• The 2017 USOMAC Raises Money For Mental Illness

    The 2017 USOMAC is happy to be raising money to donate to Zucker Hillside Hospital Psychiatric Rehabilitation Department that provides patients with programs seven days a week in coping skills, recovery skills, and job training. Zucker Hillside Hospital is Northwell Health’s nationally recognized behavioral health center known for its pioneering clinical, teaching and research programs. Inpatient services include adolescent, adult and geriatric units. Treatment specialties include early phase treatment, depression, schizophrenia, bipolar and personality disorders,… Notice: JavaScript is required for this content. var formDisplay=1;var nfForms=nfForms||[];var form=[];form.id='55';form.settings={"objectType":"Form Setting","editActive":false,"date_updated":"2017-08-15 18:03:13","clear_complete":"1","hide_complete":"1","show_title":"0","status":"","last_sub":"5","append_page":"","ajax":"0","logged_in":"0","not_logged_in_msg":"","sub_limit_number":"","sub_limit_msg":"","paypal_express":"1","paypal_test_mode":"0","paypal_product_name":"","paypal_product_desc":"","paypal_default_total":"","title":"Donation Form","calculations":[{"errors":[],"max_options":0,"order":4,"name":"calc_479","eq":" {field:listcheckbox_478:calc}","dec":"2","settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"calculations","type":"option-repeater","label":" Add New","width":"full","group":"primary","tmpl_row":"tmpl-nf-edit-setting-calculation-repeater-row","columns":{"name":{"header":"Variable Name","default":""},"eq":{"header":"Equation","default":""},"dec":{"header":"Precision","default":"2"}},"use_merge_tags":{"exclude":["user","system","post"]}}}],"default_label_pos":"above","wrapper_class":"","element_class":"","key":"","add_submit":1,"currency":"","unique_field_error":"A form with this value has already been submitted.","formContentData":["textbox_474","textbox_475","textbox_476","listcheckbox_478","calc_479","recaptcha_480","submit_481"],"ninjaForms":"Ninja Forms","changeEmailErrorMsg":"Please enter a valid email address!","changeDateErrorMsg":"Please enter a valid date!","confirmFieldErrorMsg":"These fields must match!","fieldNumberNumMinError":"Number Min Error","fieldNumberNumMaxError":"Number Max Error","fieldNumberIncrementBy":"Please increment by ","fieldTextareaRTEInsertLink":"Insert Link","fieldTextareaRTEInsertMedia":"Insert Media","fieldTextareaRTESelectAFile":"Select a file","formErrorsCorrectErrors":"Please correct errors before submitting this form.","formHoneypot":"If you are a human seeing this field, please leave it empty.","validateRequiredField":"This is a required field.","honeypotHoneypotError":"Honeypot Error","fileUploadOldCodeFileUploadInProgress":"File Upload in Progress.","fileUploadOldCodeFileUpload":"FILE UPLOAD","currencySymbol":"$","fieldsMarkedRequired":"Fields marked with an * are required","thousands_sep":",","decimal_point":".","siteLocale":"en_US","dateFormat":"m\/d\/Y","startOfWeek":"1","of":"of","previousMonth":"Previous Month","nextMonth":"Next Month","months":["January","February","March","April","May","June","July","August","September","October","November","December"],"monthsShort":["Jan","Feb","Mar","Apr","May","Jun","Jul","Aug","Sep","Oct","Nov","Dec"],"weekdays":["Sunday","Monday","Tuesday","Wednesday","Thursday","Friday","Saturday"],"weekdaysShort":["Sun","Mon","Tue","Wed","Thu","Fri","Sat"],"weekdaysMin":["Su","Mo","Tu","We","Th","Fr","Sa"],"embed_form":"","currency_symbol":"","beforeForm":"","beforeFields":"","afterFields":"","afterForm":""};form.fields=[{"objectType":"Field","objectDomain":"fields","editActive":false,"order":0,"type":"textbox","label":"First