{"id":49939,"date":"2024-08-12T10:16:26","date_gmt":"2024-08-12T14:16:26","guid":{"rendered":"https:\/\/nstem.org\/staging\/?page_id=49939"},"modified":"2024-11-20T16:35:27","modified_gmt":"2024-11-20T21:35:27","slug":"chapter-registration","status":"publish","type":"page","link":"https:\/\/nstem.org\/staging\/chapter-registration\/","title":{"rendered":"Chapter Registration"},"content":{"rendered":"<script data-cfasync=\"false\">\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_100' style='display:none'>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_100'  action='\/staging\/wp-json\/wp\/v2\/pages\/49939' data-formid='100' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_100' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_100_63\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><b>New Chapter Registration<\/b>\n\n<p>Starting a chapter is easy! Fill out the form below with some basic information about your school and your Chapter Director\u2019s and Advisor\u2019s information.<\/p>\n\n<p>Join for an Annual Fee of $395!\nChapters can be started anytime throughout the year and renew annually September 1.<\/p><\/div><div id=\"field_100_67\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_100_67'>Discount Code<\/label><div class='ginput_container ginput_container_text'><input name='input_67' id='input_100_67' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_100_72\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_100_72'>Referral Code<\/label><div class='ginput_container ginput_container_text'><input name='input_72' id='input_100_72' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_100_32\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_100_32 gfield_product_100_32 gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Chapter Membership<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_100_32'>I confirm I am registering a Chapter and I do not have a current NSTEM Chapter<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_100_32'>\n\t\t\t<div class='gchoice gchoice_100_32_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='1|395'  id='choice_100_32_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_100_32_0' id='label_100_32_0' class='gform-field-label gform-field-label--type-inline'>Yes, I am registering a new NSTEM Chapter<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_100_70\" class=\"gfield gfield--type-discount gfield--input-type-discount gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_100_70'>Discount<\/label><\/div><div id=\"field_100_71\" class=\"gfield gfield--type-total gfield--input-type-total gfield--width-full gfield_price gfield_price_100_ gfield_total gfield_total_100_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_100_71'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_71' id='input_100_71' value='$0.00' class='gform-text-input-reset ginput_total ginput_total_100' \/>\n\t\t\t\t\t\t<\/div><\/div><div id=\"field_100_50\" class=\"gfield gfield--type-username gfield--input-type-username gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_100_50'>Username<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_100_50'><strong><em>When creating a Username<\/em><\/strong>, make it specific to the chapter or school as THIS CAN NOT BE CHANGED. Since it will be shared with Chapter leadership, use a generic username (e.g., school name) as emails are not allowed for usernames!<\/div><div class='ginput_container ginput_container_text'><input name='input_50' id='input_100_50' type='text' value='' class='large'  aria-describedby=\" gfield_description_100_50\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_100_51\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Advisor School Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_100_51_container'>\n                                <span id='input_100_51_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_51' id='input_100_51' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_100_51' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_100_51_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_51_2' id='input_100_51_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_100_51_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><fieldset id=\"field_100_64\" class=\"gfield gfield--type-password gfield--input-type-password gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Password<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_100_64'><strong><em>Please do not use personal information for passwords<\/em><\/strong> as they are shared with Chapter leadership. The password should be at least twelve characters long. To make it stronger, use upper and lower case letters, numbers, and symbols (such as <em><strong>! . ? \" $ % ^ &<\/em><\/strong>).<\/div><div class='ginput_complex ginput_container ginput_container_password gform-grid-row' id='input_100_64_container'>\n\t\t\t\t\t\t<span id='input_100_64_1_container' class='ginput_password ginput_left gform-grid-col gform-grid-col--size-auto'>\n\t\t\t\t\t\t\t<span class='password_input_container'>\n\t\t\t\t\t\t\t<input type='password' name='input_64' id='input_100_64'   aria-describedby=\"gfield_description_100_64\" value=''   aria-required=\"true\" aria-invalid=\"false\" \/>\n\t\t\t\t\t\t\t<button type='button' class='gform_show_password gform-theme-button gform-theme-button--simple' onclick='javascript:gformToggleShowPassword(\"input_100_64\");' aria-live='polite' aria-label='Show Password' data-label-show='Show Password' data-label-hide='Hide Password'><span class='dashicons dashicons-hidden' aria-hidden='true'><\/span><\/button>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<label for='input_100_64' class='gform-field-label gform-field-label--type-sub '>Enter Password<\/label>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span id='input_100_64_2_container' class='ginput_password ginput_right gform-grid-col gform-grid-col--size-auto'>\n\t\t\t\t\t\t\t<span class='password_input_container'>\n\t\t\t\t\t\t\t<input type='password' name='input_64_2' id='input_100_64_2'   value=''   aria-required=\"true\" aria-invalid=\"false\" \/>\n\t\t\t\t\t\t\t<button type='button' class='gform_show_password gform-theme-button gform-theme-button--simple' onclick='javascript:gformToggleShowPassword(\"input_100_64_2\");' aria-live='polite' aria-label='Show Password' data-label-show='Show