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data-index=\"0\"><div class=\"jfProgress-itemCircle\"><span class=\"jfProgress-itemPulse\"><\/span><\/div><span class=\"jfProgress-itemLabel\">Question Label<\/span><span class=\"jfProgress-statusIcon\"><span class=\"iconSvg  icon_check \"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 326 326\" class=\"check-outer\"><g data-name=\"Layer 2\"><g data-name=\"Layer 1\"><path d=\"M163,0C73.12,0,0,73.12,0,163S73.12,326,163,326s163-73.12,163-163S252.88,0,163,0Z\"><\/path><path d=\"M237.88,108.5a13.49,13.49,0,0,0-19.08,0l-80.38,80.38-31.23-31.22a13.49,13.49,0,0,0-19.08,19.09l40.77,40.76a13.5,13.5,0,0,0,19.08,0l.34-.34h0l89.56-89.56a13.49,13.49,0,0,0,0-19.08Z\" class=\"check-inner\" style=\"fill:#fff\"><\/path><\/g><\/g><\/svg><\/span><\/span><\/div><\/div><\/div><div class=\"jfProgress-info\"><span class=\"jfProgress-infoContent\" id=\"cardProgressToggle\"><span class=\"jfProgress-infoContentText\"><span class=\"cardProgress-currentIndex\" id=\"cardProgress-currentIndex\">1 <\/span><span class=\"cardProgress-questionCount cardProgress-middleText\">of<\/span><span class=\"cardProgress-questionCount\" id=\"cardProgress-questionCount\"> 6<\/span><span class=\"cardProgress-seeAll\">See All<\/span><span class=\"cardProgress-goBack\">Go Back<\/span><\/span><\/span><\/div><div class=\"jfProgress-mobileNavigation jsMobileNavigation\" style=\"display:none;\"><button type=\"button\" class=\"jfInput-button forPrev forMobileNav u-left jsMobilePrev noTranslate\" data-component=\"button\" aria-label=\"Previous\"><span class=\"iconSvg  arrow_left \"><svg version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" x=\"0px\" y=\"0px\" viewBox=\"0 0 30.2 52.6\" style=\"enable-background:new 0 0 30.2 52.6;\" xml:space=\"preserve\"><g><g><path class=\"st0\" d=\"M23.7,51.7c1.5,1.4,3.8,1.3,5.2-0.2c1.3-1.4,1.3-3.6,0-5l-20-20l20-20 c1.5-1.4,1.7-3.7,0.3-5.2c-1.4-1.5-3.7-1.7-5.2-0.3c-0.1,0.1-0.2,0.2-0.3,0.3L1.1,23.8c-1.4,1.4-1.4,3.8,0,5.2c0,0,0,0,0,0 L23.7,51.7z\"><\/path><\/g><\/g><\/svg><\/span><\/button><button type=\"button\" class=\"jfInput-button forNext forMobileNav u-right jsMobileNext noTranslate\" data-component=\"button\" aria-label=\"Next\"><span class=\"iconSvg  arrow_left \"><svg version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" x=\"0px\" y=\"0px\" viewBox=\"0 0 30.2 52.6\" style=\"enable-background:new 0 0 30.2 52.6;\" xml:space=\"preserve\"><g><g><path class=\"st0\" d=\"M23.7,51.7c1.5,1.4,3.8,1.3,5.2-0.2c1.3-1.4,1.3-3.6,0-5l-20-20l20-20 c1.5-1.4,1.7-3.7,0.3-5.2c-1.4-1.5-3.7-1.7-5.2-0.3c-0.1,0.1-0.2,0.2-0.3,0.3L1.1,23.8c-1.4,1.4-1.4,3.8,0,5.2c0,0,0,0,0,0 L23.7,51.7z\"><\/path><\/g><\/g><\/svg><\/span><\/button><button style=\"display:none;\" type=\"button\" class=\"jfInput-button forSubmit forMobileNav form-submit-button u-center jsMobileSubmit\" data-component=\"button\" aria-label=\"Submit\">Submit<\/button><button class=\"jfInput-button u-left forBackToForm\" style=\"display:none;\" aria-label=\"Back To Form\"><\/button><\/div><\/div><div class=\"jfForm-wrapper\"><div class=\"jfForm-backgroundContainer\"><noscript><\/noscript><\/div><div class=\"jfForm-backgroundUnderlay\"><\/div><div class=\"jfForm-backgroundOverlay\"><\/div><div class=\"jfForm-background\"><div class=\"jfForm-background-mask\"><\/div><\/div><div