{"id":4,"date":"2018-01-02T17:34:17","date_gmt":"2018-01-02T17:34:17","guid":{"rendered":"http:\/\/entries.nationalcowboymuseum.org\/wha\/?page_id=4"},"modified":"2026-05-06T16:27:10","modified_gmt":"2026-05-06T21:27:10","slug":"western-heritage-award-nominations-form","status":"publish","type":"page","link":"https:\/\/entries.nationalcowboymuseum.org\/wha\/","title":{"rendered":"Entry Form"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use 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#112337;--gf-ctrl-label-color-secondary: #112337;--gf-ctrl-choice-size: var(--gf-ctrl-choice-size-md);--gf-ctrl-checkbox-check-size: var(--gf-ctrl-checkbox-check-size-md);--gf-ctrl-radio-check-size: var(--gf-ctrl-radio-check-size-md);--gf-ctrl-btn-font-size: var(--gf-ctrl-btn-font-size-md);--gf-ctrl-btn-padding-x: var(--gf-ctrl-btn-padding-x-md);--gf-ctrl-btn-size: var(--gf-ctrl-btn-size-md);--gf-ctrl-btn-border-color-secondary: #686e77;--gf-ctrl-file-btn-bg-color-hover: #EBEBEB;--gf-field-img-choice-size: var(--gf-field-img-choice-size-md);--gf-field-img-choice-card-space: var(--gf-field-img-choice-card-space-md);--gf-field-img-choice-check-ind-size: var(--gf-field-img-choice-check-ind-size-md);--gf-field-img-choice-check-ind-icon-size: var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style><div id='gf_2' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_2' id='gform_2'  action='\/wha\/wp-json\/wp\/v2\/pages\/4#gf_2' data-formid='2' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_page_2_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_2_170\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_170'>Email<\/label><div class='ginput_container'><input name='input_170' id='input_2_170' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_2_170'>This field is for validation purposes and should be left unchanged.<\/div><\/div><div id=\"field_2_3\" class=\"gfield gfield--type-post_title gfield--input-type-post_title hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_3'>Post Title<\/label><div class='ginput_container ginput_container_post_title'>\n\t\t\t\t\t<input name='input_3' id='input_2_3' type='text' value='' class='form-control medium' tabindex='1000'   aria-invalid=\"false\"  \/>\n\t\t\t\t<\/div><\/div><div id=\"field_2_158\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"p1\">Western Heritage Awards<\/h3>\n<p class=\"p2\">The National Cowboy & Western Heritage Museum is among the nation's most\nprestigious museums of Western heritage and art. Set atop the historic Persimmon Hill district overlooking Oklahoma City, the Museum is surrounded by beautiful gardens, fountains, and a flagstone esplanade representing the 17 Western states.<\/p>\n<p class=\"p2\">Believing the Museum should have a national influence beyond that of solely exhibitions, the Board of Directors established the Western Heritage Awards in 1960. The purpose was to\nencourage others to tell the great stories of the West, both past and present, with accuracy and artistic quality. The developing West is one of history's most exciting eras, when people of all nationalities, from all walks of life, sought their futures on America's Western frontier.<\/p>\n<p class=\"p2\">Standing more than a foot in height, the <em>Wrangler<\/em>, an impressive bronze sculpture, is awarded to principal creators of the winning entries in specified categories of Western literature, music, film, and television. The Museum also may award <em>Wranglers<\/em> to organizations or individuals who have made outstanding contributions to the nation's Western heritage during a period of years, or whose contributions lie outside established categories.<\/p>\n<p class=\"p2\">Past recipients include distinguished writers, musicians, actors, and directors such as John Wayne, C.J. Box, Taylor Sheridan, Red Steagall, Clint Eastwood, Sam Elliott, and John Ford.\nThe National Cowboy & Western Heritage Museum invites your entries in this nationally recognized awards program.<\/p>\n<h4>About The Wrangler<\/h4>\n<p class=\"p2\">The <em>Wrangler<\/em> sculpture, presented as an award to each Western Heritage Award winner, has evolved through the years. The earliest Wrangler award was inspired by Charles Russell\u2019s bronze, <em>The Horse Wrangle<\/em>. Since the first <em>Wrangler<\/em> sculpture, several other versions were made by talented individuals such as the Museums art director, Richard Muno, and Native American artist John Free. To commemorate the Awards 50th anniversary, Hall of Great Westerners Inductee, the late Harold T. Holden sculpted the current <em>Wrangler<\/em> depicting a contemporary horseman with the inspiration from the original sculpture still apparent.<\/p><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_2_159' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='1001' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_2' class='gform_page' data-js='page-field-id-159' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_2_146\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><\/div><div id=\"field_2_143\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"p1\">Guidelines for All Entries<\/h3>\n<p class=\"p2\">A panel of qualified professionals are selected as independent judges for the various categories in literature, film, television, and music. Judges are granted the right to step outside category restrictions if a meritorious work deserves unique recognition, or to withhold an award in any category where the quality or number of entries does not meet the standards set by previous winners. <strong>The Museum reserves the right to confer an award in each category each year.<\/strong> The subject matter of theme of each entry should relate to the American West and\/or the Western experience.<\/p>\n<p>An entry form naming the intended award recipient and including the contact information of all the credited author(s), illustrator(s), photographer(s), publisher(s), recording artist(s), writer(s), composer(s), producer(s), principal actor(s) and or director(s) when applicable is required. This is to ensure that all participating parties are properly informed, and the agreement on the designated award recipient is settled prior to submission. The designated recipient must be the key creative individual most clearly responsible for the overall achievement. There is a maximum of <strong><u>one<\/u><\/strong> designated nominee.<\/p>\n<p class=\"p3\"><strong> Please read important information in detail below for all categories:<\/strong><\/p>\n\n<ol>\n       <li class=\"p3\">Entries for the competition are accepted as a hard copy or digital copy by link.<\/li>\n<li class=\"p3\">If providing physical copies, applicants must provide five copies of both the creative work and completed entry form.<\/li>\n<li class=\"p3\">Digital copies by link should be submitted to the online portal.<\/li>\n<li class=\"p3\">All information must be typed or legibly printed.<\/li>\n \t<li class=\"p3\">Items submitted for judging will <strong>not<\/strong> be returned.<\/li>\n \t<li class=\"p3\">There is no limitation on the number of creative works an individual can submit. An individual may submit multiple entries as long as the submissions are different creative works. However, the same title cannot be submitted for judging in multiple categories.<\/li>\n<\/ol>\n<p class=\"p3\"><strong>Please see entry payment information below:<\/strong><\/p>\n<ol>\n \t<li class=\"p3\">A $75 entry fee is required for each individual entry in each category.<\/li>\n \t<li class=\"p3\">Payment is due upon submission of entry.<\/li>\n<li class=\"p3\">If providing physical copies, mail five copies of your entry forms with payment to: <br \/> <strong>Michael Washington, Western Heritage Awards<\/strong><br \/>\nNational Cowboy & Western Heritage Museum<br \/> 1700 Northeast 63rd Street, Oklahoma City, OK 73111-7997<br \/> mwashington@thecowboy.org<br \/>\n(405) 839-7876<\/li>\n<\/ol><\/div><div id=\"field_2_145\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>For questions, please contact <a href=\"mailto:mwashington@thecowboy.org\">mwashington@thecowboy.org<\/a><\/p><\/div><fieldset id=\"field_2_142\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_142.1' id='input_2_142_1' type='checkbox' value='1' tabindex='1002'  aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_2_142_1' >I have read, understand and agree to the guidelines<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_142.2' value='I have read, understand and agree to the guidelines' class='gform_hidden' \/><input type='hidden' name='input_142.3' value='1' class='gform_hidden' \/><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_149' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous' tabindex='1003' \/> <input type='button' id='gform_next_button_2_149' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='1004' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_3' class='gform_page' data-js='page-field-id-149' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_2_151\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"p1\">The Announcement of Winners<\/h3>\n<p class=\"p2\">All winners of the various categories will receive verbal notification and all participants will receive written notification of the results once judging is final. A public announcement is made only of the winners and the Museum will not disclose information regarding other participating entries in the various categories.