Password' data-label-hide='Hide Password'><span class='dashicons dashicons-hidden' aria-hidden='true'><\/span><\/button>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<label for='input_100_64_2' class='gform-field-label gform-field-label--type-sub '>Confirm Password<\/label>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<div class='gf_clear gf_clear_complex'><\/div>\n\t\t\t\t\t<\/div><\/fieldset><div id=\"field_100_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_100_1'>School Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_100_1' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_100_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_100_3'>School District Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_100_3' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_100_39\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >School Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_100_39' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_100_39_1_container' >\n                                        <input type='text' name='input_39.1' id='input_100_39_1' value=''    aria-required='true'    \/>\n                                        <label for='input_100_39_1' id='input_100_39_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_100_39_2_container' >\n                                        <input type='text' name='input_39.2' id='input_100_39_2' value=''     aria-required='false'   \/>\n                                        <label for='input_100_39_2' id='input_100_39_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_100_39_3_container' >\n                                    <input type='text' name='input_39.3' id='input_100_39_3' value=''    aria-required='true'    \/>\n                                    <label for='input_100_39_3' id='input_100_39_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_100_39_4_container' >\n                                        <select name='input_39.4' id='input_100_39_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_100_39_4' id='input_100_39_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_100_39_5_container' >\n                                    <input type='text' name='input_39.5' id='input_100_39_5' value=''    aria-required='true'    \/>\n                                    <label for='input_100_39_5' id='input_100_39_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_39.6' id='input_100_39_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_100_75\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >School Level<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_100_75'><div class='gchoice gchoice_100_75_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.1' type='checkbox'  value='Pre-K \u2013 2'  id='choice_100_75_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_100_75_1' id='label_100_75_1' class='gform-field-label gform-field-label--type-inline'>Pre-K \u2013 2<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_100_75_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.2' type='checkbox'  value='Elementary 3-5'  id='choice_100_75_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_100_75_2' id='label_100_75_2' class='gform-field-label gform-field-label--type-inline'>Elementary 3-5<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_100_75_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.3' type='checkbox'  value='Middle 6-8'  id='choice_100_75_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_100_75_3' id='label_100_75_3' class='gform-field-label gform-field-label--type-inline'>Middle 6-8<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_100_75_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.4' type='checkbox'  value='High School 9-12'  id='choice_100_75_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_100_75_4' id='label_100_75_4' class='gform-field-label gform-field-label--type-inline'>High School 9-12<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_100_75_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.5' type='checkbox'  value='College'  id='choice_100_75_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_100_75_5' id='label_100_75_5' class='gform-field-label gform-field-label--type-inline'>College<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_100_57\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_100_57'>Classification<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_57' id='input_100_57' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Public' >Public<\/option><option value='Private\/Independent' >Private\/Independent<\/option><\/select><\/div><\/div><div id=\"field_100_11\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Chapter Director Information<\/h3><div class='gsection_description' id='gfield_description_100_11'>The Chapter Director is the head of school or principal. Directors can be the head of only one Chapter and each individual school must have a unique Director. The Chapter Director cannot be a Superintendent, STEM Curriculum Director, or someone that provides an equivalent oversight to multiple schools.<\/div><\/div><fieldset id=\"field_100_40\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Director&#039;s Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_100_40'>\n                            \n                            <span id='input_100_40_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_40.3' id='input_100_40_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_100_40_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_100_40_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_40.6' id='input_100_40_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_100_40_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_100_47\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_100_47'>Director&#039;s Title<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_47' id='input_100_47' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_100_43\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_100_43'>Director&#039;s School Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_100_43'>Do not use your mobile phone here.