<!-- *****IMPORTANT********* Do NOT utilize a CAPTCHA with this form. There is a hidden CAPTCHA already in use, and including another one will likely break it! --> <script type="text/javascript"> ( function() { if ( typeof window.fdCheckEmail === 'undefined' ) { window.fdCheckEmail = function(form) { if(form.checkValidity()) { var email_field = jQuery( 'input[name=email]', form ); if ( email_field.length && !/^([a-zA-Z0-9_\.\-])+\@(([a-zA-Z0-9\-])+\.)+([a-zA-Z0-9]{2,4})+$/.test( email_field.val() ) ) { alert( 'Please enter a valid E-mail Address' ); return false; } return true; } else { form.reportValidity(); } }; window.fdLoadScriptsCallback = function() { jQuery( 'form[action$="/seamlessmemberjoin.jsp"] :input[name="zip"]' ).mask( '99999?-9999' ); jQuery( 'form[action$="/seamlessmemberjoin.jsp"] :input[name="phone"]' ).mask( '999-999-9999' ); jQuery( 'form[action$="/seamlessmemberjoin.jsp"] :input[name="mphone"]' ).mask( '999-999-9999' ); jQuery( 'form[action$="/seamlessmemberjoin.jsp"] :input[name="fax"]' ).mask( '999-999-9999' ); }; window.fdLoadedScripts = 0; var scriptsToLoad = [ 'js/libraries/jquery/jquery.maskedinput-1.3.1.js' ]; if ( typeof jQuery === 'undefined' ) { scriptsToLoad.unshift( 'js/libraries/jquery/jquery-1.12.4.min.js' ); } for ( var i = 0; i < scriptsToLoad.length; i++ ) { var script = document.createElement( 'script' ); script.setAttribute( 'type', 'text/javascript' ); script.setAttribute( 'src', 'https://app.firedrumemailmarketing.com/' + scriptsToLoad[i] ); script.setAttribute( 'onload', 'fdLoadedScripts++; if( fdLoadedScripts === ' + scriptsToLoad.length + '){ fdLoadScriptsCallback(); }' ); document.head.appendChild( script ); } } } )(); </script> <form method="POST" action="https://app.firedrumemailmarketing.com/seamlessmemberjoin.jsp" onsubmit="return fdCheckEmail( this )"> <table width="335" border="0" align="center" cellpadding="2" cellspacing="0"> <tr> <td>First Name</td> <td width="230"><input name="efname" type="text" size="30" maxlength="64" required></td> </tr> <tr> <td>Last Name</td> <td width="230"><input name="elname" type="text" size="30" maxlength="64" required></td> </tr> <tr> <td nowrap>Email Address*</td> <td width="230"><input name="email" type="text" size="30" maxlength="64"></td> </tr> <tr> <td>City</td> <td width="245"><input name="city" type="text" size="30" maxlength="64"></td> </tr> <tr> <td>State</td> <td> <select name="state"> <option value="">-</option> <option value="Alabama">Alabama</option> <option value="Alaska">Alaska</option> <option value="Alberta">Alberta</option> <option value="American Samoa">American Samoa</option> <option value="Arizona">Arizona</option> <option value="Arkansas">Arkansas</option> <option value="British Columbia">British Columbia</option> <option value="California">California</option> <option value="Colorado">Colorado</option> <option value="Connecticut">Connecticut</option> <option value="Delaware">Delaware</option> <option value="District of Columbia">District of Columbia</option> <option value="Florida">Florida</option> <option value="Georgia">Georgia</option> <option value="Guam">Guam</option> <option value="Hawaii">Hawaii</option> <option value="Idaho">Idaho</option> <option value="Illinois">Illinois</option> <option value="Indiana">Indiana</option> <option value="Iowa">Iowa</option> <option value="Kansas">Kansas</option> <option value="Kentucky">Kentucky</option> <option value="Louisiana">Louisiana</option> <option value="Maine">Maine</option> <option value="Manitoba">Manitoba</option> <option value="Maryland">Maryland</option> <option value="Massachusetts">Massachusetts</option> <option value="Michigan">Michigan</option> <option value="Minnesota">Minnesota</option> <option value="Mississippi">Mississippi</option> <option value="Missouri">Missouri</option> <option value="Montana">Montana</option> <option value="Nebraska">Nebraska</option> <option value="Nevada">Nevada</option> <option value="New Brunswick">New Brunswick</option> <option value="New Hampshire">New Hampshire</option> <option value="New Jersey">New Jersey</option> <option value="New Mexico">New Mexico</option> <option value="New York">New York</option> <option value="Newfoundland">Newfoundland</option> <option value="North Carolina">North Carolina</option> <option value="North Dakota">North Dakota</option> <option value="Northern Mariana Islands">Northern Mariana Islands</option> <option value="North West Territory">North West Territory</option> <option value="Nova Scotia">Nova Scotia</option> <option value="Ohio">Ohio</option> <option value="Oklahoma">Oklahoma</option> <option value="Ontario">Ontario</option> <option value="Oregon">Oregon</option> <option value="Pennsylvania">Pennsylvania</option> <option value="Puerto Rico">Puerto Rico</option> <option value="Quebec">Quebec</option> <option value="Rhode Island">Rhode Island</option> <option value="Saskatchewan">Saskatchewan</option> <option value="South Carolina">South Carolina</option> <option value="South Dakota">South Dakota</option> <option value="Tennessee">Tennessee</option> <option value="Texas">Texas</option> <option value="Trust Territories">Trust Territories</option> <option value="Utah">Utah</option> <option value="Vermont">Vermont</option> <option value="Virgin Islands">Virgin Islands</option> <option value="Virginia">Virginia</option> <option value="Washington">Washington</option> <option value="West Virginia">West Virginia</option> <option value="Wisconsin">Wisconsin</option> <option value="Wyoming">Wyoming</option> <option value="Yukon">Yukon</option> <option value="Other">Other</option> </select> </td> </tr> <tr> <td>Zip</td> <td width="245"><input name="zip" type="text" size="10" maxlength="64" required></td> </tr> <tr> <td>Mobile</td> <td width="245"><input name="mphone" type="text" size="10" maxlength="64"></td> </tr> <tr> <td> Middle Name </td> <td width="245"><input name="cust#_Middle Name" type="text" size="35" maxlength="50"></td> </tr> <tr> <td> Date of Birth </td> <td> <select name="custmonth#_Date of