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https://c-suitenetwork.com/become-c-suite-network-executive-membership/pricing-options/
Submission Tags: falconsandbox
Submission: On July 24 via api from US — Scanned from DE
Submission Tags: falconsandbox
Submission: On July 24 via api from US — Scanned from DE
Form analysis 6 forms found in the DOM
GET https://c-suitenetwork.com/
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<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div>
<h2 class="gsection_title">General</h2>
</li>
<li id="field_47_60" class="gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible">
<div class="logo"><img src="https://1uydwu171q3b3qzgdhzgals1-wpengine.netdna-ssl.com/wp-content/uploads/2019/10/csuitenetwork-logo-BLK-MD.png">
<div></div>
</div>
</li>
<li id="field_47_35" class="gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible">
<div style="text-align: center;font-size: 1.1em;line-height: 1.4">
<p><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">The C-Suite Network is an elevated community of executive leaders with the vision to support each other to reach both personal and business success. We look forward to
having you join and supporting this vision.</strong></p><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">
<p><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">Only one more step before you start enjoying your membership. Choose to either pay monthly or yearly. Once completed, a member of our concierge team will contact you and
walk you through all your exclusive benefits.</strong></p>
</strong>
</div>
</li>
<li id="field_47_3" class="gfield gfield--width-full gf_list_2col hide_label notice_save gfield_price gfield_price_47_3 gfield_product_47_3 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label">Price<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_47_3">
<li class="gchoice gchoice_47_3_0">
<input name="input_3" type="radio" value="Monthly|99" id="choice_47_3_0">
<label for="choice_47_3_0" id="label_47_3_0">$99 per month</label>
</li>
<li class="gchoice gchoice_47_3_1">
<input name="input_3" type="radio" value="Yearly|1000" checked="checked" id="choice_47_3_1">
<label for="choice_47_3_1" id="label_47_3_1">$1000 per year</label>
</li>
</ul>
</div>
<div class="gfield_description" id="gfield_description_47_3">Save 15% vs paying monthly</div>
</strong></li>
<li id="field_47_65" class="gfield gsection field_sublabel_below field_description_below gfield_visibility_hidden" style="display: none;">
<div class="admin-hidden-markup"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></strong></div>
<h2 class="gsection_title"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">Council General</strong></h2>
</li>
<li id="field_47_68" class="gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;">
<div class="logo"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><img src="https://1uydwu171q3b3qzgdhzgals1-wpengine.netdna-ssl.com/wp-content/uploads/2019/10/csuitenetwork-logo-BLK-MD.png">
<div></div>
</strong></div>
</li>
<li id="field_47_36" class="gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;">
<div style="text-align: center;font-size: 1.1em;line-height: 1.6">
<p><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">The C-Suite Network is an elevated community of executive leaders with the vision to support each other
to reach both personal and business success. We look forward to having you join and supporting this vision through a C-Suite Network Council.</strong></strong></p><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">
<p><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">C-Suite Network Councils are a special-purpose group designed to open windows of opportunity for C-Suite leaders across a wide range of global industries. Business
executives can expected high-level knowledge exchange, thought leadership and personal relationship building.</strong></p>
<p><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">Only one more step before you start enjoying your Council membership. Choose to either pay monthly or yearly. Once completed, a member of our concierge team will
contact you and walk you through all your exclusive benefits.</strong></p>
</strong></strong>
</div>
</li>
<li id="field_47_44" class="gfield gfield--width-full gf_list_2col hide_label notice_save gfield_price gfield_price_47_44 gfield_product_47_44 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"
style="display: none;"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label">General Council Price<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_47_44">
<li class="gchoice gchoice_47_44_0">
<input name="input_44" type="radio" value="monthly|150" id="choice_47_44_0" disabled="disabled">
<label for="choice_47_44_0" id="label_47_44_0">$150 per month</label>
</li>
<li class="gchoice gchoice_47_44_1">
<input name="input_44" type="radio" value="yearly|1500" checked="checked" id="choice_47_44_1" disabled="disabled">
<label for="choice_47_44_1" id="label_47_44_1">$1500 per year</label>
</li>
</ul>
</div>
</strong></strong></li>
<li id="field_47_80" class="gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;">
<div style="text-align: center;font-size: 1.1em;line-height: 1.6">
<p><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">The C-Suite Network is an elevated
community of executive leaders with the vision to support each other to reach both personal and business success. We look forward to having you join and supporting this vision through a C-Suite Network
Council.</strong></strong></strong></p><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold">
<p><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">C-Suite Network Councils are a special-purpose group designed to open windows of opportunity for C-Suite leaders across a wide range of global industries. Business
executives can expected high-level knowledge exchange, thought leadership and personal relationship building.</strong></p>
<p><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">Only one more step before you start enjoying your Council membership. Enter your information below, and once completed, a member of our concierge team will contact
you and walk you through all your exclusive benefits.</strong></p>
</strong></strong></strong>
</div>
</li>
<li id="field_47_95" class="gfield gsection field_sublabel_below field_description_below gfield_visibility_hidden" style="display: none;">
<div class="admin-hidden-markup"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></strong></strong></div>
<h2 class="gsection_title"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">Lone Star Council Renewal</strong></strong></h2>
</li>
<li id="field_47_96" class="gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;">
<div class="logo"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><img
src="https://1uydwu171q3b3qzgdhzgals1-wpengine.netdna-ssl.com/wp-content/uploads/2022/03/loneStarCouncil-BLK-1.png">
<div></div>
</strong></strong></div>
</li>
<li id="field_47_97" class="gfield gfield--width-full gf_list_2col hide_label notice_save gfield_price gfield_price_47_97 gfield_product_47_97 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"
