{"id":280,"date":"2021-06-26T19:52:57","date_gmt":"2021-06-26T23:52:57","guid":{"rendered":"https:\/\/resources.wecipr.com\/solicitud-de-credito\/"},"modified":"2023-02-08T13:25:09","modified_gmt":"2023-02-08T17:25:09","slug":"solicitud-de-credito","status":"publish","type":"page","link":"https:\/\/resources.wecipr.com\/es\/solicitud-de-credito\/","title":{"rendered":"Solicitud de cr\u00e9dito"},"content":{"rendered":"<p>(*) Campo obligatorio<\/p>\n<p>El solicitante declara y garantiza que toda la informaci\u00f3n revelada en este documento y, en cualquier documento, proporcionada a Wholesale Electric Caribe Inc. en relaci\u00f3n con esta solicitud de cr\u00e9dito es verdadera y correcta.<\/p>\n<div class=\"frm_forms  with_frm_style frm_style_wec-style\" id=\"frm_form_5_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_creditapplication\" >\n<div class=\"frm_form_fields  frm_page_num_1\">\n<fieldset>\n<legend class=\"frm_screen_reader\">Credit Application<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<div class=\"frm_rootline_group\" role=\"group\" tabindex=\"0\" aria-label=\"P\u00e1gina 1 de 5\" ><ul class=\"frm_page_bar frm_rootline_5 frm_progress frm_progress_line frm_no_numbers frm_show_lines frm_show_titles\"><li class=\"frm_rootline_single frm_current_page\"><span class=\"frm_rootline_title\">Account Information<\/span><input type=\"button\" value=\"1\" data-page=\"\" class=\" frm_page_1\" aria-disabled=\"true\" data-field=\"0\" aria-label=\"Account Information\"  \/><\/li><li class=\"frm_rootline_single\"><span class=\"frm_rootline_title\">Bank Reference(s)<\/span><input type=\"button\" value=\"2\" data-page=\"123\" class=\"frm_page_skip frm_page_2\" data-field=\"96\" aria-label=\"Bank Reference(s)\"  \/><\/li><li class=\"frm_rootline_single\"><span class=\"frm_rootline_title\">Trade Reference(s)<\/span><input type=\"button\" value=\"3\" data-page=\"156\" class=\"frm_page_skip frm_page_3\" data-field=\"122\" aria-label=\"Trade Reference(s)\"  \/><\/li><li class=\"frm_rootline_single\"><span class=\"frm_rootline_title\">P\u00e1gina 4<\/span><input type=\"button\" value=\"4\" data-page=\"208\" class=\"frm_page_skip frm_page_4\" data-field=\"449\" aria-label=\"P\u00e1gina 4\"  \/><\/li><li class=\"frm_rootline_single\"><span class=\"frm_rootline_title\">P\u00e1gina 5<\/span><input type=\"button\" value=\"5\" data-page=\"217\" class=\"frm_page_skip frm_page_5\" data-field=\"513\" aria-label=\"P\u00e1gina 5\"  \/><\/li><\/ul><div class=\"frm_clearfix\"><\/div><\/div><input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"5\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_5\" id=\"frm_hide_fields_5\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"creditapplication\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_5\" name=\"frm_submit_entry_5\" value=\"857c1b1437\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/es\/wp-json\/wp\/v2\/pages\/280\" \/><div id=\"frm_field_37_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container frm_third\">\r\n    <label for=\"field_era1k\" id=\"field_era1k_label\" class=\"frm_primary_label col-form-label form-label\">Legal Business Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_era1k\" name=\"item_meta[37]\" value=\"\"  data-reqmsg=\"Legal Business Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_38_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_third\">\r\n    <label for=\"field_n2jip\" id=\"field_n2jip_label\" class=\"frm_primary_label col-form-label form-label\">Commercial Name (If Apply)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_n2jip\" name=\"item_meta[38]\" value=\"\"  data-invmsg=\"Text is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_39_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_third\">\r\n    <label for=\"field_7x6ve\" id=\"field_7x6ve_label\" class=\"frm_primary_label col-form-label form-label\">Date\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_7x6ve\" name=\"item_meta[39]\" value=\"04\/06\/2026\"  maxlength=\"10\" data-frmval=\"04\/06\/2026\" data-invmsg=\"Date is invalid\" class=\"frm_date form-control\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_40_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container frm12 vertical_radio\">\r\n    <div  id=\"field_i9evd_label\" class=\"frm_primary_label col-form-label form-label\">Business Type\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_i9evd_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio radio\" id=\"frm_radio_40-0\">\t\t\t<label  for=\"field_i9evd-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[40]\" id=\"field_i9evd-0\" value=\"Sole Proprietor\"\n\t\t   data-reqmsg=\"Business Type cannot be blank.