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This table is used for column layout.
Bingham Application Form
<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN">
<HTML LANG="en">
<HEAD>
<TITLE><!--#if expr="<X-FC-FIELD SITEPREF.1197 LENGTH>>1"--><X-FC-FIELD SITEPREF.1197 STRING> - <!--#endif--><X-FC-ITEM DATA[Subject]></TITLE>
<meta name="description" content="<!--#if expr="(<X-FC-FIELD 8022 LENGTH>>1)"--><X-FC-FIELD 8022 STRING><!--#else--><X-FC-ITEM DATA[Subject]><!--#endif-->">
<meta name="keywords" content="<X-FC-ITEM DATA[Name]>,<X-FC-ITEM DATA[Subject]><!--#if expr="(<X-FC-FIELD 1900 LENGTH>>1)"-->,<X-FC-FIELD 1900 STRING><!--#endif-->">
<X-FC-WHITESPACE STRIP>
<!--TS=<X-FC-REQUEST-TIME>-->
<!--#rem Include Server Variables-->
<!--#include virtual="/.templates/SSF/serverVar.inc"-->
<!--version=<!--#echo var="ifeVersion"-->-->
<!--formid=2089-->
<!--#rem Get Global Data -->
<!--#set var="formMarker" value="2089"-->
<!--#rem Determine core browser type in order to account for variations in CSS implementation.
1 - MSIE (WIN)
2 - MSIE (MAC)
3 - Firefox (WIN)
4 - Firefox (MAC)
5 - Camino (MAC)
6 - Safari (ALL)
-->
<!--#set var="cssbrowser" value="0"-->
<!--#set var="host_MSIE" expr="@indexof($HTTP_USER_AGENT,'MSIE')"-->
<!--#if expr="$host_MSIE!=-1"-->
        <!--#set var="platCheck" expr="@indexof($HTTP_USER_AGENT,'Windows')"-->
        <!--#if expr="$platCheck!=-1"-->
                <!--#set var="cssbrowser" value="1"-->
        <!--#else-->
                <!--#set var="cssbrowser" value="2"-->
        <!--#endif-->
<!--#endif-->
<!--#set var="host_FF" expr="@indexof($HTTP_USER_AGENT,'Firefox')"-->
<!--#if expr="$host_FF!=-1"-->
        <!--#set var="platCheck" expr="@indexof($HTTP_USER_AGENT,'Windows')"-->
        <!--#if expr="$platCheck!=-1"-->
                <!--#set var="cssbrowser" value="3"-->
        <!--#else-->
                <!--#set var="cssbrowser" value="4"-->
        <!--#endif-->
<!--#endif-->
<!--#set var="host_CMO" expr="@indexof($HTTP_USER_AGENT,'Camino')"-->
<!--#if expr="$host_CMO!=-1"-->
        <!--#set var="cssbrowser" value="5"-->
<!--#endif-->
<!--#set var="host_SFI" expr="@indexof($HTTP_USER_AGENT,'Safari')"-->
<!--#if expr="$host_SFI!=-1"-->
        <!--#set var="cssbrowser" value="6"-->
<!--#endif-->
<!--#rem Set included styles and include global stylesheet-->
        <!--#set var="attachinc" value="1"-->
        <!--#set var="calendarinc" value="0"-->
        <!--#set var="confcontinc" value="0"-->
        <!--#set var="detailcentinc" value="0"-->
        <!--#set var="formsinc" value="1"-->
        <!--#set var="inccalinc" value="0"-->
        <!--#set var="inccentnavinc" value="0"-->
        <!--#set var="inctablesinc" value="0"-->
        <!--#set var="intentionsinc" value="0"-->
        <!--#set var="inthomeinc" value="0"-->
        <!--#set var="logininc" value="0"-->
        <!--#set var="slidenewinc" value="0"-->
        <!--#set var="slideshowinc" value="0"-->
        <!--#set var="tablestylesinc" value="1"-->
        <!--#set var="tablestylesdeptinc" value="0"-->
        <!--#set var="tablestyleshomeinc" value="0"-->
<!--#rem Set Global Variables-->
<!--#set var="isHomePage" value="0"-->
<!--#set var="isACal" value="0"-->
<!--#set var="sortDate" value="<X-FC-SERVER-TIME %#y%m%d>"-->
<!--#set var="loginAVal" value=""-->
<!--#if expr="<X-FC-LOGGED-IN>"-->
        <!--#set var="loginAVal" value="/Login/__WWW"-->
        <!--#set var="loginCVal" expr="@substr('<X-FC-FIELD SITEPREF.2021 DEFAULT=/Pages/ STRING>',0,1)"-->
        <!--#set var="theLoginLoc" expr="@substr(`<X-FC-OBJURL NOSLASH>`,12,200)"-->
        <!--#set var="theLocation" expr="@lower('$theLoginLoc')"-->
        <!--#set var="theLocOrig" value="$theLoginLoc"-->
<!--#else-->
        <!--#set var="theLocation" expr="@lower(`<X-FC-OBJURL NOSLASH>`)"-->
        <!--#set var="theLocOrig" value="<X-FC-OBJURL SLASH>"-->
<!--#endif-->
<!--#set var="theSubject" value="<X-FC-ITEM DATA[Subject]>"-->
<!--#set var="totPageCol" value="<X-FC-FIELD SITEPREF.2034 DEFAULT=2 NUMBER>"-->
<!--#set var="isPrint" value="1"-->
<!--#set var="lastUpdate" value="0"-->
<!--#set var="pageNine" value="<X-FC-FIELD SITEPREF.1205 DEFAULT=0 NUMBER>"-->
<!--#if expr="$pageNine=0"-->
        <!--#set var="totalSpan" expr="<X-FC-FIELD SITEPREF.2034 DEFAULT=2 NUMBER>+2"-->
<!--#else-->
        <!--#set var="totalSpan" value="<X-FC-FIELD SITEPREF.2034 DEFAULT=2 NUMBER>"-->
<!--#endif-->
<!--#set var="printPage" value="0"-->
<!--#if expr="(<X-FC-URL-PARAMETER textPage EXISTS>)||(<X-FC-FIELD SITEPREF.1567 DEFAULT=1 NUMBER>=0)||(<X-FC-FIELD 2000 DEFAULT=0 NUMBER>=1)"-->
        <!--#set var="printPage" value="1"-->
<!--#endif-->
<!--#set var="isSubtitle" value="0"-->
<!--#if expr="<X-FC-FIELD 1400 LENGTH>>1"-->
        <!--#set var="isSubtitle" value="1"-->
        <!--#set var="theSubtitle" value="<X-FC-FIELD 1400 STRING>"-->
<!--#endif-->
<!--#set var="isDynav" value="0"-->
<!--#set var="slideImg" value="slideImg"-->
<!--#set var="subjArray" value="subjArray"-->
<X-FC-WHITESPACE RETAIN>
<meta http-equiv="content-type" content="text/html; charset=<X-FC-CHARSET>">
<meta http-equiv="cache-control" content="No-Cache, Must-Revalidate">
<meta name="author" content="<X-FC-FIELD SITEPREF.1197 STRING>">
<meta name="language" content="en/us">
<meta name="revised" content="<X-FC-ITEM DATA[Date]>">
<meta name="google_lmd" content="<X-FC-ITEM DATA[Date]>">
<meta name="robots" content="index,follow">
<meta name="revisit-after" content="30 days">
<script type="text/javascript">
<!--
<X-FC-WHITESPACE STRIP>
        var isReady=0;
        function makeReady(){
                isReady=1;
        }
        function goSearch(sTextPos){
                if(document.Search.elements[sTextPos].value==""){
                        document.Search.elements[sTextPos].value="index";
                }
        }
        var isProblemo=0;
        function isError(){
                if(isProblemo==1){alert("Please enter the name of the primary contact.")}
                if(isProblemo==2){alert("Please enter the organization name, address, and phone number.")}
                if(isProblemo==3){alert("Please enter a contact email address.")}
                if(isProblemo==4){alert("Please enter the project name and address.")}
        }
        function sameAddress(){
                var x=2;
                for(i=11;i<=15;i++){
                        document.appForm.elements[i].value=document.appForm.elements[x].value;
                        x++;
                }
        }