<\/div><div class='ginput_container ginput_container_phone'><input name='input_43' id='input_100_43' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_100_43\"  \/><\/div><\/div><div id=\"field_100_44\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_100_44'>Director&#039;s School Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_44' id='input_100_44' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_100_45\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Chapter Advisor Information<\/h3><div class='gsection_description' id='gfield_description_100_45'>The NSTEM\u2122 Advisor for each Chapter is the individual who is responsible for the day to day organization and will act as the liaison between faculty, administration, students and community. Each Chapter is led by an Advisor who is often the school\u2019s enthusiastic \u201cSTEM Champion\u201d. Chapters can only be started by a school, not by a student that attends that school.<\/div><\/div><fieldset id=\"field_100_46\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Advisor&#039;s Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_100_46'>\n                            \n                            <span id='input_100_46_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_46.3' id='input_100_46_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_100_46_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_100_46_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_46.6' id='input_100_46_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_100_46_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_100_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_100_13'>Advisor&#039;s Title<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_100_13' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_100_48\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_100_48'>Advisor&#039;s School Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_100_48'>Do not use your mobile phone here.<\/div><div class='ginput_container ginput_container_phone'><input name='input_48' id='input_100_48' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_100_48\"  \/><\/div><\/div><div id=\"field_100_49\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_100_49'>Advisor&#039;s School Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_49' id='input_100_49' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_100_52\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Other Information<\/h3><\/div><div id=\"field_100_65\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_100_65'>How did you hear about NSTEM?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_65' id='input_100_65' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Article\/Blog' >Article\/Blog<\/option><option value='Collegue' >Collegue<\/option><option value='Conference' >Conference<\/option><option value='Internet Search' >Internet Search<\/option><option value='Email Outreach' >Email Outreach<\/option><option value='Phone Call' >Phone Call<\/option><option value='Social Media' >Social Media<\/option><option value='Partner\/Organization' >Partner\/Organization<\/option><option value='Referral' >Referral<\/option><option value='Student\/Parent' >Student\/Parent<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_100_66\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_100_66'>Other<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_100_66'>If you have selected \"Other\", please write where you heard about NSTEM.<\/div><div class='ginput_container ginput_container_text'><input name='input_66' id='input_100_66' type='text' value='' class='large'  aria-describedby=\"gfield_description_100_66\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_100_74\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Chapter Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_74.1' id='input_100_74_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_100_74_1' >I Confirm I am Staff Member of my School and Not a Student<\/label><input type='hidden' name='input_74.2' value='I Confirm I am Staff Member of my School and Not a Student' class='gform_hidden' \/><input type='hidden' name='input_74.3' value='24' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_100_58\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Privacy Policy Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_58.1' id='input_100_58_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_100_58_1' >Indicate that you have read and agree to the <a href=\"https:\/\/nstem.org\/staging\/privacy-policy\/\" target=\"_blank\" rel=\"noopener noreferrer\">NSTEM\u2122 Privacy Policy<\/a><\/label><input type='hidden' name='input_58.2' value='Indicate that you have read and agree to the &lt;a href=&quot;https:\/\/nstem.org\/staging\/privacy-policy\/&quot; target=&quot;_blank&quot; rel=&quot;noopener noreferrer&quot;&gt;NSTEM\u2122 Privacy Policy&lt;\/a&gt;' class='gform_hidden' \/><input type='hidden' name='input_58.3' value='24' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_100_59\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Terms of Use Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_59.1' id='input_100_59_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_100_59_1' >Indicate that you have read and agree to the <a href=\"https:\/\/nstem.org\/staging\/terms-of-use\/\" target=\"_blank\" rel=\"noopener noreferrer\">NSTEM\u2122 Terms of Use<\/a><\/label><input type='hidden' name='input_59.2' value='Indicate that you have read and agree to the &lt;a href=&quot;https:\/\/nstem.org\/staging\/terms-of-use\/&quot; target=&quot;_blank&quot; rel=&quot;noopener noreferrer&quot;&gt;NSTEM\u2122 Terms of Use&lt;\/a&gt;' class='gform_hidden' \/><input type='hidden' name='input_59.3' value='24' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_100_60\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Constitution Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_60.1' id='input_100_60_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_100_60_1' >Indicate that you have read and agree to the <a href=\"https:\/\/nstem.org\/staging\/constitution\/\" target=\"_blank\" rel=\"noopener noreferrer\">NSTEM\u2122 Constitution<\/a><\/label><input type='hidden' name='input_60.2' value='Indicate that you have read and agree to the &lt;a href=&quot;https:\/\/nstem.org\/staging\/constitution\/&quot; target=&quot;_blank&quot; rel=&quot;noopener noreferrer&quot;&gt;NSTEM\u2122 Constitution&lt;\/a&gt;' class='gform_hidden' \/><input