{"id":7874,"date":"2021-03-03T00:49:53","date_gmt":"2021-03-03T00:49:53","guid":{"rendered":"http:\/\/cfpcstate.iseo.biz\/?page_id=7874"},"modified":"2021-06-25T19:54:02","modified_gmt":"2021-06-25T19:54:02","slug":"resident","status":"publish","type":"page","link":"https:\/\/commercialfishingpermits.us\/state\/louisiana\/commercial-fishing\/transport-for-commercial-fisherman\/resident\/","title":{"rendered":"Resident"},"content":{"rendered":"<p><p class=\"mt-25\"><\/p><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\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\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_586' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'>A brief description of the form or Application to be filled out here.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_586'  action='\/state\/wp-json\/wp\/v2\/pages\/7874' data-formid='586' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_586' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_586_41\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_586_41'>\n                            \n                            <span id='input_586_41_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input class='form-control' type='text' name='input_41.3' id='input_586_41_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_586_41_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_586_41_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input class='form-control' type='text' name='input_41.6' id='input_586_41_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_586_41_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_586_42\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_586_42'>Business Name<\/label><div class='gfield_description' id='gfield_description_586_42'>(If applying for business)<\/div><div class='ginput_container ginput_container_text'><input class='form-control' name='input_42' id='input_586_42' type='text' value='' class='medium'  aria-describedby=\"gfield_description_586_42\"    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_586_43\" class=\"gfield gfield--type-address gf_special_address gf_left_third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Driver&#039;s License<\/label>    \n                    <div class='ginput_complex ginput_container has_street2 has_state ginput_container_address gform-grid-row' id='input_586_43' >\n                        <span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_586_43_2_container' >\n                                        <input class='form-control' type='text' name='input_43.2' id='input_586_43_2' value=''     aria-required='false'   \/>\n                                        <label for='input_586_43_2' id='input_586_43_2_label' class='gform-field-label gform-field-label--type-sub '>Number<\/label>\n                                    <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_586_43_4_container' >\n                                        <select class='form-control' class='form-control' name='input_43.4' id='input_586_43_4'     aria-required='false'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' selected='selected'>Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_586_43_4' id='input_586_43_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><input class='form-control' type='hidden' class='gform_hidden' name='input_43.6' id='input_586_43_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_586_44\" class=\"gfield gfield--type-text gf_middle_third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_586_44'>SSN or Tax ID Number<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_44' id='input_586_44' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_586_45\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gf_right_third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_586_45'>Date of Birth<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_45' id='input_586_45' type='text' value='' class='datepicker form-control gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_586_45_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_586_45_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_586_45' class='gform_hidden' value='https:\/\/commercialfishingpermits.us\/state\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_586_46\" class=\"gfield gfield--type-phone gf_left_third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_586_46'>Home Phone<\/label><div class='ginput_container ginput_container_phone'><input class='form-control' name='input_46' id='input_586_46' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_586_47\" class=\"gfield gfield--type-phone gf_middle_third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_586_47'>Cell Phone<\/label><div class='ginput_container ginput_container_phone'><input class='form-control' name='input_47' id='input_586_47' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_586_48\" class=\"gfield gfield--type-email gf_right_third field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_586_48'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input class='form-control' name='input_48' id='input_586_48' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_586_49\" class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Mailing Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_586_49' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_586_49_1_container' >\n                                        <input class='form-control' type='text' name='input_49.1' id='input_586_49_1' value=''    aria-required='false'    \/>\n                                        <label for='input_586_49_1' id='input_586_49_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_586_49_3_container' >\n                                    <input class='form-control' type='text' name='input_49.3' id='input_586_49_3' value=''    aria-required='false'    \/>\n                                    <label for='input_586_49_3' id='input_586_49_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_586_49_4_container' >\n                                        <select class='form-control' class='form-control' name='input_49.4' id='input_586_49_4'     aria-required='false'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' selected='selected'>Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_586_49_4' id='input_586_49_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_586_49_5_container' >\n                                    <input class='form-control' type='text' name='input_49.5' id='input_586_49_5' value=''    aria-required='false'    \/>\n                                    <label for='input_586_49_5' id='input_586_49_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input class='form-control' type='hidden' class='gform_hidden' name='input_49.6' id='input_586_49_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_586_50\" class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Physical Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_586_50' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_586_50_1_container' >\n                                        <input class='form-control' type='text' name='input_50.1' id='input_586_50_1' value=''    aria-required='false'    \/>\n                                        <label for='input_586_50_1' id='input_586_50_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_586_50_3_container' >\n                                    <input class='form-control' type='text' name='input_50.3' id='input_586_50_3' value=''    aria-required='false'    \/>\n                                    <label for='input_586_50_3' id='input_586_50_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_586_50_4_container' >\n                                        <select class='form-control' class='form-control' name='input_50.4' id='input_586_50_4'     aria-required='false'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' selected='selected'>Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_586_50_4' id='input_586_50_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_586_50_5_container' >\n                                    <input class='form-control' type='text' name='input_50.5' id='input_586_50_5' value=''    aria-required='false'    \/>\n                                    <label for='input_586_50_5' id='input_586_50_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input class='form-control' type='hidden' class='gform_hidden' name='input_50.6' id='input_586_50_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_586_52\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">License Information<\/h2><\/li><li id=\"field_586_51\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Louisiana Resident?