{"id":918,"date":"2021-12-15T10:12:38","date_gmt":"2021-12-15T10:12:38","guid":{"rendered":"https:\/\/kellytillage.tk\/?page_id=918"},"modified":"2022-05-30T09:05:49","modified_gmt":"2022-05-30T09:05:49","slug":"dealer-machine-order-form","status":"publish","type":"page","link":"https:\/\/kellytillage.com\/za-en\/dealer-machine-order-form\/","title":{"rendered":"Machine &amp; Chain Order Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"918\" class=\"elementor elementor-918\" data-elementor-settings=\"{&quot;element_pack_global_tooltip_width&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_padding&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true}}\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6417961 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6417961\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b70c230\" data-id=\"b70c230\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5cd5e1f elementor-widget elementor-widget-spacer\" data-id=\"5cd5e1f\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fb2219d elementor-widget elementor-widget-heading\" data-id=\"fb2219d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Machine &amp; Chain Order Form<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-edd9841 elementor-widget elementor-widget-spacer\" data-id=\"edd9841\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5ac5834 bdt-gravity-form-button-custom elementor-widget elementor-widget-bdt-gravity-form\" data-id=\"5ac5834\" data-element_type=\"widget\" data-widget_type=\"bdt-gravity-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\n\t\t<div class=\"bdt-gravity-forms\">\n\t\t\t<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_40' style='display:none'><div id='gf_40' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_40'  action='\/za-en\/wp-json\/wp\/v2\/pages\/918#gf_40' data-formid='40' novalidate>\n        <div id='gf_progressbar_wrapper_40' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>2<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_50' style='width:50%;'><span>50%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_40_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_40' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_40_174\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_174'>Email<\/label><div class='ginput_container'><input name='input_174' id='input_40_174' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_40_174'>This field is for validation purposes and should be left unchanged.<\/div><\/div><fieldset id=\"field_40_1\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_40_1' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_40_1_2_container'><label for='input_40_1_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Day<\/label><select name='input_1[]' id='input_40_1_2'   aria-required='true'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_40_1_1_container'><label for='input_40_1_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Month<\/label><select name='input_1[]' id='input_40_1_1'   aria-required='true'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_40_1_3_container'><label for='input_40_1_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Year<\/label><select name='input_1[]' id='input_40_1_3'   aria-required='true'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><div id=\"field_40_3\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon 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_40_3'>Requested Dispatch Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_3' id='input_40_3' type='text' value='' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_40_3_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_40_3_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_40_3' class='gform_hidden' value='https:\/\/kellytillage.com\/za-en\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_40_4\" class=\"gfield gfield--type-text gfield--input-type-text 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_40_4'>Purchase Order Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_40_4' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_40_161\" 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\"  ><h3 class=\"gsection_title\">Dealer information<\/h3><\/div><div id=\"field_40_5\" class=\"gfield gfield--type-text gfield--input-type-text 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_40_5'>Dealership<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_40_5' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_40_78\" class=\"gfield gfield--type-text gfield--input-type-text 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_40_78'>Dealer Salesperson<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_78' id='input_40_78' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_40_6\" 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_40_6'>Dealer Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_6' id='input_40_6' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_40_7\" class=\"gfield gfield--type-phone gfield--input-type-phone 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_40_7'>Dealer Contact Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_7' id='input_40_7' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_40_108\" class=\"gfield gfield--type-select gfield--input-type-select 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_40_108'>Is this machine to be delivered directly to the dealership?