{"id":2556,"date":"2025-12-04T11:24:55","date_gmt":"2025-12-04T10:24:55","guid":{"rendered":"https:\/\/interactive.econgood.org\/smartwe\/registration_customer\/"},"modified":"2025-12-04T11:27:40","modified_gmt":"2025-12-04T10:27:40","slug":"registration_customer","status":"publish","type":"page","link":"https:\/\/interactive.econgood.org\/smartwe\/registration_customer\/?lang=fr","title":{"rendered":"registration_customer"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #ffffff;background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 0px;border-color:#eae9e9;border-style:solid;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start\" style=\"max-width:1144px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-1\" style=\"transform:translate3d(0,0,0);\">\n<div class=\"wpml-ls-statics-shortcode_actions wpml-ls wpml-ls-legacy-list-horizontal\">\n\t<ul><li class=\"wpml-ls-slot-shortcode_actions wpml-ls-item wpml-ls-item-de wpml-ls-first-item wpml-ls-item-legacy-list-horizontal\">\n\t\t\t\t<a href=\"https:\/\/interactive.econgood.org\/smartwe\/?lang=de\" class=\"wpml-ls-link\">\n                                                        <img decoding=\"async\"\n            class=\"wpml-ls-flag\"\n            src=\"https:\/\/interactive.econgood.org\/smartwe\/wp-content\/plugins\/sitepress-multilingual-cms\/res\/flags\/de.png\"\n            alt=\"\"\n            width=18\n            height=12\n    \/><span class=\"wpml-ls-native\" lang=\"de\">Deutsch<\/span><\/a>\n\t\t\t<\/li><li class=\"wpml-ls-slot-shortcode_actions wpml-ls-item wpml-ls-item-es wpml-ls-item-legacy-list-horizontal\">\n\t\t\t\t<a href=\"https:\/\/interactive.econgood.org\/smartwe\/?lang=es\" class=\"wpml-ls-link\">\n                                                        <img decoding=\"async\"\n            class=\"wpml-ls-flag\"\n            src=\"https:\/\/interactive.econgood.org\/smartwe\/wp-content\/plugins\/sitepress-multilingual-cms\/res\/flags\/es.png\"\n            alt=\"\"\n            width=18\n            height=12\n    \/><span class=\"wpml-ls-native\" lang=\"es\">Espa\u00f1ol<\/span><\/a>\n\t\t\t<\/li><li class=\"wpml-ls-slot-shortcode_actions wpml-ls-item wpml-ls-item-it wpml-ls-item-legacy-list-horizontal\">\n\t\t\t\t<a href=\"https:\/\/interactive.econgood.org\/smartwe\/?lang=it\" class=\"wpml-ls-link\">\n                                                        <img decoding=\"async\"\n            class=\"wpml-ls-flag\"\n            src=\"https:\/\/interactive.econgood.org\/smartwe\/wp-content\/plugins\/sitepress-multilingual-cms\/res\/flags\/it.png\"\n            alt=\"\"\n            width=18\n            height=12\n    \/><span class=\"wpml-ls-native\" lang=\"it\">Italiano<\/span><\/a>\n\t\t\t<\/li><li class=\"wpml-ls-slot-shortcode_actions wpml-ls-item wpml-ls-item-ca wpml-ls-item-legacy-list-horizontal\">\n\t\t\t\t<a href=\"https:\/\/interactive.econgood.org\/smartwe\/?lang=ca\" class=\"wpml-ls-link\">\n                                                        <img decoding=\"async\"\n            class=\"wpml-ls-flag\"\n            src=\"https:\/\/interactive.econgood.org\/smartwe\/wp-content\/plugins\/sitepress-multilingual-cms\/res\/flags\/ca.png\"\n            alt=\"\"\n            width=18\n            height=12\n    \/><span class=\"wpml-ls-native\" lang=\"ca\">Catal\u00e0<\/span><\/a>\n\t\t\t<\/li><li class=\"wpml-ls-slot-shortcode_actions wpml-ls-item wpml-ls-item-fr wpml-ls-last-item wpml-ls-item-legacy-list-horizontal\">\n\t\t\t\t<a href=\"https:\/\/interactive.econgood.org\/smartwe\/?lang=fr\" class=\"wpml-ls-link\">\n                                                        <img decoding=\"async\"\n            class=\"wpml-ls-flag\"\n            src=\"https:\/\/interactive.econgood.org\/smartwe\/wp-content\/plugins\/sitepress-multilingual-cms\/res\/flags\/fr.png\"\n            alt=\"\"\n            width=18\n            height=12\n    \/><span class=\"wpml-ls-native\" lang=\"fr\">Fran\u00e7ais<\/span><\/a>\n\t\t\t<\/li><\/ul>\n<\/div>\n\n<\/div><div class=\"fusion-text fusion-text-2\" style=\"transform:translate3d(0,0,0);\"><div class=\"frm_forms  with_frm_style frm_style_ecg_style\" id=\"frm_form_23_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_js_validate  frm_ajax_submit  frm_pro_form \" id=\"form_form_registration_customer_1\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">form_registration_customer_1<\/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=\"23\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_23\" id=\"frm_hide_fields_23\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"form_registration_customer_1\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_23\" name=\"frm_submit_entry_23\" value=\"2267a3d686\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/smartwe\/wp-json\/wp\/v2\/pages\/2556\" \/><div id=\"frm_field_1470_container\" class=\"frm_form_field  frm_html_container form-field\">\n<div id=\"pleasewait_message_div\">Please wait while loading data ...<\/div>\n<\/div>\n<div id=\"frm_field_1471_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_membership_typdermitgliedschaft\" id=\"field_membership_typdermitgliedschaft_label\" class=\"frm_primary_label\">Registration type\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[1471]\" id=\"field_membership_typdermitgliedschaft\"  data-reqmsg=\"Registration type cannot be blank.\" aria-required=\"true\" data-invmsg=\"Registration type is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"MEMBER\">MEMBER<\/option><option  value=\"SUBSCRIBER\">SUBSCRIBER<\/option><option  value=\"DONATOR\">DONATOR<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1647_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_membership_typdermitgliedschaft_disp\" id=\"field_membership_typdermitgliedschaft_disp_label\" class=\"frm_primary_label\">Registration type\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_membership_typdermitgliedschaft_disp\" name=\"item_meta[1647]\" value=\"\"  readonly=\"readonly\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1616_container\" class=\"frm_form_field  frm6  smallFont frm_first frm_html_container form-field\">\n<div id=\"asterisk_message_div\">Note: Fields with an asterisk (<span style=\"color: red\">*<\/span>) require an entry<\/div>\n<\/div>\n<div id=\"frm_field_1589_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_other_container\">\r\n    <label for=\"field_artadr\" id=\"field_artadr_label\" class=\"frm_primary_label\">I am a\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[1589]\" id=\"field_artadr\"  data-reqmsg=\"I am a cannot be blank.\" aria-required=\"true\" data-invmsg=\"I am a is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"PRIVATE_PERSON\">PRIVATE_PERSON<\/option><option  value=\"COMPANY\">COMPANY<\/option><option  value=\"ASSOCIATION\">ASSOCIATION<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_2451_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n\t<label for=\"field_form_type\" id=\"field_form_type_label\" class=\"frm_primary_label\">form_type\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[2451]\" id=\"field_form_type\"  data-frmval=\"default\" data-invmsg=\"form_type is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"default\" selected='selected'>default<\/option><option  value=\"simple\">simple<\/option><option  value=\"simple_account_request\">simple_account_request<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_2475_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n\t<label for=\"field_base_association\" id=\"field_base_association_label\" class=\"frm_primary_label\">base_association\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_base_association\" name=\"item_meta[2475]\" value=\"\"  data-invmsg=\"base_association is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_1648_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <label for=\"field_membership_artadr_disp\" id=\"field_membership_artadr_disp_label\" class=\"frm_primary_label\">I am a\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_membership_artadr_disp\" name=\"item_meta[1648]\" value=\"\"  readonly=\"readonly\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1473_container\" class=\"frm_form_field frm_section_heading form-field frm_center_container backcolor_section frm12\">\r\n<h3 class=\"frm_pos_center frm_section_spacing\"><\/h3>\r\n\r\n\r\n<div id=\"frm_field_2474_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h3>Personal Information<\/h3>\n<\/div>\n<div id=\"frm_field_1474_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm_fourth\">\r\n    <label for=\"field_privatperson_addressterm\" id=\"field_privatperson_addressterm_label\" class=\"frm_primary_label\">Salutation\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[1474]\" id=\"field_privatperson_addressterm\"  data-sectionid=\"8\"  data-invmsg=\"Salutation is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Mrs.\">Mrs.<\/option><option  value=\"Mr.\">Mr.