cultivist-payment.grt-team.com Open in urlscan Pro
18.194.215.109  Public Scan

URL: https://cultivist-payment.grt-team.com/
Submission: On March 18 via automatic, source certstream-suspicious — Scanned from DE

Form analysis 3 forms found in the DOM

POST https://cultivist-payment.grt-team.com/individual-post

<form method="post" action="https://cultivist-payment.grt-team.com/individual-post" id="contact_form">
  <input type="hidden" name="_token" value="SnLHspNwFwDu0n9p4XVduSypJbhSLWHmlo2EsE9O">
  <div class="row gx-2 pb-3">
    <div class="col-12 h6 fw-bold mb-3">Your Details</div>
    <div class="col-12 mb-2">
      <label class="form-label" for="email">Email</label>
      <input type="text" class="form-control" id="email" name="email" value="">
      <span class="text-danger"></span>
    </div>
    <div class="col-12 col-sm-6 mb-2">
      <label class="form-label" for="firstname">First Name</label>
      <input type="text" class="form-control" id="firstname" name="first_name" value="">
      <span class="text-danger"></span>
    </div>
    <div class="col-12 col-sm-6 mb-2">
      <label class="form-label" for="lastname">Last Name</label>
      <input type="text" class="form-control" id="lastname" name="last_name" value="">
      <span class="text-danger"></span>
    </div>
    <div class="col-12 mb-2">
      <label class="form-label" for="phonenumber">Phone Number</label>
      <input type="text" class="form-control" id="phonenumber" name="phone_number" value="">
      <span class="text-danger"></span>
    </div>
    <div class="col-12 mb-2">
      <label class="form-label" for="shipping_country">Shipping Country</label>
      <select class="form-select ship_country call" id="country" name="shipping_country">
        <option selected="" disabled="">Select Country</option>
        <optgroup label="Frequently Used">
          <option code="US" value="236">United States </option>
          <option code="DE" value="83">Germany </option>
          <option code="IN" value="103">India </option>
          <option code="AT" value="15">Austria </option>
        </optgroup>
        <optgroup label="All Country">
          <option code="AF" value="1">Afghanistan </option>
          <option code="AL" value="3">Albania </option>
          <option code="DZ" value="4">Algeria </option>
          <option code="AS" value="5">American Samoa </option>
          <option code="AD" value="6">Andorra </option>
          <option code="AO" value="7">Angola </option>
          <option code="AI" value="8">Anguilla </option>
          <option code="AQ" value="9">Antarctica </option>
          <option code="AG" value="10">Antigua and Barbuda </option>
          <option code="AR" value="11">Argentina </option>
          <option code="AM" value="12">Armenia </option>
          <option code="AW" value="13">Aruba </option>
          <option code="AU" value="14">Australia </option>
          <option code="AT" value="15">Austria </option>
          <option code="AZ" value="16">Azerbaijan </option>
          <option code="BS" value="17">Bahamas </option>
          <option code="BH" value="18">Bahrain </option>
          <option code="BD" value="19">Bangladesh </option>
          <option code="BB" value="20">Barbados </option>
          <option code="BY" value="21">Belarus </option>
          <option code="BE" value="22">Belgium </option>
          <option code="BZ" value="23">Belize </option>
          <option code="BJ" value="24">Benin </option>
          <option code="BM" value="25">Bermuda </option>
          <option code="BT" value="26">Bhutan </option>
          <option code="BO" value="27">Bolivia, Plurinational State of </option>
          <option code="BQ" value="28">Bonaire, Sint Eustatius and Saba </option>
          <option code="BA" value="29">Bosnia and Herzegovina </option>
          <option code="BW" value="30">Botswana </option>
          <option code="BV" value="31">Bouvet Island </option>
          <option code="BR" value="32">Brazil </option>
          <option code="IO" value="33">British Indian Ocean Territory </option>
          <option code="BN" value="34">Brunei Darussalam </option>
          <option code="BG" value="35">Bulgaria </option>
          <option code="BF" value="36">Burkina Faso </option>
          <option code="BI" value="37">Burundi </option>
          <option code="KH" value="38">Cambodia </option>
          <option code="CM" value="39">Cameroon </option>
          <option code="CA" value="40">Canada </option>
          <option code="CV" value="41">Cape Verde </option>
          <option code="KY" value="42">Cayman Islands </option>
          <option code="CF" value="43">Central African Republic </option>
          <option code="TD" value="44">Chad </option>
          <option code="CL" value="45">Chile </option>
          <option code="CN" value="46">China </option>
          <option code="CX" value="47">Christmas Island </option>
          <option code="CC" value="48">Cocos (Keeling) Islands </option>
          <option code="CO" value="49">Colombia </option>
          <option code="KM" value="50">Comoros </option>
          <option code="CG" value="51">Congo </option>
          <option code="CD" value="52">Congo, the Democratic Republic of the </option>
          <option code="CK" value="53">Cook Islands </option>
          <option code="CR" value="54">Costa Rica </option>
          <option code="HR" value="56">Croatia </option>
          <option code="CU" value="57">Cuba </option>
          <option code="CW" value="58">Cura </option>
          <option code="CY" value="59">Cyprus </option>
          <option code="CZ" value="60">Czech Republic </option>
          <option code="CI" value="55">Côte d'Ivoire </option>
          <option code="DK" value="61">Denmark </option>
          <option code="DJ" value="62">Djibouti </option>
          <option code="DM" value="63">Dominica </option>
          <option code="DO" value="64">Dominican Republic </option>
          <option code="EC" value="65">Ecuador </option>
          <option code="EG" value="66">Egypt </option>
          <option code="SV" value="67">El Salvador </option>
          <option code="GQ" value="68">Equatorial Guinea </option>
          <option code="ER" value="69">Eritrea </option>
          <option code="EE" value="70">Estonia </option>
          <option code="ET" value="71">Ethiopia </option>
          <option code="FK" value="72">Falkland Islands (Malvinas) </option>
          <option code="FO" value="73">Faroe Islands </option>
          <option code="FJ" value="74">Fiji </option>
          <option code="FI" value="75">Finland </option>
          <option code="FR" value="76">France </option>
          <option code="GF" value="77">French Guiana </option>
          <option code="PF" value="78">French Polynesia </option>
          <option code="TF" value="79">French Southern Territories </option>
          <option code="GA" value="80">Gabon </option>
          <option code="GM" value="81">Gambia </option>
          <option code="GE" value="82">Georgia </option>
          <option code="DE" value="83">Germany </option>
          <option code="GH" value="84">Ghana </option>
          <option code="GI" value="85">Gibraltar </option>
          <option code="GR" value="86">Greece </option>
          <option code="GL" value="87">Greenland </option>
          <option code="GD" value="88">Grenada </option>
          <option code="GP" value="89">Guadeloupe </option>
          <option code="GU" value="90">Guam </option>
          <option code="GT" value="91">Guatemala </option>
          <option code="GG" value="92">Guernsey </option>
          <option code="GN" value="93">Guinea </option>
          <option code="GW" value="94">Guinea-Bissau </option>
          <option code="GY" value="95">Guyana </option>
          <option code="HT" value="96">Haiti </option>
          <option code="HM" value="97">Heard Island and McDonald Islands </option>
          <option code="VA" value="98">Holy See (Vatican City State) </option>
          <option code="HN" value="99">Honduras </option>
          <option code="HK" value="100">Hong Kong </option>
          <option code="HU" value="101">Hungary </option>
          <option code="IS" value="102">Iceland </option>
          <option code="IN" value="103">India </option>
          <option code="ID" value="104">Indonesia </option>
          <option code="IR" value="105">Iran, Islamic Republic of </option>
          <option code="IQ" value="106">Iraq </option>
          <option code="IE" value="107">Ireland </option>
          <option code="IM" value="108">Isle of Man </option>
          <option code="IL" value="109">Israel </option>
          <option code="IT" value="110">Italy </option>
          <option code="JM" value="111">Jamaica </option>
          <option code="JP" value="112">Japan </option>
          <option code="JE" value="113">Jersey </option>
          <option code="JO" value="114">Jordan </option>
