

<!-- CGI test -->


    <div style="display:none">in-list</div>


<!DOCTYPE html>
<!--[if lt IE 7]>      <html class="no-js lt-ie9 lt-ie8 lt-ie7"> <![endif]-->
<!--[if IE 7]>         <html class="no-js lt-ie9 lt-ie8"> <![endif]-->
<!--[if IE 8]>         <html class="no-js lt-ie9"> <![endif]-->
<!--[if gt IE 8]><!--> <html class="no-js"> <!--<![endif]-->
<!-- This will read the request for login/logout form submissions -->
<!-- Usage: -->
<head>
  <meta charset='utf-8'>
  <!-- Always force latest IE rendering engine or request Chrome Frame -->
  <meta content='IE=edge,chrome=1' http-equiv='X-UA-Compatible'>
  <meta content='width=device-width' name='viewport'>
  <!-- Metadata --->
  
  
  <title>Astronomy Club of Lompoc | Request an Event | Night Sky Network</title>
  <!-- Stylesheets -->
  <link href="styles_css/public_manifest.css" media="screen" rel="stylesheet" type="text/css" />
  <link href="styles_css/overrides.css" media="screen" rel="stylesheet" type="text/css" />
  <link href='https://fonts.googleapis.com/css?family=Lato:400,600' rel='stylesheet prefetch' type='text/css'>
  <link href='https://fonts.googleapis.com/css?family=Roboto+Condensed:300,400' rel='stylesheet prefetch' type='text/css'>
  <link rel="apple-touch-icon" href="/apple-touch-icon.png?m=0718201602" />
  <!-- Javascript: Set js_Request_PathLevel -->
  <!-- Set the javascript relative URLs to work with CF server setup -->
  <script>
    /* Setting javascript variable for Request.PathLevel */
    console.log("Setting js_Request_PathLevel to '': ");
    var js_Request_PathLevel = "";
  </script>
  <!-- Javascript -->
  <script src="js/public_manifest.js" type="text/javascript"></script>
  
  <script src="js/geoposition.js" type="text/javascript"></script>
  <script src="js/geolocation.js" type="text/javascript"></script>
  <script src="https://maps.googleapis.com/maps/api/js?key=AIzaSyC2MMlgKonrQGudrzZPh8aucDzuKdluMHs&v=3.exp" type="text/javascript"></script>
  
  
	<script id="_fed_an_js_tag" type="text/javascript" src="js/federated-analytics.all.min.js?agency=NASA&subagency=JPL-Night-Sky-Network&camto=6&pua=UA-4391123-3">
	</script>

	
	<!-- SiteCatalyst code version: H.20.3.
	Copyright 1997-2009 Omniture, Inc. More info available at http://www.omniture.com -->
	<script language="JavaScript" type="text/javascript" src="s_code.js"></script>
	<script language="JavaScript" type="text/javascript"><!--
	/* You may give each page an identifying name, server, and channel on the next lines. */
	s.pageName="Night Sky Network: Request an Event"
	s.channel="home"
	/************* DO NOT ALTER ANYTHING BELOW THIS LINE ! **************/ var s_code=s.t();if(s_code)document.write(s_code)//--></script>

	<!-- End SiteCatalyst code version: H.20.3. -->
  <script>
    mb_utils.initResponsiveElement('#clubs_events', '#clubs_events_container_desktop', '#clubs_events_container_mobile');
    mb_utils.initResponsiveElement('#search_module', '#search_container_desktop', '#search_container_mobile');
    mb_utils.initResponsiveElement('.share_follow', '#share_follow_desktop', '#share_follow_mobile');
    mb_utils.initResponsiveElement('.open_items', '#desktop_open_items', '#mobile_open_items');
    $(window).bind("load", function() { $('.dropkick_menu, #dropkick_change_tab, #dropkick_nav, #dropkick_subnav').css('visibility','visible'); });
  </script>
  <style>
    #clubs_events, #search_module, .share_follow, .open_items { visibility: hidden; }
    .dropkick_menu, #dropkick_change_tab, #dropkick_nav, #dropkick_subnav { visibility: hidden; }
  </style>
</head>
<body class='mobile_menu logged_out' id='club-eventrequest'>
  <!--[if lt IE 8]>
  <p class="browsehappy">You are using an <strong>outdated</strong> browser. Please <a href="http://browsehappy.com/">upgrade your browser</a>.</p>
  <![endif]-->
  <div id="ip_address" style="display: none;">
	64.252.66.193
  </div>
  <div class='container' id='main_container'>
    
