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- array(22) {
- ["#tree"]=>
- bool(true)
- ["step_1_title"]=>
- array(11) {
- ["#type"]=>
- string(6) "markup"
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- NULL
- ["#weight"]=>
- string(2) "90"
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- string(126) "<h1 style="margin:-25px 0px -9px;padding:8px;background:#ff3300;color:#fff;font-size:20px">Personal and Plan Information</h1>
- "
- ["#format"]=>
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- ["#theme_wrappers"]=>
- array(1) {
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- string(125) "<h1 style="margin:-25px 0px -9px;padding:8px;background:#ff3300;color:#fff;font-size:20px">Personal and Plan Information</h1>"
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- string(103) "<em>**You must have Medicare Part A or Part B (or both) to join a Medicare prescription drug plan.</em>"
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- "
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- "
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- Mrs.|Mrs.
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- }
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- }
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- bool(false)
- }
- }
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- ["#weight"]=>
- string(2) "93"
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- }
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- string(2) "21"
- ["form_key"]=>
- string(5) "row_7"
- ["name"]=>
- string(5) "Row 7"
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- string(10) "layout_box"
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- }
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- ["form_key"]=>
- string(5) "email"
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- string(5) "email"
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- ["name"]=>
- string(21) "Confirm Email Address"
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- }
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- string(1) "0"
- ["weight"]=>
- string(2) "96"
- ["page_num"]=>
- int(1)
- }
- }
- }
- ["#prefix"]=>
- string(5) "<div>"
- ["#suffix"]=>
- string(6) "</div>"
- ["#attached"]=>
- array(1) {
- ["css"]=>
- array(1) {
- [0]=>
- string(47) "sites/all/modules/webform_layout/layout_box.css"
- }
- }
- ["#access"]=>
- bool(true)
- ["#webform_private"]=>
- int(0)
- ["#validated"]=>
- bool(true)
- ["#webform_validated"]=>
- bool(false)
- ["email"]=>
- array(16) {
- ["#type"]=>
- string(13) "webform_email"
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- string(13) "Email Address"
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- string(6) "before"
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- string(0) ""
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- string(1) "0"
- ["#weight"]=>
- string(2) "94"
- ["#description"]=>
- string(0) ""
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- array(1) {
- ["class"]=>
- array(1) {
- [0]=>
- string(5) "email"
- }
- }
- ["#element_validate"]=>
- array(1) {
- [0]=>
- string(23) "_webform_validate_email"
- }
- ["#theme_wrappers"]=>
- array(1) {
- [0]=>
- string(15) "webform_element"
- }
- ["#translatable"]=>
- array(2) {
- [0]=>
- string(5) "title"
- [1]=>
- string(11) "description"
- }
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- ["cid"]=>
- string(2) "13"
- ["pid"]=>
- string(3) "159"
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- string(5) "email"
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- string(13) "Email Address"