          <option code="KZ" value="115">Kazakhstan </option>
          <option code="KE" value="116">Kenya </option>
          <option code="KI" value="117">Kiribati </option>
          <option code="KP" value="118">Korea, Democratic People's Republic of </option>
          <option code="KR" value="119">Korea, Republic of </option>
          <option code="KW" value="120">Kuwait </option>
          <option code="KG" value="121">Kyrgyzstan </option>
          <option code="LA" value="122">Lao People's Democratic Republic </option>
          <option code="LV" value="123">Latvia </option>
          <option code="LB" value="124">Lebanon </option>
          <option code="LS" value="125">Lesotho </option>
          <option code="LR" value="126">Liberia </option>
          <option code="LY" value="127">Libya </option>
          <option code="LI" value="128">Liechtenstein </option>
          <option code="LT" value="129">Lithuania </option>
          <option code="LU" value="130">Luxembourg </option>
          <option code="MO" value="131">Macao </option>
          <option code="MK" value="132">Macedonia, the former Yugoslav Republic of </option>
          <option code="MG" value="133">Madagascar </option>
          <option code="MW" value="134">Malawi </option>
          <option code="MY" value="135">Malaysia </option>
          <option code="MV" value="136">Maldives </option>
          <option code="ML" value="137">Mali </option>
          <option code="MT" value="138">Malta </option>
          <option code="MH" value="139">Marshall Islands </option>
          <option code="MQ" value="140">Martinique </option>
          <option code="MR" value="141">Mauritania </option>
          <option code="MU" value="142">Mauritius </option>
          <option code="YT" value="143">Mayotte </option>
          <option code="MX" value="144">Mexico </option>
          <option code="FM" value="145">Micronesia, Federated States of </option>
          <option code="MD" value="146">Moldova, Republic of </option>
          <option code="MC" value="147">Monaco </option>
          <option code="MN" value="148">Mongolia </option>
          <option code="ME" value="149">Montenegro </option>
          <option code="MS" value="150">Montserrat </option>
          <option code="MA" value="151">Morocco </option>
          <option code="MZ" value="152">Mozambique </option>
          <option code="MM" value="153">Myanmar </option>
          <option code="NA" value="154">Namibia </option>
          <option code="NR" value="155">Nauru </option>
          <option code="NP" value="156">Nepal </option>
          <option code="NL" value="157">Netherlands </option>
          <option code="NC" value="158">New Caledonia </option>
          <option code="NZ" value="159">New Zealand </option>
          <option code="NI" value="160">Nicaragua </option>
          <option code="NE" value="161">Niger </option>
          <option code="NG" value="162">Nigeria </option>
          <option code="NU" value="163">Niue </option>
          <option code="NF" value="164">Norfolk Island </option>
          <option code="MP" value="165">Northern Mariana Islands </option>
          <option code="NO" value="166">Norway </option>
          <option code="OM" value="167">Oman </option>
          <option code="PK" value="168">Pakistan </option>
          <option code="PW" value="169">Palau </option>
          <option code="PS" value="170">Palestine, State of </option>
          <option code="PA" value="171">Panama </option>
          <option code="PG" value="172">Papua New Guinea </option>
          <option code="PY" value="173">Paraguay </option>
          <option code="PE" value="174">Peru </option>
          <option code="PH" value="175">Philippines </option>
          <option code="PN" value="176">Pitcairn </option>
          <option code="PL" value="177">Poland </option>
          <option code="PT" value="178">Portugal </option>
          <option code="PR" value="179">Puerto Rico </option>
          <option code="QA" value="180">Qatar </option>
          <option code="RO" value="182">Romania </option>
          <option code="RU" value="183">Russian Federation </option>
          <option code="RW" value="184">Rwanda </option>
          <option code="RE" value="181">Réunion </option>
          <option code="BL" value="185">Saint Barthélemy </option>
          <option code="SH" value="186">Saint Helena, Ascension and Tristan da Cunha </option>
          <option code="KN" value="187">Saint Kitts and Nevis </option>
          <option code="LC" value="188">Saint Lucia </option>
          <option code="MF" value="189">Saint Martin (French part) </option>
          <option code="PM" value="190">Saint Pierre and Miquelon </option>
          <option code="VC" value="191">Saint Vincent and the Grenadines </option>
          <option code="WS" value="192">Samoa </option>
          <option code="SM" value="193">San Marino </option>
          <option code="ST" value="194">Sao Tome and Principe </option>
          <option code="SA" value="195">Saudi Arabia </option>
          <option code="GB" value="250">Scotland </option>
          <option code="SN" value="196">Senegal </option>
          <option code="RS" value="197">Serbia </option>
          <option code="SC" value="198">Seychelles </option>
          <option code="SL" value="199">Sierra Leone </option>
          <option code="SG" value="200">Singapore </option>
          <option code="SX" value="201">Sint Maarten (Dutch part) </option>
          <option code="SK" value="202">Slovakia </option>
          <option code="SI" value="203">Slovenia </option>
          <option code="SB" value="204">Solomon Islands </option>
          <option code="SO" value="205">Somalia </option>
          <option code="ZA" value="206">South Africa </option>
          <option code="GS" value="207">South Georgia and the South Sandwich Islands </option>
          <option code="SS" value="208">South Sudan </option>
          <option code="ES" value="209">Spain </option>
          <option code="LK" value="210">Sri Lanka </option>
          <option code="SD" value="211">Sudan </option>
          <option code="SR" value="212">Suriname </option>
          <option code="SJ" value="213">Svalbard and Jan Mayen </option>
          <option code="SZ" value="214">Swaziland </option>
          <option code="SE" value="215">Sweden </option>
          <option code="CH" value="216">Switzerland </option>
          <option code="SY" value="217">Syrian Arab Republic </option>
          <option code="TW" value="218">Taiwan, Province of China </option>
          <option code="TJ" value="219">Tajikistan </option>
          <option code="TZ" value="220">Tanzania, United Republic of </option>
          <option code="TH" value="221">Thailand </option>
          <option code="TL" value="222">Timor-Leste </option>
          <option code="TG" value="223">Togo </option>
          <option code="TK" value="224">Tokelau </option>
          <option code="TO" value="225">Tonga </option>
          <option code="TT" value="226">Trinidad and Tobago </option>
          <option code="TN" value="227">Tunisia </option>
          <option code="TR" value="228">Turkey </option>
          <option code="TM" value="229">Turkmenistan </option>
          <option code="TC" value="230">Turks and Caicos Islands </option>
          <option code="TV" value="231">Tuvalu </option>
          <option code="UG" value="232">Uganda </option>
          <option code="UA" value="233">Ukraine </option>
          <option code="AE" value="234">United Arab Emirates </option>
          <option code="GB" value="235">United Kingdom </option>
          <option code="US" value="236">United States </option>
          <option code="UM" value="237">United States Minor Outlying Islands </option>
          <option code="UY" value="238">Uruguay </option>
          <option code="UZ" value="239">Uzbekistan </option>
          <option code="VU" value="240">Vanuatu </option>
          <option code="VE" value="241">Venezuela, Bolivarian Republic of </option>
          <option code="VN" value="242">Viet Nam </option>
          <option code="VG" value="243">Virgin Islands, British </option>
          <option code="VI" value="244">Virgin Islands, U.S. </option>
          <option code="GB" value="251">Wales </option>
          <option code="WF" value="245">Wallis and Futuna </option>
          <option code="EH" value="246">Western Sahara </option>
          <option code="YE" value="247">Yemen </option>
          <option code="ZM" value="248">Zambia </option>
          <option code="ZW" value="249">Zimbabwe </option>
          <option code="AX" value="2">Åland Islands </option>
        </optgroup>
      </select>
    </div>
    <input type="hidden" name="shipping_country_id" id="shipping_country_id" value="">
    <input type="hidden" name="shipping_country_code" id="shipping_country_code" value="">