    <header class='clearfix' id='parent_header'>
      <div id='parent_brand'>
        <a class='logo' href='http://www.nasa.gov' id='nasa_logo' target='_blank'>
          <img src='images/nasa_logo.png'>
        </a>
        <div id='jplcaltech_logos'>
          <a class='logo' href='http://jpl.nasa.gov' id='jpl_logo' target='_blank'>Jet Propulsion Laboratory</a>
          <a class='logo' href='http://caltech.edu' id='caltech_logo' target='_blank'>California Institute of Technology</a>
        </div>
      </div>
      <nav id='parent_nav'>
        <div id='parent_themes'>
          <a href='http://www.jpl.nasa.gov/' target='_blank'>JPL HOME</a>
          <a href='http://www.jpl.nasa.gov/earth/' target='_blank'>EARTH</a>
          <a href='http://www.jpl.nasa.gov/solar-system/' target='_blank'>SOLAR SYSTEM</a>
          <a href='http://www.jpl.nasa.gov/stars-galaxies/' target='_blank'>STARS & GALAXIES</a>
          <a href='http://scienceandtechnology.jpl.nasa.gov/' target='_blank'>SCIENCE & TECHNOLOGY</a>
        </div>
        <div id='parent_share'>
          <b>BRING THE UNIVERSE TO YOU</b>
          <a class='nav_item ir facebook' href='https://www.facebook.com/NASAJPL' target='_blank'>facebook</a>
          <a class='nav_item ir twitter' href='https://twitter.com/NASAJPL' target='_blank'>twitter</a>
          <a class='nav_item ir gplus' href='https://plus.google.com/+NASAJPL/posts' target='_blank'>google plus</a>
        </div>
      </nav>
    </header>
	
	
    <header id='site_header'>
      <a class='visuallyhidden focusable' href='#main'>Skip Navigation</a>
      <a class='menu_button' href='javascript:void(0);'></a>
      <div class='clearfix' id='site_brand'>
        <a alt='NASA' class='logo' href='http://www.nasa.gov' id='nasa_logo' target='_blank'>
          <img data-at2x='images/logo-nasa@2x.png' src='images/logo-nasa.png'>
        </a>
        <a alt='Night Sky Network' class='logo' href='index.cfm' id='site_logo'>
          <img src='images/logo-nsn.png'>
        </a>
        <a href='index.cfm' id='site_subtitle'>Astronomy clubs bringing the wonders of the universe to the public</a>
        <div id='site_partners'>
          <a class='asp_logo logo' href='http://www.astrosociety.org/' target='_blank'>
            <img data-at2x='images/logo-asp@2x.png' src='images/logo-asp.png'>
          </a>
          <div id='asp_text'>
            In partnership with the<br>Astronomical Society of the Pacific
          </div>
        </div>
        <div class='login_modal'>
          <div class='login_modal_form'>
            <div class='title'>Log in to Night Sky Network</div>
            <form action='https://nightsky.jpl.nasa.gov/login-process.cfm' method='post' name='input'>
              <input name='do' type='hidden' value='login'>
              <label for='Member_Name'>Username</label> 
              <input name='Member_Name' type='text'>
              <label for='Password'>Password</label>
              <input name='Password' type='password' type='text'>
              <div class='submit'>
                <input type='submit' value='Submit'>
              </div>
              <footer>
                <a href='https://nightsky.jpl.nasa.gov/login-help-password.cfm'>Forgot your password?</a>
              </footer>
            </form>
          </div>
        </div>
        <div class='login_btn button hide_on_logged_in'>LOGIN</div>
        <div class='logout'>
          <form action='https://nightsky.jpl.nasa.gov/logout.cfm' method='post' name='input'>
            <input name='do' type='hidden' value='logout'>
            
            <input name='logout' type='submit' value='logout'>
          </form>
        </div>
      </div>
    </header>
	
	
    <div class='clearfix' id='global_nav_container'>
      <nav id='global_nav'>
        <ul id='nav'>
          <li class='hide_on_logged_out'>
		    