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- string(5) "email"
- ["value"]=>
- string(0) ""
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- string(2) "94"
- ["page_num"]=>
- int(1)
- }
- ["#webform_private"]=>
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- ["#validated"]=>
- bool(true)
- ["#webform_validated"]=>
- bool(false)
- }
- ["confirm_email"]=>
- array(16) {
- ["#type"]=>
- string(13) "webform_email"
- ["#title"]=>
- string(21) "Confirm Email Address"
- ["#title_display"]=>
- string(6) "before"
- ["#default_value"]=>
- string(0) ""
- ["#required"]=>
- string(1) "0"
- ["#weight"]=>
- string(2) "96"
- ["#description"]=>
- string(0) ""
- ["#attributes"]=>
- array(1) {
- ["class"]=>
- array(1) {
- [0]=>
- string(5) "email"
- }
- }
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- array(1) {
- [0]=>
- string(23) "_webform_validate_email"
- }
- ["#theme_wrappers"]=>
- array(1) {
- [0]=>
- string(15) "webform_element"
- }
- ["#translatable"]=>
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- string(5) "title"
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- }
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- ["pid"]=>
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- string(21) "Confirm Email Address"
- ["type"]=>
- string(5) "email"
- ["value"]=>
- string(0) ""
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- ["xml"]=>
- int(0)
- ["title_display"]=>
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- }
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- }
- ["mandatory"]=>
- string(1) "0"
- ["weight"]=>
- string(2) "96"
- ["page_num"]=>
- int(1)
- }
- ["#webform_private"]=>
- int(0)
- ["#validated"]=>
- bool(true)
- ["#webform_validated"]=>
- bool(false)
- }
- }
- }
- ["different_mailing_address"]=>
- array(17) {
- ["#title"]=>
- string(26) "different mailing address "
- ["#title_display"]=>
- string(4) "none"
- ["#required"]=>
- string(1) "0"
- ["#weight"]=>
- string(2) "96"
- ["#description"]=>
- string(0) ""
- ["#theme_wrappers"]=>
- array(2) {
- [0]=>
- string(10) "checkboxes"
- [1]=>
- string(15) "webform_element"
- }
- ["#pre_render"]=>
- array(0) {
- }
- ["#translatable"]=>
- array(3) {
- [0]=>
- string(5) "title"
- [1]=>
- string(11) "description"
- [2]=>
- string(7) "options"
- }
- ["#options"]=>
- array(1) {
- ["different"]=>
- string(89) "Check this ONLY if your mailing address is DIFFERENT than your Permanent Resident Address"
- }
- ["#default_value"]=>
- array(0) {
- }
- ["#type"]=>
- string(10) "checkboxes"
- ["#process"]=>
- array(2) {
- [0]=>
- string(23) "form_process_checkboxes"
- [1]=>
- string(25) "webform_expand_select_ids"
- }
- ["#access"]=>
- bool(true)
- ["#webform_component"]=>
- array(11) {
- ["nid"]=>
- int(250)
- ["cid"]=>
- string(2) "23"
- ["pid"]=>
- string(1) "0"
- ["form_key"]=>
- string(25) "different_mailing_address"
- ["name"]=>
- string(26) "different mailing address "
- ["type"]=>
- string(6) "select"
- ["value"]=>
- string(0) ""
- ["extra"]=>
- array(18) {
- ["items"]=>
- string(99) "different|Check this ONLY if your mailing address is DIFFERENT than your Permanent Resident Address"
- ["multiple"]=>
- int(1)
- ["xml"]=>
- int(0)
- ["title_display"]=>
- string(4) "none"
- ["private"]=>
- int(0)
- ["aslist"]=>
- int(0)
- ["optrand"]=>
- int(0)
- ["other_option"]=>
- NULL
- ["other_text"]=>
- string(8) "Other..."
- ["description"]=>
- string(0) ""
- ["custom_keys"]=>
- bool(false)
- ["options_source"]=>
- string(0) ""
- ["conditional_component"]=>
- string(0) ""
- ["conditional_operator"]=>
- string(1) "="
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- ["xml_order"]=>
- string(0) ""