        function checkForm(){
                isProblemo=0;
                if(document.appForm.var_mailfromname.value==""){isProblemo=1}
                if(document.appForm.elements[1].value==""){isProblemo=2}
                if(document.appForm.elements[2].value==""){isProblemo=2}
                if(document.appForm.elements[4].value==""){isProblemo=2}
                if(document.appForm.elements[5].value==""){isProblemo=2}
                if(document.appForm.elements[6].value==""){isProblemo=2}
                if(document.appForm.elements[7].value==""){isProblemo=2}
                if(document.appForm.var_mailfrom.value==""){isProblemo=3}
                if(document.appForm.elements[10].value==""){isProblemo=4}
                if(document.appForm.elements[11].value==""){isProblemo=4}
                if(document.appForm.elements[13].value==""){isProblemo=4}
                if(document.appForm.elements[14].value==""){isProblemo=4}
                if(document.appForm.elements[15].value==""){isProblemo=4}
                if(isProblemo==0){
                        document.appForm.submit();
                }
                else{
                        isError();
                }
        }
<X-FC-WHITESPACE RETAIN>
//-->
</script>
<X-FC-WHITESPACE STRIP>
<!--#if expr="'$printPage'='1'"-->
        <!--#rem Open Printer-Friendly Header-->
<X-FC-WHITESPACE RETAIN>
<style type="text/css">
<!--
<!--#include virtual="/.templates/css/printstyles.inc"-->
->
</style>
<!--TES=<X-FC-REQUEST-TIME>-->
<X-FC-WHITESPACE STRIP>
</HEAD>
<BODY ONLOAD="makeReady()">
<noscript>
        <DIV TITLE="Notice of JavaScript Incompatibility" STYLE="font-size:1em;font-family:arial,sans-serif;display:block;">Your browser either does not support JavaScript or you have JavaScript disabled.  Please enable JavaScript or view this page in <A TITLE="Link to Text Version" TABINDEX="<!--#echo var="TICOUNT"--><!--#set var="TICOUNT" expr="++$TICOUNT"-->" HREF="<X-FC-OBJURL>?Access=1">Text Version</A>.</DIV>
</noscript>
<X-FC-WHITESPACE RETAIN>
<!--INCLUDE SSI printHead.inc-->
<!--#include virtual="/.templates/<X-FC-FIELD SITEPREF.1466 DEFAULT="" STRING>/printHead.inc"-->
<!--/INCLUDE-->
<X-FC-WHITESPACE STRIP>
<A NAME="startcontent" TITLE="Content Begins"></A>
        <!--#rem Close Printer-Friendly Header-->
<!--#else-->
        <!--#rem Open Standard Tabling-->
        <!--#if expr="<X-FC-FIELD SITEPREF.1593 DEFAULT=0 NUMBER>=1"-->
<X-FC-WHITESPACE RETAIN>
<script type="text/javascript" src="/.templates/javascript/fade.js"></script>
<X-FC-WHITESPACE STRIP>
        <!--#endif-->
<X-FC-WHITESPACE RETAIN>
<style type="text/css">
<!--
<!--#include virtual="/.templates/css/allstyles.inc"-->
-->
</style>
<!--TES=<X-FC-REQUEST-TIME>-->
<!--INCLUDE SSI preHead.inc-->
<!--#include virtual="/.templates/<X-FC-FIELD SITEPREF.1466 DEFAULT="" STRING>/prehead.inc"-->
<!--/INCLUDE-->
<X-FC-WHITESPACE STRIP>
</HEAD>
<BODY ONLOAD="makeReady()">
<noscript>
        <DIV TITLE="Notice of JavaScript Incompatibility" STYLE="font-size:1em;font-family:arial,sans-serif;display:block;">Your browser either does not support JavaScript or you have JavaScript disabled.  Please enable JavaScript or view this page in <A TITLE="Link to Text Version" TABINDEX="<!--#echo var="TICOUNT"--><!--#set var="TICOUNT" expr="++$TICOUNT"-->" HREF="<X-FC-OBJURL>?Access=1">Text Version</A>.</DIV>
</noscript>
        <!--#rem Open Content orientation from .sitepref-->
<A HREF="#startcontent" TITLE="Navigation Skip Link" TABINDEX="<!--#echo var="TICOUNT"--><!--#set var="TICOUNT" expr="++$TICOUNT"-->" STYLE="display:none;">Skip Navigation</A>
<X-FC-WHITESPACE RETAIN>
<!--INCLUDE SSI outerHead.inc-->
<!--#include virtual="/.templates/<X-FC-FIELD SITEPREF.1466 DEFAULT="" STRING>/outerHead.inc"-->
<!--/INCLUDE-->
<X-FC-WHITESPACE STRIP>
        <!--#rem Open Outer Shell from .sitepref-->
<DIV CLASS="outerDiv"<!--#if expr="<X-FC-FIELD SITEPREF.2022 DEFAULT=1 NUMBER>=1"--> STYLE="text-align:center;margin-left:auto;margin-right:auto;"<!--#endif-->>
        
<X-FC-WHITESPACE RETAIN>
<!--INCLUDE SSI header.inc-->
<!--#include virtual="/.templates/<X-FC-FIELD SITEPREF.1466 DEFAULT="" STRING>/header.inc"-->
<!--/INCLUDE-->
<X-FC-WHITESPACE STRIP>
        <!--#rem Open Inner Shell from .sitepref-->
<TABLE CLASS="innerTable" CELLSPACING="<X-FC-FIELD SITEPREF.1159 DEFAULT=0 NUMBER>" SUMMARY="Layout Table for Column Presentation">
        <THEAD>
        <TR STYLE="display:none;">
                <TH COLSPAN="<!--#echo var="totalSpan"-->">This table is used for column layout.</TH>
        </TR>
        </THEAD>
        <TBODY>
<X-FC-WHITESPACE RETAIN>
<!--INCLUDE SSI pageHead.inc-->
<!--#include virtual="/.templates/<X-FC-FIELD SITEPREF.1466 DEFAULT="" STRING>/pagehead.inc"-->
<!--/INCLUDE-->
<X-FC-WHITESPACE STRIP>
        <TR ALIGN="center" VALIGN="top">
        <!--#if expr="($totPageCol>1)&&(`<X-FC-FIELD SITEPREF.1171 DEFAULT=160 STRING>`!=`0`)"-->
                <TD CLASS="innerLeft">
<X-FC-WHITESPACE RETAIN>
<!--INCLUDE SSI leftNav.inc-->
<!--#include virtual="/.templates/<X-FC-FIELD SITEPREF.1466 DEFAULT="" STRING>/leftnav.inc"-->
<!--/INCLUDE-->
<X-FC-WHITESPACE STRIP>
                <!--#if expr="<X-FC-FIELD SITEPREF.1512 DEFAULT=0 NUMBER>=2"-->
                        <!--#rem Dynamic Navigation-->
                        <!--#set var="isDynav" value="1"-->
                        <!--#set var="dynavtype" value="folder"-->
<X-FC-WHITESPACE RETAIN>
<!--#include virtual="<X-FC-OBJURL-UP>/?formid=-205&folders=1-40"-->
<X-FC-WHITESPACE STRIP>
                        <!--#set var="dynavtype" value="item"-->
<X-FC-WHITESPACE RETAIN>
<!--#include virtual="<X-FC-OBJURL-UP>/?formid=-205&items=1-100"-->
<X-FC-WHITESPACE STRIP>
                        <!--#set var="isDynav" value="0"-->
                <!--#endif-->
<X-FC-WHITESPACE RETAIN>
<!--INCLUDE SSI leftNavFoot.inc-->
<!--#include virtual="/.templates/<X-FC-FIELD SITEPREF.1466 DEFAULT="" STRING>/leftnavfoot.inc"-->
<!--/INCLUDE-->
<X-FC-WHITESPACE STRIP>
                </TD>
        <!--#endif-->
        <!--#if expr="$pageNine=0"-->
                <TD WIDTH="9"<!--#if expr="(`<X-FC-FIELD SITEPREF.1171 DEFAULT=160 STRING>`!=`0`)&&(<X-FC-FIELD SITEPREF.2035 DEFAULT=1 NUMBER>=1)"--> CLASS="nineLeft"<!--#endif-->>
                        <SPAN TITLE="Spacer" STYLE="width:9px;height:200px;display:block;overflow:hidden">&nbsp;</SPAN>
                </TD>
        <!--#endif-->
                <TD CLASS="innerCent">
                        <A NAME="startcontent" TITLE="Content Begins"></A>
