{"id":13977,"date":"2021-08-26T16:23:40","date_gmt":"2021-08-26T20:23:40","guid":{"rendered":"https:\/\/www.ramapo.edu\/mindfulness\/?page_id=13977"},"modified":"2021-08-26T16:23:40","modified_gmt":"2021-08-26T20:23:40","slug":"200-hour-yoga-teacher-certificate-tuition-payment","status":"publish","type":"page","link":"https:\/\/www.ramapo.edu\/mindfulness\/yogaprograms\/200-hour-yoga-teacher-certificate-tuition-payment\/","title":{"rendered":"200 Hour Yoga Teacher Certificate Tuition Payment"},"content":{"rendered":"\t\t<script type=\"text\/javascript\">\n\t\t\tjQuery(document).ready(function(){\n\t\t\t\tvar prmstr = window.location.search.substr(1);\n\t\t\t\tvar prmarr = prmstr.split (\"&\");\n\n\t\t\t\tfor ( var i = 0; i < prmarr.length; i++)\n\t\t\t\t{\n\t\t\t\t\tvar tmparr = prmarr[i].split(\"=\");\n\t\t\t\t\tvar origVal = decodeURIComponent(tmparr[1]);\n\t\t\t\t\tvar modifier = origVal.substr(0,1);\n\t\t\t\t\tvar theField = jQuery(\"#\"+tmparr[0]);\n\t\t\t\t\tif(modifier == '^')\n\t\t\t\t\t{\n\t\t\t\t\t\tvalue = origVal.substr(1);\n\t\t\t\t\t\ttheField.attr('readonly','readonly');\n\t\t\t\t\t}\n\t\t\t\t\telse\n\t\t\t\t\t{\n\t\t\t\t\t\tvalue = origVal;\n\t\t\t\t\t}\n\t\t\t\t\ttheField.val(value);\n\t\t\t\t}\n\t\t\t});\n\t\t<\/script>\n\t\t<link rel='stylesheet' id='formidable-css' href='https:\/\/www.ramapo.edu\/mindfulness\/wp-admin\/admin-ajax.php?action=frmpro_css&#038;ver=3131337' type='text\/css' media='all' \/>\n<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_25_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_200-hour-yoga-teacher-certificate-tuition-payment\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_hidden\">200 Hour Yoga Teacher Certificate Tuition Payment<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"25\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_25\" id=\"frm_hide_fields_25\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"200-hour-yoga-teacher-certificate-tuition-payment\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_25\" name=\"frm_submit_entry_25\" value=\"27faf0d3f4\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/mindfulness\/wp-json\/wp\/v2\/pages\/13977\" \/>\t\t<input  type=\"hidden\" name=\"item_meta[854]\" id=\"field_n0r0o\" value=\"Â鶹´«Ã½ Yoga Teacher Certification Program\"  data-frmval=\"Â鶹´«Ã½ Yoga Teacher Certification Program\"   \/>\n\t\t<div id=\"frm_field_735_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label id=\"field_mr3ln_label\" class=\"frm_primary_label\" for=\"field_mr3ln\">First Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_mr3ln\" name=\"item_meta[735]\" value=\"\"  data-reqmsg=\"First Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_736_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label id=\"field_noed6_label\" class=\"frm_primary_label\" for=\"field_noed6\">Last Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_noed6\" name=\"item_meta[736]\" value=\"\"  data-reqmsg=\"Last Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_737_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label id=\"field_7aril_label\" class=\"frm_primary_label\" for=\"field_7aril\">Email\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_7aril\" name=\"item_meta[737]\" value=\"\"  data-reqmsg=\"Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_850_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div id=\"field_mf61h_label\" class=\"frm_primary_label\" for=\"field_mf61h\">Are you a currently enrolled student at Ramapo? (This doesn't refer to courses being taken as part of Yoga Teacher Certification Program.)\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_850-0\">\t\t\t<label  for=\"field_mf61h-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[850]\" id=\"field_mf61h-0\" value=\"Yes\"\n\t\t data-reqmsg=\"Are you a currently enrolled student at Ramapo? (This doesn&#039;t refer to courses being taken as part of Yoga Teacher Certification Program.) cannot be blank.\" data-invmsg=\"Are you a currently enrolled student at Ramapo? (This doesn&#039;t refer to courses being taken as part of Yoga Teacher Certification Program.) is invalid\"   \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_850-1\">\t\t\t<label  for=\"field_mf61h-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[850]\" id=\"field_mf61h-1\" value=\"No\"\n\t\t data-reqmsg=\"Are you a currently enrolled student at Ramapo? (This doesn&#039;t refer to courses being taken as part of Yoga Teacher Certification Program.) cannot be blank.