{"id":9110,"date":"2022-07-25T16:52:03","date_gmt":"2022-07-25T20:52:03","guid":{"rendered":"https:\/\/indianagrown.org\/?page_id=9110"},"modified":"2024-02-23T13:04:06","modified_gmt":"2024-02-23T18:04:06","slug":"register-2024","status":"publish","type":"page","link":"https:\/\/indianagrown.org\/register-2024\/","title":{"rendered":"Register 2024"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.17.6&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;20px||20px||true|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.17.6&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;5px||5px||true|false&#8221; animation_style=&#8221;fade&#8221; animation_duration=&#8221;350ms&#8221; animation_delay=&#8221;50ms&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.17.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_code _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h1 style=\"text-align:center;padding-bottom:25px;\"><!-- [et_pb_line_break_holder] -->  Register for Indiana Grown<!-- [et_pb_line_break_holder] --><\/h1>\n<p><!-- [et_pb_line_break_holder] --><div class=\"frm_forms  with_frm_style frm_style_registration-form-style\" id=\"frm_form_40_container\" data-token=\"f7a1c56451ccfc6ef91449b0210b3623\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_js_validate  frm_ajax_submit  frm_pro_form  frm_slidein \" id=\"form_registerforindianagrown2\"  data-token=\"f7a1c56451ccfc6ef91449b0210b3623\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">1) Register for Indiana Grown-new<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"40\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_40\" id=\"frm_hide_fields_40\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"registerforindianagrown2\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_40\" name=\"frm_submit_entry_40\" value=\"54bc7408bf\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/9110\" \/><input type=\"hidden\" name=\"item_meta[633]\" id=\"field_jv0002\" value=\"pending\"  data-frmval=\"pending\"   \/>\n<input type=\"hidden\" name=\"item_meta[634]\" id=\"field_8hlf92-0\" value=\"\"     \/>\n<div id=\"frm_field_635_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half frm_first\">\r\n    <label for=\"field_certificate_name2\" id=\"field_certificate_name2_label\" class=\"frm_primary_label\">Legal Business Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_certificate_name2\" name=\"item_meta[635]\" value=\"\"  placeholder=\"Legal Business Name\" data-reqmsg=\"Legal Business Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_636_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_display_name2\" id=\"field_display_name2_label\" class=\"frm_primary_label\">Display Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_display_name2\" name=\"item_meta[636]\" value=\"\"  placeholder=\"Display Name\" data-reqmsg=\"Display Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_display_name2\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_display_name2\">The display name will be visible on Indiana Grown's website<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_637_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half frm_first\">\r\n    <label for=\"field_first_name2\" id=\"field_first_name2_label\" class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_first_name2\" name=\"item_meta[637]\" value=\"\"  placeholder=\"First Name\" data-reqmsg=\"First Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_638_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_last_name2\" id=\"field_last_name2_label\" class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_last_name2\" name=\"item_meta[638]\" value=\"\"  placeholder=\"Last Name\" data-reqmsg=\"Last Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_639_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_first\">\r\n    <label for=\"field_phone_number2\" id=\"field_phone_number2_label\" class=\"frm_primary_label\">Phone Number <span style=\"font-weight:700;color:#B94A48;font-size:15px;\">*<\/span>\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_phone_number2\" name=\"item_meta[639]\" value=\"\"  data-frmmask=\"999-999-9999\" placeholder=\"317-555-5555\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\d\\d\\d-\\d\\d\\d-\\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_640_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_user_email2\" id=\"field_user_email2_label\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_user_email2\" name=\"item_meta[640]\" value=\"\"  placeholder=\"email@address.com\" data-reqmsg=\"Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_user_email2\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_user_email2\">Please use a business email. This will be featured in our member directory as a means of contacting you.<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_641_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_first vertical_radio\">\r\n    <div  id=\"field_phone_public2_label\" class=\"frm_primary_label\">Would you like this phone number to be visible on your public profile? <span style=\"font-weight:700;color:#B94A48;font-size:15px;\">*<\/span>\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_phone_public2_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_641-0\"><label for=\"field_phone_public2-0\">\t\t<input type=\"radio\" name=\"item_meta[641]\" id=\"field_phone_public2-0\" value=\"Yes\"\n\t\t   data-invmsg=\"Would you like this phone number to be visible on your public profile? &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt; is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_641-1\"><label for=\"field_phone_public2-1\">\t\t<input type=\"radio\" name=\"item_meta[641]\" id=\"field_phone_public2-1\" value=\"No\"\n\t\t   data-invmsg=\"Would you like this phone number to be visible on your public profile? &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt; is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_642_container\" class=\"frm_form_field form-field  frm_top_container frm_half vertical_radio\">\r\n    <div  id=\"field_zm7f2_label\" class=\"frm_primary_label\">Would you like this email to be visible on your public profile? <span style=\"font-weight:700;color:#B94A48;font-size:15px;\">*<\/span>\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_zm7f2_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_642-0\"><label for=\"field_zm7f2-0\">\t\t<input type=\"radio\" name=\"item_meta[642]\" id=\"field_zm7f2-0\" value=\"Yes\"\n\t\t   data-invmsg=\"Would you like this email to be visible on your public profile? &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt; is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_642-1\"><label for=\"field_zm7f2-1\">\t\t<input type=\"radio\" name=\"item_meta[642]\" id=\"field_zm7f2-1\" value=\"No\"\n\t\t   data-invmsg=\"Would you like this email to be visible on your public profile? &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt; is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1010_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_col\">\n\t<div  id=\"field_d1tlt_label\" class=\"frm_primary_label\">Are you new to Indiana Grown or renewing your membership?\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/div>\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_d1tlt_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_1010-0\"><label for=\"field_d1tlt-0\"><input type=\"checkbox\" name=\"item_meta[1010][]\" id=\"field_d1tlt-0\" value=\"New Member Application\"  data-reqmsg=\"Are you new to Indiana Grown or renewing your membership? cannot be blank.\" data-invmsg=\"Are you new to Indiana Grown or renewing your membership? is invalid\" aria-invalid=\"false\"   aria-required=\"true\"  \/> New Member Application<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_1010-1\"><label for=\"field_d1tlt-1\"><input type=\"checkbox\" name=\"item_meta[1010][]\" id=\"field_d1tlt-1\" value=\"Renewal Application\"  data-reqmsg=\"Are you new to Indiana Grown or renewing your membership? cannot be blank.\" data-invmsg=\"Are you new to Indiana Grown or renewing your membership? is invalid\" aria-invalid=\"false\"   \/> Renewal Application<\/label><\/div>\n<\/div>\n\t\n\t\n<\/div>\n<div id=\"frm_field_643_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_additional_emails2\" id=\"field_additional_emails2_label\" class=\"frm_primary_label\">Are there any additional emails we should send announcements to?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_additional_emails2\" name=\"item_meta[643]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_additional_emails2\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_additional_emails2\">Please separate multiple emails by comma.<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_644_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <div  id=\"field_physical_address2_label\" class=\"frm_primary_label\">Physical Address\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_physical_address2_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tPhysical Address<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_644-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_physical_address2_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tPhysical Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_physical_address2_line1\" value=\"\" name=\"item_meta[644][line1]\"  placeholder=\"Physical Address Line 1\"  data-reqmsg=\"Physical Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Physical Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_644-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_physical_address2_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tPhysical Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_physical_address2_line2\" value=\"\" name=\"item_meta[644][line2]\"  placeholder=\"Physical Address Line 2\"  data-reqmsg=\"Physical Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Physical Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_644-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_physical_address2_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tPhysical Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_physical_address2_city\" value=\"\" name=\"item_meta[644][city]\"  placeholder=\"Physical City\"  data-reqmsg=\"Physical Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Physical Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<\/div>\n<div id=\"frm_field_644-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_physical_address2_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tPhysical Address\t<\/label>\n\t\t\t<select name=\"item_meta[644][state]\" id=\"field_physical_address2_state\"  placeholder=\"Physical State\"  data-frmval=\"Indiana\" data-reqmsg=\"Physical Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Physical Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\">\n\t\t\t<option value=\"\">\n\t\t\t\tPhysical State\t\t\t<\/option>\n\t\t\t<option  value=\"Alabama\">Alabama<\/option><option  value=\"Alaska\">Alaska<\/option><option  value=\"Arkansas\">Arkansas<\/option><option  value=\"Arizona\">Arizona<\/option><option  value=\"California\">California<\/option><option  value=\"Colorado\">Colorado<\/option><option  value=\"Connecticut\">Connecticut<\/option><option  value=\"Delaware\">Delaware<\/option><option  value=\"District of Columbia\">District of Columbia<\/option><option  value=\"Florida\">Florida<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Hawaii\">Hawaii<\/option><option  value=\"Idaho\">Idaho<\/option><option  value=\"Illinois\">Illinois<\/option><option  value=\"Indiana\" selected='selected'>Indiana<\/option><option  value=\"Iowa\">Iowa<\/option><option  value=\"Kansas\">Kansas<\/option><option  value=\"Kentucky\">Kentucky<\/option><option  value=\"Louisiana\">Louisiana<\/option><option  value=\"Maine\">Maine<\/option><option  value=\"Maryland\">Maryland<\/option><option  value=\"Massachusetts\">Massachusetts<\/option><option  value=\"Michigan\">Michigan<\/option><option  value=\"Minnesota\">Minnesota<\/option><option  value=\"Mississippi\">Mississippi<\/option><option  value=\"Missouri\">Missouri<\/option><option  value=\"Montana\">Montana<\/option><option  value=\"Nebraska\">Nebraska<\/option><option  value=\"Nevada\">Nevada<\/option><option  value=\"New Hampshire\">New Hampshire<\/option><option  value=\"New Jersey\">New Jersey<\/option><option  value=\"New Mexico\">New Mexico<\/option><option  value=\"New York\">New York<\/option><option  value=\"North Carolina\">North Carolina<\/option><option  value=\"North Dakota\">North Dakota<\/option><option  value=\"Ohio\">Ohio<\/option><option  value=\"Oklahoma\">Oklahoma<\/option><option  value=\"Oregon\">Oregon<\/option><option  value=\"Pennsylvania\">Pennsylvania<\/option><option  value=\"Rhode Island\">Rhode Island<\/option><option  value=\"South Carolina\">South Carolina<\/option><option  value=\"South Dakota\">South Dakota<\/option><option  value=\"Tennessee\">Tennessee<\/option><option  value=\"Texas\">Texas<\/option><option  value=\"Utah\">Utah<\/option><option  value=\"Vermont\">Vermont<\/option><option  value=\"Virginia\">Virginia<\/option><option  value=\"Washington\">Washington<\/option><option  value=\"West Virginia\">West Virginia<\/option><option  value=\"Wisconsin\">Wisconsin<\/option><option  value=\"Wyoming\">Wyoming<\/option>\t\t<\/select>\n\t<\/div>\n<div id=\"frm_field_644-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_physical_address2_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tPhysical Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_physical_address2_zip\" value=\"\" name=\"item_meta[644][zip]\"  placeholder=\"Physical Zip\"  data-reqmsg=\"Physical Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Physical Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_645_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_county2\" id=\"field_county2_label\" class=\"frm_primary_label\">County\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_county2\" name=\"item_meta[645]\" value=\"\"  placeholder=\"County\" data-reqmsg=\"County cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_county2\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_county2\">Please include only county name, i.e., \"Hamilton.