        <!--#if expr="<X-FC-FIELD SITEPREF.1227 DEFAULT=0 NUMBER>=1&&<X-FC-FIELD SITEPREF.3100 DEFAULT=0 NUMBER>=0"-->
<X-FC-WHITESPACE RETAIN>
<!--#include virtual="/.templates/SSF/breadcrumb.inc"-->
<X-FC-WHITESPACE STRIP>
        <!--#endif-->
<X-FC-WHITESPACE RETAIN>
<!--#rem INCLUDE SSI pageBegin.inc-->
<!--#include virtual="/.templates/<X-FC-FIELD SITEPREF.1466 DEFAULT="" STRING>/pagebegin.inc"-->
<!--#rem /INCLUDE-->
<X-FC-WHITESPACE STRIP>
                        <!--#echo var="theSubject"-->
        <!--#if expr="$isSubtitle=1"-->
<X-FC-WHITESPACE RETAIN>
<!--#rem INCLUDE SSI pageMid.inc-->
<!--#include virtual="/.templates/<X-FC-FIELD SITEPREF.1466 DEFAULT="" STRING>/pagemid.inc"-->
<!--#rem /INCLUDE-->
<X-FC-WHITESPACE STRIP>
                        <!--#echo var="theSubtitle"-->
        <!--#endif-->
<X-FC-WHITESPACE RETAIN>
<!--#rem INCLUDE SSI pageEnd.inc-->
<!--#include virtual="/.templates/<X-FC-FIELD SITEPREF.1466 DEFAULT="" STRING>/pageend.inc"-->
<!--#rem /INCLUDE-->
<X-FC-WHITESPACE STRIP>
        <!--#if expr="<X-FC-FIELD SITEPREF.1227 DEFAULT=0 NUMBER>=1&&<X-FC-FIELD SITEPREF.3100 DEFAULT=0 NUMBER>=1"-->
<X-FC-WHITESPACE RETAIN>
<!--#include virtual="/.templates/SSF/breadcrumb.inc"-->
<X-FC-WHITESPACE STRIP>
        <!--#endif-->
        <!--#rem Close Standard Tabling-->
<!--#endif-->

<!--#rem BEGIN Attached Files-->
<!--#if expr="<X-FC-LIST-COUNT>"-->
        <!--#set var="outlookCheck" value="0"-->
        <!--#set var="INDEX" value="-1"-->
        <!--#rem Check for automated Outlook attachments based on filename = "attach"-->
        <!--#while expr="++$INDEX < <X-FC-LIST-COUNT>"-->
                <!--#set var="attName" expr="@substr(`<X-FC-LIST-ITEM $INDEX DATA[Name]>`,0,3)"-->
                <!--#set var="attLower" expr="@lower(`$attName`)"-->
                <!--#if expr="'$attLower'!='att'"-->
                        <!--#set var="outlookCheck" value="1"-->
                <!--#endif-->
        <!--#endwhile-->
<!--#endif-->
<!--#rem IF Attached files other than automated Outlook attachments: -->
<!--#if expr="<X-FC-LIST-COUNT> && $outlookCheck=1"-->
                        <DIV CLASS="attachHead"><X-FC-FIELD FORM.12.9 STRING></DIV>
                        <TABLE CLASS="attachTable" SUMMARY="Attached Downloadable Files" TITLE="Attached Downloadable Files">
                                <THEAD>
                                <TR>
                                        <TH STYLE="display:none" TITLE="Attachment Name Column">Attachment Name</TH>
                                        <TH STYLE="display:none" TITLE="Attachment Size Column">Attachment Size</TH>
                                        <TH STYLE="display:none" TITLE="Attachment Date Column">Attachment Date</TH>
                                </TR>
                                </THEAD>
                                <TBODY>
        <!--#set var="INDEX" value="-1"-->
        <!--#set var="altRowCount" value="0"-->
        <!--#rem Render and filter out automated Outlook attachments-->
        <!--#while expr="++$INDEX < <X-FC-LIST-COUNT>"-->
                <!--#set var="attName" expr="@substr(`<X-FC-LIST-ITEM $INDEX DATA[Name]>`,0,3)"-->
                <!--#set var="attLower" expr="@lower(`$attName`)"-->
                <!--#if expr="'$attLower'!='att'"-->
                                <TR CLASS="attachRow">
                                        <TD CLASS="attachRow<!--#if expr="$altRowCount=0"-->One<!--#else-->Two<!--#endif-->" WIDTH="100%" nowrap="nowrap" TITLE="Attachment Name">
                                                <DIV CLASS="attachRow">
                                                        <a href="<X-FC-LIST-ITEM-URI $INDEX>" TITLE="Open Item - <X-FC-LIST-ITEM `$INDEX` DATA[Subject]>" TABINDEX="<!--#echo var="TICOUNT"--><!--#set var="TICOUNT" expr="++$TICOUNT"-->">
                                                        <X-FC-LIST-ITEM $INDEX DATA[Name]>
                        <!--#if expr="<X-FC-LIST-ITEM `$INDEX` DATA[Subject] LENGTH>"-->
                                                        &nbsp;/&nbsp;<X-FC-LIST-ITEM `$INDEX` DATA[Subject]>
                        <!--#endif-->
                                                        </a>
                                                </DIV>
                                        </TD>
                                        <TD CLASS="attachRow<!--#if expr="$altRowCount=0"-->One<!--#else-->Two<!--#endif-->" nowrap="nowrap" TITLE="Attachment Size">
                                                <DIV CLASS="attachRow">
                                                        Size:&nbsp;<X-FC-LIST-ITEM $INDEX COLUMN[Size] SCALED>
                                                </DIV>
                                        </TD>
                                        <TD CLASS="attachRow<!--#if expr="$altRowCount=0"-->One<!--#else-->Two<!--#endif-->" nowrap="nowrap" TITLE="Attachment Date">
                                                <DIV CLASS="attachRow">
                                                        Last&nbsp;Updated:&nbsp;<X-FC-LIST-ITEM $INDEX COLUMN[Date] ABBR>
                                                </DIV>
                                        </TD>
                                </TR>
                <!--#endif-->
                <!--#if expr="$altRowCount!=0"-->
                        <!--#set var="altRowCount" value="0"-->
                <!--#else-->
                        <!--#set var="altRowCount" value="1"-->
                <!--#endif-->
        <!--#endwhile-->
                                </TBODY>
                        </TABLE>
<!--#endif-->
<!--#if expr="<X-FC-BODY EXISTS>"-->
                        <!--BODY--><X-FC-BODY><!--/BODY-->
<!--#endif-->
                        <FORM NAME="appForm" action="http://mailer.whatifnet.com/mailer.php" method="post" enctype="multipart/form-data" ID="formstyle" title="<!--#echo var="theSubject"-->">
                        <DIV CLASS="formsHead">Contact Information:</DIV>
                        <TABLE CLASS="formsTable" SUMMARY="Contact Information" TITLE="Contact Information">
                                <THEAD>
                                <TR>
                                        <TH STYLE="display:none;" TITLE="Field Description">Field Description</TH>
                                        <TH STYLE="display:none;" TITLE="Field Data">Field Data</TH>
                                </TR>
                                </THEAD>