<\/option><option  value=\"Divers\">Divers<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1475_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_privatperson_title\" id=\"field_privatperson_title_label\" class=\"frm_primary_label\">Title\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_privatperson_title\" name=\"item_meta[1475]\" value=\"\"  data-sectionid=\"8\"  data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1476_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\">\r\n    <label for=\"field_privatperson_christianname\" id=\"field_privatperson_christianname_label\" class=\"frm_primary_label\">First name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_privatperson_christianname\" name=\"item_meta[1476]\" value=\"\"  data-sectionid=\"8\"  maxlength=\"30\" data-reqmsg=\"First name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1477_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_privatperson_name\" id=\"field_privatperson_name_label\" class=\"frm_primary_label\">Last name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_privatperson_name\" name=\"item_meta[1477]\" value=\"\"  data-sectionid=\"8\"  maxlength=\"50\" data-reqmsg=\"Last name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1479_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_privatperson_street3\" id=\"field_privatperson_street3_label\" class=\"frm_primary_label\">Street Address\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_privatperson_street3\" name=\"item_meta[1479]\" value=\"\"  data-sectionid=\"8\"  maxlength=\"50\" data-reqmsg=\"Street Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1478_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_privatperson_gwadditionalinfo3\" id=\"field_privatperson_gwadditionalinfo3_label\" class=\"frm_primary_label\">Address additional info\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_privatperson_gwadditionalinfo3\" name=\"item_meta[1478]\" value=\"\"  data-sectionid=\"8\"  maxlength=\"50\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1480_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_privatperson_zip3\" id=\"field_privatperson_zip3_label\" class=\"frm_primary_label\">Postal Code\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_privatperson_zip3\" name=\"item_meta[1480]\" value=\"\"  data-sectionid=\"8\"  maxlength=\"7\" data-reqmsg=\"Postal Code cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1481_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_privatperson_town3\" id=\"field_privatperson_town3_label\" class=\"frm_primary_label\">City\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_privatperson_town3\" name=\"item_meta[1481]\" value=\"\"  data-sectionid=\"8\"  maxlength=\"50\" data-reqmsg=\"City cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1482_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_privatperson_country3\" id=\"field_privatperson_country3_label\" class=\"frm_primary_label\">Country\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    \t\t<select  name=\"item_meta[1482]\" id=\"field_privatperson_country3\"  data-sectionid=\"8\"  data-reqmsg=\"Country cannot be blank.\" aria-required=\"true\" data-invmsg=\"Country is invalid\" aria-invalid=\"false\"  >\n\t\t\t\t\t\t\t<option  value=\"\" class=\"frm-select-placeholder\">\n\t\t\t\t\t \t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"-- other country --\">\n\t\t\t\t\t-- other country --\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Algeria\">\n\t\t\t\t\tAlgeria\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Argentina\">\n\t\t\t\t\tArgentina\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Austria\">\n\t\t\t\t\tAustria\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Belgium\">\n\t\t\t\t\tBelgium\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Brazil\">\n\t\t\t\t\tBrazil\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Burundi\">\n\t\t\t\t\tBurundi\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Chile\">\n\t\t\t\t\tChile\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Colombia\">\n\t\t\t\t\tColombia\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Costa Rica\">\n\t\t\t\t\tCosta Rica\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Croatia\">\n\t\t\t\t\tCroatia\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Dominican Republic\">\n\t\t\t\t\tDominican Republic\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"France\">\n\t\t\t\t\tFrance\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Germany\">\n\t\t\t\t\tGermany\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Ghana\">\n\t\t\t\t\tGhana\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Greece\">\n\t\t\t\t\tGreece\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Guinea\">\n\t\t\t\t\tGuinea\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Hungary\">\n\t\t\t\t\tHungary\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Italy\">\n\t\t\t\t\tItaly\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Ivory Coast\">\n\t\t\t\t\tIvory Coast\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Japan\">\n\t\t\t\t\tJapan\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Kenia\">\n\t\t\t\t\tKenia\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Liechtenstein\">\n\t\t\t\t\tLiechtenstein\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Luxembourg\">\n\t\t\t\t\tLuxembourg\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Macedonia\">\n\t\t\t\t\tMacedonia\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Mexico\">\n\t\t\t\t\tMexico\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Morocco\">\n\t\t\t\t\tMorocco\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Netherlands\">\n\t\t\t\t\tNetherlands\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Peru\">\n\t\t\t\t\tPeru\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Philippines\">\n\t\t\t\t\tPhilippines\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Poland\">\n\t\t\t\t\tPoland\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Portugal\">\n\t\t\t\t\tPortugal\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Romania\">\n\t\t\t\t\tRomania\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Senegal\">\n\t\t\t\t\tSenegal\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Serbia\">\n\t\t\t\t\tSerbia\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Spain\">\n\t\t\t\t\tSpain\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Sweden\">\n\t\t\t\t\tSweden\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Switzerland\">\n\t\t\t\t\tSwitzerland\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"United Kingdom\">\n\t\t\t\t\tUnited Kingdom\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Uruguay\">\n\t\t\t\t\tUruguay\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"USA\">\n\t\t\t\t\tUSA\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Venezuela\">\n\t\t\t\t\tVenezuela\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Vietnam\">\n\t\t\t\t\tVietnam\t\t\t\t<\/option>\n\t\t\t\t\t\t<\/select>\n\t\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1483_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half frm_first\">\r\n    <label for=\"field_privatperson_xcuststeuernummer\" id=\"field_privatperson_xcuststeuernummer_label\" class=\"frm_primary_label\">Tax Number (mandatory for Italy)\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_privatperson_xcuststeuernummer\" name=\"item_meta[1483]\" value=\"\"  data-sectionid=\"8\"  maxlength=\"50\" data-reqmsg=\"Tax Number (mandatory for Italy) cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1484_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_privatperson_mailfieldstr3\" id=\"field_privatperson_mailfieldstr3_label\" class=\"frm_primary_label\">E-Mail\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_privatperson_mailfieldstr3\" name=\"item_meta[1484]\" value=\"\"  data-sectionid=\"8\"  maxlength=\"100\" data-reqmsg=\"E-Mail cannot be blank.\" aria-required=\"true\" data-invmsg=\"Format ist ung\u00fcltig \/ Format is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1485_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_privatperson_phonefieldstr7\" id=\"field_privatperson_phonefieldstr7_label\" class=\"frm_primary_label\">Telephone\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_privatperson_phonefieldstr7\" name=\"item_meta[1485]\" value=\"\"  data-sectionid=\"8\"  maxlength=\"25\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1486_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_privatperson_birthday\" id=\"field_privatperson_birthday_label\" class=\"frm_primary_label\">Birthday\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_privatperson_birthday\" name=\"item_meta[1486]\" value=\"\"  data-sectionid=\"8\"  maxlength=\"10\" data-reqmsg=\"Birthday cannot be blank.\" aria-required=\"true\" data-invmsg=\"Format ist ung\u00fcltig \/ Format is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_2315_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n    <label for=\"field_mtfix\" id=\"field_mtfix_label\" class=\"frm_primary_label\">City of birth\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_mtfix\" name=\"item_meta[2315]\" value=\"\"  data-sectionid=\"1473\"  maxlength=\"50\" data-reqmsg=\"City of birth cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1487_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_privatperson_xcustberuf\" id=\"field_privatperson_xcustberuf_label\" class=\"frm_primary_label\">Occupation\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_privatperson_xcustberuf\" name=\"item_meta[1487]\" value=\"\"  data-sectionid=\"8\"  maxlength=\"50\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_1591_container\" class=\"frm_form_field frm_section_heading form-field frm_center_container backcolor_section frm12\">\r\n<h3 class=\"frm_pos_center frm_section_spacing\"><\/h3>\r\n\r\n\r\n<div id=\"frm_field_2472_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h3>Company<\/h3>\n<\/div>\n<div id=\"frm_field_1490_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_unternehmen_compname\" id=\"field_unternehmen_compname_label\" class=\"frm_primary_label\">Company Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_unternehmen_compname\" name=\"item_meta[1490]\" value=\"\"  data-sectionid=\"24\"  maxlength=\"60\" data-reqmsg=\"Company Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1491_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\">\r\n    <label for=\"field_unternehmen_xcustmitarbeiteranzahl\" id=\"field_unternehmen_xcustmitarbeiteranzahl_label\" class=\"frm_primary_label\">Number of Employees\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_unternehmen_xcustmitarbeiteranzahl\" name=\"item_meta[1491]\" value=\"1\" data-sectionid=\"24\"  data-frmval=\"1\" data-reqmsg=\"Number of Employees cannot be blank.