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_108' id='input_40_108' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><fieldset id=\"field_40_10\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Delivery Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \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_40_10' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_40_10_1_container' >\n                                        <input type='text' name='input_10.1' id='input_40_10_1' value=''    aria-required='true'    \/>\n                                        <label for='input_40_10_1' id='input_40_10_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_40_10_2_container' >\n                                        <input type='text' name='input_10.2' id='input_40_10_2' value=''     aria-required='false'   \/>\n                                        <label for='input_40_10_2' id='input_40_10_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_40_10_3_container' >\n                                    <input type='text' name='input_10.3' id='input_40_10_3' value=''    aria-required='true'    \/>\n                                    <label for='input_40_10_3' id='input_40_10_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_40_10_4_container' >\n                                        <input type='text' name='input_10.4' id='input_40_10_4' value=''      aria-required='true'    \/>\n                                        <label for='input_40_10_4' id='input_40_10_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_40_10_5_container' >\n                                    <input type='text' name='input_10.5' id='input_40_10_5' value=''    aria-required='true'    \/>\n                                    <label for='input_40_10_5' id='input_40_10_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_40_10_6_container' >\n                                        <select name='input_10.6' id='input_40_10_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' selected='selected'>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' >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_40_10_6' id='input_40_10_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><\/fieldset><div id=\"field_40_162\" 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\"  ><h3 class=\"gsection_title\">Customer Information<\/h3><\/div><fieldset id=\"field_40_158\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Customer Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><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_40_158'>\n                            \n                            <span id='input_40_158_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_158.3' id='input_40_158_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_40_158_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_40_158_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_158.6' id='input_40_158_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_40_158_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_40_109\" class=\"gfield gfield--type-phone gfield--input-type-phone 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_40_109'>Customer Contact Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_109' id='input_40_109' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_40_159\" class=\"gfield gfield--type-email gfield--input-type-email field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_159'>Customer Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_159' id='input_40_159' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_40_160\" class=\"gfield gfield--type-address gfield--input-type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Customer Address<\/legend>    \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_40_160' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_40_160_1_container' >\n                                        <input type='text' name='input_160.1' id='input_40_160_1' value=''    aria-required='false'    \/>\n                                        <label for='input_40_160_1' id='input_40_160_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_40_160_2_container' >\n                                        <input type='text' name='input_160.2' id='input_40_160_2' value=''     aria-required='false'   \/>\n                                        <label for='input_40_160_2' id='input_40_160_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_40_160_3_container' >\n                                    <input type='text' name='input_160.3' id='input_40_160_3' value=''    aria-required='false'    \/>\n                                    <label for='input_40_160_3' id='input_40_160_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_40_160_4_container' >\n                                        <input type='text' name='input_160.4' id='input_40_160_4' value=''      aria-required='false'    \/>\n                                        <label for='input_40_160_4' id='input_40_160_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_40_160_5_container' >\n                                    <input type='text' name='input_160.5' id='input_40_160_5' value=''    aria-required='false'    \/>\n                                    <label for='input_40_160_5' id='input_40_160_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_40_160_6_container' >\n                                        <select name='input_160.6' id='input_40_160_6'   aria-required='false'    ><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' selected='selected'>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' >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_40_160_6' id='input_40_160_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><\/fieldset><div