\" data-invmsg=\"Are you a currently enrolled student at Ramapo? (This doesn&#039;t refer to courses being taken as part of Yoga Teacher Certification Program.) is invalid\"   \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_738_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label id=\"field_smdx0_label\" class=\"frm_primary_label\" for=\"field_smdx0\">R Number\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_smdx0\" name=\"item_meta[738]\" value=\"\" data-reqmsg=\"R Number cannot be blank.\" aria-required=\"true\" data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_723_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Payment Information<\/h3>\r\n\r\n\r\n<div id=\"frm_field_743_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div id=\"field_f981y_label\" class=\"frm_primary_label\" for=\"field_f981y\">The full tuition is $3,335.00. If you would like to make full payment at this time, please check all the boxes. If you would like to pay in installments, please select the installment(s) you would like to pay today. Payment of Installment 1 commits you to pay all the tuition over the period of 4 months. \r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"group\">\t<div class=\"frm_checkbox\" id=\"frm_checkbox_743-723-0\"><label for=\"field_f981y-0\">\t<input type=\"checkbox\" name=\"item_meta[743][]\" id=\"field_f981y-0\" value=\"Installment 1 (Due September 1, 2021) - $833.75\" aria-required=\"true\"  data-frmprice=\"833.75\"  data-sectionid=\"723\"  data-reqmsg=\"The full tuition is $3,335.00. If you would like to make full payment at this time, please check all the boxes. If you would like to pay in installments, please select the installment(s) you would like to pay today. Payment of Installment 1 commits you to pay all the tuition over the period of 4 months.  cannot be blank.\" data-invmsg=\"The full tuition is $3,335.00. If you would like to make full payment at this time, please check all the boxes. If you would like to pay in installments, please select the installment(s) you would like to pay today. Payment of Installment 1 commits you to pay all the tuition over the period of 4 months.  is invalid\" aria-invalid=\"false\"   \/> Installment 1 (Due September 1, 2021) - $833.75<\/label><\/div>\n\t<div class=\"frm_checkbox\" id=\"frm_checkbox_743-723-1\"><label for=\"field_f981y-1\">\t<input type=\"checkbox\" name=\"item_meta[743][]\" id=\"field_f981y-1\" value=\"Installment 2 (Due October 1, 2021)- $833.75\" data-frmprice=\"833.75\"  data-sectionid=\"723\"  data-reqmsg=\"The full tuition is $3,335.00. If you would like to make full payment at this time, please check all the boxes. If you would like to pay in installments, please select the installment(s) you would like to pay today. Payment of Installment 1 commits you to pay all the tuition over the period of 4 months.  cannot be blank.\" data-invmsg=\"The full tuition is $3,335.00. If you would like to make full payment at this time, please check all the boxes. If you would like to pay in installments, please select the installment(s) you would like to pay today. Payment of Installment 1 commits you to pay all the tuition over the period of 4 months.  is invalid\" aria-invalid=\"false\"   \/> Installment 2 (Due October 1, 2021)- $833.75<\/label><\/div>\n\t<div class=\"frm_checkbox\" id=\"frm_checkbox_743-723-2\"><label for=\"field_f981y-2\">\t<input type=\"checkbox\" name=\"item_meta[743][]\" id=\"field_f981y-2\" value=\"Installment 3 (Due November 1, 2021) - $833.75\" data-frmprice=\"833.75\"  data-sectionid=\"723\"  data-reqmsg=\"The full tuition is $3,335.00. If you would like to make full payment at this time, please check all the boxes. If you would like to pay in installments, please select the installment(s) you would like to pay today. Payment of Installment 1 commits you to pay all the tuition over the period of 4 months.  cannot be blank.