{"id":5898,"date":"2024-04-02T16:05:17","date_gmt":"2024-04-02T21:05:17","guid":{"rendered":"https:\/\/beta1.oppinc.com\/?page_id=5898"},"modified":"2024-05-02T15:20:09","modified_gmt":"2024-05-02T20:20:09","slug":"alkaline-batteries","status":"publish","type":"page","link":"https:\/\/beta1.oppinc.com\/?page_id=5898","title":{"rendered":"Alkaline Batteries"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;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\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\" style=\"--awb-margin-top:20px;\"><h2 style=\"text-align: center;\">Alkaline Batteries Order Form<\/h2>\n<h4 style=\"text-align: center;\">State Use Program Battery Contract<\/h4>\n<h4 style=\"text-align: center;\">(505ENT-U16-BATTERIES-01)<\/h4>\n<\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-0 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-border-color:var(--awb-color8);--awb-border-top:2px;--awb-border-right:2px;--awb-border-bottom:2px;--awb-border-left:2px;--awb-border-style:solid;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div style=\"text-align:center;\"><a class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-1 fusion-button-span-yes fusion-button-default-type\" style=\"--button_accent_color:var(--awb-color1);--button_border_color:var(--awb-color8);--button_accent_hover_color:var(--awb-color1);--button_border_hover_color:var(--awb-color1);--button_gradient_top_color:var(--awb-color6);--button_gradient_bottom_color:var(--awb-color6);--button_gradient_top_color_hover:var(--awb-color8);--button_gradient_bottom_color_hover:var(--awb-color8);\" target=\"_self\"><span class=\"fusion-button-text\">Supplier Information<\/span><\/a><\/div><div class=\"fusion-text fusion-text-2\" style=\"--awb-margin-left:10px;\"><p><span style=\"text-decoration: underline;\"><strong>Supplier Name<\/strong><\/span><br \/>\nOpportunities, Incorporated<br \/>\n<em>Training &amp; Fulfillment Center<\/em><\/p>\n<\/div><div class=\"fusion-text fusion-text-3\" style=\"--awb-margin-left:10px;\"><p><span style=\"text-decoration: underline;\"><strong>Address<\/strong><\/span><br \/>\n100 E. Blackhawk Drive<br \/>\nFort Atkinson, WI 53538<\/p>\n<\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-1 fusion_builder_column_inner_1_2 1_2 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-border-color:var(--awb-color8);--awb-border-top:2px;--awb-border-right:2px;--awb-border-bottom:2px;--awb-border-left:2px;--awb-border-style:solid;--awb-width-large:50%;--awb-margin-top-large:0px;--awb-spacing-right-large:3.84%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:3.84%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\" data-scroll-devices=\"small-visibility,medium-visibility,large-visibility\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div style=\"text-align:center;\"><a class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-2 fusion-button-span-yes fusion-button-default-type\" style=\"--button_accent_color:var(--awb-color1);--button_border_color:var(--awb-color8);--button_accent_hover_color:var(--awb-color1);--button_border_hover_color:var(--awb-color1);--button_gradient_top_color:var(--awb-color6);--button_gradient_bottom_color:var(--awb-color6);--button_gradient_top_color_hover:var(--awb-color8);--button_gradient_bottom_color_hover:var(--awb-color8);\" target=\"_self\"><span class=\"fusion-button-text\">Shipping Information<\/span><\/a><\/div><div class=\"fusion-text fusion-text-4\" style=\"--awb-margin-left:10px;\"><p>Supplier Terms &amp; Conditions<\/p>\n<\/div><div style=\"text-align:center;\"><a class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-3 fusion-button-span-yes fusion-button-default-type\" style=\"--button_accent_color:var(--awb-color1);--button_border_color:var(--awb-color8);--button_accent_hover_color:var(--awb-color1);--button_border_hover_color:var(--awb-color1);--button_gradient_top_color:var(--awb-color6);--button_gradient_bottom_color:var(--awb-color6);--button_gradient_top_color_hover:var(--awb-color8);--button_gradient_bottom_color_hover:var(--awb-color8);\" target=\"_self\"><span class=\"fusion-button-text\">Additional Information<\/span><\/a><\/div><div class=\"fusion-text fusion-text-5\"><ul>\n<li>Battery Specification And Pricing List Is Located On <a href=\"https:\/\/vendornet.wi.gov\/Contract.aspx?Id=fdf9725a-212a-e611-8964-40a8f0ad9999\" target=\"_blank\" rel=\"noopener\">VendorNet<\/a>.<\/li>\n<li>All Products Contain 12 Batteries Per Pack.<\/li>\n<li>Minimum Order 2 Packs (2 Dozen) Any Combination.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-bottom:20px;width:100%;\"><div class=\"fusion-separator-border sep-single\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:var(--awb-color6);border-color:var(--awb-color6);border-top-width:2px;\"><\/div><\/div>\n<div class=\"table-2\">\n<table width=\"100%\">\n<thead>\n<tr>\n<th align=\"left\">Product Description<\/th>\n<th align=\"left\">Catalog #:<\/th>\n<th align=\"left\">Package:<\/th>\n<th align=\"left\">Unit Price:<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td align=\"left\">High Energy AA-Cell<\/td>\n<td align=\"left\">AA-Cell12PK<\/td>\n<td align=\"left\">12\/pack<\/td>\n<td align=\"left\">$10.18<\/td>\n<\/tr>\n<tr>\n<td align=\"left\">High Energy AAA-Cell<\/td>\n<td align=\"left\">AAA-Cell12PK<\/td>\n<td align=\"left\">12\/pack<\/td>\n<td align=\"left\">$10.49<\/td>\n<\/tr>\n<tr>\n<td align=\"left\">High Energy C-Cell<\/td>\n<td align=\"left\">C-Cell12PK<\/td>\n<td align=\"left\">12\/pack<\/td>\n<td align=\"left\">$15.54<\/td>\n<\/tr>\n<tr>\n<td align=\"left\">High Energy D-Cell<\/td>\n<td align=\"left\">D-Cell12PK<\/td>\n<td align=\"left\">12\/pack<\/td>\n<td align=\"left\">$19.30<\/td>\n<\/tr>\n<tr>\n<td align=\"left\">High Energy 9V<\/td>\n<td align=\"left\">9-Volt12PK<\/td>\n<td align=\"left\">12\/pack<\/td>\n<td align=\"left\">$23.11<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<div class=\"fusion-separator fusion-full-width-sep\" style=\"align-self: center;margin-left: auto;margin-right: auto;margin-bottom:20px;width:100%;\"><div class=\"fusion-separator-border sep-single\" style=\"--awb-height:20px;--awb-amount:20px;--awb-sep-color:var(--awb-color6);border-color:var(--awb-color6);border-top-width:2px;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-image-element \" style=\"text-align:center;--awb-caption-title-font-family:var(--h2_typography-font-family);--awb-caption-title-font-weight:var(--h2_typography-font-weight);--awb-caption-title-font-style:var(--h2_typography-font-style);--awb-caption-title-size:var(--h2_typography-font-size);--awb-caption-title-transform:var(--h2_typography-text-transform);--awb-caption-title-line-height:var(--h2_typography-line-height);--awb-caption-title-letter-spacing:var(--h2_typography-letter-spacing);\"><span