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Monday, 5 May 2014

Checkboxes validation Check atleast one check box


Check validation css atlest once checked box  jquery


var chkboxstatus=0;
    if($('input.checkvalid:checked').length>0) {
        //your code here
        $('#contactpop_js').removeClass('intro');
        chkboxstatus=1;
    }else{
         $('#contactpop_js').addClass('intro');
        chkboxstatus=0;
    }

   $pdfmodalpopuphtml='';
   
   '<div class="container-fluid model_padd custom_brdr">';
             '<div class="row">';
             '<div class="col-md-6">';
           '<div class="form-group group1">';
               '<label for="inputEmail3" class="col-sm-2 control-label">First Name:</label>';
               '<div class="col-sm-8 add_margin">';
                 '<input type="text" class="form-control custom-control contact_name" id="pdfFirstName" placeholder="">';
               '</div>';
             '</div>';
             '<div class="form-group group1">';
               '<label for="inputPassword3" class="col-sm-2 control-label">Last Name:</label>';
               '<div class="col-sm-8 add_margin">';
                 '<input type="text" class="form-control custom-control " id="pdfLastName" placeholder="">';
               '</div>';
             '</div>';
             '<div class="form-group group1">';
               '<label for="inputPassword3" class="col-sm-2 control-label">Email:*</label>';
               '<div class="col-sm-8 add_margin">';
                 '<input type="email" class="form-control custom-control contact_email" id="pdfEmail" placeholder="">';
               '</div>';
             '</div>';
             '</div>';
         '<div class="col-md-6">';
          '<div class="form-group group1">';
               '<label for="inputEmail3" class="col-sm-2 control-label">State:</label>';
               '<div class="col-sm-8 add_margin">';
               
              '<select id="pdfState" name="pdflastName" class="form-control custom-control contact_select">';
                 '<option value="">Select</option>';
                 
 '<option value="Alabama">Alabama</option>';
'<option value="Alaska">Alaska</option>';
'<option value="Arizona">Arizona</option>';
'<option value="Arkansas">Arkansas</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="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="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 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="North Carolina">North Carolina</option>';
'<option value="North Dakota">North Dakota</option>';
'<option value="Ohio">Ohio</option>';
'<option value="Oklahoma">Oklahoma</option>';
'<option value="Oregon">Oregon</option>';
'<option value="Pennsylvania">Pennsylvania</option>';
'<option value="Rhode Island">Rhode Island</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="Utah">Utah</option>';
'<option value="Vermont">Vermont</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>';
        '</select>';
               
               
               
               
               
               '</div>';
             '</div>';
             '<div class="form-group group1">';
               '<label for="inputPassword3" class="col-sm-2 control-label">Phone Number:</label>';
               '<div class="col-sm-8 add_margin">';
                 '<input type="text" class="form-control custom-control" name="pdfPhone" id="pdfPhone" placeholder="">';
               '</div>';
             '</div>';
         
         '</div>';
         '</div>';
         '</div>';
         '<div class="container-fluid model_padd">';
             '<h4 for="inputEmail3" class="col-sm-10 control-label">How Did You Hear About Us:</h4>';
             '<textarea id="pdfhearabtus" name="pdfhearabtus" class="form-control custom-control" rows="2"></textarea>';
         '</div>';
         '<div class="container-fluid model_padd">';
            '<h4 for="inputEmail3" class="col-sm-10 control-label " id="contactpop_js">Which Describes You (Check as many as apply):*</h4>';
            '<label class="checkbox-inline">';
               '<input type="checkbox"  name="pdfdescribesyou[]" id="inlineCheckbox1" class="checkvalid" value="Family Member OR Friend Of Policyholder"> Family Member / Friend Of Policyholder';
             '</label>';
             '<label class="checkbox-inline">';
               '<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox2" class="checkvalid"  value="On Claim"> On Claim';
             '</label>';
             '<label class="checkbox-inline">';
                   $pdfmodalpopuphtml='';
   