<\/p>\n<p class=\"p2\"><strong>IMPORTANT:<\/strong> <em>The Wrangler<\/em> sculpture will be presented to <strong><u>one<\/u><\/strong> key creative individual for each winning entry. The key creative individual eligible to accept the Award is designated in the entry guidelines for each category. Winners <strong><u>must attend<\/u><\/strong> the awards ceremonies to be held April 10, 2027, to receive the <em>Wrangler<\/em> sculpture. The Museum will not ship the <em>Wrangler<\/em> to absentee winners, and a representative may not accept the Award on the winner\u2019s behalf unless in extreme circumstances. As an entrant, if you know at the time of entry you are unable to attend the Awards Ceremony, please reconsider your entry. Category winners who have not submitted a physical copy will be asked to do so before the Awards Ceremony in April. Please note that physical copies submitted before the Awards Ceremony will not be returned.<\/p><\/div><fieldset id=\"field_2_150\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_150.1' id='input_2_150_1' type='checkbox' value='1' tabindex='1005'  aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_2_150_1' >I have read, understand and agree to the guidelines<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_150.2' value='I have read, understand and agree to the guidelines' class='gform_hidden' \/><input type='hidden' name='input_150.3' value='1' class='gform_hidden' \/><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_147' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous' tabindex='1006' \/> <input type='button' id='gform_next_button_2_147' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='1007' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_4' class='gform_page' data-js='page-field-id-147' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_2_38\" class=\"gfield gfield--type-post_category gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_38'>Select a nomination category<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_38' id='input_2_38' class='form-control medium gfield_select' tabindex='1008'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected'>Select a nomination category<\/option><option value='5' >Literary<\/option><option value='4' >Music<\/option><option value='6' >Television and Film<\/option><\/select><\/div><\/div><div id=\"field_2_40\" class=\"gfield gfield--type-post_category gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_40'>Select a literary category<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_40' id='input_2_40' class='form-control medium gfield_select' tabindex='1009'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected'>Select a literary category<\/option><option value='13' >Juvenile Book<\/option><option value='14' >Magazine or Journal Article<\/option><option value='11' >Nonfiction Book<\/option><option value='12' >Photography or Art Book<\/option><option value='15' >Poetry Book<\/option><option value='10' >Western Novel<\/option><\/select><\/div><\/div><div id=\"field_2_41\" class=\"gfield gfield--type-post_category gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_41'>Select a music category<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_41' id='input_2_41' class='form-control medium gfield_select' tabindex='1010'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected'>Select a music category<\/option><option value='8' >Original Western Composition<\/option><option value='9' >Traditional Western Music Album<\/option><\/select><\/div><\/div><div id=\"field_2_42\" class=\"gfield gfield--type-post_category gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_42'>Select a television and film category<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_42' id='input_2_42' class='form-control medium gfield_select' tabindex='1011'   aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected'>Select a television and film category<\/option><option value='19' >Docudrama<\/option><option value='20' >Documentary<\/option><option value='18' >Fictional Drama<\/option><option value='17' >Television Feature Film<\/option><option value='16' >Theatrical Motion Picture<\/option><option value='21' >Western Lifestyle<\/option><\/select><\/div><\/div><div id=\"field_2_139\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"p1\"><strong>Eligibility<\/strong><\/h3>\n<p class=\"p1\">Any individual or organization may enter Western theme publications, copyrighted between <strong>December 1, 2025, and November 30, 2026<\/strong>, in the appropriate category and received by <strong>November 30, 2026<\/strong>. The entry\u2019s subject matter or theme in all literary categories should relate to the American West and\/or the Western experience. Vanity press manuscripts are eligible in all book categories. Entries will be evaluated on scholarship, organization, interpretation, presentation, quality of writing, and illustration when applicable. Fiction, Juvenile, and Poetry entries will be evaluated on originality and creativity, and faithfulness to the facts, legends, and\/or mythology of the West.<\/p>\n\n<h3><strong>Category Definitions<\/strong><\/h3>\n<p class=\"p1\"><strong><span class=\"s1\">Western Novel <\/span><\/strong>\u2013 Includes genre and mainstream, historical, and contemporary fictional or fictionalized book-length works that could not have taken place in any part of the country but the West.<\/p>\n<p class=\"p2\"><span class=\"s2\"><strong>Nonfiction Book<\/strong> <\/span>\u2013 Includes both scholarly and popular Western theme works, general or biographical, contemporary or historical, based upon research and\/or personal experience. If 10 or more biographies should be entered in one year, a separate biographical category may be designated.<\/p>\n<p class=\"p2\"><strong><span class=\"s2\">Photography or Art Book <\/span><\/strong>\u2013 Concerned primarily with artistic works pertaining to the West or the Western experience. Merchandise catalogs are not eligible for entry.<\/p>\n<p class=\"p1\"><strong>Juvenile Book<\/strong> \u2013 A book of fiction or non-fiction with a Western theme intended for young readers up to the age of 12.<\/p>\n<p class=\"p1\"><strong><span class=\"s1\">Magazine or Journal Article <\/span><\/strong>\u2013 A nonfiction article or essay on a Western theme published in a commercial or literary North American publication. Articles published in a periodical must be submitted with five copies or digital copy of the entire issue. Tear sheets or photo copies will not be accepted.<\/p>\n<p class=\"p1\"><strong>Poetry Book<\/strong> \u2013 A book of at least 10 separate poems, rhymed or unrhymed, with a Western theme that reflects the cowboy, frontier life, and\/or the Native American culture in the West. A compilation of poems must contain at least two originals and the book must meet copyright requirements.<\/p>\n\n<h3><strong>Important Reminders<\/strong><\/h3>\n<ul>\n<li>\u2022 If you would like to submit physical copies of your work, please complete the online registration form first. Once the form is completed, please provide five copies (non-returnable) of each published work for judging, along with a completed entry form for each copy of the creative work to the address provided. The entry form can be printed once the submission is complete.\/li>\n<li>\u2022 Each category entered must include a $75 non-refundable fee. To be paid at the time of submission.<\/li>\n<li>\u2022 The Museum will award only <strong><u>one<\/u><\/strong> complimentary <em>Wrangler<\/em> sculpture for each entry category; however, additional sculptures may be purchased. The eligible recipients are identified as the author, publisher, illustrator, or photographer when applicable. <strong>Please note that the Museum only provides the <em>Wrangler<\/em> for the individual accepting the award. All additional <em>Wranglers<\/em> will be ordered after the conclusion of the ceremony. Additional <em>Wranglers<\/em> will NOT be available at the time of the Award Ceremony.