class=\" fusion-imageframe imageframe-none imageframe-1 hover-type-none\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"294\" title=\"Opp Inc PACKAGE logo-T\" src=\"https:\/\/beta1.oppinc.com\/wp-content\/uploads\/2024\/04\/Opp-Inc-PACKAGE-logo-T-1024x294.png\" alt class=\"img-responsive wp-image-6085\" srcset=\"https:\/\/beta1.oppinc.com\/wp-content\/uploads\/2024\/04\/Opp-Inc-PACKAGE-logo-T-200x58.png 200w, https:\/\/beta1.oppinc.com\/wp-content\/uploads\/2024\/04\/Opp-Inc-PACKAGE-logo-T-400x115.png 400w, https:\/\/beta1.oppinc.com\/wp-content\/uploads\/2024\/04\/Opp-Inc-PACKAGE-logo-T-600x173.png 600w, https:\/\/beta1.oppinc.com\/wp-content\/uploads\/2024\/04\/Opp-Inc-PACKAGE-logo-T-800x230.png 800w, https:\/\/beta1.oppinc.com\/wp-content\/uploads\/2024\/04\/Opp-Inc-PACKAGE-logo-T-1200x345.png 1200w\" sizes=\"(max-width: 1024px) 100vw, (max-width: 640px) 100vw, 1200px\" \/><\/span><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-3 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1216.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><link rel='stylesheet' id='formidable-css' href='https:\/\/beta1.oppinc.com\/wp-content\/plugins\/formidable\/css\/formidableforms.css?ver=5211744' type='text\/css' media='all' \/>\n<div class=\"frm_forms  with_frm_style frm_style_opp-inc\" id=\"frm_form_5_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_batteries\"  >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Alkaline Batteries Order Form<\/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=\"5\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_5\" id=\"frm_hide_fields_5\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"batteries\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_5\" name=\"frm_submit_entry_5\" value=\"a4d692b056\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F5898\" \/><div id=\"frm_field_48_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Buyer Information:<\/h3>\r\n\r\n\r\n<div id=\"frm_field_50_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n\t<div  id=\"field_yor32_label\" class=\"frm_primary_label\">Name\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<fieldset aria-labelledby=\"field_yor32_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\tName\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_50\" data-name-layout=\"first_last\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_50-first_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-first  frm6\"\n\t\t\t\tdata-sub-field-name=\"first\"\n\t\t\t>\n\t\t\t\t<label for=\"field_yor32_first\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tFirst\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_yor32_first\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[50][first]\"  data-sectionid=\"48\" data-reqmsg=\"Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_50_first_desc\">First<\/div>\t\t\t<\/div>\n\t\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_50-last_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-last  frm6\"\n\t\t\t\tdata-sub-field-name=\"last\"\n\t\t\t>\n\t\t\t\t<label for=\"field_yor32_last\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tLast\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_yor32_last\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[50][last]\"  data-sectionid=\"48\" data-reqmsg=\"Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_50_last_desc\">Last<\/div>\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/fieldset>\n\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_41_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n\t<label for=\"field_29yf4d23\" id=\"field_29yf4d23_label\" class=\"frm_primary_label\">Email\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"email\" id=\"field_29yf4d23\" name=\"item_meta[41]\" value=\"\"  data-reqmsg=\"Blank Field\" aria-required=\"true\" data-invmsg=\"Please enter a valid email address\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_42_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n\t<label for=\"field_gzdza\" id=\"field_gzdza_label\" class=\"frm_primary_label\">Phone\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"tel\" id=\"field_gzdza\" name=\"item_meta[42]\" value=\"\"  data-sectionid=\"48\" data-frmmask=\"(999) 999-9999\" data-reqmsg=\"Blank Field\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\) \\d\\d\\d-\\d\\d\\d\\d$\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<\/div>\n<div id=\"frm_field_56_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Shipping Information<\/h3>\r\n\r\n\r\n<div id=\"frm_field_51_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<div  id=\"field_qzprf_label\" class=\"frm_primary_label\">Ship To Attention Of:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<fieldset aria-labelledby=\"field_qzprf_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\tShip To Attention Of:\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_51\" data-name-layout=\"first_last\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_51-first_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-first  frm6\"\n\t\t\t\tdata-sub-field-name=\"first\"\n\t\t\t>\n\t\t\t\t<label for=\"field_qzprf_first\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tFirst\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_qzprf_first\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[51][first]\"  data-sectionid=\"56\" data-reqmsg=\"Ship To Attention Of: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Ship To Attention Of: is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_51_first_desc\">First<\/div>\t\t\t<\/div>\n\t\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_51-last_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-last  frm6\"\n\t\t\t\tdata-sub-field-name=\"last\"\n\t\t\t>\n\t\t\t\t<label for=\"field_qzprf_last\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tLast\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_qzprf_last\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[51][last]\"  data-sectionid=\"56\" data-reqmsg=\"Ship To Attention Of: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Ship To Attention Of: is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_51_last_desc\">Last<\/div>\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/fieldset>\n\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_43_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <div  id=\"field_r5eeh_label\" class=\"frm_primary_label\">Shipping Address:\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_r5eeh_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tShipping Address:<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_43-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_r5eeh_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tAddress