    <input type="hidden" name="product_id" id="checkout_product_id" value="">
  </div>
  <div class="tabs-style-1 mt-4 ">
    <h6 class="fw-bold mb-3">Select Your Payment Preference</h6>
    <ul class="nav nav-pills pay" role="tablist">
      <li class="nav-item payment" role="presentation">
        <a class="nav-link active year" id="yearPrepaid-tab" data-bs-toggle="tab" href="#yearPrepaid" role="tab" aria-controls="yearPrepaid" aria-selected="true" data-value="440" data-name="1 Year Prepaid" data-interval="" data-uk="475" data-gbp="420">1 Year Prepaid</a>
      </li>
      <li class="nav-item" role="presentation">
        <a class="nav-link month" id="paidMonthly-tab" data-bs-toggle="tab" href="#paidMonthly" role="tab" aria-controls="paidMonthly" aria-selected="false" data-value="40" data-name="Pay Monthly" data-interval="28" data-uk="43" data-gbp="40">Pay Monthly</a>
      </li>
    </ul>
    <div class="tab-content" id="payment_tab">
      <div class="tab-pane fade show active" id="yearPrepaid" role="tabpanel" aria-labelledby="yearPrepaid-tab">
        <div class="row gx-1 mt-4 pt-3 border-bottom border-dark pb-4">
          <div class="col-9">
            <div class="fw-bold">Enthusiast - Annual</div>
            <div class="pt-3">1 Year Prepaid (Receive Metal Membership Card)</div>
          </div>
          <div class="col-3 text-end price">$440</div>
        </div>
        <div class="row gx-1 mt-3">
          <div class="col-9 fw-bold">Total</div>
          <div class="col-3 text-end fw-bold total total_price">$440</div>
        </div>
        <input type="hidden" id="product_name" name="product_name" value="Enthusiast - Annual">
        <input type="hidden" id="product_id" name="product_id" value="prod_KWTYNziDo97nx1">
        <input type="hidden" id="pro_price" name="product_price" value="440">
        <input type="hidden" name="product_handle" value="museum-1">
        <input type="hidden" id="price_id" name="price_id" value="price_1JrQbkDMBMll2GWqIeFLkctN">
        <input type="hidden" id="uk_product_name" name="uk_product_name" value="Enthusiast - Annual - EUR">
        <input type="hidden" id="uk_product_id" name="uk_product_id" value="prod_KWTWmp0VAZLQpL">
        <input type="hidden" id="uk_product_price" name="uk_product_price" value="475">
        <input type="hidden" id="uk_price_id" name="uk_price_id" value="price_1JrQZeG3kTPNIyeJN9ac8Ufm">
        <input type="hidden" id="gbp_product_name" name="gbp_product_name" value="Enthusiast - Annual - GBP">
        <input type="hidden" id="gbp_product_id" name="gbp_product_id" value="prod_KWTWBmYg2HHLwg">
        <input type="hidden" id="gbp_product_price" name="gbp_product_price" value="420">
        <input type="hidden" id="gbp_price_id" name="gbp_price_id" value="price_1JrQZAG3kTPNIyeJdKtIW2Wy">
        <input type="hidden" name="product_price" id="product_price" value="">
        <input type="hidden" id="currency" name="currency" value="">
        <input type="hidden" id="payment_name" name="payment_name" value="1 Year Prepaid">
      </div>
      <div class="tab-pane fade" id="paidMonthly" role="tabpanel" aria-labelledby="paidMonthly-tab">
        <div class="row gx-1 mt-4 pt-3 border-bottom border-dark pb-4">
          <div class="col-9">
            <div class="fw-bold">Enthusiast - Monthly</div>
            <div class="pt-3">Paid Monthly</div>
          </div>
          <div class="col-3 text-end price">$40</div>
        </div>
        <div class="row gx-1 mt-3">
          <div class="col-9 fw-bold">Total</div>
          <div class="col-3 text-end fw-bold total total_price" id="total">$40</div>
        </div>
      </div>
    </div>
  </div>
  <div class="row mt-4 pt-3 align-items-center">
    <div class="col-12 col-sm-auto">
      <div class="">
        <a href="javascript:void(0);" data-bs-toggle="modal" data-bs-target="#renewsEveryYearModal">Automatically renews every year</a>
      </div>
      <div class="mt-1">
        <a href="javascript:void(0);" data-bs-toggle="modal" data-bs-target="#cancelAutoRenewalModal">How to cancel auto renewal</a>
      </div>
    </div>
    <div class="col-12 col-sm order-sm-first mt-4 pt-3 mt-sm-0 pt-sm-0">
      <button type="submit" class="btn btn-dark w-140 continue_payment individual-continue">Continue</button>
    </div>
  </div>
</form>

POST https://cultivist-payment.grt-team.com/dual-post

<form method="post" action="https://cultivist-payment.grt-team.com/dual-post" id="dual_form">
  <input type="hidden" name="_token" value="SnLHspNwFwDu0n9p4XVduSypJbhSLWHmlo2EsE9O">
  <div class="row gx-2 pb-3">
    <div class="col-12 h6 fw-bold mb-3">Card Holder 1</div>
    <div class="col-12 mb-2">
      <label class="form-label" for="email">Email</label>
      <input type="text" class="form-control" id="email" name="email" value="">
      <span class="text-danger"></span>
    </div>
    <div class="col-12 col-sm-6 mb-2">
      <label class="form-label" for="firstname">First Name</label>
      <input type="text" class="form-control" id="firstname" name="first_name" value="">
      <span class="text-danger"></span>
    </div>
    <div class="col-12 col-sm-6 mb-2">
      <label class="form-label" for="lastname">Last Name</label>
      <input type="text" class="form-control" id="lastname" name="last_name" value="">
      <span class="text-danger"></span>
    </div>
    <div class="col-12 mb-2">
      <label class="form-label" for="phonenumber">Phone Number</label>
      <input type="text" class="form-control" id="phonenumber" name="phone_number" value="">
      <span class="text-danger"></span>
    </div>
    <div class="col-12 mb-2">
      <label class="form-label" for="shipping_country_dual">Shipping Country</label>
      <select class="form-select ship_country_d call" id="shipping_country_dual" name="shipping_country_dual">
        <option selected="" disabled="">Select Country</option>
        <optgroup label="Frequently Used">
          <option code="US" value="236">United States </option>
          <option code="DE" value="83">Germany </option>
          <option code="IN" value="103">India </option>
          <option code="AT" value="15">Austria </option>
        </optgroup>
        <optgroup label="All Country">
          <option code="AF" value="1">Afghanistan </option>
          <option code="AL" value="3">Albania </option>
          <option code="DZ" value="4">Algeria </option>
          <option code="AS" value="5">American Samoa </option>
          <option code="AD" value="6">Andorra </option>
          <option code="AO" value="7">Angola </option>
          <option code="AI" value="8">Anguilla </option>
          <option code="AQ" value="9">Antarctica </option>
          <option code="AG" value="10">Antigua and Barbuda </option>
          <option code="AR" value="11">Argentina </option>
          <option code="AM" value="12">Armenia </option>
          <option code="AW" value="13">Aruba </option>
          <option code="AU" value="14">Australia </option>
          <option code="AT" value="15">Austria </option>
          <option code="AZ" value="16">Azerbaijan </option>
          <option code="BS" value="17">Bahamas </option>
          <option code="BH" value="18">Bahrain </option>
          <option code="BD" value="19">Bangladesh </option>
          <option code="BB" value="20">Barbados </option>
          <option code="BY" value="21">Belarus </option>
          <option code="BE" value="22">Belgium </option>
          <option code="BZ" value="23">Belize </option>
          <option code="BJ" value="24">Benin </option>
          <option code="BM" value="25">Bermuda </option>
          <option code="BT" value="26">Bhutan </option>
          <option code="BO" value="27">Bolivia, Plurinational State of </option>
          <option code="BQ" value="28">Bonaire, Sint Eustatius and Saba </option>
          <option code="BA" value="29">Bosnia and Herzegovina </option>
          <option code="BW" value="30">Botswana </option>
          <option code="BV" value="31">Bouvet Island </option>
          <option code="BR" value="32">Brazil </option>
          <option code="IO" value="33">British Indian Ocean Territory </option>
          <option code="BN" value="34">Brunei Darussalam </option>
          <option code="BG" value="35">Bulgaria </option>
          <option code="BF" value="36">Burkina Faso </option>
          <option code="BI" value="37">Burundi </option>
          <option code="KH" value="38">Cambodia </option>
          <option code="CM" value="39">Cameroon </option>
          <option code="CA" value="40">Canada </option>
          <option code="CV" value="41">Cape Verde </option>
          <option code="KY" value="42">Cayman Islands </option>
          <option code="CF" value="43">Central African Republic </option>
          <option code="TD" value="44">Chad </option>
          <option code="CL" value="45">Chile </option>
          <option code="CN" value="46">China </option>