				
          </li>
          <li>
            <a href='clubs-and-events.cfm'>CLUBS & EVENTS</a>
          </li>
          <li>
            <a href='planner.cfm'>NIGHT SKY PLANNER</a>
          </li>
          <li>
            <a href='download-search.cfm'>OUTREACH RESOURCES</a>
          </li>
          <li>
            <a href='about.cfm'>ABOUT THE NETWORK</a>
            <div class='global_subnav_container'>
              <ul class='subnav'>
                <li>
                  <a href='apply.cfm'>Join the Network</a>
                </li>
                <li>
                  <a href='faq.cfm'>FAQ</a>
                </li>
                <li>
                  <a href='docs/ParticipationPrivacy.pdf' target='_blank'>Guidelines & Privacy Policies</a>
                </li>
              </ul>
            </div>
          </li>
          <li>
            <a href='search.cfm'>SITE SEARCH</a>
          </li>
          <li class='hide_on_desktop'>
            <a href='#'>FOLLOW US</a>
            <div class='global_subnav_container'>
              <ul class='subnav'>
                <li>
                  <a href='https://www.facebook.com/nightskynetwork'>Facebook</a>
                </li>
                <li>
                  <a href='https://twitter.com/nightskynetwork'>Twitter</a>
                </li>
              </ul>
            </div>
          </li>
        </ul>
        <div class='gradient_line'></div>
      </nav>
    </div>
	
	
	<div class='clearfix' id='site_body' role='main'>
      <div id='page'>
        
		
		<div class='clearfix' id='primary_column'>
			
			  <header class='page_header clearfix' id='club_header'>
				
					<img class='club_logo' src='club/logos/acl_logo_00.jpg' alt='Astronomy Club of Lompoc Logo'>
				
				
					<h2 class='club_title'>Astronomy Club of Lompoc</h2>
				
			  </header>
			  <nav class='secondary_nav_desktop full_container clearfix'>
				<ul class='hide_on_logged_in'>
					
						<li>
							<a class='' href="club-view.cfm?Club_ID=1143">About ACL</a>
							
						</li>
					
						<li>
							<a class='' href="http://acl.universeii.com/index.html" target="_blank">Club Website</a>
							
						</li>
					
						<li>
							<a class='' href="event-list.cfm?Club_ID=1143">Events</a>
							
						</li>
					
						<li>
							<a class='' href="club-view-addresses.cfm?Club_ID=1143">Locations</a>
							
						</li>
					
						<li>
							<a class='active' href="club-eventrequest.cfm?Club_ID=1143">Request an Event</a>
							
						</li>
					
						<li>
							<a class='' href="club-apply.cfm?Club_ID=1143&ApplicantType=Public">Join Club</a>
							
						</li>
					
						<li>
							<a class='' href="club-apply.cfm?Club_ID=1143&ApplicantType=Member">Register</a>
							
						</li>
					
						<li>
							<a class='' href="email.cfm?Club_Name=Astronomy%20Club%20of%20Lompoc&Club_ID=1143">Contact Club</a>
							
						</li>
					
				</ul>
				<div class='gradient_line_half'></div>
			  </nav>
			  <nav class='secondary_nav_mobile full_container clearfix'>
				<select id='dropkick_nav'>
					
						<option class='logged_out' value='club-view.cfm?Club_ID=1143'>About ACL</option>
						
					
						<option class='logged_out' value='http://acl.universeii.com/index.html'>Club Website</option>
						
					
						<option class='logged_out' value='event-list.cfm?Club_ID=1143'>Events</option>
						
					
						<option class='logged_out' value='club-view-addresses.cfm?Club_ID=1143'>Locations</option>
						
					
						<option class='logged_out' value='club-eventrequest.cfm?Club_ID=1143' selected>Request an Event</option>
						
					
						<option class='logged_out' value='club-apply.cfm?Club_ID=1143&ApplicantType=Public'>Join Club</option>
						
					
						<option class='logged_out' value='club-apply.cfm?Club_ID=1143&ApplicantType=Member'>Register</option>
						
					
						<option class='logged_out' value='email.cfm?Club_Name=Astronomy%20Club%20of%20Lompoc&Club_ID=1143'>Contact Club</option>
						