type='hidden' name='input_60.3' value='24' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_100_61\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Media Release Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_61.1' id='input_100_61_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_100_61_1' >Indicate that you have read and agree to the <a href=\"https:\/\/nstem.org\/staging\/media-release\/\" target=\"_blank\" rel=\"noopener noreferrer\">NSTEM\u2122 Media Release and Consent<\/a><\/label><input type='hidden' name='input_61.2' value='Indicate that you have read and agree to the &lt;a href=&quot;https:\/\/nstem.org\/staging\/media-release\/&quot; target=&quot;_blank&quot; rel=&quot;noopener noreferrer&quot;&gt;NSTEM\u2122 Media Release and Consent&lt;\/a&gt;' class='gform_hidden' \/><input type='hidden' name='input_61.3' value='24' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_100_68\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Trademark Usage<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_68.1' id='input_100_68_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_100_68_1' >Indicate that you have read and agree to the <a href=\"https:\/\/nstem.org\/staging\/nstem-trademark-usage-guidelines\/\" target=\"_blank\" rel=\"noopener noreferrer\">NSTEM\u2122 Trademark Usage Guidelines<\/a><\/label><input type='hidden' name='input_68.2' value='Indicate that you have read and agree to the &lt;a href=&quot;https:\/\/nstem.org\/staging\/nstem-trademark-usage-guidelines\/&quot; target=&quot;_blank&quot; rel=&quot;noopener noreferrer&quot;&gt;NSTEM\u2122 Trademark Usage Guidelines&lt;\/a&gt;' class='gform_hidden' \/><input type='hidden' name='input_68.3' value='24' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_100_18\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Payment Information<\/h3><\/div><div id=\"field_100_20\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_100_20'>Choose Your Payment Method<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_100_20'>We accept Visa, MasterCard, American Express, and Discover<\/div><div class='ginput_container ginput_container_select'><select name='input_20' id='input_100_20' class='large gfield_select'  aria-describedby=\"gfield_description_100_20\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Payment Method<\/option><option value='Credit Card' >Credit Card<\/option><option value='Pay by Check' >Pay by Check<\/option><option value='Pay by Purchase Order (PO)' >Pay by Purchase Order (PO)<\/option><option value='ACH' >ACH<\/option><\/select><\/div><\/div><div id=\"field_100_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_100_4'>Purchase Order (PO) Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_100_4'>Please send a copy of your PO to po@nstem.org.<\/div><div class='ginput_container ginput_container_text'><input name='input_4' id='input_100_4' type='text' value='' class='large'  aria-describedby=\"gfield_description_100_4\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_100_35\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Billing Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_100_35'>\n                            \n                            <span id='input_100_35_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_35.3' id='input_100_35_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_100_35_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_100_35_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_35.6' id='input_100_35_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_100_35_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_100_36\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_100_36'>Billing Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_36' id='input_100_36' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_100_37\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_100_37'>Billing Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_37' id='input_100_37' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_100_53\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_100_53'>School Business Office Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_53' id='input_100_53' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_100_54\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_100_54'>School Business Office Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_54' id='input_100_54' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_100_34\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Billing Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    <div id='input_100_34_copy_values_option_container' class='copy_values_option_container' >\n                                        <input type='checkbox' id='input_100_34_copy_values_activated' class='copy_values_activated' value='1' data-source_field_id='39' name='input_34_copy_values_activated'  \/>\n                                        <label for='input_100_34_copy_values_activated' id='input_100_34_copy_values_option_label' class='copy_values_option_label inline gform-field-label gform-field-label--type-inline'>Same as previous<\/label>\n                                    <\/div>\n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_100_34' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_100_34_1_container' >\n                                        <input type='text' name='input_34.1' id='input_100_34_1' value=''    aria-required='true'    \/>\n                                        <label for='input_100_34_1' id='input_100_34_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_100_34_2_container' >\n                                        <input type='text' name='input_34.2' id='input_100_34_2' value=''     aria-required='false'   \/>\n                                        <label for='input_100_34_2' id='input_100_34_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_100_34_3_container' >\n                                    <input type='text' name='input_34.3' id='input_100_34_3' value=''    aria-required='true'    \/>\n                                    <label for='input_100_34_3' id='input_100_34_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_100_34_4_container' >\n                                        <select name='input_34.4' id='input_100_34_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        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