Line 1\t<\/label>\n\t\t<input type=\"text\" id=\"field_r5eeh_line1\" value=\"\" name=\"item_meta[43][line1]\"  data-sectionid=\"56\" data-reqmsg=\"Blank Field\" aria-required=\"true\" data-invmsg=\"Shipping Address: is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<div class=\"frm_description\">Address Line 1<\/div><\/div>\n<div id=\"frm_field_43-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_r5eeh_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tAddress Line 2\t<\/label>\n\t\t<input type=\"text\" id=\"field_r5eeh_line2\" value=\"\" name=\"item_meta[43][line2]\"  data-sectionid=\"56\" data-reqmsg=\"Blank Field\" aria-required=\"true\" data-invmsg=\"Shipping Address: is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<div class=\"frm_description\">Address Line 2<\/div><\/div>\n<div id=\"frm_field_43-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_r5eeh_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCity\t<\/label>\n\t\t<input type=\"text\" id=\"field_r5eeh_city\" value=\"\" name=\"item_meta[43][city]\"  data-sectionid=\"56\" data-reqmsg=\"Blank Field\" aria-required=\"true\" data-invmsg=\"Shipping Address: is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">City<\/div><\/div>\n<div id=\"frm_field_43-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_r5eeh_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tState\t<\/label>\n\t\t\t<select name=\"item_meta[43][state]\" id=\"field_r5eeh_state\"  data-sectionid=\"56\" data-reqmsg=\"Blank Field\" aria-required=\"true\" data-invmsg=\"Shipping Address: is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\">\n\t\t\t<option value=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Alabama\">Alabama<\/option><option  value=\"Alaska\">Alaska<\/option><option  value=\"Arkansas\">Arkansas<\/option><option  value=\"Arizona\">Arizona<\/option><option  value=\"California\">California<\/option><option  value=\"Colorado\">Colorado<\/option><option  value=\"Connecticut\">Connecticut<\/option><option  value=\"Delaware\">Delaware<\/option><option  value=\"District of Columbia\">District of Columbia<\/option><option  value=\"Florida\">Florida<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Hawaii\">Hawaii<\/option><option  value=\"Idaho\">Idaho<\/option><option  value=\"Illinois\">Illinois<\/option><option  value=\"Indiana\">Indiana<\/option><option  value=\"Iowa\">Iowa<\/option><option  value=\"Kansas\">Kansas<\/option><option  value=\"Kentucky\">Kentucky<\/option><option  value=\"Louisiana\">Louisiana<\/option><option  value=\"Maine\">Maine<\/option><option  value=\"Maryland\">Maryland<\/option><option  value=\"Massachusetts\">Massachusetts<\/option><option  value=\"Michigan\">Michigan<\/option><option  value=\"Minnesota\">Minnesota<\/option><option  value=\"Mississippi\">Mississippi<\/option><option  value=\"Missouri\">Missouri<\/option><option  value=\"Montana\">Montana<\/option><option  value=\"Nebraska\">Nebraska<\/option><option  value=\"Nevada\">Nevada<\/option><option  value=\"New Hampshire\">New Hampshire<\/option><option  value=\"New Jersey\">New Jersey<\/option><option  value=\"New Mexico\">New Mexico<\/option><option  value=\"New York\">New York<\/option><option  value=\"North Carolina\">North Carolina<\/option><option  value=\"North Dakota\">North Dakota<\/option><option  value=\"Ohio\">Ohio<\/option><option  value=\"Oklahoma\">Oklahoma<\/option><option  value=\"Oregon\">Oregon<\/option><option  value=\"Pennsylvania\">Pennsylvania<\/option><option  value=\"Rhode Island\">Rhode Island<\/option><option  value=\"South Carolina\">South Carolina<\/option><option  value=\"South Dakota\">South Dakota<\/option><option  value=\"Tennessee\">Tennessee<\/option><option  value=\"Texas\">Texas<\/option><option  value=\"Utah\">Utah<\/option><option  value=\"Vermont\">Vermont<\/option><option  value=\"Virginia\">Virginia<\/option><option  value=\"Washington\">Washington<\/option><option  value=\"West Virginia\">West Virginia<\/option><option  value=\"Wisconsin\">Wisconsin<\/option><option  value=\"Wyoming\">Wyoming<\/option>\t\t<\/select>\n\t<div class=\"frm_description\">State<\/div><\/div>\n<div id=\"frm_field_43-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_r5eeh_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tZip Code\t<\/label>\n\t\t<input type=\"text\" id=\"field_r5eeh_zip\" value=\"\" name=\"item_meta[43][zip]\"  data-sectionid=\"56\" data-reqmsg=\"Blank Field\" aria-required=\"true\" data-invmsg=\"Shipping Address: is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Zip Code<\/div><\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_58_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_s7i01\" id=\"field_s7i01_label\" class=\"frm_primary_label\">Email Copy of Order Form to:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"email\" id=\"field_s7i01\" name=\"item_meta[58]\" value=\"\"  data-sectionid=\"56\"autocomplete=\"email\" data-reqmsg=\"Email Copy of Order Form to: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email Copy of Order Form to: is invalid\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_59_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n\t<label for=\"field_657mi\" id=\"field_657mi_label\" class=\"frm_primary_label\">Purchase Order Number:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input type=\"text\" id=\"field_657mi\" name=\"item_meta[59]\" value=\"\"  data-sectionid=\"56\" data-invmsg=\"Purchase Order Number: is invalid\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_60_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n\t<label for=\"field_jd5te\" id=\"field_jd5te_label\" class=\"frm_primary_label\">Order Date:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"text\" id=\"field_jd5te\" name=\"item_meta[60]\" value=\"\"  data-sectionid=\"56\" maxlength=\"10\" data-reqmsg=\"Order Date: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Order Date: is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<\/div>\n<div id=\"frm_field_70_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_n7af\" id=\"field_n7af_label\" class=\"frm_primary_label\">Payment Preference\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[70]\" id=\"field_n7af\"  data-reqmsg=\"Payment Preference cannot be blank.