\" data-invmsg=\"Business Type no es v\u00e1lido\" aria-invalid=\"false\"  \/> Sole Proprietor<\/label><\/div>\n\t\t<div class=\"frm_radio radio\" id=\"frm_radio_40-1\">\t\t\t<label  for=\"field_i9evd-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[40]\" id=\"field_i9evd-1\" value=\"Corporation\"\n\t\t   data-reqmsg=\"Business Type cannot be blank.\" data-invmsg=\"Business Type no es v\u00e1lido\" aria-invalid=\"false\"  \/> Corporation<\/label><\/div>\n\t\t<div class=\"frm_radio radio\" id=\"frm_radio_40-4\">\t\t\t<label  for=\"field_i9evd-4\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[40]\" id=\"field_i9evd-4\" value=\"Partnership\"\n\t\t   data-reqmsg=\"Business Type cannot be blank.\" data-invmsg=\"Business Type no es v\u00e1lido\" aria-invalid=\"false\"  \/> Partnership<\/label><\/div>\n\t\t<div class=\"frm_radio radio\" id=\"frm_radio_40-3\">\t\t\t<label  for=\"field_i9evd-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[40]\" id=\"field_i9evd-3\" value=\"LLC\"\n\t\t   data-reqmsg=\"Business Type cannot be blank.\" data-invmsg=\"Business Type no es v\u00e1lido\" aria-invalid=\"false\"  \/> LLC<\/label><\/div>\n\t\t<div class=\"frm_radio radio\" id=\"frm_radio_40-5\">\t\t\t<label  for=\"field_i9evd-5\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[40]\" id=\"field_i9evd-5\" value=\"S.A. (Excluding PR)\"\n\t\t   data-reqmsg=\"Business Type cannot be blank.\" data-invmsg=\"Business Type no es v\u00e1lido\" aria-invalid=\"false\"  \/> S.A. (Excluding PR)<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_435_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">SURI Registration Certificate<\/h3>\r\n\r\n\r\n<div id=\"frm_field_438_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container horizontal_radio\">\r\n    <div  id=\"field_pf21c_label\" class=\"frm_primary_label col-form-label form-label\">Is your business registered in Puerto Rico?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_pf21c_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio radio-inline radio\" id=\"frm_radio_438-435-0\">\t\t\t<label  for=\"field_pf21c-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[438]\" id=\"field_pf21c-0\" value=\"Yes\"\n\t\t   data-sectionid=\"435\"  data-reqmsg=\"This option is required to proceed with the credit application process\" data-invmsg=\"Is your business registered in Puerto Rico? no es v\u00e1lido\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio radio-inline radio\" id=\"frm_radio_438-435-1\">\t\t\t<label  for=\"field_pf21c-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[438]\" id=\"field_pf21c-1\" value=\"No\"\n\t\t   data-sectionid=\"435\"  data-reqmsg=\"This option is required to proceed with the credit application process\" data-invmsg=\"Is your business registered in Puerto Rico? no es v\u00e1lido\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_437_container\" class=\"frm_form_field form-field  form-group frm_top_container\">\r\n    <label for=\"field_tuy0m\" id=\"field_tuy0m_label\" class=\"frm_primary_label col-form-label form-label\">SURI File\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\"  data-sectionid=\"435\"  data-invmsg=\"File Upload is invalid\" aria-invalid=\"false\"   name=\"item_meta[437]\"  value=\"\" data-frmfile=\"437\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file437_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file437\" id=\"field_tuy0m\"\n\t\t\t data-sectionid=\"435\"  data-invmsg=\"File Upload is invalid\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"SURI File. Upload SURI Certificate. Tama\u00f1o m\u00e1ximo del archivo: 16.78MB\">Upload SURI Certificate<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"SURI File. Choose File. Tama\u00f1o m\u00e1ximo del archivo: 16.78MB\">Choose File<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Tama\u00f1o m\u00e1ximo del archivo: 16.78MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_78_container\" class=\"frm_form_field frm_section_heading form-field  frm_half\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Officer(s) (If a Corporation)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_79_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container\">\r\n    <label for=\"field_71nag\" id=\"field_71nag_label\" class=\"frm_primary_label col-form-label form-label\">Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_71nag\" name=\"item_meta[79]\" value=\"\"  data-sectionid=\"78\"  data-reqmsg=\"Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_80_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_fourth\">\r\n    <label for=\"field_uoxs5\" id=\"field_uoxs5_label\" class=\"frm_primary_label col-form-label form-label\">Participation %\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_input_group input-group frm_with_box frm_with_post\"><input type=\"number\" id=\"field_uoxs5\" name=\"item_meta[80]\" value=\"\" data-sectionid=\"78\"  data-invmsg=\"Number is