					
				</select>
			  </nav>
			
	
				<header class='page_header'>
				  <h3 class='title'>Request an Event</h3>
				  
				</header>
			
			
		<div class="description wysiwyg">
		

		</div>
		
		
		<p>Please complete this form to request an Event or Service from our club.</p>
		
          <form action='https://nightsky.jpl.nasa.gov/club-eventrequest-process.cfm' id='request_an_event' method='post' name='request_an_event'>
			  <INPUT TYPE="hidden" NAME="Club_ID" VALUE="1143">
			  <INPUT TYPE="hidden" NAME="Event_ID" VALUE="0">
              <h3 class='form_heading'>EVENT DETAILS</h3>
              <ul class='form_container'>
                <li>
                  <fieldset class='date'>
                    <label>
                      Requested event date
                    </label>
                    <select class='dropkick_menu' id='StartMonth' name='StartMonth'>
                      <option value=''>Month</option>
                      
						<OPTION VALUE="1">Jan</OPTION>
					  
						<OPTION VALUE="2">Feb</OPTION>
					  
						<OPTION VALUE="3">Mar</OPTION>
					  
						<OPTION VALUE="4">Apr</OPTION>
					  
						<OPTION VALUE="5">May</OPTION>
					  
						<OPTION VALUE="6">Jun</OPTION>
					  
						<OPTION VALUE="7">Jul</OPTION>
					  
						<OPTION VALUE="8">Aug</OPTION>
					  
						<OPTION VALUE="9">Sep</OPTION>
					  
						<OPTION VALUE="10">Oct</OPTION>
					  
						<OPTION VALUE="11">Nov</OPTION>
					  
						<OPTION VALUE="12">Dec</OPTION>
					  
                    </select>
                    <select class='dropkick_menu' id='StartDay' name='StartDay'>
                      <option value=''>Day</option>
                      
						<OPTION VALUE="1">1</OPTION>
					  
						<OPTION VALUE="2">2</OPTION>
					  
						<OPTION VALUE="3">3</OPTION>
					  
						<OPTION VALUE="4">4</OPTION>
					  
						<OPTION VALUE="5">5</OPTION>
					  
						<OPTION VALUE="6">6</OPTION>
					  
						<OPTION VALUE="7">7</OPTION>
					  
						<OPTION VALUE="8">8</OPTION>
					  
						<OPTION VALUE="9">9</OPTION>
					  
						<OPTION VALUE="10">10</OPTION>
					  
						<OPTION VALUE="11">11</OPTION>
					  
						<OPTION VALUE="12">12</OPTION>
					  
						<OPTION VALUE="13">13</OPTION>
					  
						<OPTION VALUE="14">14</OPTION>
					  
						<OPTION VALUE="15">15</OPTION>
					  
						<OPTION VALUE="16">16</OPTION>
					  
						<OPTION VALUE="17">17</OPTION>
					  
						<OPTION VALUE="18">18</OPTION>
					  
						<OPTION VALUE="19">19</OPTION>
					  
						<OPTION VALUE="20">20</OPTION>
					  
						<OPTION VALUE="21">21</OPTION>
					  
						<OPTION VALUE="22">22</OPTION>
					  
						<OPTION VALUE="23">23</OPTION>
					  
						<OPTION VALUE="24">24</OPTION>
					  
						<OPTION VALUE="25">25</OPTION>
					  
						<OPTION VALUE="26">26</OPTION>
					  
						<OPTION VALUE="27">27</OPTION>
					  
						<OPTION VALUE="28">28</OPTION>
					  
						<OPTION VALUE="29">29</OPTION>
					  
						<OPTION VALUE="30">30</OPTION>
					  
						<OPTION VALUE="31">31</OPTION>
					  
                    </select>
                    <select class='dropkick_menu' id='StartYear' name='StartYear'>
                      <option value=''>Year</option>
                      
						<OPTION VALUE="2021">2021</OPTION>
					  
						<OPTION VALUE="2022">2022</OPTION>
					  
						<OPTION VALUE="2023">2023</OPTION>
					  
						<OPTION VALUE="2024">2024</OPTION>
					  
						<OPTION VALUE="2025">2025</OPTION>
					  
						<OPTION VALUE="2026">2026</OPTION>
					  
                    </select>
                  </fieldset>
                </li>
                <li>
                  <fieldset class='date'>
                    <label>
                       Backup date
                    </label>
                    <select class='dropkick_menu' id='BackupMonth' name='BackupMonth'>
                      <option value=''>Month</option>
                      