style="display: none;"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label">Lone Star Renewal<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_47_97">
<li class="gchoice gchoice_47_97_0">
<input name="input_97" type="radio" value="monthly|150" id="choice_47_97_0" disabled="disabled">
<label for="choice_47_97_0" id="label_47_97_0">$150 per month</label>
</li>
<li class="gchoice gchoice_47_97_1">
<input name="input_97" type="radio" value="yearly|1500" checked="checked" id="choice_47_97_1" disabled="disabled">
<label for="choice_47_97_1" id="label_47_97_1">$1500 per year</label>
</li>
</ul>
</div>
</strong></strong></li>
<li id="field_47_79" class="gfield gsection field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;">
<h2 class="gsection_title"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">LW Greater NY Leadership Council</strong></strong></h2>
</li>
<li id="field_47_78" class="gfield gfield--width-full gfield_price gfield_price_47_78 gfield_product_47_78 field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label gfield_label_before_complex" for="input_47_78_1">Yearly Membership</label>
<div class="ginput_container ginput_container_singleproduct">
<input type="hidden" name="input_78.1" value="Yearly Membership" class="gform_hidden" disabled="disabled">
<span class="ginput_product_price_label">Price:</span>
<input type="text" readonly="" class="ginput_product_price gform-text-input-reset" name="input_78.2" id="ginput_base_price_47_78" value="$2,000.00" disabled="disabled">
<input type="hidden" name="input_78.3" value="1" class="ginput_quantity_47_78 gform_hidden" disabled="disabled">
</div>
</strong></strong></li>
<li id="field_47_43" class="gfield gfield--width-full gf_list_2col hide_label notice_save gfield_price gfield_price_47_43 gfield_product_47_43 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"
style="display: none;"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label">FreedomFest Council<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_47_43">
<li class="gchoice gchoice_47_43_0">
<input name="input_43" type="radio" value="monthly|150" id="choice_47_43_0" disabled="disabled">
<label for="choice_47_43_0" id="label_47_43_0">$150per month</label>
</li>
<li class="gchoice gchoice_47_43_1">
<input name="input_43" type="radio" value="yearly|1500" checked="checked" id="choice_47_43_1" disabled="disabled">
<label for="choice_47_43_1" id="label_47_43_1">$1500 per year</label>
</li>
</ul>
</div>
</strong></strong></li>
<li id="field_47_45" class="gfield gfield--width-full gf_list_2col hide_label notice_save gfield_price gfield_price_47_45 gfield_product_47_45 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"
style="display: none;"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label">Leadership Effectiveness Council<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_47_45">
<li class="gchoice gchoice_47_45_0">
<input name="input_45" type="radio" value="yearly|1500" checked="checked" id="choice_47_45_0" disabled="disabled">
<label for="choice_47_45_0" id="label_47_45_0">$1500 Member [yearly]</label>
</li>
<li class="gchoice gchoice_47_45_1">
<input name="input_45" type="radio" value="yearly|2500" id="choice_47_45_1" disabled="disabled">
<label for="choice_47_45_1" id="label_47_45_1">$2500 Leader [yearly]</label>
</li>
</ul>
</div>
</strong></strong></li>
<li id="field_47_51" class="gfield gfield--width-full gf_list_2col hide_label notice_save gfield_price gfield_price_47_51 gfield_product_47_51 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"
style="display: none;"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label">GEO COUNCIL<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_47_51">
<li class="gchoice gchoice_47_51_0">
<input name="input_51" type="radio" value="yearly|1500" checked="checked" id="choice_47_51_0" disabled="disabled">
<label for="choice_47_51_0" id="label_47_51_0">$1500 Executive [yearly]</label>
</li>
<li class="gchoice gchoice_47_51_1">
<input name="input_51" type="radio" value="monthly|150" id="choice_47_51_1" disabled="disabled">
<label for="choice_47_51_1" id="label_47_51_1">$150 Executive [monthly]</label>
</li>
</ul>
</div>
</strong></strong></li>
<li id="field_47_55" class="gfield gfield--width-full gf_list_2col hide_label notice_save gfield_price gfield_price_47_55 gfield_product_47_55 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"
style="display: none;"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label">MASTERMIND COUNCIL<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_47_55">
<li class="gchoice gchoice_47_55_0">
<input name="input_55" type="radio" value="yearly|5000" checked="checked" id="choice_47_55_0" disabled="disabled">
<label for="choice_47_55_0" id="label_47_55_0">$5000 Executive [yearly]</label>
</li>
<li class="gchoice gchoice_47_55_1">
<input name="input_55" type="radio" value="monthly|500" id="choice_47_55_1" disabled="disabled">
<label for="choice_47_55_1" id="label_47_55_1">$500 Executive [monthly]</label>
</li>
</ul>
</div>
</strong></strong></li>
<li id="field_47_53" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label" for="input_47_53">Please choose a Council:<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_53" id="input_47_53" class="medium gfield_select" aria-required="true" aria-invalid="false" disabled="disabled">
<option value="Lone Star Council">Lone Star Council</option>
<option value="FreedomFest Council">FreedomFest Council</option>
<option value="Leadership Effectiveness Council">Leadership Effectiveness Council</option>
<option value="Manufacturing Council">Manufacturing Council</option>
<option value="Women's Leadership Council">Women's Leadership Council</option>
<option value="Leading Women Entrepreneurs">Leading Women Entrepreneurs</option>
<option value="LeadHERship Global">LeadHERship Global</option>
</select></div>
</strong></strong></li>
<li id="field_47_81" class="gfield gsection field_sublabel_below field_description_below gfield_visibility_hidden" style="display: none;">
<div class="admin-hidden-markup"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></strong></strong></div>
<h2 class="gsection_title"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">LeadHERship Global</strong></strong></h2>
</li>
<li id="field_47_87" class="gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;">
<div class="logo"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><img
src="https://1uydwu171q3b3qzgdhzgals1-wpengine.netdna-ssl.com/wp-content/uploads/2022/02/CSNLG_OfficialLogo_Black.png">
<div></div>
</strong></strong></div>
</li>
<li id="field_47_86" class="gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;">
<div style="text-align: left;font-size: 1.1em;line-height: 1.6">
<p><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600">The C-Suite Network
is an elevated community of executive leaders with the vision to support each other to reach both personal and business success. We look forward to having you join and supporting this vision through C-Suite Network LeadHERship
Global. </strong></strong></strong></p><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600">