invalid\" class=\"form-control\" aria-invalid=\"false\"   min=\"0\" max=\"99\" step=\"any\" \/><span class=\"frm_inline_box input-group-text input-group-addon\">%<\/span><\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_81_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_three_fourths\">\r\n    <label for=\"field_47fg9\" id=\"field_47fg9_label\" class=\"frm_primary_label col-form-label form-label\">Social Security Number (See T&C #1)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_47fg9\" name=\"item_meta[81]\" value=\"\"  data-sectionid=\"78\"  data-invmsg=\"Text is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_82_container\" class=\"frm_form_field form-field  form-group frm_top_container\">\r\n    <label for=\"field_t4pos\" id=\"field_t4pos_label\" class=\"frm_primary_label col-form-label form-label\">Title\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_t4pos\" name=\"item_meta[82]\" value=\"\"  data-sectionid=\"78\"  data-invmsg=\"Text is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_83_container\" class=\"frm_form_field form-field  form-group frm_top_container\">\r\n    <div  id=\"field_od6qf_label\" class=\"frm_primary_label col-form-label form-label\">Home Address\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_od6qf_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tHome Address<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_83-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_od6qf_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tHome Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_od6qf_line1\" value=\"\" name=\"item_meta[83][line1]\"  data-sectionid=\"78\"  data-invmsg=\"Home Address no es v\u00e1lido\" class=\"form-control\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_83-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_od6qf_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tHome Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_od6qf_line2\" value=\"\" name=\"item_meta[83][line2]\"  data-sectionid=\"78\"  data-invmsg=\"Home Address no es v\u00e1lido\" class=\"form-control frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_83-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_od6qf_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCity\t<\/label>\n\t\t<input type=\"text\" id=\"field_od6qf_city\" value=\"\" name=\"item_meta[83][city]\"  data-sectionid=\"78\"  data-invmsg=\"Home Address no es v\u00e1lido\" class=\"form-control\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">City<\/div><\/div>\n<div id=\"frm_field_83-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_od6qf_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tState\/Province\t<\/label>\n\t\t<input type=\"text\" id=\"field_od6qf_state\" value=\"\" name=\"item_meta[83][state]\"  data-sectionid=\"78\"  data-invmsg=\"Home Address no es v\u00e1lido\" class=\"form-control\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\t<div class=\"frm_description\">State\/Province<\/div><\/div>\n<div id=\"frm_field_83-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_od6qf_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tZip\/Postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_od6qf_zip\" value=\"\" name=\"item_meta[83][zip]\"  data-sectionid=\"78\"  data-invmsg=\"Home Address no es v\u00e1lido\" class=\"form-control\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Zip\/Postal<\/div><\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_84_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_half\">\r\n    <label for=\"field_anpzo\" id=\"field_anpzo_label\" class=\"frm_primary_label col-form-label form-label\">Home Phone\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_anpzo\" name=\"item_meta[84]\" value=\"\"  data-sectionid=\"78\"  data-invmsg=\"Phone is invalid\" class=\"form-control\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_85_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_half\">\r\n    <label for=\"field_38gqi\" id=\"field_38gqi_label\" class=\"frm_primary_label col-form-label form-label\">Mobile Phone\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_38gqi\" name=\"item_meta[85]\" value=\"\"  data-sectionid=\"78\"  data-invmsg=\"Phone is invalid\" class=\"form-control\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_86_container\" class=\"frm_form_field form-field  form-group frm_top_container\">\r\n    <label for=\"field_b4ri\" id=\"field_b4ri_label\" class=\"frm_primary_label col-form-label form-label\">Email Address\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_b4ri\" name=\"item_meta[86]\" value=\"\"  data-sectionid=\"78\"  data-invmsg=\"Email is invalid\" class=\"form-control\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_68_container\" class=\"frm_form_field frm_section_heading form-field  frm_half\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Owner(s) (If