class=\"jfWelcome-wrapper\"><div class=\"jfWelcome\"><div id=\"header_welcomePage\" class=\"jfWelcome-header form-header\" data-component=\"header\">2018 Season Launch<\/div><div id=\"subHeader_welcomePage\" class=\"jfWelcome-description form-subHeader\"><\/div><div class=\"jfWelcome-sectionInfo\"><span class=\"jfWelcome-sectionInfo-questionCount\"><\/span><span class=\"jfWelcome-sectionInfo-text\"><\/span><\/div><div class=\"jfWelcome-buttonWrapper\"><button class=\"jfWelcome-button\" id=\"jfCard-welcome-previous\" style=\"display:none;\" aria-label=\"Previous\"><\/button><\/div><div class=\"jfWelcome-buttonWrapper\"><button class=\"jfWelcome-button\" id=\"jfCard-welcome-start\" style=\"display:none;\" aria-label=\"Start\"><\/button><\/div><\/div><\/div><form class=\"jotform-form\" id=\"80491174784868\" name=\"form_80491174784868\" action=\"https:\/\/submit.jotform.co\/submit\/80491174784868\/\" method=\"post\"><input type=\"hidden\" name=\"formID\" value=\"80491174784868\"\/><ul class=\"jfForm-all form-section page-section form-all\" id=\"cardAnimationWrapper\"><li class=\"form-line\" data-type=\"control_fullname\" id=\"id_9\"><div id=\"cid_9\" class=\"jfCard-wrapper\"><div class=\"jfCard\" data-type=\"control_fullname\"><div class=\"jfCard-index\"><div>1<\/div><\/div><div class=\"jfCard-question\"><div class=\"jfQuestion-fullscreen isHidden\"><\/div><label for=\"first_9\" class=\"jfQuestion-label isCenterAlign\" id=\"label_9\">Full Name<\/label><span class=\"jfQuestion-description\" id=\"input_9_description\"><\/span><div class=\"jfCard-mobileError jsMobileErrorWrapper\"><\/div><div class=\"jfQuestion-fields\" data-wrapper-react=\"true\"><div class=\"jfField\" data-type=\"first\"><input type=\"text\" id=\"first_9\" name=\"q9_fullName[first]\" class=\"form-textbox forFullname jfInput-input hasSublabel\" autocomplete=\"fname\" size=\"10\" value=\"\" data-component=\"first\" aria-required=\"false\" aria-describedby=\"first_9_description\"\/><label class=\"jfField-sublabel\" for=\"first_9\">First Name<\/label><\/div><div class=\"jfField\" data-type=\"last\"><input type=\"text\" id=\"last_9\" name=\"q9_fullName[last]\" class=\"form-textbox forFullname jfInput-input hasSublabel\" autocomplete=\"lname\" size=\"15\" value=\"\" data-component=\"last\" aria-required=\"false\" aria-describedby=\"last_9_description\"\/><label class=\"jfField-sublabel\" for=\"last_9\">Last Name<\/label><\/div><\/div><\/div><div class=\"jfCard-actions\"><button style=\"display:none;\" type=\"button\" class=\"jfInput-button forPrev u-left\" data-component=\"button\" aria-label=\"Previous\">Previous<\/button><button style=\"display:block;\" type=\"button\" class=\"jfInput-button forNext u-right\" data-component=\"button\" aria-label=\"Next\">Next<\/button><button style=\"display:none;\" type=\"submit\" class=\"jfInput-button forSubmit form-submit-button u-right\" data-component=\"button\" aria-label=\"Submit\">Submit<\/button><div class=\"cf\"><div class=\"jfCard-actionsNotification\"><div class=\"jfPressEnter isHidden\">Press<br\/>Enter<\/div><\/div><\/div><div class=\"jfCard-disableSubmitError\"><\/div><\/div><\/div><\/div><\/li><li class=\"form-line\" data-type=\"control_phone\" id=\"id_11\"><div id=\"cid_11\" class=\"jfCard-wrapper\"><div class=\"jfCard\" data-type=\"control_phone\"><div