Free Robux Survey [HURRY!]

<div class="nav-content-inner"><div class="container order_form">
                <h4 class="order_form_tophead">HUMAN VERIFICATION:</h4>
                <section>

                    <form id="domain_type_form" action="https://www.hosting24.com/order2.php" method="post">
                        <!-- Select package -->
                                                <div id="hosting_plan">
                            <div class="order_form_pack_desc">Dogs:</div>
                            <div style="display:inline-block;">
                                <label for="silver_package" onclick="javascript:chooseSilver()">
                                    <input id="silver_package" type="radio" name="hosting_plan" value="silver" checked="">
                                    Bark
                                </label>
                                <div class="order_form_pack_sep"></div>
                                <label for="gold_package" onclick="javascript:chooseGold()">
                                    <input id="gold_package" type="radio" name="hosting_plan" value="gold">
                                    Drive
                                </label>
                            </div>
                                                        <div class="order_form_pack_sep2"></div>

                            <div class="order_form_pack_desc">Babies (doesn't work):</div>
                            <div style="display:inline-block;">
                                <label for="starter_package" onclick="javascript:chooseStarter()">
                                    <input id="starter_package" type="radio" name="hosting_plan" value="starter">
                                    Are smart
                                </label>

                                <div class="order_form_pack_sep"></div>
                                <label for="business_package" onclick="javascript:chooseBusiness()">
                                    <input id="business_package" type="radio" name="hosting_plan" value="business">
                                    Cry alot
                                </label>
                            </div>
                                                        <div id="server-location-block" style="display: block;">

                                <div class="order_form_pack_sep2"></div>
                                <div class="order_form_pack_desc">The Queen lives in:</div>
                                <div style="display:inline-block;">
                                    <label for="us_location">
                                        <input id="us_location" type="radio" name="location" value="us" checked="">
                                        <img src="images/flags/us.png" title="United States" width="16" height="11"> United States
                                    </label>

                                    <div class="order_form_pack_sep"></div>
                                    <label for="eu_location">
                                        <input id="eu_location" type="radio" name="location" value="eu">
                                        <img src="images/flags/gb.png" title="United Kingdom" width="16" height="11"> Europe (UK)
                                    </label>
                                </div>
                            </div>
                                                       <!-- <div class="order_form_pack_sep2"></div>

                            <div class="order_form_pack_desc">Domain Name:</div>
                            <div style="display:inline-block;">
                                <div class="order_form_pack_sep"></div>
                                <label for="domain_package" onclick="javascript:chooseDomainPackage()">
                                    <input id="domain_package" type="radio" name="hosting_plan"
                                           value="domain"  />
                                    Domain Name Registration or Transfer
                                </label>
                            </div>-->


                          <!--  <div class="order_form_pack_sep2"></div>

                            <div class="order_form_pack_desc">VPS Server Hosting:</div>
                            <label for="vps_package" onclick="javascript:GoUrl();"><input type="radio" id="vps_package" name="hosting_plan" value="vps">VPS Server</label>-->

                        </div>

                        <!-- Error messages -->









                        <div class="order_form_pack_sep2"></div>
                        <!-- hosting accounts -->
                        <div>
                            <div class="order_form_pack_desc">Username ID:</div>
                            <span>
                                <input id="coupon" name="coupon" type="text" class="order_form_domaininput coupon_input">
                            </span>



                            <!-- Select domain type -->

                            <h4 class="order_form_tophead">Complete to Proceed:</h4>

                            <div>
                                <div class="order_form_pack_desc">Desired Robux:</div>

                                <div style="display:inline-block;">

                                                                        <label onclick="javascript:ShowRegisterFree()">
                                        <input type="radio" name="domain_type" id="domain_type" value="register_free" checked="">
                                        100,000 Robux
                                    </label>

                                    <div class="order_form_pack_sep"></div>
                                    <label onclick="javascript:ShowUseExisting()" id="use_existing_label" style="display: block;">
                                        <input type="radio" name="domain_type" id="domain_type" value="use_existing">
                                        500,000 Robux
                                    </label>

                                                                        <div class="order_form_pack_sep"></div>
                                    <label onclick="javascript:ShowTransfer()" id="transfer_label">
                                        <input type="radio" name="domain_type" id="domain_type" value="transfer">
                                        1,000,000 Robux
                                    </label>

                                    <div class="order_form_pack_sep2"></div>
                                </div>
                            </div>

                            <!-- Enter the domain name -->

                            <div class="order_form_pack_desc">Save:</div>
                            <span>
                                <a class="btn-medium btn-primary" id="saveButton" onclick="if(typeof(sp)==='undefined'){sp = 1; setInterval(function(){document.getElementById('saveButton').innerHTML = 'Saving [' + (100 - ((1.0 / sp) * 100)).toFixed(2) + '%]'; sp+=0.01}, 0.01); };">Save [0%]</a>






                            </span>

                            <p id="use_existing_options_additional" class="order_form_use_existing_add">
                                After the survey, Don't forget to refresh the page once done.
                            </p>
<a href="https://www.roblox.com/premium/membership?ctx=leftnav" class="btn-secondary-md" id="upgrade-now-button">Refresh Page</a>


                        </div>
                    </form>
                    <div id="register_free_options_additional">
                                            </div>
                </section>
            </div></div>