\" For counties outside of Indiana, please use \"Outside Indiana\"<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_646_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div  id=\"field_open_public2_label\" class=\"frm_primary_label\">Is this location open to the public? <span style=\"font-weight:700;color:#B94A48;font-size:15px;\">*<\/span>\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_open_public2_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_646-0\"><label for=\"field_open_public2-0\">\t\t<input type=\"radio\" name=\"item_meta[646]\" id=\"field_open_public2-0\" value=\"Yes\"\n\t\t   data-invmsg=\"Is this location open to the public? &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt; is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_646-1\"><label for=\"field_open_public2-1\">\t\t<input type=\"radio\" name=\"item_meta[646]\" id=\"field_open_public2-1\" value=\"No\"\n\t\t   data-invmsg=\"Is this location open to the public? &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt; is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_647_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <div  id=\"field_mailing_address2_label\" class=\"frm_primary_label\">Mailing Address <span style=\"font-weight:700;color:#B94A48;font-size:15px;\">*<\/span>\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_mailing_address2_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tMailing Address &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt;<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_647-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_mailing_address2_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tMailing Address &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt;\t<\/label>\n\t\t<input type=\"text\" id=\"field_mailing_address2_line1\" value=\"\" name=\"item_meta[647][line1]\"  placeholder=\"Mailing Address\"  data-invmsg=\"Mailing Address &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt; is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_647-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_mailing_address2_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tMailing Address &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt;\t<\/label>\n\t\t<input type=\"text\" id=\"field_mailing_address2_line2\" value=\"\" name=\"item_meta[647][line2]\"  placeholder=\"Line 2\"  data-invmsg=\"Mailing Address &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt; is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_647-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_mailing_address2_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tMailing Address &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt;\t<\/label>\n\t\t<input type=\"text\" id=\"field_mailing_address2_city\" value=\"\" name=\"item_meta[647][city]\"  placeholder=\"Mailing Address City\"  data-invmsg=\"Mailing Address &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt; is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<\/div>\n<div id=\"frm_field_647-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_mailing_address2_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tMailing Address &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt;\t<\/label>\n\t\t\t<select name=\"item_meta[647][state]\" id=\"field_mailing_address2_state\"  placeholder=\"State\"  data-frmval=\"Indiana\" data-invmsg=\"Mailing Address &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt; is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\">\n\t\t\t<option value=\"\">\n\t\t\t\tState\t\t\t<\/option>\n\t\t\t<option  value=\"Alabama\">Alabama<\/option><option  value=\"Alaska\">Alaska<\/option><option  value=\"Arkansas\">Arkansas<\/option><option  value=\"Arizona\">Arizona<\/option><option  value=\"California\">California<\/option><option  value=\"Colorado\">Colorado<\/option><option  value=\"Connecticut\">Connecticut<\/option><option  value=\"Delaware\">Delaware<\/option><option  value=\"District of Columbia\">District of Columbia<\/option><option  value=\"Florida\">Florida<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Hawaii\">Hawaii<\/option><option  value=\"Idaho\">Idaho<\/option><option  value=\"Illinois\">Illinois<\/option><option  value=\"Indiana\" selected='selected'>Indiana<\/option><option  value=\"Iowa\">Iowa<\/option><option  value=\"Kansas\">Kansas<\/option><option  value=\"Kentucky\">Kentucky<\/option><option  value=\"Louisiana\">Louisiana<\/option><option  value=\"Maine\">Maine<\/option><option  value=\"Maryland\">Maryland<\/option><option  value=\"Massachusetts\">Massachusetts<\/option><option  value=\"Michigan\">Michigan<\/option><option  value=\"Minnesota\">Minnesota<\/option><option  value=\"Mississippi\">Mississippi<\/option><option  value=\"Missouri\">Missouri<\/option><option  value=\"Montana\">Montana<\/option><option  value=\"Nebraska\">Nebraska<\/option><option  value=\"Nevada\">Nevada<\/option><option  value=\"New Hampshire\">New Hampshire<\/option><option  value=\"New Jersey\">New Jersey<\/option><option  value=\"New Mexico\">New Mexico<\/option><option  value=\"New York\">New York<\/option><option  value=\"North Carolina\">North Carolina<\/option><option  value=\"North Dakota\">North Dakota<\/option><option  value=\"Ohio\">Ohio<\/option><option  value=\"Oklahoma\">Oklahoma<\/option><option  value=\"Oregon\">Oregon<\/option><option  value=\"Pennsylvania\">Pennsylvania<\/option><option  value=\"Rhode Island\">Rhode Island<\/option><option  value=\"South Carolina\">South Carolina<\/option><option  value=\"South Dakota\">South Dakota<\/option><option  value=\"Tennessee\">Tennessee<\/option><option  value=\"Texas\">Texas<\/option><option  value=\"Utah\">Utah<\/option><option  value=\"Vermont\">Vermont<\/option><option  value=\"Virginia\">Virginia<\/option><option  value=\"Washington\">Washington<\/option><option  value=\"West Virginia\">West Virginia<\/option><option  value=\"Wisconsin\">Wisconsin<\/option><option  value=\"Wyoming\">Wyoming<\/option>\t\t<\/select>\n\t<\/div>\n<div id=\"frm_field_647-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_mailing_address2_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tMailing Address &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt;\t<\/label>\n\t\t<input type=\"text\" id=\"field_mailing_address2_zip\" value=\"\" name=\"item_meta[647][zip]\"  placeholder=\"Zip\"  data-invmsg=\"Mailing Address &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt; is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_649_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first vertical_radio\">\r\n    <label for=\"field_ke04b\" id=\"field_ke04b_label\" class=\"frm_primary_label\">Select all Categories that best represent the products you sell OR your organization type\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<div  class=\"frm_opt_container\" role=\"group\" aria-labelledby=\"field_zn9uo_label\">\n\t\t\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-0\">\n\t\t<label for=\"field_ke04b-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-0\"\n\t\t\t\t\tvalue=\"Agritourism\"   aria-required=\"true\"  data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Agritourism\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-1\">\n\t\t<label for=\"field_ke04b-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-1\"\n\t\t\t\t\tvalue=\"Animal Fibers\/Wool\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Animal Fibers\/Wool\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-2\">\n\t\t<label for=\"field_ke04b-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-2\"\n\t\t\t\t\tvalue=\"Artisan &amp; Merchandise\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Artisan & Merchandise\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-3\">\n\t\t<label for=\"field_ke04b-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-3\"\n\t\t\t\t\tvalue=\"Body Care &amp; Candles\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Body Care & Candles\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-4\">\n\t\t<label for=\"field_ke04b-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-4\"\n\t\t\t\t\tvalue=\"Craft Beverages\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Craft Beverages\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-5\">\n\t\t<label for=\"field_ke04b-5\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-5\"\n\t\t\t\t\tvalue=\"Crops\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Crops\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-6\">\n\t\t<label for=\"field_ke04b-6\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-6\"\n\t\t\t\t\tvalue=\"Farmers Market\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Farmers Market\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-7\">\n\t\t<label for=\"field_ke04b-7\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-7\"\n\t\t\t\t\tvalue=\"Food &amp; Beverage\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Food & Beverage\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-8\">\n\t\t<label for=\"field_ke04b-8\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-8\"\n\t\t\t\t\tvalue=\"Garden Center &amp; Nurseries\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Garden Center & Nurseries\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-9\">\n\t\t<label for=\"field_ke04b-9\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-9\"\n\t\t\t\t\tvalue=\"Hardwood\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Hardwood\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-10\">\n\t\t<label for=\"field_ke04b-10\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-10\"\n\t\t\t\t\tvalue=\"Hemp Derived Product\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Hemp Derived Product\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-11\">\n\t\t<label for=\"field_ke04b-11\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-11\"\n\t\t\t\t\tvalue=\"Hydroponics\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Hydroponics\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-12\">\n\t\t<label for=\"field_ke04b-12\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-12\"\n\t\t\t\t\tvalue=\"Indiana Grown Partner\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Indiana Grown Partner\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-13\">\n\t\t<label for=\"field_ke04b-13\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-13\"\n\t\t\t\t\tvalue=\"Livestock\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Livestock\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-14\">\n\t\t<label for=\"field_ke04b-14\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-14\"\n\t\t\t\t\tvalue=\"Meat\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Meat\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-15\">\n\t\t<label for=\"field_ke04b-15\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-15\"\n\t\t\t\t\tvalue=\"Pet Accessories and Treats\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Pet Accessories and Treats\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-16\">\n\t\t<label for=\"field_ke04b-16\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-16\"\n\t\t\t\t\tvalue=\"Processing Facility\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Processing Facility\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-17\">\n\t\t<label for=\"field_ke04b-17\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-17\"\n\t\t\t\t\tvalue=\"Produce\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Produce\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-18\">\n\t\t<label for=\"field_ke04b-18\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-18\"\n\t\t\t\t\tvalue=\"Restaurant\/Food Truck\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Restaurant\/Food Truck\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-19\">\n\t\t<label for=\"field_ke04b-19\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-19\"\n\t\t\t\t\tvalue=\"Retailer\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Retailer\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-20\">\n\t\t<label for=\"field_ke04b-20\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-20\"\n\t\t\t\t\tvalue=\"Seafood\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Seafood\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-21\">\n\t\t<label for=\"field_ke04b-21\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-21\"\n\t\t\t\t\tvalue=\"Vermiculture\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Vermiculture\t\t<\/label>\n\t<\/div>\n\t\t\t<\/div>\n\t\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_650_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first vertical_radio\">\r\n    <label for=\"field_c6f6b\" id=\"field_c6f6b_label\" class=\"frm_primary_label\">Select all Subcategories that apply for your organization\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<div  class=\"frm_opt_container\" role=\"group\" aria-labelledby=\"field_zn9uo_label\">\n\t\t\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_650-0\">\n\t\t<label for=\"field_c6f6b-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[650][]\"\n\t\t\t\t\tid=\"field_c6f6b-0\"\n\t\t\t\t\tvalue=\"\"  checked=\"checked\"  aria-required=\"true\"  data-reqmsg=\"Select all Subcategories that apply for your organization cannot be blank.