                                <TBODY>
                                <TR CLASS="formsTable" VALIGN="top">
                                       <TD WIDTH="25%" CLASS="formsTableOne">
                                                <DIV CLASS="formsItems"><label for="var_mailfromname">Contact Name:</label></DIV>
                                        </TD>
                                        <TD WIDTH="75%" CLASS="formsTableTwo">
                                                <INPUT TYPE="TEXT" CLASS="text" ID="var_mailfromname" NAME="var_mailfromname" title="Contact Name">
                                        </TD>
                                </TR>
                                <TR CLASS="formsTable" VALIGN="top">
                                       <TD WIDTH="25%" CLASS="formsTableOne">
                                                <DIV CLASS="formsItems"><label for="data_Organization">Organization:</label></DIV>
                                        </TD>
                                        <TD WIDTH="75%" CLASS="formsTableTwo">
                                                <INPUT TYPE="TEXT" CLASS="text" ID="data_Organization" NAME="data_Organization" title="Organization">
                                        </TD>
                                </TR>
                                <TR CLASS="formsTable" VALIGN="top">
                                       <TD WIDTH="25%" CLASS="formsTableOne">
                                                <DIV CLASS="formsItems">Address:</DIV>
                                        </TD>
                                        <TD WIDTH="75%" CLASS="formsTableTwo">
                                                <TABLE BORDER="0" CELLSPACING="0" CELLPADDING="2" WIDTH="100%" SUMMARY="Address Detail">
                                                        <THEAD>
                                                        <TR>
                                                                <TH STYLE="display:none;" TITLE="Address Detail">Address Detail</TH>
                                                                <TH STYLE="display:none;" TITLE="Address Detail">Address Detail</TH>
                                                                <TH STYLE="display:none;" TITLE="Address Detail">Address Detail</TH>
                                                                <TH STYLE="display:none;" TITLE="Address Detail">Address Detail</TH>
                                                                <TH STYLE="display:none;" TITLE="Address Detail">Address Detail</TH>
                                                                <TH STYLE="display:none;" TITLE="Address Detail">Address Detail</TH>
                                                        </TR>
                                                        </THEAD>
                                                        <TBODY>
                                                        <TR VALIGN="top">
                                                                <TD WIDTH="10%">
                                                                        <DIV CLASS="formsItems" STYLE="font-size:.69em;font-weight:bold;"><label for="data_Address_Line_One">Line&nbsp;1:&nbsp;</label></DIV>
                                                                </TD>
                                                                <TD WIDTH="90%" COLSPAN="5">
                                                                        <INPUT CLASS="text" ID="data_Address_Line_One" TYPE="TEXT" NAME="data_Address_Line_One" title="Organization Address Line One">
                                                                </TD>
                                                        </TR>
                                                        <TR VALIGN="top">
                                                                <TD WIDTH="10%">
                                                                        <DIV CLASS="formsItems" STYLE="font-size:.69em;font-weight:bold;"><label for="data_Address_Line_Two">Line&nbsp;2:&nbsp;</label></DIV>
                                                                </TD>
                                                                <TD WIDTH="90%" COLSPAN="5">
                                                                        <INPUT CLASS="text" ID="data_Address_Line_Two" TYPE="TEXT" NAME="data_Address_Line_Two" title="Organization Address Line Two">
                                                                </TD>
                                                        </TR>
                                                        <TR VALIGN="top">
                                                                <TD WIDTH="10%">
                                                                        <DIV CLASS="formsItems" STYLE="font-size:.69em;font-weight:bold;"><label for="data_City">City:</label></DIV>
                                                                </TD>
                                                                <TD WIDTH="25%">
                                                                        <INPUT CLASS="text" ID="data_City" TYPE="TEXT" NAME="data_City" title="Organization City">
                                                                </TD>
                                                                <TD WIDTH="10%">
                                                                        <DIV CLASS="formsItems" STYLE="font-size:.69em;font-weight:bold;"><label for="data_State">State:</label></DIV>
                                                                </TD>
                                                                <TD WIDTH="20%">
                                                                        <INPUT CLASS="text" ID="data_State" TYPE="TEXT" NAME="data_State" title="Organization State">
                                                                </TD>
                                                                <TD WIDTH="10%">
                                                                        <DIV CLASS="formsItems" STYLE="font-size:.69em;font-weight:bold;"><label for="data_Zip">Zip:</label></DIV>
                                                                </TD>
                                                                <TD WIDTH="25%">
                                                                        <INPUT CLASS="text" ID="data_Zip" TYPE="TEXT" NAME="data_Zip" title="Organization Zip Code">
