{exp:freeform_next:submissions submission_token="{segment_5}" limit="1" sort="desc" form="{segment_3}"}

<div class="row margin-bottom-20">
	<div class="col-md-12">
		<p>You have completed the {form:name} form. A welcome email containing important information will be sent to '{submission:email:value}'. This email contains important information about your registration.</p>
		<hr />
		<h3>Your Information</h3>
		<strong>{submission:name:label}: </strong>{submission:name:value}
		<br />
		{if submission:organization:value}
			<strong>{submission:organization:label}: </strong>{submission:organization:value}
			<br />
		{/if}
		<strong>{submission:address:label}: </strong>{submission:address:value}
		<br />
		<strong>{submission:city:label}: </strong>{submission:city:value}
		<br />
		<strong>{submission:state:label}: </strong>{submission:state:value}
		<br />
		<strong>{submission:zip_code:label}: </strong>{submission:zip_code:value}
		<br />
		{if submission:country:value}
			<strong>{submission:country:label}: </strong>{submission:country:value}
			<br />
		{/if}
		<strong>{submission:tel:label}: </strong>{submission:tel:value}
		<br />
		<strong>{submission:email:label}: </strong>{submission:email:value}
	</div>
</div> {!-- end .row --}

<div class="row margin-bottom-20">
	<div class="col-md-12">
		<h3>Course Attendance Date</h3>
		<strong>{submission:course_date:label}: </strong>{submission:course_date:value}
	</div>
</div> {!-- end .row --}

<div class="row margin-bottom-20">
	<div class="col-md-12">
		<h3>Payment Information</h3>
		<strong>{submission:course_payment_options:label}: </strong>{submission:course_payment_options:value}
		{if submission:course_payment_options:value == "Purchase Order"}
			<br />
			<strong>{submission:course_po_number:label}: </strong>{submission:course_po_number:value}
		{/if}
		<p>A Smith-Root representative will contact you to collect payment information.</p>
	</div>
</div> {!-- end .row --}

<div class="row">
	<div class="col-md-12">
		<button class="btn-u sm-margin-bottom-10" onclick="javascript:window.print();"><i class="fa fa-print"></i> Print</button>
	</div>
</div>
	
{/exp:freeform_next:submissions}