{"id":575,"date":"2015-11-16T03:03:06","date_gmt":"2015-11-16T03:03:06","guid":{"rendered":"https:\/\/tjwrestling.com\/?page_id=575"},"modified":"2023-10-07T01:57:00","modified_gmt":"2023-10-07T01:57:00","slug":"payment-portal","status":"publish","type":"page","link":"https:\/\/tjwrestling.com\/shop\/payment-portal\/","title":{"rendered":"Payment Portal"},"content":{"rendered":"\n<p>If you are trying to pay for Team Jeff Wrestling Club Membership, <a href=\"https:\/\/tjwrestling.com\/shop\/payment-portal\/team-jeff-membership\/\">click here<\/a><\/p>\n\n\n\n<p>For all other payments, please use the form below&#8230;<\/p>\n\n\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var 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{};\r\n\t\t\tgform.extensions.styles.gravityformsstripe = gform.extensions.styles.gravityformsstripe || {};\r\n\t\t\tgform.extensions.styles.gravityformsstripe[3] = gform.extensions.styles.gravityformsstripe[3] || {};\r\n\t\t\tgform.extensions.styles.gravityformsstripe[3][0] = {\"labels\":\"floating\",\"theme\":\"stripe\",\"variables\":{\"borderRadius\":\"--gf-ctrl-radius\",\"colorBackground\":\"--gf-ctrl-bg-color\",\"colorBackgroundText\":\"--gf-ctrl-color\",\"colorIcon\":\"--gf-ctrl-color\",\"colorIconCardCvc\":\"--gf-ctrl-color\",\"colorIconCardCvcError\":\"--gf-color-danger\",\"colorIconCardError\":\"--gf-color-danger\",\"colorIconTab\":\"--gf-ctrl-btn-icon-color-secondary\",\"colorIconTabHover\":\"--gf-ctrl-btn-icon-color-hover-secondary\",\"colorIconTabSelected\":\"--gf-ctrl-btn-color-secondary\",\"colorIconTabMore\":\"--gf-ctrl-btn-icon-color-secondary\",\"colorIconTabMoreHover\":\"--gf-ctrl-btn-icon-color-hover-secondary\",\"colorIconMenu\":\"--gf-ctrl-color\",\"colorPrimary\":\"--gf-color-primary\",\"colorPrimaryText\":\"--gf-color-primary-contrast\",\"colorDanger\":\"--gf-color-danger\",\"colorDangerText\":\"--gf-color-danger-contrast\",\"colorSuccess\":\"--gf-color-success\",\"colorSuccessText\":\"--gf-color-success-contrast\",\"colorText\":\"--gf-ctrl-color\",\"colorTextPlaceholder\":\"--gf-ctrl-placeholder-color\",\"colorTextSecondary\":\"--gf-ctrl-color\",\"fontFamily\":\"--gf-font-family-base\",\"fontSizeBase\":\"16px\",\"fontSmooth\":\"--gf-ctrl-font-smoothing\",\"spacingGridRow\":\"--gf-field-gap-y\",\"spacingGridColumn\":\"--gf-field-gap-x\"},\"rules\":{\".Input\":{\"borderColor\":\"--gf-ctrl-border-color\",\"borderWidth\":\"--gf-ctrl-border-width\",\"borderStyle\":\"--gf-ctrl-border-style\",\"color\":\"--gf-ctrl-color\",\"fontWeight\":\"--gf-ctrl-font-weight\",\"fontSize\":\"--gf-ctrl-font-size\",\"letterSpacing\":\"--gf-ctrl-letter-spacing\"},\".Input:hover\":{\"backgroundColor\":\"--gf-ctrl-bg-color-hover\",\"borderColor\":\"--gf-ctrl-border-color-hover\",\"color\":\"--gf-ctrl-color-hover\"},\".Input:hover:focus\":{\"backgroundColor\":\"--gf-ctrl-bg-color-focus\",\"borderColor\":\"--gf-ctrl-border-color-focus\",\"boxShadow\":\"--gf-ctrl-shadow-focus\",\"color\":\"--gf-ctrl-color-focus\"},\".Input:focus\":{\"backgroundColor\":\"--gf-ctrl-bg-color-focus\",\"borderColor\":\"--gf-ctrl-border-color-focus\",\"boxShadow\":\"--gf-ctrl-shadow-focus\",\"color\":\"--gf-ctrl-color-focus\"},\".Input:disabled\":{\"backgroundColor\":\"--gf-ctrl-bg-color-disabled\",\"borderColor\":\"--gf-ctrl-border-color-disabled\",\"color\":\"--gf-ctrl-color-disabled\"},\".Input:disabled:hover\":{\"backgroundColor\":\"--gf-ctrl-bg-color-disabled\",\"borderColor\":\"--gf-ctrl-border-color-disabled\",\"color\":\"--gf-ctrl-color-disabled\"},\".Input--invalid\":{\"backgroundColor\":\"--gf-ctrl-bg-color-error\",