   '<div class="container-fluid model_padd custom_brdr">';
             '<div class="row">';
             '<div class="col-md-6">';
           '<div class="form-group group1">';
               '<label for="inputEmail3" class="col-sm-2 control-label">First Name:</label>';
               '<div class="col-sm-8 add_margin">';
                 '<input type="text" class="form-control custom-control contact_name" id="pdfFirstName" placeholder="">';
               '</div>';
             '</div>';
             '<div class="form-group group1">';
               '<label for="inputPassword3" class="col-sm-2 control-label">Last Name:</label>';
               '<div class="col-sm-8 add_margin">';
                 '<input type="text" class="form-control custom-control " id="pdfLastName" placeholder="">';
               '</div>';
             '</div>';
             '<div class="form-group group1">';
               '<label for="inputPassword3" class="col-sm-2 control-label">Email:*</label>';
               '<div class="col-sm-8 add_margin">';
                 '<input type="email" class="form-control custom-control contact_email" id="pdfEmail" placeholder="">';
               '</div>';
             '</div>';
             '</div>';
         '<div class="col-md-6">';
          '<div class="form-group group1">';
               '<label for="inputEmail3" class="col-sm-2 control-label">State:</label>';
               '<div class="col-sm-8 add_margin">';
               
              '<select id="pdfState" name="pdflastName" class="form-control custom-control contact_select">';
                 '<option value="">Select</option>';
                 
 '<option value="Alabama">Alabama</option>';
'<option value="Alaska">Alaska</option>';
'<option value="Arizona">Arizona</option>';
'<option value="Arkansas">Arkansas</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="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="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 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="North Carolina">North Carolina</option>';
'<option value="North Dakota">North Dakota</option>';
'<option value="Ohio">Ohio</option>';
'<option value="Oklahoma">Oklahoma</option>';
'<option value="Oregon">Oregon</option>';
'<option value="Pennsylvania">Pennsylvania</option>';
'<option value="Rhode Island">Rhode Island</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="Utah">Utah</option>';
'<option value="Vermont">Vermont</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>';
        '</select>';
               
               
               
               
               
               '</div>';
             '</div>';
             '<div class="form-group group1">';
               '<label for="inputPassword3" class="col-sm-2 control-label">Phone Number:</label>';
               '<div class="col-sm-8 add_margin">';
                 '<input type="text" class="form-control custom-control" name="pdfPhone" id="pdfPhone" placeholder="">';
               '</div>';
             '</div>';
         
         '</div>';
         '</div>';
         '</div>';
         '<div class="container-fluid model_padd">';
             '<h4 for="inputEmail3" class="col-sm-10 control-label">How Did You Hear About Us:</h4>';
             '<textarea id="pdfhearabtus" name="pdfhearabtus" class="form-control custom-control" rows="2"></textarea>';
         '</div>';
         '<div class="container-fluid model_padd">';
            '<h4 for="inputEmail3" class="col-sm-10 control-label " id="contactpop_js">Which Describes You (Check as many as apply):*</h4>';
            '<label class="checkbox-inline">';
               '<input type="checkbox"  name="pdfdescribesyou[]" id="inlineCheckbox1" class="checkvalid" value="Family Member OR Friend Of Policyholder"> Family Member / Friend Of Policyholder';
             '</label>';
             '<label class="checkbox-inline">';
               '<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox2" class="checkvalid"  value="On Claim"> On Claim';
             '</label>';
             '<label class="checkbox-inline">';
               '<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox3" class="checkvalid" value="Policyholder"> Policyholder';
             '</label>';
              '<label class="checkbox-inline">';
               '<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox1" class="checkvalid"  value="Soon-to-be-on-Claim"> Soon-to-be-on-Claim';
             '</label>';
             '<label class="checkbox-inline">';
               '<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox2" class="checkvalid" value="Professional Care Provider"> Professional Care Provider ';
             '</label>';
             '<label class="checkbox-inline">';
               '<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox3" class="checkvalid" value="Attorney"> Attorney';
             '</label>';
              '<label class="checkbox-inline">';
               '<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox1" class="checkvalid" value="Insurance Agent"> Insurance Agent';
             '</label>';
             '<label class="checkbox-inline">';
               '<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox2" class="checkvalid" value="Insurance Company">Insurance Company';
             '</label>';
             '<label class="checkbox-inline">';
               '<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox3" class="checkvalid" value="Other"> Other';
             '</label>';
         '</div>';
         