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_586_51'>\n\t\t\t<li class='radio gchoice gchoice_586_51_0'>\n\t\t\t\t<input style='margin-left:1px;' name='input_51' type='radio' value='Yes' checked='checked' id='choice_586_51_0'    \/>\n\t\t\t\t<label for='choice_586_51_0' id='label_586_51_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='radio gchoice gchoice_586_51_1'>\n\t\t\t\t<input style='margin-left:1px;' name='input_51' type='radio' value='No'  id='choice_586_51_1'    \/>\n\t\t\t\t<label for='choice_586_51_1' id='label_586_51_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_586_54\" class=\"gfield gfield--type-select license-type field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_586_54'>License Type<\/label><div class='ginput_container ginput_container_select'><select class='form-control' name='input_54' id='input_586_54' class='medium gfield_select'     aria-invalid=\"false\" ><option value='SPEAR GUN \u2013 per spear gun' >SPEAR GUN \u2013 per spear gun<\/option><option value='FLOUNDER GIG \u2013 per gig' >FLOUNDER GIG \u2013 per gig<\/option><option value='CANS, BUCKETS, PIPES, DRUMS \u2013 any legal number' >CANS, BUCKETS, PIPES, DRUMS \u2013 any legal number<\/option><option value='FRESHWATER TRAMMEL NET \u2013 any legal number' >FRESHWATER TRAMMEL NET \u2013 any legal number<\/option><option value='FRESHWATER SEINE \u2013 any legal number' >FRESHWATER SEINE \u2013 any legal number<\/option><option value='CRAWFISH TRAPS \u2013 any legal number' >CRAWFISH TRAPS \u2013 any legal number<\/option><option value='WIRE NET \u2013 any legal number' >WIRE NET \u2013 any legal number<\/option><option value='BOW AND ARROW GEAR' >BOW AND ARROW GEAR<\/option><option value='GAR FISH GIG \u2013 per gig' >GAR FISH GIG \u2013 per gig<\/option><option value='FRESHWATER SHAD SEINE' >FRESHWATER SHAD SEINE<\/option><option value='SHAD GILL NET SPECIFIC AREAS' >SHAD GILL NET SPECIFIC AREAS<\/option><option value='DIP NET \u2013 per net' >DIP NET \u2013 per net<\/option><option value='SHARK PERMIT' >SHARK PERMIT<\/option><option value='SEAFOOD WHOLESALE\/RETAIL DEALER - BUSINESS (stationary building)' >SEAFOOD WHOLESALE\/RETAIL DEALER - BUSINESS (stationary building)<\/option><option value='SEAFOOD WHOLESALE\/RETAIL DEALER \u2013 VEHICLE' >SEAFOOD WHOLESALE\/RETAIL DEALER \u2013 VEHICLE<\/option><option value='SEAFOOD TRANSPORT WHOLESALE\/RETAIL DEALER' >SEAFOOD TRANSPORT WHOLESALE\/RETAIL DEALER<\/option><option value='WHOLESALE OUT OF STATE CRAB SHIPPING LICENSE' >WHOLESALE OUT OF STATE CRAB SHIPPING LICENSE<\/option><option value='ALIEN SEAFOOD WHOLESALE\/RETAIL DEALER \u2013 VEHICLE' >ALIEN SEAFOOD WHOLESALE\/RETAIL DEALER \u2013 VEHICLE<\/option><option value='SEAFOOD RETAIL DEALER - BUSINESS (stationary building)' >SEAFOOD RETAIL DEALER - BUSINESS (stationary building)<\/option><option value='SEAFOOD RETAIL DEALER \u2013 VEHICLE' >SEAFOOD RETAIL DEALER \u2013 VEHICLE<\/option><option value='SEAFOOD TRANSPORT \u2013 RETAIL DEALER' >SEAFOOD TRANSPORT \u2013 RETAIL DEALER<\/option><option value='RETAIL OUT OF STATE CRAB SHIPPING LICENSE' >RETAIL OUT OF STATE CRAB SHIPPING LICENSE<\/option><option value='CHARTER BOAT GUIDE UP TO 6 PASSENGERS' >CHARTER BOAT GUIDE UP TO 6 PASSENGERS<\/option><option value='CHARTER BOAT GUIDE OVER 6 PASSENGERS' >CHARTER BOAT GUIDE OVER 6 PASSENGERS<\/option><option value='CHARTER MOTHERSHIP UP TO 6 SKIFFS' >CHARTER MOTHERSHIP UP TO 6 SKIFFS<\/option><option value='CHARTER MOTHERSHIP OVER 6 SKIFFS' >CHARTER MOTHERSHIP OVER 6 SKIFFS<\/option><option value='SENIOR MULLET STRIKE NET' >SENIOR MULLET STRIKE NET<\/option><option value='SENIOR BUTTERFLY TAG' >SENIOR BUTTERFLY TAG<\/option><option value='COMMERCIAL FISHERMAN (Captain)' >COMMERCIAL FISHERMAN (Captain)<\/option><option value='TRANSPORT FOR COMMERCIAL FISHERMAN' selected='selected'>TRANSPORT FOR COMMERCIAL FISHERMAN<\/option><option value='SENIOR COMMERCIAL FISHERMAN AND GEAR W\/ EXCEPTIONS' >SENIOR COMMERCIAL FISHERMAN AND GEAR W\/ EXCEPTIONS<\/option><option value='TRANSPORT SENIOR COMMERCIAL FISHERMAN' >TRANSPORT SENIOR COMMERCIAL FISHERMAN<\/option><option value='FRESH PRODUCTS' >FRESH PRODUCTS<\/option><option value='FRESH PRODUCTS \u2013 Spouse' >FRESH PRODUCTS \u2013 Spouse<\/option><option value='VESSEL LICENSE (Required south of saltwater line)' >VESSEL LICENSE (Required south of saltwater line)<\/option><option value='OYSTER TONG - Per Tong' >OYSTER TONG - Per Tong<\/option><option value='OYSTER SCRAPER \u2013 Per Scraper (Previously named Dredge)' >OYSTER SCRAPER \u2013 Per Scraper (Previously named Dredge)<\/option><option value='OYSTER HARVESTER (Commercial Fisherman required)' >OYSTER HARVESTER (Commercial Fisherman required)<\/option><option value='OUT OF STATE OYSTER LANDING PERMIT (vessel number required)' >OUT OF STATE OYSTER LANDING PERMIT (vessel number required)<\/option><option value='OYSTER CARGO VESSEL PERMIT (vessel number required)' >OYSTER CARGO VESSEL PERMIT (vessel number required)<\/option><option value='CALCASIEU LAKE OYSTER HARVEST PERMIT' >CALCASIEU LAKE OYSTER HARVEST PERMIT<\/option><option value='OYSTER SEED GROUND VESSEL PERMIT 1-Scraper (vessel number required)' >OYSTER SEED GROUND VESSEL PERMIT 1-Scraper (vessel number required)<\/option><option value='OYSTER SEED GROUND VESSEL PERMIT 2-Scraper (vessel number required)' >OYSTER SEED GROUND VESSEL PERMIT 2-Scraper (vessel number required)<\/option><option value='SHRIMP TRAWL \u2013 per net' >SHRIMP TRAWL \u2013 per net<\/option><option value='BUTTERFLY NET \u2013 per net' >BUTTERFLY NET \u2013 per net<\/option><option value='SKIMMER NET \u2013 per net' >SKIMMER NET \u2013 per net<\/option><option value='SHRIMP GEAR FEE (required once per year for any number of shrimp nets)' >SHRIMP GEAR FEE (required once per year for any number of shrimp nets)<\/option><option value='CRAB TRAP \u2013 any legal number' >CRAB TRAP \u2013 any legal number<\/option><option value='CRAB DROP NET \u2013 any legal number' >CRAB DROP NET \u2013 any legal number<\/option><option value='HOOP NETS \u2013 any legal number' >HOOP NETS \u2013 any legal number<\/option><option value='FRESHWATER GILL NET \u2013 any legal number' >FRESHWATER GILL NET \u2013 any legal number<\/option><option value='PURSE\/MENHADEN SEINE \u2013 per seine' >PURSE\/MENHADEN SEINE \u2013 per seine<\/option><option value='SLAT TRAP \u2013 any legal number' >SLAT TRAP \u2013 any legal number<\/option><option value='EEL \u2013 any legal number' >EEL \u2013 any legal number<\/option><option value='MINNOW TRAP - any legal number' >MINNOW TRAP - any legal number<\/option><option value='SENIOR POMPANO STRIKE NET' >SENIOR POMPANO STRIKE NET<\/option><option value='SENIOR S\/W ROD AND REEL' >SENIOR S\/W ROD AND REEL<\/option><option value='CHARTER SKIFF' >CHARTER SKIFF<\/option><\/select><\/div><\/li><li id=\"field_586_97\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p style=\"color:#f00\"><strong>NOTICE: Selected license is only available to Non-Residents.<\/strong><\/p><\/li><li id=\"field_586_108\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p style=\"color:#f00\"><strong>NOTICE: Selected license is only available to Louisiana Residents.<\/strong><\/p><\/li><li id=\"field_586_109\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p style=\"color:#f00\"><strong>NOTICE: Selected license is only available to Louisiana Residents.<\/strong><\/p><\/li><li id=\"field_586_110\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p style=\"color:#f00\"><strong>NOTICE: Selected license is only available to Louisiana Residents.<\/strong><\/p><\/li><li id=\"field_586_111\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p style=\"color:#f00\"><strong>NOTICE: Selected license is only available to Louisiana Residents.<\/strong><\/p><\/li><li id=\"field_586_112\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p style=\"color:#f00\"><strong>NOTICE: Selected license is only available to Louisiana Residents.<\/strong><\/p><\/li><li id=\"field_586_115\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p style=\"color:#f00\"><strong>NOTICE: Selected license is only available to Louisiana Residents.<\/strong><\/p><\/li><li id=\"field_586_116\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p style=\"color:#f00\"><strong>NOTICE: Selected license is only available to Louisiana Residents.<\/strong><\/p><\/li><li id=\"field_586_55\" class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_586_55'>Quantity<\/label><div class='ginput_container ginput_container_number'><input name='input_55' id='input_586_55' type='number' step='any' min='1'  value='1' class='form-control medium'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_586_55\" \/><div class='gfield_description instruction ' id='gfield_instruction_586_55'>Please enter a number greater than or equal to <strong>1<\/strong>.