\"borderColor\":\"--gf-ctrl-border-color-error\",\"boxShadow\":\"0\",\"color\":\"--gf-ctrl-color-error\"},\".Input--invalid:hover\":{\"borderColor\":\"--gf-ctrl-border-color-error\"},\".Input::placeholder\":{\"fontFamily\":\"--gf-ctrl-placeholder-font-family\",\"fontSize\":\"--gf-ctrl-placeholder-font-size\",\"fontWeight\":\"--gf-ctrl-placeholder-font-weight\",\"letterSpacing\":\"--gf-ctrl-placeholder-letter-spacing\"},\".CodeInput\":{\"borderColor\":\"--gf-ctrl-border-color\",\"borderWidth\":\"--gf-ctrl-border-width\",\"borderStyle\":\"--gf-ctrl-border-style\",\"color\":\"--gf-ctrl-color\",\"fontWeight\":\"--gf-ctrl-font-weight\",\"fontSize\":\"--gf-ctrl-font-size\",\"letterSpacing\":\"--gf-ctrl-letter-spacing\"},\".CodeInput:focus\":{\"backgroundColor\":\"--gf-ctrl-bg-color-focus\",\"borderColor\":\"--gf-ctrl-border-color-focus\",\"boxShadow\":\"--gf-ctrl-shadow-focus\",\"color\":\"--gf-ctrl-color-focus\"},\".CheckboxInput\":{\"borderColor\":\"--gf-ctrl-border-color\",\"borderWidth\":\"--gf-ctrl-border-width\",\"borderStyle\":\"--gf-ctrl-border-style\",\"borderRadius\":\"--gf-ctrl-checkbox-check-radius\"},\".CheckboxInput:hover\":{\"backgroundColor\":\"--gf-ctrl-bg-color-hover\",\"borderColor\":\"--gf-ctrl-border-color-hover\"},\".CheckboxInput--checked:hover\":{\"backgroundColor\":\"--gf-ctrl-bg-color\",\"borderColor\":\"--gf-ctrl-border-color\"},\".Error\":{\"color\":\"--gf-ctrl-desc-color-error\",\"fontFamily\":\"--gf-ctrl-desc-font-family-error\",\"fontSize\":\"--gf-ctrl-desc-font-size-error\",\"fontWeight\":\"--gf-ctrl-desc-font-weight-error\",\"letterSpacing\":\"--gf-ctrl-desc-letter-spacing-error\",\"lineHeight\":\"--gf-ctrl-desc-line-height-error\",\"marginTop\":\"--gf-desc-space\"},\".Label--resting\":{\"color\":\"--gf-ctrl-placeholder-color\",\"fontFamily\":\"--gf-ctrl-placeholder-font-family\",\"fontSize\":\"--gf-ctrl-placeholder-font-size\",\"fontWeight\":\"--gf-ctrl-placeholder-font-weight\",\"letterSpacing\":\"--gf-ctrl-placeholder-letter-spacing\",\"opacity\":\"--gf-ctrl-placeholder-opacity\"},\".Label--floating\":{\"color\":\"--gf-ctrl-color\",\"fontFamily\":\"--gf-ctrl-placeholder-font-family\",\"fontWeight\":\"--gf-ctrl-label-font-weight-primary\",\"letterSpacing\":\"--gf-ctrl-placeholder-letter-spacing\"},\".Tab\":{\"backgroundColor\":\"--gf-ctrl-button-bg-color-secondary\",\"borderColor\":\"--gf-ctrl-button-border-color-secondary\",\"borderWidth\":\"--gf-ctrl-button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#cf2e2e;--gf-color-primary-rgb: 207, 46, 46;--gf-color-primary-contrast: #fff;--gf-color-primary-contrast-rgb: 255, 255, 255;--gf-color-primary-darker: #9D0000;--gf-color-primary-lighter: #FF6060;--gf-color-secondary: #fff;--gf-color-secondary-rgb: 255, 255, 255;--gf-color-secondary-contrast: #112337;--gf-color-secondary-contrast-rgb: 17, 35, 55;--gf-color-secondary-darker: #F5F5F5;--gf-color-secondary-lighter: #FFFFFF;--gf-color-out-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-out-ctrl-light-rgb: 17, 35, 55;--gf-color-out-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-out-ctrl-light-lighter: #F5F5F5;--gf-color-out-ctrl-dark: #585e6a;--gf-color-out-ctrl-dark-rgb: 88, 94, 106;--gf-color-out-ctrl-dark-darker: #112337;--gf-color-out-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-color-in-ctrl: #fff;--gf-color-in-ctrl-rgb: 255, 255, 255;--gf-color-in-ctrl-contrast: #112337;--gf-color-in-ctrl-contrast-rgb: 17, 35, 55;--gf-color-in-ctrl-darker: #F5F5F5;--gf-color-in-ctrl-lighter: #FFFFFF;--gf-color-in-ctrl-primary: #cf2e2e;--gf-color-in-ctrl-primary-rgb: 207, 46, 