<p><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600">No one grows as a leader without support from others. And, in LeadHERship Global, you’ll find a supportive, trusting community. </strong></p>
<strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600">
<p><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600">You’ll receive support from influential and highly connected business leaders that are helping you develop the strategies to pursue your passions
and purpose, and dramatically increase your success.</strong></p><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600">
<p><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600">Only one more step before you start enjoying your Council membership. Choose to either pay monthly or yearly. Once completed, a member of our
concierge team will contact you and walk you through all your exclusive benefits.</strong></p>
</strong>
</strong>
</strong></strong></strong>
</div>
</li>
<li id="field_47_92" class="gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;">
<div style="text-align: center;margin-top: 10px;margin-bottom: 20px"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><img
src="https://1uydwu171q3b3qzgdhzgals1-wpengine.netdna-ssl.com/wp-content/uploads/2022/02/LGGetStarted_Graphic.png"></strong></strong></strong></strong></div>
</li>
<li id="field_47_88" class="gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;">
<div style="text-align: center;margin-top: 10px;margin-bottom: 5px"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><img
src="https://1uydwu171q3b3qzgdhzgals1-wpengine.netdna-ssl.com/wp-content/uploads/2022/02/GYL_Graphic.png" style="width:300px;height:300px"></strong></strong></strong></strong></div>
</li>
<li id="field_47_83" class="gfield gfield--width-full gfield_price gfield_price_47_83 gfield_product_47_83 field_sublabel_below field_description_below hidden_label gfield_visibility_visible" style="display: none;"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><label class="gfield_label">LEVEL 1</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_47_83">
<li class="gchoice gchoice_47_83_0">
<input name="input_83" type="radio" value="Monthly|150" id="choice_47_83_0" disabled="disabled">
<label for="choice_47_83_0" id="label_47_83_0">$150 [Monthly]</label>
</li>
<li class="gchoice gchoice_47_83_1">
<input name="input_83" type="radio" value="Yearly|1500" id="choice_47_83_1" disabled="disabled">
<label for="choice_47_83_1" id="label_47_83_1">$1500 [Yearly]</label>
</li>
</ul>
</div>
</strong></strong></strong></strong></li>
<li id="field_47_91" class="gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;">
<div style="text-align: center;margin-top: 10px;margin-bottom: 5px"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><img
src="https://1uydwu171q3b3qzgdhzgals1-wpengine.netdna-ssl.com/wp-content/uploads/2022/02/EYI_Graphic.png" style="width:300px;height:300px">
<div></div>
</strong></strong></strong></strong></div>
</li>
<li id="field_47_84" class="gfield gfield--width-full gfield_price gfield_price_47_84 gfield_product_47_84 field_sublabel_below field_description_below hidden_label gfield_visibility_visible" style="display: none;"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><label class="gfield_label">LEVEL 2</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_47_84">
<li class="gchoice gchoice_47_84_0">
<input name="input_84" type="radio" value="Monthly|250" id="choice_47_84_0" disabled="disabled">
<label for="choice_47_84_0" id="label_47_84_0">$250 [Monthly]</label>
</li>
<li class="gchoice gchoice_47_84_1">
<input name="input_84" type="radio" value="Yearly|2500" id="choice_47_84_1" disabled="disabled">
<label for="choice_47_84_1" id="label_47_84_1">$2500 [Yearly]</label>
</li>
</ul>
</div>
</strong></strong></strong></strong></li>
<li id="field_47_90" class="gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;">
<div style="text-align: center;margin-top: 10px;margin-bottom: 5px"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><img
src="https://1uydwu171q3b3qzgdhzgals1-wpengine.netdna-ssl.com/wp-content/uploads/2022/02/LAL_Graphic.png" style="width:300px;height:300px"></strong></strong></strong></strong></div>
</li>
<li id="field_47_85" class="gfield gfield--width-full gfield_price gfield_price_47_85 gfield_product_47_85 field_sublabel_below field_description_below hidden_label gfield_visibility_visible" style="display: none;"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><label class="gfield_label">LEVEL 3</label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_47_85">
<li class="gchoice gchoice_47_85_0">
<input name="input_85" type="radio" value="Monthly|500" id="choice_47_85_0" disabled="disabled">
<label for="choice_47_85_0" id="label_47_85_0">$500 [Monthly]</label>
</li>
<li class="gchoice gchoice_47_85_1">
<input name="input_85" type="radio" value="Yearly|5000" id="choice_47_85_1" disabled="disabled">
<label for="choice_47_85_1" id="label_47_85_1">$5000 [Yearly]</label>
</li>
</ul>
</div>
</strong></strong></strong></strong></li>
<li id="field_47_93" class="gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;">
<div style="text-align: center;margin-top: 30px;margin-bottom: 20px"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><img
src="https://1uydwu171q3b3qzgdhzgals1-wpengine.netdna-ssl.com/wp-content/uploads/2022/02/CSN_LG_BenefitsImage-2.png"></strong></strong></strong></strong></div>
</li>
<li id="field_47_94" class="gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;">
<div style="text-align: center;margin-top: 10px;margin-bottom: 20px"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><img
src="https://1uydwu171q3b3qzgdhzgals1-wpengine.netdna-ssl.com/wp-content/uploads/2022/02/LG_ReadyGraphic.png"></strong></strong></strong></strong></div>
</li>
<li id="field_47_69" class="gfield gsection field_sublabel_below field_description_below gfield_visibility_hidden" style="display: none;">
<div class="admin-hidden-markup"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></strong></strong></strong></strong></div>
<h2 class="gsection_title"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600">Veterans</strong></strong></strong></strong></h2>
</li>
<li id="field_47_66" class="gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;">
<div class="logo"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><img src="https://1uydwu171q3b3qzgdhzgals1-wpengine.netdna-ssl.com/wp-content/uploads/2021/08/veterans-logo-BLK.png">
<div></div>
</strong></strong></strong></strong></div>
</li>
<li id="field_47_64" class="gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;">
<div style="text-align: center;font-size: 1.1em;line-height: 1.6">
<p><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">The C-Suite Network is an elevated community of executive leaders with the vision to
support each other to reach both personal and business success. We look forward to having you join and supporting this vision through a C-Suite Network Council.</strong></strong></strong></strong></strong></p><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">
<p><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">C-Suite Network Councils are a special-purpose group designed to open windows of opportunity for C-Suite leaders across a wide range of global industries.