id=\"field_40_163\" 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\"  ><h3 class=\"gsection_title\">Product Information<\/h3><\/div><div id=\"field_40_14\" class=\"gfield gfield--type-product gfield--input-type-select gfield_price gfield_price_40_14 gfield_product_40_14 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_40_14'>Model Selection<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_14' id='input_40_14' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='None|0' >None<\/option><option value='Chains only|0' >Chains only<\/option><option value='1204|47313' >1204<\/option><option value='3009|79162' >3009<\/option><option value='40|96399' >40<\/option><option value='4614|129208' >4614<\/option><option value='6218HDX|189304' >6218HDX<\/option><option value='8024|265249' >8024<\/option><\/select><\/div><\/div><div id=\"field_40_128\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_128'>Model Price<\/label><div class='ginput_container ginput_container_number'><input name='input_128' id='input_40_128' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"  placeholder='Price'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_111\" class=\"gfield gfield--type-product gfield--input-type-select gfield_price gfield_price_40_111 gfield_product_40_111 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_111'>Tyres<\/label><div class='ginput_container ginput_container_select'><select name='input_111' id='input_40_111' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Tyres - 400\/55\/22.5|0' >Tyres - 400\/55\/22.5<\/option><option value='Tyres - 385\/65 R22.5|-548.83' >Tyres - 385\/65 R22.5<\/option><\/select><\/div><\/div><div id=\"field_40_129\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_129'>Tyre Price<\/label><div class='ginput_container ginput_container_number'><input name='input_129' id='input_40_129' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"  placeholder='Tyre Price'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_112\" class=\"gfield gfield--type-product gfield--input-type-select gfield_price gfield_price_40_112 gfield_product_40_112 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_112'>Tyres<\/label><div class='ginput_container ginput_container_select'><select name='input_112' id='input_40_112' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Tyres - 400\/55\/22.5|0' >Tyres - 400\/55\/22.5<\/option><option value='Tyres - 385\/65 R22.5|-548.83' >Tyres - 385\/65 R22.5<\/option><\/select><\/div><\/div><div id=\"field_40_131\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_131'>Tyre Price<\/label><div class='ginput_container ginput_container_number'><input name='input_131' id='input_40_131' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"  placeholder='Price'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_113\" class=\"gfield gfield--type-product gfield--input-type-select gfield_price gfield_price_40_113 gfield_product_40_113 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_113'>Tyres<\/label><div class='ginput_container ginput_container_select'><select name='input_113' id='input_40_113' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Tyres - 400\/55\/22.5|0' >Tyres - 400\/55\/22.5<\/option><\/select><\/div><\/div><div id=\"field_40_132\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_132'>Tyre Price<\/label><div class='ginput_container ginput_container_number'><input name='input_132' id='input_40_132' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"  placeholder='Price'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_143\" class=\"gfield gfield--type-product gfield--input-type-select gfield_price gfield_price_40_143 gfield_product_40_143 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_143'>Tyres<\/label><div class='ginput_container ginput_container_select'><select name='input_143' id='input_40_143' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Tyres - 400\/55\/22.5|0' >Tyres - 400\/55\/22.5<\/option><\/select><\/div><\/div><div id=\"field_40_144\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_144'>Dual wheel outer wing option<\/label><div class='ginput_container ginput_container_select'><select name='input_144' id='input_40_144' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='Yes' >Yes<\/option><\/select><\/div><\/div><div id=\"field_40_145\" class=\"gfield gfield--type-product gfield--input-type-select gfield_price gfield_price_40_145 gfield_product_40_145 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_40_145'>4614 dual wheel price<\/label><div class='ginput_container ginput_container_select'><select name='input_145' id='input_40_145' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Dual Wheel Option - Flotation dual wheels on outer wing|5255.85' selected='selected'>Dual Wheel Option - Flotation dual wheels on outer wing<\/option><\/select><\/div><\/div><div id=\"field_40_142\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_142'>Tyre Price<\/label><div class='ginput_container ginput_container_number'><input name='input_142' id='input_40_142' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"  placeholder='Price'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_123\" class=\"gfield gfield--type-product gfield--input-type-select gfield_price gfield_price_40_123 gfield_product_40_123 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_123'>Tyres<\/label><div class='ginput_container ginput_container_select'><select name='input_123' id='input_40_123' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Tyres - 