<!–Begin CTCT Sign-Up Form–>

<!– EFD 1.0.0 [Thu Dec 29 12:15:06 EST 2016] –>

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   <div style=”border-radius: 5px; color: rgb(0, 0, 0); background-color: rgb(255, 255, 255);”>

       <span id=”success_message” style=”display: none;”>

           <div style=”text-align: center;”>Thanks for signing up!</div>

       </span>

       <form name=”embedded_signup” class=”ctct-custom-form Form” action=”https://visitor2.constantcontact.com/api/signup” method=”POST” data-id=”embedded_signup:form”>

           <h2 style=”margin: 0px;”>Sign up to stay in touch!</h2>

           <p>Thanks for your interest in joining our mailing list. Please complete the information below and click Sign Up.</p>

           <!– The following code must be included to ensure your sign-up form works properly. –>

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           <input name=”list” type=”hidden” value=”1971926033″ data-id=”list:input”>

           <input name=”source” type=”hidden” value=”EFD” data-id=”source:input”>

           <input name=”required” type=”hidden” value=”list,email” data-id=”required:input”>

           <input name=”url” type=”hidden” value=”” data-id=”url:input”>

           <p data-id=”Email Address:p” ><label class=”ctct-form-required” data-name=”email” data-id=”Email Address:label”>Email Address</label> <input name=”email” type=”text” maxlength=”80″ value=”” data-id=”Email Address:input”></p>

           <p data-id=”First Name:p” ><label data-name=”first_name” data-id=”First Name:label”>First Name</label> <input name=”first_name” type=”text” maxlength=”50″ value=”” data-id=”First Name:input”></p>

           <p data-id=”Last Name:p” ><label data-name=”last_name” data-id=”Last Name:label”>Last Name</label> <input name=”last_name” type=”text” maxlength=”50″ value=”” data-id=”Last Name:input”></p>

           <p data-id=”Phone Number:p” ><label data-name=”phone” data-id=”Phone Number:label”>Phone Number</label> <input name=”phone” type=”text” maxlength=”50″ value=”” data-id=”Phone Number:input”></p>

           <p data-id=”Street Address:p” ><label data-name=”address_street” data-id=”Street Address:label”>Street</label> <input name=”address_street” type=”text” maxlength=”50″ value=”” data-id=”Street Address:input”></p>

           <p data-id=”City:p” ><label data-name=”address_city” data-id=”City:label”>City</label> <input name=”address_city” type=”text” maxlength=”50″ value=”” data-id=”City:input”></p>

           <p data-id=”State/Province:p” ><label data-name=”address_state” data-id=”State/Province:label”>Select a state/province</label></p>

           <p data-id=”Zip Code:p” ><label data-name=”address_postal_code” data-id=”Zip Code:label”>Zip Code</label> <input name=”address_postal_code” type=”text” maxlength=”50″ value=”” data-id=”Zip Code:input”></p>

           <p data-id=”Job Title:p” ><label data-name=”job_title” data-id=”Job Title:label”>Job Title</label> <input name=”job_title” type=”text” maxlength=”50″ value=”” data-id=”Job Title:input”></p>

           <p data-id=”Company:p” ><label data-name=”company” data-id=”Company:label”>Company</label> <input name=”company” type=”text” maxlength=”50″ value=”” data-id=”Company:input”></p>

           <button class=”Button ctct-button Button–block Button-secondary” type=”submit” data-enabled=”enabled”>Sign Up</button>

            <div><p class=”ctct-form-footer”>By submitting this form, you are granting: Cascade Manufacturing Company, 109 Madison St SE, Cascade, Iowa, 52033, United States, https://www.cascade-mfg-co.com permission to email you. You may unsubscribe via the link found at the bottom of every email.  (See our <a href=”http://www.constantcontact.com/legal/privacy-statement” target=”_blank”>Email Privacy Policy</a> for details.) Emails are serviced by Constant Contact.</p></div>

       </form>

   </div>

</div>

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   localizedErrMap[‘required’] =                     ‘This field is required.’;

   localizedErrMap[‘ca’] =                               ‘An unexpected error occurred while attempting to send email.’;

   localizedErrMap[’email’] =                          ‘Please enter your email address in name@email.com format.’;

   localizedErrMap[‘birthday’] =                     ‘Please enter birthday in MM/DD format.’;

   localizedErrMap[‘anniversary’] =    ‘Please enter anniversary in MM/DD/YYYY format.’;

   localizedErrMap[‘custom_date’] =             ‘Please enter this date in MM/DD/YYYY format.’;

   localizedErrMap[‘list’] =                              ‘Please select at least one email list.’;

   localizedErrMap[‘generic’] =                       ‘This field is invalid.’;

   localizedErrMap[‘shared’] =                        ‘Sorry, we could not complete your sign-up. Please contact us to resolve this.’;

   localizedErrMap[‘state_mismatch’] = ‘Mismatched State/Province and Country.’;

            localizedErrMap[‘state_province’] = ‘Select a state/province’;

   localizedErrMap[‘selectcountry’] =             ‘Select a country’;

   var postURL = ‘https://visitor2.constantcontact.com/api/signup‘;

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<!–End CTCT Sign-Up Form–>