{"id":476,"date":"2020-06-19T11:22:36","date_gmt":"2020-06-19T11:22:36","guid":{"rendered":"https:\/\/env-8605394.mightybox.site\/become-a-member\/"},"modified":"2024-10-15T10:55:20","modified_gmt":"2024-10-15T14:55:20","slug":"signup-team-memership","status":"publish","type":"page","link":"https:\/\/techservealliance.org\/signup-team-memership\/","title":{"rendered":"Sign Up &#8211; Team Membership"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"476\" class=\"elementor elementor-476\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d099d56 e-flex e-con-boxed e-con e-parent\" data-id=\"d099d56\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d212ac0 elementor-widget elementor-widget-image\" data-id=\"d212ac0\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/techservealliance.org\">\n\t\t\t\t\t\t\t<img decoding=\"async\" width=\"192\" height=\"67\" src=\"https:\/\/techservealliance.org\/wp-content\/uploads\/2020\/06\/logo.png\" class=\"attachment-large size-large wp-image-626\" alt=\"logo\" title=\"\">\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8e8ad12 elementor-widget elementor-widget-heading\" data-id=\"8e8ad12\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Select The Right Membership For You<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e599492 elementor-widget elementor-widget-shortcode\" data-id=\"e599492\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><script>\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_unknown gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_3' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\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' target='gform_ajax_frame_3' id='gform_3'  action='\/wp-json\/wp\/v2\/pages\/476' data-formid='3' novalidate>\n        <div id='gf_progressbar_wrapper_3' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>4<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_25' style='width:25%;'><span>25%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_3_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3_85\" 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_3_85'>Business Email Address<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_85' id='input_3_85' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_3_34\" 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_3_34'>Your Company 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_34' id='input_3_34' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_3_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full buttonized 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' >What&#039;s Your Annual Revenue?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_6'>\n\t\t\t<div class='gchoice gchoice_3_6_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Under $2M'  id='choice_3_6_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_6_0' id='label_3_6_0' class='gform-field-label gform-field-label--type-inline'>Under $2M<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_6_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='$2.1-10M'  id='choice_3_6_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_6_1' id='label_3_6_1' class='gform-field-label gform-field-label--type-inline'>$2.1-10M<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_6_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='$10.1-20M'  id='choice_3_6_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_6_2' id='label_3_6_2' class='gform-field-label gform-field-label--type-inline'>$10.1-20M<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_6_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='$20.1-30M'  id='choice_3_6_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_6_3' id='label_3_6_3' class='gform-field-label gform-field-label--type-inline'>$20.1-30M<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_6_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='$30.1-50M'  id='choice_3_6_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_6_4' id='label_3_6_4' class='gform-field-label gform-field-label--type-inline'>$30.1-50M<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_6_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='$50.1-100M'  id='choice_3_6_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_6_5' id='label_3_6_5' class='gform-field-label gform-field-label--type-inline'>$50.1-100M<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_6_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Over $100M'  id='choice_3_6_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_6_6' id='label_3_6_6' class='gform-field-label gform-field-label--type-inline'>Over $100M<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_3_12' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_2' class='gform_page' data-js='page-field-id-12' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_3_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full buttonized 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' >Here are membership options for you!<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_13'>\n\t\t\t<div class='gchoice gchoice_3_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='12351'  id='choice_3_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_0' id='label_3_13_0' class='gform-field-label gform-field-label--type-inline'>$139 Monthly<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='12352'  id='choice_3_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_1' id='label_3_13_1' class='gform-field-label gform-field-label--type-inline'>$385 Quarterly<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_13_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='12353'  id='choice_3_13_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_13_2' id='label_3_13_2' class='gform-field-label gform-field-label--type-inline'>$1,495  Annual<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full buttonized 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' >Here are membership options for you!<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_15'>\n\t\t\t<div class='gchoice gchoice_3_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='29347'  id='choice_3_15_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_15_0' id='label_3_15_0' class='gform-field-label gform-field-label--type-inline'>$269 Monthly<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='29346'  id='choice_3_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_15_1' id='label_3_15_1' class='gform-field-label gform-field-label--type-inline'>$765 Quarterly<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_15_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='29345'  id='choice_3_15_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_15_2' id='label_3_15_2' class='gform-field-label gform-field-label--type-inline'>$2,895  Annual<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_23\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full buttonized 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' >Here are membership options for you!