<\/strong><\/li>\n<\/ul><\/div><div id=\"field_2_140\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"p1\">Eligibility<\/h3>\n<p class=\"p1\">Any individual or organization may enter Western productions originally released or aired between <strong>January 1, 2026, and December 31, 2026<\/strong>, and postmarked by <strong>December 31, 2026<\/strong>, in the appropriate television or film category. The entry\u2019s subject matter or theme should relate to the American West and\/or the Western experience. The winner of each category will be required to supply a broadcast-quality DVD or digital copy by link of the winning entry (non-returnable). A trailer of the winning entries, no longer than 60 seconds in length, will be shown publicly during the Awards Ceremony on April 10, 2027, and may be included in subsequent televised broadcast of the 2027 Western Heritage Awards.<\/p>\n\n<h3><strong>Category Definitions<\/strong><\/h3>\n<p class=\"p1\"><strong><span class=\"s1\">Theatrical Motion Picture <\/span><\/strong>\u2013 A feature-length film shown to the public on the big screen or released <span class=\"s1\">to <\/span>the public on DVD. Film must have been released for public viewing. Premier showings qualify.<\/p>\n<p class=\"p1\"><strong><span class=\"s1\">Television Feature Film <\/span><\/strong>\u2013 A feature-length production made for television. This includes made-fortelevision movies, miniseries (all parts as one entry) or other presentations more than one hour in length and considered to be a complete work, rather than episodic.<\/p>\n<p class=\"p1\"><strong><span class=\"s1\">Fictional Drama <\/span><\/strong>\u2013 A dramatic film or television production, up to 60 minutes in length. This drama can be, but not necessarily, of an episodic nature.<\/p>\n<p class=\"p2\"><strong>Docudrama<\/strong> \u2013 A dramatization of actual historical events, factual or based on factual events. All lengths are acceptable for entries of film or television.<\/p>\n<p class=\"p2\"><strong>Documentary<\/strong> \u2013 Factual or based on factual events, it is a presentation of the realities of a historical event, people, and places. All lengths are acceptable for entries of film or television. <span class=\"s1\">This category <\/span>includes Factual Narrative.<\/p>\n<p class=\"p1\"><strong><span class=\"s1\">Western Lifestyle <\/span><\/strong>\u2013 A visual or audio production made for broadcasting or streaming that features a program focused on the evolving history and culture of the American West. The production may include news,   reality, or educational content. All lengths are acceptable.<\/p>\n\n<h3><strong>Important Reminders<\/strong><\/h3>\n<ul>\n<li>\u2022 If you would like to submit physical copies of your work, please complete the online registration form first. Once the form is completed, please provide five copies (non-returnable) of each published work for judging, along with a completed entry form for each copy of the creative work to the address provided. The entry form can be printed once the submission is complete.\/li>\n<li>\u2022 Each category entered must include a $75 non-refundable fee. To be paid at the time of submission.<\/li>\n<li>\u2022 The Museum will award only <strong><u>one<\/u><\/strong> complimentary <em>Wrangler<\/em> sculpture for each entry category; however, additional sculptures may be purchased. The eligible recipients are identified as the author, publisher, illustrator, or photographer when applicable. <strong>Please note that the Museum only provides the <em>Wrangler<\/em> for the individual accepting the award. All additional <em>Wranglers<\/em> will be ordered after the conclusion of the ceremony. Additional <em>Wranglers<\/em> will NOT be available at the time of the Award Ceremony.<\/strong><\/li>\n<\/ul><\/div><div id=\"field_2_141\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"p1\"><strong>Eligibility<\/strong><\/h3>\n<p class=\"p1\">Any individual or organization may enter original Western compositions or traditional Western albums. The original album copyright date must be between <strong>January 1, 2026, and December 31, 2026<\/strong>, and postmarked by <strong>December 31, 2026<\/strong>, in the appropriate music category. The entry\u2019s theme should relate to the American West and\/or the Western experience in the traditional cowboy music genre, which is not necessarily synonymous with \u201ccountry\u201d music. <strong>Music videos are not eligible.<\/strong><\/p>\n\n<h3><strong>Category Definitions<\/strong><\/h3>\n<p class=\"p2\"><strong>Original Western Composition<\/strong> \u2013 Any recorded and released original musical composition never previously recorded in any other form or interpretation. Scores from film or television productions are also eligible. The lyrics\/music must focus on Western ideals or the American cowboy and can be composed with any instrument(s). Wrangler Award recipients are the recording artist and the writer\/ composer.<\/p>\n<p class=\"p2\"><strong>Traditional Western Music Album<\/strong> \u2013 A released recording of traditional Western and\/or cowboy folk songs. An album must be submitted in its entirety as one entry. Copyright eligibility required.<\/p>\n\n<h3><strong>Important Reminders<\/strong><\/h3>\n<ul>\n<li>\u2022 If you would like to submit physical copies of your work, please complete the online registration form first. Once the form is completed, please provide five copies (non-returnable) of each published work for judging, along with a completed entry form for each copy of the creative work to the address provided. The entry form can be printed once the submission is complete.\/li>\n<li>\u2022 Each category entered must include a $75 non-refundable fee. To be paid at the time of submission.<\/li>\n<li>\u2022 The Museum will award only <strong><u>one<\/u><\/strong> complimentary <em>Wrangler<\/em> sculpture for each entry category; however, additional sculptures may be purchased. The eligible recipients are identified as the author, publisher, illustrator, or photographer when applicable. <strong>Please note that the Museum only provides the <em>Wrangler<\/em> for the individual accepting the award. All additional <em>Wranglers<\/em> will be ordered after the conclusion of the ceremony. Additional <em>Wranglers<\/em> will NOT be available at the time of the Award Ceremony.<\/strong><\/li>\n<\/ul><\/div><fieldset id=\"field_2_148\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_148.1' id='input_2_148_1' type='checkbox' value='1' tabindex='1012'  aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_2_148_1' >I have read, understand and agree to the guidelines<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_148.2' value='I have read, understand and agree to the guidelines' class='gform_hidden' \/><input type='hidden' name='input_148.3' value='1' class='gform_hidden' \/><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_56' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous' tabindex='1013' \/> <input type='button' id='gform_next_button_2_56' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='1014' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_5' class='gform_page' data-js='page-field-id-56' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_2_46\" class=\"gfield gfield--type-section gfield--input-type-section gsection clearfix field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Entry Information<\/h3><\/div><div id=\"field_2_47\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_47'>Entry Title<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_47' id='input_2_47' type='text' value='' class='form-control medium'   tabindex='1015'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_156\" class=\"gfield gfield--type-post_custom_field gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_156'>Synopsis of Creative Work<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_156' id='input_2_156' class='textarea medium' tabindex='1016'    aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_2_48\" class=\"gfield gfield--type-post_custom_field gfield--input-type-date gfield--input-type-datedropdown gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Copyright Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div id='input_2_48' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_2_48_1_container'><label for='input_2_48_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>MM<\/label><select name='input_48[]' id='input_2_48_1' tabindex='1017'  aria-required='true'  ><option value=''>MM<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_2_48_2_container'><label for='input_2_48_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>DD<\/label><select