\" data-invmsg=\"Select all Subcategories that apply for your organization is invalid\" aria-invalid=\"false\"   \/> \t\t<\/label>\n\t<\/div>\n\t\t\t<\/div>\n\t\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_651_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_no_category2\" id=\"field_no_category2_label\" class=\"frm_primary_label\">If your product or organization does not fit within any of the above categories, provide more information:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_no_category2\" name=\"item_meta[651]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_818_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_first\">\r\n    <label for=\"field_ki5m1\" id=\"field_ki5m1_label\" class=\"frm_primary_label\">What vegetables do you grow?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ki5m1\" name=\"item_meta[818]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_819_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n    <label for=\"field_ttqzn\" id=\"field_ttqzn_label\" class=\"frm_primary_label\">What fruits do you grow?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ttqzn\" name=\"item_meta[819]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_689_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_f8bze\" id=\"field_f8bze_label\" class=\"frm_primary_label\">Where is your product sold?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_f8bze\" name=\"item_meta[689]\" value=\"\"  data-reqmsg=\"Where is your product sold? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_659_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_indiana_sourced2\" id=\"field_indiana_sourced2_label\" class=\"frm_primary_label\">List\/Describe all items you sell\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[659]\" id=\"field_indiana_sourced2\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_660_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_acres2\" id=\"field_acres2_label\" class=\"frm_primary_label\">How many acres do you farm (if actively farming)?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_acres2\" name=\"item_meta[660]\" value=\"\"  data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"99999\" step=\"any\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_661_container\" class=\"frm_form_field  frm_html_container form-field\"><\/div>\n<div id=\"frm_field_662_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div  id=\"field_export2_label\" class=\"frm_primary_label\">Are you currently exporting outside of the U.S. or interested in exporting?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_export2_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_662-0\"><label for=\"field_export2-0\">\t\t<input type=\"radio\" name=\"item_meta[662]\" id=\"field_export2-0\" value=\"Yes, exporting\"\n\t\t   data-invmsg=\"Are you currently exporting outside of the U.S. or interested in exporting? is invalid\" aria-invalid=\"false\"  \/> Yes, exporting<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_662-1\"><label for=\"field_export2-1\">\t\t<input type=\"radio\" name=\"item_meta[662]\" id=\"field_export2-1\" value=\"Yes, interested\"\n\t\t   data-invmsg=\"Are you currently exporting outside of the U.S. or interested in exporting? is invalid\" aria-invalid=\"false\"  \/> Yes, interested<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_662-2\"><label for=\"field_export2-2\">\t\t<input type=\"radio\" name=\"item_meta[662]\" id=\"field_export2-2\" value=\"Not interested\"\n\t\t   data-invmsg=\"Are you currently exporting outside of the U.S. or interested in exporting? is invalid\" aria-invalid=\"false\"  \/> Not interested<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_690_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_f67db\" id=\"field_f67db_label\" class=\"frm_primary_label\">What 3rd party audits have you completed?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_f67db\" name=\"item_meta[690]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_667_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_distribution2\" id=\"field_distribution2_label\" class=\"frm_primary_label\">How do you distribute your product(s)?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[667][]\" id=\"field_distribution2\"  multiple=\"multiple\"  data-placeholder=\"- Please Select One or More Options -\"  placeholder=\"- Please Select One or More Options -\" data-invmsg=\"How do you distribute your product(s)? is invalid\" class=\"frm_slimselect\" aria-invalid=\"false\"  >\n\t\t<option  class=\"frm-select-placeholder\" value=\"\" data-placeholder=\"true\">- Please Select One or More Options -<\/option><option  value=\"Distributor\">Distributor<\/option><option  value=\"Self-distributed\">Self-distributed<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_691_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_fp4q2\" id=\"field_fp4q2_label\" class=\"frm_primary_label\">Who is the distributor?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_fp4q2\" name=\"item_meta[691]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_668_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_vet_status2\" id=\"field_vet_status2_label\" class=\"frm_primary_label\">Are you a veteran of the Armed Forces?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[668][]\" id=\"field_vet_status2\"  multiple=\"multiple\"  data-placeholder=\"- Please Select One or More Options -\"  placeholder=\"- Please Select One or More Options -\" data-invmsg=\"Are you a veteran of the Armed Forces? is invalid\" class=\"frm_slimselect\" aria-invalid=\"false\"  >\n\t\t<option  class=\"frm-select-placeholder\" value=\"\" data-placeholder=\"true\">- Please Select One or More Options -<\/option><option  value=\"None\">None<\/option><option  value=\"Army\">Army<\/option><option  value=\"Navy\">Navy<\/option><option  value=\"Marines\">Marines<\/option><option  value=\"Air Force\">Air Force<\/option><option  value=\"National Guard\">National Guard<\/option><option  value=\"Coast Guard\">Coast Guard<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_692_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div  id=\"field_gc6g7_label\" class=\"frm_primary_label\">Are you a home-based vendor (HBV)?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_gc6g7_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_692-0\"><label for=\"field_gc6g7-0\">\t\t<input type=\"radio\" name=\"item_meta[692]\" id=\"field_gc6g7-0\" value=\"Yes\"\n\t\t   data-invmsg=\"Are you a home-based vendor (HBV)? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_692-1\"><label for=\"field_gc6g7-1\">\t\t<input type=\"radio\" name=\"item_meta[692]\" id=\"field_gc6g7-1\" value=\"No\"\n\t\t   data-invmsg=\"Are you a home-based vendor (HBV)? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_820_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div  id=\"field_lghx_label\" class=\"frm_primary_label\">Do you use a commercial kitchen?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_lghx_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_820-0\"><label for=\"field_lghx-0\">\t\t<input type=\"radio\" name=\"item_meta[820]\" id=\"field_lghx-0\" value=\"Yes\"\n\t\t   data-invmsg=\"Do you use a commercial kitchen? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_820-1\"><label for=\"field_lghx-1\">\t\t<input type=\"radio\" name=\"item_meta[820]\" id=\"field_lghx-1\" value=\"No\"\n\t\t   data-invmsg=\"Do you use a commercial kitchen? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_821_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_7zckx\" id=\"field_7zckx_label\" class=\"frm_primary_label\">Commercial Kitchen Name & Location\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_7zckx\" name=\"item_meta[821]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_693_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div  id=\"field_ln7l5_label\" class=\"frm_primary_label\">Do you use a Co-Packer?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_ln7l5_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_693-0\"><label for=\"field_ln7l5-0\">\t\t<input type=\"radio\" name=\"item_meta[693]\" id=\"field_ln7l5-0\" value=\"Yes\"\n\t\t   data-invmsg=\"Do you use a Co-Packer? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_693-1\"><label for=\"field_ln7l5-1\">\t\t<input type=\"radio\" name=\"item_meta[693]\" id=\"field_ln7l5-1\" value=\"No\"\n\t\t   data-invmsg=\"Do you use a Co-Packer? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_694_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_ittoz\" id=\"field_ittoz_label\" class=\"frm_primary_label\">What is the Co-Packer name & location?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ittoz\" name=\"item_meta[694]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_669_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_why_ig2\" id=\"field_why_ig2_label\" class=\"frm_primary_label\">Why are you interested in joining Indiana Grown?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_why_ig2\" name=\"item_meta[669]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_670_container\" class=\"frm_form_field form-field  frm_top_container frm_third frm_first\">\r\n    <label for=\"field_website2\" id=\"field_website2_label\" class=\"frm_primary_label\">Business Website:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"url\" id=\"field_website2\" name=\"item_meta[670]\" value=\"\"  placeholder=\"Please include full URL\" data-invmsg=\"Website\/URL is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_671_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_facebook2\" id=\"field_facebook2_label\" class=\"frm_primary_label\">Business Facebook URL:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"url\" id=\"field_facebook2\" name=\"item_meta[671]\" value=\"\"  placeholder=\"Please include full URL\" data-invmsg=\"Website\/URL is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_673_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_instagram2\" id=\"field_instagram2_label\" class=\"frm_primary_label\">Business Instagram URL:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"url\" id=\"field_instagram2\" name=\"item_meta[673]\" value=\"\"  placeholder=\"Please include full URL\" data-invmsg=\"Website\/URL is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_674_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_description2\" id=\"field_description2_label\" class=\"frm_primary_label\">Description of your business <span style=\"font-weight:700;color:#B94A48;font-size:15px;\">*<\/span>\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <div id=\"wp-field_description2-wrap\" class=\"wp-core-ui wp-editor-wrap html-active\"><link rel='stylesheet' id='dashicons-css' href='https:\/\/indianagrown.org\/wp-includes\/css\/dashicons.min.css?ver=6.5.3' type='text\/css' media='all' \/>\n<link rel='stylesheet' id='editor-buttons-css' href='https:\/\/indianagrown.org\/wp-includes\/css\/editor.min.css?ver=6.5.3' type='text\/css' media='all' \/>\n<div id=\"wp-field_description2-editor-container\" class=\"wp-editor-container\"><div id=\"qt_field_description2_toolbar\" class=\"quicktags-toolbar hide-if-no-js\"><\/div><textarea class=\"wp-editor-area\" rows=\"5\" cols=\"40\" name=\"item_meta[674]\" id=\"field_description2\"><\/textarea><\/div>\n<\/div>\n\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_675_container\" class=\"frm_form_field form-field  frm_top_container frm_compact\">\r\n    <label for=\"field_profile_picture2\" id=\"field_profile_picture2_label\" class=\"frm_primary_label\">Upload profile photo\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\"  data-invmsg=\"File Upload is invalid\" class=\"auto_width\" aria-invalid=\"false\"   name=\"item_meta[675]\"  value=\"\" data-frmfile=\"675\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file675_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file675\" id=\"field_profile_picture2\"\n\t\t\t data-invmsg=\"File Upload is invalid\" class=\"auto_width\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Upload profile photo. Drop a file here or click to upload. Maximum file size: 15MB\">Drop a file here or click to upload<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Upload profile photo. Choose File. Maximum file size: 15MB\">Choose File<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Maximum file size: 15MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_676_container\" class=\"frm_form_field  frm_html_container form-field\"><strong>The following self-identifying questions are voluntary and not required for membership consideration. We request this information to help us better understand and serve our members. Answer the following questions about the primary owner\/operator the farm or business listed on this application:<\/strong><\/div>\n<div id=\"frm_field_677_container\" class=\"frm_form_field form-field  frm_top_container frm_two_col frm_other_container\">\r\n    <div  id=\"field_cjne82_label\" class=\"frm_primary_label\">What is your race \/ ethnicity?