{"id":2700,"date":"2024-10-28T16:24:15","date_gmt":"2024-10-28T20:24:15","guid":{"rendered":"https:\/\/yfc.ca\/northumberland\/?page_id=2700"},"modified":"2026-01-27T19:27:02","modified_gmt":"2026-01-28T00:27:02","slug":"cheer-crew-box-fundraiser","status":"publish","type":"page","link":"https:\/\/yfc.ca\/northumberland\/cheer-crew-box-fundraiser\/","title":{"rendered":"Youth with a Purpose Box Fundraiser"},"content":{"rendered":"\r\n<section class=\"y-intro guten-block title32\">\r\n\t<div class=\"y-intro--upper\">\r\n\t\t<div class=\"grid-narrow\">\r\n\t\t\t<div class=\"y-intro--upper--row\">\r\n\t\t\t\t<div class=\"y-intro--upper--left\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<h2 class=\"y-intro--title\">Youth with a Purpose Box Fundraiser<\/h2>\r\n\t\t\t\t\t\t\t\t\t\t\n\n\n\n\n\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"y-intro--content\"><p>Youth with a Purpose is a place where youth learn new skills, and resilience as they are part of a group that wants to listen, learn new skills, and be part of something bigger than themselves. They want to live a life with Purpose!<\/p>\n<\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"y-intro--buttons\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"button primary\" href=\"https:\/\/yfc.ca\/northumberland\/program\/purpose\/\" target=\"_self\">Learn more about Youth with a Purpose!<\/a>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"button secondary\" href=\"#boxes\" target=\"_self\">Take me to the donation boxes!<\/a>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t<div class=\"y-intro--upper--right\">\r\n\t\t\t\t\t\t\t<div class=\"y-c-img contain\">\n\t\t<div class=\"y-c-img--extend \" style=\"background-image: url(https:\/\/yfc.ca\/northumberland\/wp-content\/uploads\/sites\/32\/2021\/09\/NYFC-YouthwithaPurpose-Logo-scaled.jpg);\">\n\t\t\t\t\t<\/div>\n\t\t<div class=\"y-c-img--contain\">\n\t\t\t<img decoding=\"async\" src=\"https:\/\/yfc.ca\/northumberland\/wp-content\/uploads\/sites\/32\/2021\/09\/NYFC-YouthwithaPurpose-Logo-scaled.jpg\" alt=\"Youth with a purpose logo\" \/>\n\t\t\t\t\t<\/div>\n\t\t\n\t<\/div>\n\t\t\t\t<\/div>\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n\r\n\t<div class=\"y-intro--lower\">\r\n\t\t<div class=\"grid-narrow\">\r\n\t\t\t<div class=\"y-intro--lower--left\">\r\n\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"y-intro--lower-content\"><p>Join us in supporting the Youth with a Purpose program! Through this fundraiser, you will be able to pick any and as many boxes as you like (while they last!), or you can use the &#8220;Custom Amount&#8221; option to set your own donation amount.<\/p>\n<p>Your donation will help fund:<\/p>\n<ul>\n<li>Mentorship Sessions<\/li>\n<li>Room Rental<\/li>\n<li>Program Supplies<\/li>\n<li>Food and Snacks<\/li>\n<li>Salary &amp; Training<\/li>\n<\/ul>\n<p>If you have any questions about the Youth with a Purpose program or about this fundraiser, please reach out through our <a href=\"https:\/\/yfc.ca\/northumberland\/contact-us\/\">Contact page<\/a>, or at <a href=\"mailto:donations@nyfc.org\">donations@nyfc.org<\/a>!<\/p>\n<\/div>\r\n\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t\t\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\t<\/div>\r\n\r\n<\/section>\r\n\r\n\r\n\r\n\n\n\n<a name=\"boxes\"><\/a><div style=\"margin: 20px auto; width: 75%\"><h2>Youth with a Purpose Box Fundraiser<\/h2>\n<br><br>\nWe have raised <span id='gfchart-Calc_chart_2711' class='gfchart-Calc_chart' ><\/span><script type='text\/javascript'>jQuery(document).on('gfchart_object_declared', function(){gfchart_js.charts.push({\"chart_type\":\"Calc\",\"id\":\"2711\",\"data\":[\"$ 2,489.00 CAD\"],\"options\":{\"responsive\":false},\"location\":\"\",\"debug\":\"\"});});<\/script> of $10,100!\n<br><br>\n<span id='gfchart-Progressbar_chart_2713' class='gfchart-Progressbar_chart' ><\/span><script type='text\/javascript'>jQuery(document).on('gfchart_object_declared', function(){gfchart_js.charts.push({\"chart_type\":\"Progressbar\",\"id\":\"2713\",\"data\":{\"total\":\"2489\",\"goal\":\"10100\",\"percent\":24},\"options\":{\"format\":\"currency\",\"formatted_goal\":\"$ 10,100.00 CAD\",\"responsive\":false},\"location\":\"\",\"debug\":\"\"});});<\/script>\n<br><br>\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar 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id='label_41_14_23' class='gform-field-label gform-field-label--type-inline'>$42<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_24'>\n\t\t\t\t\t\t\t\t<input class='gpi-disabled gwlc-disabled gfield-choice-input' name='input_14.24' type='checkbox'  value='44'  id='choice_41_14_24' disabled='disabled' disabled='disabled'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_24' id='label_41_14_24' class='gform-field-label gform-field-label--type-inline'>$44<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_25'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.25' type='checkbox'  value='46'  id='choice_41_14_25'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_25' id='label_41_14_25' class='gform-field-label gform-field-label--type-inline'>$46<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_26'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.26' type='checkbox'  value='48'  id='choice_41_14_26'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_26' id='label_41_14_26' class='gform-field-label gform-field-label--type-inline'>$48<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_27'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.27' type='checkbox'  