Birth" required> <option value="" selected >Month</option> <option value="01">January</option> <option value="02">February</option> <option value="03">March</option> <option value="04">April</option> <option value="05">May</option> <option value="06">June</option> <option value="07">July</option> <option value="08">August</option> <option value="09">September</option> <option value="10">October</option> <option value="11">November</option> <option value="12">December</option> </select> <select name="custday#_Date of Birth" required> <option value="" selected >Day</option> <option value="01">01</option> <option value="02">02</option> <option value="03">03</option> <option value="04">04</option> <option value="05">05</option> <option value="06">06</option> <option value="07">07</option> <option value="08">08</option> <option value="09">09</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 name="custyear#_Date of Birth" required> <option value="" selected>Year</option> <option value="2020">2020</option> <option value="2019">2019</option> <option value="2018">2018</option> <option value="2017">2017</option> <option value="2016">2016</option> <option value="2015">2015</option> <option value="2014">2014</option> <option value="2013">2013</option> <option value="2012">2012</option> <option value="2011">2011</option> <option value="2010">2010</option> <option value="2009">2009</option> <option value="2008">2008</option> <option value="2007">2007</option> <option value="2006">2006</option> <option value="2005">2005</option> <option value="2004">2004</option> <option value="2003">2003</option> <option value="2002">2002</option> <option value="2001">2001</option> <option value="2000">2000</option> <option value="1999">1999</option> <option value="1998">1998</option> <option value="1997">1997</option> <option value="1996">1996</option> <option value="1995">1995</option> <option value="1994">1994</option> <option value="1993">1993</option> <option value="1992">1992</option> <option value="1991">1991</option> <option value="1990">1990</option> <option value="1989">1989</option> <option value="1988">1988</option> <option value="1987">1987</option> <option value="1986">1986</option> <option value="1985">1985</option> <option value="1984">1984</option> <option value="1983">1983</option> <option value="1982">1982</option> <option value="1981">1981</option> <option value="1980">1980</option> <option value="1979">1979</option> <option value="1978">1978</option> <option value="1977">1977</option> <option value="1976">1976</option> <option value="1975">1975</option> <option value="1974">1974</option> <option value="1973">1973</option> <option value="1972">1972</option> <option value="1971">1971</option> <option value="1970">1970</option> <option value="1969">1969</option> <option value="1968">1968</option> <option value="1967">1967</option> <option value="1966">1966</option> <option value="1965">1965</option> <option value="1964">1964</option> <option value="1963">1963</option> <option value="1962">1962</option> <option value="1961">1961</option> <option value="1960">1960</option> <option value="1959">1959</option> <option value="1958">1958</option> <option value="1957">1957</option> <option value="1956">1956</option> <option value="1955">1955</option> <option value="1954">1954</option> <option value="1953">1953</option> <option value="1952">1952</option> <option value="1951">1951</option> <option value="1950">1950</option> <option value="1949">1949</option> <option value="1948">1948</option> <option value="1947">1947</option> <option value="1946">1946</option> <option value="1945">1945</option> <option value="1944">1944</option> <option value="1943">1943</option> <option value="1942">1942</option> <option value="1941">1941</option> <option value="1940">1940</option> <option value="1939">1939</option> <option value="1938">1938</option> <option value="1937">1937</option> <option value="1936">1936</option> <option value="1935">1935</option> <option value="1934">1934</option> <option value="1933">1933</option> <option value="1932">1932</option> <option value="1931">1931</option> <option value="1930">1930</option> <option value="1929">1929</option> <option value="1928">1928</option> <option value="1927">1927</option> <option value="1926">1926</option> <option value="1925">1925</option> <option value="1924">1924</option> <option value="1923">1923</option> <option value="1922">1922</option> <option value="1921">1921</option> <option value="1920">1920</option> <option value="1919">1919</option> <option value="1918">1918</option> <option value="1917">1917</option> <option value="1916">1916</option> <option value="1915">1915</option> <option value="1914">1914</option> <option value="1913">1913</option> <option value="1912">1912</option> <option value="1911">1911</option> <option value="1910">1910</option> <option value="1909">1909</option> <option value="1908">1908</option> <option value="1907">1907</option> <option value="1906">1906</option> <option value="1905">1905</option> </select> <td> </tr> <tr> <td colspan="2"> <input type="hidden" name="c00032059" value="1"> </td> </tr> <tr> <td>&nbsp;</td> <td><input type="submit" name="Submit2" value="Add"></td> </tr> </table> <input type="hidden" name="function" value="add"> <!-- *****IMPORTANT********* In the hidden field below (name=redirect) you must replace www.mythankyouwebpage.com with a page that you have created. If your account is configured to require "double opt-in" this page must let the contact know they will be sent an email that they must respond to in order to complete the registration process. <input type="hidden" name="redirect" value="http://www.continentalfirearms.com/pages/signupform"> --> <input type="hidden" name="clientid" value="00008831"> <span style="display:none;visibility:hidden;"> Please ignore this text box. It is used to detect spammers. If you enter anything into this text box, your message will not be sent. <input type="text" name="are_you_human_54" size="1" value=""> </span> </form>