\" aria-required=\"true\" data-invmsg=\"Zahl ist ung\u00fcltig\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_unternehmen_xcustmitarbeiteranzahl\" min=\"1\" max=\"9999999\" step=\"0.5\" \/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_unternehmen_xcustmitarbeiteranzahl\">(full-time equivalent)<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_1492_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_two_col\">\r\n    <div id=\"field_unternehmen_xcustgeschaeftstyb2b_label\" class=\"frm_primary_label\">Business to Business\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_1492-1725-1\">\t\t\t<label  for=\"field_unternehmen_xcustgeschaeftstyb2b-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[1492][]\" id=\"field_unternehmen_xcustgeschaeftstyb2b-1\" value=\"B2B\"  data-sectionid=\"1725\"  data-invmsg=\"Business to Business is invalid\"   \/> B2B<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1493_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_two_col\">\r\n    <div id=\"field_unternehmen_xcustgeschaeftstypb2c_label\" class=\"frm_primary_label\">Business to Customer\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_1493-1725-0\">\t\t\t<label  for=\"field_unternehmen_xcustgeschaeftstypb2c-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[1493][]\" id=\"field_unternehmen_xcustgeschaeftstypb2c-0\" value=\"B2C\"  data-sectionid=\"1725\"  data-invmsg=\"Business to Customer is invalid\"   \/> B2C<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1494_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_first\">\r\n    <label for=\"field_unternehmen_xcuststeuernummer\" id=\"field_unternehmen_xcuststeuernummer_label\" class=\"frm_primary_label\">Tax Number\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_unternehmen_xcuststeuernummer\" name=\"item_meta[1494]\" value=\"\"  data-sectionid=\"24\"  data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1495_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n    <label for=\"field_unternehmen_turnovertaxid\" id=\"field_unternehmen_turnovertaxid_label\" class=\"frm_primary_label\">VAT ID\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_unternehmen_turnovertaxid\" name=\"item_meta[1495]\" value=\"\"  data-sectionid=\"24\"  data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1496_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_unternehmen_xcustwebbranche\" id=\"field_unternehmen_xcustwebbranche_label\" class=\"frm_primary_label\">Sector\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<select  name=\"item_meta[1496]\" id=\"field_unternehmen_xcustwebbranche\"  data-sectionid=\"24\"  data-invmsg=\"Sector is invalid\" aria-invalid=\"false\"  >\n\t\t\t\t\t\t\t<option  value=\"\" class=\"frm-select-placeholder\">\n\t\t\t\t\t \t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Administration \/ Verwaltung \/ B\u00fcrowesen\">\n\t\t\t\t\tAdministration \/ Verwaltung \/ B\u00fcrowesen\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Automobil \/ Automobilzulieferer\">\n\t\t\t\t\tAutomobil \/ Automobilzulieferer\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Banken\">\n\t\t\t\t\tBanken\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Baugewerbe \/ Architektur\">\n\t\t\t\t\tBaugewerbe \/ Architektur\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Beratung \/ Consulting\">\n\t\t\t\t\tBeratung \/ Consulting\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Bildung \/ Universit\u00e4t \/ FH \/ Schulen\">\n\t\t\t\t\tBildung \/ Universit\u00e4t \/ FH \/ Schulen\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Chemie\">\n\t\t\t\t\tChemie\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Dienstleistung\">\n\t\t\t\t\tDienstleistung\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Druck \/ Papier \/ Verpackung\">\n\t\t\t\t\tDruck \/ Papier \/ Verpackung\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"EDV \/ IT\">\n\t\t\t\t\tEDV \/ IT\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Einkauf \/ Beschaffung\">\n\t\t\t\t\tEinkauf \/ Beschaffung\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Elektro \/ Elektronik\">\n\t\t\t\t\tElektro \/ Elektronik\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Energiewirtschaft\">\n\t\t\t\t\tEnergiewirtschaft\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Finanzen\">\n\t\t\t\t\tFinanzen\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Forschung \/ Entwicklung \/ Wissenschaft\">\n\t\t\t\t\tForschung \/ Entwicklung \/ Wissenschaft\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Gesundheitswesen \/ Soziales \/ Pflege\">\n\t\t\t\t\tGesundheitswesen \/ Soziales \/ Pflege\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Handel \/ Konsum\">\n\t\t\t\t\tHandel \/ Konsum\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Handwerk\">\n\t\t\t\t\tHandwerk\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Immobilien \/ Facility Management\">\n\t\t\t\t\tImmobilien \/ Facility Management\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Industrie\">\n\t\t\t\t\tIndustrie\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Internet \/ Multimedia\">\n\t\t\t\t\tInternet \/ Multimedia\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Kunst \/ Kultur \/ Unterhaltung\">\n\t\t\t\t\tKunst \/ Kultur \/ Unterhaltung\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Marketing \/ Werbung \/ PR\">\n\t\t\t\t\tMarketing \/ Werbung \/ PR\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Marktforschung\">\n\t\t\t\t\tMarktforschung\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Maschinen \/ Anlagenbau\">\n\t\t\t\t\tMaschinen \/ Anlagenbau\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Medien\">\n\t\t\t\t\tMedien\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Medizin \/ Pharma\">\n\t\t\t\t\tMedizin \/ Pharma\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Medizintechnik\">\n\t\t\t\t\tMedizintechnik\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Nahrungsmittel \/ Land \/ Forstwirtschaft\">\n\t\t\t\t\tNahrungsmittel \/ Land \/ Forstwirtschaft\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"\u00d6ffentliche Verwaltung\">\n\t\t\t\t\t\u00d6ffentliche Verwaltung\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Personalwesen \/ Personalbeschaffung\">\n\t\t\t\t\tPersonalwesen \/ Personalbeschaffung\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Rechtsberatung\">\n\t\t\t\t\tRechtsberatung\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Seminar \/ Messeanbieter\">\n\t\t\t\t\tSeminar \/ Messeanbieter\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Sonstige Branchen\">\n\t\t\t\t\tSonstige Branchen\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"sonstiges\">\n\t\t\t\t\tsonstiges\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Sport \/ Fitness \/ Beauty\">\n\t\t\t\t\tSport \/ Fitness \/ Beauty\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Steuerberatung \/ Wirtschaftspr\u00fcfung\">\n\t\t\t\t\tSteuerberatung \/ Wirtschaftspr\u00fcfung\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Telekommunikation\">\n\t\t\t\t\tTelekommunikation\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Textilbranche\">\n\t\t\t\t\tTextilbranche\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Tourismus \/ Hotel \/ Gastronomie\">\n\t\t\t\t\tTourismus \/ Hotel \/ Gastronomie\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Vereine\">\n\t\t\t\t\tVereine\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Verkehr \/ Transport \/ Logistik\">\n\t\t\t\t\tVerkehr \/ Transport \/ Logistik\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Versicherung\">\n\t\t\t\t\tVersicherung\t\t\t\t<\/option>\n\t\t\t\t\t\t<\/select>\n\t\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1498_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_unternehmen_street1\" id=\"field_unternehmen_street1_label\" class=\"frm_primary_label\">Street Address\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_unternehmen_street1\" name=\"item_meta[1498]\" value=\"\"  data-sectionid=\"24\"  maxlength=\"50\" data-reqmsg=\"Street Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1497_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_unternehmen_gwadditionalinfo1\" id=\"field_unternehmen_gwadditionalinfo1_label\" class=\"frm_primary_label\">Address additional info\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_unternehmen_gwadditionalinfo1\" name=\"item_meta[1497]\" value=\"\"  data-sectionid=\"24\"  maxlength=\"50\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1499_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_fourth\">\r\n    <label for=\"field_unternehmen_zip1\" id=\"field_unternehmen_zip1_label\" class=\"frm_primary_label\">Postal Code\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_unternehmen_zip1\" name=\"item_meta[1499]\" value=\"\"  data-sectionid=\"24\"  maxlength=\"5\" data-reqmsg=\"Postal Code cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1500_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_three_fourths frm_half\">\r\n    <label for=\"field_unternehmen_town1\" id=\"field_unternehmen_town1_label\" class=\"frm_primary_label\">City\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_unternehmen_town1\" name=\"item_meta[1500]\" value=\"\"  data-sectionid=\"24\"  maxlength=\"50\" data-reqmsg=\"City cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1501_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_unternehmen_country1\" id=\"field_unternehmen_country1_label\" class=\"frm_primary_label\">Country\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    \t\t<select  name=\"item_meta[1501]\" id=\"field_unternehmen_country1\"  data-sectionid=\"24\"  data-reqmsg=\"Country cannot be blank.