value='50'  id='choice_41_14_27'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_27' id='label_41_14_27' class='gform-field-label gform-field-label--type-inline'>$50<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_28'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.28' type='checkbox'  value='52'  id='choice_41_14_28'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_28' id='label_41_14_28' class='gform-field-label gform-field-label--type-inline'>$52<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_29'>\n\t\t\t\t\t\t\t\t<input class='gpi-disabled gwlc-disabled gfield-choice-input' name='input_14.29' type='checkbox'  value='54'  id='choice_41_14_29' disabled='disabled' disabled='disabled'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_29' id='label_41_14_29' class='gform-field-label gform-field-label--type-inline'>$54<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_31'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.31' type='checkbox'  value='56'  id='choice_41_14_31'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_31' id='label_41_14_31' class='gform-field-label gform-field-label--type-inline'>$56<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_32'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.32' type='checkbox'  value='58'  id='choice_41_14_32'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_32' id='label_41_14_32' class='gform-field-label gform-field-label--type-inline'>$58<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_33'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.33' type='checkbox'  value='60'  id='choice_41_14_33'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_33' id='label_41_14_33' class='gform-field-label gform-field-label--type-inline'>$60<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_34'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.34' type='checkbox'  value='62'  id='choice_41_14_34'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_34' id='label_41_14_34' class='gform-field-label gform-field-label--type-inline'>$62<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_35'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.35' type='checkbox'  value='64'  id='choice_41_14_35'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_35' id='label_41_14_35' class='gform-field-label gform-field-label--type-inline'>$64<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_36'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.36' type='checkbox'  value='66'  id='choice_41_14_36'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_36' id='label_41_14_36' class='gform-field-label gform-field-label--type-inline'>$66<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_37'>\n\t\t\t\t\t\t\t\t<input class='gpi-disabled gwlc-disabled gfield-choice-input' name='input_14.37' type='checkbox'  value='68'  id='choice_41_14_37' disabled='disabled' disabled='disabled'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_37' id='label_41_14_37' class='gform-field-label gform-field-label--type-inline'>$68<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_38'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.38' type='checkbox'  value='70'  id='choice_41_14_38'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_38' id='label_41_14_38' class='gform-field-label gform-field-label--type-inline'>$70<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_39'>\n\t\t\t\t\t\t\t\t<input class='gpi-disabled gwlc-disabled gfield-choice-input' name='input_14.39' type='checkbox'  value='72'  id='choice_41_14_39' disabled='disabled' disabled='disabled'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_39' id='label_41_14_39' class='gform-field-label gform-field-label--type-inline'>$72<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_41'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.41' type='checkbox'  value='74'  id='choice_41_14_41'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_41' id='label_41_14_41' class='gform-field-label gform-field-label--type-inline'>$74<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_42'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.42' type='checkbox'  value='76'  id='choice_41_14_42'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_42' id='label_41_14_42' class='gform-field-label gform-field-label--type-inline'>$76<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_43'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.43' type='checkbox'  value='78'  id='choice_41_14_43'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_43' id='label_41_14_43' class='gform-field-label gform-field-label--type-inline'>$78<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_44'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.44' type='checkbox'  value='80'  id='choice_41_14_44'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_44' id='label_41_14_44' class='gform-field-label gform-field-label--type-inline'>$80<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_45'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.45' type='checkbox'  value='82'  id='choice_41_14_45'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_45' id='label_41_14_45' class='gform-field-label gform-field-label--type-inline'>$82<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_46'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.46' type='checkbox'  value='84'  id='choice_41_14_46'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_46' id='label_41_14_46' class='gform-field-label