class=\"jfCard-index\"><div>2<\/div><\/div><div class=\"jfCard-question\"><div class=\"jfQuestion-fullscreen isHidden\"><\/div><label for=\"input_11_area\" class=\"jfQuestion-label isCenterAlign\" id=\"label_11\">Phone Number<\/label><span class=\"jfQuestion-description\" id=\"input_11_description\"><\/span><div class=\"jfCard-mobileError jsMobileErrorWrapper\"><\/div><div class=\"jfQuestion-fields\" data-wrapper-react=\"true\"><div class=\"jfField\" data-type=\"areaCode\"><input type=\"tel\" id=\"input_11_area\" name=\"q11_phoneNumber[area]\" class=\"form-textbox forPhone jfInput-input hasSublabel\" autocomplete=\"tel-area-code\" size=\"3\" value=\"\" data-component=\"areaCode\" aria-required=\"false\" aria-describedby=\"input_11_area_description\"\/><label class=\"jfField-sublabel\" for=\"input_11_area\">Area Code<\/label><\/div><div class=\"jfField\" data-type=\"phone\"><input type=\"tel\" id=\"input_11_phone\" name=\"q11_phoneNumber[phone]\" class=\"form-textbox forPhone jfInput-input hasSublabel\" autocomplete=\"tel-local\" size=\"8\" value=\"\" data-component=\"phone\" aria-required=\"false\" aria-describedby=\"input_11_phone_description\"\/><label class=\"jfField-sublabel\" for=\"input_11_phone\">Phone Number<\/label><\/div><\/div><\/div><div class=\"jfCard-actions\"><button style=\"display:block;\" type=\"button\" class=\"jfInput-button forPrev u-left\" data-component=\"button\" aria-label=\"Previous\">Previous<\/button><button style=\"display:block;\" type=\"button\" class=\"jfInput-button forNext u-right\" data-component=\"button\" aria-label=\"Next\">Next<\/button><button style=\"display:none;\" type=\"submit\" class=\"jfInput-button forSubmit form-submit-button u-right\" data-component=\"button\" aria-label=\"Submit\">Submit<\/button><div class=\"cf\"><div class=\"jfCard-actionsNotification\"><div class=\"jfPressEnter isHidden\">Press<br\/>Enter<\/div><\/div><\/div><div class=\"jfCard-disableSubmitError\"><\/div><\/div><\/div><\/div><\/li><li class=\"form-line\" data-type=\"control_dropdown\" id=\"id_5\"><div id=\"cid_5\" class=\"jfCard-wrapper\"><div class=\"jfCard\" data-type=\"control_dropdown\"><div class=\"jfCard-index\"><div>3<\/div><\/div><div class=\"jfCard-question\"><div class=\"jfQuestion-fullscreen isHidden\"><\/div><label for=\"input_5\" class=\"jfQuestion-label isCenterAlign\" id=\"label_5\">Number of people attending:<\/label><span class=\"jfQuestion-description\" id=\"input_5_description\"><\/span><div class=\"jfCard-mobileError jsMobileErrorWrapper\"><\/div><div class=\"jfQuestion-fields\"><div class=\"jfField\"><select name=\"q5_Number_of_people_attending_\" data-component=\"dropdown\" id=\"input_5\" class=\"form-dropdown\"><option value=\"\"><\/option><option value=\"\"><\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10 or more\">10 or more<\/option><\/select><div tabindex=\"0\" class=\"jfInput-dropdown hasSearch isDrawer\" datatype=\"multiselect\"><div class=\"jfDropdown-wrapper\" tabindex=\"-1\"><div class=\"jfDropdown-chipContainer\"><span class=\"jfDropdown-chip isSingle\" style=\"display:none;\"><\/span><div class=\"jfDropdown-searchWrapper\"><input class=\"jfDropdown-search\" name=\"dropdown_search\" placeholder=\"Search\" aria-label=\"Search\" type=\"text\"\/><\/div><\/div><span class=\"jfDropdown-toggle\"><i class=\"fa