name='input_48[]' id='input_2_48_2' tabindex='1018'  aria-required='true'  ><option value=''>DD<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_2_48_3_container'><label for='input_2_48_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>YYYY<\/label><select name='input_48[]' id='input_2_48_3' tabindex='1019'  aria-required='true'  ><option value=''>YYYY<\/option><option value='2026' >2026<\/option><\/select><\/div><\/div><\/fieldset><fieldset id=\"field_2_162\" class=\"gfield gfield--type-post_custom_field gfield--input-type-date gfield--input-type-datedropdown gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Copyright Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div id='input_2_162' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_2_162_1_container'><label for='input_2_162_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>MM<\/label><select name='input_162[]' id='input_2_162_1' tabindex='1020'  aria-required='true'  ><option value=''>MM<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_2_162_2_container'><label for='input_2_162_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>DD<\/label><select name='input_162[]' id='input_2_162_2' tabindex='1021'  aria-required='true'  ><option value=''>DD<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_2_162_3_container'><label for='input_2_162_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>YYYY<\/label><select name='input_162[]' id='input_2_162_3' tabindex='1022'  aria-required='true'  ><option value=''>YYYY<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><\/select><\/div><\/div><\/fieldset><fieldset id=\"field_2_168\" class=\"gfield gfield--type-post_custom_field gfield--input-type-date gfield--input-type-datedropdown gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Date of First Broadcast or Release<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div id='input_2_168' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_2_168_1_container'><label for='input_2_168_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>MM<\/label><select name='input_168[]' id='input_2_168_1' tabindex='1023'  aria-required='true'  ><option value=''>MM<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_2_168_2_container'><label for='input_2_168_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>DD<\/label><select name='input_168[]' id='input_2_168_2' tabindex='1024'  aria-required='true'  ><option value=''>DD<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_2_168_3_container'><label for='input_2_168_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>YYYY<\/label><select name='input_168[]' id='input_2_168_3' tabindex='1025'  aria-required='true'  ><option value=''>YYYY<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><div class='gfield_description' id='gfield_description_2_168'>(Public Screenings and Film Festivals when applicable) <\/div><\/fieldset><div id=\"field_2_169\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_169'>Running Time<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_169' id='input_2_169' type='text' value='' class='large'   tabindex='1026'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_49\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_49'>Release Year of First Album<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_49' id='input_2_49' type='text' value='' class='form-control medium'   tabindex='1027'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_160\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio full-w gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >High-Definition Digital Copy of Creative Work Cover Art File<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_160'>\n\t\t\t<div class='gchoice gchoice_2_160_0'>\n\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_160' type='radio' value='More'  id='choice_2_160_0' onchange='gformToggleRadioOther( this )'  tabindex='1028'  \/>\n\t\t\t\t\t<label for='choice_2_160_0' id='label_2_160_0' class='gform-field-label gform-field-label--type-inline'>The digital copy of my cover art is less than 15MB<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_160_1'>\n\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_160' type='radio' value='Less'  id='choice_2_160_1' onchange='gformToggleRadioOther( this )'  tabindex='1029'  \/>\n\t\t\t\t\t<label for='choice_2_160_1' id='label_2_160_1' class='gform-field-label gform-field-label--type-inline'>The digital copy of my cover art is more than 15MB<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_160_2'>\n\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_160' type='radio' value='physical'  id='choice_2_160_2' onchange='gformToggleRadioOther( this )'  tabindex='1030'  \/>\n\t\t\t\t\t<label for='choice_2_160_2' id='label_2_160_2' class='gform-field-label gform-field-label--type-inline'>Providing Physical Copy<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_157\" class=\"gfield gfield--type-post_custom_field gfield--input-type-fileupload full-w gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_157'>High-Definition Digital Copy of Creative Work Cover Art<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='15728640' \/><input name='input_157' id='input_2_157' type='file' class='form-control medium' aria-describedby=\"gfield_upload_rules_2_157 gfield_description_2_157\" onchange='javascript:gformValidateFileSize( this, 15728640 );' tabindex='1031' \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_2_157'>Accepted file types: jpg, gif, png, pdf, Max. file size: 15 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_2_157'><\/div> <\/div><div class='gfield_description' id='gfield_description_2_157'>File must be less than 15MB and a jpg, gif, png, or pdf file format<\/div><\/div><div id=\"field_2_161\" class=\"gfield gfield--type-post_custom_field gfield--input-type-website full-w gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_161'>Cover Artwork Media Link<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_161' id='input_2_161' type='url' value='' class='form-control medium' tabindex='1032' aria-describedby=\"gfield_description_2_161\"  placeholder='https:\/\/' aria-required=\"true\" aria-invalid=\"false\" \/>\n                <\/div><div class='gfield_description' id='gfield_description_2_161'>Please provide a link to view or download the digital version of your cover artwork. This can be a box or dropbox file that we can use to download or a link to a web address that stores the image of the cover artwork<\/div><\/div><fieldset id=\"field_2_127\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio full-w gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Entry Media File<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_127'>\n\t\t\t<div class='gchoice gchoice_2_127_0'>\n\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_127' type='radio' value='More'  id='choice_2_127_0' onchange='gformToggleRadioOther( this )'  tabindex='1033'  \/>\n\t\t\t\t\t<label for='choice_2_127_0' id='label_2_127_0' class='gform-field-label gform-field-label--type-inline'>The digital copy of my entry is less than 15MB<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_127_1'>\n\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_127' type='radio' value='Less'  id='choice_2_127_1' onchange='gformToggleRadioOther( this )'  tabindex='1034'  \/>\n\t\t\t\t\t<label for='choice_2_127_1' id='label_2_127_1' class='gform-field-label gform-field-label--type-inline'>The digital file of my entry is greater than 15MB<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_127_2'>\n\t\t\t\t\t<input style='margin-left:1px;' class='gfield-choice-input' name='input_127' type='radio' value='physical'  id='choice_2_127_2' onchange='gformToggleRadioOther( this )'  tabindex='1035'  \/>\n\t\t\t\t\t<label for='choice_2_127_2' id='label_2_127_2' class='gform-field-label gform-field-label--type-inline'>Providing Physical Copy<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_129\" class=\"gfield gfield--type-post_custom_field gfield--input-type-fileupload full-w gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_129'>Digital File of Entry<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='15728640' \/><input name='input_129' id='input_2_129' type='file' class='form-control medium' aria-describedby=\"gfield_upload_rules_2_129\" onchange='javascript:gformValidateFileSize( this, 15728640 );' tabindex='1036' \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_2_129'>Accepted file types: pdf, Max. file size: 15 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_2_129'><\/div> <\/div><\/div><div id=\"field_2_132\" class=\"gfield gfield--type-post_custom_field gfield--input-type-fileupload full-w gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_132'>Digital