\" aria-required=\"true\" data-invmsg=\"Payment Preference is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Charge P-Card\">Charge P-Card<\/option><option  value=\"New Card Information\">New Card Information<\/option><option  value=\"Call for Payment\">Call for Payment<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_71_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first frm_four_col\">\r\n\t<div  id=\"field_vfbgk_label\" class=\"frm_primary_label\">How many packs of AA-Cell Batteries Will You Be Ordering: (skip if n\/a)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_vfbgk_label\" role=\"radiogroup\"><input type=\"hidden\" value=\"\" name=\"item_meta[71]\"  id=\"field_vfbgk\" \/><\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_52_container\" class=\"frm_form_field form-field  frm_top_container frm12  frm3 frm_first frm_two_col\">\r\n\t<div  id=\"field_n922e_label\" class=\"frm_primary_label\">$10.18\/Pack\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_n922e_label\" role=\"group\">\t<div class=\"frm_checkbox\" id=\"frm_checkbox_52-0\"><label for=\"field_n922e-0\">\t<input type=\"checkbox\" name=\"item_meta[52][]\" id=\"field_n922e-0\" value=\"23 or Less\" data-frmprice=\"10.18\"  data-invmsg=\"$10.18\/Pack is invalid\" aria-invalid=\"false\"   \/> 23 or Less<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_80_container\" class=\"frm_form_field form-field  frm_top_container frm3 frm12 frm_two_col\">\r\n\t<div  id=\"field_9bbta_label\" class=\"frm_primary_label\">$10.00\/Pack\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_9bbta_label\" role=\"group\">\t<div class=\"frm_checkbox\" id=\"frm_checkbox_80-1\"><label for=\"field_9bbta-1\">\t<input type=\"checkbox\" name=\"item_meta[80][]\" id=\"field_9bbta-1\" value=\"24-124\" data-frmprice=\"10.00\"  data-invmsg=\"$10.00\/Pack is invalid\" aria-invalid=\"false\"   \/> 24-124<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_81_container\" class=\"frm_form_field form-field  frm_top_container frm3 frm_two_col\">\r\n\t<div  id=\"field_n1va8_label\" class=\"frm_primary_label\">$9.98\/Pack\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_n1va8_label\" role=\"group\">\t<div class=\"frm_checkbox\" id=\"frm_checkbox_81-2\"><label for=\"field_n1va8-2\">\t<input type=\"checkbox\" name=\"item_meta[81][]\" id=\"field_n1va8-2\" value=\"125-249\" data-frmprice=\"9.98\"  data-invmsg=\"$9.98\/Pack is invalid\" aria-invalid=\"false\"   \/> 125-249<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_82_container\" class=\"frm_form_field form-field  frm_top_container frm3 frm_two_col\">\r\n\t<div  id=\"field_1giw3_label\" class=\"frm_primary_label\">$9.95\/Pack\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_1giw3_label\" role=\"group\">\t<div class=\"frm_checkbox\" id=\"frm_checkbox_82-3\"><label for=\"field_1giw3-3\">\t<input type=\"checkbox\" name=\"item_meta[82][]\" id=\"field_1giw3-3\" value=\"250 or More\" data-frmprice=\"9.95\"  data-invmsg=\"$9.95\/Pack is invalid\" aria-invalid=\"false\"   \/> 250 or More<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_53_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_thirds\">\r\n\t<label for=\"field_l2cib\" id=\"field_l2cib_label\" class=\"frm_primary_label\">AA-Cell Quantity #F007053\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_l2cib\" name=\"item_meta[53]\" value=\"\"  data-frmproduct=\"[&quot;52&quot;]\"  data-reqmsg=\"AA-Cell Quantity #F007053 cannot be blank.\" aria-required=\"true\" data-invmsg=\"AA-Cell Quantity #F007053 is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_83_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_thirds\">\r\n\t<label for=\"field_qoo7r\" id=\"field_qoo7r_label\" class=\"frm_primary_label\">AA-Cell Quantity (#F007053)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_qoo7r\" name=\"item_meta[83]\" value=\"\"  data-frmproduct=\"[&quot;80&quot;]\"  data-reqmsg=\"AA-Cell Quantity (#F007053) cannot be blank.\" aria-required=\"true\" data-invmsg=\"AA-Cell Quantity (#F007053) is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_85_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_thirds\">\r\n\t<label for=\"field_7utkq\" id=\"field_7utkq_label\" class=\"frm_primary_label\">AA-Cell Quantity (#F007053)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_7utkq\" name=\"item_meta[85]\" value=\"\"  data-frmproduct=\"[&quot;81&quot;]\"  data-reqmsg=\"AA-Cell Quantity (#F007053) cannot be blank.\" aria-required=\"true\" data-invmsg=\"AA-Cell Quantity (#F007053) is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_84_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_thirds\">\r\n\t<label for=\"field_hw523\" id=\"field_hw523_label\" class=\"frm_primary_label\">AA-Cell Quantity (#F007053)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_hw523\" name=\"item_meta[84]\" value=\"\"  data-frmproduct=\"[&quot;82&quot;]\"  data-reqmsg=\"AA-Cell Quantity (#F007053) cannot be blank.\" aria-required=\"true\" data-invmsg=\"AA-Cell Quantity (#F007053) is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_97_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first frm_four_col\">\r\n\t<div  id=\"field_6wtus_label\" class=\"frm_primary_label\">How many packs of AAA-Cell Batteries Will You Be Ordering: (skip if n\/a)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_6wtus_label\" role=\"radiogroup\"><input type=\"hidden\" value=\"\" name=\"item_meta[97]\"  id=\"field_6wtus\" \/><\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_89_container\" class=\"frm_form_field form-field  frm_top_container frm12  frm3 frm_first frm_two_col\">\r\n\t<div  id=\"field_9i4lf_label\" class=\"frm_primary_label\">$10.49\/Pack\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_9i4lf_label\" role=\"group\">\t<div class=\"frm_checkbox\" id=\"frm_checkbox_89-0\"><label for=\"field_9i4lf-0\">\t<input type=\"checkbox\" name=\"item_meta[89][]\" id=\"field_9i4lf-0\" value=\"23 or Less\" data-frmprice=\"10.49\"  data-invmsg=\"$10.49\/Pack is invalid\" aria-invalid=\"false\"   \/> 23 or Less<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_92_container\" class=\"frm_form_field form-field  frm_top_container frm3 frm12 frm_two_col\">\r\n\t<div  id=\"field_ea5v9_label\" class=\"frm_primary_label\">$10.25\/Pack\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_ea5v9_label\" role=\"group\">\t<div class=\"frm_checkbox\" id=\"frm_checkbox_92-1\"><label for=\"field_ea5v9-1\">\t<input type=\"checkbox\" name=\"item_meta[92][]\" id=\"field_ea5v9-1\" value=\"24-124\" data-frmprice=\"10.25\"  data-invmsg=\"$10.25\/Pack is invalid\" aria-invalid=\"false\"   \/> 24-124<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_90_container\" class=\"frm_form_field form-field  frm_top_container frm3 frm_two_col\">\r\n\t<div  id=\"field_dq5oq_label\" class=\"frm_primary_label\">$10.20\/Pack\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_dq5oq_label\" role=\"group\">\t<div class=\"frm_checkbox\" id=\"frm_checkbox_90-2\"><label for=\"field_dq5oq-2\">\t<input type=\"checkbox\" name=\"item_meta[90][]\" id=\"field_dq5oq-2\" value=\"125-249\" data-frmprice=\"10.20\"  data-invmsg=\"$10.20\/Pack is invalid\" aria-invalid=\"false\"   \/> 125-249<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_91_container\" class=\"frm_form_field form-field  frm_top_container frm3 frm_two_col\">\r\n\t<div  id=\"field_4lvep_label\" class=\"frm_primary_label\">$10.15\/Pack\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_4lvep_label\" role=\"group\">\t<div class=\"frm_checkbox\" id=\"frm_checkbox_91-3\"><label for=\"field_4lvep-3\">\t<input type=\"checkbox\" name=\"item_meta[91][]\" id=\"field_4lvep-3\" value=\"250 or More\" data-frmprice=\"10.15\"  data-invmsg=\"$10.15\/Pack is invalid\" aria-invalid=\"false\"   \/> 250 or More<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_62_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_thirds\">\r\n\t<label for=\"field_9brd5\" id=\"field_9brd5_label\" class=\"frm_primary_label\">AAA-Cell Quantity (#F007054)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_9brd5\" name=\"item_meta[62]\" value=\"\"  data-frmproduct=\"[&quot;89&quot;]\"  data-reqmsg=\"AAA-Cell Quantity (#F007054) cannot be blank.