46;--gf-color-in-ctrl-primary-contrast: #fff;--gf-color-in-ctrl-primary-contrast-rgb: 255, 255, 255;--gf-color-in-ctrl-primary-darker: #9D0000;--gf-color-in-ctrl-primary-lighter: #FF6060;--gf-color-in-ctrl-light: rgba(17, 35, 55, 0.1);--gf-color-in-ctrl-light-rgb: 17, 35, 55;--gf-color-in-ctrl-light-darker: rgba(104, 110, 119, 0.35);--gf-color-in-ctrl-light-lighter: #F5F5F5;--gf-color-in-ctrl-dark: #585e6a;--gf-color-in-ctrl-dark-rgb: 88, 94, 106;--gf-color-in-ctrl-dark-darker: #112337;--gf-color-in-ctrl-dark-lighter: rgba(17, 35, 55, 0.65);--gf-radius: 3px;--gf-font-size-secondary: 14px;--gf-font-size-tertiary: 13px;--gf-icon-ctrl-number: url(\"data:image\/svg+xml,%3Csvg width='8' height='14' viewBox='0 0 8 14' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M4 0C4.26522 5.96046e-08 4.51957 0.105357 4.70711 0.292893L7.70711 3.29289C8.09763 3.68342 8.09763 4.31658 7.70711 4.70711C7.31658 5.09763 6.68342 5.09763 6.29289 4.70711L4 2.41421L1.70711 4.70711C1.31658 5.09763 0.683417 5.09763 0.292893 4.70711C-0.0976311 4.31658 -0.097631 3.68342 0.292893 3.29289L3.29289 0.292893C3.48043 0.105357 3.73478 0 4 0ZM0.292893 9.29289C0.683417 8.90237 1.31658 8.90237 1.70711 9.29289L4 11.5858L6.29289 9.29289C6.68342 8.90237 7.31658 8.90237 7.70711 9.29289C8.09763 9.68342 8.09763 10.3166 7.70711 10.7071L4.70711 13.7071C4.31658 14.0976 3.68342 14.0976 3.29289 13.7071L0.292893 10.7071C-0.0976311 10.3166 -0.0976311 9.68342 0.292893 9.29289Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-select: url(\"data:image\/svg+xml,%3Csvg width='10' height='6' viewBox='0 0 10 6' fill='none' xmlns='http:\/\/www.w3.org\/2000\/svg'%3E%3Cpath fill-rule='evenodd' clip-rule='evenodd' d='M0.292893 0.292893C0.683417 -0.097631 1.31658 -0.097631 1.70711 0.292893L5 3.58579L8.29289 0.292893C8.68342 -0.0976311 9.31658 -0.0976311 9.70711 0.292893C10.0976 0.683417 10.0976 1.31658 9.70711 1.70711L5.70711 5.70711C5.31658 6.09763 4.68342 6.09763 4.29289 5.70711L0.292893 1.70711C-0.0976311 1.31658 -0.0976311 0.683418 0.292893 0.292893Z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-icon-ctrl-search: url(\"data:image\/svg+xml,%3Csvg version='1.1' xmlns='http:\/\/www.w3.org\/2000\/svg' width='640' height='640'%3E%3Cpath d='M256 128c-70.692 0-128 57.308-128 128 0 70.691 57.308 128 128 128 70.691 0 128-57.309 128-128 0-70.692-57.309-128-128-128zM64 256c0-106.039 85.961-192 192-192s192 85.961 192 192c0 41.466-13.146 79.863-35.498 111.248l154.125 154.125c12.496 12.496 12.496 32.758 0 45.254s-32.758 12.496-45.254 0L367.248 412.502C335.862 434.854 297.467 448 256 448c-106.039 0-192-85.962-192-192z' fill='rgba(17, 35, 55, 0.65)'\/%3E%3C\/svg%3E\");--gf-label-space-y-secondary: var(--gf-label-space-y-md-secondary);--gf-ctrl-border-color: #686e77;--gf-ctrl-size: var(--gf-ctrl-size-md);--gf-ctrl-label-color-primary: #112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_3' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_3' id='gform_3'  action='\/wp-json\/wp\/v2\/pages\/575#gf_3' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_3_9\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_9\" ><h3 class=\"gsection_title\">Your Information<\/h3><\/div><fieldset id=\"field_3_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_1\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/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_3_1'>\n                            \n                            <span id='input_3_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_3_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_3_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_3_3\" class=\"gfield