File of Entry<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='15728640' \/><input name='input_132' id='input_2_132' type='file' class='form-control medium' aria-describedby=\"gfield_upload_rules_2_132 gfield_description_2_132\" onchange='javascript:gformValidateFileSize( this, 15728640 );' tabindex='1037' \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_2_132'>Accepted file types: mp3, zip, Max. file size: 15 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_2_132'><\/div> <\/div><div class='gfield_description' id='gfield_description_2_132'>Upload an mp3 or zip file<\/div><\/div><div id=\"field_2_130\" class=\"gfield gfield--type-post_custom_field gfield--input-type-website full-w gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_130'>Entry Media Link<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_130' id='input_2_130' type='url' value='' class='form-control medium' tabindex='1038' aria-describedby=\"gfield_description_2_130\"  placeholder='https:\/\/' aria-required=\"true\" aria-invalid=\"false\" \/>\n                <\/div><div class='gfield_description' id='gfield_description_2_130'>Please provide a link to view or download the digital version of your nomination. This can be a box or dropbox file that we can use to download or a link to a web address that stores the pdf<\/div><\/div><div id=\"field_2_133\" class=\"gfield gfield--type-post_custom_field gfield--input-type-website full-w gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_133'>Entry Media Link<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_133' id='input_2_133' type='url' value='' class='form-control medium' tabindex='1039' aria-describedby=\"gfield_description_2_133\"  placeholder='https:\/\/' aria-required=\"true\" aria-invalid=\"false\" \/>\n                <\/div><div class='gfield_description' id='gfield_description_2_133'>Please provide a link to view or download the digital version of your nomination. This can be a box or dropbox file that we can use to download or a link to a web address that stores the pdf<\/div><\/div><div id=\"field_2_131\" class=\"gfield gfield--type-post_custom_field gfield--input-type-website full-w gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_131'>Entry Media Link<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_131' id='input_2_131' type='url' value='' class='form-control medium' tabindex='1040' aria-describedby=\"gfield_description_2_131\"  placeholder='https:\/\/' aria-required=\"true\" aria-invalid=\"false\" \/>\n                <\/div><div class='gfield_description' id='gfield_description_2_131'>Please provide a link to view or download the digital version of your nomination. This can be a youtube, vimeo, box, or dropbox link or a link to a website where the nomination can be viewed.<\/div><\/div><div id=\"field_2_155\" class=\"gfield gfield--type-post_custom_field gfield--input-type-website full-w gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_155'>60 Second Trailer of the Creative Work<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_155' id='input_2_155' type='url' value='' class='form-control medium' tabindex='1041' aria-describedby=\"gfield_description_2_155\"  placeholder='https:\/\/' aria-required=\"true\" aria-invalid=\"false\" \/>\n                <\/div><div class='gfield_description' id='gfield_description_2_155'>Please provide a link to view or download a 60 second trailer of the creative work. This can be a youtube, vimeo, box, or dropbox link or a link to a website where the trailer can be viewed.<\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_39' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous' tabindex='1042' \/> <input type='button' id='gform_next_button_2_39' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='1043' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_6' class='gform_page' data-js='page-field-id-39' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_2_144\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3>Not all fields are necessarily applicable to every entry. If something is not applicable to your entry, simply enter N\/A into the field.<\/h3><\/div><div id=\"field_2_43\" class=\"gfield gfield--type-section gfield--input-type-section gsection clearfix field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Submission Contact<\/h3><\/div><div id=\"field_2_4\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_4'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_2_4' type='text' value='' class='form-control medium'   tabindex='1044'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_5\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_5'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_2_5' type='text' value='' class='form-control medium'   tabindex='1045'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_6\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_6'>Address, City, State &amp; Zip<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_2_6' type='text' value='' class='form-control medium'   tabindex='1046'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_10\" class=\"gfield gfield--type-post_custom_field gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_10'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_10' id='input_2_10' type='tel' value='' class='form-control medium' tabindex='1047'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_12\" class=\"gfield gfield--type-post_custom_field gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_12'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_12' id='input_2_12' type='email' value='' class='form-control medium' tabindex='1048'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_134\" class=\"gfield gfield--type-section gfield--input-type-section gsection clearfix field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Writer\/Composer Contact Info<\/h3><\/div><div id=\"field_2_135\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_135'>Writer\/Composer Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_135' id='input_2_135' type='text' value='' class='form-control medium'   tabindex='1049'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_138\" class=\"gfield gfield--type-post_custom_field gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_138'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_138' id='input_2_138' type='email' value='' class='form-control medium' tabindex='1050'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_137\" class=\"gfield gfield--type-post_custom_field gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_137'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_137' id='input_2_137' type='tel' value='' class='form-control medium' tabindex='1051'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_136\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_136'>Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_136' id='input_2_136' type='text' value='' class='form-control medium'   tabindex='1052'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_44\" class=\"gfield gfield--type-section gfield--input-type-section gsection clearfix field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Recording Artist Contact Info<\/h3><\/div><div id=\"field_2_45\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_45'>Recording Artist Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_2_45' type='text' value='' class='form-control medium'   tabindex='1053'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_50\" class=\"gfield gfield--type-post_custom_field gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_50'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_50' id='input_2_50' type='email' value='' class='form-control medium' tabindex='1054'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_57\" class=\"gfield gfield--type-post_custom_field gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_57'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_57' id='input_2_57' type='tel' value='' class='form-control medium' tabindex='1055'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_51\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_51'>Address, City, State &amp; Zip<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_51' id='input_2_51' type='text' value='' class='form-control medium'   tabindex='1056'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_60\" class=\"gfield gfield--type-section gfield--input-type-section gsection clearfix field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Producer Contact Info<\/h3><\/div><div id=\"field_2_61\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_61'>Producer Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_61' id='input_2_61' type='text' value='' class='form-control