15.5\/80\/24|0' >Tyres - 15.5\/80\/24<\/option><option value='Tyres - 550\/60\/22.5|4455.21' >Tyres - 550\/60\/22.5<\/option><\/select><\/div><\/div><div id=\"field_40_124\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_124'>Dual wheel outer wing option<\/label><div class='ginput_container ginput_container_select'><select name='input_124' id='input_40_124' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='Yes' >Yes<\/option><\/select><\/div><\/div><div id=\"field_40_138\" class=\"gfield gfield--type-product gfield--input-type-select gfield_price gfield_price_40_138 gfield_product_40_138 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_40_138'>6218HDX dual wheel<\/label><div class='ginput_container ginput_container_select'><select name='input_138' id='input_40_138' class='medium gfield_select'     aria-invalid=\"false\" ><option value='15.5\/80\/24 dual wheels on outer wing|6079.1' >15.5\/80\/24 dual wheels on outer wing<\/option><\/select><\/div><\/div><div id=\"field_40_140\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_140'>Tyre Price<\/label><div class='ginput_container ginput_container_number'><input name='input_140' id='input_40_140' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"  placeholder='Price'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_127\" class=\"gfield gfield--type-product gfield--input-type-select gfield_price gfield_price_40_127 gfield_product_40_127 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_127'>Tyres<\/label><div class='ginput_container ginput_container_select'><select name='input_127' id='input_40_127' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Tyres - 550\/60\/22.5|0' >Tyres - 550\/60\/22.5<\/option><\/select><\/div><\/div><div id=\"field_40_141\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_141'>Tyre Price<\/label><div class='ginput_container ginput_container_number'><input name='input_141' id='input_40_141' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"  placeholder='Price'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_154\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_154'>Chain Size<\/label><div class='ginput_container ginput_container_select'><select name='input_154' id='input_40_154' class='medium gfield_select'     aria-invalid=\"false\" ><option value='None' selected='selected'>None<\/option><option value='1204' >1204<\/option><option value='3009' >3009<\/option><option value='40' >40<\/option><option value='4614' >4614<\/option><option value='6218HDX' >6218HDX<\/option><option value='8024' >8024<\/option><\/select><\/div><\/div><div id=\"field_40_168\" class=\"gfield gfield--type-product gfield--input-type-select gfield--width-full gfield_price gfield_price_40_168 gfield_product_40_168 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_168'>1204 Front Chain Selection<\/label><div class='ginput_container ginput_container_select'><select name='input_168' id='input_40_168' class='medium gfield_select'     aria-invalid=\"false\" ><option value='None|0' >None<\/option><option value='Prickle Chain|783' >Prickle Chain<\/option><option value='Spiked Disc Chain|4276' >Spiked Disc Chain<\/option><option value='W36 Disc Chain|1932' >W36 Disc Chain<\/option><option value='R300 Disc Chain|3097' >R300 Disc Chain<\/option><option value='CL1 Disc Chain|3651' >CL1 Disc Chain<\/option><option value='K4 Disc Chain|4115' >K4 Disc Chain<\/option><option value='K4 Disc Chain + 3.44kg|5065' >K4 Disc Chain + 3.44kg<\/option><\/select><\/div><\/div><div id=\"field_40_64\" class=\"gfield gfield--type-product gfield--input-type-select gfield_price gfield_price_40_64 gfield_product_40_64 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_64'>3009 Front Chain Selection<\/label><div class='ginput_container ginput_container_select'><select name='input_64' id='input_40_64' class='medium gfield_select'     aria-invalid=\"false\" ><option value='None|0' >None<\/option><option value='Prickle Chain|1804' >Prickle Chain<\/option><option value='Spiked Disc Chain|9851' >Spiked Disc Chain<\/option><option value='W36 Disc Chain|4451' >W36 Disc Chain<\/option><option value='R300 Disc Chain|7137' >R300 Disc Chain<\/option><option value='CL1 Disc Chain|8289' >CL1 Disc Chain<\/option><option value='CL2 Disc Chain|16492' >CL2 Disc Chain<\/option><option value='K4 Disc Chain|9096' >K4 Disc Chain<\/option><option value='K4 Disc Chain + 3.44kg|11195' >K4 Disc Chain + 3.44kg<\/option><\/select><\/div><\/div><div id=\"field_40_65\" class=\"gfield gfield--type-product gfield--input-type-select gfield_price gfield_price_40_65 gfield_product_40_65 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_65'>40 Front Chain Selection<\/label><div class='ginput_container ginput_container_select'><select name='input_65' id='input_40_65' class='medium gfield_select'     aria-invalid=\"false\" ><option value='None|0' >None<\/option><option value='Prickle Chain|2341' >Prickle Chain<\/option><option value='Spike Disc Chain (SD49)|12785' >Spike Disc Chain (SD49)<\/option><option value='W36 Disc Chain|5776' >W36 Disc Chain<\/option><option value='R300 Disc Chain|9262' >R300 Disc Chain<\/option><option value='CL1 Disc Chain|10756' >CL1 Disc Chain<\/option><option value='CL2 Disc Chain|22151' >CL2 Disc Chain<\/option><option value='K4 Disc Chain|12020' >K4 Disc Chain<\/option><option value='K4 Disc Chain + 3.44kg|14927.01' >K4 Disc Chain + 3.44kg<\/option><\/select><\/div><\/div><div id=\"field_40_146\" class=\"gfield gfield--type-product gfield--input-type-select gfield_price gfield_price_40_146 gfield_product_40_146 