gfield--type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_3\" ><label class='gfield_label gform-field-label' for='input_3_3'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_3_3' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_3_4\" class=\"gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_4\" ><label class='gfield_label gform-field-label' for='input_3_4'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_3_4' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_3_10\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_10\" ><h3 class=\"gsection_title\">Payment Information<\/h3><\/div><fieldset id=\"field_3_5\" class=\"gfield gfield--type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_5\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Payment Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/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_3_5' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_3_5_1_container' >\n                                        <input type='text' name='input_5.1' id='input_3_5_1' value=''    aria-required='true'    \/>\n                                        <label for='input_3_5_1' id='input_3_5_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_3_5_2_container' >\n                                        <input type='text' name='input_5.2' id='input_3_5_2' value=''     aria-required='false'   \/>\n                                        <label for='input_3_5_2' id='input_3_5_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_3_5_3_container' >\n                                    <input type='text' name='input_5.3' id='input_3_5_3' value=''    aria-required='true'    \/>\n                                    <label for='input_3_5_3' id='input_3_5_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_3_5_4_container' >\n                                        <select name='input_5.4' id='input_3_5_4'     aria-required='true'    ><option value='' ><\/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' selected='selected'>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_3_5_4' id='input_3_5_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_3_5_5_container' >\n                                    <input type='text' name='input_5.5' id='input_3_5_5' value=''    aria-required='true'    \/>\n                                    <label for='input_3_5_5' id='input_3_5_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_5.6' id='input_3_5_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_3_6\" class=\"gfield gfield--type-product gfield--input-type-price gfield--width-full gfield_price gfield_price_3_6 gfield_product_3_6 gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_6\" ><label class='gfield_label gform-field-label' for='input_3_6'>Price<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_product_price'>\n\t\t\t\t\t<input name='input_6' id='input_3_6' type='text' value='' class='large ginput_amount'   aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_3_6\" \/>\n\t\t\t\t<\/div><div class='gfield_description' id='gfield_description_3_6'>Please enter the amount you are paying<\/div><\/div><div id=\"field_3_8\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_3_8\" ><label class='gfield_label gform-field-label' for='input_3_8'>Payment Description<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_8' id='input_3_8' class='textarea large'  aria-describedby=\"gfield_description_3_8\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_8'>Please describe 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