          <option code="CX" value="47">Christmas Island </option>
          <option code="CC" value="48">Cocos (Keeling) Islands </option>
          <option code="CO" value="49">Colombia </option>
          <option code="KM" value="50">Comoros </option>
          <option code="CG" value="51">Congo </option>
          <option code="CD" value="52">Congo, the Democratic Republic of the </option>
          <option code="CK" value="53">Cook Islands </option>
          <option code="CR" value="54">Costa Rica </option>
          <option code="HR" value="56">Croatia </option>
          <option code="CU" value="57">Cuba </option>
          <option code="CW" value="58">Cura </option>
          <option code="CY" value="59">Cyprus </option>
          <option code="CZ" value="60">Czech Republic </option>
          <option code="CI" value="55">Côte d'Ivoire </option>
          <option code="DK" value="61">Denmark </option>
          <option code="DJ" value="62">Djibouti </option>
          <option code="DM" value="63">Dominica </option>
          <option code="DO" value="64">Dominican Republic </option>
          <option code="EC" value="65">Ecuador </option>
          <option code="EG" value="66">Egypt </option>
          <option code="SV" value="67">El Salvador </option>
          <option code="GQ" value="68">Equatorial Guinea </option>
          <option code="ER" value="69">Eritrea </option>
          <option code="EE" value="70">Estonia </option>
          <option code="ET" value="71">Ethiopia </option>
          <option code="FK" value="72">Falkland Islands (Malvinas) </option>
          <option code="FO" value="73">Faroe Islands </option>
          <option code="FJ" value="74">Fiji </option>
          <option code="FI" value="75">Finland </option>
          <option code="FR" value="76">France </option>
          <option code="GF" value="77">French Guiana </option>
          <option code="PF" value="78">French Polynesia </option>
          <option code="TF" value="79">French Southern Territories </option>
          <option code="GA" value="80">Gabon </option>
          <option code="GM" value="81">Gambia </option>
          <option code="GE" value="82">Georgia </option>
          <option code="DE" value="83">Germany </option>
          <option code="GH" value="84">Ghana </option>
          <option code="GI" value="85">Gibraltar </option>
          <option code="GR" value="86">Greece </option>
          <option code="GL" value="87">Greenland </option>
          <option code="GD" value="88">Grenada </option>
          <option code="GP" value="89">Guadeloupe </option>
          <option code="GU" value="90">Guam </option>
          <option code="GT" value="91">Guatemala </option>
          <option code="GG" value="92">Guernsey </option>
          <option code="GN" value="93">Guinea </option>
          <option code="GW" value="94">Guinea-Bissau </option>
          <option code="GY" value="95">Guyana </option>
          <option code="HT" value="96">Haiti </option>
          <option code="HM" value="97">Heard Island and McDonald Islands </option>
          <option code="VA" value="98">Holy See (Vatican City State) </option>
          <option code="HN" value="99">Honduras </option>
          <option code="HK" value="100">Hong Kong </option>
          <option code="HU" value="101">Hungary </option>
          <option code="IS" value="102">Iceland </option>
          <option code="IN" value="103">India </option>
          <option code="ID" value="104">Indonesia </option>
          <option code="IR" value="105">Iran, Islamic Republic of </option>
          <option code="IQ" value="106">Iraq </option>
          <option code="IE" value="107">Ireland </option>
          <option code="IM" value="108">Isle of Man </option>
          <option code="IL" value="109">Israel </option>
          <option code="IT" value="110">Italy </option>
          <option code="JM" value="111">Jamaica </option>
          <option code="JP" value="112">Japan </option>
          <option code="JE" value="113">Jersey </option>
          <option code="JO" value="114">Jordan </option>
          <option code="KZ" value="115">Kazakhstan </option>
          <option code="KE" value="116">Kenya </option>
          <option code="KI" value="117">Kiribati </option>
          <option code="KP" value="118">Korea, Democratic People's Republic of </option>
          <option code="KR" value="119">Korea, Republic of </option>
          <option code="KW" value="120">Kuwait </option>
          <option code="KG" value="121">Kyrgyzstan </option>
          <option code="LA" value="122">Lao People's Democratic Republic </option>
          <option code="LV" value="123">Latvia </option>
          <option code="LB" value="124">Lebanon </option>
          <option code="LS" value="125">Lesotho </option>
          <option code="LR" value="126">Liberia </option>
          <option code="LY" value="127">Libya </option>
          <option code="LI" value="128">Liechtenstein </option>
          <option code="LT" value="129">Lithuania </option>
          <option code="LU" value="130">Luxembourg </option>
          <option code="MO" value="131">Macao </option>
          <option code="MK" value="132">Macedonia, the former Yugoslav Republic of </option>
          <option code="MG" value="133">Madagascar </option>
          <option code="MW" value="134">Malawi </option>
          <option code="MY" value="135">Malaysia </option>
          <option code="MV" value="136">Maldives </option>
          <option code="ML" value="137">Mali </option>
          <option code="MT" value="138">Malta </option>
          <option code="MH" value="139">Marshall Islands </option>
          <option code="MQ" value="140">Martinique </option>
          <option code="MR" value="141">Mauritania </option>
          <option code="MU" value="142">Mauritius </option>
          <option code="YT" value="143">Mayotte </option>
          <option code="MX" value="144">Mexico </option>
          <option code="FM" value="145">Micronesia, Federated States of </option>
          <option code="MD" value="146">Moldova, Republic of </option>
          <option code="MC" value="147">Monaco </option>
          <option code="MN" value="148">Mongolia </option>
          <option code="ME" value="149">Montenegro </option>
          <option code="MS" value="150">Montserrat </option>
          <option code="MA" value="151">Morocco </option>
          <option code="MZ" value="152">Mozambique </option>
          <option code="MM" value="153">Myanmar </option>
          <option code="NA" value="154">Namibia </option>
          <option code="NR" value="155">Nauru </option>
          <option code="NP" value="156">Nepal </option>
          <option code="NL" value="157">Netherlands </option>
          <option code="NC" value="158">New Caledonia </option>
          <option code="NZ" value="159">New Zealand </option>
          <option code="NI" value="160">Nicaragua </option>
          <option code="NE" value="161">Niger </option>
          <option code="NG" value="162">Nigeria </option>
          <option code="NU" value="163">Niue </option>
          <option code="NF" value="164">Norfolk Island </option>
          <option code="MP" value="165">Northern Mariana Islands </option>
          <option code="NO" value="166">Norway </option>
          <option code="OM" value="167">Oman </option>
          <option code="PK" value="168">Pakistan </option>
          <option code="PW" value="169">Palau </option>
          <option code="PS" value="170">Palestine, State of </option>
          <option code="PA" value="171">Panama </option>
          <option code="PG" value="172">Papua New Guinea </option>
          <option code="PY" value="173">Paraguay </option>
          <option code="PE" value="174">Peru </option>
          <option code="PH" value="175">Philippines </option>
          <option code="PN" value="176">Pitcairn </option>
          <option code="PL" value="177">Poland </option>
          <option code="PT" value="178">Portugal </option>
          <option code="PR" value="179">Puerto Rico </option>
          <option code="QA" value="180">Qatar </option>
          <option code="RO" value="182">Romania </option>
          <option code="RU" value="183">Russian Federation </option>
          <option code="RW" value="184">Rwanda </option>
          <option code="RE" value="181">Réunion </option>
          <option code="BL" value="185">Saint Barthélemy </option>
          <option code="SH" value="186">Saint Helena, Ascension and Tristan da Cunha </option>
          <option code="KN" value="187">Saint Kitts and Nevis </option>
          <option code="LC" value="188">Saint Lucia </option>
          <option code="MF" value="189">Saint Martin (French part) </option>
          <option code="PM" value="190">Saint Pierre and Miquelon </option>
          <option code="VC" value="191">Saint Vincent and the Grenadines </option>
          <option code="WS" value="192">Samoa </option>