\" aria-required=\"true\" data-invmsg=\"AAA-Cell Quantity (#F007054) is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_100_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_thirds\">\r\n\t<label for=\"field_srauw\" id=\"field_srauw_label\" class=\"frm_primary_label\">AAA-Cell Quantity (#F007054)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_srauw\" name=\"item_meta[100]\" value=\"\"  data-frmproduct=\"[&quot;92&quot;]\"  data-reqmsg=\"AAA-Cell Quantity (#F007054) cannot be blank.\" aria-required=\"true\" data-invmsg=\"AAA-Cell Quantity (#F007054) is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_99_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_thirds\">\r\n\t<label for=\"field_fxa60\" id=\"field_fxa60_label\" class=\"frm_primary_label\">AAA-Cell Quantity (#F007054)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_fxa60\" name=\"item_meta[99]\" value=\"\"  data-frmproduct=\"[&quot;90&quot;]\"  data-reqmsg=\"AAA-Cell Quantity (#F007054) cannot be blank.\" aria-required=\"true\" data-invmsg=\"AAA-Cell Quantity (#F007054) is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_98_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_thirds\">\r\n\t<label for=\"field_i4elg\" id=\"field_i4elg_label\" class=\"frm_primary_label\">AAA-Cell Quantity (#F007054)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_i4elg\" name=\"item_meta[98]\" value=\"\"  data-frmproduct=\"[&quot;91&quot;]\"  data-reqmsg=\"AAA-Cell Quantity (#F007054) cannot be blank.\" aria-required=\"true\" data-invmsg=\"AAA-Cell Quantity (#F007054) is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_101_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first frm_four_col\">\r\n\t<div  id=\"field_uv0wa_label\" class=\"frm_primary_label\">How many packs of C-Cell Batteries Will You Be Ordering: (skip if n\/a)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_uv0wa_label\" role=\"radiogroup\"><input type=\"hidden\" value=\"\" name=\"item_meta[101]\"  id=\"field_uv0wa\" \/><\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_104_container\" class=\"frm_form_field form-field  frm_top_container frm12  frm3 frm_first frm_two_col\">\r\n\t<div  id=\"field_e6b9k_label\" class=\"frm_primary_label\">$15.54\/Pack\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_e6b9k_label\" role=\"group\">\t<div class=\"frm_checkbox\" id=\"frm_checkbox_104-0\"><label for=\"field_e6b9k-0\">\t<input type=\"checkbox\" name=\"item_meta[104][]\" id=\"field_e6b9k-0\" value=\"23 or Less\" data-frmprice=\"15.54\"  data-invmsg=\"$15.54\/Pack is invalid\" aria-invalid=\"false\"   \/> 23 or Less<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_102_container\" class=\"frm_form_field form-field  frm_top_container frm3 frm12 frm_two_col\">\r\n\t<div  id=\"field_5q7va_label\" class=\"frm_primary_label\">$15.49\/Pack\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_5q7va_label\" role=\"group\">\t<div class=\"frm_checkbox\" id=\"frm_checkbox_102-1\"><label for=\"field_5q7va-1\">\t<input type=\"checkbox\" name=\"item_meta[102][]\" id=\"field_5q7va-1\" value=\"24-124\" data-frmprice=\"15.49\"  data-invmsg=\"$15.49\/Pack is invalid\" aria-invalid=\"false\"   \/> 24-124<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_103_container\" class=\"frm_form_field form-field  frm_top_container frm3 frm_two_col\">\r\n\t<div  id=\"field_d6y4z_label\" class=\"frm_primary_label\">$15.45\/Pack\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_d6y4z_label\" role=\"group\">\t<div class=\"frm_checkbox\" id=\"frm_checkbox_103-2\"><label for=\"field_d6y4z-2\">\t<input type=\"checkbox\" name=\"item_meta[103][]\" id=\"field_d6y4z-2\" value=\"125-249\" data-frmprice=\"15.45\"  data-invmsg=\"$15.45\/Pack is invalid\" aria-invalid=\"false\"   \/> 125-249<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_105_container\" class=\"frm_form_field form-field  frm_top_container frm3 frm_two_col\">\r\n\t<div  id=\"field_oyogp_label\" class=\"frm_primary_label\">$15.40\/Pack\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_oyogp_label\" role=\"group\">\t<div class=\"frm_checkbox\" id=\"frm_checkbox_105-3\"><label for=\"field_oyogp-3\">\t<input type=\"checkbox\" name=\"item_meta[105][]\" id=\"field_oyogp-3\" value=\"250 or More\" data-frmprice=\"15.40\"  data-invmsg=\"$15.40\/Pack is invalid\" aria-invalid=\"false\"   \/> 250 or More<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_106_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_thirds\">\r\n\t<label for=\"field_tsu2j\" id=\"field_tsu2j_label\" class=\"frm_primary_label\">C-Cell Quantity (#F007052)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_tsu2j\" name=\"item_meta[106]\" value=\"\"  data-frmproduct=\"[&quot;104&quot;]\"  data-reqmsg=\"C-Cell Quantity (#F007052) cannot be blank.\" aria-required=\"true\" data-invmsg=\"C-Cell Quantity (#F007052) is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_109_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_thirds\">\r\n\t<label for=\"field_zcow8\" id=\"field_zcow8_label\" class=\"frm_primary_label\">C-Cell Quantity (#F007052)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_zcow8\" name=\"item_meta[109]\" value=\"\"  data-frmproduct=\"[&quot;102&quot;]\"  data-reqmsg=\"C-Cell Quantity (#F007052) cannot be blank.\" aria-required=\"true\" data-invmsg=\"C-Cell Quantity (#F007052) is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_108_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_thirds\">\r\n\t<label for=\"field_fh25y\" id=\"field_fh25y_label\" class=\"frm_primary_label\">C-Cell Quantity (#F007052)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_fh25y\" name=\"item_meta[108]\" value=\"\"  data-frmproduct=\"[&quot;103&quot;]\"  data-reqmsg=\"C-Cell Quantity (#F007052) cannot be blank.