gform-field-label--type-inline'>$84<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_47'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.47' type='checkbox'  value='86'  id='choice_41_14_47'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_47' id='label_41_14_47' class='gform-field-label gform-field-label--type-inline'>$86<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_48'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.48' type='checkbox'  value='88'  id='choice_41_14_48'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_48' id='label_41_14_48' class='gform-field-label gform-field-label--type-inline'>$88<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_49'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.49' type='checkbox'  value='90'  id='choice_41_14_49'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_49' id='label_41_14_49' class='gform-field-label gform-field-label--type-inline'>$90<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_51'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.51' type='checkbox'  value='92'  id='choice_41_14_51'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_51' id='label_41_14_51' class='gform-field-label gform-field-label--type-inline'>$92<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_52'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.52' type='checkbox'  value='94'  id='choice_41_14_52'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_52' id='label_41_14_52' class='gform-field-label gform-field-label--type-inline'>$94<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_53'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.53' type='checkbox'  value='96'  id='choice_41_14_53'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_53' id='label_41_14_53' class='gform-field-label gform-field-label--type-inline'>$96<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_54'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.54' type='checkbox'  value='98'  id='choice_41_14_54'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_54' id='label_41_14_54' class='gform-field-label gform-field-label--type-inline'>$98<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_55'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.55' type='checkbox'  value='100'  id='choice_41_14_55'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_55' id='label_41_14_55' class='gform-field-label gform-field-label--type-inline'>$100<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_56'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.56' type='checkbox'  value='102'  id='choice_41_14_56'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_56' id='label_41_14_56' class='gform-field-label gform-field-label--type-inline'>$102<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_57'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.57' type='checkbox'  value='104'  id='choice_41_14_57'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_57' id='label_41_14_57' class='gform-field-label gform-field-label--type-inline'>$104<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_58'>\n\t\t\t\t\t\t\t\t<input class='gpi-disabled gwlc-disabled gfield-choice-input' name='input_14.58' type='checkbox'  value='106'  id='choice_41_14_58' disabled='disabled' disabled='disabled'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_58' id='label_41_14_58' class='gform-field-label gform-field-label--type-inline'>$106<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_59'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.59' type='checkbox'  value='108'  id='choice_41_14_59'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_59' id='label_41_14_59' class='gform-field-label gform-field-label--type-inline'>$108<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_61'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.61' type='checkbox'  value='110'  id='choice_41_14_61'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_61' id='label_41_14_61' class='gform-field-label gform-field-label--type-inline'>$110<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_62'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.62' type='checkbox'  value='112'  id='choice_41_14_62'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_62' id='label_41_14_62' class='gform-field-label gform-field-label--type-inline'>$112<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_63'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.63' type='checkbox'  value='114'  id='choice_41_14_63'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_63' id='label_41_14_63' class='gform-field-label gform-field-label--type-inline'>$114<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_64'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.64' type='checkbox'  value='116'  id='choice_41_14_64'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_64' id='label_41_14_64' class='gform-field-label gform-field-label--type-inline'>$116<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_65'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.65' type='checkbox'  value='118'  id='choice_41_14_65'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_65' id='label_41_14_65' class='gform-field-label gform-field-label--type-inline'>$118<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_66'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.66' type='checkbox'  value='120'  id='choice_41_14_66'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_66' id='label_41_14_66' class='gform-field-label