\" data-invmsg=\"The full tuition is $3,335.00. If you would like to make full payment at this time, please check all the boxes. If you would like to pay in installments, please select the installment(s) you would like to pay today. Payment of Installment 1 commits you to pay all the tuition over the period of 4 months.  is invalid\" aria-invalid=\"false\"   \/> Installment 3 (Due November 1, 2021) - $833.75<\/label><\/div>\n\t<div class=\"frm_checkbox\" id=\"frm_checkbox_743-723-3\"><label for=\"field_f981y-3\">\t<input type=\"checkbox\" name=\"item_meta[743][]\" id=\"field_f981y-3\" value=\"Installment 4 (Due December 1, 2021) - $833.75\" data-frmprice=\"833.75\"  data-sectionid=\"723\"  data-reqmsg=\"The full tuition is $3,335.00. If you would like to make full payment at this time, please check all the boxes. If you would like to pay in installments, please select the installment(s) you would like to pay today. Payment of Installment 1 commits you to pay all the tuition over the period of 4 months.  cannot be blank.\" data-invmsg=\"The full tuition is $3,335.00. If you would like to make full payment at this time, please check all the boxes. If you would like to pay in installments, please select the installment(s) you would like to pay today. Payment of Installment 1 commits you to pay all the tuition over the period of 4 months.  is invalid\" aria-invalid=\"false\"   \/> Installment 4 (Due December 1, 2021) - $833.75<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_851_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n    <div id=\"field_fy4kg_label\" class=\"frm_primary_label\" for=\"field_fy4kg\">The full tuition is $2,580.00. If you would like to make full payment at this time, please check all the boxes. If you would like to pay in installments, please select the installment(s) you would like to pay today. Payment of Installment 1 commits you to pay all the tuition over the period of 4 months. \r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"group\">\t<div class=\"frm_checkbox\" id=\"frm_checkbox_851-723-0\"><label for=\"field_fy4kg-0\">\t<input type=\"checkbox\" name=\"item_meta[851][]\" id=\"field_fy4kg-0\" value=\"Installment 1 (Due September 1, 2021) - $645\" aria-required=\"true\"  data-frmprice=\"645.00\"  data-sectionid=\"723\"  data-reqmsg=\"The full tuition is $2,580.00. If you would like to make full payment at this time, please check all the boxes. If you would like to pay in installments, please select the installment(s) you would like to pay today. Payment of Installment 1 commits you to pay all the tuition over the period of 4 months.  cannot be blank.\" data-invmsg=\"The full tuition is $2,580.00. If you would like to make full payment at this time, please check all the boxes. If you would like to pay in installments, please select the installment(s) you would like to pay today. Payment of Installment 1 commits you to pay all the tuition over the period of 4 months.  is invalid\" aria-invalid=\"false\"   \/> Installment 1 (Due September 1, 2021) - $645<\/label><\/div>\n\t<div class=\"frm_checkbox\" id=\"frm_checkbox_851-723-1\"><label for=\"field_fy4kg-1\">\t<input type=\"checkbox\" name=\"item_meta[851][]\" id=\"field_fy4kg-1\" value=\"Installment 2 (Due October 1, 2021)- $645\" data-frmprice=\"645.00\"  data-sectionid=\"723\"  data-reqmsg=\"The full tuition is $2,580.00. If you would like to make full payment at this time, please check all the boxes. If you would like to pay in installments, please select the installment(s) you would like to pay today. Payment of Installment 1 commits you to pay all the tuition over the period of 4 months.  cannot be blank.\" data-invmsg=\"The full tuition is $2,580.00. If you would like to make full payment at this time, please check all the boxes. If you would like to pay in installments, please select the installment(s) you would like to pay today. Payment of Installment 1 commits you to pay all the tuition over the period of 4 months.  is invalid\" aria-invalid=\"false\"   \/> Installment 2 (Due October 1, 2021)- $645<\/label><\/div>\n\t<div class=\"frm_checkbox\" id=\"frm_checkbox_851-723-2\"><label for=\"field_fy4kg-2\">\t<input type=\"checkbox\" name=\"item_meta[851][]\" id=\"field_fy4kg-2\" value=\"Installment 3 (Due November 1, 2021) - $645\" data-frmprice=\"645.00\"  data-sectionid=\"723\"  data-reqmsg=\"The full tuition is $2,580.00. If you would like to make full payment at this time, please check all the boxes. If you would like to pay in installments, please select the installment(s) you would like to pay today. Payment of Installment 1 commits you to pay all the tuition over the period of 4 months.  