<\/div><\/div><\/li><li id=\"field_586_56\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_56'>87\/88-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_56' id='input_586_56' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_57\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_57'>87\/88-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_57' id='input_586_57' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_59\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_59'>95\/96-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_59' id='input_586_59' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_60\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_60'>95\/96-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_60' id='input_586_60' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_61\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_61'>97\/98-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_61' id='input_586_61' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_62\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_62'>97\/98-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_62' id='input_586_62' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_63\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_63'>D1\/D2-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_63' id='input_586_63' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_64\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_64'>D1\/D2-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_64' id='input_586_64' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_65\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_65'>D3\/D4-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_65' id='input_586_65' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_66\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_66'>D3\/D4-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_66' id='input_586_66' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_67\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_67'>D7\/D8-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_67' id='input_586_67' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_68\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_68'>D7\/D8-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_68' id='input_586_68' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_69\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_69'>F5\/F6-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_69' id='input_586_69' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_70\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_70'>F5\/F6-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_70' id='input_586_70' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_71\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_71'>H1\/H2-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_71' id='input_586_71' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_72\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_72'>H1\/H2-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_72' id='input_586_72' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_73\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_73'>H5\/H6-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_73' id='input_586_73' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_74\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_74'>H5\/H6-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_74' id='input_586_74' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_75\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_75'>HC-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_75' id='input_586_75' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_76\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_76'>HC-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_76' id='input_586_76' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_77\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_77'>HE-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_77' id='input_586_77' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_78\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_78'>HE-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_78' id='input_586_78' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_79\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_79'>IA\/IB-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_79' id='input_586_79' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_80\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_80'>IA\/IB-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_80' id='input_586_80' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_82\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_82'>53\/54-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_82' id='input_586_82' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_83\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_83'>53\/54-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_83' id='input_586_83' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_84\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_84'>55\/56-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_84' id='input_586_84' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_85\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_85'>55\/56-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_85' id='input_586_85' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_86\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_86'>G3-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_86' id='input_586_86' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_87\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_87'>G3-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_87' id='input_586_87' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_88\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_88'>J1-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_88' id='input_586_88' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_89\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_89'>J1-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_89' id='input_586_89' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_90\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_90'>BG-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_90' id='input_586_90' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_91\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_91'>G1\/G2-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_91' id='input_586_91' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_92\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_92'>G1\/G2-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_92' id='input_586_92' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_93\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_93'>G6\/G7-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_93' id='input_586_93' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_94\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_94'>G6\/G7-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_94' id='input_586_94' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_95\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_95'>G4-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_95' id='input_586_95' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_96\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_96'>G4-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_96' id='input_586_96' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_98\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_98'>J2-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_98' id='input_586_98' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_99\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_99'>J2-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_99' id='input_586_99' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_100\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_100'>E3\/E4-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_100' id='input_586_100' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_101\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_101'>E3\/E4-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_101' id='input_586_101' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_102\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_102'>E5\/E6-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_102' id='input_586_102' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_103\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_103'>E5\/E6-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_103' id='input_586_103' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_104\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_104'>X1-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_104' id='input_586_104' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_105\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_105'>X1-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_105' id='input