var g_txt=[
{t:" ",p:1,x:149,y:89,w:4,h:16},
{t:"GPN MEMBERSHIP APPLICATION ",p:1,x:342,y:257,w:341,h:24},
{t:"APPLICANT INFORMATION ",p:1,x:419,y:299,w:185,h:16},
{t:"Name: ",p:1,x:127,y:328,w:42,h:16},
{t:"Date of birth: ",p:1,x:127,y:355,w:83,h:16},
{t:"Email: ",p:1,x:404,y:355,w:40,h:16},
{t:"Phone: ",p:1,x:659,y:355,w:45,h:16},
{t:"Current address: ",p:1,x:127,y:382,w:102,h:16},
{t:"City: State: ZIP ",p:1,x:127,y:409,w:802,h:16},
{t:"Code: ",p:1,x:683,y:409,w:284,h:16},
{t:"Own Rent (Please circle) ",p:1,x:127,y:437,w:185,h:16},
{t:"Monthly payment or rent: ",p:1,x:404,y:437,w:154,h:16},
{t:"How long? ",p:1,x:659,y:437,w:65,h:16},
{t:"EMPLOYMENT INFORMATION ",p:1,x:410,y:465,w:202,h:16},
{t:"Current employer: ",p:1,x:127,y:494,w:111,h:16},
{t:"Employer address: ",p:1,x:127,y:521,w:113,h:16},
{t:"How long? ",p:1,x:659,y:521,w:65,h:16},
{t:"Phone: E-mail: ",p:1,x:127,y:548,w:555,h:16},
{t:"Fax: ",p:1,x:659,y:548,w:261,h:16},
{t:"City: State: ZIP ",p:1,x:127,y:575,w:802,h:16},
{t:"Code: ",p:1,x:683,y:575,w:284,h:16},
{t:"Position: Hourly ",p:1,x:127,y:603,w:542,h:16},
{t:"Salary ",p:1,x:464,y:603,w:262,h:16},
{t:"(Please circle) Annual ",p:1,x:524,y:603,w:248,h:16},
{t:"income: ",p:1,x:704,y:603,w:120,h:16},
{t:"EMERGENCY CONTACT ",p:1,x:434,y:631,w:155,h:16},
{t:"Name of a relative not residing with you: ",p:1,x:127,y:660,w:245,h:16},
{t:"Address: ",p:1,x:127,y:687,w:55,h:16},
{t:"Phone: ",p:1,x:659,y:687,w:45,h:16},
{t:"City: State: ZIP ",p:1,x:127,y:714,w:802,h:16},
{t:"Code: ",p:1,x:683,y:714,w:284,h:16},
{t:"Relationship: ",p:1,x:127,y:741,w:80,h:16},
{t:"SPOUSE INFORMATION IF JOINT MEMBERSHIP ",p:1,x:350,y:770,w:322,h:16},
{t:"Name: ",p:1,x:127,y:798,w:42,h:16},
{t:"Date of birth: ",p:1,x:127,y:826,w:83,h:16},
{t:"E-mail: ",p:1,x:404,y:826,w:45,h:16},
{t:"Phone: ",p:1,x:659,y:826,w:45,h:16},
{t:"SPOUSE EMPLOYMENT INFORMATION ",p:1,x:381,y:854,w:260,h:16},
{t:"Current employer: ",p:1,x:127,y:882,w:111,h:16},
{t:"Employer address: ",p:1,x:127,y:910,w:113,h:16},
{t:"How long? ",p:1,x:659,y:910,w:65,h:16},
{t:"Phone: E-mail: ",p:1,x:127,y:937,w:555,h:16},
{t:"Fax: ",p:1,x:659,y:937,w:261,h:16},
{t:"City: State: ZIP ",p:1,x:127,y:964,w:802,h:16},
{t:"Code: ",p:1,x:683,y:964,w:284,h:16},
{t:"Position: Hourly ",p:1,x:127,y:991,w:542,h:16},
{t:"Salary ",p:1,x:464,y:991,w:262,h:16},
{t:"(Please circle) Annual ",p:1,x:524,y:991,w:248,h:16},
{t:"income: ",p:1,x:704,y:991,w:120,h:16},
{t:"MEMBERSHIP REFERRALS ",p:1,x:422,y:1020,w:178,h:16},
{t:"Name Address ",p:1,x:127,y:1048,w:567,h:16},
{t:"Phone ",p:1,x:659,y:1048,w:279,h:16},
{t:"CHILDREN IF MEMBERSHIP PRIVILEGES DESIRED ",p:1,x:341,y:1131,w:341,h:16},
{t:"Name Name ",p:1,x:127,y:1160,w:763,h:16},
{t:"Name Name ",p:1,x:127,y:1187,w:763,h:16},
{t:" ",p:2,x:510,y:1243,w:4,h:16},
{t:"GPN MEMBERSHIP APPLICATION ",p:2,x:342,y:102,w:341,h:24},
{t:"SIGNATURES ",p:2,x:465,y:144,w:92,h:16},
{t:"I authorize the verification of the information provided on this form as to my credit and employment. I have received a copy of ",p:2,x:127,y:178,w:751,h:16},
{t:"this application. ",p:2,x:127,y:194,w:96,h:16},
{t:"Signature of applicant: ",p:2,x:127,y:226,w:137,h:16},
{t:"Date: ",p:2,x:659,y:226,w:36,h:16},
{t:"Signature of spouse (only if for a joint membership): Date: ",p:2,x:127,y:254,w:834,h:16},
{t:"Please send this completed application to: ",p:2,x:150,y:292,w:345,h:22},
{t:"via email at ",p:2,x:456,y:336,w:112,h:22},
{t:"philanthropy@globalprotectionnetwork.com  ",p:2,x:150,y:380,w:363,h:22},
{t:"or  via mail at ",p:2,x:447,y:425,w:131,h:22},
{t:"Global Protection Network ",p:2,x:150,y:469,w:216,h:22},
{t:"Philanthropy Department ",p:2,x:150,y:491,w:208,h:22},
{t:"304 Park Avenue South. 11th Floor ",p:2,x:150,y:512,w:282,h:23},
{t:"New York, NY 10010 ",p:2,x:149,y:535,w:173,h:22},
{t:"Fee’s ",p:2,x:486,y:580,w:52,h:22},
{t:"Student membership                               $50.00 ",p:2,x:149,y:646,w:406,h:22},
{t:"Individual professional membership          $75.00 ",p:2,x:149,y:690,w:405,h:22},
{t:"Family membership (4 members)             $125.00 ",p:2,x:149,y:735,w:413,h:22},
0];
var g_links=[
{t:"mailto:philanthropy@globalprotectionnetwork.com",p:2,x:150,y:380,w:380,h:22},
0];