						<OPTION VALUE="1">Jan</OPTION>
					  
						<OPTION VALUE="2">Feb</OPTION>
					  
						<OPTION VALUE="3">Mar</OPTION>
					  
						<OPTION VALUE="4">Apr</OPTION>
					  
						<OPTION VALUE="5">May</OPTION>
					  
						<OPTION VALUE="6">Jun</OPTION>
					  
						<OPTION VALUE="7">Jul</OPTION>
					  
						<OPTION VALUE="8">Aug</OPTION>
					  
						<OPTION VALUE="9">Sep</OPTION>
					  
						<OPTION VALUE="10">Oct</OPTION>
					  
						<OPTION VALUE="11">Nov</OPTION>
					  
						<OPTION VALUE="12">Dec</OPTION>
					  
                    </select>
                    <select class='dropkick_menu' id='BackupDay' name='BackupDay'>
                      <option value=''>Day</option>
                      
						<OPTION VALUE="1">1</OPTION>
					  
						<OPTION VALUE="2">2</OPTION>
					  
						<OPTION VALUE="3">3</OPTION>
					  
						<OPTION VALUE="4">4</OPTION>
					  
						<OPTION VALUE="5">5</OPTION>
					  
						<OPTION VALUE="6">6</OPTION>
					  
						<OPTION VALUE="7">7</OPTION>
					  
						<OPTION VALUE="8">8</OPTION>
					  
						<OPTION VALUE="9">9</OPTION>
					  
						<OPTION VALUE="10">10</OPTION>
					  
						<OPTION VALUE="11">11</OPTION>
					  
						<OPTION VALUE="12">12</OPTION>
					  
						<OPTION VALUE="13">13</OPTION>
					  
						<OPTION VALUE="14">14</OPTION>
					  
						<OPTION VALUE="15">15</OPTION>
					  
						<OPTION VALUE="16">16</OPTION>
					  
						<OPTION VALUE="17">17</OPTION>
					  
						<OPTION VALUE="18">18</OPTION>
					  
						<OPTION VALUE="19">19</OPTION>
					  
						<OPTION VALUE="20">20</OPTION>
					  
						<OPTION VALUE="21">21</OPTION>
					  
						<OPTION VALUE="22">22</OPTION>
					  
						<OPTION VALUE="23">23</OPTION>
					  
						<OPTION VALUE="24">24</OPTION>
					  
						<OPTION VALUE="25">25</OPTION>
					  
						<OPTION VALUE="26">26</OPTION>
					  
						<OPTION VALUE="27">27</OPTION>
					  
						<OPTION VALUE="28">28</OPTION>
					  
						<OPTION VALUE="29">29</OPTION>
					  
						<OPTION VALUE="30">30</OPTION>
					  
						<OPTION VALUE="31">31</OPTION>
					  
                    </select>
                    <select class='dropkick_menu' id='BackupYear' name='BackupYear'>
                      <option value=''>Year</option>
                      