\" aria-required=\"true\" data-invmsg=\"Country is invalid\" aria-invalid=\"false\"  >\n\t\t\t\t\t\t\t<option  value=\"\" class=\"frm-select-placeholder\">\n\t\t\t\t\t \t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Austria\">\n\t\t\t\t\tAustria\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Belgium\">\n\t\t\t\t\tBelgium\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"France\">\n\t\t\t\t\tFrance\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Germany\">\n\t\t\t\t\tGermany\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Italy\">\n\t\t\t\t\tItaly\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Netherlands\">\n\t\t\t\t\tNetherlands\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Spain\">\n\t\t\t\t\tSpain\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Sweden\">\n\t\t\t\t\tSweden\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Switzerland\">\n\t\t\t\t\tSwitzerland\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"United Kingdom\">\n\t\t\t\t\tUnited Kingdom\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"-- other country --\">\n\t\t\t\t\t-- other country --\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Argentina\">\n\t\t\t\t\tArgentina\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Brazil\">\n\t\t\t\t\tBrazil\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Burundi\">\n\t\t\t\t\tBurundi\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Chile\">\n\t\t\t\t\tChile\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Colombia\">\n\t\t\t\t\tColombia\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Croatia\">\n\t\t\t\t\tCroatia\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Dominican Republic\">\n\t\t\t\t\tDominican Republic\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Ghana\">\n\t\t\t\t\tGhana\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Greece\">\n\t\t\t\t\tGreece\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Guinea\">\n\t\t\t\t\tGuinea\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Ivory Coast\">\n\t\t\t\t\tIvory Coast\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Kenia\">\n\t\t\t\t\tKenia\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Liechtenstein\">\n\t\t\t\t\tLiechtenstein\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Luxembourg\">\n\t\t\t\t\tLuxembourg\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Macedonia\">\n\t\t\t\t\tMacedonia\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Mexico\">\n\t\t\t\t\tMexico\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Morocco\">\n\t\t\t\t\tMorocco\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Peru\">\n\t\t\t\t\tPeru\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Philippines\">\n\t\t\t\t\tPhilippines\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Portugal\">\n\t\t\t\t\tPortugal\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Senegal\">\n\t\t\t\t\tSenegal\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Uruguay\">\n\t\t\t\t\tUruguay\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"USA\">\n\t\t\t\t\tUSA\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Venezuela\">\n\t\t\t\t\tVenezuela\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Poland\">\n\t\t\t\t\tPoland\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Algeria\">\n\t\t\t\t\tAlgeria\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Hungary\">\n\t\t\t\t\tHungary\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Japan\">\n\t\t\t\t\tJapan\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Vietnam\">\n\t\t\t\t\tVietnam\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Costa Rica\">\n\t\t\t\t\tCosta Rica\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Romania\">\n\t\t\t\t\tRomania\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Serbia\">\n\t\t\t\t\tSerbia\t\t\t\t<\/option>\n\t\t\t\t\t\t<\/select>\n\t\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1502_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_unternehmen_mailfieldstr5\" id=\"field_unternehmen_mailfieldstr5_label\" class=\"frm_primary_label\">E-Mail (Head office)\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_unternehmen_mailfieldstr5\" name=\"item_meta[1502]\" value=\"\"  data-sectionid=\"24\"  maxlength=\"100\" data-reqmsg=\"E-Mail (Head office) cannot be blank.\" aria-required=\"true\" data-invmsg=\"Format ist ung\u00fcltig \/ Format is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1503_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_unternehmen_phonefieldstr10\" id=\"field_unternehmen_phonefieldstr10_label\" class=\"frm_primary_label\">Telephone (Head office)\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_unternehmen_phonefieldstr10\" name=\"item_meta[1503]\" value=\"\"  data-sectionid=\"24\"  maxlength=\"25\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1504_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_unternehmen_wwwfieldstr1\" id=\"field_unternehmen_wwwfieldstr1_label\" class=\"frm_primary_label\">Company Website\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"url\" id=\"field_unternehmen_wwwfieldstr1\" name=\"item_meta[1504]\" value=\"\"  data-sectionid=\"24\"  maxlength=\"50\" data-invmsg=\"Website\/URL ist ung\u00fcltig\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_1593_container\" class=\"frm_form_field frm_section_heading form-field frm_center_container backcolor_section frm12 frm_first\">\r\n<h3 class=\"frm_pos_center frm_section_spacing\"><\/h3>\r\n\r\n\r\n<div id=\"frm_field_2471_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<h3>Association<\/h3>\n<\/div>\n<div id=\"frm_field_1507_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_verein_compname\" id=\"field_verein_compname_label\" class=\"frm_primary_label\">Association Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_verein_compname\" name=\"item_meta[1507]\" value=\"\"  data-sectionid=\"48\"  maxlength=\"50\" data-reqmsg=\"Association Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1508_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half frm_first\">\r\n    <label for=\"field_verein_xcustmitarbeiteranzahl\" id=\"field_verein_xcustmitarbeiteranzahl_label\" class=\"frm_primary_label\">Number of employees (full-time equivalent)\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_verein_xcustmitarbeiteranzahl\" name=\"item_meta[1508]\" value=\"1\" data-sectionid=\"48\"  data-frmval=\"1\" data-reqmsg=\"Number of employees (full-time equivalent) cannot be blank.\" aria-required=\"true\" data-invmsg=\"Zahl ist ung\u00fcltig\" aria-invalid=\"false\"   min=\"1\" max=\"9999999\" step=\"0.5\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1509_container\" class=\"frm_form_field form-field  frm_top_container frm_half vertical_radio\">\r\n    <div id=\"field_verein_xcustgemeinnuetzig_label\" class=\"frm_primary_label\">Charitable status\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_1509-48-0\">\t\t\t<label  for=\"field_verein_xcustgemeinnuetzig-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[1509][]\" id=\"field_verein_xcustgemeinnuetzig-0\" value=\"Accepted as charitable\"  data-sectionid=\"48\"  data-invmsg=\"Charitable status is invalid\"   \/> Accepted as charitable<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1510_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_first\">\r\n    <label for=\"field_verein_xcustzvr\" id=\"field_verein_xcustzvr_label\" class=\"frm_primary_label\">Registration Number of Association\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_verein_xcustzvr\" name=\"item_meta[1510]\" value=\"\"  data-sectionid=\"48\"  maxlength=\"20\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1642_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n    <label for=\"field_verein_xcuststeuernummer\" id=\"field_verein_xcuststeuernummer_label\" class=\"frm_primary_label\">Tax Number\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_verein_xcuststeuernummer\" name=\"item_meta[1642]\" value=\"\"  data-sectionid=\"1593\"  data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1511_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_verein_xcustwebbranche\" id=\"field_verein_xcustwebbranche_label\" class=\"frm_primary_label\">Sector\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<select  name=\"item_meta[1511]\" id=\"field_verein_xcustwebbranche\"  data-sectionid=\"48\"  data-invmsg=\"Sector is invalid\" aria-invalid=\"false\"  >\n\t\t\t\t\t\t\t<option  value=\"\" class=\"frm-select-placeholder\">\n\t\t\t\t\t \t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Administration \/ Verwaltung \/ B\u00fcrowesen\">\n\t\t\t\t\tAdministration \/ Verwaltung \/ B\u00fcrowesen\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Automobil \/ Automobilzulieferer\">\n\t\t\t\t\tAutomobil \/ Automobilzulieferer\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Banken\">\n\t\t\t\t\tBanken\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Baugewerbe \/ Architektur\">\n\t\t\t\t\tBaugewerbe \/ Architektur\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Beratung \/ Consulting\">\n\t\t\t\t\tBeratung \/ Consulting\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Bildung \/ Universit\u00e4t \/ FH \/ Schulen\">\n\t\t\t\t\tBildung \/ Universit\u00e4t \/ FH \/ Schulen\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Chemie\">\n\t\t\t\t\tChemie\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Dienstleistung\">\n\t\t\t\t\tDienstleistung\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Druck \/ Papier \/ Verpackung\">\n\t\t\t\t\tDruck \/ Papier \/ Verpackung\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"EDV \/ IT\">\n\t\t\t\t\tEDV \/ IT\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Einkauf \/ Beschaffung\">\n\t\t\t\t\tEinkauf \/ Beschaffung\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Elektro \/ Elektronik\">\n\t\t\t\t\tElektro \/ Elektronik\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Energiewirtschaft\">\n\t\t\t\t\tEnergiewirtschaft\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Finanzen\">\n\t\t\t\t\tFinanzen\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Forschung \/ Entwicklung \/ Wissenschaft\">\n\t\t\t\t\tForschung \/ Entwicklung \/ Wissenschaft\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Gesundheitswesen \/ Soziales \/ Pflege\">\n\t\t\t\t\tGesundheitswesen \/ Soziales \/ Pflege\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Handel \/ Konsum\">\n\t\t\t\t\tHandel \/ Konsum\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Handwerk\">\n\t\t\t\t\tHandwerk\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Immobilien \/ Facility Management\">\n\t\t\t\t\tImmobilien \/ Facility Management\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Industrie\">\n\t\t\t\t\tIndustrie\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Internet \/ Multimedia\">\n\t\t\t\t\tInternet \/ Multimedia\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Kunst \/ Kultur \/ Unterhaltung\">\n\t\t\t\t\tKunst \/ Kultur \/ Unterhaltung\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Marketing \/ Werbung \/ PR\">\n\t\t\t\t\tMarketing \/ Werbung \/ PR\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Marktforschung\">\n\t\t\t\t\tMarktforschung\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Maschinen \/ Anlagenbau\">\n\t\t\t\t\tMaschinen \/ Anlagenbau\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Medien\">\n\t\t\t\t\tMedien\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Medizin \/ Pharma\">\n\t\t\t\t\tMedizin \/ Pharma\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Medizintechnik\">\n\t\t\t\t\tMedizintechnik\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Nahrungsmittel \/ Land \/ Forstwirtschaft\">\n\t\t\t\t\tNahrungsmittel \/ Land \/ Forstwirtschaft\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"\u00d6ffentliche Verwaltung\">\n\t\t\t\t\t\u00d6ffentliche Verwaltung\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Personalwesen \/ Personalbeschaffung\">\n\t\t\t\t\tPersonalwesen \/ Personalbeschaffung\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Rechtsberatung\">\n\t\t\t\t\tRechtsberatung\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Seminar \/ Messeanbieter\">\n\t\t\t\t\tSeminar \/ Messeanbieter\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Sonstige Branchen\">\n\t\t\t\t\tSonstige Branchen\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"sonstiges\">\n\t\t\t\t\tsonstiges\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Sport \/ Fitness \/ Beauty\">\n\t\t\t\t\tSport \/ Fitness \/ Beauty\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Steuerberatung \/ Wirtschaftspr\u00fcfung\">\n\t\t\t\t\tSteuerberatung \/ Wirtschaftspr\u00fcfung\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Telekommunikation\">\n\t\t\t\t\tTelekommunikation\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Textilbranche\">\n\t\t\t\t\tTextilbranche\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Tourismus \/ Hotel \/ Gastronomie\">\n\t\t\t\t\tTourismus \/ Hotel \/ Gastronomie\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Vereine\">\n\t\t\t\t\tVereine\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Verkehr \/ Transport \/ Logistik\">\n\t\t\t\t\tVerkehr \/ Transport \/ Logistik\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Versicherung\">\n\t\t\t\t\tVersicherung\t\t\t\t<\/option>\n\t\t\t\t\t\t<\/select>\n\t\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1512_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_verein_gwadditionalinfo1\" id=\"field_verein_gwadditionalinfo1_label\" class=\"frm_primary_label\">Address additional info\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_verein_gwadditionalinfo1\" name=\"item_meta[1512]\" value=\"\"  data-sectionid=\"48\"  maxlength=\"50\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1513_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_verein_street1\" id=\"field_verein_street1_label\" class=\"frm_primary_label\">Street Address\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_verein_street1\" name=\"item_meta[1513]\" value=\"\"  data-sectionid=\"48\"  maxlength=\"50\" data-reqmsg=\"Street Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1514_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_fourth\">\r\n    <label for=\"field_verein_zip1\" id=\"field_verein_zip1_label\" class=\"frm_primary_label\">Postal Code\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_verein_zip1\" name=\"item_meta[1514]\" value=\"\"  data-sectionid=\"48\"  maxlength=\"5\" data-reqmsg=\"Postal Code cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1515_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_three_fourths\">\r\n    <label for=\"field_verein_town1\" id=\"field_verein_town1_label\" class=\"frm_primary_label\">City\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_verein_town1\" name=\"item_meta[1515]\" value=\"\"  data-sectionid=\"48\"  maxlength=\"50\" data-reqmsg=\"City cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1516_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_verein_country1\" id=\"field_verein_country1_label\" class=\"frm_primary_label\">Country\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    \t\t<select  name=\"item_meta[1516]\" id=\"field_verein_country1\"  data-sectionid=\"48\"  data-reqmsg=\"Country cannot be blank.\" aria-required=\"true\" data-invmsg=\"Country is invalid\" aria-invalid=\"false\"  >\n\t\t\t\t\t\t\t<option  value=\"\" class=\"frm-select-placeholder\">\n\t\t\t\t\t \t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Austria\">\n\t\t\t\t\tAustria\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Belgium\">\n\t\t\t\t\tBelgium\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"France\">\n\t\t\t\t\tFrance\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Germany\">\n\t\t\t\t\tGermany\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Italy\">\n\t\t\t\t\tItaly\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Netherlands\">\n\t\t\t\t\tNetherlands\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Spain\">\n\t\t\t\t\tSpain\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Sweden\">\n\t\t\t\t\tSweden\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Switzerland\">\n\t\t\t\t\tSwitzerland\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"United Kingdom\">\n\t\t\t\t\tUnited Kingdom\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"-- other country --\">\n\t\t\t\t\t-- other country --\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Argentina\">\n\t\t\t\t\tArgentina\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Brazil\">\n\t\t\t\t\tBrazil\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Burundi\">\n\t\t\t\t\tBurundi\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Chile\">\n\t\t\t\t\tChile\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Colombia\">\n\t\t\t\t\tColombia\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Croatia\">\n\t\t\t\t\tCroatia\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Dominican Republic\">\n\t\t\t\t\tDominican Republic\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Ghana\">\n\t\t\t\t\tGhana\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Greece\">\n\t\t\t\t\tGreece\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Guinea\">\n\t\t\t\t\tGuinea\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Ivory Coast\">\n\t\t\t\t\tIvory Coast\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Kenia\">\n\t\t\t\t\tKenia\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Liechtenstein\">\n\t\t\t\t\tLiechtenstein\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Luxembourg\">\n\t\t\t\t\tLuxembourg\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Macedonia\">\n\t\t\t\t\tMacedonia\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Mexico\">\n\t\t\t\t\tMexico\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Morocco\">\n\t\t\t\t\tMorocco\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Peru\">\n\t\t\t\t\tPeru\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Philippines\">\n\t\t\t\t\tPhilippines\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Portugal\">\n\t\t\t\t\tPortugal\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Senegal\">\n\t\t\t\t\tSenegal\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Uruguay\">\n\t\t\t\t\tUruguay\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"USA\">\n\t\t\t\t\tUSA\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Venezuela\">\n\t\t\t\t\tVenezuela\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Poland\">\n\t\t\t\t\tPoland\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Algeria\">\n\t\t\t\t\tAlgeria\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Hungary\">\n\t\t\t\t\tHungary\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Japan\">\n\t\t\t\t\tJapan\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Vietnam\">\n\t\t\t\t\tVietnam\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Costa Rica\">\n\t\t\t\t\tCosta Rica\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Romania\">\n\t\t\t\t\tRomania\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Serbia\">\n\t\t\t\t\tSerbia\t\t\t\t<\/option>\n\t\t\t\t\t\t<\/select>\n\t\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1517_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_verein_mailfieldstr5\" id=\"field_verein_mailfieldstr5_label\" class=\"frm_primary_label\">E-Mail (Head office)\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_verein_mailfieldstr5\" name=\"item_meta[1517]\" value=\"\"  data-sectionid=\"48\"  maxlength=\"100\" data-invmsg=\"Format ist ung\u00fcltig \/ Format is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1518_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_verein_phonefieldstr10\" id=\"field_verein_phonefieldstr10_label\" class=\"frm_primary_label\">Telephone (Head office)\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_verein_phonefieldstr10\" name=\"item_meta[1518]\" value=\"\"  data-sectionid=\"48\"  maxlength=\"25\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1519_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_verein_wwwfieldstr1\" id=\"field_verein_wwwfieldstr1_label\" class=\"frm_primary_label\">Website\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"url\" id=\"field_verein_wwwfieldstr1\" name=\"item_meta[1519]\" value=\"\"  data-sectionid=\"48\"  maxlength=\"30\" data-invmsg=\"Format ist ung\u00fcltig \/ Format is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_1521_container\" class=\"frm_form_field frm_section_heading form-field frm_center_container backcolor_section frm12\">\r\n<h3 class=\"frm_pos_center frm_section_spacing\"><\/h3>\r\n\r\n\r\n<div id=\"frm_field_2470_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h3>Contact Person<\/h3>\n<\/div>\n<div id=\"frm_field_1522_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm_half\">\r\n    <label for=\"field_contactperson_addressterm\" id=\"field_contactperson_addressterm_label\" class=\"frm_primary_label\">Salutation\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[1522]\" id=\"field_contactperson_addressterm\"  data-sectionid=\"248\"  data-invmsg=\"Salutation is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Mrs.\">Mrs.<\/option><option  value=\"Mr.\">Mr.