cannot be blank.\" data-invmsg=\"The full tuition is $2,580.00. If you would like to make full payment at this time, please check all the boxes. If you would like to pay in installments, please select the installment(s) you would like to pay today. Payment of Installment 1 commits you to pay all the tuition over the period of 4 months.  is invalid\" aria-invalid=\"false\"   \/> Installment 3 (Due November 1, 2021) - $645<\/label><\/div>\n\t<div class=\"frm_checkbox\" id=\"frm_checkbox_851-723-3\"><label for=\"field_fy4kg-3\">\t<input type=\"checkbox\" name=\"item_meta[851][]\" id=\"field_fy4kg-3\" value=\"Installment 4 (Due December 1, 2021) - $645\" data-frmprice=\"645.00\"  data-sectionid=\"723\"  data-reqmsg=\"The full tuition is $2,580.00. If you would like to make full payment at this time, please check all the boxes. If you would like to pay in installments, please select the installment(s) you would like to pay today. Payment of Installment 1 commits you to pay all the tuition over the period of 4 months.  cannot be blank.\" data-invmsg=\"The full tuition is $2,580.00. If you would like to make full payment at this time, please check all the boxes. If you would like to pay in installments, please select the installment(s) you would like to pay today. Payment of Installment 1 commits you to pay all the tuition over the period of 4 months.  is invalid\" aria-invalid=\"false\"   \/> Installment 4 (Due December 1, 2021) - $645<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_744_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <div id=\"field_f2l6n_label\" class=\"frm_primary_label\" for=\"field_f2l6n\">Total<\/div>\r\n    <p class=\"frm_total_formatted\"><\/p>\r\n    <input  type=\"hidden\" id=\"field_f2l6n\" name=\"item_meta[744]\" value=\"\"  data-sectionid=\"723\"  data-frmtotal  data-invmsg=\"Total is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n\t\t<input  type=\"hidden\" name=\"item_meta[855]\" id=\"field_zhyr9\" value=\"\"  data-sectionid=\"723\"     \/>\n\t\t<div id=\"frm_field_722_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label class=\"frm_primary_label\" for=\"field_b4oti\">Credit Card\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <fieldset aria-labelledby=\"field_b4oti_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tCredit Card<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_722-cc_container\" class=\"frm_form_field form-field frm_full frm_cc_number\">\n\t<label for=\"field_b4oti_cc\" class=\"frm_screen_reader frm_hidden\">\n\t\tCredit Card\t<\/label>\n\t\t<input type=\"tel\" id=\"field_b4oti_cc\" value=\"\" name=\"item_meta[722][cc]\"  placeholder=\"\" data-placeholder=\"\" data-sectionid=\"723\"  data-reqmsg=\"Credit Card cannot be blank.\" aria-required=\"true\" data-invmsg=\"Credit Card is invalid\" aria-invalid=\"false\"   autocomplete=\"cc-number\" autocorrect=\"off\" spellcheck=\"off\" autocapitalize=\"off\" data-name=\"722-cc\" placeholder=\"\" \/>\n\t<\/div>\n<div id=\"frm_field_722-month_container\" class=\"frm_form_field form-field frm_third frm_first frm_cc_exp_month\">\n\t<label for=\"field_b4oti_month\" class=\"frm_screen_reader frm_hidden\">\n\t\tCredit Card\t<\/label>\n\t\t\t<select name=\"item_meta[722][month]\" id=\"field_b4oti_month\"  placeholder=\"Month\" data-placeholder=\"Month\" data-sectionid=\"723\"  data-reqmsg=\"Credit Card cannot be blank.\" aria-required=\"true\" data-invmsg=\"Credit Card is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\" class=\"frm-select-placeholder\">\n\t\t\t\tMonth\t\t\t<\/option>\n\t\t\t<option  value=\"1\">1<\/option><option  value=\"2\">2<\/option><option  value=\"3\">3<\/option><option  value=\"4\">4<\/option><option  value=\"5\">5<\/option><option  value=\"6\">6<\/option><option  value=\"7\">7<\/option><option  value=\"8\">8<\/option><option  value=\"9\">9<\/option><option  value=\"10\">10<\/option><option  value=\"11\">11<\/option><option  value=\"12\">12<\/option>\t\t<\/select>\n\t<\/div>\n<div id=\"frm_field_722-year_container\" class=\"frm_form_field form-field frm_third frm_cc_exp_year\">\n\t<label for=\"field_b4oti_year\" class=\"frm_screen_reader frm_hidden\">\n\t\tCredit Card\t<\/label>\n\t\t\t<select name=\"item_meta[722][year]\" id=\"field_b4oti_year\"  placeholder=\"Year\" data-placeholder=\"Year\" data-sectionid=\"723\"  data-reqmsg=\"Credit Card cannot be blank.