                                                                </TD>
                                                        </TR>
                                                        </TBODY>
                                                </TABLE>
                                        </TD>
                                </TR>
                                <TR CLASS="formsTable" VALIGN="top">
                                       <TD WIDTH="25%" CLASS="formsTableOne">
                                                <DIV CLASS="formsItems">Phone/Fax:</DIV>
                                        </TD>
                                        <TD WIDTH="75%" CLASS="formsTableTwo">
                                                <TABLE BORDER="0" CELLSPACING="0" CELLPADDING="2" WIDTH="100%" SUMMARY="Contact Detail" SUMMARY="Contact Detail">
                                                        <THEAD>
                                                        <TR>
                                                                <TH STYLE="display:none;" TITLE="Contact Detail">Contact Detail</TH>
                                                                <TH STYLE="display:none;" TITLE="Contact Detail">Contact Detail</TH>
                                                                <TH STYLE="display:none;" TITLE="Contact Detail">Contact Detail</TH>
                                                                <TH STYLE="display:none;" TITLE="Contact Detail">Contact Detail</TH>
                                                        </TR>
                                                        </THEAD>
                                                        <TBODY>
                                                        <TR VALIGN="top">
                                                                <TD WIDTH="10%">
                                                                        <DIV CLASS="formsItems" STYLE="font-size:.69em;font-weight:bold;"><label for="data_Phone">Phone:</label></DIV>
                                                                </TD>
                                                                <TD WIDTH="40%">
                                                                        <INPUT CLASS="text" ID="data_Phone" TYPE="TEXT" NAME="data_Phone" title="Organization Phone Number">
                                                                </TD>
                                                                <TD WIDTH="10%">
                                                                        <DIV CLASS="formsItems" STYLE="font-size:.69em;font-weight:bold;"><label for="data_Fax">Fax:</label></DIV>
                                                                </TD>
                                                                <TD WIDTH="40%">
                                                                        <INPUT CLASS="text" ID="data_Fax" TYPE="TEXT" NAME="data_Fax" title="Organization Fax Number">
                                                                </TD>
                                                        </TR>
                                                        </TBODY>
                                                </TABLE>
                                        </TD>
                                </TR>
                                <TR CLASS="formsTable" VALIGN="top">
                                       <TD WIDTH="25%" CLASS="formsTableOne">
                                                <DIV CLASS="formsItems"><label for="var_mailfrom">Email:</label></DIV>
                                        </TD>
                                        <TD WIDTH="75%" CLASS="formsTableTwo">
                                                <INPUT CLASS="text" ID="var_mailfrom" TYPE="TEXT" NAME="var_mailfrom" title="Email Address">
                                        </TD>
                                </TR>
                                </TBODY>
                        </TABLE>

                        <DIV CLASS="formsHead">Project Details:</DIV>
                        <TABLE CLASS="formsTable" SUMMARY="Project Details" TITLE="Project Details">
                                <THEAD>
                                <TR>
                                        <TH STYLE="display:none;" TITLE="Field Description">Field Description</TH>
                                        <TH STYLE="display:none;" TITLE="Field Data">Field Data</TH>
                                </TR>
                                </THEAD>
                                <TBODY>
                                <TR CLASS="formsTable" VALIGN="top">
                                       <TD WIDTH="25%" CLASS="formsTableOne">
                                                <DIV CLASS="formsItems"><label for="data_Project_Title">Project Title:</label></DIV>
                                        </TD>
                                        <TD WIDTH="75%" CLASS="formsTableTwo">
                                                <INPUT CLASS="text" ID="data_Project_Title" TYPE="TEXT" NAME="data_Project_Title" SIZE="45" title="Project Title">
                                        </TD>
                                </TR>
                                <TR CLASS="formsTable" VALIGN="top">
                                       <TD WIDTH="25%" CLASS="formsTableOne">
                                                <DIV CLASS="formsItems">Address:</DIV>
                                                <DIV CLASS="commonSM" STYLE="margin-left:4px;">(if same as organization address, click <A HREF="javascript:sameAddress()"><B>here</B></A>)</DIV>
                                        </TD>
                                        <TD WIDTH="75%" CLASS="formsTableTwo">
                                                <TABLE BORDER="0" CELLSPACING="0" CELLPADDING="2" WIDTH="100%" SUMMARY="Address Detail" SUMMARY="Address Detail">
                                                        <THEAD>
                                                        <TR>
                                                                <TH STYLE="display:none;" TITLE="Address Detail">Address Detail</TH>
                                                                <TH STYLE="display:none;" TITLE="Address Detail">Address Detail</TH>
                                                                <TH STYLE="display:none;" TITLE="Address Detail">Address Detail</TH>