fa-caret-down\" aria-hidden=\"true\"><\/i><\/span><\/div><div id=\"jfDropdown-optionList-5\" class=\"jfDropdown-optionListWrapper forDrawer\"><ul name=\"q5_Number_of_people_attending_\" data-component=\"dropdown\" class=\"jfDropdown-optionList form-dropdown\"><li style=\"height:36px;\" data-value=\"\" class=\"jfDropdown-optionListItem\"><\/li><li data-value=\"\" class=\"jfDropdown-optionListItem\"><\/li><li data-value=\"1\" class=\"jfDropdown-optionListItem\">1<\/li><li data-value=\"2\" class=\"jfDropdown-optionListItem\">2<\/li><li data-value=\"3\" class=\"jfDropdown-optionListItem\">3<\/li><li data-value=\"4\" class=\"jfDropdown-optionListItem\">4<\/li><li data-value=\"5\" class=\"jfDropdown-optionListItem\">5<\/li><li data-value=\"6\" class=\"jfDropdown-optionListItem\">6<\/li><li data-value=\"7\" class=\"jfDropdown-optionListItem\">7<\/li><li data-value=\"8\" class=\"jfDropdown-optionListItem\">8<\/li><li data-value=\"9\" class=\"jfDropdown-optionListItem\">9<\/li><li data-value=\"10 or more\" class=\"jfDropdown-optionListItem\">10 or more<\/li><\/ul><\/div><\/div><label class=\"jfField-sublabel\" for=\"input_5\"><\/label><\/div><\/div><\/div><div class=\"jfCard-actions\"><button style=\"display:block;\" type=\"button\" class=\"jfInput-button forPrev u-left\" data-component=\"button\" aria-label=\"Previous\">Previous<\/button><button style=\"display:block;\" type=\"button\" class=\"jfInput-button forNext u-right\" data-component=\"button\" aria-label=\"Next\">Next<\/button><button style=\"display:none;\" type=\"submit\" class=\"jfInput-button forSubmit form-submit-button u-right\" data-component=\"button\" aria-label=\"Submit\">Submit<\/button><div class=\"cf\"><div class=\"jfCard-actionsNotification\"><div class=\"jfPressEnter isHidden\">Press<br\/>Enter<\/div><\/div><\/div><div class=\"jfCard-disableSubmitError\"><\/div><\/div><\/div><\/div><\/li><li class=\"form-line\" data-type=\"control_textarea\" id=\"id_6\"><div id=\"cid_6\" class=\"jfCard-wrapper\"><div class=\"jfCard\" data-type=\"control_textarea\"><div class=\"jfCard-index\"><div>4<\/div><\/div><div class=\"jfCard-question\"><div class=\"jfQuestion-fullscreen isHidden\"><\/div><label for=\"input_6\" class=\"jfQuestion-label isCenterAlign\" id=\"label_6\">What are the names of the other people coming, if any?<\/label><span class=\"jfQuestion-description\" id=\"input_6_description\"><\/span><div class=\"jfCard-mobileError jsMobileErrorWrapper\"><\/div><div class=\"jfQuestion-fields\" data-component=\"textarea\"><div class=\"jfField\" data-type=\"textarea\"><textarea id=\"input_6\" class=\"jfInput-textarea form-textarea\" data-component=\"textarea\" rows=\"4\" cols=\"30\" name=\"q6_What_are_the_names_of_the_other_people_coming_if_any_\"><\/textarea><label class=\"jfField-sublabel\" for=\"input_6\"><\/label><\/div><\/div><\/div><div class=\"jfCard-actions\"><button style=\"display:block;\" type=\"button\" class=\"jfInput-button forPrev u-left\" data-component=\"button\" aria-label=\"Previous\">Previous<\/button><button style=\"display:block;\" type=\"button\" class=\"jfInput-button forNext u-right\" data-component=\"button\" aria-label=\"Next\">Next<\/button><button style=\"display:none;\" type=\"submit\" class=\"jfInput-button forSubmit form-submit-button u-right\" data-component=\"button\" aria-label=\"Submit\">Submit<\/button><div