\" aria-required=\"true\" data-invmsg=\"Credit Card is invalid\" aria-invalid=\"false\"  >\n\t\t\t<option value=\"\" class=\"frm-select-placeholder\">\n\t\t\t\tYear\t\t\t<\/option>\n\t\t\t<option  value=\"2026\">2026<\/option><option  value=\"2027\">2027<\/option><option  value=\"2028\">2028<\/option><option  value=\"2029\">2029<\/option><option  value=\"2030\">2030<\/option><option  value=\"2031\">2031<\/option><option  value=\"2032\">2032<\/option><option  value=\"2033\">2033<\/option><option  value=\"2034\">2034<\/option><option  value=\"2035\">2035<\/option><option  value=\"2036\">2036<\/option>\t\t<\/select>\n\t<\/div>\n<div id=\"frm_field_722-cvc_container\" class=\"frm_form_field form-field frm_third frm_cc_cvc\">\n\t<label for=\"field_b4oti_cvc\" class=\"frm_screen_reader frm_hidden\">\n\t\tCredit Card\t<\/label>\n\t\t<input type=\"tel\" id=\"field_b4oti_cvc\" value=\"\" name=\"item_meta[722][cvc]\"  placeholder=\"\" data-placeholder=\"\" data-sectionid=\"723\"  data-reqmsg=\"Credit Card cannot be blank.\" aria-required=\"true\" data-invmsg=\"Credit Card is invalid\" aria-invalid=\"false\"   spellcheck=\"off\" autocapitalize=\"off\" maxlength=\"4\" autocorrect=\"off\" autocomplete=\"off\" data-name=\"722-cvc\" placeholder=\"\" \/>\n\t<\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_726_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_full\">\r\n    <label class=\"frm_primary_label\" for=\"field_nocn7\">Address\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <fieldset aria-labelledby=\"field_nocn7_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tAddress<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_726-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_nocn7_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tStreet Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_nocn7_line1\" value=\"\" name=\"item_meta[726][line1]\"  data-sectionid=\"723\"  data-reqmsg=\"Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<div class=\"frm_description\">Street Address<\/div><\/div>\n<div id=\"frm_field_726-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_nocn7_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tBuilding\/Suite\/Apartment #\t<\/label>\n\t\t<input type=\"text\" id=\"field_nocn7_line2\" value=\"\" name=\"item_meta[726][line2]\"  data-sectionid=\"723\"  data-reqmsg=\"Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<div class=\"frm_description\">Building\/Suite\/Apartment #<\/div><\/div>\n<div id=\"frm_field_726-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_nocn7_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCity\t<\/label>\n\t\t<input type=\"text\" id=\"field_nocn7_city\" value=\"\" name=\"item_meta[726][city]\"  data-sectionid=\"723\"  data-reqmsg=\"Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">City<\/div><\/div>\n<div id=\"frm_field_726-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_nocn7_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tState\/Province\t<\/label>\n\t\t\t<select name=\"item_meta[726][state]\" id=\"field_nocn7_state\"  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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=\"Ohio\">Ohio<\/option><option  value=\"Oklahoma\">Oklahoma<\/option><option  value=\"Oregon\">Oregon<\/option><option  value=\"Pennsylvania\">Pennsylvania<\/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=\"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>\t\t<\/select>\n\t<div class=\"frm_description\">State\/Province<\/div><\/div>\n<div id=\"frm_field_726-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_nocn7_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tZip\/Postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_nocn7_zip\" value=\"\" 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