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_cjne82_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_677-0\"><label for=\"field_cjne82-0\">\t\t<input type=\"radio\" name=\"item_meta[677]\" id=\"field_cjne82-0\" value=\"Asian\"\n\t\t   data-invmsg=\"What is your race \/ ethnicity? is invalid\" aria-invalid=\"false\"  \/> Asian<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_677-1\"><label for=\"field_cjne82-1\">\t\t<input type=\"radio\" name=\"item_meta[677]\" id=\"field_cjne82-1\" value=\"Black or African American\"\n\t\t   data-invmsg=\"What is your race \/ ethnicity? is invalid\" aria-invalid=\"false\"  \/> Black or African American<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_677-2\"><label for=\"field_cjne82-2\">\t\t<input type=\"radio\" name=\"item_meta[677]\" id=\"field_cjne82-2\" value=\"Hispanic\/Latino\"\n\t\t   data-invmsg=\"What is your race \/ ethnicity? is invalid\" aria-invalid=\"false\"  \/> Hispanic\/Latino<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_677-3\"><label for=\"field_cjne82-3\">\t\t<input type=\"radio\" name=\"item_meta[677]\" id=\"field_cjne82-3\" value=\"Native American\/Alaskan\"\n\t\t   data-invmsg=\"What is your race \/ ethnicity? is invalid\" aria-invalid=\"false\"  \/> Native American\/Alaskan<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_677-4\"><label for=\"field_cjne82-4\">\t\t<input type=\"radio\" name=\"item_meta[677]\" id=\"field_cjne82-4\" value=\"Native Hawaiian\/Pacific Islander\"\n\t\t   data-invmsg=\"What is your race \/ ethnicity? is invalid\" aria-invalid=\"false\"  \/> Native Hawaiian\/Pacific Islander<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_677-7\"><label for=\"field_cjne82-7\">\t\t<input type=\"radio\" name=\"item_meta[677]\" id=\"field_cjne82-7\" value=\"White\"\n\t\t   data-invmsg=\"What is your race \/ ethnicity? is invalid\" aria-invalid=\"false\"  \/> White<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_677-5\"><label for=\"field_cjne82-5\">\t\t<input type=\"radio\" name=\"item_meta[677]\" id=\"field_cjne82-5\" value=\"Prefer Not to Answer\"\n\t\t   data-invmsg=\"What is your race \/ ethnicity? is invalid\" aria-invalid=\"false\"  \/> Prefer Not to Answer<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_677-other_6\"><label for=\"field_cjne82-other_6\">\t\t<input type=\"radio\" name=\"item_meta[677]\" id=\"field_cjne82-other_6\" value=\"Other\"\n\t\t   data-invmsg=\"What is your race \/ ethnicity? is invalid\" aria-invalid=\"false\"  \/> Other<\/label><label for=\"field_cjne82-other_6-otext\" class=\"frm_screen_reader frm_hidden\">Other<\/label><input type=\"text\" id=\"field_cjne82-other_6-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][677]\" value=\"\" \/><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_827_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div  id=\"field_6mfbh_label\" class=\"frm_primary_label\">Do you want a BIPOC (Black, Indigenous, People of Color) distinction included on your directory profile?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_6mfbh_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_827-0\"><label for=\"field_6mfbh-0\">\t\t<input type=\"radio\" name=\"item_meta[827]\" id=\"field_6mfbh-0\" value=\"Yes\"\n\t\t   data-invmsg=\"Do you want a BIPOC (Black, Indigenous, People of Color) distinction included on your directory profile? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_827-1\"><label for=\"field_6mfbh-1\">\t\t<input type=\"radio\" name=\"item_meta[827]\" id=\"field_6mfbh-1\" value=\"No\"\n\t\t   data-invmsg=\"Do you want a BIPOC (Black, Indigenous, People of Color) distinction included on your directory profile? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_678_container\" class=\"frm_form_field form-field  frm_top_container frm_three_col\">\r\n    <div  id=\"field_gfxmi2_label\" class=\"frm_primary_label\">What is the gender with which you primarily identify?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_gfxmi2_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_678-0\"><label for=\"field_gfxmi2-0\">\t\t<input type=\"radio\" name=\"item_meta[678]\" id=\"field_gfxmi2-0\" value=\"Male\"\n\t\t   data-invmsg=\"What is the gender with which you primarily identify? is invalid\" aria-invalid=\"false\"  \/> Male<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_678-1\"><label for=\"field_gfxmi2-1\">\t\t<input type=\"radio\" name=\"item_meta[678]\" id=\"field_gfxmi2-1\" value=\"Female\"\n\t\t   data-invmsg=\"What is the gender with which you primarily identify? is invalid\" aria-invalid=\"false\"  \/> Female<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_678-2\"><label for=\"field_gfxmi2-2\">\t\t<input type=\"radio\" name=\"item_meta[678]\" id=\"field_gfxmi2-2\" value=\"Prefer Not to Answer\"\n\t\t   data-invmsg=\"What is the gender with which you primarily identify? is invalid\" aria-invalid=\"false\"  \/> Prefer Not to Answer<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_679_container\" class=\"frm_form_field form-field  frm_top_container frm_three_col\">\r\n    <div  id=\"field_elatm2_label\" class=\"frm_primary_label\">What is your age?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_elatm2_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_679-0\"><label for=\"field_elatm2-0\">\t\t<input type=\"radio\" name=\"item_meta[679]\" id=\"field_elatm2-0\" value=\"&lt; 18\"\n\t\t   data-invmsg=\"What is your age? is invalid\" aria-invalid=\"false\"  \/> &lt; 18<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_679-1\"><label for=\"field_elatm2-1\">\t\t<input type=\"radio\" name=\"item_meta[679]\" id=\"field_elatm2-1\" value=\"18-30\"\n\t\t   data-invmsg=\"What is your age? is invalid\" aria-invalid=\"false\"  \/> 18-30<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_679-2\"><label for=\"field_elatm2-2\">\t\t<input type=\"radio\" name=\"item_meta[679]\" id=\"field_elatm2-2\" value=\"31-45\"\n\t\t   data-invmsg=\"What is your age? is invalid\" aria-invalid=\"false\"  \/> 31-45<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_679-3\"><label for=\"field_elatm2-3\">\t\t<input type=\"radio\" name=\"item_meta[679]\" id=\"field_elatm2-3\" value=\"46-55\"\n\t\t   data-invmsg=\"What is your age? is invalid\" aria-invalid=\"false\"  \/> 46-55<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_679-4\"><label for=\"field_elatm2-4\">\t\t<input type=\"radio\" name=\"item_meta[679]\" id=\"field_elatm2-4\" value=\"56-65\"\n\t\t   data-invmsg=\"What is your age? is invalid\" aria-invalid=\"false\"  \/> 56-65<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_679-5\"><label for=\"field_elatm2-5\">\t\t<input type=\"radio\" name=\"item_meta[679]\" id=\"field_elatm2-5\" value=\"66-75\"\n\t\t   data-invmsg=\"What is your age? is invalid\" aria-invalid=\"false\"  \/> 66-75<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_679-6\"><label for=\"field_elatm2-6\">\t\t<input type=\"radio\" name=\"item_meta[679]\" id=\"field_elatm2-6\" value=\"&gt; 75\"\n\t\t   data-invmsg=\"What is your age? is invalid\" aria-invalid=\"false\"  \/> &gt; 75<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_679-7\"><label for=\"field_elatm2-7\">\t\t<input type=\"radio\" name=\"item_meta[679]\" id=\"field_elatm2-7\" value=\"Prefer Not to Answer\"\n\t\t   data-invmsg=\"What is your age? is invalid\" aria-invalid=\"false\"  \/> Prefer Not to Answer<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_695_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first frm_three_col\">\r\n    <div  id=\"field_z47x9_label\" class=\"frm_primary_label\">Is your business a certified Minority Business Enterprise (MBE)?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_z47x9_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_695-0\"><label for=\"field_z47x9-0\">\t\t<input type=\"radio\" name=\"item_meta[695]\" id=\"field_z47x9-0\" value=\"Yes\"\n\t\t   data-invmsg=\"Is your business a certified Minority Business Enterprise (MBE)? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_695-1\"><label for=\"field_z47x9-1\">\t\t<input type=\"radio\" name=\"item_meta[695]\" id=\"field_z47x9-1\" value=\"No\"\n\t\t   data-invmsg=\"Is your business a certified Minority Business Enterprise (MBE)? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_695-2\"><label for=\"field_z47x9-2\">\t\t<input type=\"radio\" name=\"item_meta[695]\" id=\"field_z47x9-2\" value=\"N\/A\"\n\t\t   data-invmsg=\"Is your business a certified Minority Business Enterprise (MBE)? is invalid\" aria-invalid=\"false\"  \/> N\/A<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_696_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first frm_three_col\">\r\n    <div  id=\"field_5lkh1_label\" class=\"frm_primary_label\">Is your business a certified Women-Owned Business Enterprise (WBE)?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_5lkh1_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_696-0\"><label for=\"field_5lkh1-0\">\t\t<input type=\"radio\" name=\"item_meta[696]\" id=\"field_5lkh1-0\" value=\"Yes\"\n\t\t   data-invmsg=\"Is your business a certified Women-Owned Business Enterprise (WBE)? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_696-1\"><label for=\"field_5lkh1-1\">\t\t<input type=\"radio\" name=\"item_meta[696]\" id=\"field_5lkh1-1\" value=\"No\"\n\t\t   data-invmsg=\"Is your business a certified Women-Owned Business Enterprise (WBE)? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_696-2\"><label for=\"field_5lkh1-2\">\t\t<input type=\"radio\" name=\"item_meta[696]\" id=\"field_5lkh1-2\" value=\"N\/A\"\n\t\t   data-invmsg=\"Is your business a certified Women-Owned Business Enterprise (WBE)? is invalid\" aria-invalid=\"false\"  \/> N\/A<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_698_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first vertical_radio\">\r\n    <div  id=\"field_znqer_label\" class=\"frm_primary_label\">Are you a first-generation farmer?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_znqer_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_698-0\"><label for=\"field_znqer-0\">\t\t<input type=\"radio\" name=\"item_meta[698]\" id=\"field_znqer-0\" value=\"Yes\"\n\t\t   data-invmsg=\"Are you a first-generation farmer? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_698-1\"><label for=\"field_znqer-1\">\t\t<input type=\"radio\" name=\"item_meta[698]\" id=\"field_znqer-1\" value=\"No\"\n\t\t   data-invmsg=\"Are you a first-generation farmer? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_699_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_yy8tg\" id=\"field_yy8tg_label\" class=\"frm_primary_label\">What generation are you?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_yy8tg\" name=\"item_meta[699]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_683_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div  id=\"field_ea45i2_label\" class=\"frm_primary_label\">I agree to Indiana Grown's <a target=\"_blank\" href=\"\/terms-conditions\/\">Terms & Conditions<\/a> <span style=\"font-weight:700;color:#B94A48;font-size:15px;\">*<\/span>\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_ea45i2_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_683-0\"><label for=\"field_ea45i2-0\">\t\t<input type=\"radio\" name=\"item_meta[683]\" id=\"field_ea45i2-0\" value=\"Yes\"\n\t\t   data-invmsg=\"I agree to Indiana Grown&#039;s &lt;a target=&quot;_blank&quot; href=&quot;\/terms-conditions\/&quot;&gt;Terms &amp; Conditions&lt;\/a&gt; &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt; is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_814_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_irzee\" id=\"field_irzee_label\" class=\"frm_primary_label\">Signature\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <div class=\"sigPad\" id='sigPad814' style=\"max-width:400px;\">\n\t<div class=\"sig sigWrapper\" style=\"height:150px;border-color:#BFC3C8;--bg-color:#ffffff;--active:#579AF6;--inactive:#eaeaea;--active-text:#ffffff;--inactive-text:#3f4b5b;--button-margin:22px;--button-size:20px;--button-padding:10px;--button-side-margin:22px;--icon:20px\">\n\n\t\t<ul class=\"sigNav\">\n\t\t\t\t<li class=\"drawIt\">\n\t\t\t\t\t<a href=\"#\" class=\"frm-active-sig-type\" title=\"Draw It\" aria-label=\"Draw It\">\n\t\t\t\t\t\t<svg  viewBox=\"0 0 22 20\" class=\"frmsvg\">\n\t<title>signature<\/title>\n\t<path d=\"M19.7 2.2A3.5 3.5 0 0 0 14 1.1L1.7 13.4a1 1 0 0 0-.3.4l-1.3 5a.9.9 0 0 0 0 .5 1 1 0 0 0 1 .6l5-1.3c.2 0 .4-.1.5-.3L18.9 6a3.5 3.5 0 0 0 .7-3.8zm-6.8 2.6L15.2 7l-8.6 8.7-2.4-2.4zm-10.7 13l1-3.3L5.4 17zM18 4.2l-.4.5L16.3 6 14 3.7l1.3-1.3A1.7 1.7 0 0 1 18 3.6l-.1.6zM9 17.9h11v1H9v-1z\"><\/path>\n\n<\/svg>\t\t\t\t\t<\/a>\n\t\t\t\t<\/li>\n\t\t\t\t<li class=\"typeIt\">\n\t\t\t\t\t<a href=\"#\" class=\"\" title=\"Type It\" aria-label=\"Type It\">\n\t\t\t\t\t\t<svg  viewBox=\"0 0 22 20\" class=\"frmsvg\">\n\t<title>keyboard<\/title>\n\t<path d=\"M20.6 2.5H2c-1 0-1.9.8-1.9 1.9v11.2c0 1 .8 1.9 1.9 1.9h18.7c1 0 1.9-.8 1.9-1.9V4.4c0-1-.8-1.9-1.9-1.9zm.3 13.1c0 .2-.1.3-.3.3H2a.3.3 0 0 1-.3-.3V4.4c0-.2.1-.3.3-.3h18.7c.2 0 .3.1.3.3v11.2zm-14.3-5V9.4c0-.3-.2-.5-.4-.5H5c-.3 0-.5.2-.5.5v1c0 .3.2.5.5.5h1c.3 0 .5-.2.5-.5zm3.8 0V9.4c0-.3-.2-.5-.5-.5H9c-.3 0-.5.2-.5.5v1c0 .3.2.5.4.5H10c.3 0 .5-.2.5-.5zm3.7 0V9.4c0-.3-.2-.5-.4-.5h-1.1c-.3 0-.5.2-.5.5v1c0 .3.2.5.5.5h1c.3 0 .5-.2.5-.5zm3.8 0V9.4c0-.3-.2-.5-.5-.5h-1c-.3 0-.5.2-.5.5v1c0 .3.2.5.4.5h1.1c.3 0 .5-.2.5-.5zM4.8 7.2v-1c0-.3-.2-.5-.5-.5H3.2c-.3 0-.5.2-.5.4v1.1c0 .3.2.5.5.5h1.1c.3 0 .5-.2.5-.5zm3.7 0v-1c0-.3-.2-.5-.5-.5H7c-.3 0-.5.2-.5.4v1.1c0 .3.2.5.5.5h1c.3 0 .5-.2.5-.5zm3.8 0v-1c0-.3-.2-.5-.5-.5h-1.1c-.3 0-.5.2-.5.4v1.1c0 .3.2.5.5.5h1.1c.3 0 .5-.2.5-.5zm3.7 0v-1c0-.3-.2-.5-.5-.5h-1c-.3 0-.5.2-.5.4v1.1c0 .3.2.5.5.5h1c.3 0 .5-.2.5-.5zm3.8 0v-1c0-.3-.2-.5-.5-.5h-1.1c-.3 0-.5.2-.5.4v1.1c0 .3.2.5.5.5h1.1c.3 0 .5-.2.5-.5zm-2 6.2V13c0-.3-.2-.5-.6-.5h-12c-.3 0-.6.2-.6.5v.6c0 .3.3.5.7.5h12c.3 0 .6-.2.6-.5z\"><\/path>\n<\/svg>\t\t\t\t\t<\/a>\n\t\t\t\t<\/li>\n\t\t<\/ul>\n\n\t\t<span class=\"frm-typed-drawline\"><\/span>\n\n\t\t<div class=\"typed\">\n\t\t\t<input type=\"text\" name=\"item_meta[814][typed]\" class=\"name\" id=\"field_irzee\" autocomplete=\"off\" value=\"\"  style=\"width:400px\" maxlength=\"150\" data-reqmsg=\"Signature cannot be blank.