"><label><span class="ss-choice-item-control goog-inline-block"><input type="radio" name="entry.1870444899" value="Yes" id="group_1870444899_1" role="radio" class="ss-q-radio" aria-label="Yes" required="" aria-required="true"></span>
<span class="ss-choice-label">Yes</span>
</label></li> <li class="ss-choice-item"><label><span class="ss-choice-item-control goog-inline-block"><input type="radio" name="entry.1870444899" value="No" id="group_1870444899_2" role="radio" class="ss-q-radio" aria-label="No" required="" aria-required="true"></span>
<span class="ss-choice-label">No</span>
</label></li></ul>
<div class="error-message" id="1773874063_errorMessage"></div>
<div class="required-message">This is a required question</div></div></div></div> <div class="ss-form-question errorbox-good" role="listitem">
<div dir="ltr" class="ss-item  ss-text"><div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_1577073812"><div class="ss-q-title">Mobile Number
</div>
<div class="ss-q-help ss-secondary-text" dir="ltr"></div></label>
<input type="text" name="entry.1577073812" value="" class="ss-q-short" id="entry_1577073812" dir="auto" aria-label="Mobile Number  " title="">
<div class="error-message" id="437263411_errorMessage"></div>
<div class="required-message">This is a required question</div>
</div></div></div> <div class="ss-form-question errorbox-good" role="listitem">
<div dir="ltr" class="ss-item  ss-text"><div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_1854868369"><div class="ss-q-title">Home Number
</div>
<div class="ss-q-help ss-secondary-text" dir="ltr"></div></label>
<input type="text" name="entry.1854868369" value="" class="ss-q-short" id="entry_1854868369" dir="auto" aria-label="Home Number  " title="">
<div class="error-message" id="775049203_errorMessage"></div>
<div class="required-message">This is a required question</div>
</div></div></div> <div class="ss-form-question errorbox-good" role="listitem">
<div dir="ltr" class="ss-item  ss-text"><div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_547995226"><div class="ss-q-title">Work Number
</div>
<div class="ss-q-help ss-secondary-text" dir="ltr"></div></label>
<input type="text" name="entry.547995226" value="" class="ss-q-short" id="entry_547995226" dir="auto" aria-label="Work Number  " title="">
<div class="error-message" id="44689170_errorMessage"></div>
<div class="required-message">This is a required question</div>
</div></div></div> <div class="ss-form-question errorbox-good" role="listitem">
<div dir="ltr" class="ss-item  ss-text"><div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_126679684"><div class="ss-q-title">Email
</div>
<div class="ss-q-help ss-secondary-text" dir="ltr"></div></label>
<input type="text" name="entry.126679684" value="" class="ss-q-short" id="entry_126679684" dir="auto" aria-label="Email  " title="">
<div class="error-message" id="502994458_errorMessage"></div>
<div class="required-message">This is a required question</div>
</div></div></div> <div class="ss-form-question errorbox-good" role="listitem">
<div dir="ltr" class="ss-item  ss-text"><div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_841767899"><div class="ss-q-title">Occupation
</div>
<div class="ss-q-help ss-secondary-text" dir="ltr"></div></label>
<input type="text" name="entry.841767899" value="" class="ss-q-short" id="entry_841767899" dir="auto" aria-label="Occupation  " title="">
<div class="error-message" id="2087472922_errorMessage"></div>
<div class="required-message">This is a required question</div>
</div></div></div> <div class="ss-form-question errorbox-good" role="listitem">
<div dir="ltr" class="ss-item ss-item-required ss-select"><div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_532126648"><div class="ss-q-title">Are you a member of a trade union?
<label for="itemView.getDomIdToLabel()" aria-label="(Required field)"></label>
<span class="ss-required-asterisk">*</span></div>
<div class="ss-q-help ss-secondary-text" dir="ltr"></div></label>
<select name="entry.532126648" id="entry_532126648" aria-label="Are you a member of a trade union?  " aria-required="true" required=""><option value=""></option>
<option value="No">No</option> <option value="AMWU">AMWU</option> <option value="ASU">ASU</option> <option value="AWU">AWU</option> <option value="CEPU">CEPU</option> <option value="CPSU">CPSU</option> <option value="CFMEU">CFMEU</option> <option value="NUW">NUW</option> <option value="RTBU">RTBU</option> <option value="SDA">SDA</option> <option value="TWU">TWU</option> <option value="United Voice">United Voice</option> <option value="Other">Other</option></select>
<div class="required-message">This is a required question</div></div></div></div> <div class="ss-form-question errorbox-good" role="listitem">
<div dir="ltr" class="ss-item ss-item-required ss-radio"><div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_1484222850"><div class="ss-q-title">Do you have a government concession or full-time student card?
<label for="itemView.getDomIdToLabel()" aria-label="(Required field)"></label>
<span class="ss-required-asterisk">*</span></div>
<div class="ss-q-help ss-secondary-text" dir="ltr"></div></label>