          <option code="SM" value="193">San Marino </option>
          <option code="ST" value="194">Sao Tome and Principe </option>
          <option code="SA" value="195">Saudi Arabia </option>
          <option code="GB" value="250">Scotland </option>
          <option code="SN" value="196">Senegal </option>
          <option code="RS" value="197">Serbia </option>
          <option code="SC" value="198">Seychelles </option>
          <option code="SL" value="199">Sierra Leone </option>
          <option code="SG" value="200">Singapore </option>
          <option code="SX" value="201">Sint Maarten (Dutch part) </option>
          <option code="SK" value="202">Slovakia </option>
          <option code="SI" value="203">Slovenia </option>
          <option code="SB" value="204">Solomon Islands </option>
          <option code="SO" value="205">Somalia </option>
          <option code="ZA" value="206">South Africa </option>
          <option code="GS" value="207">South Georgia and the South Sandwich Islands </option>
          <option code="SS" value="208">South Sudan </option>
          <option code="ES" value="209">Spain </option>
          <option code="LK" value="210">Sri Lanka </option>
          <option code="SD" value="211">Sudan </option>
          <option code="SR" value="212">Suriname </option>
          <option code="SJ" value="213">Svalbard and Jan Mayen </option>
          <option code="SZ" value="214">Swaziland </option>
          <option code="SE" value="215">Sweden </option>
          <option code="CH" value="216">Switzerland </option>
          <option code="SY" value="217">Syrian Arab Republic </option>
          <option code="TW" value="218">Taiwan, Province of China </option>
          <option code="TJ" value="219">Tajikistan </option>
          <option code="TZ" value="220">Tanzania, United Republic of </option>
          <option code="TH" value="221">Thailand </option>
          <option code="TL" value="222">Timor-Leste </option>
          <option code="TG" value="223">Togo </option>
          <option code="TK" value="224">Tokelau </option>
          <option code="TO" value="225">Tonga </option>
          <option code="TT" value="226">Trinidad and Tobago </option>
          <option code="TN" value="227">Tunisia </option>
          <option code="TR" value="228">Turkey </option>
          <option code="TM" value="229">Turkmenistan </option>
          <option code="TC" value="230">Turks and Caicos Islands </option>
          <option code="TV" value="231">Tuvalu </option>
          <option code="UG" value="232">Uganda </option>
          <option code="UA" value="233">Ukraine </option>
          <option code="AE" value="234">United Arab Emirates </option>
          <option code="GB" value="235">United Kingdom </option>
          <option code="US" value="236">United States </option>
          <option code="UM" value="237">United States Minor Outlying Islands </option>
          <option code="UY" value="238">Uruguay </option>
          <option code="UZ" value="239">Uzbekistan </option>
          <option code="VU" value="240">Vanuatu </option>
          <option code="VE" value="241">Venezuela, Bolivarian Republic of </option>
          <option code="VN" value="242">Viet Nam </option>
          <option code="VG" value="243">Virgin Islands, British </option>
          <option code="VI" value="244">Virgin Islands, U.S. </option>
          <option code="GB" value="251">Wales </option>
          <option code="WF" value="245">Wallis and Futuna </option>
          <option code="EH" value="246">Western Sahara </option>
          <option code="YE" value="247">Yemen </option>
          <option code="ZM" value="248">Zambia </option>
          <option code="ZW" value="249">Zimbabwe </option>
          <option code="AX" value="2">Åland Islands </option>
        </optgroup>
      </select>
    </div>
    <input type="hidden" name="shipping_country_id" id="shipping_country_id" value="">
    <input type="hidden" name="shipping_country_code" id="shipping_country_code" value="">
    <input type="hidden" name="product_id" id="checkout_product_id" value="">
  </div>
  <div class="row gx-2 py-3">
    <div class="col-12 h6 fw-bold mb-3">Card Holder 2</div>
    <div class="col-12 mb-2">
      <label class="form-label" for="email">Email</label>
      <input type="text" class="form-control" id="detail_02_email" name="detail_02_email" value="">
      <span class="text-danger"></span>
    </div>
    <div class="col-12 col-sm-6 mb-2">
      <label class="form-label" for="firstname">First Name</label>
      <input type="text" class="form-control" id="detail_02_first_name" name="detail_02_first_name" value="">
      <span class="text-danger"></span>
    </div>
    <div class="col-12 col-sm-6 mb-2">
      <label class="form-label" for="lastname">Last Name</label>
      <input type="text" class="form-control" id="detail_02_last_name" name="detail_02_last_name" value="">
      <span class="text-danger"></span>
    </div>
    <div class="col-12 mb-2">
      <label class="form-label" for="phonenumber">Phone Number</label>
      <input type="text" class="form-control" id="detail_02_phone_number" name="detail_02_phone_number" value="">
      <span class="text-danger"></span>
    </div>
  </div>
  <input type="hidden" name="product_price" id="product_price" value="">
  <input type="hidden" id="currency" name="currency" value="">
  <input type="hidden" id="product_name_d" name="product_name" value="Enthusiast Dual - Annually">
  <input type="hidden" id="product_id_d" name="product_id" value="prod_KWTanzm5V2eESI">
  <input type="hidden" id="pro_price_d" name="product_price" value="880">
  <input type="hidden" name="product_handle" value="museum-dual">
  <input type="hidden" id="price_id_d" name="price_id" value="price_1JrQdBDMBMll2GWqeMDpre6W">
  <input type="hidden" id="uk_product_name_d" name="uk_product_name" value="Enthusiast Dual - Annual - EUR">
  <input type="hidden" id="uk_product_id_d" name="uk_product_id" value="prod_KWTVOut6mIsF7X">
  <input type="hidden" id="uk_product_price_d" name="uk_product_price" value="950">
  <input type="hidden" id="uk_price_id_d" name="uk_price_id" value="price_1JrQYIG3kTPNIyeJvlZjf09Q">
  <input type="hidden" id="gbp_product_name_d" name="gbp_product_name" value="Enthusiast Dual - Annual - GBP">
  <input type="hidden" id="gbp_product_id_d" name="gbp_product_id" value="prod_KWTVTv55Ok1TSj">
  <input type="hidden" id="gbp_product_price_d" name="gbp_product_price" value="840">
  <input type="hidden" id="gbp_price_id_d" name="gbp_price_id" value="price_1JrQYjG3kTPNIyeJvATU2Poy">
  <div class="tabs-style-1 mt-4">
    <input type="hidden" name="payment_name" id="payment_name_d" value="1 Year Prepaid">
    <input type="hidden" name="snap_day" id="snap_day_d" value="28">
    <h6 class="fw-bold mb-3">Select Your Payment Preference</h6>
    <ul class="nav nav-pills pay" role="tablist">
      <li class="nav-item payment" role="presentation">
        <a class="nav-link active year_d" id="yearPrepaid-tab" data-bs-toggle="tab" href="#yearPrepaid1" role="tab" aria-controls="yearPrepaid" aria-selected="true" data-value="880" data-name="1 Year Prepaid" data-uk="950" data-gbp="840">1 Year Prepaid</a>
      </li>
      <li class="nav-item" role="presentation">
        <a class="nav-link month_d" id="paidMonthly-tab" data-bs-toggle="tab" href="#paidMonthly1" role="tab" aria-controls="paidMonthly" aria-selected="false" data-value="80" data-name="Pay Monthly" data-interval="28" data-uk="86" data-gbp="80">Pay Monthly</a>
      </li>
    </ul>
    <div class="tab-content" id="payment_tab">
      <div class="tab-pane fade show active" id="yearPrepaid1" role="tabpanel" aria-labelledby="yearPrepaid-tab">
        <div class="row gx-1 mt-4 pt-3 border-bottom border-dark pb-4">
          <div class="col-9">
            <div class="fw-bold">Enthusiast Dual - Annually</div>
            <div class="pt-3">1 Year Prepaid (Receive Metal Membership Card)</div>
          </div>
          <div class="col-3 text-end price_d">$880</div>
        </div>
        <div class="row gx-1 mt-3">
          <div class="col-9 fw-bold">Total</div>
          <div class="col-3 text-end fw-bold total total_price_d">$880</div>
        </div>
      </div>
      <div class="tab-pane fade" id="paidMonthly1" role="tabpanel" aria-labelledby="paidMonthly-tab">
        <div class="row gx-1 mt-4 pt-3 border-bottom border-dark pb-4">
          <div class="col-9">
            <div class="fw-bold">Enthusiast Dual - Monthly</div>
            <div class="pt-3">Paid Monthly</div>
          </div>
          <div class="col-3 text-end price_d">$80</div>
        </div>
        <div class="row gx-1 mt-3">
          <div class="col-9 fw-bold">Total</div>
          <div class="col-3 text-end fw-bold total total_price_d" id="total">$80</div>
        </div>
      </div>
    </div>
  </div>
  <div class="row mt-4 pt-3 align-items-center">