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_146'>4614 Front Chain Selection<\/label><div class='ginput_container ginput_container_select'><select name='input_146' id='input_40_146' class='medium gfield_select'     aria-invalid=\"false\" ><option value='None|0' >None<\/option><option value='Prickle Chain|2661' >Prickle Chain<\/option><option value='Spiked Disc Chain|14532' >Spiked Disc Chain<\/option><option value='W36 Disc Chain|6566' >W36 Disc Chain<\/option><option value='R300 Disc Chain|10527' >R300 Disc Chain<\/option><option value='CL1 Disc Chain|12434' >CL1 Disc Chain<\/option><option value='CL2 Disc Chain|25385' >CL2 Disc Chain<\/option><option value='K4 Disc Chain|13861' >K4 Disc Chain<\/option><option value='K4 Disc Chain + 3.44kg|16926' >K4 Disc Chain + 3.44kg<\/option><\/select><\/div><\/div><div id=\"field_40_69\" class=\"gfield gfield--type-product gfield--input-type-select gfield_price gfield_price_40_69 gfield_product_40_69 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_69'>6218HDX Front Chain Selection<\/label><div class='ginput_container ginput_container_select'><select name='input_69' id='input_40_69' class='medium gfield_select'     aria-invalid=\"false\" ><option value='None|0' >None<\/option><option value='Prickle Chain|3446' >Prickle Chain<\/option><option value='Spiked Disc Chain|18822' >Spiked Disc Chain<\/option><option value='W36 Disc Chain|8504' >W36 Disc Chain<\/option><option value='R300 Disc Chain|10527' >R300 Disc Chain<\/option><option value='CL1 Disc Chain|12434' >CL1 Disc Chain<\/option><option value='CL2 Disc Chain|25385' >CL2 Disc Chain<\/option><option value='K4 Disc Chain|13861' >K4 Disc Chain<\/option><option value='K4 Disc Chain + 3.44kg|16926' >K4 Disc Chain + 3.44kg<\/option><\/select><\/div><\/div><div id=\"field_40_70\" class=\"gfield gfield--type-product gfield--input-type-select gfield_price gfield_price_40_70 gfield_product_40_70 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_70'>8024 Front Chain Selection<\/label><div class='ginput_container ginput_container_select'><select name='input_70' id='input_40_70' class='medium gfield_select'     aria-invalid=\"false\" ><option value='None|0' >None<\/option><option value='Prickle Chain|4551' >Prickle Chain<\/option><option value='Spiked Disc Chain|24859' >Spiked Disc Chain<\/option><option value='W36 Disc Chain|11232' >W36 Disc Chain<\/option><option value='R300 Disc Chain|18008' >R300 Disc Chain<\/option><option value='CL1 Disc Chain|21217' >CL1 Disc Chain<\/option><option value='CL2 Disc Chain|43980' >CL2 Disc Chain<\/option><option value='K4 Disc Chain|23498' >K4 Disc Chain<\/option><option value='K4 Disc Chain + 3.44kg|28921' >K4 Disc Chain + 3.44kg<\/option><\/select><\/div><\/div><div id=\"field_40_169\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_169'>Front Chain Price<\/label><div class='ginput_container ginput_container_number'><input name='input_169' id='input_40_169' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"  placeholder='Price'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_28\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_28'>Front Chain Price<\/label><div class='ginput_container ginput_container_number'><input name='input_28' id='input_40_28' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"  placeholder='Price'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_89\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_89'>Front Chain Price<\/label><div class='ginput_container ginput_container_number'><input name='input_89' id='input_40_89' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"  placeholder='Price'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_90\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_90'>Front Chain Price<\/label><div class='ginput_container ginput_container_number'><input name='input_90' id='input_40_90' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"  placeholder='Price'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_147\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_147'>Front Chain Price<\/label><div class='ginput_container ginput_container_number'><input name='input_147' id='input_40_147' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"  placeholder='Price'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_93\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_93'>Front Chain Price<\/label><div class='ginput_container ginput_container_number'><input name='input_93' id='input_40_93' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"  placeholder='Price'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_94\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_94'>Front Chain Price<\/label><div class='ginput_container ginput_container_number'><input name='input_94' id='input_40_94' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"  placeholder='Price'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_95\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_95'>Front Chain Price<\/label><div class='ginput_container ginput_container_number'><input name='input_95' id='input_40_95' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"  placeholder='Price'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_170\" class=\"gfield gfield--type-product gfield--input-type-select gfield--width-full gfield_price gfield_price_40_170 gfield_product_40_170 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_170'>1204 Rear Chain Selection<\/label><div class='ginput_container ginput_container_select'><select name='input_170' id='input_40_170' class='medium gfield_select'     