\" aria-required=\"true\" data-invmsg=\"C-Cell Quantity (#F007052) is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_107_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_thirds\">\r\n\t<label for=\"field_urylt\" id=\"field_urylt_label\" class=\"frm_primary_label\">C-Cell Quantity (#F007052)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_urylt\" name=\"item_meta[107]\" value=\"\"  data-frmproduct=\"[&quot;105&quot;]\"  data-reqmsg=\"C-Cell Quantity (#F007052) cannot be blank.\" aria-required=\"true\" data-invmsg=\"C-Cell Quantity (#F007052) is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_110_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first frm_four_col\">\r\n\t<div  id=\"field_yde9n_label\" class=\"frm_primary_label\">Do You Need to Order Any Amount of D-Cell Batteries:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_yde9n_label\" role=\"radiogroup\"><input type=\"hidden\" value=\"\" name=\"item_meta[110]\"  id=\"field_yde9n\" \/><\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_111_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half frm_two_col\">\r\n\t<div  id=\"field_d0199_label\" class=\"frm_primary_label\">$19.30\/Pack (No Discount Available)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_d0199_label\" role=\"group\">\t<div class=\"frm_checkbox\" id=\"frm_checkbox_111-0\"><label for=\"field_d0199-0\">\t<input type=\"checkbox\" name=\"item_meta[111][]\" id=\"field_d0199-0\" value=\"Yes\" aria-required=\"true\"  data-frmprice=\"19.30\"  data-reqmsg=\"$19.30\/Pack (No Discount Available) cannot be blank.\" data-invmsg=\"$19.30\/Pack (No Discount Available) is invalid\" aria-invalid=\"false\"   \/> Yes<\/label><\/div>\n\t<div class=\"frm_checkbox\" id=\"frm_checkbox_111-1\"><label for=\"field_d0199-1\">\t<input type=\"checkbox\" name=\"item_meta[111][]\" id=\"field_d0199-1\" value=\"No\" data-frmprice=\"0\"  data-reqmsg=\"$19.30\/Pack (No Discount Available) cannot be blank.\" data-invmsg=\"$19.30\/Pack (No Discount Available) is invalid\" aria-invalid=\"false\"   \/> No<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_112_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_thirds\">\r\n\t<label for=\"field_7halk\" id=\"field_7halk_label\" class=\"frm_primary_label\">D-Cell Quantity (#F007051)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_7halk\" name=\"item_meta[112]\" value=\"\"  data-frmproduct=\"[&quot;111&quot;]\"  data-reqmsg=\"D-Cell Quantity (#F007051) cannot be blank.\" aria-required=\"true\" data-invmsg=\"D-Cell Quantity (#F007051) is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_113_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first frm_four_col\">\r\n\t<div  id=\"field_8n5a8_label\" class=\"frm_primary_label\">How many packs of 9-Volt Batteries Will You Be Ordering: (skip if n\/a)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_8n5a8_label\" role=\"radiogroup\"><input type=\"hidden\" value=\"\" name=\"item_meta[113]\"  id=\"field_8n5a8\" \/><\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_114_container\" class=\"frm_form_field form-field  frm_top_container frm12  frm3 frm_first frm_two_col\">\r\n\t<div  id=\"field_xfqf4_label\" class=\"frm_primary_label\">$23.11\/Pack\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_xfqf4_label\" role=\"group\">\t<div class=\"frm_checkbox\" id=\"frm_checkbox_114-0\"><label for=\"field_xfqf4-0\">\t<input type=\"checkbox\" name=\"item_meta[114][]\" id=\"field_xfqf4-0\" value=\"23 or Less\" data-frmprice=\"23.11\"  data-invmsg=\"$23.11\/Pack is invalid\" aria-invalid=\"false\"   \/> 23 or Less<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_115_container\" class=\"frm_form_field form-field  frm_top_container frm3 frm12 frm_two_col\">\r\n\t<div  id=\"field_8c6pt_label\" class=\"frm_primary_label\">$22.98\/Pack\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_8c6pt_label\" role=\"group\">\t<div class=\"frm_checkbox\" id=\"frm_checkbox_115-1\"><label for=\"field_8c6pt-1\">\t<input type=\"checkbox\" name=\"item_meta[115][]\" id=\"field_8c6pt-1\" value=\"24-124\" data-frmprice=\"22.98\"  data-invmsg=\"$22.98\/Pack is invalid\" aria-invalid=\"false\"   \/> 24-124<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_117_container\" class=\"frm_form_field form-field  frm_top_container frm3 frm_two_col\">\r\n\t<div  id=\"field_4o4ma_label\" class=\"frm_primary_label\">$22.45\/Pack\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_4o4ma_label\" role=\"group\">\t<div class=\"frm_checkbox\" id=\"frm_checkbox_117-2\"><label for=\"field_4o4ma-2\">\t<input type=\"checkbox\" name=\"item_meta[117][]\" id=\"field_4o4ma-2\" value=\"125-249\" data-frmprice=\"22.45\"  data-invmsg=\"$22.45\/Pack is invalid\" aria-invalid=\"false\"   \/> 125-249<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_116_container\" class=\"frm_form_field form-field  frm_top_container frm3 frm_two_col\">\r\n\t<div  id=\"field_u0n2i_label\" class=\"frm_primary_label\">$22.00\/Pack\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_u0n2i_label\" role=\"group\">\t<div class=\"frm_checkbox\" id=\"frm_checkbox_116-3\"><label for=\"field_u0n2i-3\">\t<input type=\"checkbox\" name=\"item_meta[116][]\" id=\"field_u0n2i-3\" value=\"250 or More\" data-frmprice=\"22.00\"  data-invmsg=\"$22.00\/Pack is invalid\" aria-invalid=\"false\"   \/> 250 or More<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_118_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_thirds\">\r\n\t<label for=\"field_9je0y\" id=\"field_9je0y_label\" class=\"frm_primary_label\">9-Volt Quantity (#F007059)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_9je0y\" name=\"item_meta[118]\" value=\"\"  data-frmproduct=\"[&quot;114&quot;]\"  data-reqmsg=\"9-Volt Quantity (#F007059) cannot be blank.\" aria-required=\"true\" data-invmsg=\"9-Volt Quantity (#F007059) is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_119_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_thirds\">\r\n\t<label for=\"field_9efu7\" id=\"field_9efu7_label\" class=\"frm_primary_label\">9-Volt Quantity (#F007059)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_9efu7\" name=\"item_meta[119]\" value=\"\"  data-frmproduct=\"[&quot;115&quot;]\"  data-reqmsg=\"9-Volt Quantity (#F007059) cannot be blank.\" aria-required=\"true\" data-invmsg=\"9-Volt Quantity (#F007059) is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_120_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_thirds\">\r\n\t<label for=\"field_bzbar\" id=\"field_bzbar_label\" class=\"frm_primary_label\">9-Volt Quantity (#F007059)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_bzbar\" name=\"item_meta[120]\" value=\"\"  data-frmproduct=\"[&quot;117&quot;]\"  data-reqmsg=\"9-Volt Quantity (#F007059) cannot be blank.