medium'   tabindex='1057'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_64\" class=\"gfield gfield--type-post_custom_field gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_64'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_64' id='input_2_64' type='email' value='' class='form-control medium' tabindex='1058'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_63\" class=\"gfield gfield--type-post_custom_field gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_63'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_63' id='input_2_63' type='tel' value='' class='form-control medium' tabindex='1059'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_62\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_62'>Address, City, State &amp; Zip<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_62' id='input_2_62' type='text' value='' class='form-control medium'   tabindex='1060'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_74\" class=\"gfield gfield--type-section gfield--input-type-section gsection clearfix field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Author<\/h3><\/div><div id=\"field_2_75\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_75'>Author Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_75' id='input_2_75' type='text' value='' class='form-control medium'   tabindex='1061'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_77\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_77'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_77' id='input_2_77' type='text' value='' class='form-control medium'   tabindex='1062'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_78\" class=\"gfield gfield--type-post_custom_field gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_78'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_78' id='input_2_78' type='tel' value='' class='form-control medium' tabindex='1063'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_76\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_76'>Address, City, State &amp; Zip<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_76' id='input_2_76' type='text' value='' class='form-control medium'   tabindex='1064'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_79\" class=\"gfield gfield--type-section gfield--input-type-section gsection clearfix field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Illustrator<\/h3><\/div><div id=\"field_2_80\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_80'>Illustrator Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_80' id='input_2_80' type='text' value='' class='form-control medium'   tabindex='1065'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_83\" class=\"gfield gfield--type-post_custom_field gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_83'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_83' id='input_2_83' type='email' value='' class='form-control medium' tabindex='1066'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_82\" class=\"gfield gfield--type-post_custom_field gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_82'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_82' id='input_2_82' type='tel' value='' class='form-control medium' tabindex='1067'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_81\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_81'>Address, City, State &amp; Zip<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_81' id='input_2_81' type='text' value='' class='form-control medium'   tabindex='1068'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_163\" class=\"gfield gfield--type-section gfield--input-type-section gsection clearfix field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Photographer<\/h3><\/div><div id=\"field_2_164\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_164'>Photographer Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_164' id='input_2_164' type='text' value='' class='form-control medium'   tabindex='1069'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_165\" class=\"gfield gfield--type-post_custom_field gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_165'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_165' id='input_2_165' type='email' value='' class='form-control medium' tabindex='1070'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_166\" class=\"gfield gfield--type-post_custom_field gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_166'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_166' id='input_2_166' type='tel' value='' class='form-control medium' tabindex='1071'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_167\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_167'>Address, City, State &amp; Zip<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_167' id='input_2_167' type='text' value='' class='form-control medium'   tabindex='1072'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_84\" class=\"gfield gfield--type-section gfield--input-type-section gsection clearfix field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Publisher<\/h3><\/div><div id=\"field_2_85\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_85'>Publisher Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_85' id='input_2_85' type='text' value='' class='form-control medium'   tabindex='1073'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_88\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_88'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_88' id='input_2_88' type='text' value='' class='form-control medium'   tabindex='1074'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_87\" class=\"gfield gfield--type-post_custom_field gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_87'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_87' id='input_2_87' type='tel' value='' class='form-control medium' tabindex='1075'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_86\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_86'>Address, City, State &amp; Zip<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_86' id='input_2_86' type='text' value='' class='form-control medium'   tabindex='1076'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_89\" class=\"gfield gfield--type-section gfield--input-type-section gsection clearfix field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Production Company<\/h3><\/div><div id=\"field_2_90\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_90'>Production Company<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_90' id='input_2_90' type='text' value='' class='form-control medium'   tabindex='1077'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_92\" class=\"gfield gfield--type-post_custom_field gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_92'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_92' id='input_2_92' type='email' value='' class='form-control medium' tabindex='1078'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_93\" class=\"gfield gfield--type-post_custom_field gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_93'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_93' id='input_2_93' type='tel' value='' class='form-control medium' tabindex='1079'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_91\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_91'>Address, City, State &amp; Zip<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_91' id='input_2_91' type='text' value='' class='form-control medium'   tabindex='1080'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_94\" class=\"gfield gfield--type-section gfield--input-type-section gsection clearfix field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Executive Producer(s)<\/h3><div class='gsection_description' id='gfield_description_2_94'>List no more than 2<\/div><\/div><div id=\"field_2_95\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_95'>Executive Producer(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_95' id='input_2_95' type='text' value='' class='form-control medium'   tabindex='1081'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_98\" class=\"gfield gfield--type-post_custom_field gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_98'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_98' id='input_2_98' type='email' value='' class='form-control medium' tabindex='1082'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_97\" class=\"gfield gfield--type-post_custom_field gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_97'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_97' id='input_2_97' type='tel' value='' class='form-control