    <div class="col-12 col-sm-auto">
      <div class="">
        <a href="javascript:void(0);" data-bs-toggle="modal" data-bs-target="#renewsEveryYearModal">Automatically renews every year</a>
      </div>
      <div class="mt-1">
        <a href="javascript:void(0);" data-bs-toggle="modal" data-bs-target="#cancelAutoRenewalModal">How to cancel auto renewal</a>
      </div>
    </div>
    <div class="col-12 col-sm order-sm-first mt-4 pt-3 mt-sm-0 pt-sm-0">
      <button type="submit" class="btn btn-dark w-140 dual-continue">Continue</button>
    </div>
  </div>
</form>

POST https://cultivist-payment.grt-team.com/gifting

<form method="post" action="https://cultivist-payment.grt-team.com/gifting" id="gift_form">
  <input type="hidden" name="_token" value="SnLHspNwFwDu0n9p4XVduSypJbhSLWHmlo2EsE9O">
  <div class="row gx-2 pb-3">
    <div class="col-12 h6 fw-bold mb-3">Recipient's Details</div>
    <div class="col-12 mb-2">
      <label class="form-label" for="email">Email</label>
      <input type="text" class="form-control" id="email" name="Emailgift" value="">
      <span class="text-danger"></span>
    </div>
    <div class="col-12 col-sm-6 mb-2">
      <label class="form-label" for="firstname">First Name</label>
      <input type="text" class="form-control" id="Firstnamegift" name="Firstnamegift" value="">
      <span class="text-danger"></span>
    </div>
    <div class="col-12 col-sm-6 mb-2">
      <label class="form-label" for="lastname">Last Name</label>
      <input type="text" class="form-control" id="Lastnamegift" name="Lastnamegift" value="">
      <span class="text-danger"></span>
    </div>
    <div class="col-12 mb-2">
      <label class="form-label" for="phonenumber">Phone Number</label>
      <input type="text" class="form-control" id="phonenumber" name="phone_number" value="">
      <span class="text-danger"></span>
    </div>
    <div class="row gx-2 pb-3">
      <div class="col-12 h6 fw-bold mb-3">Your Information</div>
      <div class="col-12 mb-2">
        <label class="form-label" for="email">Email</label>
        <input type="text" class="form-control" id="customer_email" name="customer_email" value="">
        <span class="text-danger"></span>
      </div>
      <div class="col-12 col-sm-6 mb-2">
        <label class="form-label" for="firstname">First Name</label>
        <input type="text" class="form-control" id="customer_first_name" name="customer_first_name" value="">
        <span class="text-danger"></span>
      </div>
      <div class="col-12 col-sm-6 mb-2">
        <label class="form-label" for="lastname">Last Name</label>
        <input type="text" class="form-control" id="customer_last_name" name="customer_last_name" value="">
        <span class="text-danger"></span>
      </div>
      <div class="col-12 mb-2">
        <label class="form-label" for="phonenumber">Phone Number</label>
        <input type="text" class="form-control" id="customer_phone_number" name="customer_phone_number" value="">
        <span class="text-danger"></span>
      </div>
      <div class="col-12 mb-2">
        <label class="form-label" for="shipping_country_gift">Shipping Country</label>
        <select class="form-select ship_country_g call" id="shipping_country_gift" name="shipping_country_gift">
          <option selected="" disabled="">Select Country</option>
          <optgroup label="Frequently Used">
            <option code="US" value="236">United States </option>
            <option code="DE" value="83">Germany </option>
            <option code="IN" value="103">India </option>
            <option code="AT" value="15">Austria </option>
          </optgroup>
          <optgroup label="All Country">
            <option code="AF" value="1">Afghanistan </option>
            <option code="AL" value="3">Albania </option>
            <option code="DZ" value="4">Algeria </option>
            <option code="AS" value="5">American Samoa </option>
            <option code="AD" value="6">Andorra </option>
            <option code="AO" value="7">Angola </option>
            <option code="AI" value="8">Anguilla </option>
            <option code="AQ" value="9">Antarctica </option>
            <option code="AG" value="10">Antigua and Barbuda </option>
            <option code="AR" value="11">Argentina </option>
            <option code="AM" value="12">Armenia </option>
            <option code="AW" value="13">Aruba </option>
            <option code="AU" value="14">Australia </option>
            <option code="AT" value="15">Austria </option>
            <option code="AZ" value="16">Azerbaijan </option>
            <option code="BS" value="17">Bahamas </option>
            <option code="BH" value="18">Bahrain </option>
            <option code="BD" value="19">Bangladesh </option>
            <option code="BB" value="20">Barbados </option>
            <option code="BY" value="21">Belarus </option>
            <option code="BE" value="22">Belgium </option>
            <option code="BZ" value="23">Belize </option>
            <option code="BJ" value="24">Benin </option>
            <option code="BM" value="25">Bermuda </option>
            <option code="BT" value="26">Bhutan </option>
            <option code="BO" value="27">Bolivia, Plurinational State of </option>
            <option code="BQ" value="28">Bonaire, Sint Eustatius and Saba </option>
            <option code="BA" value="29">Bosnia and Herzegovina </option>
            <option code="BW" value="30">Botswana </option>
            <option code="BV" value="31">Bouvet Island </option>
            <option code="BR" value="32">Brazil </option>
            <option code="IO" value="33">British Indian Ocean Territory </option>
            <option code="BN" value="34">Brunei Darussalam </option>
            <option code="BG" value="35">Bulgaria </option>
            <option code="BF" value="36">Burkina Faso </option>
            <option code="BI" value="37">Burundi </option>
            <option code="KH" value="38">Cambodia </option>
            <option code="CM" value="39">Cameroon </option>
            <option code="CA" value="40">Canada </option>
            <option code="CV" value="41">Cape Verde </option>
            <option code="KY" value="42">Cayman Islands </option>
            <option code="CF" value="43">Central African Republic </option>
            <option code="TD" value="44">Chad </option>
            <option code="CL" value="45">Chile </option>
            <option code="CN" value="46">China </option>
            <option code="CX" value="47">Christmas Island </option>
            <option code="CC" value="48">Cocos (Keeling) Islands </option>
            <option code="CO" value="49">Colombia </option>
            <option code="KM" value="50">Comoros </option>
            <option code="CG" value="51">Congo </option>
            <option code="CD" value="52">Congo, the Democratic Republic of the </option>
            <option code="CK" value="53">Cook Islands </option>
            <option code="CR" value="54">Costa Rica </option>
            <option code="HR" value="56">Croatia </option>
            <option code="CU" value="57">Cuba </option>
            <option code="CW" value="58">Cura </option>
            <option code="CY" value="59">Cyprus </option>
            <option code="CZ" value="60">Czech Republic </option>
            <option code="CI" value="55">Côte d'Ivoire </option>
            <option code="DK" value="61">Denmark </option>
            <option code="DJ" value="62">Djibouti </option>
            <option code="DM" value="63">Dominica </option>
            <option code="DO" value="64">Dominican Republic </option>
            <option code="EC" value="65">Ecuador </option>
            <option code="EG" value="66">Egypt </option>
            <option code="SV" value="67">El Salvador </option>
            <option code="GQ" value="68">Equatorial Guinea </option>
            <option code="ER" value="69">Eritrea </option>
            <option code="EE" value="70">Estonia </option>
            <option code="ET" value="71">Ethiopia </option>
            <option code="FK" value="72">Falkland Islands (Malvinas) </option>
            <option code="FO" value="73">Faroe Islands </option>
            <option code="FJ" value="74">Fiji </option>
            <option code="FI" value="75">Finland </option>
            <option code="FR" value="76">France </option>
            <option code="GF" value="77">French Guiana </option>
            <option code="PF" value="78">French Polynesia </option>
            <option code="TF" value="79">French Southern Territories </option>
            <option code="GA" value="80">Gabon </option>
            <option code="GM" value="81">Gambia </option>
            <option code="GE" value="82">Georgia </option>
            <option code="DE" value="83">Germany </option>
            <option code="GH" value="84">Ghana </option>
            <option code="GI" value="85">Gibraltar </option>