gform-field-label--type-inline'>$120<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_67'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.67' type='checkbox'  value='122'  id='choice_41_14_67'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_67' id='label_41_14_67' class='gform-field-label gform-field-label--type-inline'>$122<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_68'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.68' type='checkbox'  value='124'  id='choice_41_14_68'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_68' id='label_41_14_68' class='gform-field-label gform-field-label--type-inline'>$124<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_69'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.69' type='checkbox'  value='126'  id='choice_41_14_69'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_69' id='label_41_14_69' class='gform-field-label gform-field-label--type-inline'>$126<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_71'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.71' type='checkbox'  value='128'  id='choice_41_14_71'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_71' id='label_41_14_71' class='gform-field-label gform-field-label--type-inline'>$128<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_72'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.72' type='checkbox'  value='130'  id='choice_41_14_72'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_72' id='label_41_14_72' class='gform-field-label gform-field-label--type-inline'>$130<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_73'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.73' type='checkbox'  value='132'  id='choice_41_14_73'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_73' id='label_41_14_73' class='gform-field-label gform-field-label--type-inline'>$132<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_74'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.74' type='checkbox'  value='134'  id='choice_41_14_74'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_74' id='label_41_14_74' class='gform-field-label gform-field-label--type-inline'>$134<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_75'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.75' type='checkbox'  value='136'  id='choice_41_14_75'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_75' id='label_41_14_75' class='gform-field-label gform-field-label--type-inline'>$136<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_76'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.76' type='checkbox'  value='138'  id='choice_41_14_76'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_76' id='label_41_14_76' class='gform-field-label gform-field-label--type-inline'>$138<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_77'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.77' type='checkbox'  value='140'  id='choice_41_14_77'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_77' id='label_41_14_77' class='gform-field-label gform-field-label--type-inline'>$140<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_78'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.78' type='checkbox'  value='142'  id='choice_41_14_78'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_78' id='label_41_14_78' class='gform-field-label gform-field-label--type-inline'>$142<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_79'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.79' type='checkbox'  value='144'  id='choice_41_14_79'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_79' id='label_41_14_79' class='gform-field-label gform-field-label--type-inline'>$144<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_81'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.81' type='checkbox'  value='146'  id='choice_41_14_81'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_81' id='label_41_14_81' class='gform-field-label gform-field-label--type-inline'>$146<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_82'>\n\t\t\t\t\t\t\t\t<input class='gpi-disabled gwlc-disabled gfield-choice-input' name='input_14.82' type='checkbox'  value='148'  id='choice_41_14_82' disabled='disabled' disabled='disabled'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_82' id='label_41_14_82' class='gform-field-label gform-field-label--type-inline'>$148<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_83'>\n\t\t\t\t\t\t\t\t<input class='gpi-disabled gwlc-disabled gfield-choice-input' name='input_14.83' type='checkbox'  value='150'  id='choice_41_14_83' disabled='disabled' disabled='disabled'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_83' id='label_41_14_83' class='gform-field-label gform-field-label--type-inline'>$150<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_84'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.84' type='checkbox'  value='152'  id='choice_41_14_84'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_84' id='label_41_14_84' class='gform-field-label gform-field-label--type-inline'>$152<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_85'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.85' type='checkbox'  value='154'  id='choice_41_14_85'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_85' id='label_41_14_85' class='gform-field-label gform-field-label--type-inline'>$154<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_86'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.86' type='checkbox'  value='156'  id='choice_41_14_86'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_86' id='label_41_14_86' class='gform-field-label