medium' tabindex='1083'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_96\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_96'>Address, City, State &amp; Zip<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_96' id='input_2_96' type='text' value='' class='form-control medium'   tabindex='1084'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_99\" class=\"gfield gfield--type-section gfield--input-type-section gsection clearfix field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Producer(s)<\/h3><div class='gsection_description' id='gfield_description_2_99'>List no more than 2<\/div><\/div><div id=\"field_2_100\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_100'>Producer(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_100' id='input_2_100' type='text' value='' class='form-control medium'   tabindex='1085'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_102\" class=\"gfield gfield--type-post_custom_field gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_102'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_102' id='input_2_102' type='email' value='' class='form-control medium' tabindex='1086'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_101\" class=\"gfield gfield--type-post_custom_field gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_101'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_101' id='input_2_101' type='tel' value='' class='form-control medium' tabindex='1087'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_103\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_103'>Address, City, State &amp; Zip<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_103' id='input_2_103' type='text' value='' class='form-control medium'   tabindex='1088'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_104\" class=\"gfield gfield--type-section gfield--input-type-section gsection clearfix field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Director<\/h3><\/div><div id=\"field_2_105\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_105'>Director<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_105' id='input_2_105' type='text' value='' class='form-control medium'   tabindex='1089'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_107\" class=\"gfield gfield--type-post_custom_field gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_107'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_107' id='input_2_107' type='email' value='' class='form-control medium' tabindex='1090'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_106\" class=\"gfield gfield--type-post_custom_field gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_106'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_106' id='input_2_106' type='tel' value='' class='form-control medium' tabindex='1091'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_108\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_108'>Address, City, State &amp; Zip<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_108' id='input_2_108' type='text' value='' class='form-control medium'   tabindex='1092'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_109\" class=\"gfield gfield--type-section gfield--input-type-section gsection clearfix field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Writer<\/h3><\/div><div id=\"field_2_110\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_110'>Writer<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_110' id='input_2_110' type='text' value='' class='form-control medium'   tabindex='1093'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_112\" class=\"gfield gfield--type-post_custom_field gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_112'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_112' id='input_2_112' type='email' value='' class='form-control medium' tabindex='1094'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_111\" class=\"gfield gfield--type-post_custom_field gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_111'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_111' id='input_2_111' type='tel' value='' class='form-control medium' tabindex='1095'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_113\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_113'>Address, City, State &amp; Zip<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_113' id='input_2_113' type='text' value='' class='form-control medium'   tabindex='1096'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_114\" class=\"gfield gfield--type-section gfield--input-type-section gsection clearfix field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Principal Actor(s)<\/h3><div class='gsection_description' id='gfield_description_2_114'>Provide Most Direct Contact Information<\/div><\/div><div id=\"field_2_115\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_115'>Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_115' id='input_2_115' type='text' value='' class='form-control medium'   tabindex='1097'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_117\" class=\"gfield gfield--type-post_custom_field gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_117'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_117' id='input_2_117' type='email' value='' class='form-control medium' tabindex='1098'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_116\" class=\"gfield gfield--type-post_custom_field gfield--input-type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_116'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_116' id='input_2_116' type='tel' value='' class='form-control medium' tabindex='1099'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_118\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_118'>Address, City, State &amp; Zip<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_118' id='input_2_118' type='text' value='' class='form-control medium'   tabindex='1100'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_119\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_119'>Name<\/label><div class='ginput_container ginput_container_text'><input name='input_119' id='input_2_119' type='text' value='' class='form-control medium'   tabindex='1101'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_121\" class=\"gfield gfield--type-post_custom_field gfield--input-type-email field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_121'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_121' id='input_2_121' type='email' value='' class='form-control medium' tabindex='1102'    aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_120\" class=\"gfield gfield--type-post_custom_field gfield--input-type-phone field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_120'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_120' id='input_2_120' type='tel' value='' class='form-control medium' tabindex='1103'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_122\" class=\"gfield gfield--type-post_custom_field gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_122'>Address, City, State &amp; Zip<\/label><div class='ginput_container ginput_container_text'><input name='input_122' id='input_2_122' type='text' value='' class='form-control medium'   tabindex='1104'   aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_53' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous - Contact Info' tabindex='1105' \/> <input type='button' id='gform_next_button_2_53' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next Step - Billing Information' tabindex='1106' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_7' class='gform_page' data-js='page-field-id-53' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_2_19\" class=\"gfield gfield--type-section gfield--input-type-section gsection clearfix field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Billing Information<\/h3><\/div><fieldset id=\"field_2_72\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Billing Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_2_72' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_2_72_1_container' >\n                                        <input class='form-control' type='text' name='input_72.1' id='input_2_72_1' value='' tabindex='1107'   aria-required='true'    \/>\n                                        <label for='input_2_72_1' id='input_2_72_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_2_72_2_container' >\n                                        <input class='form-control' type='text' name='input_72.2' id='input_2_72_2' value='' tabindex='1108'    aria-required='false'   \/>\n                                        <label for='input_2_72_2' id='input_2_72_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_2_72_3_container' >\n                                    <input