<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_23'>\n\t\t\t<div class='gchoice gchoice_3_23_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='29344'  id='choice_3_23_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_23_0' id='label_3_23_0' class='gform-field-label gform-field-label--type-inline'>$399 Monthly<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_23_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='29343'  id='choice_3_23_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_23_1' id='label_3_23_1' class='gform-field-label gform-field-label--type-inline'>$1155 Quarterly<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_23_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='29342'  id='choice_3_23_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_23_2' id='label_3_23_2' class='gform-field-label gform-field-label--type-inline'>$4,395  Annual<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_26\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full buttonized 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' >Here are membership options for you!<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_26'>\n\t\t\t<div class='gchoice gchoice_3_26_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='12366'  id='choice_3_26_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_26_0' id='label_3_26_0' class='gform-field-label gform-field-label--type-inline'>$459 Monthly<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_26_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='12367'  id='choice_3_26_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_26_1' id='label_3_26_1' class='gform-field-label gform-field-label--type-inline'>$1,315 Quarterly<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_26_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_26' type='radio' value='12368'  id='choice_3_26_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_26_2' id='label_3_26_2' class='gform-field-label gform-field-label--type-inline'>$4,995  Annual<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_25\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full buttonized 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' >Here are membership options for you!<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_25'>\n\t\t\t<div class='gchoice gchoice_3_25_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='12369'  id='choice_3_25_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_25_0' id='label_3_25_0' class='gform-field-label gform-field-label--type-inline'>$539 Monthly<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_25_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='12370'  id='choice_3_25_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_25_1' id='label_3_25_1' class='gform-field-label gform-field-label--type-inline'>$1,555 Quarterly<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_25_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_25' type='radio' value='12371'  id='choice_3_25_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_25_2' id='label_3_25_2' class='gform-field-label gform-field-label--type-inline'>$5,895  Annual<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_27\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full buttonized 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' >Here are membership options for you!<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_27'>\n\t\t\t<div class='gchoice gchoice_3_27_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='12372'  id='choice_3_27_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_27_0' id='label_3_27_0' class='gform-field-label gform-field-label--type-inline'>$669 Monthly<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_27_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='12373'  id='choice_3_27_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_27_1' id='label_3_27_1' class='gform-field-label gform-field-label--type-inline'>$1,915 Quarterly<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_27_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_27' type='radio' value='12374'  id='choice_3_27_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_27_2' id='label_3_27_2' class='gform-field-label gform-field-label--type-inline'>$7,295  Annual<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_28\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full buttonized 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' >Here are membership options for you!<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_3_28'>\n\t\t\t<div class='gchoice gchoice_3_28_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='12375'  id='choice_3_28_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_28_0' id='label_3_28_0' class='gform-field-label gform-field-label--type-inline'>$1,329 Monthly<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_28_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='12376'  id='choice_3_28_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_28_1' id='label_3_28_1' class='gform-field-label gform-field-label--type-inline'>$3,805 Quarterly<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_3_28_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='12377'  id='choice_3_28_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_3_28_2' id='label_3_28_2' class='gform-field-label gform-field-label--type-inline'>$14,495  Annual<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3_35' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3_35' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_3' class='gform_page' data-js='page-field-id-35' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3_37\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full content-desc gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3>Maximize Your Membership: Premium Compliance Services \n<\/h3>\n\n<br>\nPremium Compliance Services Program \u00a0is an optional add-on to your membership for unlimited inquiries by telephone and email on compliance issues delivered by industry legal veterans for a single flat monthly, quarterly or annual fee. \n\n<br>\n\n*you may add Premium Compliance Services to your membership at any time.<\/div><fieldset id=\"field_3_58\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Under 2 M Month<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_58'><div class='gchoice gchoice_3_58_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_58.1' type='checkbox'  value='12400'  id='choice_3_58_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_58_1' id='label_3_58_1' class='gform-field-label gform-field-label--type-inline'>Add Premium Service $67.85<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_59\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Under 2 M Quarter<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_59'><div class='gchoice gchoice_3_59_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_59.1' type='checkbox'  value='12401'  id='choice_3_59_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_59_1' id='label_3_59_1' class='gform-field-label gform-field-label--type-inline'>Add Premium Service $158.6<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_60\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Under 2 M Annual<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_60'><div class='gchoice gchoice_3_60_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.1' type='checkbox'  value='12402'  id='choice_3_60_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_60_1' id='label_3_60_1' class='gform-field-label gform-field-label--type-inline'>Add Premium Service $688.85<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_64\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >2.1-10 M Monthly<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_64'><div class='gchoice gchoice_3_64_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_64.1' type='checkbox'  value='54611'  id='choice_3_64_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_64_1' id='label_3_64_1' class='gform-field-label gform-field-label--type-inline'>Add Premium Service $135.70<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_66\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >2.1-10 M Quarterly<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_66'><div class='gchoice gchoice_3_66_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_66.1' type='checkbox'  value='54612'  id='choice_3_66_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_66_1' id='label_3_66_1' class='gform-field-label gform-field-label--type-inline'>Add Premium Service $317.45<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_65\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >2.1-10 M Annual<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_65'><div class='gchoice gchoice_3_65_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.1' type='checkbox'  value='54613'  id='choice_3_65_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_65_1' id='label_3_65_1' class='gform-field-label gform-field-label--type-inline'>Add Premium Service $1,378.85<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_67\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >10.1-15 M Monthly<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_67'><div class='gchoice gchoice_3_67_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.1' type='checkbox'  value='54616'  id='choice_3_67_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_67_1' id='label_3_67_1' class='gform-field-label gform-field-label--type-inline'>Add Premium Service $205.85<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_68\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >10.1-15 M Quarterly<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_68'><div class='gchoice gchoice_3_68_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.1' type='checkbox'  value='54615'  id='choice_3_68_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_68_1' id='label_3_68_1' class='gform-field-label gform-field-label--type-inline'>Add Premium Service $517.25<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_70\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >10.1-20 M Annual<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_70'><div class='gchoice gchoice_3_70_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_70.1' type='checkbox'  value='54614'  id='choice_3_70_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_70_1' id='label_3_70_1' class='gform-field-label gform-field-label--type-inline'>Add Premium Service $2,068.85<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_73\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >20.1-30 M Monthly<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_73'><div class='gchoice gchoice_3_73_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.1' type='checkbox'  value='12415'  id='choice_3_73_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_73_1' id='label_3_73_1' class='gform-field-label gform-field-label--type-inline'>Add Premium Service $343.85<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_74\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >20.1-30 M Quarterly<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_74'><div class='gchoice gchoice_3_74_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_74.1' type='checkbox'  value='12416'  id='choice_3_74_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_74_1' id='label_3_74_1' class='gform-field-label gform-field-label--type-inline'>Add Premium Service $862.25<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_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 hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >20.1-30 M Annual<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_75'><div class='gchoice gchoice_3_75_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.1' type='checkbox'  value='12417'  id='choice_3_75_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_75_1' id='label_3_75_1' class='gform-field-label gform-field-label--type-inline'>Add Premium Service $3,448.85<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_76\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >30.1-50 M Monthly<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_76'><div class='gchoice gchoice_3_76_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.1' type='checkbox'  value='12418'  id='choice_3_76_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_76_1' id='label_3_76_1' class='gform-field-label gform-field-label--type-inline'>Add Premium Service $343.85<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_77\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >30.1-50 M Quarterly<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_77'><div class='gchoice gchoice_3_77_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_77.1' type='checkbox'  value='12419'  id='choice_3_77_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_77_1' id='label_3_77_1' class='gform-field-label gform-field-label--type-inline'>Add Premium Service $862.25<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_79\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >30.1-50 M Annual<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_79'><div class='gchoice gchoice_3_79_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_79.1' type='checkbox'  value='12420'  id='choice_3_79_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_79_1' id='label_3_79_1' class='gform-field-label gform-field-label--type-inline'>Add Premium Service $3,448.85<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_78\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >50.1-100 M Monthly<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_78'><div class='gchoice gchoice_3_78_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.1' type='checkbox'  value='12421'  id='choice_3_78_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_78_1' id='label_3_78_1' class='gform-field-label gform-field-label--type-inline'>Add Premium Service $408.25<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_80\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >50.1-100 M Quarterly<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_80'><div class='gchoice gchoice_3_80_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_80.1' type='checkbox'  value='12422'  id='choice_3_80_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_80_1' id='label_3_80_1' class='gform-field-label gform-field-label--type-inline'>Add Premium Service $1,034.75<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_81\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >50.1-100 M Annual<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_81'><div class='gchoice gchoice_3_81_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_81.1' type='checkbox'  value='12423'  id='choice_3_81_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_81_1' id='label_3_81_1' class='gform-field-label