Business executives can expected high-level knowledge exchange, thought leadership and personal relationship building.</strong></p>
<p><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">Only one more step before you start enjoying your Council membership. Choose to either pay monthly or yearly. Once completed, a member of our concierge team will
contact you and walk you through all your exclusive benefits.</strong></p>
</strong></strong></strong></strong></strong>
</div>
</li>
<li id="field_47_56" class="gfield gfield--width-full gf_list_2col hide_label notice_save gfield_price gfield_price_47_56 gfield_product_47_56 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"
style="display: none;"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label">Veterans Council Membership<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_47_56">
<li class="gchoice gchoice_47_56_0">
<input name="input_56" type="radio" value="yearly|1500" checked="checked" id="choice_47_56_0" disabled="disabled">
<label for="choice_47_56_0" id="label_47_56_0">$1500 Executive [yearly]</label>
</li>
<li class="gchoice gchoice_47_56_1">
<input name="input_56" type="radio" value="monthly|150" id="choice_47_56_1" disabled="disabled">
<label for="choice_47_56_1" id="label_47_56_1">$150 Executive [monthly]</label>
</li>
</ul>
</div>
</strong></strong></strong></strong></li>
<li id="field_47_58" class="gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong>Veteran's Council Sponsorship</strong></strong></strong></strong></strong></li>
<li id="field_47_57" class="gfield gfield--width-full gf_list_2col hide_label notice_save gfield_price gfield_price_47_57 gfield_product_47_57 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"
style="display: none;"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label" for="input_47_57">Veterans Council Sponsorship<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_57" id="input_47_57" class="medium gfield_select" aria-required="true" aria-invalid="false" disabled="disabled">
<option value="gold|25000" selected="selected">Gold Sponsorship – $25,000.00</option>
<option value="silver|10000">Silver Sponsorship – $10,000.00</option>
<option value="bronze|5000">Bronze Sponsorship – $5,000.00</option>
</select></div>
</strong></strong></strong></strong></li>
<li id="field_47_59" class="gfield gfield--width-full field_sublabel_below field_description_below hidden_label gfield_visibility_visible" style="display: none;"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><label
class="gfield_label gfield_label_before_complex">Canadian or US Veteran</label>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_47_59">
<li class="gchoice gchoice_47_59_1">
<input class="gfield-choice-input" name="input_59.1" type="checkbox" value="I affirm I am a Canadian or United States military veteran and can show proof of such should I be asked." id="choice_47_59_1" disabled="disabled">
<label for="choice_47_59_1" id="label_47_59_1">I affirm I am a Canadian or United States military veteran and can show proof of such should I be asked.</label>
</li>
</ul>
</div>
</strong></strong></strong></strong></li>
<li id="field_47_74" class="gfield gsection field_sublabel_below field_description_below gfield_visibility_hidden" style="display: none;">
<div class="admin-hidden-markup"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></strong></strong></strong></strong></div>
<h2 class="gsection_title"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">Wealth Council</strong></strong></strong></strong></h2>
</li>
<li id="field_47_77" class="gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_hidden" style="display: none;">
<div style="text-align: center;font-size: 1.1em;line-height: 1.6">
<p><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">The C-Suite Network is
an elevated community of executive leaders with the vision to support each other to reach both personal and business success. We look forward to having you join and supporting this vision through a C-Suite Network
Council.</strong></strong></strong></strong></strong></p><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">
<p><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">C-Suite Network Councils are a special-purpose group designed to open windows of opportunity for C-Suite leaders across a wide range of global industries.
Business executives can expected high-level knowledge exchange, thought leadership and personal relationship building.</strong></p>
<p><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">Only one more step before you start enjoying your Council membership. Choose to either pay monthly or yearly. Once completed, a member of our concierge team will
contact you and walk you through all your exclusive benefits.</strong></p>
</strong></strong></strong></strong></strong>
</div>
</li>
<li id="field_47_76" class="gfield gfield--width-full gf_list_2col hide_label notice_save gfield_price gfield_price_47_76 gfield_product_47_76 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"
style="display: none;"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label">Wealth Council Membership<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_radio">
<ul class="gfield_radio" id="input_47_76">
<li class="gchoice gchoice_47_76_0">
<input name="input_76" type="radio" value="yearly|1500" checked="checked" id="choice_47_76_0" disabled="disabled">
<label for="choice_47_76_0" id="label_47_76_0">$1500 Executive [yearly]</label>
</li>
<li class="gchoice gchoice_47_76_1">
<input name="input_76" type="radio" value="monthly|150" id="choice_47_76_1" disabled="disabled">
<label for="choice_47_76_1" id="label_47_76_1">$150 Executive [monthly]</label>
</li>
</ul>
</div>
</strong></strong></strong></strong></li>
<li id="field_47_14" class="gfield gsection field_sublabel_below field_description_below gfield_visibility_visible">
<h2 class="gsection_title"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">Member Information</strong></strong></strong></strong></h2>
</li>
<li id="field_47_10" class="gfield hide_label gfield_contains_required field_sublabel_above field_description_below gfield_visibility_visible"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><label
class="gfield_label gfield_label_before_complex">Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name" id="input_47_10">
<span id="input_47_10_3_container" class="name_first">
<label for="input_47_10_3">First Name</label>
<input type="text" name="input_10.3" id="input_47_10_3" value="" aria-required="true">
</span>
<span id="input_47_10_6_container" class="name_last">
<label for="input_47_10_6">Last Name</label>
<input type="text" name="input_10.6" id="input_47_10_6" value="" aria-required="true">
</span>
</div>
</strong></strong></strong></strong></li>
<li id="field_47_13" class="gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label"
for="input_47_13">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_13" id="input_47_13" type="text" value="" class="medium" aria-required="true" aria-invalid="false">
</div>
</strong></strong></strong></strong></li>
<li id="field_47_41" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label"
for="input_47_41">Company<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_41" id="input_47_41" type="text" value="" class="medium" aria-required="true" aria-invalid="false"> </div>
</strong></strong></strong></strong></li>