//         '<div class="container-fluid model_padd custom_brdr">';
//             '<h4 for="inputEmail3" class="col-sm-10 control-label">Describes What Applies to You(optional):</h4>';
//             '<textarea class="form-control custom-control" rows="4"></textarea>';
//         '</div>';
         
         '<div class="container-fluid model_padd">';
             '<h4 for="inputEmail3" class="col-sm-10 control-label">What Is Your Message For Us</h4>';
             '<textarea id="pdfmessageforyou" name="pdfmessageforyou" class="form-control custom-control" rows="4"></textarea>';
         '</div>';
         '<p class="text-center">When you request our ‘Guide’ we will also send you a complimentary subscription to our newsletter (it’s easy to unsubscribe anytime at the bottom of any issue).<br/> Thank you!</p>';'<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox3" class="checkvalid" value="Policyholder"> Policyholder';
             '</label>';
              '<label class="checkbox-inline">';
               '<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox1" class="checkvalid"  value="Soon-to-be-on-Claim"> Soon-to-be-on-Claim';
             '</label>';
             '<label class="checkbox-inline">';
               '<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox2" class="checkvalid" value="Professional Care Provider"> Professional Care Provider ';
             '</label>';
             '<label class="checkbox-inline">';
               '<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox3" class="checkvalid" value="Attorney"> Attorney';
             '</label>';
              '<label class="checkbox-inline">';
               '<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox1" class="checkvalid" value="Insurance Agent"> Insurance Agent';
             '</label>';
             '<label class="checkbox-inline">';
               '<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox2" class="checkvalid" value="Insurance Company">Insurance Company';
             '</label>';
             '<label class="checkbox-inline">';
               '<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox3" class="checkvalid" value="Other"> Other';
             '</label>';
         '</div>';
         
//         '<div class="container-fluid model_padd custom_brdr">';
//             '<h4 for="inputEmail3" class="col-sm-10 control-label">Describes What Applies to You(optional):</h4>';
//             '<textarea class="form-control custom-control" rows="4"></textarea>';
//         '</div>';
         
         '<div class="container-fluid model_padd">';
             '<h4 for="inputEmail3" class="col-sm-10 control-label">What Is Your Message For Us</h4>';
             '<textarea id="pdfmessageforyou" name="pdfmessageforyou" class="form-control custom-control" rows="4"></textarea>';
         '</div>';
         '<p class="text-center">When you request our ‘Guide’ we will also send you a complimentary subscription to our newsletter (it’s easy to unsubscribe anytime at the bottom of any issue).<br/> Thank you!</p>';

///html code in php we can change the code into html just removing the $pdfmodalpophtml

function jquery_ajax_load_downloadpdf()
{
   
    $pdfmodalpopuphtml='';
   