aria-invalid=\"false\" ><option value='None|0' >None<\/option><option value='Prickle Chain|783' >Prickle Chain<\/option><option value='Spiked Disc Chain|4608' >Spiked Disc Chain<\/option><option value='W36 Disc Chain|2082' >W36 Disc Chain<\/option><option value='R300 Disc Chain|3338' >R300 Disc Chain<\/option><option value='CL1 Disc Chain|3947' >CL1 Disc Chain<\/option><option value='K4 Disc Chain|4331' >K4 Disc Chain<\/option><option value='K4 Disc Chain + 3.44kg|5331' >K4 Disc Chain + 3.44kg<\/option><\/select><\/div><\/div><div id=\"field_40_71\" class=\"gfield gfield--type-product gfield--input-type-select gfield_price gfield_price_40_71 gfield_product_40_71 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_71'>3009 Rear Chain Selection<\/label><div class='ginput_container ginput_container_select'><select name='input_71' id='input_40_71' class='medium gfield_select'     aria-invalid=\"false\" ><option value='None|0' >None<\/option><option value='Prickle Chain|2016' >Prickle Chain<\/option><option value='Spiked Disc Chain|11009' >Spiked Disc Chain<\/option><option value='W36 Disc Chain|4974' >W36 Disc Chain<\/option><option value='R300 Disc Chain|7975' >R300 Disc Chain<\/option><option value='CL1 Disc Chain|9437' >CL1 Disc Chain<\/option><option value='CL2 Disc Chain|17748' >CL2 Disc Chain<\/option><option value='K4 Disc Chain|10395' >K4 Disc Chain<\/option><option value='K4 Disc Chain + 3.44kg|12795' >K4 Disc Chain + 3.44kg<\/option><\/select><\/div><\/div><div id=\"field_40_72\" class=\"gfield gfield--type-product gfield--input-type-select gfield_price gfield_price_40_72 gfield_product_40_72 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_72'>40 Rear Chain Selection<\/label><div class='ginput_container ginput_container_select'><select name='input_72' id='input_40_72' class='medium gfield_select'     aria-invalid=\"false\" ><option value='None|0' >None<\/option><option value='Prickle Chain|2666' >Prickle Chain<\/option><option value='Spiked Disc Chain|14560' >Spiked Disc Chain<\/option><option value='W36 Disc Chain|6579' >W36 Disc Chain<\/option><option value='R300 Disc Chain|10548' >R300 Disc Chain<\/option><option value='CL1 Disc Chain|12335' >CL1 Disc Chain<\/option><option value='CL2 Disc Chain|23848' >CL2 Disc Chain<\/option><option value='K4 Disc Chain|13536' >K4 Disc Chain<\/option><option value='K4 Disc Chain + 3.44kg|16926' >K4 Disc Chain + 3.44kg<\/option><\/select><\/div><\/div><div id=\"field_40_148\" class=\"gfield gfield--type-product gfield--input-type-select gfield_price gfield_price_40_148 gfield_product_40_148 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_148'>4614 Rear Chain Selection<\/label><div class='ginput_container ginput_container_select'><select name='input_148' id='input_40_148' class='medium gfield_select'     aria-invalid=\"false\" ><option value='None|0' >None<\/option><option value='Prickle Chain|3026' >Prickle Chain<\/option><option value='Spiked Disc Chain|16528' >Spiked Disc Chain<\/option><option value='W36 Disc Chain|7467' >W36 Disc Chain<\/option><option value='R300 Disc Chain|11973' >R300 Disc Chain<\/option><option value='CL1 Disc Chain|14111' >CL1 Disc Chain<\/option><option value='CL2 Disc Chain|27207' >CL2 Disc Chain<\/option><option value='K4 Disc Chain|15593' >K4 Disc Chain<\/option><option value='K4 Disc Chain + 3.44kg|19192' >K4 Disc Chain + 3.44kg<\/option><\/select><\/div><\/div><div id=\"field_40_76\" class=\"gfield gfield--type-product gfield--input-type-select gfield_price gfield_price_40_76 gfield_product_40_76 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_76'>6218HDX Rear Chain Selection<\/label><div class='ginput_container ginput_container_select'><select name='input_76' id='input_40_76' class='medium gfield_select'     aria-invalid=\"false\" ><option value='None|0' >None<\/option><option value='Prickle Chain|3758' >Prickle Chain<\/option><option value='Spiked Disc Chain|20526' >Spiked Disc Chain<\/option><option value='W36 Disc Chain|9274' >W36 Disc Chain<\/option><option value='R300 Disc Chain|14870' >R300 Disc Chain<\/option><option value='CL1 Disc Chain|17171' >CL1 Disc Chain<\/option><option value='CL2 Disc Chain|34142' >CL2 Disc Chain<\/option><option value='K4 Disc Chain|3758' >K4 Disc Chain<\/option><option value='K4 Disc Chain + 3.44kg|23857' >K4 Disc Chain + 3.44kg<\/option><\/select><\/div><\/div><div id=\"field_40_77\" class=\"gfield gfield--type-product gfield--input-type-select gfield_price gfield_price_40_77 gfield_product_40_77 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_77'>8024 Rear Chain Selection<\/label><div class='ginput_container ginput_container_select'><select name='input_77' id='input_40_77' class='medium gfield_select'     aria-invalid=\"false\" ><option value='None|0' >None<\/option><option value='Prickle Chain|4916' >Prickle Chain<\/option><option value='Spiked Disc Chain|26847' >Spiked Disc Chain<\/option><option value='W36 Disc Chain|12130' >W36 Disc Chain<\/option><option value='R300 Disc Chain|19449' >R300 Disc Chain<\/option><option value='CL1 Disc Chain|22795' >CL1 Disc Chain<\/option><option value='CL2 Disc Chain|45362' >CL2 Disc Chain<\/option><option value='K4 Disc Chain|25339' >K4 Disc Chain<\/option><option value='K4 Disc Chain + 3.44kg|31187' >K4 Disc Chain + 3.44kg<\/option><\/select><\/div><\/div><div id=\"field_40_171\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_171'>Rear Chain Price<\/label><div class='ginput_container ginput_container_number'><input name='input_171' id='input_40_171' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"  