Name","input_limit_msg":"character(s) left","label_pos":"above","placeholder":"","first_name":"","last_name":"","user_address_1":"","user_address_2":"","user_city":"","user_zip":"","user_phone":"","user_email":"","user_info_field_group":1,"disable_input":0,"mask":"","input_limit":"","input_limit_type":"char","calc_auto_include":0,"datepicker":0,"user_state":0,"autocomplete_off":0,"num_sort":0,"admin_label":"","user_info_field_group_name":"","user_info_field_group_custom":"","show_help":0,"help_text":"","show_desc":0,"desc_pos":"none","desc_text":"","paypal_item":0,"element_class":"","required":1,"key":"textbox_474","default":"","container_class":"","manual_key":false,"custom_mask":"","custom_name_attribute":"","personally_identifiable":"","id":474,"beforeField":"","afterField":"","value":"","parentType":"textbox","element_templates":["textbox","input"],"old_classname":"","wrap_template":"wrap"},{"objectType":"Field","objectDomain":"fields","editActive":false,"order":1,"type":"textbox","label":"Last Name","input_limit_msg":"character(s) left","label_pos":"above","placeholder":"","first_name":"","last_name":"","user_address_1":"","user_address_2":"","user_city":"","user_zip":"","user_phone":"","user_email":"","user_info_field_group":1,"disable_input":0,"mask":"","input_limit":"","input_limit_type":"char","calc_auto_include":0,"datepicker":0,"user_state":0,"autocomplete_off":0,"num_sort":0,"admin_label":"","user_info_field_group_name":"","user_info_field_group_custom":"","show_help":0,"help_text":"","show_desc":0,"desc_pos":"none","desc_text":"","paypal_item":0,"element_class":"","required":0,"key":"textbox_475","default":"","container_class":"","manual_key":false,"custom_mask":"","custom_name_attribute":"","personally_identifiable":"","id":475,"beforeField":"","afterField":"","value":"","parentType":"textbox","element_templates":["textbox","input"],"old_classname":"","wrap_template":"wrap"},{"objectType":"Field","objectDomain":"fields","editActive":false,"order":2,"type":"textbox","label":"School Name (Optional)","input_limit_msg":"character(s) left","label_pos":"above","placeholder":"","first_name":"","last_name":"","user_address_1":"","user_address_2":"","user_city":"","user_zip":"","user_phone":"","user_email":"","user_info_field_group":1,"disable_input":0,"mask":"","input_limit":"","input_limit_type":"char","calc_auto_include":0,"datepicker":0,"user_state":0,"autocomplete_off":0,"num_sort":0,"admin_label":"","user_info_field_group_name":"","user_info_field_group_custom":"","show_help":0,"help_text":"","show_desc":0,"desc_pos":"none","desc_text":"","paypal_item":0,"element_class":"","required":0,"key":"textbox_476","default":"","container_class":"","manual_key":false,"custom_mask":"","custom_name_attribute":"","personally_identifiable":"","id":476,"beforeField":"","afterField":"","value":"","parentType":"textbox","element_templates":["textbox","input"],"old_classname":"","wrap_template":"wrap"},{"objectType":"Field","objectDomain":"fields","editActive":false,"order":3,"type":"listcheckbox","label":"Donation Amount","input_limit_msg":"character(s) left","label_pos":"left","list_type":"checkbox","multi_size":5,"list_show_value":0,"list":[],"user_info_field_group":"","calc_auto_include":1,"user_state":0,"num_sort":0,"admin_label":"","show_help":0,"help_text":"","show_desc":0,"desc_pos":"none","desc_text":"","paypal_item":1,"list_label_product_name":1,"element_class":"","required":1,"options":[{"errors":[],"max_options":0,"label":"$1","value":"$1","calc":"1","selected":"0","settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New Import","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"","default":0}}}},{"errors":[],"max_options":0,"label":"$5","value":"$5","calc":"5","selected":"0","settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New Import","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"","default":0}}}},{"errors":[],"max_options":0,"label":"$10","value":"$10","calc":"10","selected":"0","settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New Import","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"","default":0}}}},{"errors":[],"max_options":0,"label":"$15","value":"$15","calc":"15","selected":"0","settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New Import","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"","default":0}}}},{"errors":[],"max_options":0,"label":"$20","value":"$20","calc":"20","selected":"0","settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New Import","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"","default":0}}}},{"errors":[],"max_options":0,"label":"$25","value":"$25","calc":"25","selected":"0","settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New