<\/option><option  value=\"Divers\">Divers<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1523_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n    <label for=\"field_contactperson_title\" id=\"field_contactperson_title_label\" class=\"frm_primary_label\">Title\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_contactperson_title\" name=\"item_meta[1523]\" value=\"\"  data-sectionid=\"248\"  maxlength=\"25\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1524_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\">\r\n    <label for=\"field_contactperson_christianname\" id=\"field_contactperson_christianname_label\" class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_contactperson_christianname\" name=\"item_meta[1524]\" value=\"\"  data-sectionid=\"248\"  maxlength=\"30\" data-reqmsg=\"First Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1525_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_contactperson_name\" id=\"field_contactperson_name_label\" class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_contactperson_name\" name=\"item_meta[1525]\" value=\"\"  data-sectionid=\"248\"  maxlength=\"30\" data-reqmsg=\"Last Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1526_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_contactperson_mailfieldstr1\" id=\"field_contactperson_mailfieldstr1_label\" class=\"frm_primary_label\">E-Mail (Office)\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_contactperson_mailfieldstr1\" name=\"item_meta[1526]\" value=\"\"  data-sectionid=\"248\"  maxlength=\"100\" data-reqmsg=\"E-Mail (Office) cannot be blank.\" aria-required=\"true\" data-invmsg=\"Format ist ung\u00fcltig \/ Format is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1527_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_contactperson_phonefieldstr7\" id=\"field_contactperson_phonefieldstr7_label\" class=\"frm_primary_label\">Telephone (direct dial)\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_contactperson_phonefieldstr7\" name=\"item_meta[1527]\" value=\"\"  data-sectionid=\"248\"  maxlength=\"25\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1684_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n    <label for=\"field_contactperson_birthday\" id=\"field_contactperson_birthday_label\" class=\"frm_primary_label\">Birthday\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_contactperson_birthday\" name=\"item_meta[1684]\" value=\"\"  data-sectionid=\"1521\"  maxlength=\"10\" data-reqmsg=\"Birthday cannot be blank.\" aria-required=\"true\" data-invmsg=\"Format ist ung\u00fcltig \/ Format is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1528_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first\">\r\n    <label for=\"field_contactperson_function\" id=\"field_contactperson_function_label\" class=\"frm_primary_label\">Role in Company\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_contactperson_function\" name=\"item_meta[1528]\" value=\"\"  data-sectionid=\"248\"  maxlength=\"40\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_1595_container\" class=\"frm_form_field frm_section_heading form-field frm_center_container backcolor_section frm12\">\r\n<h3 class=\"frm_pos_center frm_section_spacing\"><\/h3>\r\n\r\n\r\n<div id=\"frm_field_2469_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">\n<h3>ECOnGOOD Association and local chapter<\/h3>\n<\/div>\n<div id=\"frm_field_1596_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full\">\r\n    <label for=\"field_mgsvereinsel\" id=\"field_mgsvereinsel_label\" class=\"frm_primary_label\">Select an Association\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[1596]\" id=\"field_mgsvereinsel\"  data-sectionid=\"1595\"  data-reqmsg=\"Select an Association cannot be blank.\" aria-required=\"true\" data-invmsg=\"Select an Association is invalid\" aria-invalid=\"false\"  >\n\t\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1597_container\" class=\"frm_form_field  extendedFieldDescription frm_html_container form-field\">The selected association will take care of your data (Don't worry, this does <strong>not<\/strong> involve a membership).<\/div>\n<div id=\"frm_field_1533_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_first\">\r\n    <label for=\"field_hv_name_official\" id=\"field_hv_name_official_label\" class=\"frm_primary_label\">Main Association (official name)\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_hv_name_official\" name=\"item_meta[1533]\" value=\"\"  readonly=\"readonly\"  data-sectionid=\"1595\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1534_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n    <label for=\"field_hv_email\" id=\"field_hv_email_label\" class=\"frm_primary_label\">Mail address\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_hv_email\" name=\"item_meta[1534]\" value=\"\"  readonly=\"readonly\"  data-sectionid=\"71\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1535_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_first\">\r\n    <label for=\"field_zv_name_official\" id=\"field_zv_name_official_label\" class=\"frm_primary_label\">Regional Association (official name)\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_zv_name_official\" name=\"item_meta[1535]\" value=\"\"  readonly=\"readonly\"  data-sectionid=\"71\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1536_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n    <label for=\"field_zv_email\" id=\"field_zv_email_label\" class=\"frm_primary_label\">Mail address\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_zv_email\" name=\"item_meta[1536]\" value=\"\"  readonly=\"readonly\"  data-sectionid=\"71\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1598_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_mgsregionalsel\" id=\"field_mgsregionalsel_label\" class=\"frm_primary_label\">Local Chapter\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[1598]\" id=\"field_mgsregionalsel\"  data-sectionid=\"1595\"  data-invmsg=\"Local Chapter is invalid\" aria-invalid=\"false\"  >\n\t\t\t<\/select>\n\t\r\n    <div class=\"frm_description\" id=\"frm_desc_field_mgsregionalsel\">Optional: Select a Local Chapter you would like to be associated with<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_1538_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_first\">\r\n    <label for=\"field_lc_name_official\" id=\"field_lc_name_official_label\" class=\"frm_primary_label\">Local Chapter\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_lc_name_official\" name=\"item_meta[1538]\" value=\"\"  readonly=\"readonly\"  data-sectionid=\"1595\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1539_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n    <label for=\"field_lc_email\" id=\"field_lc_email_label\" class=\"frm_primary_label\">Mail address\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_lc_email\" name=\"item_meta[1539]\" value=\"\"  readonly=\"readonly\"  data-sectionid=\"1595\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_1600_container\" class=\"frm_form_field frm_section_heading form-field frm_center_container backcolor_section frm12\">\r\n<h3 class=\"frm_pos_center frm_section_spacing\"><\/h3>\r\n\r\n\r\n<div id=\"frm_field_2467_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h3>Amount and Payment<\/h3>\n<\/div>\n<div id=\"frm_field_1542_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm_half\">\r\n    <label for=\"field_membership_artdermitgliedschaft\" id=\"field_membership_artdermitgliedschaft_label\" class=\"frm_primary_label\">Type of membership\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[1542]\" id=\"field_membership_artdermitgliedschaft\"  data-sectionid=\"80\"  data-invmsg=\"Type of membership is invalid\" aria-invalid=\"false\"  >\n\t\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1543_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n    <label for=\"field_membership_product\" id=\"field_membership_product_label\" class=\"frm_primary_label\">DELETE_Fee according to company size\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[1543]\" id=\"field_membership_product\"  data-sectionid=\"80\"  data-frmval=\"yyyy\" data-invmsg=\"DELETE_Fee according to company size is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"yyyy\" selected='selected'>xxxx<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1544_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm_two_thirds\">\r\n    <label for=\"field_membership_mitgliedsbeitrag\" id=\"field_membership_mitgliedsbeitrag_label\" class=\"frm_primary_label\">Normal fee\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_membership_mitgliedsbeitrag\" name=\"item_meta[1544]\" value=\"\"  readonly=\"readonly\"  data-sectionid=\"80\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1545_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_two_thirds\">\r\n    <label for=\"field_donation_mitgliedsbeitrag\" id=\"field_donation_mitgliedsbeitrag_label\" class=\"frm_primary_label\">I wish to donate the following amount\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_donation_mitgliedsbeitrag\" name=\"item_meta[1545]\" value=\"\" data-sectionid=\"80\"  data-reqmsg=\"I wish to donate the following amount cannot be blank.