<li id="field_47_42" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label"
for="input_47_42">Title<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_42" id="input_47_42" type="text" value="" class="medium" aria-required="true" aria-invalid="false"> </div>
</strong></strong></strong></strong></li>
<li id="field_47_11" class="gfield hide_label gfield_contains_required field_sublabel_above field_description_below gfield_visibility_visible"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><label
class="gfield_label gfield_label_before_complex">Address<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_complex ginput_container has_street has_city has_state has_zip has_country ginput_container_address" id="input_47_11">
<span class="ginput_full address_line_1 ginput_address_line_1" id="input_47_11_1_container">
<label for="input_47_11_1" id="input_47_11_1_label">Street Address</label>
<input type="text" name="input_11.1" id="input_47_11_1" value="" aria-required="true">
</span><span class="ginput_left address_city ginput_address_city" id="input_47_11_3_container">
<label for="input_47_11_3" id="input_47_11_3_label">City</label>
<input type="text" name="input_11.3" id="input_47_11_3" value="" aria-required="true">
</span><span class="ginput_right address_state ginput_address_state" id="input_47_11_4_container">
<label for="input_47_11_4" id="input_47_11_4_label">State / Province / Region</label>
<input type="text" name="input_11.4" id="input_47_11_4" value="" aria-required="true">
</span><span class="ginput_left address_zip ginput_address_zip" id="input_47_11_5_container">
<label for="input_47_11_5" id="input_47_11_5_label">ZIP / Postal Code</label>
<input type="text" name="input_11.5" id="input_47_11_5" value="" aria-required="true">
</span><span class="ginput_right address_country ginput_address_country" id="input_47_11_6_container">
<label for="input_47_11_6" id="input_47_11_6_label">Country</label>
<select name="input_11.6" id="input_47_11_6" aria-required="true">
<option value="" selected="selected"></option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos Islands">Cocos Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option>
<option value="Congo, Republic of the">Congo, Republic of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curaçao">Curaçao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Côte d'Ivoire">Côte d'Ivoire</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Eswatini (Swaziland)">Eswatini (Swaziland)</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands">Falkland Islands</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard and McDonald Islands">Heard and McDonald Islands</option>
<option value="Holy See">Holy See</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macau">Macau</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia">Micronesia</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="North Korea">North Korea</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestine, State of">Palestine, State of</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Romania">Romania</option>
<option value="Russia">Russia</option>
<option value="Rwanda">Rwanda</option>
<option value="Réunion">Réunion</option>
<option value="Saint Barthélemy">Saint Barthélemy</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Martin">Saint Martin</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Sint Maarten">Sint Maarten</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia">South Georgia</option>
<option value="South Korea">South Korea</option>
<option value="South Sudan">South Sudan</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Timor-Leste">Timor-Leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="US Minor Outlying Islands">US Minor Outlying Islands</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States">United States</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
<option value="Åland Islands">Åland Islands</option>
</select>
</span>
<div class="gf_clear gf_clear_complex"></div>
</div>
</strong></strong></strong></strong></li>
<li id="field_47_12" class="gfield field_sublabel_below field_description_below gfield_visibility_visible"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label"
for="input_47_12">Mobile Phone</label>
<div class="ginput_container ginput_container_phone"><input name="input_12" id="input_47_12" type="text" value="" class="medium" aria-invalid="false"></div>
</strong></strong></strong></strong></li>
<li id="field_47_22" class="gfield gfield--width-full field_sublabel_below field_description_below hidden_label gfield_visibility_visible"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><label
class="gfield_label gfield_label_before_complex">Billing Ino</label>
<div class="ginput_container ginput_container_checkbox">
<ul class="gfield_checkbox" id="input_47_22">
<li class="gchoice gchoice_47_22_1">
<input class="gfield-choice-input" name="input_22.1" type="checkbox" value="Billing Information is same as member information." checked="checked" id="choice_47_22_1">
<label for="choice_47_22_1" id="label_47_22_1">Billing Information is same as member information.</label>
</li>
</ul>
</div>
</strong></strong></strong></strong></li>
<li id="field_47_17" class="gfield gsection field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;">
<h2 class="gsection_title"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">Billing Information</strong></strong></strong></strong></h2>
</li>
<li id="field_47_18" class="gfield hide_label gfield_contains_required field_sublabel_above field_description_below gfield_visibility_visible" style="display: none;"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label gfield_label_before_complex">Billing Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name" id="input_47_18">
<span id="input_47_18_3_container" class="name_first">
<label for="input_47_18_3">First Name</label>
<input type="text" name="input_18.3" id="input_47_18_3" value="" aria-required="true" disabled="disabled">
</span>
<span id="input_47_18_6_container" class="name_last">
<label for="input_47_18_6">Last Name</label>
<input type="text" name="input_18.6" id="input_47_18_6" value="" aria-required="true" disabled="disabled">
</span>
</div>
</strong></strong></strong></strong></li>
<li id="field_47_19" class="gfield gfield_contains_required field_sublabel_below field_description_above gfield_visibility_visible" style="display: none;"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label" for="input_47_19">Billing Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_19" id="input_47_19" type="text" value="" class="medium" aria-required="true" aria-invalid="false" disabled="disabled">
</div>
</strong></strong></strong></strong></li>
<li id="field_47_20" class="gfield hide_label gfield_contains_required field_sublabel_above field_description_below gfield_visibility_visible" style="display: none;"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label gfield_label_before_complex">Billing Address<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_complex ginput_container has_street has_city has_state has_zip has_country ginput_container_address" id="input_47_20">
<span class="ginput_full address_line_1 ginput_address_line_1" id="input_47_20_1_container">
<label for="input_47_20_1" id="input_47_20_1_label">Street Address</label>
<input type="text" name="input_20.1" id="input_47_20_1" value="" aria-required="true" disabled="disabled">