_586_105' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_106\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_106'>X3-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_106' id='input_586_106' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_107\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_107'>X3-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_107' id='input_586_107' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_113\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_113'>11\/31-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_113' id='input_586_113' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_114\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_114'>11\/31-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_114' id='input_586_114' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_117\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_117'>G5-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_117' id='input_586_117' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_118\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_118'>G5-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_118' id='input_586_118' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_119\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_119'>SE-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_119' id='input_586_119' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_120\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_120'>S5-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_120' id='input_586_120' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_121\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_121'>H7\/H8-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_121' id='input_586_121' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_122\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_122'>H7\/H8-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_122' id='input_586_122' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_123\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_123'>HA-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_123' id='input_586_123' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_124\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_124'>18\/19-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_124' id='input_586_124' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_125\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_125'>18\/19-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_125' id='input_586_125' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_126\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_126'>3\/42-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_126' id='input_586_126' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_127\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_127'>3\/42-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_127' id='input_586_127' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_128\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_128'>4\/5\/-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_128' id='input_586_128' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_129\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_129'>4\/5\/-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_129' id='input_586_129' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_130\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_130'>29\/30-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_130' id='input_586_130' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_131\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_131'>29\/30-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_131' id='input_586_131' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_132\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_132'>D9-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_132' id='input_586_132' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_133\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_133'>D9-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_133' id='input_586_133' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_134\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_134'>I6\/I7-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_134' id='input_586_134' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_135\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_135'>I6\/I7-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_135' id='input_586_135' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_136\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_136'>S1\/S3-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_136' id='input_586_136' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_137\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_137'>S1\/S3-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_137' id='input_586_137' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_138\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_138'>S2\/S4-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_138' id='input_586_138' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_139\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_139'>S2\/S4-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_139' id='input_586_139' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_140\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_140'>25\/26-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_140' id='input_586_140' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_141\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_141'>25\/26-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_141' id='input_586_141' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_142\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_142'>35\/36-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_142' id='input_586_142' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_143\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_143'>35\/36-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_143' id='input_586_143' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_144\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_144'>A1\/A2-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_144' id='input_586_144' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_145\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_145'>A1\/A2-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_145' id='input_586_145' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_146\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_146'>I1\/I2-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_146' id='input_586_146' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_147\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_147'>I1\/I2-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_147' id='input_586_147' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_148\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_148'>46\/47-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_148' id='input_586_148' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_149\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_149'>46\/47-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_149' id='input_586_149' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_150\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_150'>F3\/F4-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_150' id='input_586_150' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_151\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_151'>F3\/F4-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_151' id='input_586_151' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_152\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_152'>12\/16-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_152' id='input_586_152' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_153\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_153'>12\/16-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_153' id='input_586_153' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_154\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_154'>15\/45-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_154' id='input_586_154' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_155\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_155'>15\/45-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_155' id='input_586_155' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_156\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_156'>20\/39-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_156' id='input_586_156' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_157\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_157'>20\/39-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_157' id='input_586_157' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_158\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_158'>37\/38-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_158' id='input_586_158' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_159\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_159'>37\/38-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_159' id='input_586_159' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_160\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_160'>57\/58-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_160' id='input_586_160' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_161\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_161'>57\/58-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_161' id='input_586_161' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_162\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_162'>59\/90-Price-R<\/label><div