            <option code="GR" value="86">Greece </option>
            <option code="GL" value="87">Greenland </option>
            <option code="GD" value="88">Grenada </option>
            <option code="GP" value="89">Guadeloupe </option>
            <option code="GU" value="90">Guam </option>
            <option code="GT" value="91">Guatemala </option>
            <option code="GG" value="92">Guernsey </option>
            <option code="GN" value="93">Guinea </option>
            <option code="GW" value="94">Guinea-Bissau </option>
            <option code="GY" value="95">Guyana </option>
            <option code="HT" value="96">Haiti </option>
            <option code="HM" value="97">Heard Island and McDonald Islands </option>
            <option code="VA" value="98">Holy See (Vatican City State) </option>
            <option code="HN" value="99">Honduras </option>
            <option code="HK" value="100">Hong Kong </option>
            <option code="HU" value="101">Hungary </option>
            <option code="IS" value="102">Iceland </option>
            <option code="IN" value="103">India </option>
            <option code="ID" value="104">Indonesia </option>
            <option code="IR" value="105">Iran, Islamic Republic of </option>
            <option code="IQ" value="106">Iraq </option>
            <option code="IE" value="107">Ireland </option>
            <option code="IM" value="108">Isle of Man </option>
            <option code="IL" value="109">Israel </option>
            <option code="IT" value="110">Italy </option>
            <option code="JM" value="111">Jamaica </option>
            <option code="JP" value="112">Japan </option>
            <option code="JE" value="113">Jersey </option>
            <option code="JO" value="114">Jordan </option>
            <option code="KZ" value="115">Kazakhstan </option>
            <option code="KE" value="116">Kenya </option>
            <option code="KI" value="117">Kiribati </option>
            <option code="KP" value="118">Korea, Democratic People's Republic of </option>
            <option code="KR" value="119">Korea, Republic of </option>
            <option code="KW" value="120">Kuwait </option>
            <option code="KG" value="121">Kyrgyzstan </option>
            <option code="LA" value="122">Lao People's Democratic Republic </option>
            <option code="LV" value="123">Latvia </option>
            <option code="LB" value="124">Lebanon </option>
            <option code="LS" value="125">Lesotho </option>
            <option code="LR" value="126">Liberia </option>
            <option code="LY" value="127">Libya </option>
            <option code="LI" value="128">Liechtenstein </option>
            <option code="LT" value="129">Lithuania </option>
            <option code="LU" value="130">Luxembourg </option>
            <option code="MO" value="131">Macao </option>
            <option code="MK" value="132">Macedonia, the former Yugoslav Republic of </option>
            <option code="MG" value="133">Madagascar </option>
            <option code="MW" value="134">Malawi </option>
            <option code="MY" value="135">Malaysia </option>
            <option code="MV" value="136">Maldives </option>
            <option code="ML" value="137">Mali </option>
            <option code="MT" value="138">Malta </option>
            <option code="MH" value="139">Marshall Islands </option>
            <option code="MQ" value="140">Martinique </option>
            <option code="MR" value="141">Mauritania </option>
            <option code="MU" value="142">Mauritius </option>
            <option code="YT" value="143">Mayotte </option>
            <option code="MX" value="144">Mexico </option>
            <option code="FM" value="145">Micronesia, Federated States of </option>
            <option code="MD" value="146">Moldova, Republic of </option>
            <option code="MC" value="147">Monaco </option>
            <option code="MN" value="148">Mongolia </option>
            <option code="ME" value="149">Montenegro </option>
            <option code="MS" value="150">Montserrat </option>
            <option code="MA" value="151">Morocco </option>
            <option code="MZ" value="152">Mozambique </option>
            <option code="MM" value="153">Myanmar </option>
            <option code="NA" value="154">Namibia </option>
            <option code="NR" value="155">Nauru </option>
            <option code="NP" value="156">Nepal </option>
            <option code="NL" value="157">Netherlands </option>
            <option code="NC" value="158">New Caledonia </option>
            <option code="NZ" value="159">New Zealand </option>
            <option code="NI" value="160">Nicaragua </option>
            <option code="NE" value="161">Niger </option>
            <option code="NG" value="162">Nigeria </option>
            <option code="NU" value="163">Niue </option>
            <option code="NF" value="164">Norfolk Island </option>
            <option code="MP" value="165">Northern Mariana Islands </option>
            <option code="NO" value="166">Norway </option>
            <option code="OM" value="167">Oman </option>
            <option code="PK" value="168">Pakistan </option>
            <option code="PW" value="169">Palau </option>
            <option code="PS" value="170">Palestine, State of </option>
            <option code="PA" value="171">Panama </option>
            <option code="PG" value="172">Papua New Guinea </option>
            <option code="PY" value="173">Paraguay </option>
            <option code="PE" value="174">Peru </option>
            <option code="PH" value="175">Philippines </option>
            <option code="PN" value="176">Pitcairn </option>
            <option code="PL" value="177">Poland </option>
            <option code="PT" value="178">Portugal </option>
            <option code="PR" value="179">Puerto Rico </option>
            <option code="QA" value="180">Qatar </option>
            <option code="RO" value="182">Romania </option>
            <option code="RU" value="183">Russian Federation </option>
            <option code="RW" value="184">Rwanda </option>
            <option code="RE" value="181">Réunion </option>
            <option code="BL" value="185">Saint Barthélemy </option>
            <option code="SH" value="186">Saint Helena, Ascension and Tristan da Cunha </option>
            <option code="KN" value="187">Saint Kitts and Nevis </option>
            <option code="LC" value="188">Saint Lucia </option>
            <option code="MF" value="189">Saint Martin (French part) </option>
            <option code="PM" value="190">Saint Pierre and Miquelon </option>
            <option code="VC" value="191">Saint Vincent and the Grenadines </option>
            <option code="WS" value="192">Samoa </option>
            <option code="SM" value="193">San Marino </option>
            <option code="ST" value="194">Sao Tome and Principe </option>
            <option code="SA" value="195">Saudi Arabia </option>
            <option code="GB" value="250">Scotland </option>
            <option code="SN" value="196">Senegal </option>
            <option code="RS" value="197">Serbia </option>
            <option code="SC" value="198">Seychelles </option>
            <option code="SL" value="199">Sierra Leone </option>
            <option code="SG" value="200">Singapore </option>
            <option code="SX" value="201">Sint Maarten (Dutch part) </option>
            <option code="SK" value="202">Slovakia </option>
            <option code="SI" value="203">Slovenia </option>
            <option code="SB" value="204">Solomon Islands </option>
            <option code="SO" value="205">Somalia </option>
            <option code="ZA" value="206">South Africa </option>
            <option code="GS" value="207">South Georgia and the South Sandwich Islands </option>
            <option code="SS" value="208">South Sudan </option>
            <option code="ES" value="209">Spain </option>
            <option code="LK" value="210">Sri Lanka </option>
            <option code="SD" value="211">Sudan </option>
            <option code="SR" value="212">Suriname </option>
            <option code="SJ" value="213">Svalbard and Jan Mayen </option>
            <option code="SZ" value="214">Swaziland </option>
            <option code="SE" value="215">Sweden </option>
            <option code="CH" value="216">Switzerland </option>
            <option code="SY" value="217">Syrian Arab Republic </option>
            <option code="TW" value="218">Taiwan, Province of China </option>
            <option code="TJ" value="219">Tajikistan </option>
            <option code="TZ" value="220">Tanzania, United Republic of </option>
            <option code="TH" value="221">Thailand </option>
            <option code="TL" value="222">Timor-Leste </option>
            <option code="TG" value="223">Togo </option>
            <option code="TK" value="224">Tokelau </option>