						<OPTION VALUE="2021">2021</OPTION>
					  
						<OPTION VALUE="2022">2022</OPTION>
					  
						<OPTION VALUE="2023">2023</OPTION>
					  
						<OPTION VALUE="2024">2024</OPTION>
					  
						<OPTION VALUE="2025">2025</OPTION>
					  
						<OPTION VALUE="2026">2026</OPTION>
					  
                    </select>
                  </fieldset>
                </li>
                <li>
                  <label for='Event_Name'>Name of event</label>
                  <input id="Event_Name" maxlength="255" name="Event_Name" size="30" type="text" value="">
                </li>
                <li>
                  <label for='Description'>Please describe the services you are requesting</label>
                  <div class='note'>(type of event, topics to be covered, etc.)</div>
                  <textarea cols='50' id='Description' name='Description' rows='5'></textarea>
                </li>
                <li>
                  <label for='Expected_Visitors'>Expected number of visitors</label>
                  <input id='Expected_Visitors' maxlength='5' name='Expected_Visitors' size='5' type='number' value=''>
                </li>
                <li>
                  <label for='Expected_AgeGroups'>Expected age group of visitors</label>
                  <input id="Expected_AgeGroups" maxlength="255" name="Expected_AgeGroups" size="30" type="text" value="">
                </li>
                <li>
                  <label for='Presented_To'>Name of group the event is for</label>
                  <div class='note'>(no abbreviations please)</div>
                  <input id="Presented_To" maxlength="255" name="Presented_To" size="30" type="text" value="">
                </li>
                <li>
                  <fieldset class='time'>
                    <label>Event start time</label>
                    <input id='StartTimeH' maxlength='2' name='StartTimeH' size='2' type='number' value=''>
                    :
                    <input id='StartTimeM' maxlength='2' name='StartTimeM' size='2' type='number' value=''>
                    <select class='dropkick_menu' id='StartTimeT' name='StartTimeT'>
                      <OPTION VALUE="AM">AM</OPTION>
					  <OPTION VALUE="PM" SELECTED>PM</OPTION>
                      <option value=''>--</option>
                    </select>
                  </fieldset>
                </li>
                <li>
                  <fieldset class='time'>
                    <label>Event end time</label>
                    <input id='EndTimeH' maxlength='2' name='EndTimeH' size='2' type='number' value=''>
                    :
                    <input id='EndTimeM' maxlength='2' name='EndTimeM' size='2' type='number' value=''>
                    <select class='dropkick_menu' id='EndTimeT' name='EndTimeT'>
                      <OPTION VALUE="AM">AM</OPTION>
					  <OPTION VALUE="PM" SELECTED>PM</OPTION>
                      <option value=''>--</option>
                    </select>
                  </fieldset>
                </li>
                <li>
                  <fieldset class='length'>
                    <label>Expected length of event</label>
                    <input id='Event_Length' maxlength='10' name='Event_Length' size='10' type='number' value=''>
                    <select class='dropkick_menu' id='Event_Length_Unit' name='Event_Length_Unit'>
						<OPTION VALUE="minutes">minute(s)</OPTION>
						<OPTION VALUE="hours" SELECTED>hour(s)</OPTION>
						<OPTION VALUE="days">day(s)</OPTION>
						<OPTION VALUE="words">words</OPTION>
                    </select>
                  </fieldset>
                </li>
                <li class='gradient_line'></li>
                <h3 class='form_heading'>EVENT LOCATION</h3>
                <li>
                  <label for='Facil_Name'>Facility name</label>
                  <div class='note'>
                    (no abbreviations please)
                  </div>
                  <input id="Facil_Name" maxlength="255" name="Facil_Name" size="50" type="text" value="">
                </li>
                <li>
                  <fieldset class='address'>
                    <ul>
                      <li>
                        <label for='Address1'>Address</label>
                        <input id="Address1" maxlength="50" name="Address1" size="50" type="text" value="">
                      </li>
                      <li>
                        <label for='City'>City</label>
                        <input id="City" maxlength="50" name="City" size="50" type="text" value="">
                      </li>
                      <li>
                        <!-- /used to float left -->
                        <div class='state_container'>
                          <label for='State'>State</label>
                          <select class='dropkick_menu' id='State' name='State'>
                            <option value=''>(select state or territory)</option>
							