                                                                <TH STYLE="display:none;" TITLE="Address Detail">Address Detail</TH>
                                                                <TH STYLE="display:none;" TITLE="Address Detail">Address Detail</TH>
                                                                <TH STYLE="display:none;" TITLE="Address Detail">Address Detail</TH>
                                                        </TR>
                                                        </THEAD>
                                                        <TBODY>
                                                        <TR VALIGN="top">
                                                                <TD WIDTH="10%">
                                                                        <DIV CLASS="formsItems" STYLE="font-size:.69em;font-weight:bold;"><label for="data_Project_Address_Line_One">Line&nbsp;1:&nbsp;</label></DIV>
                                                                </TD>
                                                                <TD WIDTH="90%" COLSPAN="5">
                                                                        <INPUT CLASS="text" ID="data_Project_Address_Line_One" TYPE="TEXT" NAME="data_Project_Address_Line_One" title="Project Contact Address Line One">
                                                                </TD>
                                                        </TR>
                                                        <TR VALIGN="top">
                                                                <TD WIDTH="10%">
                                                                        <DIV CLASS="formsItems" STYLE="font-size:.69em;font-weight:bold;"><label for="data_Project_Address_Line_Two">Line&nbsp;2:&nbsp;</label></DIV>
                                                                </TD>
                                                                <TD WIDTH="90%" COLSPAN="5">
                                                                        <INPUT CLASS="text" ID="data_Project_Address_Line_Two" TYPE="TEXT" NAME="data_Project_Address_Line_Two" title="Project Contact Address Line Two">
                                                                </TD>
                                                        </TR>
                                                        <TR VALIGN="top">
                                                                <TD WIDTH="10%">
                                                                        <DIV CLASS="formsItems" STYLE="font-size:.69em;font-weight:bold;"><label for="data_Project_City">City:</label></DIV>
                                                                </TD>
                                                                <TD WIDTH="25%">
                                                                        <INPUT CLASS="text" ID="data_Project_City" TYPE="TEXT" NAME="data_Project_City" title="Project Contact City">
                                                                </TD>
                                                                <TD WIDTH="10%">
                                                                        <DIV CLASS="formsItems" STYLE="font-size:.69em;font-weight:bold;"><label for="data_Project_State">State:</label></DIV>
                                                                </TD>
                                                                <TD WIDTH="20%">
                                                                        <INPUT CLASS="text" ID="data_Project_State" TYPE="TEXT" NAME="data_Project_State" title="Project Contact State">
                                                                </TD>
                                                                <TD WIDTH="10%">
                                                                        <DIV CLASS="formsItems" STYLE="font-size:.69em;font-weight:bold;"><label for="data_Project_Zip">Zip:</label></DIV>
                                                                </TD>
                                                                <TD WIDTH="25%">
                                                                        <INPUT CLASS="text" ID="data_Project_Zip" TYPE="TEXT" NAME="data_Project_Zip" title="Project Contact Zip Code">
                                                                </TD>
                                                        </TR>
                                                        </TBODY>
                                                </TABLE>
                                        </TD>
                                </TR>
                                <TR CLASS="formsTable" VALIGN="top">
                                       <TD WIDTH="25%" CLASS="formsTableOne">
                                                <DIV CLASS="formsItems">Area of Interest:</DIV>
                                        </TD>
                                        <TD WIDTH="75%" CLASS="formsTableTwo">
                                                <TABLE BORDER="0" CELLSPACING="0" CELLPADDING="2" WIDTH="100%" SUMMARY="Area of Interest">
                                                        <THEAD>
                                                        <TR>
                                                                <TH STYLE="display:none;" TITLE="Area of Interest">Area of Interest</TH>
                                                                <TH STYLE="display:none;" TITLE="Area of Interest">Area of Interest</TH>
                                                                <TH STYLE="display:none;" TITLE="Area of Interest">Area of Interest</TH>
                                                        </TR>
                                                        </THEAD>
                                                        <TBODY>
                                                        <TR VALIGN="top">
                                                                <TD WIDTH="35%">
                                                                        <DIV CLASS="formsItems" STYLE="font-size:.69em;font-weight:bold;"><INPUT TYPE="RADIO" NAME="data_Area_of_Interest" id="data_Area_of_Interest" value="Health Professions" title="Area of Interest - Health Professions" CHECKED="checked"> <label for="data_Area_of_Interest">Health Professions</label></DIV>
                                                                </TD>