    $pdfmodalpopuphtml.='<div class="container-fluid model_padd custom_brdr">';
              $pdfmodalpopuphtml.='<div class="row">';
              $pdfmodalpopuphtml.='<div class="col-md-6">';
            $pdfmodalpopuphtml.='<div class="form-group group1">';
                $pdfmodalpopuphtml.='<label for="inputEmail3" class="col-sm-2 control-label">First Name:</label>';
                $pdfmodalpopuphtml.='<div class="col-sm-8 add_margin">';
                  $pdfmodalpopuphtml.='<input type="text" class="form-control custom-control contact_name" id="pdfFirstName" placeholder="">';
                $pdfmodalpopuphtml.='</div>';
              $pdfmodalpopuphtml.='</div>';
              $pdfmodalpopuphtml.='<div class="form-group group1">';
                $pdfmodalpopuphtml.='<label for="inputPassword3" class="col-sm-2 control-label">Last Name:</label>';
                $pdfmodalpopuphtml.='<div class="col-sm-8 add_margin">';
                  $pdfmodalpopuphtml.='<input type="text" class="form-control custom-control " id="pdfLastName" placeholder="">';
                $pdfmodalpopuphtml.='</div>';
              $pdfmodalpopuphtml.='</div>';
              $pdfmodalpopuphtml.='<div class="form-group group1">';
                $pdfmodalpopuphtml.='<label for="inputPassword3" class="col-sm-2 control-label">Email:*</label>';
                $pdfmodalpopuphtml.='<div class="col-sm-8 add_margin">';
                  $pdfmodalpopuphtml.='<input type="email" class="form-control custom-control contact_email" id="pdfEmail" placeholder="">';
                $pdfmodalpopuphtml.='</div>';
              $pdfmodalpopuphtml.='</div>';
              $pdfmodalpopuphtml.='</div>';
          $pdfmodalpopuphtml.='<div class="col-md-6">';
           $pdfmodalpopuphtml.='<div class="form-group group1">';
                $pdfmodalpopuphtml.='<label for="inputEmail3" class="col-sm-2 control-label">State:</label>';
                $pdfmodalpopuphtml.='<div class="col-sm-8 add_margin">';
               
               $pdfmodalpopuphtml.='<select id="pdfState" name="pdflastName" class="form-control custom-control contact_select">';
                  $pdfmodalpopuphtml.='<option value="">Select</option>';
                 