class='form-control' type='text' name='input_72.3' id='input_2_72_3' value='' tabindex='1109'   aria-required='true'    \/>\n                                    <label for='input_2_72_3' id='input_2_72_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_2_72_4_container' >\n                                        <input class='form-control' type='text' name='input_72.4' id='input_2_72_4' value='' tabindex='1111'     aria-required='true'    \/>\n                                        <label for='input_2_72_4' id='input_2_72_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_2_72_5_container' >\n                                    <input class='form-control' type='text' name='input_72.5' id='input_2_72_5' value='' tabindex='1112'   aria-required='true'    \/>\n                                    <label for='input_2_72_5' id='input_2_72_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_2_72_6_container' >\n                                        <select name='input_72.6' id='input_2_72_6' tabindex='1113'  aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >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_2_72_6' id='input_2_72_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_2_71\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_2_71 gfield_product_2_71 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_2_71_1'>Western Heritage Awards Entry Fee<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_71.1' value='Western Heritage Awards Entry Fee' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_2_71' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_2_71' 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_71.2' id='ginput_base_price_2_71' value='$75.00' aria-label='Western Heritage Awards Entry Fee Price'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_71.3' value='1' class='ginput_quantity_2_71 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><fieldset id=\"field_2_73\" class=\"gfield gfield--type-creditcard gfield--input-type-creditcard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Credit Card<\/legend><div class='ginput_complex ginput_container ginput_container_creditcard gform-grid-row' id='input_2_73'><span class='ginput_full gform-grid-col' id='input_2_73_1_container' >\n                                    <div class='gform_card_icon_container'><div class='gform_card_icon gform_card_icon_amex' >American Express<\/div><div class='gform_card_icon gform_card_icon_discover' >Discover<\/div><div class='gform_card_icon gform_card_icon_mastercard' >MasterCard<\/div><div class='gform_card_icon gform_card_icon_visa' >Visa<\/div><span class='screen-reader-text' id='field_2_73_supported_creditcards'>Supported Credit Cards: American Express, Discover, MasterCard, Visa<\/span><\/div>\n                                    <input type='text' name='input_73.1' id='input_2_73_1' value='' tabindex='1114'  onchange='gformMatchCard(\"input_2_73_1\");' onkeyup='gformMatchCard(\"input_2_73_1\");' autocomplete='off' pattern='[0-9]*' title='Only digits are allowed'  aria-required='false'  \/>\n                                    <label for='input_2_73_1' id='input_2_73_1_label' class='gform-field-label gform-field-label--type-sub '>Card Number<\/label>\n                                 <\/span><span class='ginput_full ginput_cardextras gform-grid-col gform-grid-row' id='input_2_73_2_container'>\n                                            <fieldset class='ginput_cardinfo_left gform-grid-col' id='input_2_73_2_cardinfo_left'>\n                                            <legend class='gform-field-label gform-field-label--type-sub '>Expiration Date<\/legend>\n                                                <span class='ginput_card_expiration_container ginput_card_field gform-grid-row'>\n                                                   <span class='ginput_card_expiration_month_container gform-grid-col'>\n                                                       <label for='input_2_73_2_month' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                                       <select name='input_73.2[]' id='input_2_73_2_month' tabindex='1115'  class='ginput_card_expiration ginput_card_expiration_month' aria-required='false'  >\n                                                           <option value=''>Month<\/option><option value='1' >01<\/option><option value='2' >02<\/option><option value='3' >03<\/option><option value='4' >04<\/option><option value='5' >05<\/option><option value='6' >06<\/option><option value='7' >07<\/option><option value='8' >08<\/option><option value='9' >09<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option>\n                                                       <\/select>\n                                                   <\/span>\n                                                   <span class='ginput_card_expiration_year_container gform-grid-col'>\n                                                       <label for='input_2_73_2_year' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                                       <select name='input_73.2[]' id='input_2_73_2_year' tabindex='1116'  class='ginput_card_expiration ginput_card_expiration_year' aria-required='false'  >\n                                                           <option value=''>Year<\/option><option value='2026' >2026<\/option><option value='2027' >2027<\/option><option value='2028' >2028<\/option><option value='2029' >2029<\/option><option value='2030' >2030<\/option><option value='2031' >2031<\/option><option value='2032' >2032<\/option><option value='2033' >2033<\/option><option value='2034' >2034<\/option><option value='2035' >2035<\/option><option value='2036' >2036<\/option><option value='2037' >2037<\/option><option value='2038' >2038<\/option><option value='2039' >2039<\/option><option value='2040' >2040<\/option><option value='2041' >2041<\/option><option value='2042' >2042<\/option><option value='2043' >2043<\/option><option value='2044' >2044<\/option><option value='2045' >2045<\/option>\n                                                       <\/select>\n                                                   <\/span>\n                                                <\/span>\n                                            <\/fieldset><span class='ginput_cardinfo_right gform-grid-col' id='input_2_73_2_cardinfo_right'>\n                                                <input type='text' name='input_73.3' id='input_2_73_3' tabindex='1117'  class='ginput_card_security_code' value='' autocomplete='off' pattern='[0-9]*' title='Only digits are allowed'  aria-required='false'  \/>\n                                                <span class='ginput_card_security_code_icon'>&nbsp;<\/span>\n                                                <label for='input_2_73_3' class='gform-field-label gform-field-label--type-sub '>Security Code<\/label>\n                                             <\/span>\n                                        <\/span><span class='ginput_full gform-grid-col' id='input_2_73_5_container'>\n                                            <input type='text' name='input_73.5' id='input_2_73_5' value='' tabindex='1118'   aria-required='false'  \/>\n                                            <label for='input_2_73_5' id='input_2_73_5_label' class='gform-field-label gform-field-label--type-sub '>Cardholder Name<\/label>\n                                        <\/span> <\/div><\/fieldset><div id=\"field_2_70\" class=\"gfield gfield--type-total gfield--input-type-total gfield_price gfield_price_2_ gfield_total gfield_total_2_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_2_70'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_70' id='input_2_70' value='$0.00' class='gform-text-input-reset ginput_total ginput_total_2' \/>\n\t\t\t\t\t\t<\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_68' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous' tabindex='1119' \/> <input type='button' id='gform_next_button_2_68' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Next' tabindex='1120' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_8' class='gform_page' data-js='page-field-id-68' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_2_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_2_36\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3>Review Your Information<\/h3>\n<p>If everything looks okay, hit Submit at the bottom of the page<\/p>\n\n{all_fields}<\/div><\/div><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_2' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Previous' tabindex='1121' \/> <input type='submit' id='gform_submit_button_2' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit' tabindex='1122' 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