</span><span class="ginput_left address_city ginput_address_city" id="input_47_20_3_container">
<label for="input_47_20_3" id="input_47_20_3_label">City</label>
<input type="text" name="input_20.3" id="input_47_20_3" value="" aria-required="true" disabled="disabled">
</span><span class="ginput_right address_state ginput_address_state" id="input_47_20_4_container">
<label for="input_47_20_4" id="input_47_20_4_label">State / Province / Region</label>
<input type="text" name="input_20.4" id="input_47_20_4" value="" aria-required="true" disabled="disabled">
</span><span class="ginput_left address_zip ginput_address_zip" id="input_47_20_5_container">
<label for="input_47_20_5" id="input_47_20_5_label">ZIP / Postal Code</label>
<input type="text" name="input_20.5" id="input_47_20_5" value="" aria-required="true" disabled="disabled">
</span><span class="ginput_right address_country ginput_address_country" id="input_47_20_6_container">
<label for="input_47_20_6" id="input_47_20_6_label">Country</label>
<select name="input_20.6" id="input_47_20_6" aria-required="true" disabled="disabled">
<option value="" selected="selected"></option>
<option value="Afghanistan">Afghanistan</option>
<option value="Albania">Albania</option>
<option value="Algeria">Algeria</option>
<option value="American Samoa">American Samoa</option>
<option value="Andorra">Andorra</option>
<option value="Angola">Angola</option>
<option value="Anguilla">Anguilla</option>
<option value="Antarctica">Antarctica</option>
<option value="Antigua and Barbuda">Antigua and Barbuda</option>
<option value="Argentina">Argentina</option>
<option value="Armenia">Armenia</option>
<option value="Aruba">Aruba</option>
<option value="Australia">Australia</option>
<option value="Austria">Austria</option>
<option value="Azerbaijan">Azerbaijan</option>
<option value="Bahamas">Bahamas</option>
<option value="Bahrain">Bahrain</option>
<option value="Bangladesh">Bangladesh</option>
<option value="Barbados">Barbados</option>
<option value="Belarus">Belarus</option>
<option value="Belgium">Belgium</option>
<option value="Belize">Belize</option>
<option value="Benin">Benin</option>
<option value="Bermuda">Bermuda</option>
<option value="Bhutan">Bhutan</option>
<option value="Bolivia">Bolivia</option>
<option value="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</option>
<option value="Cape Verde">Cape Verde</option>
<option value="Cayman Islands">Cayman Islands</option>
<option value="Central African Republic">Central African Republic</option>
<option value="Chad">Chad</option>
<option value="Chile">Chile</option>
<option value="China">China</option>
<option value="Christmas Island">Christmas Island</option>
<option value="Cocos Islands">Cocos Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option>
<option value="Congo, Republic of the">Congo, Republic of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curaçao">Curaçao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czech Republic">Czech Republic</option>
<option value="Côte d'Ivoire">Côte d'Ivoire</option>
<option value="Denmark">Denmark</option>
<option value="Djibouti">Djibouti</option>
<option value="Dominica">Dominica</option>
<option value="Dominican Republic">Dominican Republic</option>
<option value="Ecuador">Ecuador</option>
<option value="Egypt">Egypt</option>
<option value="El Salvador">El Salvador</option>
<option value="Equatorial Guinea">Equatorial Guinea</option>
<option value="Eritrea">Eritrea</option>
<option value="Estonia">Estonia</option>
<option value="Eswatini (Swaziland)">Eswatini (Swaziland)</option>
<option value="Ethiopia">Ethiopia</option>
<option value="Falkland Islands">Falkland Islands</option>
<option value="Faroe Islands">Faroe Islands</option>
<option value="Fiji">Fiji</option>
<option value="Finland">Finland</option>
<option value="France">France</option>
<option value="French Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">Gambia</option>
<option value="Georgia">Georgia</option>
<option value="Germany">Germany</option>
<option value="Ghana">Ghana</option>
<option value="Gibraltar">Gibraltar</option>
<option value="Greece">Greece</option>
<option value="Greenland">Greenland</option>
<option value="Grenada">Grenada</option>
<option value="Guadeloupe">Guadeloupe</option>
<option value="Guam">Guam</option>
<option value="Guatemala">Guatemala</option>
<option value="Guernsey">Guernsey</option>
<option value="Guinea">Guinea</option>
<option value="Guinea-Bissau">Guinea-Bissau</option>
<option value="Guyana">Guyana</option>
<option value="Haiti">Haiti</option>
<option value="Heard and McDonald Islands">Heard and McDonald Islands</option>
<option value="Holy See">Holy See</option>
<option value="Honduras">Honduras</option>
<option value="Hong Kong">Hong Kong</option>
<option value="Hungary">Hungary</option>
<option value="Iceland">Iceland</option>
<option value="India">India</option>
<option value="Indonesia">Indonesia</option>
<option value="Iran">Iran</option>
<option value="Iraq">Iraq</option>
<option value="Ireland">Ireland</option>
<option value="Isle of Man">Isle of Man</option>
<option value="Israel">Israel</option>
<option value="Italy">Italy</option>
<option value="Jamaica">Jamaica</option>
<option value="Japan">Japan</option>
<option value="Jersey">Jersey</option>
<option value="Jordan">Jordan</option>
<option value="Kazakhstan">Kazakhstan</option>
<option value="Kenya">Kenya</option>
<option value="Kiribati">Kiribati</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</option>
<option value="Latvia">Latvia</option>
<option value="Lebanon">Lebanon</option>
<option value="Lesotho">Lesotho</option>
<option value="Liberia">Liberia</option>
<option value="Libya">Libya</option>
<option value="Liechtenstein">Liechtenstein</option>
<option value="Lithuania">Lithuania</option>
<option value="Luxembourg">Luxembourg</option>
<option value="Macau">Macau</option>
<option value="Macedonia">Macedonia</option>
<option value="Madagascar">Madagascar</option>
<option value="Malawi">Malawi</option>
<option value="Malaysia">Malaysia</option>
<option value="Maldives">Maldives</option>
<option value="Mali">Mali</option>
<option value="Malta">Malta</option>
<option value="Marshall Islands">Marshall Islands</option>
<option value="Martinique">Martinique</option>
<option value="Mauritania">Mauritania</option>
<option value="Mauritius">Mauritius</option>
<option value="Mayotte">Mayotte</option>
<option value="Mexico">Mexico</option>
<option value="Micronesia">Micronesia</option>
<option value="Moldova">Moldova</option>
<option value="Monaco">Monaco</option>
<option value="Mongolia">Mongolia</option>
<option value="Montenegro">Montenegro</option>
<option value="Montserrat">Montserrat</option>
<option value="Morocco">Morocco</option>
<option value="Mozambique">Mozambique</option>
<option value="Myanmar">Myanmar</option>
<option value="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</option>
<option value="New Caledonia">New Caledonia</option>
<option value="New Zealand">New Zealand</option>
<option value="Nicaragua">Nicaragua</option>
<option value="Niger">Niger</option>
<option value="Nigeria">Nigeria</option>
<option value="Niue">Niue</option>
<option value="Norfolk Island">Norfolk Island</option>
<option value="North Korea">North Korea</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestine, State of">Palestine, State of</option>