  $pdfmodalpopuphtml.='<option value="Alabama">Alabama</option>';
 $pdfmodalpopuphtml.='<option value="Alaska">Alaska</option>';
 $pdfmodalpopuphtml.='<option value="Arizona">Arizona</option>';
 $pdfmodalpopuphtml.='<option value="Arkansas">Arkansas</option>';
 $pdfmodalpopuphtml.='<option value="California">California</option>';
 $pdfmodalpopuphtml.='<option value="Colorado">Colorado</option>';
 $pdfmodalpopuphtml.='<option value="Connecticut">Connecticut</option>';
 $pdfmodalpopuphtml.='<option value="Delaware">Delaware</option>';
 $pdfmodalpopuphtml.='<option value="District of Columbia">District of Columbia</option>';
 $pdfmodalpopuphtml.='<option value="Florida">Florida</option>';
 $pdfmodalpopuphtml.='<option value="Georgia">Georgia</option>';
 $pdfmodalpopuphtml.='<option value="Hawaii">Hawaii</option>';
 $pdfmodalpopuphtml.='<option value="Idaho">Idaho</option>';
 $pdfmodalpopuphtml.='<option value="Illinois">Illinois</option>';
 $pdfmodalpopuphtml.='<option value="Indiana">Indiana</option>';
 $pdfmodalpopuphtml.='<option value="Iowa">Iowa</option>';
 $pdfmodalpopuphtml.='<option value="Kansas">Kansas</option>';
 $pdfmodalpopuphtml.='<option value="Kentucky">Kentucky</option>';
 $pdfmodalpopuphtml.='<option value="Louisiana">Louisiana</option>';
 $pdfmodalpopuphtml.='<option value="Maine">Maine</option>';
 $pdfmodalpopuphtml.='<option value="Maryland">Maryland</option>';
 $pdfmodalpopuphtml.='<option value="Massachusetts">Massachusetts</option>';
 $pdfmodalpopuphtml.='<option value="Michigan">Michigan</option>';
 $pdfmodalpopuphtml.='<option value="Minnesota">Minnesota</option>';
 $pdfmodalpopuphtml.='<option value="Mississippi">Mississippi</option>';
 $pdfmodalpopuphtml.='<option value="Missouri">Missouri</option>';
 $pdfmodalpopuphtml.='<option value="Montana">Montana</option>';
 $pdfmodalpopuphtml.='<option value="Nebraska">Nebraska</option>';
 $pdfmodalpopuphtml.='<option value="Nevada">Nevada</option>';
 $pdfmodalpopuphtml.='<option value="New Hampshire">New Hampshire</option>';
 $pdfmodalpopuphtml.='<option value="New Jersey">New Jersey</option>';
 $pdfmodalpopuphtml.='<option value="New Mexico">New Mexico</option>';
 $pdfmodalpopuphtml.='<option value="New York">New York</option>';
 $pdfmodalpopuphtml.='<option value="North Carolina">North Carolina</option>';
 $pdfmodalpopuphtml.='<option value="North Dakota">North Dakota</option>';
 $pdfmodalpopuphtml.='<option value="Ohio">Ohio</option>';
 $pdfmodalpopuphtml.='<option value="Oklahoma">Oklahoma</option>';
 $pdfmodalpopuphtml.='<option value="Oregon">Oregon</option>';
 $pdfmodalpopuphtml.='<option value="Pennsylvania">Pennsylvania</option>';
 $pdfmodalpopuphtml.='<option value="Rhode Island">Rhode Island</option>';
 $pdfmodalpopuphtml.='<option value="South Carolina">South Carolina</option>';
 $pdfmodalpopuphtml.='<option value="South Dakota">South Dakota</option>';
 $pdfmodalpopuphtml.='<option value="Tennessee">Tennessee</option>';
 $pdfmodalpopuphtml.='<option value="Texas">Texas</option>';
 $pdfmodalpopuphtml.='<option value="Utah">Utah</option>';
 $pdfmodalpopuphtml.='<option value="Vermont">Vermont</option>';
 $pdfmodalpopuphtml.='<option value="Virginia">Virginia</option>';
 $pdfmodalpopuphtml.='<option value="Washington">Washington</option>';
 $pdfmodalpopuphtml.='<option value="West Virginia">West Virginia</option>';
 $pdfmodalpopuphtml.='<option value="Wisconsin">Wisconsin</option>';
 $pdfmodalpopuphtml.='<option value="Wyoming">Wyoming</option>';
         $pdfmodalpopuphtml.='</select>';
               
               
               
               
               
                $pdfmodalpopuphtml.='</div>';
              $pdfmodalpopuphtml.='</div>';
              $pdfmodalpopuphtml.='<div class="form-group group1">';
                $pdfmodalpopuphtml.='<label for="inputPassword3" class="col-sm-2 control-label">Phone Number:</label>';
                $pdfmodalpopuphtml.='<div class="col-sm-8 add_margin">';
                  $pdfmodalpopuphtml.='<input type="text" class="form-control custom-control" name="pdfPhone" id="pdfPhone" placeholder="">';
                $pdfmodalpopuphtml.='</div>';
              $pdfmodalpopuphtml.='</div>';
         