class='ginput_container ginput_container_number'><input name='input_162' id='input_586_162' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_163\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_163'>59\/90-Price-NR<\/label><div class='ginput_container ginput_container_number'><input name='input_163' id='input_586_163' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_58\" class=\"gfield gfield--type-number gfield_calculation field_sublabel_below gfield--no-description field_description_above 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_586_58'>Total<\/label><div class='ginput_container ginput_container_number'><input name='input_58' id='input_586_58' type='text' step='any'   value='' class='form-control medium gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_10\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Contact Information<\/h2><\/li><li id=\"field_586_11\" class=\"gfield gfield--type-name contact-info-name field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_586_11'>\n                            \n                            <span id='input_586_11_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input class='form-control' type='text' name='input_11.3' id='input_586_11_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_586_11_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_586_11_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input class='form-control' type='text' name='input_11.6' id='input_586_11_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_586_11_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_586_12\" class=\"gfield gfield--type-email contact-info-email gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_586_12_container'>\n                                <span id='input_586_12_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='form-control' class='' type='email' name='input_12' id='input_586_12' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_586_12' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_586_12_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='form-control' class='' type='email' name='input_12_2' id='input_586_12_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_586_12_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id=\"field_586_13\" class=\"gfield gfield--type-phone contact-info-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_586_13'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input class='form-control' name='input_13' id='input_586_13' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_586_16\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_586_175\" class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_above 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_586_175'>Gar Fish Resident<\/label><div class='ginput_container ginput_container_number'><input name='input_175' id='input_586_175' type='number' step='any'   value='25' class='form-control medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_179\" class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_above 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_586_179'>Gig Resident<\/label><div class='ginput_container ginput_container_number'><input name='input_179' id='input_586_179' type='number' step='any'   value='25' class='form-control medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_177\" class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_above 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_586_177'>Dip Resident<\/label><div class='ginput_container ginput_container_number'><input name='input_177' id='input_586_177' type='number' step='any'   value='25' class='form-control medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_176\" class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_above 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_586_176'>Gar Fish Non - Resident<\/label><div class='ginput_container ginput_container_number'><input name='input_176' id='input_586_176' type='number' step='any'   value='100' class='form-control medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_180\" class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_above 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_586_180'>Gig Non - Resident<\/label><div class='ginput_container ginput_container_number'><input name='input_180' id='input_586_180' type='number' step='any'   value='100' class='form-control medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_178\" class=\"gfield gfield--type-number field_sublabel_below gfield--no-description field_description_above 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_586_178'>Dip Non - Resident<\/label><div class='ginput_container ginput_container_number'><input name='input_178' id='input_586_178' type='number' step='any'   value='100' class='form-control medium'      aria-invalid=\"false\"  \/><\/div><\/li><li id=\"field_586_14\" class=\"gfield gfield--type-product gfield--input-type-singleproduct base-product gfield_price gfield_price_586_14 gfield_product_586_14 field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_586_14_1'>Application Fee<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_14.1' value='Application Fee' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_586_14' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_14.2' id='ginput_base_price_586_14' value='$230.00' aria-label='Application Fee Price'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_14.3' value='1' class='ginput_quantity_586_14 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_586_164\" class=\"gfield gfield--type-product gfield--input-type-singleproduct base-product gfield_price gfield_price_586_164 gfield_product_586_164 field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_586_164_1'>Application Fee<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_164.1' value='Application Fee' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<label for='ginput_base_price_586_164' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_164.2' id='ginput_base_price_586_164' value='$230.00' aria-label='Application Fee Price'  \/>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_164.3' value='1' class='ginput_quantity_586_164 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_586_165\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield_price gfield_price_586_165 gfield_product_586_165 gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_586_165_1'>Gig Total<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_165.1' value='Gig Total' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_586_165'>$0.00<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_165.2' id='ginput_base_price_586_165' class='gform_hidden ginput_calculated_price' value='$0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_165.3' value='1' class='ginput_quantity_586_165 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_586_181\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield_price gfield_price_586_181 gfield_product_586_181 gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_586_181_1'>Gar Fish Total<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_181.1' value='Gar Fish Total' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_586_181'>$0.00<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_181.2' id='ginput_base_price_586_181' class='gform_hidden ginput_calculated_price' value='$0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_181.3' value='1' class='ginput_quantity_586_181 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_586_173\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield_price gfield_price_586_173 gfield_product_586_173 gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_586_173_1'>Seine Total<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_173.1' value='Seine