- ["uc_first"]=>
- int(0)
- ["uc_words"]=>
- int(0)
- }
- ["mandatory"]=>
- string(1) "0"
- ["weight"]=>
- string(2) "96"
- ["page_num"]=>
- int(1)
- }
- ["#webform_private"]=>
- int(0)
- ["#validated"]=>
- bool(true)
- ["#webform_validated"]=>
- bool(false)
- }
- ["mailing_address"]=>
- array(17) {
- ["#type"]=>
- string(8) "fieldset"
- ["#title"]=>
- string(44) "Mailing Address (enter complete information)"
- ["#title_display"]=>
- NULL
- ["#weight"]=>
- string(2) "97"
- ["#description"]=>
- string(0) ""
- ["#collapsible"]=>
- int(0)
- ["#collapsed"]=>
- int(0)
- ["#attributes"]=>
- array(1) {
- ["class"]=>
- array(1) {
- [0]=>
- string(26) "webform-component-fieldset"
- }
- }
- ["#pre_render"]=>
- array(2) {
- [0]=>
- string(26) "webform_fieldset_prerender"
- [1]=>
- string(29) "webform_element_title_display"
- }
- ["#translatable"]=>
- array(2) {
- [0]=>
- string(5) "title"
- [1]=>
- string(11) "description"
- }
- ["#access"]=>
- bool(true)
- ["#webform_component"]=>
- array(12) {
- ["nid"]=>
- int(250)
- ["cid"]=>
- string(2) "22"
- ["pid"]=>
- string(1) "0"
- ["form_key"]=>
- string(15) "mailing_address"
- ["name"]=>
- string(44) "Mailing Address (enter complete information)"
- ["type"]=>
- string(8) "fieldset"
- ["value"]=>
- string(0) ""
- ["extra"]=>
- array(15) {
- ["xml"]=>
- int(0)
- ["uc_first"]=>
- int(0)
- ["uc_words"]=>
- int(0)
- ["title_display"]=>
- int(0)
- ["private"]=>
- int(0)
- ["collapsible"]=>
- int(0)
- ["collapsed"]=>
- int(0)
- ["webform_conditional_field_value"]=>
- string(9) "different"
- ["webform_conditional_cid"]=>
- string(2) "23"
- ["webform_conditional_operator"]=>
- string(1) "="
- ["description"]=>
- string(0) ""
- ["xml_order"]=>
- string(0) ""
- ["conditional_component"]=>
- string(0) ""
- ["conditional_operator"]=>
- string(1) "="
- ["conditional_values"]=>
- string(0) ""
- }
- ["mandatory"]=>
- string(1) "0"
- ["weight"]=>
- string(2) "97"
- ["page_num"]=>
- int(1)
- ["children"]=>
- array(2) {
- [160]=>
- array(12) {
- ["nid"]=>
- int(250)
- ["cid"]=>
- string(3) "160"
- ["pid"]=>
- string(2) "22"
- ["form_key"]=>
- string(5) "row_8"
- ["name"]=>
- string(5) "Row 8"
- ["type"]=>
- string(10) "layout_box"
- ["value"]=>
- string(0) ""
- ["extra"]=>
- array(9) {
- ["xml"]=>
- int(0)
- ["private"]=>
- int(0)
- ["align"]=>
- string(5) "equal"
- ["conditional_component"]=>
- string(0) ""
- ["conditional_operator"]=>
- string(1) "="
- ["conditional_values"]=>
- string(0) ""
- ["xml_order"]=>
- string(0) ""
- ["uc_first"]=>
- int(0)
- ["uc_words"]=>
- int(0)
- }
- ["mandatory"]=>
- string(1) "0"
- ["weight"]=>
- string(2) "88"
- ["page_num"]=>
- int(1)
- ["children"]=>
- array(2) {
- [7]=>
- array(11) {
- ["nid"]=>
- int(250)
- ["cid"]=>
- string(1) "7"
- ["pid"]=>
- string(3) "160"
- ["form_key"]=>
- string(4) "dst1"
- ["name"]=>
- string(17) "Mailing Address *"
- ["type"]=>
- string(9) "textfield"
- ["value"]=>
- string(0) ""
- ["extra"]=>
- array(17) {
- ["xml"]=>
- int(0)
- ["uc_first"]=>
- int(0)
- ["uc_words"]=>
- int(0)
- ["title_display"]=>
- string(6) "before"
- ["private"]=>
- int(0)
- ["disabled"]=>
- int(0)
- ["unique"]=>
- int(0)
- ["maxlength"]=>
- string(2) "30"
- ["width"]=>
- string(0) ""
- ["field_prefix"]=>
- string(0) ""
- ["field_suffix"]=>
- string(0) ""
- ["description"]=>
- string(0) ""
- ["attributes"]=>
- array(0) {
- }
- ["xml_order"]=>
- string(0) ""
- ["conditional_component"]=>
- string(0) ""
- ["conditional_operator"]=>
- string(1) "="
- ["conditional_values"]=>
- string(0) ""
- }
- ["mandatory"]=>
- string(1) "0"
- ["weight"]=>
- string(2) "89"
- ["page_num"]=>
- int(1)
- }
- [8]=>
- array(11) {
- ["nid"]=>