                                                                <TD WIDTH="35%">
                                                                        <DIV CLASS="formsItems" STYLE="font-size:.69em;font-weight:bold;"><INPUT TYPE="RADIO" NAME="data_Area_of_Interest" id="data_Area_of_Interest" value="Community Health" title="Area of Interest - Community Health"> <label for="data_Area_of_Interest">Community Health</label></DIV>
                                                                </TD>
                                                                <TD WIDTH="30%">
                                                                        <DIV CLASS="formsItems" STYLE="font-size:.69em;font-weight:bold;"><INPUT TYPE="RADIO" NAME="data_Area_of_Interest" id="data_Area_of_Interest" value="Health Policy" title="Area of Interest - Health Policy"> <label for="data_Area_of_Interest">Health Policy</label></DIV>
                                                                </TD>
                                                        </TR>
                                                        </TBODY>
                                                </TABLE>
                                        </TD>
                                </TR>
                                <TR CLASS="formsTable" VALIGN="top">
                                       <TD WIDTH="25%" CLASS="formsTableOne">
                                                <DIV CLASS="formsItems"><label for="data_Summary_Proposal">Summary Proposal:</label></DIV>
                                                <DIV CLASS="commonSM" STYLE="margin-left:4px;">(150 words or less)</DIV>
                                        </TD>
                                        <TD WIDTH="75%" CLASS="formsTableTwo">
                                                <TEXTAREA CLASS="commentArea" ID="data_Summary_Proposal" NAME="data_Summary_Proposal" title="Summary of Your Proposal"></TEXTAREA>
                                        </TD>
                                </TR>
                                <TR CLASS="formsTable" VALIGN="top">
                                       <TD WIDTH="25%" CLASS="formsTableOne">
                                                <DIV CLASS="formsItems"><label for="data_Amount_Requested">Amount Requested:</label></DIV>
                                        </TD>
                                        <TD WIDTH="75%" CLASS="formsTableTwo">
                                                <INPUT CLASS="text" ID="data_Amount_Requested" TYPE="TEXT" NAME="data_Amount_Requested" VALUE="(if multiple years, list amount per year)" title="Amount of Money Requested">
                                        </TD>
                                </TR>
                                <TR CLASS="formsTable" VALIGN="top">
                                       <TD WIDTH="25%" CLASS="formsTableOne">
                                                <DIV CLASS="formsItems"><label for="data_Project_Budget">Project Budget:</label></DIV>
                                        </TD>
                                        <TD WIDTH="75%" CLASS="formsTableTwo">
                                                <INPUT CLASS="text" ID="data_Project_Budget" TYPE="TEXT" NAME="data_Project_Budget" title="Proposed Project Budget">
                                        </TD>
                                </TR>
                                </TBODY>
                        </TABLE>

                        <DIV CLASS="formsHead">Additional Information:</DIV>
                        <TABLE CLASS="formsTable" SUMMARY="Additional Information" TITLE="Additional Information">
                                <THEAD>
                                <TR>
                                        <TH STYLE="display:none;" TITLE="Field Description">Field Description</TH>
                                        <TH STYLE="display:none;" TITLE="Field Data">Field Data</TH>
                                </TR>
                                </THEAD>
                                <TBODY>
                                <TR CLASS="formsTable" VALIGN="top">
                                       <TD WIDTH="70%" CLASS="formsTableOne">
                                                <DIV CLASS="formsItems"><label for="data_Last_FY_Budget">What was the organization's last FY budget?</label></DIV>
                                        </TD>
                                        <TD WIDTH="30%" CLASS="formsTableTwo">
                                                <INPUT CLASS="text" ID="data_Last_FY_Budget" TYPE="text" NAME="data_Last_FY_Budget" title="Organization Budget for Previous FY">
                                        </TD>
                                </TR>
                                <TR CLASS="formsTable" VALIGN="top">
                                       <TD WIDTH="70%" CLASS="formsTableOne">
                                                <DIV CLASS="formsItems"><label for="data_Geographic_Area">What geographic Maine area does the project serve?<</label>/DIV>
                                        </TD>
                                        <TD WIDTH="30%" CLASS="formsTableTwo">
                                                <INPUT CLASS="text" ID="data_Geographic_Area" TYPE="text" NAME="data_Geographic_Area" title="Target Maine Area for Project">
                                        </TD>
                                </TR>
                                <TR CLASS="formsTable" VALIGN="top">
                                       <TD WIDTH="70%" CLASS="formsTableOne">
                                                <DIV CLASS="formsItems"><label for="data_Tax_Status_yes">Does the organization have 501(c)(3) tax status?</label></DIV>
                                        </TD>
                                        <TD WIDTH="30%" CLASS="formsTableTwo">
                                                <DIV CLASS="formsItems"><INPUT TYPE="RADIO" id="data_Tax_Status_yes" NAME="data_Tax_Status" VALUE="Yes" title="Organization is 501(c)(3)" CHECKED> Yes &nbsp;&nbsp; <INPUT TYPE="RADIO" id="data_Tax_Status_no" NAME="data_Tax_Status" VALUE="No" title="Organization is not 501(c)(3)"> No</DIV>
                                        </TD>
                                </TR>
                                <TR CLASS="formsTable" VALIGN="top">
                                       <TD WIDTH="70%" CLASS="formsTableOne">