								<OPTION VALUE="AL">Alabama</OPTION>
							
								<OPTION VALUE="AK">Alaska</OPTION>
							
								<OPTION VALUE="AZ">Arizona</OPTION>
							
								<OPTION VALUE="AR">Arkansas</OPTION>
							
								<OPTION VALUE="CA">California</OPTION>
							
								<OPTION VALUE="CO">Colorado</OPTION>
							
								<OPTION VALUE="CT">Connecticut</OPTION>
							
								<OPTION VALUE="DE">Delaware</OPTION>
							
								<OPTION VALUE="FL">Florida</OPTION>
							
								<OPTION VALUE="GA">Georgia</OPTION>
							
								<OPTION VALUE="HI">Hawaii</OPTION>
							
								<OPTION VALUE="ID">Idaho</OPTION>
							
								<OPTION VALUE="IL">Illinois</OPTION>
							
								<OPTION VALUE="IN">Indiana</OPTION>
							
								<OPTION VALUE="IA">Iowa</OPTION>
							
								<OPTION VALUE="KS">Kansas</OPTION>
							
								<OPTION VALUE="KY">Kentucky</OPTION>
							
								<OPTION VALUE="LA">Louisiana</OPTION>
							
								<OPTION VALUE="ME">Maine</OPTION>
							
								<OPTION VALUE="MD">Maryland</OPTION>
							
								<OPTION VALUE="MA">Massachusetts</OPTION>
							
								<OPTION VALUE="MI">Michigan</OPTION>
							
								<OPTION VALUE="MN">Minnesota</OPTION>
							
								<OPTION VALUE="MS">Mississippi</OPTION>
							
								<OPTION VALUE="MO">Missouri</OPTION>
							
								<OPTION VALUE="MT">Montana</OPTION>
							
								<OPTION VALUE="NE">Nebraska</OPTION>
							
								<OPTION VALUE="NV">Nevada</OPTION>
							
								<OPTION VALUE="NH">New Hampshire</OPTION>
							
								<OPTION VALUE="NJ">New Jersey</OPTION>
							
								<OPTION VALUE="NM">New Mexico</OPTION>
							
								<OPTION VALUE="NY">New York</OPTION>
							
								<OPTION VALUE="NC">North Carolina</OPTION>
							
								<OPTION VALUE="ND">North Dakota</OPTION>
							
								<OPTION VALUE="OH">Ohio</OPTION>
							
								<OPTION VALUE="OK">Oklahoma</OPTION>
							
								<OPTION VALUE="OR">Oregon</OPTION>
							
								<OPTION VALUE="PA">Pennsylvania</OPTION>
							
								<OPTION VALUE="RI">Rhode Island</OPTION>
							
								<OPTION VALUE="SC">South Carolina</OPTION>
							
								<OPTION VALUE="SD">South Dakota</OPTION>
							
								<OPTION VALUE="TN">Tennessee</OPTION>
							
								<OPTION VALUE="TX">Texas</OPTION>
							
								<OPTION VALUE="UT">Utah</OPTION>
							
								<OPTION VALUE="VT">Vermont</OPTION>
							
								<OPTION VALUE="VA">Virginia</OPTION>
							
								<OPTION VALUE="WA">Washington</OPTION>
							
								<OPTION VALUE="WV">West Virginia</OPTION>
							
								<OPTION VALUE="WI">Wisconsin</OPTION>
							
								<OPTION VALUE="WY">Wyoming</OPTION>
							
								<OPTION VALUE="DC">District of Columbia</OPTION>
							
								<OPTION VALUE="AS">American Samoa</OPTION>
							
								<OPTION VALUE="FM">Federated States of Micronesia</OPTION>
							
								<OPTION VALUE="GU">Guam</OPTION>
							
								<OPTION VALUE="MH">Marshall Islands</OPTION>
							
								<OPTION VALUE="MP">Northern Mariana Islands</OPTION>
							
								<OPTION VALUE="PW">Palau</OPTION>
							
								<OPTION VALUE="PR">Puerto Rico</OPTION>
							
								<OPTION VALUE="VI">Virgin Islands</OPTION>
							
                          </select>
                        </div>
                        <div class="zip_container"><label for="Zip">Zip</label><input id="Zip" maxlength="10" name="Zip" size="5" type="number" value="">
                        </div>
                      </li>
                    </ul>
                  </fieldset>
                  <li>
                    <label for='PublicInstructions'>Special instructions</label>
                    <textarea cols='50' id='PublicInstructions' name='PublicInstructions' rows='5'></textarea>
                  </li>
                  <li class='gradient_line'></li>
                  <h3 class='form_heading'>CONTACT INFORMATION</h3>
                  <li>
                    <label for='Submitter_Name'>Who should we contact?</label>
                    <div class='note'>(name)</div>
                    <input maxlength="50" name="Submitter_Name" size="30" type="text" value="">
                  </li>
                  <li>
                    <label for='Submitter_Email'>Email</label>
                    <input id="Submitter_Email" maxlength="50" name="Submitter_Email" size="30" type="email" value="">
                  </li>
                  <li>
                    <label for='Submitter_Phone'>Phone number</label>
                    <input id="Submitter_Phone" maxlength="50" name="Submitter_Phone" size="30" type="tel" value="">
                  </li>
                </li>
                <li>
                  <label for='LinkURL'>Website URL for more information</label>
                  <input id='LinkURL' maxlength='255' name='LinkURL' size='30' type='text' value='http://'>
                </li>
                <li class='gradient_line'></li>
                <li>
                   <div class="g-recaptcha" data-sitekey="6Ld8yMYSAAAAAAWZVKBdtHjOM86uXcP_SijimY5_"></div>
                   <script type="text/javascript" src="https://www.google.com/recaptcha/api.js?hl=en"></script>
                </li>
              </ul>
			  <input type="hidden" name="userip" value="64.252.66.193">
			  <input type="hidden" name="browsertype" value="CCBot/2.0 (https://commoncrawl.org/faq/)">
            <footer class='form_footer'>
              <hr><input class='buttons' onclick='transferValues();' type='submit' value='Submit'><input class='buttons minor_btn' name='Reset' type='Reset' value='Reset Form'>
            </footer>
            </form>