\" aria-required=\"true\" data-invmsg=\"9-Volt Quantity (#F007059) is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_121_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_thirds\">\r\n\t<label for=\"field_az0bu\" id=\"field_az0bu_label\" class=\"frm_primary_label\">9-Volt Quantity (#F007059)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_az0bu\" name=\"item_meta[121]\" value=\"\"  data-frmproduct=\"[&quot;116&quot;]\"  data-reqmsg=\"9-Volt Quantity (#F007059) cannot be blank.\" aria-required=\"true\" data-invmsg=\"9-Volt Quantity (#F007059) is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"1\"\/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_124_container\" class=\"frm_form_field frm_section_heading form-field  frm12 frm_first\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">P-Card Information<\/h3>\r\n\r\n\r\n<div id=\"frm_field_122_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n\t<div  id=\"field_sy66p_label\" class=\"frm_primary_label\">Name on P-Card:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<fieldset aria-labelledby=\"field_sy66p_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\tName on P-Card:\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_122\" data-name-layout=\"first_last\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_122-first_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-first  frm6\"\n\t\t\t\tdata-sub-field-name=\"first\"\n\t\t\t>\n\t\t\t\t<label for=\"field_sy66p_first\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tFirst\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_sy66p_first\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[122][first]\"  data-sectionid=\"124\" data-reqmsg=\"Name on P-Card: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name on P-Card: is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_122_first_desc\">First<\/div>\t\t\t<\/div>\n\t\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_122-last_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-last  frm6\"\n\t\t\t\tdata-sub-field-name=\"last\"\n\t\t\t>\n\t\t\t\t<label for=\"field_sy66p_last\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tLast\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_sy66p_last\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[122][last]\"  data-sectionid=\"124\" data-reqmsg=\"Name on P-Card: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name on P-Card: is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_122_last_desc\">Last<\/div>\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/fieldset>\n\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_123_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n\t<label for=\"field_ow0dz\" id=\"field_ow0dz_label\" class=\"frm_primary_label\">Contact Phone Number:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"tel\" id=\"field_ow0dz\" name=\"item_meta[123]\" value=\"\"  data-reqmsg=\"Contact Phone Number: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Contact Phone Number: is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<\/div>\n<div id=\"frm_field_126_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">New Card Information<\/h3>\r\n\r\n\r\n<div id=\"frm_field_128_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n\t<div  id=\"field_43ghi_label\" class=\"frm_primary_label\">Cardholder Name:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<fieldset aria-labelledby=\"field_43ghi_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\tCardholder Name:\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_128\" data-name-layout=\"first_last\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_128-first_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-first  frm6\"\n\t\t\t\tdata-sub-field-name=\"first\"\n\t\t\t>\n\t\t\t\t<label for=\"field_43ghi_first\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tFirst\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_43ghi_first\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[128][first]\"  data-sectionid=\"126\" data-reqmsg=\"Cardholder Name: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Cardholder Name: is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_128_first_desc\">First<\/div>\t\t\t<\/div>\n\t\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_128-last_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-last  frm6\"\n\t\t\t\tdata-sub-field-name=\"last\"\n\t\t\t>\n\t\t\t\t<label for=\"field_43ghi_last\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tLast\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_43ghi_last\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[128][last]\"  data-sectionid=\"126\" data-reqmsg=\"Cardholder Name: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Cardholder Name: is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_128_last_desc\">Last<\/div>\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/fieldset>\n\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_129_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n\t<label for=\"field_iugq0\" id=\"field_iugq0_label\" class=\"frm_primary_label\">Name of Business\/Organization:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input type=\"text\" id=\"field_iugq0\" name=\"item_meta[129]\" value=\"\"  data-sectionid=\"126\" data-invmsg=\"Name of Business\/Organization: is invalid\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_135_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_thirds\">\r\n\t<label for=\"field_goat5\" id=\"field_goat5_label\" class=\"frm_primary_label\">Card Number:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"text\" id=\"field_goat5\" name=\"item_meta[135]\" value=\"\"  data-sectionid=\"126\" data-reqmsg=\"Card Number: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Card Number: is invalid\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_134_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n\t<label for=\"field_89w3p\" id=\"field_89w3p_label\" class=\"frm_primary_label\">Expiration Date:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"text\" id=\"field_89w3p\" name=\"item_meta[134]\" value=\"\"  data-sectionid=\"126\" data-reqmsg=\"Expiration Date: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Expiration Date: is invalid\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_132_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n\t<label for=\"field_ke0ws\" id=\"field_ke0ws_label\" class=\"frm_primary_label\">CVV Code:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_ke0ws\" name=\"item_meta[132]\" value=\"\"  data-sectionid=\"126\" data-reqmsg=\"CVV Code: cannot be blank.