Sole Proprietor or Partnership)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_70_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container\">\r\n    <label for=\"field_ei634\" id=\"field_ei634_label\" class=\"frm_primary_label col-form-label form-label\">Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_ei634\" name=\"item_meta[70]\" value=\"\"  data-sectionid=\"68\"  data-reqmsg=\"Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_71_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_fourth\">\r\n    <label for=\"field_nbq2w\" id=\"field_nbq2w_label\" class=\"frm_primary_label col-form-label form-label\">Participation %\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <div class=\"frm_input_group input-group frm_with_box frm_with_post\"><input type=\"number\" id=\"field_nbq2w\" name=\"item_meta[71]\" value=\"\" data-sectionid=\"68\"  data-invmsg=\"Number is invalid\" class=\"form-control\" aria-invalid=\"false\"   min=\"0\" max=\"99\" step=\"any\" \/><span class=\"frm_inline_box input-group-text input-group-addon\">%<\/span><\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_72_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_three_fourths\">\r\n    <label for=\"field_yd9uc\" id=\"field_yd9uc_label\" class=\"frm_primary_label col-form-label form-label\">Social Security Number (See T&C #1)\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_yd9uc\" name=\"item_meta[72]\" value=\"\"  data-sectionid=\"68\"  data-invmsg=\"Text is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_73_container\" class=\"frm_form_field form-field  form-group frm_top_container\">\r\n    <label for=\"field_1fkm3\" id=\"field_1fkm3_label\" class=\"frm_primary_label col-form-label form-label\">Title\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_1fkm3\" name=\"item_meta[73]\" value=\"\"  data-sectionid=\"68\"  data-invmsg=\"Text is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_74_container\" class=\"frm_form_field form-field  form-group frm_top_container\">\r\n    <div  id=\"field_kjedg_label\" class=\"frm_primary_label col-form-label form-label\">Home Address\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_kjedg_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tHome Address<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_74-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_kjedg_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tHome Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_kjedg_line1\" value=\"\" name=\"item_meta[74][line1]\"  data-sectionid=\"68\"  data-invmsg=\"Home Address no es v\u00e1lido\" class=\"form-control\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_74-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_kjedg_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tHome Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_kjedg_line2\" value=\"\" name=\"item_meta[74][line2]\"  data-sectionid=\"68\"  data-invmsg=\"Home Address no es v\u00e1lido\" class=\"form-control frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_74-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_kjedg_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCity\t<\/label>\n\t\t<input type=\"text\" id=\"field_kjedg_city\" value=\"\" name=\"item_meta[74][city]\"  data-sectionid=\"68\"  data-invmsg=\"Home Address no es v\u00e1lido\" class=\"form-control\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">City<\/div><\/div>\n<div id=\"frm_field_74-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_kjedg_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tState\/Province\t<\/label>\n\t\t<input type=\"text\" id=\"field_kjedg_state\" value=\"\" name=\"item_meta[74][state]\"  data-sectionid=\"68\"  data-invmsg=\"Home Address no es v\u00e1lido\" class=\"form-control\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\t<div class=\"frm_description\">State\/Province<\/div><\/div>\n<div id=\"frm_field_74-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_kjedg_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tZip\/Postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_kjedg_zip\" value=\"\" name=\"item_meta[74][zip]\"  data-sectionid=\"68\"  data-invmsg=\"Home Address no es v\u00e1lido\" class=\"form-control\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Zip\/Postal<\/div><\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_76_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_half\">\r\n    <label for=\"field_2krrw\" id=\"field_2krrw_label\" class=\"frm_primary_label col-form-label form-label\">Home Phone\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_2krrw\" name=\"item_meta[76]\" value=\"\"  data-sectionid=\"68\"  data-invmsg=\"Phone is invalid\" class=\"form-control\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_75_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_half\">\r\n    <label for=\"field_2zb42\" id=\"field_2zb42_label\" class=\"frm_primary_label col-form-label form-label\">Mobile Phone\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_2zb42\" name=\"item_meta[75]\" value=\"\"  data-sectionid=\"68\"  data-invmsg=\"Phone is invalid\" class=\"form-control\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_77_container\" class=\"frm_form_field form-field  form-group frm_top_container\">\r\n    <label for=\"field_y2pes\" id=\"field_y2pes_label\" class=\"frm_primary_label col-form-label form-label\">Email Address\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_y2pes\" name=\"item_meta[77]\" value=\"\"  data-sectionid=\"68\"  data-invmsg=\"Email is invalid\" class=\"form-control\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_439_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Do you have a Certificate of Incorporation?<\/h3>\r\n\r\n\r\n<div id=\"frm_field_442_container\" class=\"frm_form_field form-field  form-group frm_hidden_container horizontal_radio\">\r\n    <div  id=\"field_xrurg_label\" class=\"frm_primary_label col-form-label form-label\">Do you have a Certificate Incorporation?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_xrurg_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio radio-inline radio\" id=\"frm_radio_442-439-0\">\t\t\t<label  for=\"field_xrurg-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[442]\" id=\"field_xrurg-0\" value=\"Yes\"\n\t\t   data-sectionid=\"439\"  data-invmsg=\"Do you have a Certificate Incorporation? no es v\u00e1lido\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio radio-inline radio\" id=\"frm_radio_442-439-1\">\t\t\t<label  for=\"field_xrurg-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[442]\" id=\"field_xrurg-1\" value=\"No\"\n\t\t   data-sectionid=\"439\"  data-invmsg=\"Do you have a Certificate Incorporation? no es v\u00e1lido\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_441_container\" class=\"frm_form_field form-field  form-group frm_top_container\">\r\n    <label for=\"field_nzra3\" id=\"field_nzra3_label\" class=\"frm_primary_label col-form-label form-label\">File Upload\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\"  data-sectionid=\"439\"  data-invmsg=\"File Upload is invalid\" aria-invalid=\"false\"   name=\"item_meta[441]\"  value=\"\" data-frmfile=\"441\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file441_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file441\" id=\"field_nzra3\"\n\t\t\t data-sectionid=\"439\"  data-invmsg=\"File Upload is invalid\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"File Upload. Upload Certificate of Incorporation. Tama\u00f1o m\u00e1ximo del archivo: 16.78MB\">Upload Certificate of Incorporation<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"File Upload. Choose File. Tama\u00f1o m\u00e1ximo del archivo: 16.78MB\">Choose File<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Tama\u00f1o m\u00e1ximo del archivo: 16.78MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_443_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Do you have a Bond Copy? (If Project Exists)<\/h3>\r\n\r\n\r\n<div id=\"frm_field_446_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container horizontal_radio\">\r\n    <div  id=\"field_r6xn7_label\" class=\"frm_primary_label col-form-label form-label\">Applicants with a limit greater than $10k must include recent financial statements\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_r6xn7_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio radio-inline radio\" id=\"frm_radio_446-443-0\">\t\t\t<label  for=\"field_r6xn7-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[446]\" id=\"field_r6xn7-0\" value=\"Yes\"\n\t\t   data-sectionid=\"443\"  data-reqmsg=\"Applicants with a limit greater than $10k must include recent financial statements cannot be blank.\" data-invmsg=\"Applicants with a limit greater than $10k must include recent financial statements no es v\u00e1lido\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio radio-inline radio\" id=\"frm_radio_446-443-1\">\t\t\t<label  for=\"field_r6xn7-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[446]\" id=\"field_r6xn7-1\" value=\"No\"\n\t\t   data-sectionid=\"443\"  data-reqmsg=\"Applicants with a limit greater than $10k must include recent financial statements cannot be blank.