Total' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_586_173'>$0.00<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_173.2' id='ginput_base_price_586_173' class='gform_hidden ginput_calculated_price' value='$0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_173.3' value='1' class='ginput_quantity_586_173 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_586_167\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield_price gfield_price_586_167 gfield_product_586_167 gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_586_167_1'>Net Total<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_167.1' value='Net Total' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_586_167'>$0.00<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_167.2' id='ginput_base_price_586_167' class='gform_hidden ginput_calculated_price' value='$0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_167.3' value='1' class='ginput_quantity_586_167 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_586_169\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield_price gfield_price_586_169 gfield_product_586_169 gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_586_169_1'>Net Total (Shrimp Trawl)<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_169.1' value='Net Total (Shrimp Trawl)' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_586_169'>$0.00<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_169.2' id='ginput_base_price_586_169' class='gform_hidden ginput_calculated_price' value='$0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_169.3' value='1' class='ginput_quantity_586_169 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_586_170\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield_price gfield_price_586_170 gfield_product_586_170 gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_586_170_1'>Net Total (Skimmer Net)<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_170.1' value='Net Total (Skimmer Net)' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_586_170'>$0.00<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_170.2' id='ginput_base_price_586_170' class='gform_hidden ginput_calculated_price' value='$0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_170.3' value='1' class='ginput_quantity_586_170 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_586_166\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield_price gfield_price_586_166 gfield_product_586_166 gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_586_166_1'>Gig Total<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_166.1' value='Gig Total' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_586_166'>$0.00<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_166.2' id='ginput_base_price_586_166' class='gform_hidden ginput_calculated_price' value='$0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_166.3' value='1' class='ginput_quantity_586_166 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_586_182\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield_price gfield_price_586_182 gfield_product_586_182 gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_586_182_1'>Gar Fish Total<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_182.1' value='Gar Fish Total' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_586_182'>$0.00<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_182.2' id='ginput_base_price_586_182' class='gform_hidden ginput_calculated_price' value='$0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_182.3' value='1' class='ginput_quantity_586_182 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_586_168\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield_price gfield_price_586_168 gfield_product_586_168 gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_586_168_1'>Net Total<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_168.1' value='Net Total' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_586_168'>$0.00<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_168.2' id='ginput_base_price_586_168' class='gform_hidden ginput_calculated_price' value='$0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_168.3' value='1' class='ginput_quantity_586_168 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_586_171\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield_price gfield_price_586_171 gfield_product_586_171 gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_586_171_1'>Net Total (Shrimp Trawl)<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_171.1' value='Net Total (Shrimp Trawl)' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_586_171'>$0.00<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_171.2' id='ginput_base_price_586_171' class='gform_hidden ginput_calculated_price' value='$0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_171.3' value='1' class='ginput_quantity_586_171 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_586_172\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield_price gfield_price_586_172 gfield_product_586_172 gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_586_172_1'>Net Total (Skimmer Net)<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_172.1' value='Net Total (Skimmer Net)' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_586_172'>$0.00<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_172.2' id='ginput_base_price_586_172' class='gform_hidden ginput_calculated_price' value='$0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_172.3' value='1' class='ginput_quantity_586_172 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_586_174\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield_price gfield_price_586_174 gfield_product_586_174 gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_586_174_1'>Seine Total<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_174.1' value='Seine Total' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_586_174'>$0.00<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_174.2' id='ginput_base_price_586_174' class='gform_hidden ginput_calculated_price' value='$0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_174.3' value='1' class='ginput_quantity_586_174 gform_hidden' \/>\n\t\t\t\t<\/div><\/li><li id=\"field_586_36\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-radio advanced-renewal gfield_price gfield_price_586_14 gfield_option_586_14 field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >RENEWAL ADVANCED PAYMENT OPTION<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_586_36'>\n\t\t\t<li class='gchoice gchoice_586_36_0'>\n\t\t\t\t<input name='input_36' type='radio' value='No Additional Years|0'  id='choice_586_36_0'    \/>\n\t\t\t\t<label for='choice_586_36_0' id='label_586_36_0' class='gform-field-label gform-field-label--type-inline'>No Additional Years<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_586_36_1'>\n\t\t\t\t<input name='input_36' type='radio' value='2 year renewal|75'  id='choice_586_36_1'    \/>\n\t\t\t\t<label for='choice_586_36_1' id='label_586_36_1' class='gform-field-label gform-field-label--type-inline'>2 year renewal<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_586_36_2'>\n\t\t\t\t<input name='input_36' type='radio' value='3 year renewal|150'  id='choice_586_36_2'    \/>\n\t\t\t\t<label for='choice_586_36_2' id='label_586_36_2' class='gform-field-label gform-field-label--type-inline'>3 year renewal<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_586_36_3'>\n\t\t\t\t<input name='input_36' type='radio' value='4 year renewal|225'  id='choice_586_36_3'    \/>\n\t\t\t\t<label for='choice_586_36_3' id='label_586_36_3' class='gform-field-label gform-field-label--type-inline'>4 year renewal<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_586_36_4'>\n\t\t\t\t<input name='input_36' type='radio' value='5 year renewal|300'  id='choice_586_36_4'    \/>\n\t\t\t\t<label for='choice_586_36_4' id='label_586_36_4' class='gform-field-label gform-field-label--type-inline'>5 year renewal<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_586_18\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_586_19\" class=\"gfield gfield--type-total pricing-total gfield_price gfield_price_586_ gfield_total gfield_total_586_ field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_586_19'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<span class='ginput_total ginput_total_586'>$0.00<\/span>\n\t\t\t\t\t\t\t<input type='hidden' name='input_19' id='input_586_19' class='gform_hidden'\/>\n\t\t\t\t\t\t<\/div><\/li><li id=\"field_586_21\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_586_22\" class=\"gfield gfield--type-consent gfield--type-choice consent-agree gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description gfield_consent_description' id='gfield_consent_description_586_22' tabindex='0'>I CERTIFY THAT THE RECITATIONS CONCERNING THE VESSEL: NAME, TONNAGE, DIMENSIONS, PROPULSION, OWNERSHIP, HAILING PORT, RESTRICTIONS, ENTITLEMENTS, REMARKS AND ENDORSEMENTS CONTAINED IN THE CERTIFICATE OF DOCUMENTATION REMAIN ABSOLUTELY THE SAME.