\" aria-required=\"true\" data-invmsg=\"Zahl ist ung\u00fcltig\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_donation_mitgliedsbeitrag\" min=\"5\" max=\"9999999\" step=\"5\" \/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_donation_mitgliedsbeitrag\">Please enter a value of 5 or higher\r\n<\/br>\r\nWe will send you a receipt for your donation<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_1546_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_membership_waehrung\" id=\"field_membership_waehrung_label\" class=\"frm_primary_label\">Currency\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_membership_waehrung\" name=\"item_meta[1546]\" value=\"\"  readonly=\"readonly\"  data-sectionid=\"80\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1547_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_membership_mitgliedsbeitrag_indiv\" id=\"field_membership_mitgliedsbeitrag_indiv_label\" class=\"frm_primary_label\">Optional: I wish to give more than the standard fee (please add total amount)\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_membership_mitgliedsbeitrag_indiv\" name=\"item_meta[1547]\" value=\"\" data-sectionid=\"80\"  data-invmsg=\"Zahl ist ung\u00fcltig\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"10\" \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1548_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm_half\">\r\n    <label for=\"field_membership_zahlungsrhythmus\" id=\"field_membership_zahlungsrhythmus_label\" class=\"frm_primary_label\">Payment frequency\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[1548]\" id=\"field_membership_zahlungsrhythmus\"  data-sectionid=\"80\"  data-invmsg=\"Payment frequency is invalid\" aria-invalid=\"false\"  >\n\t\t\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1549_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm_half frm_two_col\">\r\n    <div id=\"field_membership_zahlungsweise_label\" class=\"frm_primary_label\">Payment method\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"radiogroup\"><span>\t\t<div class=\"frm_radio\" id=\"frm_radio_1549-80-0\">\t\t\t<label  for=\"field_membership_zahlungsweise-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[1549]\" id=\"field_membership_zahlungsweise-0\" value=\"DIRECT_DEBIT\"\n\t\t   data-sectionid=\"80\"  data-frmval=\"BANK_TRANSFER\" data-invmsg=\"Payment method is invalid\"  \/> DIRECT_DEBIT<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_1549-80-1\">\t\t\t<label  for=\"field_membership_zahlungsweise-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[1549]\" id=\"field_membership_zahlungsweise-1\" value=\"BANK_TRANSFER\"\n\t\tchecked=\"checked\"   data-sectionid=\"80\"  data-frmval=\"BANK_TRANSFER\" data-invmsg=\"Payment method is invalid\"  \/> BANK_TRANSFER<\/label><\/div>\n<\/span><\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1551_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\">\r\n    <label for=\"field_membership_iban\" id=\"field_membership_iban_label\" class=\"frm_primary_label\">IBAN\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_membership_iban\" name=\"item_meta[1551]\" value=\"\"  data-sectionid=\"80\"  maxlength=\"54\" data-reqmsg=\"IBAN cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1552_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n    <label for=\"field_membership_bic\" id=\"field_membership_bic_label\" class=\"frm_primary_label\">BIC\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_membership_bic\" name=\"item_meta[1552]\" value=\"\"  data-sectionid=\"80\"  maxlength=\"11\" data-invmsg=\"Text ist ung\u00fcltig\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1601_container\" class=\"frm_form_field  extendedFieldDescription frm_html_container form-field\">I confirm that I give permission to use SEPA to transfer the amount<\/div>\n<div id=\"frm_field_1602_container\" class=\"frm_form_field  extendedFieldDescription frm_html_container form-field\">I confirm that I will transfer the amount timely to the following account:<\/div>\n<div id=\"frm_field_1663_container\" class=\"frm_form_field form-field  frm_top_container frm10\">\r\n    <label for=\"field_membership_bankaccountholder\" id=\"field_membership_bankaccountholder_label\" class=\"frm_primary_label\">ECOnGOOD association Bank account holder\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_membership_bankaccountholder\" name=\"item_meta[1663]\" value=\"\"  readonly=\"readonly\"  data-sectionid=\"1600\"  maxlength=\"60\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1661_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n    <label for=\"field_membership_gwiban\" id=\"field_membership_gwiban_label\" class=\"frm_primary_label\">ECOnGOOD association IBAN\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_membership_gwiban\" name=\"item_meta[1661]\" value=\"\"  readonly=\"readonly\"  data-sectionid=\"1600\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1662_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n    <label for=\"field_membership_gwbic\" id=\"field_membership_gwbic_label\" class=\"frm_primary_label\">ECOnGOOD association BIC\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_membership_gwbic\" name=\"item_meta[1662]\" value=\"\"  readonly=\"readonly\"  data-sectionid=\"1600\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_1555_container\" class=\"frm_form_field frm_section_heading form-field frm_center_container backcolor_section frm12\">\r\n<h3 class=\"frm_pos_center frm_section_spacing\"><\/h3>\r\n\r\n\r\n<div id=\"frm_field_2465_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h3>Services<\/h3>\n<\/div>\n<div id=\"frm_field_1556_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div id=\"field_xcuststatus_aktiver_label\" class=\"frm_primary_label\">Actively work in ECOnGOOD\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_1556-1555-0\">\t\t\t<label  for=\"field_xcuststatus_aktiver-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[1556][]\" id=\"field_xcuststatus_aktiver-0\" value=\"Yes, I want to become active and need an ECOnGOOD account\"  data-sectionid=\"1555\"  data-invmsg=\"Actively work in ECOnGOOD is invalid\"   \/> Yes, I want to become active and need an ECOnGOOD account<\/label><\/div>\n<\/div>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_xcuststatus_aktiver\">If you are not sure yet, please leave it empty. You are free to change this any time later.<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_2479_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_account_reason\" id=\"field_account_reason_label\" class=\"frm_primary_label\">I need an ECOnGOOD account, because...?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_account_reason\" name=\"item_meta[2479]\" value=\"\"  data-sectionid=\"1555\"  data-reqmsg=\"I need an ECOnGOOD account, because...? cannot be blank.\" aria-required=\"true\" data-invmsg=\"I need an ECOnGOOD account, because...? is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_1557_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div id=\"field_xcustpublikation_label\" class=\"frm_primary_label\">Listing of the company \/ association name on the website\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_1557-1555-0\">\t\t\t<label  for=\"field_xcustpublikation-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[1557][]\" id=\"field_xcustpublikation-0\" value=\"10\"  data-sectionid=\"1555\"  data-invmsg=\"Listing of the company \/ association name on the website is invalid\"   \/> I agree<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1558_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div id=\"field_xcustwebstdnewsletter_label\" class=\"frm_primary_label\">Newsletter subscription\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_1558-1555-0\">\t\t\t<label  for=\"field_xcustwebstdnewsletter-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[1558][]\" id=\"field_xcustwebstdnewsletter-0\" value=\"10\" checked=\"checked\"  data-sectionid=\"1555\"  data-frmval=\"[&quot;10&quot;]\" data-invmsg=\"Newsletter subscription is invalid\"   \/> I agree<\/label><\/div>\n<\/div>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_xcustwebstdnewsletter\">You can unsubscribe from our newsletter also anytime later<\/div>\r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_1561_container\" class=\"frm_form_field frm_section_heading form-field frm_center_container backcolor_section frm12 frm_first\">\r\n<h3 class=\"frm_pos_center frm_section_spacing\"><\/h3>\r\n\r\n\r\n<div id=\"frm_field_2466_container\" class=\"frm_form_field  frm_html_container form-field\">\n<h3>Data protection and Code of Conduct<\/h3>\n<\/div>\n<div id=\"frm_field_1604_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first vertical_radio\">\r\n    <div id=\"field_membership_data_protection_label\" class=\"frm_primary_label\">Data protection and privacy notice\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_1604-1561-0\">\t\t\t<label  for=\"field_membership_data_protection-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[1604][]\" id=\"field_membership_data_protection-0\" value=\"10\"  data-sectionid=\"1561\"  data-reqmsg=\"Data protection and privacy notice cannot be blank.\" data-invmsg=\"Data protection and privacy notice is invalid\"   aria-required=\"true\"  \/> I have read the <a href=\"\/smartwe\/dataprotection_website_en\" target=\"_blank\">Data protection and privacy notice<\/a> and agree to the storage of my data<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_2458_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first vertical_radio\">\r\n    <div id=\"field_75ef4_label\" class=\"frm_primary_label\">Data protection agreement\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_2458-1561-0\">\t\t\t<label  for=\"field_75ef4-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[2458][]\" id=\"field_75ef4-0\" value=\"Data_protection_agreement_OK\"  data-sectionid=\"1561\"  data-reqmsg=\"Data protection agreement cannot be blank.\" data-invmsg=\"Data protection agreement is invalid\"   aria-required=\"true\"  \/> I have read the <a href=\"\/smartwe\/dataprotection_agreement_en\" target=\"_blank\">Data Protection Agreement<\/a> and agree to conform to it<\/label><\/div>\n<\/div>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_75ef4\">With an ECOnGOOD account you will have access to personal information of other people.<\/br>\r\nThe <b>Data Protection Agreement<\/b> explains, how to act respectfully with this information and conform to data protection laws.<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_1605_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div id=\"field_membership_code_of_conduct_label\" class=\"frm_primary_label\">Code of Conduct\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_1605-1561-0\">\t\t\t<label  for=\"field_membership_code_of_conduct-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[1605][]\" id=\"field_membership_code_of_conduct-0\" value=\"10\"  data-sectionid=\"1561\"  data-invmsg=\"Code of Conduct is invalid\"   \/> I have read the <a href=\"https:\/\/wiki.econgood.org\/x\/pYQ-Dw\" target=\"_blank\">Code of Conduct<\/a> and agree to conform to it<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_1603_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_membership_notes2\" id=\"field_membership_notes2_label\" class=\"frm_primary_label\">Note to ECOnGOOD - Is there anything else you would like to let us know?