\" data-invmsg=\"Applicants with a limit greater than $10k must include recent financial statements no es v\u00e1lido\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_445_container\" class=\"frm_form_field form-field  form-group frm_top_container\">\r\n    <label for=\"field_bzr9j\" id=\"field_bzr9j_label\" class=\"frm_primary_label col-form-label form-label\">File Upload\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"hidden\"  data-sectionid=\"443\"  data-invmsg=\"File Upload is invalid\" aria-invalid=\"false\"   name=\"item_meta[445][]\"  value=\"\" data-frmfile=\"445\" \/>\n\n<div class=\"frm_dropzone frm_multi_upload frm_clearfix\" id=\"file445_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file445[]\" id=\"field_bzr9j\"\n\t\t\t data-frmfile=\"445\" multiple=\"multiple\"  data-sectionid=\"443\"  data-invmsg=\"File Upload is invalid\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"File Upload. Upload Bond Copy. Tama\u00f1o m\u00e1ximo del archivo: 16.78MB\">Upload Bond Copy<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"File Upload. Choose File. Tama\u00f1o m\u00e1ximo del archivo: 16.78MB\">Choose File<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Tama\u00f1o m\u00e1ximo del archivo: 16.78MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_41_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container\">\r\n    <div  id=\"field_n4eun_label\" class=\"frm_primary_label col-form-label form-label\">Business BillingAddress\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_n4eun_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tBusiness BillingAddress<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_41-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_n4eun_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tBusiness BillingAddress\t<\/label>\n\t\t<input type=\"text\" id=\"field_n4eun_line1\" value=\"\" name=\"item_meta[41][line1]\"  data-reqmsg=\"Business BillingAddress cannot be blank.\" aria-required=\"true\" data-invmsg=\"Business BillingAddress no es v\u00e1lido\" class=\"form-control\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_41-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_n4eun_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tBusiness BillingAddress\t<\/label>\n\t\t<input type=\"text\" id=\"field_n4eun_line2\" value=\"\" name=\"item_meta[41][line2]\"  data-reqmsg=\"Business BillingAddress cannot be blank.\" aria-required=\"true\" data-invmsg=\"Business BillingAddress no es v\u00e1lido\" class=\"form-control frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_41-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_n4eun_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCity\t<\/label>\n\t\t<input type=\"text\" id=\"field_n4eun_city\" value=\"\" name=\"item_meta[41][city]\"  data-reqmsg=\"Business BillingAddress cannot be blank.\" aria-required=\"true\" data-invmsg=\"Business BillingAddress no es v\u00e1lido\" class=\"form-control\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">City<\/div><\/div>\n<div id=\"frm_field_41-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_n4eun_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tState\/Province\t<\/label>\n\t\t<input type=\"text\" id=\"field_n4eun_state\" value=\"\" name=\"item_meta[41][state]\"  data-reqmsg=\"Business BillingAddress cannot be blank.\" aria-required=\"true\" data-invmsg=\"Business BillingAddress no es v\u00e1lido\" class=\"form-control\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\t<div class=\"frm_description\">State\/Province<\/div><\/div>\n<div id=\"frm_field_41-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_n4eun_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tZip\/Postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_n4eun_zip\" value=\"\" name=\"item_meta[41][zip]\"  data-reqmsg=\"Business BillingAddress cannot be blank.\" aria-required=\"true\" data-invmsg=\"Business BillingAddress no es v\u00e1lido\" class=\"form-control\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Zip\/Postal<\/div><\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_42_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container vertical_radio\">\r\n    <div  id=\"field_aiyjx_label\" class=\"frm_primary_label col-form-label form-label\">Is your Physical Address same as Billing Address?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_aiyjx_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio radio\" id=\"frm_radio_42-0\">\t\t\t<label  for=\"field_aiyjx-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[42]\" id=\"field_aiyjx-0\" value=\"Yes\"\n\t\t   data-reqmsg=\"Is your Physical Address same as Billing Address? cannot be blank.\" data-invmsg=\"Is your Physical Address same as Billing Address? no es v\u00e1lido\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio radio\" id=\"frm_radio_42-1\">\t\t\t<label  for=\"field_aiyjx-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[42]\" id=\"field_aiyjx-1\" value=\"No\"\n\t\t   data-reqmsg=\"Is your Physical Address same as Billing Address? cannot be blank.