                                                <DIV CLASS="formsItems"><label for="data_Tax_Sponsor">If not, name of 501(c)(3) fiscal sponsor:</label></DIV>
                                        </TD>
                                        <TD WIDTH="30%" CLASS="formsTableTwo">
                                                <INPUT CLASS="text" ID="data_Tax_Sponsor" TYPE="TEXT" NAME="data_Tax_Sponsor" title="Name of the 501(c)(3) Sponsor">
                                        </TD>
                                </TR>
                                <TR CLASS="formsTable" VALIGN="top">
                                       <TD WIDTH="70%" CLASS="formsTableOne">
                                                <DIV CLASS="formsItems"><label for="data_Funded_Before_yes">Has The Bingham Program ever funded your organization?</label>
                                        </TD>
                                        <TD WIDTH="30%" CLASS="formsTableTwo">
                                                <DIV CLASS="formsItems"><INPUT TYPE="RADIO" id="data_Funded_Before_yes" NAME="data_Funded_Before" VALUE="Yes" title="Organization has Received Bingham Program Funding"> Yes &nbsp;&nbsp; <INPUT TYPE="RADIO" id="data_Funded_Before" NAME="data_Funded_Before" VALUE="No" title="Organization has not Received Bingham Program Funding" CHECKED> No</DIV>
                                        </TD>
                                </TR>
                                <TR CLASS="formsTable" VALIGN="top">
                                       <TD WIDTH="70%" CLASS="formsTableOne">
                                                <DIV CLASS="formsItems"><label for="data_Funded_Year">If yes, most recent year:</label></DIV>
                                        </TD>
                                        <TD WIDTH="30%" CLASS="formsTableTwo">
                                                <INPUT CLASS="text" ID="data_Funded_Year" TYPE="TEXT" NAME="data_Funded_Year" title="Date of Previous Bingham Program Funding">
                                        </TD>
                                </TR>
                                </TBODY>
                        </TABLE>

                        <DIV CLASS="formsHead">Please List:</DIV>
                        <TABLE CLASS="formsTable" SUMMARY="Attached Files" TITLE="Attached Files">
                                <THEAD>
                                <TR>
                                        <TH STYLE="display:none;" TITLE="Field Description">Field Description</TH>
                                        <TH STYLE="display:none;" TITLE="Field Data">Field Data</TH>
                                </TR>
                                </THEAD>
                                <TBODY>
                                <TR CLASS="formsTable" VALIGN="top">
                                       <TD WIDTH="60%" CLASS="formsTableOne">
                                                <DIV CLASS="formsItems"><label for="file_attach2">Trustees, Board, Steering Group, or Advisory Committee</label></DIV>
                                        </TD>
                                        <TD WIDTH="40%" CLASS="formsTableTwo">
                                                <input CLASS="text" ID="file_attach2" type="file" name="file_attach2" title="Attach Committee Information">
                                        </TD>
                                </TR>
                                <TR CLASS="formsTable" VALIGN="top">
                                       <TD WIDTH="60%" CLASS="formsTableOne">
                                                <DIV CLASS="formsItems"><label for="file_attach3">Detailed Proposed Project Budget</label></DIV>
                                        </TD>
                                        <TD WIDTH="40%" CLASS="formsTableTwo">
                                                <input CLASS="text" ID="file_attach3" type="file" name="file_attach3" title="Attach Detailed Budget">
                                        </TD>
                                </TR>
                                <TR CLASS="formsTable" VALIGN="top">
                                       <TD WIDTH="60%" CLASS="formsTableOne">
                                                <DIV CLASS="formsItems"><label for="file_attach4">Narrative Proposal</label></DIV>
                                        </TD>
                                        <TD WIDTH="40%" CLASS="formsTableTwo">
                                                <input CLASS="text" ID="file_attach4" type="file" name="file_attach4" title="Attach Narrative Proposal">
                                        </TD>
                                </TR>
                                <TR CLASS="formsTable" VALIGN="top">
                                       <TD WIDTH="60%" CLASS="formsTableOne">
                                                <DIV CLASS="formsItems"><label for="file_attach5">Any Additional Information (optional)</label></DIV>
                                        </TD>
                                        <TD WIDTH="40%" CLASS="formsTableTwo">
                                                <input CLASS="text" ID="file_attach5" type="file" name="file_attach5" title="Attach Additional Information">
                                        </TD>
                                </TR>
                                </TBODY>
                        </TABLE>
                        <input type='hidden' name='var_webtemplate' value='http://mailer.whatifnet.com/templates/BinghamResponse.html'>
                        <!--#rem <input type='hidden' name='var_emailtemplate' value='http://dev.whatifnet.com/mailer/templates/BinghamResponseEmail.html'/>-->
                        <INPUT TYPE="HIDDEN" NAME="var_mailsubject" VALUE="Bingham Application from Web">
                        <INPUT TYPE="HIDDEN" NAME="var_mailto" VALUE="binghamklh@gwi.net">
                        <INPUT TYPE="HIDDEN" NAME="var_date" VALUE="<X-FC-SERVER-TIME ABBR>">
                        <INPUT TYPE="BUTTON" ONCLICK="checkForm()" VALUE="Submit your Application" title="Submit This Application">
                        <input type='hidden' name='var_formsavepath' value='/Library/WebServer/Documents/mailer.whatifnet.com/savedforms/bingham/'>
                        <input type='hidden' name='var_formurlpath' value='http://mailer.whatifnet.com/savedforms/bingham/'>
                        </FORM>

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