_template

[[form]]
fields:
  deadlineyear:
    label: Year
    type: select
    values:
        0: 2011
        1: 2012
        2: 2013
        3: 2014
        4: N/A
  deadlinemonth:
    label: Month
    type: select
    values:
      0:January
      1:February
      2:March
      3:April
      4:May
      5:June
      6:July
      7:August
      8:September
      9:October
      10:November
      11:December
      12:N/A
    default: 0
[[/form]]

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