class=\"cf\"><div class=\"jfCard-actionsNotification\"><div class=\"jfPressEnter isHidden\">Press<br\/>Enter<\/div><\/div><\/div><div class=\"jfCard-disableSubmitError\"><\/div><\/div><\/div><\/div><\/li><li class=\"form-line\" data-type=\"control_textarea\" id=\"id_7\"><div id=\"cid_7\" class=\"jfCard-wrapper\"><div class=\"jfCard\" data-type=\"control_textarea\"><div class=\"jfCard-index\"><div>5<\/div><\/div><div class=\"jfCard-question\"><div class=\"jfQuestion-fullscreen isHidden\"><\/div><label for=\"input_7\" class=\"jfQuestion-label isCenterAlign\" id=\"label_7\">Anything you want to add?<\/label><span class=\"jfQuestion-description\" id=\"input_7_description\"><\/span><div class=\"jfCard-mobileError jsMobileErrorWrapper\"><\/div><div class=\"jfQuestion-fields\" data-component=\"textarea\"><div class=\"jfField\" data-type=\"textarea\"><textarea id=\"input_7\" class=\"jfInput-textarea form-textarea\" data-component=\"textarea\" rows=\"4\" cols=\"30\" name=\"q7_Anything_you_want_to_add_\"><\/textarea><label class=\"jfField-sublabel\" for=\"input_7\"><\/label><\/div><\/div><\/div><div class=\"jfCard-actions\"><button style=\"display:block;\" type=\"button\" class=\"jfInput-button forPrev u-left\" data-component=\"button\" aria-label=\"Previous\">Previous<\/button><button style=\"display:block;\" type=\"button\" class=\"jfInput-button forNext u-right\" data-component=\"button\" aria-label=\"Next\">Next<\/button><button style=\"display:none;\" type=\"submit\" class=\"jfInput-button forSubmit form-submit-button u-right\" data-component=\"button\" aria-label=\"Submit\">Submit<\/button><div class=\"cf\"><div class=\"jfCard-actionsNotification\"><div class=\"jfPressEnter isHidden\">Press<br\/>Enter<\/div><\/div><\/div><div class=\"jfCard-disableSubmitError\"><\/div><\/div><\/div><\/div><\/li><li class=\"form-line\" data-type=\"control_stripe\" id=\"id_13\"><div id=\"cid_13\" class=\"jfCard-wrapper\"><div class=\"jfCard\" data-type=\"control_stripe\" data-payment=\"newpayment\"><div class=\"jfCard-index\"><div>6<\/div><\/div><div class=\"jfCard-question\"><div class=\"jfQuestion-fullscreen isHidden\"><\/div><label for=\"input_13\" class=\"jfQuestion-label isCenterAlign\" id=\"label_13\">If paying via Credit Card -Select amount skip if paying cash\/EFT<\/label><span class=\"jfQuestion-description\" id=\"input_13_description\"><\/span><div class=\"jfCard-mobileError jsMobileErrorWrapper\"><\/div><div data-wrapper-react=\"true\" data-component=\"payment\" class=\"js-productModuleWrapper jfProductModule-wrapper jfQuestion-fields paymentCard\"><div class=\"list-page products-container jfProductModule jfInnerQuestion\"><input type=\"hidden\" name=\"simple_fpc\" data-payment_type=\"stripe\" data-component=\"payment1\" value=\"13\"\/><input type=\"hidden\" name=\"payment_total_checksum\" id=\"payment_total_checksum\" data-component=\"payment2\"\/><input type=\"hidden\" id=\"payment_enable_lightbox\"\/><div class=\"donation-wrapper\"><div class=\"jfQuestion-fields jfQuestion-fields--donation form-multiple-column\" data-columncount=\"4\" data-component=\"radio\"><div class=\"jfField form-radio-item\"><label class=\"jfRadio jfRadio--donation withImage\"><input type=\"radio\" class=\"jfRadio-input form-radio js-donation-suggestion\" value=\"25\" id=\"input_13_suggestedDonation\"\/><div