gform-field-label--type-inline'>Add Premium Service $4,138.85<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_82\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Over 100 M Monthly<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_82'><div class='gchoice gchoice_3_82_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_82.1' type='checkbox'  value='12424'  id='choice_3_82_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_82_1' id='label_3_82_1' class='gform-field-label gform-field-label--type-inline'>Add Premium Service $599<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_84\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Over 100 M Quarterly<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_84'><div class='gchoice gchoice_3_84_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_84.1' type='checkbox'  value='12425'  id='choice_3_84_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_84_1' id='label_3_84_1' class='gform-field-label gform-field-label--type-inline'>Add Premium Service $1,499.75<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_83\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Over 100 M Annual<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_83'><div class='gchoice gchoice_3_83_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_83.1' type='checkbox'  value='12426'  id='choice_3_83_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_83_1' id='label_3_83_1' class='gform-field-label gform-field-label--type-inline'>Add Premium Service $5,999<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_3_48' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='button' id='gform_next_button_3_48' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_3_4' class='gform_page' data-js='page-field-id-48' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_3_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3_47\" 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\"  ><h3>\nTechServe Local Chapters:\n<\/h3>\n<\/br>\nThrough our optional local chapters, TechServe Alliance hosts events designed to bring our members together to learn and network.\u00a0You must be a member of TechServe Alliance to participate in a local chapter.\n<\/br>\n*you may add a chapter to your membership at any time.<\/div><fieldset id=\"field_3_54\" 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' >Monthly<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_54'><div class='gchoice gchoice_3_54_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.1' type='checkbox'  value='12429'  id='choice_3_54_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_54_1' id='label_3_54_1' class='gform-field-label gform-field-label--type-inline'>$41.67 Dallas<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_54_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.2' type='checkbox'  value='12432'  id='choice_3_54_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_54_2' id='label_3_54_2' class='gform-field-label gform-field-label--type-inline'>$25 Midwest<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_54_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.3' type='checkbox'  value='12435'  id='choice_3_54_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_54_3' id='label_3_54_3' class='gform-field-label gform-field-label--type-inline'>$41.67 New England<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_54_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_54.4' type='checkbox'  value='12438'  id='choice_3_54_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_54_4' id='label_3_54_4' class='gform-field-label gform-field-label--type-inline'>$58.33 Tristate<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_55\" 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' >Quarterly<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_55'><div class='gchoice gchoice_3_55_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.1' type='checkbox'  value='12430'  id='choice_3_55_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_55_1' id='label_3_55_1' class='gform-field-label gform-field-label--type-inline'>$125 Dallas<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_55_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.2' type='checkbox'  value='12433'  id='choice_3_55_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_55_2' id='label_3_55_2' class='gform-field-label gform-field-label--type-inline'>$75 Midwest<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_55_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.3' type='checkbox'  value='12436'  id='choice_3_55_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_55_3' id='label_3_55_3' class='gform-field-label gform-field-label--type-inline'>$125 New England<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_55_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.4' type='checkbox'  value='12439'  id='choice_3_55_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_55_4' id='label_3_55_4' class='gform-field-label gform-field-label--type-inline'>$175 Tristate<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_3_56\" 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' >Annual<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_3_56'><div class='gchoice gchoice_3_56_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.1' type='checkbox'  value='12431'  id='choice_3_56_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_56_1' id='label_3_56_1' class='gform-field-label gform-field-label--type-inline'>$500 Dallas<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_56_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.2' type='checkbox'  value='12434'  id='choice_3_56_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_56_2' id='label_3_56_2' class='gform-field-label gform-field-label--type-inline'>$300 Midwest<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_56_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.3' type='checkbox'  value='12437'  id='choice_3_56_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_56_3' id='label_3_56_3' class='gform-field-label gform-field-label--type-inline'>$500 New England<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_3_56_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.4' type='checkbox'  value='12440'  id='choice_3_56_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_56_4' id='label_3_56_4' class='gform-field-label gform-field-label--type-inline'>$700 Tristate<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_3' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous'  \/> <input type='submit' id='gform_submit_button_3' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Join Now!'  \/> <input type='hidden' name='gform_ajax' value='form_id=3&amp;title=&amp;description=1&amp;tabindex=0&amp;theme=gravity-theme&amp;styles=[]&amp;hash=a9573dad74b48d9c4f5e944d2b36ea1d' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_3' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_3' id='gform_theme_3' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_3' id='gform_style_settings_3' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_3' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='3' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_3' value='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' 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