            <option code="TO" value="225">Tonga </option>
            <option code="TT" value="226">Trinidad and Tobago </option>
            <option code="TN" value="227">Tunisia </option>
            <option code="TR" value="228">Turkey </option>
            <option code="TM" value="229">Turkmenistan </option>
            <option code="TC" value="230">Turks and Caicos Islands </option>
            <option code="TV" value="231">Tuvalu </option>
            <option code="UG" value="232">Uganda </option>
            <option code="UA" value="233">Ukraine </option>
            <option code="AE" value="234">United Arab Emirates </option>
            <option code="GB" value="235">United Kingdom </option>
            <option code="US" value="236">United States </option>
            <option code="UM" value="237">United States Minor Outlying Islands </option>
            <option code="UY" value="238">Uruguay </option>
            <option code="UZ" value="239">Uzbekistan </option>
            <option code="VU" value="240">Vanuatu </option>
            <option code="VE" value="241">Venezuela, Bolivarian Republic of </option>
            <option code="VN" value="242">Viet Nam </option>
            <option code="VG" value="243">Virgin Islands, British </option>
            <option code="VI" value="244">Virgin Islands, U.S. </option>
            <option code="GB" value="251">Wales </option>
            <option code="WF" value="245">Wallis and Futuna </option>
            <option code="EH" value="246">Western Sahara </option>
            <option code="YE" value="247">Yemen </option>
            <option code="ZM" value="248">Zambia </option>
            <option code="ZW" value="249">Zimbabwe </option>
            <option code="AX" value="2">Åland Islands </option>
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      <input type="hidden" name="shipping_country_code" id="shipping_country_code" value="">
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  </div>
  <div class="pt-4 pb-3">
    <div class="col-12 h6 fw-bold mb-1"> Please note, the recipient will be notified of their gift as soon as checkout is complete. </div>
    <br>
    <div class="col-12 h6 fw-bold mb-1"> Should you want a later start date, please email <a href="mailto: contact@thecultivist.com">contact@thecultivist.com</a> our team. </div>
  </div>
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    <input type="hidden" name="payment_name" id="payment_name_g" value="1 Year Prepaid">
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    <input type="hidden" name="snap_day" id="snap_day_g" value="28">
    <h6 class="fw-bold mb-3">Select Your Payment Preference</h6>
    <ul class="nav nav-pills" role="tablist">
      <li class="nav-item" role="presentation">
        <a class="nav-link active year_g" id="yearPrepaid-tab" data-bs-toggle="tab" href="#yearPrepaid2" role="tab" aria-controls="yearPrepaid" aria-selected="true" data-value="440" data-name="1 Year Prepaid" data-uk="475" data-gbp="420">1 Year Prepaid</a>
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        <div class="row gx-1 mt-4 pt-3 border-bottom border-dark pb-4">
          <div class="col-9">
            <div class="fw-bold">Enthusiast Gift - Annual</div>
            <div class="pt-3">1 Year Prepaid (Receive Metal Membership Card)</div>
          </div>
          <div class="col-3 text-end price_g">$440</div>
        </div>
        <div class="row gx-1 mt-3">
          <div class="col-9 fw-bold">Total</div>
          <div class="col-3 text-end fw-bold total_price_g">$440</div>
        </div>
      </div>
    </div>
  </div>
  <div class="row mt-4 pt-3 align-items-center">
    <div class="col-12 col-sm-auto">
      <div class="">
        <a href="javascript:void(0);" data-bs-toggle="modal" data-bs-target="#renewsEveryYearModal">Automatically renews every year</a>
      </div>
      <div class="mt-1">
        <a href="javascript:void(0);" data-bs-toggle="modal" data-bs-target="#cancelAutoRenewalModal">How to cancel auto renewal</a>
      </div>
    </div>
    <div class="col-12 col-sm order-sm-first mt-4 pt-3 mt-sm-0 pt-sm-0">
      <button type="submit" id="gift_submit" class="btn btn-dark w-140 gift-continue">Continue</button>
    </div>
  </div>
</form>

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Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam
Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands
Central African Republic Chad Chile China Christmas Island Cocos (Keeling)
Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook
Islands Costa Rica Croatia Cuba Cura Cyprus Czech Republic Côte d'Ivoire Denmark
Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea
Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland
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Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's
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Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands
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Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New
Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar
Romania Russian Federation Rwanda Réunion Saint Barthélemy Saint Helena,
Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin
(French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa
San Marino Sao Tome and Principe Saudi Arabia Scotland Senegal Serbia Seychelles
Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon
Islands Somalia South Africa South Georgia and the South Sandwich Islands South
Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden
Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania,
United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago
Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine
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Enthusiast - Annual
1 Year Prepaid (Receive Metal Membership Card)
$440
Total
$440
Enthusiast - Monthly
Paid Monthly
$40
Total
$40
Automatically renews every year
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Shipping Country Select Country United States Germany India Austria Afghanistan
Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and
Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain
Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia,
Plurinational State of Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina
Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam
Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands
Central African Republic Chad Chile China Christmas Island Cocos (Keeling)
Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook
Islands Costa Rica Croatia Cuba Cura Cyprus Czech Republic Côte d'Ivoire Denmark
Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea
Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland
France French Guiana French Polynesia French Southern Territories Gabon Gambia
Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam
Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald
Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India
Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy
Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's
Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic
Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg
Macao Macedonia, the former Yugoslav Republic of Madagascar Malawi Malaysia
Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte
Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia
Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands
New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern
Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New
Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar
Romania Russian Federation Rwanda Réunion Saint Barthélemy Saint Helena,
Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin
(French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa
San Marino Sao Tome and Principe Saudi Arabia Scotland Senegal Serbia Seychelles
Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon
Islands Somalia South Africa South Georgia and the South Sandwich Islands South
Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden
Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania,
United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago
Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine
United Arab Emirates United Kingdom United States United States Minor Outlying
Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam
Virgin Islands, British Virgin Islands, U.S. Wales Wallis and Futuna Western
Sahara Yemen Zambia Zimbabwe Åland Islands
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SELECT YOUR PAYMENT PREFERENCE

 * 1 Year Prepaid
 * Pay Monthly

Enthusiast Dual - Annually
1 Year Prepaid (Receive Metal Membership Card)
$880
Total
$880
Enthusiast Dual - Monthly
Paid Monthly
$80
Total
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