<ul class="ss-choices" role="radiogroup" aria-label="Do you have a government concession or full-time student card?  "><li class="ss-choice-item"><label><span class="ss-choice-item-control goog-inline-block"><input type="radio" name="entry.540860717" value="Yes" id="group_540860717_1" role="radio" class="ss-q-radio" aria-label="Yes" required="" aria-required="true"></span>
<span class="ss-choice-label">Yes</span>
</label></li> <li class="ss-choice-item"><label><span class="ss-choice-item-control goog-inline-block"><input type="radio" name="entry.540860717" value="No" id="group_540860717_2" role="radio" class="ss-q-radio" aria-label="No" required="" aria-required="true"></span>
<span class="ss-choice-label">No</span>
</label></li></ul>
<div class="error-message" id="1484222850_errorMessage"></div>
<div class="required-message">This is a required question</div></div></div></div> <div class="ss-form-question errorbox-good" role="listitem">
<div dir="ltr" class="ss-item ss-item-required ss-checkbox"><div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_1728110016"><div class="ss-q-title">Please tick the appropriate box for membership fees.
<label for="itemView.getDomIdToLabel()" aria-label="(Required field)"></label>
<span class="ss-required-asterisk">*</span></div>
<div class="ss-q-help ss-secondary-text" dir="ltr">Annual income with the membership fee in brackets</div></label>

<ul class="ss-choices ss-choices-required" role="group" aria-label="Please tick the appropriate box for membership fees. Annual income with the membership fee in brackets "><li class="ss-choice-item"><label><span class="ss-choice-item-control goog-inline-block"><input type="checkbox" name="entry.1067022385" value="$0-25,000 ($15.00)" id="group_1067022385_1" role="checkbox" class="ss-q-checkbox" aria-required="true"></span>
<span class="ss-choice-label">$0-25,000 ($15.00)</span>
</label></li> <li class="ss-choice-item"><label><span class="ss-choice-item-control goog-inline-block"><input type="checkbox" name="entry.1067022385" value="$25,001 - $50,000 ($35.00)" id="group_1067022385_2" role="checkbox" class="ss-q-checkbox" aria-required="true"></span>
<span class="ss-choice-label">$25,001 - $50,000 ($35.00)</span>
</label></li> <li class="ss-choice-item"><label><span class="ss-choice-item-control goog-inline-block"><input type="checkbox" name="entry.1067022385" value="$50,000 - $75,000 ($60)" id="group_1067022385_3" role="checkbox" class="ss-q-checkbox" aria-required="true"></span>
<span class="ss-choice-label">$50,000 - $75,000 ($60)</span>
</label></li> <li class="ss-choice-item"><label><span class="ss-choice-item-control goog-inline-block"><input type="checkbox" name="entry.1067022385" value="$75,001 - $100,000" id="group_1067022385_4" role="checkbox" class="ss-q-checkbox" aria-required="true"></span>
<span class="ss-choice-label">$75,001 - $100,000</span>
</label></li> <li class="ss-choice-item"><label><span class="ss-choice-item-control goog-inline-block"><input type="checkbox" name="entry.1067022385" value="Over $100,000" id="group_1067022385_5" role="checkbox" class="ss-q-checkbox" aria-required="true"></span>
<span class="ss-choice-label">Over $100,000</span>
</label></li></ul>
<div class="error-message" id="1728110016_errorMessage"></div>
<div class="required-message">This is a required question</div></div></div></div> <div class="ss-form-question errorbox-good" role="listitem">
<div dir="ltr" class="ss-item  ss-checkbox"><div class="ss-form-entry">
<label class="ss-q-item-label" for="entry_200755059"><div class="ss-q-title">Discounts Avaliable
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<div class="ss-q-help ss-secondary-text" dir="ltr">$10 off membership fee</div></label>

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