placeholder='Price'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_32\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_32'>Rear Chain Price<\/label><div class='ginput_container ginput_container_number'><input name='input_32' id='input_40_32' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"  placeholder='Price'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_96\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_96'>Rear Chain Price<\/label><div class='ginput_container ginput_container_number'><input name='input_96' id='input_40_96' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"  placeholder='Price'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_97\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_97'>Rear Chain Price<\/label><div class='ginput_container ginput_container_number'><input name='input_97' id='input_40_97' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"  placeholder='Price'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_149\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_149'>Rear Chain Price<\/label><div class='ginput_container ginput_container_number'><input name='input_149' id='input_40_149' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"  placeholder='Price'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_101\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_101'>Rear Chain Price<\/label><div class='ginput_container ginput_container_number'><input name='input_101' id='input_40_101' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"  placeholder='Price'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_102\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_102'>Rear Chain Price<\/label><div class='ginput_container ginput_container_number'><input name='input_102' id='input_40_102' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"  placeholder='Price'  aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_38\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><li class=\"gf_one_quarter\"><\/li>\n<li class=\"gf_one_quarter\"><\/li>\n<li class=\"gf_one_quarter\"><\/li><\/div><div id=\"field_40_39\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_39'>Sub Total<\/label><div class='ginput_container ginput_container_number'><input name='input_39' id='input_40_39' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_105\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_105'>Discount Percent<\/label><div class='ginput_container ginput_container_select'><select name='input_105' id='input_40_105' class='medium gfield_select'     aria-invalid=\"false\" ><option value='None' >None<\/option><option value='10%' >10%<\/option><\/select><\/div><\/div><div id=\"field_40_106\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_106'>Discount Total<\/label><div class='ginput_container ginput_container_number'><input name='input_106' id='input_40_106' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_107\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_107'>Pre GST Total<\/label><div class='ginput_container ginput_container_number'><input name='input_107' id='input_40_107' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_156\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_156'>GST<\/label><div class='ginput_container ginput_container_number'><input name='input_156' id='input_40_156' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_157\" class=\"gfield gfield--type-number gfield--input-type-number gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_157'>Total<\/label><div class='ginput_container ginput_container_number'><input name='input_157' id='input_40_157' type='text' step='any'   value='' class='medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_40_103\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_40_103'>Comment\/s<\/label><div class='ginput_container ginput_container_text'><input name='input_103' id='input_40_103' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_40_167\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Press the Next button to review your order before submitting the form to Kelly Tillage's offices.<\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_40_152' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_40_2' class='gform_page' data-js='page-field-id-152' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_40_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_40_153\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Order Summary<\/h2>\n<table style=\"width: 80%\">\n<tbody>\n<tr>\n<th style=\"border: 1px solid #dfdfdf;width: 30%\"><\/th>\n<th style=\"border: 1px solid #dfdfdf;width: 50%\">Item<\/th>\n<th style=\"border: 1px solid #dfdfdf;width: 20%\">Price<\/th>\n<\/tr>\n<tr>\n<th style=\"border: 1px solid #dfdfdf;text-align: left\">Product<\/th>\n<td style=\"border: 1px solid #dfdfdf\">{Model Selection:14}<\/td>\n<td style=\"border: 1px solid #dfdfdf;text-align: right\">{model price:128}<\/td>\n<\/tr>\n<tr>\n<th style=\"border: 1px solid #dfdfdf;text-align: left\">Tyre Option<\/th>\n<td style=\"border: 1px solid #dfdfdf\">{Tyres Standard 30 foot:111}{Tyres Standard 40 foot:112}{Tyres Standard 45 foot:113}{Model 46 tyres:143}{Model 46 dual wheel:145}{Model 50 Tyres:116}{Model 60CT Tyres:119}{60CT dual wheel:135}{62HDX dual wheel:138}{62HDX dual wheel floatation:139}<\/td>\n<td style=\"border: 1px solid #dfdfdf;text-align: right\">{Tyres Standard 30 foot Price:129}{Price:131}{Price:132}{Price:142}{Price:140}<\/td>\n<\/tr>\n<tr>\n<th style=\"border: 1px solid #dfdfdf;text-align: left\">Front Chain Selection<\/th>\n<td style=\"border: 1px solid #dfdfdf\">{6m