\" data-invmsg=\"Is your Physical Address same as Billing Address? no es v\u00e1lido\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_43_container\" class=\"frm_form_field form-field  form-group frm_top_container\">\r\n    <div  id=\"field_jtyzx_label\" class=\"frm_primary_label col-form-label form-label\">Business Physical Address\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_jtyzx_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tBusiness Physical Address<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_43-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_jtyzx_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tBusiness Physical Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_jtyzx_line1\" value=\"\" name=\"item_meta[43][line1]\"  data-invmsg=\"Business Physical Address no es v\u00e1lido\" class=\"form-control\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_43-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_jtyzx_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tBusiness Physical Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_jtyzx_line2\" value=\"\" name=\"item_meta[43][line2]\"  data-invmsg=\"Business Physical Address no es v\u00e1lido\" class=\"form-control frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_43-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_jtyzx_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCity\t<\/label>\n\t\t<input type=\"text\" id=\"field_jtyzx_city\" value=\"\" name=\"item_meta[43][city]\"  data-invmsg=\"Business Physical Address no es v\u00e1lido\" class=\"form-control\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">City<\/div><\/div>\n<div id=\"frm_field_43-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_jtyzx_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tState\/Province\t<\/label>\n\t\t<input type=\"text\" id=\"field_jtyzx_state\" value=\"\" name=\"item_meta[43][state]\"  data-invmsg=\"Business Physical Address no es v\u00e1lido\" class=\"form-control\" aria-invalid=\"false\"   autocomplete=\"address-level1\" \/>\n\t<div class=\"frm_description\">State\/Province<\/div><\/div>\n<div id=\"frm_field_43-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_jtyzx_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tZip\/Postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_jtyzx_zip\" value=\"\" name=\"item_meta[43][zip]\"  data-invmsg=\"Business Physical Address no es v\u00e1lido\" class=\"form-control\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Zip\/Postal<\/div><\/div>\n<div id=\"frm_field_43-country_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_jtyzx_country\" class=\"frm_screen_reader frm_hidden\">\n\t\tCountry\t<\/label>\n\t\t\t<select name=\"item_meta[43][country]\" id=\"field_jtyzx_country\"  data-invmsg=\"Business Physical Address no es v\u00e1lido\" class=\"form-control\" aria-invalid=\"false\"   autocomplete=\"country-name\">\n\t\t\t<option value=\"\" class=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Afganist\u00e1n\">Afganist\u00e1n<\/option><option  value=\"Albania\" data-code=\"AL\">Albania<\/option><option  value=\"Alemania\">Alemania<\/option><option  value=\"Andorra\" data-code=\"AD\">Andorra<\/option><option  value=\"Angola\" data-code=\"AO\">Angola<\/option><option  value=\"Anguila\">Anguila<\/option><option  value=\"Antigua y Barbuda\">Antigua y Barbuda<\/option><option  value=\"Ant\u00e1rtica\">Ant\u00e1rtica<\/option><option  value=\"Argelia\">Argelia<\/option><option  value=\"Argentina\" data-code=\"AR\">Argentina<\/option><option  value=\"Armenia\" data-code=\"AM\">Armenia<\/option><option  value=\"Aruba\" data-code=\"AW\">Aruba<\/option><option  value=\"Australia\" data-code=\"AU\">Australia<\/option><option  value=\"Austria\" data-code=\"AT\">Austria<\/option><option  value=\"Azerbaiy\u00e1n\">Azerbaiy\u00e1n<\/option><option  value=\"Bahamas\" data-code=\"BS\">Bahamas<\/option><option  value=\"Bangladesh\" data-code=\"BD\">Bangladesh<\/option><option  value=\"Barbados\" data-code=\"BB\">Barbados<\/option><option  value=\"Bar\u00e9in\">Bar\u00e9in<\/option><option  value=\"Belize\" data-code=\"BZ\">Belize<\/option><option  value=\"Ben\u00edn\">Ben\u00edn<\/option><option  value=\"Bermudas\">Bermudas<\/option><option  value=\"Bielorrusia\">Bielorrusia<\/option><option  value=\"Bolivia\" data-code=\"BO\">Bolivia<\/option><option  value=\"Bonaire, San Eustaquio y Saba\">Bonaire, San Eustaquio y Saba<\/option><option  value=\"Bosnia y Herzegovina\">Bosnia y Herzegovina<\/option><option  value=\"Botsuana\">Botsuana<\/option><option  value=\"Brasil\">Brasil<\/option><option  value=\"Brun\u00e9i\">Brun\u00e9i<\/option><option  value=\"Bulgaria\" data-code=\"BG\">Bulgaria<\/option><option  value=\"Burkina Faso\" data-code=\"BF\">Burkina Faso<\/option><option  value=\"Burundi\" data-code=\"BI\">Burundi<\/option><option  value=\"But\u00e1n\">But\u00e1n<\/option><option  value=\"B\u00e9lgica\">B\u00e9lgica<\/option><option  value=\"Cabo