\" aria-required=\"true\" class=\"auto_width\" aria-invalid=\"false\"   \/>\n\t\t<\/div>\n\n\t\t<canvas class=\"pad\" data-fieldid=\"814\" data-fieldname=\"item_meta[814]\" width=\"396\" height=\"150\"><\/canvas>\n\t\t<div class=\"clearButton\"><a href=\"#clear\">Clear<\/a><\/div>\n\n\t\t<input type=\"hidden\" name=\"item_meta[814][output]\" class=\"output\" value=\"\" \/>\n\t<\/div>\n<\/div>\n\r\n    \r\n    \r\n<\/div>\n<input type=\"hidden\" name=\"item_meta[686]\" id=\"field_xt7yr2\" value=\"2024-05-17\"  data-frmval=\"2024-05-17\"   \/>\n<input type=\"hidden\" name=\"item_meta[687]\" id=\"field_6xhue2\" value=\"\" data-frmval=\"\"\/>\n<div id=\"frm_field_688_container\" class=\"frm_form_field form-field  frm_none_container\">\r\n    <label for=\"g-recaptcha-response\" id=\"field_6gcda2_label\" class=\"frm_primary_label\">Captcha\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <div  id=\"field_6gcda2\" class=\"frm-g-recaptcha\" data-sitekey=\"6Lc_IPwhAAAAADBx9udjI2AfWacTTueNUvfhfNYT\" data-size=\"normal\" data-theme=\"light\"><\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_928_container\" class=\"frm_form_field form-field \">\n\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"   formnovalidate=\"formnovalidate\">Submit<\/button>\r\n\r\n\r\n<\/div>\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t\t<div class=\"frm__654bf6931633c\">\n\t\t\t\t<label for=\"frm_email_40\" >\n\t\t\t\t\tIf you are human, leave this field blank.\t\t\t\t<\/label>\n\t\t\t\t<input  id=\"frm_email_40\" type=\"text\" class=\"frm_verify\" name=\"frm__654bf6931633c\" value=\"\" autocomplete=\"false\"  \/>\n\t\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"Cw5HxlCYJT3t5dCo3AOsLuB0agbmaMWVUa79V1dwXa8=\" \/><\/div>\n<\/fieldset>\n<\/div>\n<\/form>\n<\/div>\n<script>\nvar frmSigs=[{\"bgColour\":\"rgba(0,0,0,0)\",\"id\":\"814\",\"width\":\"400\",\"height\":\"150\",\"line_top\":105.5,\"line_margin\":20,\"line_color\":\"#BFC3C8\",\"line_width\":1,\"default_tab\":\"drawIt\",\"bg_color\":\"#ffffff\",\"text_color\":\"#555555\",\"border_color\":\"#BFC3C8\"}];\nif(typeof __FRMSIG === 'undefined'){__FRMSIG=frmSigs;}else{__FRMSIG=jQuery.extend(__FRMSIG,frmSigs);}\n<\/script>\n[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Register for Indiana Grown<div class=\"frm_forms  with_frm_style frm_style_registration-form-style\" id=\"frm_form_40_container\" data-token=\"f7a1c56451ccfc6ef91449b0210b3623\" data-token=\"f7a1c56451ccfc6ef91449b0210b3623\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_js_validate  frm_ajax_submit  frm_pro_form  frm_slidein \" id=\"form_registerforindianagrown2\"  data-token=\"f7a1c56451ccfc6ef91449b0210b3623\" data-token=\"f7a1c56451ccfc6ef91449b0210b3623\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">1) Register for Indiana Grown-new<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"40\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_40\" id=\"frm_hide_fields_40\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"registerforindianagrown2\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_40\" name=\"frm_submit_entry_40\" value=\"54bc7408bf\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/9110\" \/><input type=\"hidden\" name=\"item_meta[633]\" id=\"field_jv0002\" value=\"pending\"  data-frmval=\"pending\"   \/>\n<input type=\"hidden\" name=\"item_meta[634]\" id=\"field_8hlf92-0\" value=\"\"     \/>\n<div id=\"frm_field_635_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half frm_first\">\r\n    <label for=\"field_certificate_name2\" id=\"field_certificate_name2_label\" class=\"frm_primary_label\">Legal Business Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_certificate_name2\" name=\"item_meta[635]\" value=\"\"  placeholder=\"Legal Business Name\" data-reqmsg=\"Legal Business Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_636_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_display_name2\" id=\"field_display_name2_label\" class=\"frm_primary_label\">Display Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_display_name2\" name=\"item_meta[636]\" value=\"\"  placeholder=\"Display Name\" data-reqmsg=\"Display Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_display_name2\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_display_name2\">The display name will be visible on Indiana Grown's website<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_637_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half frm_first\">\r\n    <label for=\"field_first_name2\" id=\"field_first_name2_label\" class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_first_name2\" name=\"item_meta[637]\" value=\"\"  placeholder=\"First Name\" data-reqmsg=\"First Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_638_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_last_name2\" id=\"field_last_name2_label\" class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_last_name2\" name=\"item_meta[638]\" value=\"\"  placeholder=\"Last Name\" data-reqmsg=\"Last Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_639_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_first\">\r\n    <label for=\"field_phone_number2\" id=\"field_phone_number2_label\" class=\"frm_primary_label\">Phone Number <span style=\"font-weight:700;color:#B94A48;font-size:15px;\">*<\/span>\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_phone_number2\" name=\"item_meta[639]\" value=\"\"  data-frmmask=\"999-999-9999\" placeholder=\"317-555-5555\" data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"\\d\\d\\d-\\d\\d\\d-\\d\\d\\d\\d$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_640_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_user_email2\" id=\"field_user_email2_label\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_user_email2\" name=\"item_meta[640]\" value=\"\"  placeholder=\"email@address.com\" data-reqmsg=\"Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_user_email2\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_user_email2\">Please use a business email. This will be featured in our member directory as a means of contacting you.<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_641_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_first vertical_radio\">\r\n    <div  id=\"field_phone_public2_label\" class=\"frm_primary_label\">Would you like this phone number to be visible on your public profile? <span style=\"font-weight:700;color:#B94A48;font-size:15px;\">*<\/span>\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_phone_public2_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_641-0\"><label for=\"field_phone_public2-0\">\t\t<input type=\"radio\" name=\"item_meta[641]\" id=\"field_phone_public2-0\" value=\"Yes\"\n\t\t   data-invmsg=\"Would you like this phone number to be visible on your public profile? &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt; is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_641-1\"><label for=\"field_phone_public2-1\">\t\t<input type=\"radio\" name=\"item_meta[641]\" id=\"field_phone_public2-1\" value=\"No\"\n\t\t   data-invmsg=\"Would you like this phone number to be visible on your public profile? &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt; is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_642_container\" class=\"frm_form_field form-field  frm_top_container frm_half vertical_radio\">\r\n    <div  id=\"field_zm7f2_label\" class=\"frm_primary_label\">Would you like this email to be visible on your public profile? <span style=\"font-weight:700;color:#B94A48;font-size:15px;\">*<\/span>\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_zm7f2_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_642-0\"><label for=\"field_zm7f2-0\">\t\t<input type=\"radio\" name=\"item_meta[642]\" id=\"field_zm7f2-0\" value=\"Yes\"\n\t\t   data-invmsg=\"Would you like this email to be visible on your public profile? &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt; is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_642-1\"><label for=\"field_zm7f2-1\">\t\t<input type=\"radio\" name=\"item_meta[642]\" id=\"field_zm7f2-1\" value=\"No\"\n\t\t   data-invmsg=\"Would you like this email to be visible on your public profile? &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt; is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_1010_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_two_col\">\n\t<div  id=\"field_d1tlt_label\" class=\"frm_primary_label\">Are you new to Indiana Grown or renewing your membership?\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n\t<\/div>\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_d1tlt_label\" role=\"group\">\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_1010-0\"><label for=\"field_d1tlt-0\"><input type=\"checkbox\" name=\"item_meta[1010][]\" id=\"field_d1tlt-0\" value=\"New Member Application\"  data-reqmsg=\"Are you new to Indiana Grown or renewing your membership? cannot be blank.\" data-invmsg=\"Are you new to Indiana Grown or renewing your membership? is invalid\" aria-invalid=\"false\"   aria-required=\"true\"  \/> New Member Application<\/label><\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_1010-1\"><label for=\"field_d1tlt-1\"><input type=\"checkbox\" name=\"item_meta[1010][]\" id=\"field_d1tlt-1\" value=\"Renewal Application\"  data-reqmsg=\"Are you new to Indiana Grown or renewing your membership? cannot be blank.\" data-invmsg=\"Are you new to Indiana Grown or renewing your membership? is invalid\" aria-invalid=\"false\"   \/> Renewal Application<\/label><\/div>\n<\/div>\n\t\n\t\n<\/div>\n<div id=\"frm_field_643_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_additional_emails2\" id=\"field_additional_emails2_label\" class=\"frm_primary_label\">Are there any additional emails we should send announcements to?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_additional_emails2\" name=\"item_meta[643]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_additional_emails2\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_additional_emails2\">Please separate multiple emails by comma.