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document.write('<script type=\"text/javascript\" src=\"https://assets.bravenet.com/bn/js/emailfwd/bn_email_forms.min.js\"></script><link rel=\"stylesheet\" href=\"https://pub16.bravenet.com/emailfwd/v2/bnet-form.css.php?usernum=1306169700&formid=3839&formpadding=0\"><form method=\"post\" class=\"bnet-form\" enctype=\"multipart/form-data\" action=\"#bn-ajax-post:1306169700:16:3839\"><div class=\"bn-form-header\"><div class=\"bn-form-legend\"><div>Springbrook Contact Form</div></div> <div class=\"bn-form-desc\"><p>Please read and complete all mandatory fields - these are marked with an asterisk (*) failure to do so will not send this form correctly. Please verify your form before submitting thank you! THIS FORM IS NOT TO CANCEL YOUR RESERVATION. Please call 570-799-5118</p></div></div><div class=\"fields-wrapper\"><label class=\"bn-row\"><span class=\"bn-label\">Full Name <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-1\" placeholder=\"your first and last name\" validator=\"\" required=\"required\" value=\"\"></span></label></div><div class=\"fields-wrapper\"><label class=\"bn-row\"><span class=\"bn-label\">Email Address <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-2\" placeholder=\"you must enter a valid email address\" validator=\"email\" required=\"required\" value=\"\"></span></label></div><div class=\"fields-wrapper\"><label class=\"bn-row\"><span class=\"bn-label\">Phone (area code included) <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-159022856055542\" placeholder=\"Please put your contact number with area code included?\" validator=\"\" required=\"required\" value=\"\"></span></label></div><div class=\"fields-wrapper\"><label class=\"bn-row\"><span class=\"bn-label\">Desired Arrival Date? <span class=\"bn-required\">*</span></span> <span class=\"bn-input bn-date-input\"><input type=\"text\" name=\"Field-159022795858079\" validator=\"date\" placeholder=\"mm/dd/yyyy\" required=\"required\" value=\"\"> <span class=\"material-icons bn-date-pick\">date_range</span></span></label></div><div class=\"fields-wrapper\"><div class=\"bn-row\"><span class=\"bn-label\">Type of Reservation? <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><span class=\"bn-select\"><select name=\"Field-171682196649959[]\" required=\"required\"><option value=\"Tent Site\" selected=\"\">Tent Site</option><option value=\"Trailer Site\">Trailer Site</option><option value=\"Springbrook Trailer Rental (Salem)\">Springbrook Trailer Rental (Salem)</option><option value=\"Cabin Rental\">Cabin Rental</option></select></span></span></div></div><div class=\"fields-wrapper\"><label class=\"bn-row\"><span class=\"bn-label\">Number of Nights? <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-1590228447475104\" placeholder=\"How many nights to stay?\" validator=\"\" required=\"required\" value=\"\"></span></label></div><div class=\"fields-wrapper\"><label class=\"bn-row\"><span class=\"bn-label\">Trailer Length? <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><input type=\"text\" name=\"Field-159022806254833\" placeholder=\"The Length of your camper?\" validator=\"\" required=\"required\" value=\"\"></span></label></div><div class=\"fields-wrapper\"><div class=\"bn-row\"><span class=\"bn-label\">Do you have any pets? <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><span class=\"bn-select\"><select name=\"Field-159022821094815[]\" required=\"required\"><option value=\"No, I don\'t have any pets\" selected=\"\">No, I don\'t have any pets</option><option value=\"1 Pet\">1 Pet</option><option value=\"2 Pets\">2 Pets</option><option value=\"More then 2 Pets \">More then 2 Pets </option></select></span></span></div></div><div class=\"fields-wrapper\"><div class=\"bn-row\"><span class=\"bn-label\">Preferred Contact Method? <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><span class=\"bn-select\"><select name=\"Field-159040289185454[]\" required=\"required\"><option value=\"By Phone\">By Phone</option><option value=\"Both Phone &amp; Email\">Both Phone &amp; Email</option><option value=\"By Email \" selected=\"\">By Email </option></select></span></span></div></div><div class=\"fields-wrapper\"><label class=\"bn-row\"><span class=\"bn-label\">Comments or Concerns <span class=\"bn-required\">*</span></span> <span class=\"bn-input\"><textarea name=\"Field-3\" placeholder=\"Please enter your comments or concerns here.\" validator=\"\" required=\"required\"></textarea></span></label></div>  <input type=\"hidden\" name=\"carboncopy\" value=\"reservation@springbrookcampground.com,mlipsky@gmail.com,springbrookcampground@gmail.com\"> <input type=\"hidden\" name=\"thankyou\" value=\"https://www.springbrookcampground.com/thanks.htm\"> <input type=\"hidden\" name=\"thankyoutext\" value=\"\"> <input type=\"hidden\" name=\"subject\" value=\"Springbrook Contact Form\"><div class=\"bn-form-submit\"><button type=\"submit\" class=\"formbtn\">Submit Form</button></div> <style type=\"text/css\">.bnet-form ::-webkit-input-placeholder {');
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