\" aria-required=\"true\" data-invmsg=\"CVV Code: is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\"\/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_142_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n\t<label for=\"field_9h6xs\" id=\"field_9h6xs_label\" class=\"frm_primary_label\">Billing Zip Code:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_9h6xs\" name=\"item_meta[142]\" value=\"\"  data-sectionid=\"126\" data-reqmsg=\"Billing Zip Code: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Billing Zip Code: is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"9999999\" step=\"any\"\/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_133_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_tvfcz\" id=\"field_tvfcz_label\" class=\"frm_primary_label\">Please Store This Card For Future Orders:\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[133]\" id=\"field_tvfcz\"  data-sectionid=\"126\" data-reqmsg=\"Please Store This Card For Future Orders: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please Store This Card For Future Orders: is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"Yes\">Yes<\/option><option  value=\"No\">No<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<\/div>\n<div id=\"frm_field_136_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Call For Payment<\/h3>\r\n\r\n\r\n<div id=\"frm_field_138_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<div  id=\"field_tk462_label\" class=\"frm_primary_label\">Name of Contact for Payment:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<fieldset aria-labelledby=\"field_tk462_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\tName of Contact for Payment:\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_138\" data-name-layout=\"first_last\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_138-first_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-first  frm6\"\n\t\t\t\tdata-sub-field-name=\"first\"\n\t\t\t>\n\t\t\t\t<label for=\"field_tk462_first\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tFirst\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_tk462_first\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[138][first]\"  data-sectionid=\"136\" data-reqmsg=\"Name of Contact for Payment: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name of Contact for Payment: is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_138_first_desc\">First<\/div>\t\t\t<\/div>\n\t\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_138-last_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-last  frm6\"\n\t\t\t\tdata-sub-field-name=\"last\"\n\t\t\t>\n\t\t\t\t<label for=\"field_tk462_last\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tLast\t\t\t\t<\/label>\n\n\t\t\t\t\t\t\t\t\t\t<input\n\t\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\t\tid=\"field_tk462_last\"\n\t\t\t\t\t\t\tvalue=\"\"\n\t\t\t\t\t\t\tname=\"item_meta[138][last]\"  data-sectionid=\"136\" data-reqmsg=\"Name of Contact for Payment: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name of Contact for Payment: is invalid\" aria-invalid=\"false\"  \t\t\t\t\t\t\/>\n\t\t\t\t\t\t<div class=\"frm_description\" id=\"frm_field_138_last_desc\">Last<\/div>\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/fieldset>\n\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_139_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_la16b\" id=\"field_la16b_label\" class=\"frm_primary_label\">Phone Number for Contact:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"tel\" id=\"field_la16b\" name=\"item_meta[139]\" value=\"\"  data-sectionid=\"136\" data-reqmsg=\"Phone Number for Contact: cannot be blank.\" aria-required=\"true\" data-invmsg=\"Phone Number for Contact: is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_141_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio frm_other_container\">\r\n\t<div  id=\"field_qnw03_label\" class=\"frm_primary_label\">Best Time To Call For Payment:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_qnw03_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_141-136-0\"><label for=\"field_qnw03-0\"><input type=\"checkbox\" name=\"item_meta[141][]\" id=\"field_qnw03-0\" value=\"Mornings - Before 12pm\"  data-sectionid=\"136\" data-reqmsg=\"Best Time To Call For Payment: cannot be blank.\" data-invmsg=\"Best Time To Call For Payment: is invalid\" aria-invalid=\"false\"   aria-required=\"true\"  \/> Mornings - Before 12pm<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_141-136-1\"><label for=\"field_qnw03-1\"><input type=\"checkbox\" name=\"item_meta[141][]\" id=\"field_qnw03-1\" value=\"Afternoons - After 12pm\"  data-sectionid=\"136\" data-reqmsg=\"Best Time To Call For Payment: cannot be blank.\" data-invmsg=\"Best Time To Call For Payment: is invalid\" aria-invalid=\"false\"   \/> Afternoons - After 12pm<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_141-136-other_2\"><label for=\"field_qnw03-other_2\"><input type=\"checkbox\" name=\"item_meta[141][other_2]\" id=\"field_qnw03-other_2\" value=\"Other\"  data-sectionid=\"136\" data-reqmsg=\"Best Time To Call For Payment: cannot be blank.\" data-invmsg=\"Best Time To Call For Payment: is invalid\" aria-invalid=\"false\"   \/> Other<\/label><label for=\"field_qnw03-other_2-otext\" class=\"frm_screen_reader frm_hidden\">Other<\/label><input type=\"text\" id=\"field_qnw03-other_2-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][141][other_2]\" value=\"\" \/><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<\/div>\n<div id=\"frm_field_46_container\" class=\"frm_form_field form-field  frm_inline_container frm_total_big\">\r\n    <div id=\"field_xxxyv_label\" class=\"frm_primary_label\">Total<\/div>\r\n    <p class=\"frm_total_formatted\"><\/p>\r\n    <input type=\"hidden\" id=\"field_xxxyv\" name=\"item_meta[46]\" value=\"\"  data-frmtotal autocomplete=\"on\" data-invmsg=\"Total is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_47_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<input name=\"frm_state\" type=\"hidden\" value=\"5UKYN4MdKlsjXT8R+2M2vC59QsZC+yFIo\/WOOuoqiz4=\" \/><\/div>\n<\/fieldset>\n<\/div>\n<\/form>\n<\/div>\n<\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":990007,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/beta1.oppinc.com\/index.php?rest_route=\/wp\/v2\/pages\/5898"}],"collection":[{"href":"https:\/\/beta1.oppinc.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/beta1.oppinc.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/beta1.oppinc.com\/index.php?rest_route=\/wp\/v2\/users\/990007"}],"replies":[{"embeddable":true,"href":"https:\/\/beta1.oppinc.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5898"}],"version-history":[{"count":0,"href":"https:\/\/beta1.oppinc.com\/index.php?rest_route=\/wp\/v2\/pages\/5898\/revisions"}],"wp:attachment":[{"href":"https:\/\/beta1.oppinc.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5898"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}