          $pdfmodalpopuphtml.='</div>';
          $pdfmodalpopuphtml.='</div>';
          $pdfmodalpopuphtml.='</div>';
          $pdfmodalpopuphtml.='<div class="container-fluid model_padd">';
              $pdfmodalpopuphtml.='<h4 for="inputEmail3" class="col-sm-10 control-label">How Did You Hear About Us:</h4>';
              $pdfmodalpopuphtml.='<textarea id="pdfhearabtus" name="pdfhearabtus" class="form-control custom-control" rows="2"></textarea>';
          $pdfmodalpopuphtml.='</div>';
          $pdfmodalpopuphtml.='<div class="container-fluid model_padd">';
             $pdfmodalpopuphtml.='<h4 for="inputEmail3" class="col-sm-10 control-label " id="contactpop_js">Which Describes You (Check as many as apply):*</h4>';
             $pdfmodalpopuphtml.='<label class="checkbox-inline">';
                $pdfmodalpopuphtml.='<input type="checkbox"  name="pdfdescribesyou[]" id="inlineCheckbox1" class="checkvalid" value="Family Member OR Friend Of Policyholder"> Family Member / Friend Of Policyholder';
              $pdfmodalpopuphtml.='</label>';
              $pdfmodalpopuphtml.='<label class="checkbox-inline">';
                $pdfmodalpopuphtml.='<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox2" class="checkvalid"  value="On Claim"> On Claim';
              $pdfmodalpopuphtml.='</label>';
              $pdfmodalpopuphtml.='<label class="checkbox-inline">';
                $pdfmodalpopuphtml.='<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox3" class="checkvalid" value="Policyholder"> Policyholder';
              $pdfmodalpopuphtml.='</label>';
               $pdfmodalpopuphtml.='<label class="checkbox-inline">';
                $pdfmodalpopuphtml.='<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox1" class="checkvalid"  value="Soon-to-be-on-Claim"> Soon-to-be-on-Claim';
              $pdfmodalpopuphtml.='</label>';
              $pdfmodalpopuphtml.='<label class="checkbox-inline">';
                $pdfmodalpopuphtml.='<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox2" class="checkvalid" value="Professional Care Provider"> Professional Care Provider ';
              $pdfmodalpopuphtml.='</label>';
              $pdfmodalpopuphtml.='<label class="checkbox-inline">';
                $pdfmodalpopuphtml.='<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox3" class="checkvalid" value="Attorney"> Attorney';
              $pdfmodalpopuphtml.='</label>';
               $pdfmodalpopuphtml.='<label class="checkbox-inline">';
                $pdfmodalpopuphtml.='<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox1" class="checkvalid" value="Insurance Agent"> Insurance Agent';
              $pdfmodalpopuphtml.='</label>';
              $pdfmodalpopuphtml.='<label class="checkbox-inline">';
                $pdfmodalpopuphtml.='<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox2" class="checkvalid" value="Insurance Company">Insurance Company';
              $pdfmodalpopuphtml.='</label>';
              $pdfmodalpopuphtml.='<label class="checkbox-inline">';
                $pdfmodalpopuphtml.='<input type="checkbox" name="pdfdescribesyou[]" id="inlineCheckbox3" class="checkvalid" value="Other"> Other';
              $pdfmodalpopuphtml.='</label>';
          $pdfmodalpopuphtml.='</div>';
         
//          $pdfmodalpopuphtml.='<div class="container-fluid model_padd custom_brdr">';
//              $pdfmodalpopuphtml.='<h4 for="inputEmail3" class="col-sm-10 control-label">Describes What Applies to You(optional):</h4>';
//              $pdfmodalpopuphtml.='<textarea class="form-control custom-control" rows="4"></textarea>';
//          $pdfmodalpopuphtml.='</div>';
         
          $pdfmodalpopuphtml.='<div class="container-fluid model_padd">';
              $pdfmodalpopuphtml.='<h4 for="inputEmail3" class="col-sm-10 control-label">What Is Your Message For Us</h4>';
              $pdfmodalpopuphtml.='<textarea id="pdfmessageforyou" name="pdfmessageforyou" class="form-control custom-control" rows="4"></textarea>';
          $pdfmodalpopuphtml.='</div>';
          $pdfmodalpopuphtml.='<p class="text-center">When you request our ‘Guide’ we will also send you a complimentary subscription to our newsletter (it’s easy to unsubscribe anytime at the bottom of any issue).<br/> Thank you!</p>';
   
   
     $render_string = theme('twitter_bootstrap_contact_modalpdf',
    array(
      'site_name' => 'Download PDF',
      'render_string' => $pdfmodalpopuphtml,
      )
    );
    print $render_string;
}

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