			</div>
		
		
			<div class='clearfix' id='secondary_column'>
				
				
		    <div class='share_follow clearfix'>
		  
            
			</div>


		    <div class='share_follow clearfix'>
		  
          
			  <aside class='follow clearfix' id='follow_us'>
				<h4 class='article_heading'>FOLLOW THE NIGHT SKY NETWORK</h4>
				<div class='social_icons'>
				  <a class='nav_item ir facebook' href='https://www.facebook.com/nightskynetwork' target='_blank'>facebook</a>
				  <a class='nav_item ir twitter' href='https://twitter.com/nightskynetwork' target='_blank'>twitter</a>
				</div>
			  </aside>
			</div>


			</div>
		
	  </div>
	</div>
	
	
	<footer class='clearfix' id='site_footer'>
      <nav>
        <div class='clearfix' id='f_1'>
          <a class='asp_logo logo' href='http://www.astrosociety.org/' target='_blank'>
            <img data-at2x='images/logo-asp@2x.png' src='images/logo-asp.png'>
          </a>
          <a href='http://nightsky.jpl.nasa.gov/docs/ParticipationPrivacy.pdf' target='_blank'>PRIVACY</a>
          <a href='faq.cfm'>FAQ</a>
          <a href='contact.cfm'>CONTACT</a>
          <a href='search.cfm'>SITE SEARCH</a><br>
          Site Manager: <a href='contact.cfm'>Vivian White</a><br>
          Webmaster: <a href='contact.cfm'>David Martin</a>
        </div>
        <hr>
        <div class='clearfix' id='f_2'>
          <div id='jplcaltech_logos'>
            <a class='logo' href='http://jpl.nasa.gov' id='jpl_logo' target='_blank'>Jet Propulsion Laboratory</a>
            <a class='logo' href='http://caltech.edu' id='caltech_logo' target='_blank'>California Institute of Technology</a>
          </div>
        </div>
        <div class='clearfix' id='f_3'>
          <nav id='parent_nav'>
            <div id='parent_themes'>
              <a href='http://www.jpl.nasa.gov/' target='_blank'>JPL HOME</a>
              <a href='http://www.jpl.nasa.gov/earth/' target='_blank'>EARTH</a>
              <a href='http://www.jpl.nasa.gov/solar-system/' target='_blank'>SOLAR SYSTEM</a>
              <a href='http://www.jpl.nasa.gov/stars-galaxies/' target='_blank'>STARS & GALAXIES</a>
              <a href='http://scienceandtechnology.jpl.nasa.gov/' target='_blank'>SCIENCE & TECHNOLOGY</a>
            </div>
            <div id='parent_share'>
              <b>BRING THE UNIVERSE TO YOU</b>
              <a class='nav_item ir facebook' href='https://www.facebook.com/NASAJPL' target='_blank'>facebook</a>
              <a class='nav_item ir twitter' href='https://twitter.com/NASAJPL' target='_blank'>twitter</a>
              <a class='nav_item ir gplus' href='https://plus.google.com/+NASAJPL/posts' target='_blank'>google plus</a>
            </div>
          </nav>
        </div>
        <hr>
        <div class='clearfix' id='f_4'>
          <div id='asp_text'>
            <a href='http://www.astrosociety.org/' target='_blank'>In partnership with the <br />Astronomical Society of the Pacific</a>
          </div>
        </div>
      </nav>
    </footer>
	
  </div>
  <script src='js/vendor/retina.js' type='text/javascript'></script>
</body>