Import","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"","default":0}}}},{"errors":[],"max_options":0,"label":"$30","value":"$30","calc":"30","selected":"0","settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New Import","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"","default":0}}}},{"errors":[],"max_options":0,"label":"$40","value":"$40","calc":"40","selected":"0","settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New Import","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"","default":0}}}},{"errors":[],"max_options":0,"label":"$50","value":"$50","calc":"50","selected":"0","settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New Import","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"","default":0}}}},{"errors":[],"max_options":0,"label":"$60","value":"$60","calc":"60","selected":"0","settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New Import","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"","default":0}}}},{"errors":[],"max_options":0,"label":"$80","value":"$80","calc":"80","selected":"0","settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New Import","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"","default":0}}}},{"errors":[],"max_options":0,"label":"$100","value":"$100","calc":"100","selected":"0","settingModel":{"settings":false,"hide_merge_tags":false,"error":false,"name":"options","type":"option-repeater","label":"Options Add New Import","width":"full","group":"","value":[{"label":"One","value":"one","calc":"","selected":0,"order":0},{"label":"Two","value":"two","calc":"","selected":0,"order":1},{"label":"Three","value":"three","calc":"","selected":0,"order":2}],"columns":{"label":{"header":"Label","default":""},"value":{"header":"Value","default":""},"calc":{"header":"Calc Value","default":""},"selected":{"header":"","default":0}}}}],"key":"listcheckbox_478","container_class":"","id":478,"beforeField":"","afterField":"","value":"","parentType":"list","element_templates":["listcheckbox","input"],"old_classname":"list-checkbox","wrap_template":"wrap"},{"objectType":"Field","objectDomain":"fields","editActive":false,"order":4,"type":"html","def_id":17,"calc_name":"total","default_value":"","calc_display_type":"text","label":"Total","label_pos":"above","calc_display_text_disabled":1,"calc_display_html":"[ninja_forms_calc]\r\n","show_help":0,"help_text":"","calc_method":"auto","calc":[{"op":"add","field":""},{"op":"add","field":""},{"op":"add","field":""},{"op":"add","field":""},{"op":"add","field":""}],"calc_eq":"5 + 5","payment_field_group":1,"payment_total":1,"payment_sub_total":0,"calc_places":2,"calc_auto_include":0,"calc_option":0,"conditional":"","admin_label":"","show_desc":0,"desc_pos":"none","desc_text":"","paypal_item":0,"element_class":"","default":"Total{calc:calc_479}","key":"calc_479","container_class":"","id":479,"beforeField":"","afterField":"","value":"Total{calc:calc_479}","parentType":"html","element_templates":["html","input"],"old_classname":"","wrap_template":"wrap"},{"objectType":"Field","objectDomain":"fields","editActive":false,"order":5,"type":"recaptcha","label":"Confirm that you are not a bot","input_limit_msg":"character(s) left","label_pos":"above","show_desc":0,"desc_pos":"none","desc_text":"","required":1,"key":"recaptcha_480","container_class":"","element_class":"","size":"visible","id":480,"beforeField":"","afterField":"","value":"","parentType":"textbox","element_templates":["recaptcha","input"],"old_classname":"","wrap_template":"wrap","site_key":"6LfgehMTAAAAAPNNsuPoRM-9flBr6WtiIoO3wsrK","theme":"light","lang":"en"},{"objectType":"Field","objectDomain":"fields","editActive":false,"order":6,"type":"submit","label":"Submit","input_limit_msg":"character(s) left","show_help":0,"help_text":"","show_desc":0,"desc_pos":"none","desc_text":"","processing_label":"Processing","element_class":"","key":"submit_481","container_class":"","id":481,"beforeField":"","afterField":"","value":"","label_pos":"above","parentType":"textbox","element_templates":["submit","button","input"],"old_classname":"","wrap_template":"wrap-no-label"}];nfForms.push(form);


    Continue reading