<option value="Panama">Panama</option>
<option value="Papua New Guinea">Papua New Guinea</option>
<option value="Paraguay">Paraguay</option>
<option value="Peru">Peru</option>
<option value="Philippines">Philippines</option>
<option value="Pitcairn">Pitcairn</option>
<option value="Poland">Poland</option>
<option value="Portugal">Portugal</option>
<option value="Puerto Rico">Puerto Rico</option>
<option value="Qatar">Qatar</option>
<option value="Romania">Romania</option>
<option value="Russia">Russia</option>
<option value="Rwanda">Rwanda</option>
<option value="Réunion">Réunion</option>
<option value="Saint Barthélemy">Saint Barthélemy</option>
<option value="Saint Helena">Saint Helena</option>
<option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option>
<option value="Saint Lucia">Saint Lucia</option>
<option value="Saint Martin">Saint Martin</option>
<option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option>
<option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option>
<option value="Samoa">Samoa</option>
<option value="San Marino">San Marino</option>
<option value="Sao Tome and Principe">Sao Tome and Principe</option>
<option value="Saudi Arabia">Saudi Arabia</option>
<option value="Senegal">Senegal</option>
<option value="Serbia">Serbia</option>
<option value="Seychelles">Seychelles</option>
<option value="Sierra Leone">Sierra Leone</option>
<option value="Singapore">Singapore</option>
<option value="Sint Maarten">Sint Maarten</option>
<option value="Slovakia">Slovakia</option>
<option value="Slovenia">Slovenia</option>
<option value="Solomon Islands">Solomon Islands</option>
<option value="Somalia">Somalia</option>
<option value="South Africa">South Africa</option>
<option value="South Georgia">South Georgia</option>
<option value="South Korea">South Korea</option>
<option value="South Sudan">South Sudan</option>
<option value="Spain">Spain</option>
<option value="Sri Lanka">Sri Lanka</option>
<option value="Sudan">Sudan</option>
<option value="Suriname">Suriname</option>
<option value="Svalbard and Jan Mayen Islands">Svalbard and Jan Mayen Islands</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria">Syria</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania">Tanzania</option>
<option value="Thailand">Thailand</option>
<option value="Timor-Leste">Timor-Leste</option>
<option value="Togo">Togo</option>
<option value="Tokelau">Tokelau</option>
<option value="Tonga">Tonga</option>
<option value="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkey">Turkey</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="US Minor Outlying Islands">US Minor Outlying Islands</option>
<option value="Uganda">Uganda</option>
<option value="Ukraine">Ukraine</option>
<option value="United Arab Emirates">United Arab Emirates</option>
<option value="United Kingdom">United Kingdom</option>
<option value="United States">United States</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Vietnam">Vietnam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Virgin Islands, U.S.">Virgin Islands, U.S.</option>
<option value="Wallis and Futuna">Wallis and Futuna</option>
<option value="Western Sahara">Western Sahara</option>
<option value="Yemen">Yemen</option>
<option value="Zambia">Zambia</option>
<option value="Zimbabwe">Zimbabwe</option>
<option value="Åland Islands">Åland Islands</option>
</select>
</span>
<div class="gf_clear gf_clear_complex"></div>
</div>
</strong></strong></strong></strong></li>
<li id="field_47_21" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label"
for="input_47_21">Billing Phone</label>
<div class="ginput_container ginput_container_phone"><input name="input_21" id="input_47_21" type="text" value="" class="medium" aria-invalid="false" disabled="disabled"></div>
</strong></strong></strong></strong></li>
<li id="field_47_15" class="gfield gsection field_sublabel_below field_description_below gfield_visibility_visible">
<h2 class="gsection_title"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold">Purchasing Information</strong></strong></strong></strong></h2>
</li>
<li id="field_47_26" class="gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold">*If membership is canceled within 6 months of sign-up, you will be charged a $300 cancelation fee.</strong></strong></strong></strong></li>
<li id="field_47_5" class="gfield hide_label gfield_contains_required field_sublabel_above field_description_below gfield_visibility_visible"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><label
class="gfield_label gfield_label_before_complex" for="input_47_5_1">Credit Card<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_complex ginput_container ginput_container_creditcard" id="input_47_5"><span class="ginput_full" id="input_47_5_1_container">
<div class="gform_card_icon_container">
<div class="gform_card_icon gform_card_icon_amex">American Express</div>
<div class="gform_card_icon gform_card_icon_discover">Discover</div>
<div class="gform_card_icon gform_card_icon_mastercard">MasterCard</div>
<div class="gform_card_icon gform_card_icon_visa">Visa</div><span class="screen-reader-text" id="field_47_5_supported_creditcards">Supported Credit Cards: American Express, Discover, MasterCard, Visa</span>
</div>
<label for="input_47_5_1" id="input_47_5_1_label">Card Number</label>
<input type="text" name="input_5.1" id="input_47_5_1" value="" onchange="gformMatchCard("input_47_5_1");" onkeyup="gformMatchCard("input_47_5_1");" aria-required="true">
</span><span class="ginput_full ginput_cardextras" id="input_47_5_2_container">
<span class="ginput_cardinfo_left" id="input_47_5_2_cardinfo_left">
<label for="input_47_5_2_month">Expiration Date</label>
<span class="ginput_card_expiration_container ginput_card_field">
<select name="input_5.2[]" id="input_47_5_2_month" class="ginput_card_expiration ginput_card_expiration_month" aria-required="true">
<option value="">Month</option>
<option value="1">01</option>
<option value="2">02</option>
<option value="3">03</option>
<option value="4">04</option>
<option value="5">05</option>
<option value="6">06</option>
<option value="7">07</option>
<option value="8">08</option>
<option value="9">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select>
<select name="input_5.2[]" id="input_47_5_2_year" class="ginput_card_expiration ginput_card_expiration_year" aria-required="true">
<option value="">Year</option>
<option value="2022">2022</option>
<option value="2023">2023</option>
<option value="2024">2024</option>
<option value="2025">2025</option>
<option value="2026">2026</option>
<option value="2027">2027</option>
<option value="2028">2028</option>
<option value="2029">2029</option>
<option value="2030">2030</option>
<option value="2031">2031</option>
<option value="2032">2032</option>
<option value="2033">2033</option>
<option value="2034">2034</option>
<option value="2035">2035</option>
<option value="2036">2036</option>
<option value="2037">2037</option>
<option value="2038">2038</option>
<option value="2039">2039</option>
<option value="2040">2040</option>
<option value="2041">2041</option>
</select>
</span>
</span><span class="ginput_cardinfo_right" id="input_47_5_2_cardinfo_right">
<label for="input_47_5_3">Security Code</label>
<input type="text" name="input_5.3" id="input_47_5_3" class="ginput_card_security_code" value="" aria-required="true">
<span class="ginput_card_security_code_icon"> </span>