<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_644_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <div  id=\"field_physical_address2_label\" class=\"frm_primary_label\">Physical Address\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_physical_address2_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tPhysical Address<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_644-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_physical_address2_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tPhysical Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_physical_address2_line1\" value=\"\" name=\"item_meta[644][line1]\"  placeholder=\"Physical Address Line 1\"  data-reqmsg=\"Physical Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Physical Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_644-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_physical_address2_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tPhysical Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_physical_address2_line2\" value=\"\" name=\"item_meta[644][line2]\"  placeholder=\"Physical Address Line 2\"  data-reqmsg=\"Physical Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Physical Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_644-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_physical_address2_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tPhysical Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_physical_address2_city\" value=\"\" name=\"item_meta[644][city]\"  placeholder=\"Physical City\"  data-reqmsg=\"Physical Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Physical Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<\/div>\n<div id=\"frm_field_644-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_physical_address2_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tPhysical Address\t<\/label>\n\t\t\t<select name=\"item_meta[644][state]\" id=\"field_physical_address2_state\"  placeholder=\"Physical State\"  data-frmval=\"Indiana\" data-reqmsg=\"Physical Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Physical Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\">\n\t\t\t<option value=\"\">\n\t\t\t\tPhysical State\t\t\t<\/option>\n\t\t\t<option  value=\"Alabama\">Alabama<\/option><option  value=\"Alaska\">Alaska<\/option><option  value=\"Arkansas\">Arkansas<\/option><option  value=\"Arizona\">Arizona<\/option><option  value=\"California\">California<\/option><option  value=\"Colorado\">Colorado<\/option><option  value=\"Connecticut\">Connecticut<\/option><option  value=\"Delaware\">Delaware<\/option><option  value=\"District of Columbia\">District of Columbia<\/option><option  value=\"Florida\">Florida<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Hawaii\">Hawaii<\/option><option  value=\"Idaho\">Idaho<\/option><option  value=\"Illinois\">Illinois<\/option><option  value=\"Indiana\" selected='selected'>Indiana<\/option><option  value=\"Iowa\">Iowa<\/option><option  value=\"Kansas\">Kansas<\/option><option  value=\"Kentucky\">Kentucky<\/option><option  value=\"Louisiana\">Louisiana<\/option><option  value=\"Maine\">Maine<\/option><option  value=\"Maryland\">Maryland<\/option><option  value=\"Massachusetts\">Massachusetts<\/option><option  value=\"Michigan\">Michigan<\/option><option  value=\"Minnesota\">Minnesota<\/option><option  value=\"Mississippi\">Mississippi<\/option><option  value=\"Missouri\">Missouri<\/option><option  value=\"Montana\">Montana<\/option><option  value=\"Nebraska\">Nebraska<\/option><option  value=\"Nevada\">Nevada<\/option><option  value=\"New Hampshire\">New Hampshire<\/option><option  value=\"New Jersey\">New Jersey<\/option><option  value=\"New Mexico\">New Mexico<\/option><option  value=\"New York\">New York<\/option><option  value=\"North Carolina\">North Carolina<\/option><option  value=\"North Dakota\">North Dakota<\/option><option  value=\"Ohio\">Ohio<\/option><option  value=\"Oklahoma\">Oklahoma<\/option><option  value=\"Oregon\">Oregon<\/option><option  value=\"Pennsylvania\">Pennsylvania<\/option><option  value=\"Rhode Island\">Rhode Island<\/option><option  value=\"South Carolina\">South Carolina<\/option><option  value=\"South Dakota\">South Dakota<\/option><option  value=\"Tennessee\">Tennessee<\/option><option  value=\"Texas\">Texas<\/option><option  value=\"Utah\">Utah<\/option><option  value=\"Vermont\">Vermont<\/option><option  value=\"Virginia\">Virginia<\/option><option  value=\"Washington\">Washington<\/option><option  value=\"West Virginia\">West Virginia<\/option><option  value=\"Wisconsin\">Wisconsin<\/option><option  value=\"Wyoming\">Wyoming<\/option>\t\t<\/select>\n\t<\/div>\n<div id=\"frm_field_644-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_physical_address2_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tPhysical Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_physical_address2_zip\" value=\"\" name=\"item_meta[644][zip]\"  placeholder=\"Physical Zip\"  data-reqmsg=\"Physical Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Physical Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_645_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_county2\" id=\"field_county2_label\" class=\"frm_primary_label\">County\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_county2\" name=\"item_meta[645]\" value=\"\"  placeholder=\"County\" data-reqmsg=\"County cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_county2\"\/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_county2\">Please include only county name, i.e., \"Hamilton.\" For counties outside of Indiana, please use \"Outside Indiana\"<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_646_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div  id=\"field_open_public2_label\" class=\"frm_primary_label\">Is this location open to the public? <span style=\"font-weight:700;color:#B94A48;font-size:15px;\">*<\/span>\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_open_public2_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_646-0\"><label for=\"field_open_public2-0\">\t\t<input type=\"radio\" name=\"item_meta[646]\" id=\"field_open_public2-0\" value=\"Yes\"\n\t\t   data-invmsg=\"Is this location open to the public? &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt; is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_646-1\"><label for=\"field_open_public2-1\">\t\t<input type=\"radio\" name=\"item_meta[646]\" id=\"field_open_public2-1\" value=\"No\"\n\t\t   data-invmsg=\"Is this location open to the public? &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt; is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_647_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <div  id=\"field_mailing_address2_label\" class=\"frm_primary_label\">Mailing Address <span style=\"font-weight:700;color:#B94A48;font-size:15px;\">*<\/span>\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_mailing_address2_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tMailing Address &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt;<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_647-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_mailing_address2_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tMailing Address &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt;\t<\/label>\n\t\t<input type=\"text\" id=\"field_mailing_address2_line1\" value=\"\" name=\"item_meta[647][line1]\"  placeholder=\"Mailing Address\"  data-invmsg=\"Mailing Address &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt; is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_647-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_mailing_address2_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tMailing Address &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt;\t<\/label>\n\t\t<input type=\"text\" id=\"field_mailing_address2_line2\" value=\"\" name=\"item_meta[647][line2]\"  placeholder=\"Line 2\"  data-invmsg=\"Mailing Address &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt; is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_647-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_mailing_address2_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tMailing Address &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt;\t<\/label>\n\t\t<input type=\"text\" id=\"field_mailing_address2_city\" value=\"\" name=\"item_meta[647][city]\"  placeholder=\"Mailing Address City\"  data-invmsg=\"Mailing Address &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt; is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<\/div>\n<div id=\"frm_field_647-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_mailing_address2_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tMailing Address &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt;\t<\/label>\n\t\t\t<select name=\"item_meta[647][state]\" id=\"field_mailing_address2_state\"  placeholder=\"State\"  data-frmval=\"Indiana\" data-invmsg=\"Mailing Address &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt; is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\">\n\t\t\t<option value=\"\">\n\t\t\t\tState\t\t\t<\/option>\n\t\t\t<option  value=\"Alabama\">Alabama<\/option><option  value=\"Alaska\">Alaska<\/option><option  value=\"Arkansas\">Arkansas<\/option><option  value=\"Arizona\">Arizona<\/option><option  value=\"California\">California<\/option><option  value=\"Colorado\">Colorado<\/option><option  value=\"Connecticut\">Connecticut<\/option><option  value=\"Delaware\">Delaware<\/option><option  value=\"District of Columbia\">District of Columbia<\/option><option  value=\"Florida\">Florida<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Hawaii\">Hawaii<\/option><option  value=\"Idaho\">Idaho<\/option><option  value=\"Illinois\">Illinois<\/option><option  value=\"Indiana\" selected='selected'>Indiana<\/option><option  value=\"Iowa\">Iowa<\/option><option  value=\"Kansas\">Kansas<\/option><option  value=\"Kentucky\">Kentucky<\/option><option  value=\"Louisiana\">Louisiana<\/option><option  value=\"Maine\">Maine<\/option><option  value=\"Maryland\">Maryland<\/option><option  value=\"Massachusetts\">Massachusetts<\/option><option  value=\"Michigan\">Michigan<\/option><option  value=\"Minnesota\">Minnesota<\/option><option  value=\"Mississippi\">Mississippi<\/option><option  value=\"Missouri\">Missouri<\/option><option  value=\"Montana\">Montana<\/option><option  value=\"Nebraska\">Nebraska<\/option><option  value=\"Nevada\">Nevada<\/option><option  value=\"New Hampshire\">New Hampshire<\/option><option  value=\"New Jersey\">New Jersey<\/option><option  value=\"New Mexico\">New Mexico<\/option><option  value=\"New York\">New York<\/option><option  value=\"North Carolina\">North Carolina<\/option><option  value=\"North Dakota\">North Dakota<\/option><option  value=\"Ohio\">Ohio<\/option><option  value=\"Oklahoma\">Oklahoma<\/option><option  value=\"Oregon\">Oregon<\/option><option  value=\"Pennsylvania\">Pennsylvania<\/option><option  value=\"Rhode Island\">Rhode Island<\/option><option  value=\"South Carolina\">South Carolina<\/option><option  value=\"South Dakota\">South Dakota<\/option><option  value=\"Tennessee\">Tennessee<\/option><option  value=\"Texas\">Texas<\/option><option  value=\"Utah\">Utah<\/option><option  value=\"Vermont\">Vermont<\/option><option  value=\"Virginia\">Virginia<\/option><option  value=\"Washington\">Washington<\/option><option  value=\"West Virginia\">West Virginia<\/option><option  value=\"Wisconsin\">Wisconsin<\/option><option  value=\"Wyoming\">Wyoming<\/option>\t\t<\/select>\n\t<\/div>\n<div id=\"frm_field_647-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_mailing_address2_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tMailing Address &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt;\t<\/label>\n\t\t<input type=\"text\" id=\"field_mailing_address2_zip\" value=\"\" name=\"item_meta[647][zip]\"  placeholder=\"Zip\"  data-invmsg=\"Mailing Address &lt;span style=&quot;font-weight:700;color:#B94A48;font-size:15px;&quot;&gt;*&lt;\/span&gt; is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_649_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first vertical_radio\">\r\n    <label for=\"field_ke04b\" id=\"field_ke04b_label\" class=\"frm_primary_label\">Select all Categories that best represent the products you sell OR your organization type\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<div  class=\"frm_opt_container\" role=\"group\" aria-labelledby=\"field_zn9uo_label\">\n\t\t\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-0\">\n\t\t<label for=\"field_ke04b-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-0\"\n\t\t\t\t\tvalue=\"Agritourism\"   aria-required=\"true\"  data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Agritourism\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-1\">\n\t\t<label for=\"field_ke04b-1\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-1\"\n\t\t\t\t\tvalue=\"Animal Fibers\/Wool\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Animal Fibers\/Wool\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-2\">\n\t\t<label for=\"field_ke04b-2\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-2\"\n\t\t\t\t\tvalue=\"Artisan &amp; Merchandise\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Artisan & Merchandise\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-3\">\n\t\t<label for=\"field_ke04b-3\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-3\"\n\t\t\t\t\tvalue=\"Body Care &amp; Candles\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Body Care & Candles\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-4\">\n\t\t<label for=\"field_ke04b-4\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-4\"\n\t\t\t\t\tvalue=\"Craft Beverages\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Craft Beverages\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-5\">\n\t\t<label for=\"field_ke04b-5\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-5\"\n\t\t\t\t\tvalue=\"Crops\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Crops\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-6\">\n\t\t<label for=\"field_ke04b-6\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-6\"\n\t\t\t\t\tvalue=\"Farmers Market\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Farmers Market\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-7\">\n\t\t<label for=\"field_ke04b-7\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-7\"\n\t\t\t\t\tvalue=\"Food &amp; Beverage\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Food & Beverage\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-8\">\n\t\t<label for=\"field_ke04b-8\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-8\"\n\t\t\t\t\tvalue=\"Garden Center &amp; Nurseries\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Garden Center & Nurseries\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-9\">\n\t\t<label for=\"field_ke04b-9\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-9\"\n\t\t\t\t\tvalue=\"Hardwood\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Hardwood\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-10\">\n\t\t<label for=\"field_ke04b-10\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-10\"\n\t\t\t\t\tvalue=\"Hemp Derived Product\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Hemp Derived Product\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-11\">\n\t\t<label for=\"field_ke04b-11\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-11\"\n\t\t\t\t\tvalue=\"Hydroponics\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Hydroponics\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-12\">\n\t\t<label for=\"field_ke04b-12\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-12\"\n\t\t\t\t\tvalue=\"Indiana Grown Partner\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Indiana Grown Partner\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-13\">\n\t\t<label for=\"field_ke04b-13\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-13\"\n\t\t\t\t\tvalue=\"Livestock\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Livestock\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-14\">\n\t\t<label for=\"field_ke04b-14\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-14\"\n\t\t\t\t\tvalue=\"Meat\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Meat\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-15\">\n\t\t<label for=\"field_ke04b-15\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-15\"\n\t\t\t\t\tvalue=\"Pet Accessories and Treats\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Pet Accessories and Treats\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-16\">\n\t\t<label for=\"field_ke04b-16\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-16\"\n\t\t\t\t\tvalue=\"Processing Facility\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Processing Facility\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-17\">\n\t\t<label for=\"field_ke04b-17\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-17\"\n\t\t\t\t\tvalue=\"Produce\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Produce\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-18\">\n\t\t<label for=\"field_ke04b-18\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-18\"\n\t\t\t\t\tvalue=\"Restaurant\/Food Truck\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Restaurant\/Food Truck\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-19\">\n\t\t<label for=\"field_ke04b-19\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-19\"\n\t\t\t\t\tvalue=\"Retailer\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Retailer\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-20\">\n\t\t<label for=\"field_ke04b-20\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-20\"\n\t\t\t\t\tvalue=\"Seafood\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Seafood\t\t<\/label>\n\t<\/div>\n\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_649-21\">\n\t\t<label for=\"field_ke04b-21\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[649][]\"\n\t\t\t\t\tid=\"field_ke04b-21\"\n\t\t\t\t\tvalue=\"Vermiculture\"   data-reqmsg=\"Select all Categories that best represent the products you sell OR your organization type cannot be blank.\" data-invmsg=\"Select all Categories that best represent the products you sell OR your organization type is invalid\" aria-invalid=\"false\"   \/> Vermiculture\t\t<\/label>\n\t<\/div>\n\t\t\t<\/div>\n\t\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_650_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first vertical_radio\">\r\n    <label for=\"field_c6f6b\" id=\"field_c6f6b_label\" class=\"frm_primary_label\">Select all Subcategories that apply for your organization\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    \t\t<div  class=\"frm_opt_container\" role=\"group\" aria-labelledby=\"field_zn9uo_label\">\n\t\t\t\t<div class=\"frm_checkbox\" id=\"frm_checkbox_650-0\">\n\t\t<label for=\"field_c6f6b-0\">\n\t\t\t<input type=\"checkbox\" name=\"item_meta[650][]\"\n\t\t\t\t\tid=\"field_c6f6b-0\"\n\t\t\t\t\tvalue=\"\"  checked=\"checked\"  aria-required=\"true\"  data-reqmsg=\"Select all Subcategories that apply for your organization cannot be blank.\" data-invmsg=\"Select all Subcategories that apply for your organization is invalid\" aria-invalid=\"false\"   \/> \t\t<\/label>\n\t<\/div>\n\t\t\t<\/div>\n\t\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_651_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_no_category2\" id=\"field_no_category2_label\" class=\"frm_primary_label\">If your product or organization does not fit within any of the above categories, provide more information:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_no_category2\" name=\"item_meta[651]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_818_container\" class=\"frm_form_field form-field  frm_top_container frm_half frm_first\">\r\n    <label for=\"field_ki5m1\" id=\"field_ki5m1_label\" class=\"frm_primary_label\">What vegetables do you grow?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ki5m1\" name=\"item_meta[818]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_819_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n    <label for=\"field_ttqzn\" id=\"field_ttqzn_label\" class=\"frm_primary_label\">What fruits do you grow?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ttqzn\" name=\"item_meta[819]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_689_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_f8bze\" id=\"field_f8bze_label\" class=\"frm_primary_label\">Where is your product sold?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_f8bze\" name=\"item_meta[689]\" value=\"\"  data-reqmsg=\"Where is your product sold? cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_659_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_indiana_sourced2\" id=\"field_indiana_sourced2_label\" class=\"frm_primary_label\">List\/Describe all items you sell\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[659]\" id=\"field_indiana_sourced2\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_660_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_acres2\" id=\"field_acres2_label\" class=\"frm_primary_label\">How many acres do you farm (if actively farming)?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"number\" id=\"field_acres2\" name=\"item_meta[660]\" value=\"\"  data-invmsg=\"Number is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"99999\" step=\"any\"\/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_661_container\" class=\"frm_form_field  frm_html_container form-field\"><\/div>\n<div id=\"frm_field_662_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div  id=\"field_export2_label\" class=\"frm_primary_label\">Are you currently exporting outside of the U.S. or interested in exporting?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_export2_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_662-0\"><label for=\"field_export2-0\">\t\t<input type=\"radio\" name=\"item_meta[662]\" id=\"field_export2-0\" value=\"Yes, exporting\"\n\t\t   data-invmsg=\"Are you currently exporting outside of the U.S. or interested in exporting? is invalid\" aria-invalid=\"false\"  \/> Yes, exporting<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_662-1\"><label for=\"field_export2-1\">\t\t<input type=\"radio\" name=\"item_meta[662]\" id=\"field_export2-1\" value=\"Yes, interested\"\n\t\t   data-invmsg=\"Are you currently exporting outside of the U.S. or interested in exporting? is invalid\" aria-invalid=\"false\"  \/> Yes, interested<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_662-2\"><label for=\"field_export2-2\">\t\t<input type=\"radio\" name=\"item_meta[662]\" id=\"field_export2-2\" value=\"Not interested\"\n\t\t   data-invmsg=\"Are you currently exporting outside of the U.S. or interested in exporting? is invalid\" aria-invalid=\"false\"  \/> Not interested<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_690_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_f67db\" id=\"field_f67db_label\" class=\"frm_primary_label\">What 3rd party audits have you completed?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_f67db\" name=\"item_meta[690]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_667_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_distribution2\" id=\"field_distribution2_label\" class=\"frm_primary_label\">How do you distribute your product(s)?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[667][]\" id=\"field_distribution2\"  multiple=\"multiple\"  data-placeholder=\"- Please Select One or More Options -\"  placeholder=\"- Please Select One or More Options -\" data-invmsg=\"How do you distribute your product(s)? is invalid\" class=\"frm_slimselect\" aria-invalid=\"false\"  >\n\t\t<option  class=\"frm-select-placeholder\" value=\"\" data-placeholder=\"true\">- Please Select One or More Options -<\/option><option  value=\"Distributor\">Distributor<\/option><option  value=\"Self-distributed\">Self-distributed<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_691_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_fp4q2\" id=\"field_fp4q2_label\" class=\"frm_primary_label\">Who is the distributor?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_fp4q2\" name=\"item_meta[691]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_668_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_vet_status2\" id=\"field_vet_status2_label\" class=\"frm_primary_label\">Are you a veteran of the Armed Forces?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[668][]\" id=\"field_vet_status2\"  multiple=\"multiple\"  data-placeholder=\"- Please Select One or More Options -\"  placeholder=\"- Please Select One or More Options -\" data-invmsg=\"Are you a veteran of the Armed Forces? is invalid\" class=\"frm_slimselect\" aria-invalid=\"false\"  >\n\t\t<option  class=\"frm-select-placeholder\" value=\"\" data-placeholder=\"true\">- Please Select One or More Options -<\/option><option  value=\"None\">None<\/option><option  value=\"Army\">Army<\/option><option  value=\"Navy\">Navy<\/option><option  value=\"Marines\">Marines<\/option><option  value=\"Air Force\">Air Force<\/option><option  value=\"National Guard\">National Guard<\/option><option  value=\"Coast Guard\">Coast Guard<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_692_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div  id=\"field_gc6g7_label\" class=\"frm_primary_label\">Are you a home-based vendor (HBV)?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_gc6g7_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_692-0\"><label for=\"field_gc6g7-0\">\t\t<input type=\"radio\" name=\"item_meta[692]\" id=\"field_gc6g7-0\" value=\"Yes\"\n\t\t   data-invmsg=\"Are you a home-based vendor (HBV)? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_692-1\"><label for=\"field_gc6g7-1\">\t\t<input type=\"radio\" name=\"item_meta[692]\" id=\"field_gc6g7-1\" value=\"No\"\n\t\t   data-invmsg=\"Are you a home-based vendor (HBV)? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_820_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div  id=\"field_lghx_label\" class=\"frm_primary_label\">Do you use a commercial kitchen?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_lghx_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_820-0\"><label for=\"field_lghx-0\">\t\t<input type=\"radio\" name=\"item_meta[820]\" id=\"field_lghx-0\" value=\"Yes\"\n\t\t   data-invmsg=\"Do you use a commercial kitchen? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_820-1\"><label for=\"field_lghx-1\">\t\t<input type=\"radio\" name=\"item_meta[820]\" id=\"field_lghx-1\" value=\"No\"\n\t\t   data-invmsg=\"Do you use a commercial kitchen? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_821_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_7zckx\" id=\"field_7zckx_label\" class=\"frm_primary_label\">Commercial Kitchen Name & Location\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_7zckx\" name=\"item_meta[821]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_693_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div  id=\"field_ln7l5_label\" class=\"frm_primary_label\">Do you use a Co-Packer?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_ln7l5_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_693-0\"><label for=\"field_ln7l5-0\">\t\t<input type=\"radio\" name=\"item_meta[693]\" id=\"field_ln7l5-0\" value=\"Yes\"\n\t\t   data-invmsg=\"Do you use a Co-Packer? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_693-1\"><label for=\"field_ln7l5-1\">\t\t<input type=\"radio\" name=\"item_meta[693]\" id=\"field_ln7l5-1\" value=\"No\"\n\t\t   data-invmsg=\"Do you use a Co-Packer? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_694_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_ittoz\" id=\"field_ittoz_label\" class=\"frm_primary_label\">What is the Co-Packer name & location?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ittoz\" name=\"item_meta[694]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_669_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_why_ig2\" id=\"field_why_ig2_label\" class=\"frm_primary_label\">Why are you interested in joining Indiana Grown?