Front Chain Selection:26}{30ft Front Chain Selection:64}{40ft Front Chain Selection:65}{Model 46 Front Chain Selection:146}{60CT Front Chain Selection:68}{62HDX Front Chain Selection:69}{80ft Front Chain Selection:70}{1204 Front Chain Selection:168}<\/td>\n<td style=\"border: 1px solid #dfdfdf;text-align: right\">{Price:28}{Price:89}{Price:90}{Price:147}{Price:93}{Price:94}{Price:95}{Price:169}<\/td>\n<\/tr>\n<tr>\n<th style=\"border: 1px solid #dfdfdf;text-align: left\">Rear Chain Selection<\/th>\n<td style=\"border: 1px solid #dfdfdf\">{6m Rear Chain Selection:30}{30ft Rear Chain Selection:71}{40ft Rear Chain Selection:72}{Model 46 Rear Chain Selection:148}{60CT Rear Chain Selection:75}{62HDX Rear Chain Selection:76}{80ft Rear Chain Selection:77}{1204 Rear Chain Selection:170}<\/td>\n<td style=\"border: 1px solid #dfdfdf;text-align: right\">{Price:32}{Price:96}{Price:97}{Price:149}{Price:102}{Price:101}{Price:171}<\/td>\n<\/tr>\n<tr>\n<th class=\"totalsformat\" colspan=\"2\">Sub Total:<\/th>\n<td style=\"border: 1px solid #dfdfdf;text-align: right\">{Sub Total:39}<\/td>\n<\/tr>\n<tr>\n<th class=\"totalsformat\" colspan=\"2\">Discount:<\/th>\n<td style=\"border: 1px solid #dfdfdf;text-align: right\">{Discount Total:106}<\/td>\n<\/tr>\n<tr>\n<th class=\"totalsformat\" colspan=\"2\">Total Before GST:<\/th>\n<td style=\"border: 1px solid #dfdfdf;text-align: right\">{Pre GST Total:107}<\/td>\n<\/tr>\n<tr>\n<th class=\"totalsformat\" colspan=\"2\">GST:<\/th>\n<td style=\"border: 1px solid #dfdfdf;text-align: right\">{GST:156}<\/td>\n<\/tr>\n<tr>\n<th class=\"totalsformat\" colspan=\"2\">Total:<\/th>\n<td style=\"border: 1px solid #dfdfdf;text-align: right\">{Total:157}<\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div><div id=\"field_40_155\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Order Summary<\/h2>\n<table style=\"width: 80%\">\n<tbody>\n<tr>\n<th style=\"border: 1px solid #dfdfdf;width: 30%\"><\/th>\n<th style=\"border: 1px solid #dfdfdf;width: 50%\">Item<\/th>\n<th style=\"border: 1px solid #dfdfdf;width: 20%\">Price<\/th>\n<\/tr>\n<tr>\n<th style=\"border: 1px solid #dfdfdf;text-align: left\">Product<\/th>\n<td style=\"border: 1px solid #dfdfdf\">{Model Selection:14}<\/td>\n<td style=\"border: 1px solid #dfdfdf;text-align: right\">{model price:128}<\/td>\n<\/tr>\n<tr>\n<th style=\"border: 1px solid #dfdfdf;text-align: left\">Chain Size<\/th>\n<td style=\"border: 1px solid #dfdfdf\">{Chain Size:154}<\/td>\n<td style=\"border: 1px solid #dfdfdf;text-align: right\"><\/td>\n<\/tr>\n<tr>\n<th style=\"border: 1px solid #dfdfdf;text-align: left\">Front Chain Selection<\/th>\n<td style=\"border: 1px solid #dfdfdf\">{6m Front Chain Selection:26}{30ft Front Chain Selection:64}{40ft Front Chain Selection:65}{Model 46 Front Chain Selection:146}{60CT Front Chain Selection:68}{62HDX Front Chain Selection:69}{80ft Front Chain Selection:70}{1204 Front Chain Selection:168}<\/td>\n<td style=\"border: 1px solid #dfdfdf;text-align: right\">{6m front chain price:28}{30 front chain price:89}{40 front chain price:90}{Model 46 front chain price:147}{60 front chain price:93}{62hdx front chain price:94}{80ft front chain price:95}{1204 front chain price:169}<\/td>\n<\/tr>\n<tr>\n<th style=\"border: 1px solid #dfdfdf;text-align: left\">Rear Chain Selection<\/th>\n<td style=\"border: 1px solid #dfdfdf\">{6m Rear Chain Selection:30}{30ft Rear Chain Selection:71}{40ft Rear Chain Selection:72}{Model 46 Rear Chain Selection:148}{60CT Rear Chain Selection:75}{62HDX Rear Chain Selection:76}{80ft Rear Chain Selection:77}{1204 Rear Chain Selection:170}<\/td>\n<td style=\"border: 1px solid #dfdfdf;text-align: right\">{6m rear chain price:32}{30ft rear chain price:96}{40ft rear chain price:97}{Model 46 rear chain price:149}{80 rear chain price:102}{62 rear chain price:101}{1204 Rear Chain Price:171}<\/td>\n<\/tr>\n<tr>\n<th class=\"totalsformat\" colspan=\"2\">Sub Total:<\/th>\n<td style=\"border: 1px solid #dfdfdf;text-align: right\">{Sub Total:39}<\/td>\n<\/tr>\n<tr>\n<th class=\"totalsformat\" colspan=\"2\">Discount:<\/th>\n<td style=\"border: 1px solid #dfdfdf;text-align: right\">{Discount Total:106}<\/td>\n<\/tr>\n<tr>\n<th class=\"totalsformat\" colspan=\"2\">Total Before GST:<\/th>\n<td style=\"border: 1px solid #dfdfdf;text-align: right\">{Pre GST Total:107}<\/td>\n<\/tr>\n<tr>\n<th class=\"totalsformat\" colspan=\"2\">GST:<\/th>\n<td style=\"border: 1px solid #dfdfdf;text-align: right\">{GST:156}<\/td>\n<\/tr>\n<tr>\n<th class=\"totalsformat\" colspan=\"2\">Total:<\/th>\n<td style=\"border: 1px solid #dfdfdf;text-align: right\">{Total:157}<\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div><div id=\"field_40_172\" class=\"gfield gfield--type-captcha gfield--input-type-captcha 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_40_172'>CAPTCHA<\/label><div id='input_40_172' class='ginput_container ginput_recaptcha' data-sitekey=''  data-theme='light' data-tabindex='-1' data-size='invisible' data-badge='bottomright'><\/div><\/div><div id=\"field_40_166\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >By pressing the submit button you are sending this form to the Kelly Tillage head office. You will be directed to the machine order form signature page where you are required to sign the form for it to be processed. <\/div><div id=\"field_40_173\" 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\"  >This price list is only valid for 3 months from its effective date. Orders shipped past this 3 month period may be billed at a different rate. 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