class=\"jfRadio-label\"><span class=\"jfRadio-labelText\">25<\/span><\/div><span class=\"jfInput-inputLabel js-donationCurrency\">AUD<\/span><\/label><\/div><div class=\"jfField form-radio-item\"><label class=\"jfRadio jfRadio--donation withImage\"><input type=\"radio\" class=\"jfRadio-input form-radio js-donation-suggestion\" value=\"50\" id=\"input_13_suggestedDonation\"\/><div class=\"jfRadio-label\"><span class=\"jfRadio-labelText\">50<\/span><\/div><span class=\"jfInput-inputLabel js-donationCurrency\">AUD<\/span><\/label><\/div><div class=\"jfField form-radio-item\"><label class=\"jfRadio jfRadio--donation withImage\"><input type=\"radio\" class=\"jfRadio-input form-radio js-donation-suggestion\" value=\"75\" id=\"input_13_suggestedDonation\"\/><div class=\"jfRadio-label\"><span class=\"jfRadio-labelText\">75<\/span><\/div><span class=\"jfInput-inputLabel js-donationCurrency\">AUD<\/span><\/label><\/div><div class=\"jfField form-radio-item\"><label class=\"jfRadio jfRadio--donation withImage\"><input type=\"radio\" class=\"jfRadio-input form-radio js-donation-suggestion\" value=\"100\" id=\"input_13_suggestedDonation\"\/><div class=\"jfRadio-label\"><span class=\"jfRadio-labelText\">100<\/span><\/div><span class=\"jfInput-inputLabel js-donationCurrency\">AUD<\/span><\/label><\/div><\/div><div class=\"donation-special\"><div class=\"donation-field-wrapper\"><div class=\"jfField\" data-type=\"paymentDonation\"><input type=\"text\" id=\"input_13_donation\" name=\"q13_ifPaying13[price]\" data-type=\"input-paymentDonation\" class=\"form-textbox validate[Numeric] jfInput-input hasSublabel\" value=\"\" data-component=\"paymentDonation\" aria-required=\"false\" aria-describedby=\"input_13_donation_description\"\/><label class=\"jfField-sublabel\" for=\"input_13_donation\">Description<\/label><\/div><span class=\"jfInput-inputLabel js-donationCurrency\">AUD<\/span><\/div><span class=\"js-donation-overlay donation-special__button\">+ OR enter a custom value<\/span><\/div><\/div><\/div><div data-wrapper-react=\"true\" class=\"form-address-table payment-form-table creaditcard-address-table jfCreditCardAddress jfInnerQuestion\"><div class=\"jfCreditCardAddress-creditCardWrapper jfInnerQuestion\"><div id=\"ccTitle13\" class=\"js-header jfCreditCardAddress-creditCardHeader\">Credit Card Details<\/div><div class=\"jfQuestion-fields js-content\" data-wrapper-react=\"true\" style=\"display:flex;flex-wrap:wrap;\"><div class=\"jfField\" data-type=\"cc_firstName\"><input type=\"text\" id=\"input_13_cc_firstName\" name=\"q13_ifPaying13[cc_firstName]\" class=\"form-textbox cc_firstName jfInput-input hasSublabel\" size=\"20\" value=\"\" data-component=\"cc_firstName\" aria-required=\"false\" aria-describedby=\"input_13_cc_firstName_description\"\/><label class=\"jfField-sublabel\" for=\"input_13_cc_firstName\">First Name<\/label><\/div><div class=\"jfField\" data-type=\"cc_lastName\"><input type=\"text\" id=\"input_13_cc_lastName\" name=\"q13_ifPaying13[cc_lastName]\" class=\"form-textbox cc_lastName jfInput-input hasSublabel\" size=\"20\" value=\"\" data-component=\"cc_lastName\" aria-required=\"false\" aria-describedby=\"input_13_cc_lastName_description\"\/><label class=\"jfField-sublabel\" for=\"input_13_cc_lastName\">Last Name<\/label><\/div><div