</span>
</span><span class="ginput_full" id="input_47_5_5_container">
<label for="input_47_5_5" id="input_47_5_5_label">Cardholder Name</label>
<input type="text" name="input_5.5" id="input_47_5_5" value="" aria-required="false">
</span> </div>
</strong></strong></strong></strong></li>
<li id="field_47_29" class="gfield gsection field_sublabel_below field_description_below gfield_visibility_visible">
<h2 class="gsection_title"></h2>
</li>
<li id="field_47_9" class="gfield promo_code field_sublabel_below field_description_below gfield_visibility_visible"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label"
for="gf_coupon_code_47">Promo Code</label>
<div class="ginput_container" id="gf_coupons_container_47"><input id="gf_coupon_code_47" class="gf_coupon_code" onkeyup="DisableApplyButton(47);" onchange="DisableApplyButton(47);"
onpaste="setTimeout(function(){DisableApplyButton(47);}, 50);" type="text"><input type="button" disabled="" onclick="ApplyCouponCode(47);" value="Apply" id="gf_coupon_button" class="button"> <img style="display:none;"
id="gf_coupon_spinner" src="https://1uydwu171q3b3qzgdhzgals1-wpengine.netdna-ssl.com/wp-content/plugins/gravityformscoupons/images/spinner.gif" alt="please wait">
<div id="gf_coupon_info"></div><input type="hidden" id="gf_coupon_codes_47" name="input_9" value=""><input type="hidden" id="gf_total_no_discount_47" value="1000"><input type="hidden" id="gf_coupons_47" name="gf_coupons_47"
value="">
</div>
</strong></strong></strong></strong></li>
<li id="field_47_47" class="gfield gfield_price gfield_price_47_47 gfield_product_47_47 gfield_calculation field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label gfield_label_before_complex" for="input_47_47_1">Tax</label>
<div class="ginput_container ginput_container_product_calculation">
<input type="hidden" name="input_47.1" value="Tax" class="gform_hidden" disabled="disabled">
<span class="ginput_product_price_label">Price:</span>
<span class="ginput_product_price" id="input_47_47">$65.00</span>
<input type="hidden" name="input_47.2" id="ginput_base_price_47_47" class="gform_hidden" value="$65.00" disabled="disabled">
<input type="hidden" name="input_47.3" value="1" class="ginput_quantity_47_47 gform_hidden" disabled="disabled">
</div>
</strong></strong></strong></strong></li>
<li id="field_47_50" class="gfield gfield_price gfield_price_47_50 gfield_product_47_50 gfield_calculation field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label gfield_label_before_complex" for="input_47_50_1">Tax</label>
<div class="ginput_container ginput_container_product_calculation">
<input type="hidden" name="input_50.1" value="Tax" class="gform_hidden" disabled="disabled">
<span class="ginput_product_price_label">Price:</span>
<span class="ginput_product_price" id="input_47_50">$65.00</span>
<input type="hidden" name="input_50.2" id="ginput_base_price_47_50" class="gform_hidden" value="$65.00" disabled="disabled">
<input type="hidden" name="input_50.3" value="1" class="ginput_quantity_47_50 gform_hidden" disabled="disabled">
</div>
</strong></strong></strong></strong></li>
<li id="field_47_49" class="gfield gfield_price gfield_price_47_49 gfield_product_47_49 gfield_calculation field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label gfield_label_before_complex" for="input_47_49_1">Tax</label>
<div class="ginput_container ginput_container_product_calculation">
<input type="hidden" name="input_49.1" value="Tax" class="gform_hidden" disabled="disabled">
<span class="ginput_product_price_label">Price:</span>
<span class="ginput_product_price" id="input_47_49">$65.00</span>
<input type="hidden" name="input_49.2" id="ginput_base_price_47_49" class="gform_hidden" value="$65.00" disabled="disabled">
<input type="hidden" name="input_49.3" value="1" class="ginput_quantity_47_49 gform_hidden" disabled="disabled">
</div>
</strong></strong></strong></strong></li>
<li id="field_47_7" class="gfield gfield_price gfield_price_47_ gfield_total gfield_total_47_ field_sublabel_below field_description_below gfield_visibility_visible" aria-atomic="true" aria-live="polite"><strong
style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><label class="gfield_label" for="input_47_7">Total</label>
<div class="ginput_container ginput_container_total">
<span class="ginput_total ginput_total_47">$1,000.00</span>
<input type="hidden" name="input_7" id="input_47_7" class="gform_hidden" value="1000">
</div>
</strong></strong></strong></strong></li>
<li id="field_47_27" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible">
<div class="ginput_container ginput_container_text"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><input name="input_27" id="input_47_27" type="hidden" class="gform_hidden" aria-invalid="false"
value=""></strong></strong></strong></strong></div>
</li>
<li id="field_47_37" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible">
<div class="ginput_container ginput_container_text"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><input name="input_37" id="input_47_37" type="hidden" class="gform_hidden" aria-invalid="false"
value=""></strong></strong></strong></strong></div>
</li>
<li id="field_47_38" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible">
<div class="ginput_container ginput_container_text"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><input name="input_38" id="input_47_38" type="hidden" class="gform_hidden" aria-invalid="false"
value=""></strong></strong></strong></strong></div>
</li>
<li id="field_47_40" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible">
<div class="ginput_container ginput_container_text"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><input name="input_40" id="input_47_40" type="hidden" class="gform_hidden" aria-invalid="false"
value=""></strong></strong></strong></strong></div>
</li>
<li id="field_47_39" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible">
<div class="ginput_container ginput_container_text"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong style="font-family: 'AzoSansWebMed', Fallback, sans-serif;font-weight: 600"><strong
style="font-family: 'ProximaNova-Bold';font-weight: bold"><strong style="font-family: 'ProximaNova-Bold';font-weight: bold"><input name="input_39" id="input_47_39" type="hidden" class="gform_hidden" aria-invalid="false"
value=""></strong></strong></strong></strong></div>
</li>
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</form>POST /become-c-suite-network-executive-membership/pricing-options/
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<div class="gfield_description" id="gfield_description_83_17">Every RSS Feed is slightly different – so if you don't know yours, you can find your hosting provider’s instructions here:
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<li id="field_83_29" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_83_29">IN WHAT WAYS WILL YOUR PODCAST SUPPORT YOUR BUSINESS?</label>
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<div class="gfield_description" id="gfield_description_83_13">"AVATAR" is podcast talk for target audience </div>
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<div class="ginput_container ginput_container_textarea"><textarea name="input_10" id="input_83_10" class="textarea medium" aria-invalid="false" rows="10" cols="50" disabled="disabled"></textarea></div>
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