gform-field-label--type-inline'>$156<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_87'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.87' type='checkbox'  value='158'  id='choice_41_14_87'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_87' id='label_41_14_87' class='gform-field-label gform-field-label--type-inline'>$158<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_88'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.88' type='checkbox'  value='160'  id='choice_41_14_88'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_88' id='label_41_14_88' class='gform-field-label gform-field-label--type-inline'>$160<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_89'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.89' type='checkbox'  value='162'  id='choice_41_14_89'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_89' id='label_41_14_89' class='gform-field-label gform-field-label--type-inline'>$162<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_91'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.91' type='checkbox'  value='164'  id='choice_41_14_91'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_91' id='label_41_14_91' class='gform-field-label gform-field-label--type-inline'>$164<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_92'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.92' type='checkbox'  value='166'  id='choice_41_14_92'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_92' id='label_41_14_92' class='gform-field-label gform-field-label--type-inline'>$166<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_93'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.93' type='checkbox'  value='168'  id='choice_41_14_93'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_93' id='label_41_14_93' class='gform-field-label gform-field-label--type-inline'>$168<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_94'>\n\t\t\t\t\t\t\t\t<input class='gpi-disabled gwlc-disabled gfield-choice-input' name='input_14.94' type='checkbox'  value='170'  id='choice_41_14_94' disabled='disabled' disabled='disabled'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_94' id='label_41_14_94' class='gform-field-label gform-field-label--type-inline'>$170<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_95'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.95' type='checkbox'  value='172'  id='choice_41_14_95'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_95' id='label_41_14_95' class='gform-field-label gform-field-label--type-inline'>$172<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_96'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.96' type='checkbox'  value='174'  id='choice_41_14_96'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_96' id='label_41_14_96' class='gform-field-label gform-field-label--type-inline'>$174<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_97'>\n\t\t\t\t\t\t\t\t<input class='gpi-disabled gwlc-disabled gfield-choice-input' name='input_14.97' type='checkbox'  value='176'  id='choice_41_14_97' disabled='disabled' disabled='disabled'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_97' id='label_41_14_97' class='gform-field-label gform-field-label--type-inline'>$176<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_98'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.98' type='checkbox'  value='178'  id='choice_41_14_98'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_98' id='label_41_14_98' class='gform-field-label gform-field-label--type-inline'>$178<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_99'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.99' type='checkbox'  value='180'  id='choice_41_14_99'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_99' id='label_41_14_99' class='gform-field-label gform-field-label--type-inline'>$180<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_101'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.101' type='checkbox'  value='182'  id='choice_41_14_101'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_101' id='label_41_14_101' class='gform-field-label gform-field-label--type-inline'>$182<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_102'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.102' type='checkbox'  value='184'  id='choice_41_14_102'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_102' id='label_41_14_102' class='gform-field-label gform-field-label--type-inline'>$184<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_103'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.103' type='checkbox'  value='186'  id='choice_41_14_103'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_103' id='label_41_14_103' class='gform-field-label gform-field-label--type-inline'>$186<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_104'>\n\t\t\t\t\t\t\t\t<input class='gpi-disabled gwlc-disabled gfield-choice-input' name='input_14.104' type='checkbox'  value='188'  id='choice_41_14_104' disabled='disabled' disabled='disabled'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_104' id='label_41_14_104' class='gform-field-label gform-field-label--type-inline'>$188<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_105'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.105' type='checkbox'  value='190'  id='choice_41_14_105'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_105' id='label_41_14_105' class='gform-field-label