- int(250)
- ["cid"]=>
- string(1) "8"
- ["pid"]=>
- string(3) "160"
- ["form_key"]=>
- string(4) "dst2"
- ["name"]=>
- string(17) "Mailing Address 2"
- ["type"]=>
- string(9) "textfield"
- ["value"]=>
- string(0) ""
- ["extra"]=>
- array(17) {
- ["xml"]=>
- int(0)
- ["xml_order"]=>
- string(0) ""
- ["title_display"]=>
- string(6) "before"
- ["private"]=>
- int(0)
- ["disabled"]=>
- int(0)
- ["unique"]=>
- int(0)
- ["maxlength"]=>
- string(2) "30"
- ["width"]=>
- string(0) ""
- ["field_prefix"]=>
- string(0) ""
- ["field_suffix"]=>
- string(0) ""
- ["description"]=>
- string(0) ""
- ["attributes"]=>
- array(0) {
- }
- ["conditional_component"]=>
- string(0) ""
- ["conditional_operator"]=>
- string(1) "="
- ["conditional_values"]=>
- string(0) ""
- ["uc_first"]=>
- int(0)
- ["uc_words"]=>
- int(0)
- }
- ["mandatory"]=>
- string(1) "0"
- ["weight"]=>
- string(2) "90"
- ["page_num"]=>
- int(1)
- }
- }
- }
- [161]=>
- array(12) {
- ["nid"]=>
- int(250)
- ["cid"]=>
- string(3) "161"
- ["pid"]=>
- string(2) "22"
- ["form_key"]=>
- string(5) "row_9"
- ["name"]=>
- string(5) "Row 9"
- ["type"]=>
- string(10) "layout_box"
- ["value"]=>
- string(0) ""
- ["extra"]=>
- array(9) {
- ["xml"]=>
- int(0)
- ["private"]=>
- int(0)
- ["align"]=>
- string(5) "equal"
- ["conditional_component"]=>
- string(0) ""
- ["conditional_operator"]=>
- string(1) "="
- ["conditional_values"]=>
- string(0) ""
- ["xml_order"]=>
- string(0) ""
- ["uc_first"]=>
- int(0)
- ["uc_words"]=>
- int(0)
- }
- ["mandatory"]=>
- string(1) "0"
- ["weight"]=>
- string(2) "89"
- ["page_num"]=>
- int(1)
- ["children"]=>
- array(4) {
- [12]=>
- array(11) {
- ["nid"]=>
- int(250)
- ["cid"]=>
- string(2) "12"
- ["pid"]=>
- string(3) "161"
- ["form_key"]=>
- string(5) "dcity"
- ["name"]=>
- string(14) "Mailing City *"
- ["type"]=>
- string(9) "textfield"
- ["value"]=>
- string(0) ""
- ["extra"]=>
- array(17) {
- ["xml"]=>
- int(0)
- ["uc_first"]=>
- int(0)
- ["uc_words"]=>
- int(0)
- ["title_display"]=>
- string(6) "before"
- ["private"]=>
- int(0)
- ["disabled"]=>
- int(0)
- ["unique"]=>
- int(0)
- ["maxlength"]=>
- string(2) "25"
- ["width"]=>
- string(0) ""
- ["field_prefix"]=>
- string(0) ""
- ["field_suffix"]=>
- string(0) ""
- ["description"]=>
- string(0) ""
- ["attributes"]=>
- array(0) {
- }
- ["xml_order"]=>
- string(0) ""
- ["conditional_component"]=>
- string(0) ""
- ["conditional_operator"]=>
- string(1) "="
- ["conditional_values"]=>
- string(0) ""
- }
- ["mandatory"]=>
- string(1) "0"
- ["weight"]=>
- string(2) "92"
- ["page_num"]=>
- int(1)
- }
- [20]=>
- array(11) {
- ["nid"]=>
- int(250)
- ["cid"]=>
- string(2) "20"
- ["pid"]=>
- string(3) "161"
- ["form_key"]=>
- string(3) "dst"
- ["name"]=>
- string(15) "Mailing State *"
- ["type"]=>
- string(6) "select"
- ["value"]=>
- string(0) ""
- ["extra"]=>
- array(18) {
- ["items"]=>
- string(695) "AL|Alabama
- AK|Alaska
- AZ|Arizona
- AR|Arkansas
- CA|California
- CO|Colorado
- CT|Connecticut
- DE|Delaware
- DC|District of Columbia
- FL|Florida
- GA|Georgia
- HI|Hawaii
- ID|Idaho
- IL|Illinois
- IN|Indiana
- IA|Iowa
- KS|Kansas
- KY|Kentucky
- LA|Louisiana
- ME|Maine
- MD|Maryland
- MA|Massachusetts
- MI|Michigan
- MN|Minnesota
- MS|Mississippi
- MO|Missouri
- MT|Montana
- NE|Nebraska
- NV|Nevada
- NH|New Hampshire
- NJ|New Jersey
- NM|New Mexico
- NY|New York
- NC|North Carolina
- ND|North Dakota
- OH|Ohio
- OK|Oklahoma
- OR|Oregon
- PA|Pennsylvania
- RI|Rhode Island
- SC|South Carolina
- SD|South Dakota
- TN|Tennessee
- TX|Texas
- UT|Utah
- VT|Vermont
- VA|Virginia
- WA|Washington
- WV|West Virginia
- WI|Wisconsin
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