<\/div><div class='ginput_container ginput_container_consent'><input name='input_22.1' id='input_586_22_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_586_22\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_586_22_1' >I agree<\/label><input type='hidden' name='input_22.2' value='I agree' class='gform_hidden' \/><input type='hidden' name='input_22.3' value='1856' class='gform_hidden' \/><\/div><\/li><li id=\"field_586_20\" class=\"gfield gfield--type-text typed-name-for-signature gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_586_20'>NAME:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_586_20'>Type your full name to sign this secure webform<\/div><div class='ginput_container ginput_container_text'><input class='form-control' name='input_20' id='input_586_20' type='text' value='' class='medium'  aria-describedby=\"gfield_description_586_20\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_586_27\" class=\"gfield gfield--type-signature signature gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_586_27'>Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_586_27_Container' class='gfield_signature_container ginput_container' style='height:180px; width:500px; ' ><input type='hidden' class='gform_hidden' name='input_586_27_valid' id='input_586_27_valid' \/><canvas id='input_586_27' width='500' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/commercialfishingpermits.us\/state\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_586_27_toolbar' style='margin:5px 0;position:relative;height:20px;width:500px;max-width:100%;'><img id = 'input_586_27_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input type='hidden' id='input_586_27_data' name='input_586_27_data' value=''><\/div><\/li><li id=\"field_586_23\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_586_23'>CAPACITY OF PERSON SIGNING (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)<\/label><div class='ginput_container ginput_container_text'><input class='form-control' name='input_23' id='input_586_23' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_586_24\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon signed-date field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_586_24'>Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_24' id='input_586_24' type='text' value='04\/05\/2026' class='datepicker form-control gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_586_24_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_586_24_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_586_24' class='gform_hidden' value='https:\/\/commercialfishingpermits.us\/state\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_586_25\" class=\"gfield gfield--type-consent gfield--type-choice consent_authorization gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Authorization<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description gfield_consent_description' id='gfield_consent_description_586_25' tabindex='0'>I agree to pay the above total amount according to the card issuer agreement and hereby authorize the charge for the total amount above for the processing of selected permits. I understand that my application will be processed in the order in which it is received by Commercial Fishing Permits Center, a private fee-for-service documentation company, not owned or operated by any governmental agency. I understand that application and processing fees are non-refundable as per Commercial Fishing Permits Center's no refund policy. I understand that submitting another application for a license or permit will supersede the current\/pending application for that license or permit. I understand that Commercial Fishing Permits Center does not issue or sell any licenses or permits.<\/div><div class='ginput_container ginput_container_consent'><input name='input_25.1' id='input_586_25_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_586_25\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_586_25_1' >I agree<\/label><input type='hidden' name='input_25.2' value='I agree' class='gform_hidden' \/><input type='hidden' name='input_25.3' value='1856' class='gform_hidden' \/><\/div><\/li><li id=\"field_586_26\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_586_186\" class=\"gfield gfield--type-stripe_creditcard field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--type-stripe_creditcard-card\"  ><label class='gfield_label gfield_label_before_complex gform-field-label' for='input_586_186_1'>Credit Card<\/label><div class='ginput_complex ginput_container ginput_container_creditcard ginput_stripe_creditcard gform-grid-row' id='input_586_186'><div class='ginput_full gform-grid-col' id='input_586_186_1_container' data-payment-element='false'><div id='input_586_186_1' class='gform-theme-field-control StripeElement--card'><\/div><label for='input_586_186_1' id='input_586_186_1_label' class='gform-field-label gform-field-label--type-sub'>Card Details<\/label><\/div><!-- .ginput_full --><div class='ginput_full gform-grid-col' id='input_586_186_5_container'>\r\n\t\t\t\t\t<input type='text' name='input_186.5' id='input_586_186_5' value=''>\r\n\t\t\t\t\t<label for='input_586_186_5' id='input_586_186_5_label' class='gform-field-label gform-field-label--type-sub'>Cardholder Name<\/label>\r\n\t\t\t\t<\/div><\/div><!-- .ginput_container -->\r\n\t\t\t<style type=\"text\/css\">\r\n\t\t\t\t:root {\r\n  \t\t\t\t\t--link-login-string: \"Link login\"\r\n\t\t\t\t}\r\n\t\t\t<\/style><\/li><li id=\"field_586_29\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_586_33\" class=\"gfield gfield--type-consent gfield--type-choice payment_not_working field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Having Trouble with your card?<\/label><div class='gfield_description gfield_consent_description' id='gfield_consent_description_586_33' tabindex='0'>Check this box to move forward without your Credit Card.<\/div><div class='ginput_container ginput_container_consent'><input name='input_33.1' id='input_586_33_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_586_33\"  aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_586_33_1' >My card information is not working<\/label><input type='hidden' name='input_33.2' value='My card information is not working' class='gform_hidden' \/><input type='hidden' name='input_33.3' value='1856' class='gform_hidden' \/><\/div><\/li><li id=\"field_586_40\" class=\"gfield gfield--type-address billing-address field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >BILLING ADDRESS<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_586_40' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_586_40_1_container' >\n                                        <input class='form-control' type='text' name='input_40.1' id='input_586_40_1' value=''    aria-required='false'    \/>\n                                        <label for='input_586_40_1' id='input_586_40_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_586_40_2_container' >\n                                        <input class='form-control' type='text' name='input_40.2' id='input_586_40_2' value=''     aria-required='false'   \/>\n                                        <label for='input_586_40_2' id='input_586_40_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_586_40_3_container' >\n                                    <input class='form-control' type='text' name='input_40.3' id='input_586_40_3' value=''    aria-required='false'    \/>\n                                    <label for='input_586_40_3' id='input_586_40_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_586_40_4_container' >\n                                        <input class='form-control' type='text' name='input_40.4' id='input_586_40_4' value=''      aria-required='false'    \/>\n                                        <label for='input_586_40_4' id='input_586_40_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_586_40_5_container' >\n                                    <input class='form-control' type='text' name='input_40.5' id='input_586_40_5' value=''    aria-required='false'    \/>\n                                    <label for='input_586_40_5' id='input_586_40_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_586_40_6_container' >\n                                        <select class='form-control' class='form-control' name='input_40.6' id='input_586_40_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' >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' selected='selected'>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_586_40_6' id='input_586_40_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_586_30\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><\/li><li id=\"field_586_35\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  >By clicking submit you agree to these <a href=\"https:\/\/commercialfishingpermits.us\/terms-and-conditions\/\">Terms and Conditions<\/a> and the above authorization of payment.