gform-field-label--type-inline'>$190<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_106'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.106' type='checkbox'  value='192'  id='choice_41_14_106'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_106' id='label_41_14_106' class='gform-field-label gform-field-label--type-inline'>$192<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_107'>\n\t\t\t\t\t\t\t\t<input class='gpi-disabled gwlc-disabled gfield-choice-input' name='input_14.107' type='checkbox'  value='194'  id='choice_41_14_107' disabled='disabled' disabled='disabled'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_107' id='label_41_14_107' class='gform-field-label gform-field-label--type-inline'>$194<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_108'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.108' type='checkbox'  value='196'  id='choice_41_14_108'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_108' id='label_41_14_108' class='gform-field-label gform-field-label--type-inline'>$196<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_109'>\n\t\t\t\t\t\t\t\t<input class='gpi-disabled gwlc-disabled gfield-choice-input' name='input_14.109' type='checkbox'  value='198'  id='choice_41_14_109' disabled='disabled' disabled='disabled'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_109' id='label_41_14_109' class='gform-field-label gform-field-label--type-inline'>$198<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_111'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.111' type='checkbox'  value='200'  id='choice_41_14_111'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_111' id='label_41_14_111' class='gform-field-label gform-field-label--type-inline'>$200<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_41_14_112'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_14.112' type='checkbox'  value='0'  id='choice_41_14_112'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_14_112' id='label_41_14_112' class='gform-field-label gform-field-label--type-inline'>Custom Amount<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_41_12\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full pricelabel gfield_price gfield_price_41_12 gfield_product_41_12 gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_41_12_1'>Box Amount<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_12.1' value='Box Amount' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_41_12'>$ 0.00 CAD<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_12.2' id='ginput_base_price_41_12' class='gform_hidden ginput_calculated_price' value='$ 0.00 CAD'\/>\n\t\t\t\t\t<input type='hidden' name='input_12.3' value='1' class='ginput_quantity_41_12 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_41_13\" class=\"gfield gfield--type-product gfield--input-type-price gfield--width-full gfield_price gfield_price_41_13 gfield_product_41_13 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_13'>Custom\/Additional amount<\/label><div class='ginput_container ginput_container_product_price'>\n\t\t\t\t\t<input name='input_13' id='input_41_13' type='text' value='' class='small ginput_amount'    aria-invalid=\"false\"  \/>\n\t\t\t\t<\/div><\/li><li id=\"field_41_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_hidden_label gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_41_1'>\n                            \n                            <span id='input_41_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_41_1_3' value=''   aria-required='true'   placeholder='First'  \/>\n                                                    <label for='input_41_1_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_41_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_41_1_6' value=''   aria-required='true'   placeholder='Last'  \/>\n                                                    <label for='input_41_1_6' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_41_3\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_3'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_41_3' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_41_20\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Admin Only<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_41_20'><li class='gchoice gchoice_41_20_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.1' type='checkbox'  value='Skip payment options on this form'  id='choice_41_20_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_20_1' id='label_41_20_1' class='gform-field-label gform-field-label--type-inline'>Skip payment options on this form<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_41_22\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_22'>Admin Comments<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_22' id='input_41_22' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_41_19\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_41_4\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_41_4' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_41_4_1_container' >\n                                        <input type='text' name='input_4.1' id='input_41_4_1' value=''    aria-required='true'    \/>\n                                        <label for='input_41_4_1' id='input_41_4_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_41_4_2_container' >\n                                        <input type='text' name='input_4.2' id='input_41_4_2' value=''     aria-required='false'   \/>\n                                        <label for='input_41_4_2' id='input_41_4_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_41_4_3_container' >\n                                    <input type='text' name='input_4.3' id='input_41_4_3' value=''    aria-required='true'    \/>\n                                    <label for='input_41_4_3' id='input_41_4_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_41_4_4_container' >\n                                        <input type='text' name='input_4.4' id='input_41_4_4' value=''      aria-required='true'    \/>\n                                        <label for='input_41_4_4' id='input_41_4_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_41_4_5_container' >\n                                    <input type='text' name='input_4.5' id='input_41_4_5' value=''    aria-required='true'    \/>\n                                    <label for='input_41_4_5' id='input_41_4_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_41_4_6_container' >\n                                        <select name='input_4.6' id='input_41_4_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' selected='selected'>Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_41_4_6' id='input_41_4_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_41_5\" class=\"gfield gfield--type-phone gfield--input-type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_5'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_41_5' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_41_6\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_6'>Comments<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_6' id='input_41_6' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_41_7\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_41_7'>Donation Method<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_41_7' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Credit Card' >Credit Card<\/option><option value='Direct Debit' >Direct Debit<\/option><\/select><\/div><\/li><li id=\"field_41_8\" class=\"gfield gfield--type-ach gfield--input-type-ach gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gfield_label_before_complex' for='input_41_8_1'>Direct Debit<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_ach' id='input_41_8'><span class='ginput_full' id='input_41_8_4_container'>\r\n                                            <input type='text' name='input_8.4' id='input_41_8_4' value=''   \/>\r\n                                            <label for='input_41_8_4' id='input_41_8_4_label' >Account Holder Name<\/label>\r\n                                        <\/span><span class='ginput_left' id='input_41_8_1_container' >\r\n\t\t\t\t\t\t\t\t\t<input type='text' name='input_8.1' id='input_41_8_1' value=''     autocomplete='off' pattern='[0-9]*' title='Only digits are allowed' \/>\r\n\t\t\t\t\t\t\t\t\t<label for='input_41_8_1' id='input_41_8_1_label' >Account Number<\/label>\r\n\t\t\t\t\t\t\t\t <\/span><span class='ginput_right' id='input_41_8_3_container'>\r\n                                    <select name='input_8.3' id='input_41_8_3'   class='ginput_card_expiration'>\r\n\t\t\t\t\t\t\t\t\t\t<option value=''>Select<\/option><option value='S' >Savings<\/option><option value='C' >Checking<\/option>\r\n\t\t\t\t\t\t\t\t\t<\/select>\r\n                                    <label for='input_41_8_3' id='input_41_8_3_label' >Account Type<\/label>\r\n                                 <\/span><span class='ginput_left' id='input_41_8_2_container' >\r\n                                    <input type='text' name='input_8.2' id='input_41_8_2' value=''     autocomplete='off' pattern='[0-9]*' title='Only digits are allowed' \/>\r\n                                    <label for='input_41_8_2' id='input_41_8_2_label' >Institution\/Bank Number<\/label>\r\n                                 <\/span><span class='ginput_right' id='input_41_8_5_container' >\r\n\t\t\t\t\t\t\t\t\t<input type='text' name='input_8.5' id='input_41_8_5' value=''     autocomplete='off' pattern='[0-9]*' title='Only digits are allowed' \/>\r\n\t\t\t\t\t\t\t\t\t<label for='input_41_8_5' id='input_41_8_5_label' >Transit\/Branch Number<\/label>\r\n\t\t\t\t\t\t\t\t <\/span> <\/div><\/li><li id=\"field_41_10\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><img decoding=\"async\" src=\"\/wp-content\/uploads\/2020\/12\/cheque_info.jpg\" \/><\/li><li id=\"field_41_9\" class=\"gfield gfield--type-creditcard gfield--input-type-creditcard gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_41_9_1'>Credit Card<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_creditcard gform-grid-row' id='input_41_9'><span class='ginput_full gform-grid-col' id='input_41_9_1_container' >\n                                    <div class='gform_card_icon_container'><div class='gform_card_icon gform_card_icon_mastercard' >MasterCard<\/div><div class='gform_card_icon gform_card_icon_visa' >Visa<\/div><span class='screen-reader-text' id='field_41_9_supported_creditcards'>Supported Credit Cards: MasterCard, Visa<\/span><\/div>\n                                    <input type='text' name='input_9.1' id='input_41_9_1' value=''   onchange='gformMatchCard(\"input_41_9_1\");' onkeyup='gformMatchCard(\"input_41_9_1\");' autocomplete='off' pattern='[0-9]*' title='Only digits are allowed'  aria-required='true'  \/>\n                                    <label for='input_41_9_1' id='input_41_9_1_label' class='gform-field-label gform-field-label--type-sub '>Card Number<\/label>\n                                 <\/span><span class='ginput_full ginput_cardextras gform-grid-col gform-grid-row' id='input_41_9_2_container'>\n                                            <span class='ginput_cardinfo_left' id='input_41_9_2_cardinfo_left'>\n                                                <span class='ginput_card_expiration_container ginput_card_field'>\n                                                    \n                                                       <select name='input_9.2[]' id='input_41_9_2_month'   class='ginput_card_expiration ginput_card_expiration_month' aria-required='true'  >\n                                                           <option value=''>Month<\/option><option value='1' >01<\/option><option value='2' >02<\/option><option value='3' >03<\/option><option value='4' >04<\/option><option value='5' >05<\/option><option value='6' >06<\/option><option value='7' >07<\/option><option value='8' >08<\/option><option value='9' >09<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option>\n                                                       <\/select>\n                                                       \n                                                   \n                                                   \n                                                       <select name='input_9.2[]' id='input_41_9_2_year'   class='ginput_card_expiration ginput_card_expiration_year' aria-required='true'  >\n                                                           <option value=''>Year<\/option><option value='2026' >2026<\/option><option value='2027' >2027<\/option><option value='2028' >2028<\/option><option value='2029' >2029<\/option><option value='2030' >2030<\/option><option value='2031' >2031<\/option><option value='2032' >2032<\/option><option value='2033' >2033<\/option><option value='2034' >2034<\/option><option value='2035' >2035<\/option><option value='2036' >2036<\/option><option value='2037' >2037<\/option><option value='2038' >2038<\/option><option value='2039' >2039<\/option><option value='2040' >2040<\/option><option value='2041' >2041<\/option><option value='2042' >2042<\/option><option value='2043' >2043<\/option><option value='2044' >2044<\/option><option value='2045' >2045<\/option>\n                                                       <\/select>\n                                                       \n                                                       \n                                                <\/span>\n                                                 <label for='input_41_9_2_month' class='gform-field-label gform-field-label--type-sub '>Expiration Date<\/label>\n                                            <\/span><span class='ginput_cardinfo_right gform-grid-col' id='input_41_9_2_cardinfo_right'>\n                                                <input type='text' name='input_9.3' id='input_41_9_3'   class='ginput_card_security_code' value='' autocomplete='off' pattern='[0-9]*' title='Only digits are allowed'  aria-required='true'  \/>\n                                                <span class='ginput_card_security_code_icon'>&nbsp;<\/span>\n                                                <label for='input_41_9_3' class='gform-field-label gform-field-label--type-sub '>Security Code<\/label>\n                                             <\/span>\n                                        <\/span><span class='ginput_full gform-grid-col' id='input_41_9_5_container'>\n                                            <input type='text' name='input_9.5' id='input_41_9_5' value=''    aria-required='false'  \/>\n                                            <label for='input_41_9_5' id='input_41_9_5_label' class='gform-field-label gform-field-label--type-sub '>Cardholder Name<\/label>\n                                        <\/span> <\/div><\/li><li id=\"field_41_18\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Cover processing fee?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_41_18'><li class='gchoice gchoice_41_18_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.1' type='checkbox'  value='Donate the Credit Card Processing Fee'  id='choice_41_18_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_41_18_1' id='label_41_18_1' class='gform-field-label gform-field-label--type-inline'>Donate the Credit Card Processing Fee<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_41_17\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full pricelabel gfield_price gfield_price_41_17 gfield_product_41_17 gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_41_17_1'>Processing Fee<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_17.1' value='Processing Fee' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_41_17'>$ 0.00 CAD<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_17.2' id='ginput_base_price_41_17' class='gform_hidden ginput_calculated_price' value='$ 0.00 CAD'\/>\n\t\t\t\t\t<input type='hidden' name='input_17.3' value='1' class='ginput_quantity_41_17 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_41_21\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_41_11\" class=\"gfield gfield--type-total gfield--input-type-total gfield--width-full gfield_price gfield_price_41_ gfield_total gfield_total_41_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_41_11'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<span class='ginput_total ginput_total_41'>$ 0.00 CAD<\/span>\n\t\t\t\t\t\t\t<input type='hidden' name='input_11' id='input_41_11' class='gform_hidden'\/>\n\t\t\t\t\t\t<\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_41' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> 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