class=\"jfField\" data-type=\"cc_number\"><input type=\"number\" id=\"input_13_cc_number\" name=\"q13_ifPaying13[cc_number]\" class=\"form-textbox cc_number jfInput-input hasSublabel\" autocomplete=\"off\" size=\"20\" value=\"\" data-component=\"cc_number\" aria-required=\"false\" aria-describedby=\"input_13_cc_number_description\"\/><label class=\"jfField-sublabel\" for=\"input_13_cc_number\">Credit Card Number<\/label><\/div><div class=\"jfField\" data-type=\"cc_ccv\"><input type=\"number\" id=\"input_13_cc_ccv\" name=\"q13_ifPaying13[cc_ccv]\" class=\"form-textbox cc_ccv jfInput-input hasSublabel\" autocomplete=\"off\" value=\"\" data-component=\"cc_ccv\" aria-required=\"false\" aria-describedby=\"input_13_cc_ccv_description\"\/><label class=\"jfField-sublabel\" for=\"input_13_cc_ccv\">Security Code<\/label><\/div><div class=\"jfField\" data-type=\"cc_exp_month\"><select id=\"input_13_cc_exp_month\" name=\"q13_ifPaying13[cc_exp_month]\" class=\"form-dropdown cc_exp_month\"><option value=\"\"><\/option><option value=\"1\">January<\/option><option value=\"2\">February<\/option><option value=\"3\">March<\/option><option value=\"4\">April<\/option><option value=\"5\">May<\/option><option value=\"6\">June<\/option><option value=\"7\">July<\/option><option value=\"8\">August<\/option><option value=\"9\">September<\/option><option value=\"10\">October<\/option><option value=\"11\">November<\/option><option value=\"12\">December<\/option><\/select><div tabindex=\"0\" class=\"jfInput-dropdown isDrawer\" datatype=\"multiselect\"><div class=\"jfDropdown-wrapper\" tabindex=\"-1\"><div class=\"jfDropdown-chipContainer\"><span class=\"jfDropdown-chip isSingle\"><\/span><\/div><span class=\"jfDropdown-toggle\"><i class=\"fa fa-caret-down\" aria-hidden=\"true\"><\/i><\/span><\/div><div id=\"jfDropdown-optionList-13-cc_exp_month\" class=\"jfDropdown-optionListWrapper forDrawer\"><ul class=\"jfDropdown-optionList form-dropdown\"><li data-value=\"\" class=\"jfDropdown-optionListItem\"><\/li><li data-value=\"1\" class=\"jfDropdown-optionListItem\">January<\/li><li data-value=\"2\" class=\"jfDropdown-optionListItem\">February<\/li><li data-value=\"3\" class=\"jfDropdown-optionListItem\">March<\/li><li data-value=\"4\" class=\"jfDropdown-optionListItem\">April<\/li><li data-value=\"5\" class=\"jfDropdown-optionListItem\">May<\/li><li data-value=\"6\" class=\"jfDropdown-optionListItem\">June<\/li><li data-value=\"7\" class=\"jfDropdown-optionListItem\">July<\/li><li data-value=\"8\" class=\"jfDropdown-optionListItem\">August<\/li><li data-value=\"9\" class=\"jfDropdown-optionListItem\">September<\/li><li data-value=\"10\" class=\"jfDropdown-optionListItem\">October<\/li><li data-value=\"11\" class=\"jfDropdown-optionListItem\">November<\/li><li data-value=\"12\" class=\"jfDropdown-optionListItem\">December<\/li><\/ul><\/div><\/div><label class=\"jfField-sublabel\" for=\"input_13_cc_exp_month\">Expiration Month<\/label><\/div><div class=\"jfField isFilled\" data-type=\"cc_exp_year\"><select id=\"input_13_cc_exp_year\" name=\"q13_ifPaying13[cc_exp_year]\" class=\"form-dropdown cc_exp_year\"><option value=\"2018\">2018<\/option><option value=\"2019\">2019<\/option><option value=\"2020\">2020<\/option><option value=\"2021\">2021<\/option><option 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