<\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type=\"submit\" id=\"gform_submit_button_586\" class=\"gform_button button btn btn-primary\" onclick=\"gform.submission.handleButtonClick(this);\" data-submission-type=\"submit\" value=\"Submit\"> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_586' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_586' id='gform_theme_586' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_586' id='gform_style_settings_586' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_586' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='586' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='WqSrIfuBX9vxa8pjA03Up8XA88JhcSilbvEQb16f1C14gjqW4Urn7M3gYYqAYCmpbp6llSXsWc6BJj6vLWYzqJlavbAo3\/4+ihMF+4+aM0lSbQw=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_586' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_586' id='gform_target_page_number_586' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_586' id='gform_source_page_number_586' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='type=TRANSPORT+FOR+COMMERCIAL+FISHERMAN&amp;resident=Yes&amp;price_one=230.00&amp;price_two=230.00' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 586, 'https:\/\/commercialfishingpermits.us\/state\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_586').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_586');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_586').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_586').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_586').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_586').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_586').val();gformInitSpinner( 586, 'https:\/\/commercialfishingpermits.us\/state\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [586, current_page]);window['gf_submitting_586'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_586').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [586]);window['gf_submitting_586'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_586').text());}else{jQuery('#gform_586').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"586\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_586\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_586\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_586\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 586, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} ); \n\/* ]]> *\/\n<\/script>\n<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":7872,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-7874","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Resident - Commercial Fishing Permits Center<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/commercialfishingpermits.us\/state\/louisiana\/commercial-fishing\/transport-for-commercial-fisherman\/resident\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Resident - Commercial Fishing Permits Center\" \/>\n<meta property=\"og:url\" content=\"https:\/\/commercialfishingpermits.us\/state\/louisiana\/commercial-fishing\/transport-for-commercial-fisherman\/resident\/\" \/>\n<meta property=\"og:site_name\" content=\"Commercial Fishing Permits Center\" \/>\n<meta property=\"article:modified_time\" content=\"2021-06-25T19:54:02+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/commercialfishingpermits.us\/state\/louisiana\/commercial-fishing\/transport-for-commercial-fisherman\/resident\/\",\"url\":\"https:\/\/commercialfishingpermits.us\/state\/louisiana\/commercial-fishing\/transport-for-commercial-fisherman\/resident\/\",\"name\":\"Resident - Commercial Fishing Permits Center\",\"isPartOf\":{\"@id\":\"https:\/\/commercialfishingpermits.us\/state\/#website\"},\"datePublished\":\"2021-03-03T00:49:53+00:00\",\"dateModified\":\"2021-06-25T19:54:02+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/commercialfishingpermits.us\/state\/louisiana\/commercial-fishing\/transport-for-commercial-fisherman\/resident\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/commercialfishingpermits.us\/state\/louisiana\/commercial-fishing\/transport-for-commercial-fisherman\/resident\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/commercialfishingpermits.us\/state\/louisiana\/commercial-fishing\/transport-for-commercial-fisherman\/resident\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/commercialfishingpermits.us\/state\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Louisiana\",\"item\":\"https:\/\/commercialfishingpermits.us\/state\/louisiana\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Commercial Fishing\",\"item\":\"https:\/\/commercialfishingpermits.us\/state\/louisiana\/commercial-fishing\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Transport for Commercial Fisherman\",\"item\":\"https:\/\/commercialfishingpermits.us\/state\/louisiana\/commercial-fishing\/transport-for-commercial-fisherman\/\"},{\"@type\":\"ListItem\",\"position\":5,\"name\":\"Resident\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/commercialfishingpermits.us\/state\/#website\",\"url\":\"https:\/\/commercialfishingpermits.us\/state\/\",\"name\":\"Commercial Fishing Permits Center\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/commercialfishingpermits.us\/state\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Resident - Commercial Fishing Permits Center","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/commercialfishingpermits.us\/state\/louisiana\/commercial-fishing\/transport-for-commercial-fisherman\/resident\/","og_locale":"en_US","og_type":"article","og_title":"Resident - Commercial Fishing Permits Center","og_url":"https:\/\/commercialfishingpermits.us\/state\/louisiana\/commercial-fishing\/transport-for-commercial-fisherman\/resident\/","og_site_name":"Commercial Fishing Permits Center","article_modified_time":"2021-06-25T19:54:02+00:00","twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/commercialfishingpermits.us\/state\/louisiana\/commercial-fishing\/transport-for-commercial-fisherman\/resident\/","url":"https:\/\/commercialfishingpermits.us\/state\/louisiana\/commercial-fishing\/transport-for-commercial-fisherman\/resident\/","name":"Resident - Commercial Fishing Permits Center","isPartOf":{"@id":"https:\/\/commercialfishingpermits.us\/state\/#website"},"datePublished":"2021-03-03T00:49:53+00:00","dateModified":"2021-06-25T19:54:02+00:00","breadcrumb":{"@id":"https:\/\/commercialfishingpermits.us\/state\/louisiana\/commercial-fishing\/transport-for-commercial-fisherman\/resident\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/commercialfishingpermits.us\/state\/louisiana\/commercial-fishing\/transport-for-commercial-fisherman\/resident\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/commercialfishingpermits.us\/state\/louisiana\/commercial-fishing\/transport-for-commercial-fisherman\/resident\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/commercialfishingpermits.us\/state\/"},{"@type":"ListItem","position":2,"name":"Louisiana","item":"https:\/\/commercialfishingpermits.us\/state\/louisiana\/"},{"@type":"ListItem","position":3,"name":"Commercial Fishing","item":"https:\/\/commercialfishingpermits.us\/state\/louisiana\/commercial-fishing\/"},{"@type":"ListItem","position":4,"name":"Transport for Commercial Fisherman","item":"https:\/\/commercialfishingpermits.us\/state\/louisiana\/commercial-fishing\/transport-for-commercial-fisherman\/"},{"@type":"ListItem","position":5,"name":"Resident"}]},{"@type":"WebSite","@id":"https:\/\/commercialfishingpermits.us\/state\/#website","url":"https:\/\/commercialfishingpermits.us\/state\/","name":"Commercial Fishing Permits Center","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/commercialfishingpermits.us\/state\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/commercialfishingpermits.us\/state\/wp-json\/wp\/v2\/pages\/7874","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/commercialfishingpermits.us\/state\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/commercialfishingpermits.us\/state\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/commercialfishingpermits.us\/state\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/commercialfishingpermits.us\/state\/wp-json\/wp\/v2\/comments?post=7874"}],"version-history":[{"count":5,"href":"https:\/\/commercialfishingpermits.us\/state\/wp-json\/wp\/v2\/pages\/7874\/revisions"}],"predecessor-version":[{"id":8832,"href":"https:\/\/commercialfishingpermits.us\/state\/wp-json\/wp\/v2\/pages\/7874\/revisions\/8832"}],"up":[{"embeddable":true,"href":"https:\/\/commercialfishingpermits.us\/state\/wp-json\/wp\/v2\/pages\/7872"}],"wp:attachment":[{"href":"https:\/\/commercialfishingpermits.us\/state\/wp-json\/wp\/v2\/media?parent=7874"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}