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_why_ig2\" name=\"item_meta[669]\" value=\"\"  data-invmsg=\"Text is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_670_container\" class=\"frm_form_field form-field  frm_top_container frm_third frm_first\">\r\n    <label for=\"field_website2\" id=\"field_website2_label\" class=\"frm_primary_label\">Business Website:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"url\" id=\"field_website2\" name=\"item_meta[670]\" value=\"\"  placeholder=\"Please include full URL\" data-invmsg=\"Website\/URL is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_671_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_facebook2\" id=\"field_facebook2_label\" class=\"frm_primary_label\">Business Facebook URL:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"url\" id=\"field_facebook2\" name=\"item_meta[671]\" value=\"\"  placeholder=\"Please include full URL\" data-invmsg=\"Website\/URL is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_673_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_instagram2\" id=\"field_instagram2_label\" class=\"frm_primary_label\">Business Instagram URL:\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"url\" id=\"field_instagram2\" name=\"item_meta[673]\" value=\"\"  placeholder=\"Please include full URL\" data-invmsg=\"Website\/URL is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_674_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_description2\" id=\"field_description2_label\" class=\"frm_primary_label\">Description of your business <span style=\"font-weight:700;color:#B94A48;font-size:15px;\">*<\/span>\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <div id=\"wp-field_description2-wrap\" class=\"wp-core-ui wp-editor-wrap html-active\"><div id=\"wp-field_description2-editor-container\" class=\"wp-editor-container\"><div id=\"qt_field_description2_toolbar\" class=\"quicktags-toolbar hide-if-no-js\"><\/div><textarea class=\"wp-editor-area\" rows=\"5\" cols=\"40\" name=\"item_meta[674]\" id=\"field_description2\"><\/textarea><\/div>\n<\/div>\n\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_675_container\" class=\"frm_form_field form-field  frm_top_container frm_compact\">\r\n    <label for=\"field_profile_picture2\" id=\"field_profile_picture2_label\" class=\"frm_primary_label\">Upload profile photo\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\"  data-invmsg=\"File Upload is invalid\" class=\"auto_width\" aria-invalid=\"false\"   name=\"item_meta[675]\"  value=\"\" data-frmfile=\"675\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file675_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file675\" id=\"field_profile_picture2\"\n\t\t\t data-invmsg=\"File Upload is invalid\" class=\"auto_width\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Upload profile photo. Drop a file here or click to upload. Maximum file size: 15MB\">Drop a file here or click to upload<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Upload profile photo. Choose File. Maximum file size: 15MB\">Choose File<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Maximum file size: 15MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_676_container\" class=\"frm_form_field  frm_html_container form-field\"><strong>The following self-identifying questions are voluntary and not required for membership consideration. We request this information to help us better understand and serve our members. Answer the following questions about the primary owner\/operator the farm or business listed on this application:<\/strong><\/div>\n<div id=\"frm_field_677_container\" class=\"frm_form_field form-field  frm_top_container frm_two_col frm_other_container\">\r\n    <div  id=\"field_cjne82_label\" class=\"frm_primary_label\">What is your race \/ ethnicity?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_cjne82_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_677-0\"><label for=\"field_cjne82-0\">\t\t<input type=\"radio\" name=\"item_meta[677]\" id=\"field_cjne82-0\" value=\"Asian\"\n\t\t   data-invmsg=\"What is your race \/ ethnicity? is invalid\" aria-invalid=\"false\"  \/> Asian<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_677-1\"><label for=\"field_cjne82-1\">\t\t<input type=\"radio\" name=\"item_meta[677]\" id=\"field_cjne82-1\" value=\"Black or African American\"\n\t\t   data-invmsg=\"What is your race \/ ethnicity? is invalid\" aria-invalid=\"false\"  \/> Black or African American<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_677-2\"><label for=\"field_cjne82-2\">\t\t<input type=\"radio\" name=\"item_meta[677]\" id=\"field_cjne82-2\" value=\"Hispanic\/Latino\"\n\t\t   data-invmsg=\"What is your race \/ ethnicity? is invalid\" aria-invalid=\"false\"  \/> Hispanic\/Latino<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_677-3\"><label for=\"field_cjne82-3\">\t\t<input type=\"radio\" name=\"item_meta[677]\" id=\"field_cjne82-3\" value=\"Native American\/Alaskan\"\n\t\t   data-invmsg=\"What is your race \/ ethnicity? is invalid\" aria-invalid=\"false\"  \/> Native American\/Alaskan<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_677-4\"><label for=\"field_cjne82-4\">\t\t<input type=\"radio\" name=\"item_meta[677]\" id=\"field_cjne82-4\" value=\"Native Hawaiian\/Pacific Islander\"\n\t\t   data-invmsg=\"What is your race \/ ethnicity? is invalid\" aria-invalid=\"false\"  \/> Native Hawaiian\/Pacific Islander<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_677-7\"><label for=\"field_cjne82-7\">\t\t<input type=\"radio\" name=\"item_meta[677]\" id=\"field_cjne82-7\" value=\"White\"\n\t\t   data-invmsg=\"What is your race \/ ethnicity? is invalid\" aria-invalid=\"false\"  \/> White<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_677-5\"><label for=\"field_cjne82-5\">\t\t<input type=\"radio\" name=\"item_meta[677]\" id=\"field_cjne82-5\" value=\"Prefer Not to Answer\"\n\t\t   data-invmsg=\"What is your race \/ ethnicity? is invalid\" aria-invalid=\"false\"  \/> Prefer Not to Answer<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_677-other_6\"><label for=\"field_cjne82-other_6\">\t\t<input type=\"radio\" name=\"item_meta[677]\" id=\"field_cjne82-other_6\" value=\"Other\"\n\t\t   data-invmsg=\"What is your race \/ ethnicity? is invalid\" aria-invalid=\"false\"  \/> Other<\/label><label for=\"field_cjne82-other_6-otext\" class=\"frm_screen_reader frm_hidden\">Other<\/label><input type=\"text\" id=\"field_cjne82-other_6-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][677]\" value=\"\" \/><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_827_container\" class=\"frm_form_field form-field  frm_top_container vertical_radio\">\r\n    <div  id=\"field_6mfbh_label\" class=\"frm_primary_label\">Do you want a BIPOC (Black, Indigenous, People of Color) distinction included on your directory profile?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_6mfbh_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_827-0\"><label for=\"field_6mfbh-0\">\t\t<input type=\"radio\" name=\"item_meta[827]\" id=\"field_6mfbh-0\" value=\"Yes\"\n\t\t   data-invmsg=\"Do you want a BIPOC (Black, Indigenous, People of Color) distinction included on your directory profile? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_827-1\"><label for=\"field_6mfbh-1\">\t\t<input type=\"radio\" name=\"item_meta[827]\" id=\"field_6mfbh-1\" value=\"No\"\n\t\t   data-invmsg=\"Do you want a BIPOC (Black, Indigenous, People of Color) distinction included on your directory profile? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_678_container\" class=\"frm_form_field form-field  frm_top_container frm_three_col\">\r\n    <div  id=\"field_gfxmi2_label\" class=\"frm_primary_label\">What is the gender with which you primarily identify?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_gfxmi2_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_678-0\"><label for=\"field_gfxmi2-0\">\t\t<input type=\"radio\" name=\"item_meta[678]\" id=\"field_gfxmi2-0\" value=\"Male\"\n\t\t   data-invmsg=\"What is the gender with which you primarily identify? is invalid\" aria-invalid=\"false\"  \/> Male<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_678-1\"><label for=\"field_gfxmi2-1\">\t\t<input type=\"radio\" name=\"item_meta[678]\" id=\"field_gfxmi2-1\" value=\"Female\"\n\t\t   data-invmsg=\"What is the gender with which you primarily identify? is invalid\" aria-invalid=\"false\"  \/> Female<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_678-2\"><label for=\"field_gfxmi2-2\">\t\t<input type=\"radio\" name=\"item_meta[678]\" id=\"field_gfxmi2-2\" value=\"Prefer Not to Answer\"\n\t\t   data-invmsg=\"What is the gender with which you primarily identify? is invalid\" aria-invalid=\"false\"  \/> Prefer Not to Answer<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_679_container\" class=\"frm_form_field form-field  frm_top_container frm_three_col\">\r\n    <div  id=\"field_elatm2_label\" class=\"frm_primary_label\">What is your age?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_elatm2_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_679-0\"><label for=\"field_elatm2-0\">\t\t<input type=\"radio\" name=\"item_meta[679]\" id=\"field_elatm2-0\" value=\"&lt; 18\"\n\t\t   data-invmsg=\"What is your age? is invalid\" aria-invalid=\"false\"  \/> &lt; 18<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_679-1\"><label for=\"field_elatm2-1\">\t\t<input type=\"radio\" name=\"item_meta[679]\" id=\"field_elatm2-1\" value=\"18-30\"\n\t\t   data-invmsg=\"What is your age? is invalid\" aria-invalid=\"false\"  \/> 18-30<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_679-2\"><label for=\"field_elatm2-2\">\t\t<input type=\"radio\" name=\"item_meta[679]\" id=\"field_elatm2-2\" value=\"31-45\"\n\t\t   data-invmsg=\"What is your age? is invalid\" aria-invalid=\"false\"  \/> 31-45<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_679-3\"><label for=\"field_elatm2-3\">\t\t<input type=\"radio\" name=\"item_meta[679]\" id=\"field_elatm2-3\" value=\"46-55\"\n\t\t   data-invmsg=\"What is your age? is invalid\" aria-invalid=\"false\"  \/> 46-55<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_679-4\"><label for=\"field_elatm2-4\">\t\t<input type=\"radio\" name=\"item_meta[679]\" id=\"field_elatm2-4\" value=\"56-65\"\n\t\t   data-invmsg=\"What is your age? is invalid\" aria-invalid=\"false\"  \/> 56-65<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_679-5\"><label for=\"field_elatm2-5\">\t\t<input type=\"radio\" name=\"item_meta[679]\" id=\"field_elatm2-5\" value=\"66-75\"\n\t\t   data-invmsg=\"What is your age? is invalid\" aria-invalid=\"false\"  \/> 66-75<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_679-6\"><label for=\"field_elatm2-6\">\t\t<input type=\"radio\" name=\"item_meta[679]\" id=\"field_elatm2-6\" value=\"&gt; 75\"\n\t\t   data-invmsg=\"What is your age? is invalid\" aria-invalid=\"false\"  \/> &gt; 75<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_679-7\"><label for=\"field_elatm2-7\">\t\t<input type=\"radio\" name=\"item_meta[679]\" id=\"field_elatm2-7\" value=\"Prefer Not to Answer\"\n\t\t   data-invmsg=\"What is your age? is invalid\" aria-invalid=\"false\"  \/> Prefer Not to Answer<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_695_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first frm_three_col\">\r\n    <div  id=\"field_z47x9_label\" class=\"frm_primary_label\">Is your business a certified Minority Business Enterprise (MBE)?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_z47x9_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_695-0\"><label for=\"field_z47x9-0\">\t\t<input type=\"radio\" name=\"item_meta[695]\" id=\"field_z47x9-0\" value=\"Yes\"\n\t\t   data-invmsg=\"Is your business a certified Minority Business Enterprise (MBE)? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_695-1\"><label for=\"field_z47x9-1\">\t\t<input type=\"radio\" name=\"item_meta[695]\" id=\"field_z47x9-1\" value=\"No\"\n\t\t   data-invmsg=\"Is your business a certified Minority Business Enterprise (MBE)? is invalid\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_695-2\"><label for=\"field_z47x9-2\">\t\t<input type=\"radio\" name=\"item_meta[695]\" id=\"field_z47x9-2\" value=\"N\/A\"\n\t\t   data-invmsg=\"Is your business a certified Minority Business Enterprise (MBE)? is invalid\" aria-invalid=\"false\"  \/> N\/A<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_696_container\" class=\"frm_form_field form-field  frm_top_container frm12 frm_first frm_three_col\">\r\n    <div  id=\"field_5lkh1_label\" class=\"frm_primary_label\">Is your business a certified Women-Owned Business Enterprise (WBE)?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_5lkh1_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_696-0\"><label for=\"field_5lkh1-0\">\t\t<input type=\"radio\" name=\"item_meta[696]\" id=\"field_5lkh1-0\" value=\"Yes\"\n\t\t   data-invmsg=\"Is your business a certified Women-Owned Business Enterprise (WBE)? is invalid\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_696-1\"><label for=\"field_5lkh1-1\">\t\t<input type=\"radio\" name=\"item_meta[696]\" id=\"field_5lkh1-1\" value=\"No\"\n\t\t   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