\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[1603]\" id=\"field_membership_notes2\" rows=\"3\"  data-sectionid=\"256\"  data-invmsg=\"Note to ECG is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1567_container\" class=\"frm_form_field frm_section_heading frm_hidden frm_invisible_section form-field  backcolor_section\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Debug info<\/h3>\r\n\r\n\r\n<div id=\"frm_field_1606_container\" class=\"frm_form_field  frm12 frm_first frm_html_container form-field\">Important:<br \/>\nPlease <strong>wait<\/strong> after submission, until the process has completed<\/div>\n<div id=\"frm_field_1607_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_success_url\" id=\"field_success_url_label\" class=\"frm_primary_label\">success_url\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_success_url\" name=\"item_meta[1607]\" value=\"\"  data-sectionid=\"1567\"  data-invmsg=\"Website\/URL is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1608_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_membership_registration_referrer\" id=\"field_membership_registration_referrer_label\" class=\"frm_primary_label\">membership_registration_referrer\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_membership_registration_referrer\" name=\"item_meta[1608]\" value=\"\"  data-sectionid=\"252\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1609_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_notification_mail\" id=\"field_notification_mail_label\" class=\"frm_primary_label\">notification_mail\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_notification_mail\" name=\"item_meta[1609]\" value=\"\"  data-sectionid=\"252\"  data-invmsg=\"notification_mail is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1685_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_notification_mail_cc\" id=\"field_notification_mail_cc_label\" class=\"frm_primary_label\">notification_mail_cc\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_notification_mail_cc\" name=\"item_meta[1685]\" value=\"\"  data-sectionid=\"252\"  data-invmsg=\"notification_mail is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1686_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_notification_mail_from\" id=\"field_notification_mail_from_label\" class=\"frm_primary_label\">notification_mail_from\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_notification_mail_from\" name=\"item_meta[1686]\" value=\"\"  data-sectionid=\"252\"  data-invmsg=\"notification_mail is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1651_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_notification_message_1_full_name\" id=\"field_notification_message_1_full_name_label\" class=\"frm_primary_label\">notification_message_1_full_name\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_notification_message_1_full_name\" name=\"item_meta[1651]\" value=\"\"  data-sectionid=\"252\"  data-invmsg=\"notification_mail is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1615_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_membership_language_pointer\" id=\"field_membership_language_pointer_label\" class=\"frm_primary_label\">membership_language_pointer\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_membership_language_pointer\" name=\"item_meta[1615]\" value=\"en\"  data-sectionid=\"252\"  data-frmval=\"en\" data-invmsg=\"notification_mail is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1571_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_privatperson_country_locales\" id=\"field_privatperson_country_locales_label\" class=\"frm_primary_label\">privatperson_country_locales\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t<p>\n\t\t\t<\/p>\n\t<input type=\"hidden\" value=\"\" name=\"item_meta[1571]\" id=\"field_privatperson_country_locales\" \/>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1572_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_unternehmen_country_locales\" id=\"field_unternehmen_country_locales_label\" class=\"frm_primary_label\">unternehmen_country_locales\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t<p>\n\t\t\t<\/p>\n\t<input type=\"hidden\" value=\"\" name=\"item_meta[1572]\" id=\"field_unternehmen_country_locales\" \/>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1573_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_verein_country_locales\" id=\"field_verein_country_locales_label\" class=\"frm_primary_label\">verein_country_locales\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t<p>\n\t\t\t<\/p>\n\t<input type=\"hidden\" value=\"\" name=\"item_meta[1573]\" id=\"field_verein_country_locales\" \/>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1674_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_dummy_field_please_select\" id=\"field_dummy_field_please_select_label\" class=\"frm_primary_label\">dummy_field_please_select\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_dummy_field_please_select\" name=\"item_meta[1674]\" value=\"(please select)\"  data-sectionid=\"1567\"  data-frmval=\"(please select)\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1575_container\" class=\"frm_form_field form-field  frm_top_container code frm_half frm_first\">\r\n    <label for=\"field_fields_address\" id=\"field_fields_address_label\" class=\"frm_primary_label\">fields_address\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[1575]\" id=\"field_fields_address\" rows=\"5\"  data-sectionid=\"252\"  data-invmsg=\"fields_address is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1576_container\" class=\"frm_form_field form-field  frm_top_container code frm_half\">\r\n    <label for=\"field_fields_address_contactperson\" id=\"field_fields_address_contactperson_label\" class=\"frm_primary_label\">fields_address_contactperson\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[1576]\" id=\"field_fields_address_contactperson\" rows=\"5\"  data-sectionid=\"252\"  style=\"width:fields_membership_main\" data-invmsg=\"fields_address_contactperson is invalid\" class=\"auto_width\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1577_container\" class=\"frm_form_field form-field  frm_top_container code frm12 frm_first\">\r\n    <label for=\"field_fields_membership_hv\" id=\"field_fields_membership_hv_label\" class=\"frm_primary_label\">fields_membership_hv\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[1577]\" id=\"field_fields_membership_hv\" rows=\"5\"  data-sectionid=\"1567\"  data-invmsg=\"fields_membership_hv is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1578_container\" class=\"frm_form_field form-field  frm_top_container code frm12 frm_first\">\r\n    <label for=\"field_fields_membership_zv\" id=\"field_fields_membership_zv_label\" class=\"frm_primary_label\">fields_membership_zv\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[1578]\" id=\"field_fields_membership_zv\" rows=\"5\"  data-sectionid=\"1567\"  data-invmsg=\"fields_membership_zv is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1579_container\" class=\"frm_form_field form-field  frm_top_container code frm12 frm_first\">\r\n    <label for=\"field_fields_membership_lc\" id=\"field_fields_membership_lc_label\" class=\"frm_primary_label\">fields_membership_lc\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[1579]\" id=\"field_fields_membership_lc\" rows=\"5\"  data-sectionid=\"1567\"  data-invmsg=\"fields_membership_lc is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1580_container\" class=\"frm_form_field form-field  frm_top_container code frm12 frm_first\">\r\n    <label for=\"field_fields_meta\" id=\"field_fields_meta_label\" class=\"frm_primary_label\">fields_meta\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[1580]\" id=\"field_fields_meta\" rows=\"5\"  data-sectionid=\"1567\"  data-invmsg=\"fields_meta is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1659_container\" class=\"frm_form_field form-field  frm_top_container code\">\r\n    <label for=\"field_fields_log\" id=\"field_fields_log_label\" class=\"frm_primary_label\">fields_log\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[1659]\" id=\"field_fields_log\" rows=\"5\"  data-sectionid=\"1567\"  data-invmsg=\"fields_log is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<input type=\"hidden\" name=\"item_meta[1581]\" id=\"field_eakpy\" value=\"\" data-frmval=\"\"\/>\n<div id=\"frm_field_2310_container\" class=\"frm_form_field form-field \">\r\n\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"  formnovalidate=\"formnovalidate\">Submit<\/button>\r\n\r\n<\/div>\r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_2495_container\">\n\t\t\t<label for=\"field_z7kmp\" 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0px;}<\/style><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":253,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"blank.php","meta":{"inline_featured_image":false,"footnotes":""},"_links":{"self":[{"href":"https:\/\/interactive.econgood.org\/smartwe\/wp-json\/wp\/v2\/pages\/2556"}],"collection":[{"href":"https:\/\/interactive.econgood.org\/smartwe\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/interactive.econgood.org\/smartwe\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/interactive.econgood.org\/smartwe\/wp-json\/wp\/v2\/users\/253"}],"replies":[{"embeddable":true,"href":"https:\/\/interactive.econgood.org\/smartwe\/wp-json\/wp\/v2\/comments?post=2556"}],"version-history":[{"count":1,"href":"https:\/\/interactive.econgood.org\/smartwe\/wp-json\/wp\/v2\/pages\/2556\/revisions"}],"predecessor-version":[{"id":2557,"href":"https:\/\/interactive.econgood.org\/smartwe\/wp-json\/wp\/v2\/pages\/2556\/revisions\/2557"}],"wp:attachment":[{"href":"https:\/\/interactive.econgood.org\/smartwe\/wp-json\/wp\/v2\/media?parent=2556"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}