Verde\">Cabo Verde<\/option><option  value=\"Camboya\">Camboya<\/option><option  value=\"Camer\u00fan\">Camer\u00fan<\/option><option  value=\"Canad\u00e1\">Canad\u00e1<\/option><option  value=\"Chad\" data-code=\"TD\">Chad<\/option><option  value=\"Chile\" data-code=\"CL\">Chile<\/option><option  value=\"China\" data-code=\"CN\">China<\/option><option  value=\"Chipre\">Chipre<\/option><option  value=\"Ciudad del Vaticano\">Ciudad del Vaticano<\/option><option  value=\"Colombia\" data-code=\"CO\">Colombia<\/option><option  value=\"Comoras\">Comoras<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Corea del Norte\">Corea del Norte<\/option><option  value=\"Corea del Sur\">Corea del Sur<\/option><option  value=\"Costa Rica\" data-code=\"CR\">Costa Rica<\/option><option  value=\"Costa de Marfil\">Costa de Marfil<\/option><option  value=\"Croacia\">Croacia<\/option><option  value=\"Cuba\" data-code=\"CU\">Cuba<\/option><option  value=\"Curazao\">Curazao<\/option><option  value=\"Dinamarca\">Dinamarca<\/option><option  value=\"Dominica\" data-code=\"DM\">Dominica<\/option><option  value=\"Ecuador\" data-code=\"EC\">Ecuador<\/option><option  value=\"Egipto\">Egipto<\/option><option  value=\"El Salvador\" data-code=\"SV\">El Salvador<\/option><option  value=\"Emiratos \u00c1rabes Unidos\">Emiratos \u00c1rabes Unidos<\/option><option  value=\"Eritrea\" data-code=\"ER\">Eritrea<\/option><option  value=\"Eslovaquia\">Eslovaquia<\/option><option  value=\"Eslovenia\">Eslovenia<\/option><option  value=\"Espa\u00f1a\">Espa\u00f1a<\/option><option  value=\"Estados Unidos\">Estados Unidos<\/option><option  value=\"Estonia\" data-code=\"EE\">Estonia<\/option><option  value=\"Etiop\u00eda\">Etiop\u00eda<\/option><option  value=\"Fiji\" data-code=\"FJ\">Fiji<\/option><option  value=\"Filipinas\">Filipinas<\/option><option  value=\"Finlandia\">Finlandia<\/option><option  value=\"Francia\">Francia<\/option><option  value=\"Gab\u00f3n\">Gab\u00f3n<\/option><option  value=\"Gambia\" data-code=\"GM\">Gambia<\/option><option  value=\"Georgia\" data-code=\"GE\">Georgia<\/option><option  value=\"Ghana\" data-code=\"GH\">Ghana<\/option><option  value=\"Gibraltar\" data-code=\"GI\">Gibraltar<\/option><option  value=\"Granada\">Granada<\/option><option  value=\"Grecia\">Grecia<\/option><option  value=\"Groenlandia\">Groenlandia<\/option><option  value=\"Guadalupe\">Guadalupe<\/option><option  value=\"Guam\" data-code=\"GU\">Guam<\/option><option  value=\"Guatemala\" data-code=\"GT\">Guatemala<\/option><option  value=\"Guayana Francesa\">Guayana Francesa<\/option><option  value=\"Guernsey\" data-code=\"GG\">Guernsey<\/option><option  value=\"Guinea\" data-code=\"GN\">Guinea<\/option><option  value=\"Guinea Ecuatorial\">Guinea Ecuatorial<\/option><option  value=\"Guinea-Bis\u00e1u\">Guinea-Bis\u00e1u<\/option><option  value=\"Guyana\" data-code=\"GY\">Guyana<\/option><option  value=\"Hait\u00ed\">Hait\u00ed<\/option><option  value=\"Honduras\" data-code=\"HN\">Honduras<\/option><option  value=\"Hong Kong\" data-code=\"HK\">Hong Kong<\/option><option  value=\"Hungr\u00eda\">Hungr\u00eda<\/option><option  value=\"India\" data-code=\"IN\">India<\/option><option  value=\"Indonesia\" data-code=\"ID\">Indonesia<\/option><option  value=\"Iraq\" data-code=\"IQ\">Iraq<\/option><option  value=\"Irlanda\">Irlanda<\/option><option  value=\"Ir\u00e1n\">Ir\u00e1n<\/option><option  value=\"Isla Bouvet\">Isla Bouvet<\/option><option  value=\"Isla Norfolk\">Isla Norfolk<\/option><option  value=\"Isla de Man\">Isla de Man<\/option><option  value=\"Isla de Navidad\">Isla de Navidad<\/option><option  value=\"Islandia\">Islandia<\/option><option  value=\"Islas Aland\">Islas Aland<\/option><option  value=\"Islas Caim\u00e1n\">Islas Caim\u00e1n<\/option><option  value=\"Islas Cocos (Keeling)\">Islas Cocos (Keeling)<\/option><option  value=\"Islas Cook\">Islas Cook<\/option><option  value=\"Islas Feroe\">Islas Feroe<\/option><option  value=\"Islas Georgias del Sur y Sandwich del Sur\">Islas Georgias del Sur y Sandwich del Sur<\/option><option  value=\"Islas Heard y McDonald\">Islas Heard y McDonald<\/option><option  value=\"Islas Malvinas (Falkland)\">Islas Malvinas (Falkland)<\/option><option  value=\"Islas Marianas del Norte\">Islas Marianas del Norte<\/option><option  value=\"Islas Marshall\">Islas Marshall<\/option><option  value=\"Islas Salom\u00f3n\">Islas Salom\u00f3n<\/option><option  value=\"Islas Turcas y Caicos\">Islas Turcas y Caicos<\/option><option  value=\"Islas Ultramarinas Menores de los Estados Unidos\">Islas Ultramarinas Menores de los Estados Unidos<\/option><option  value=\"Islas V\u00edrgenes  EE.UU.\">Islas V\u00edrgenes  EE.UU.<\/option><option  value=\"Islas V\u00edrgenes Brit\u00e1nicas\">Islas V\u00edrgenes Brit\u00e1nicas<\/option><option  value=\"Israel\" data-code=\"IL\">Israel<\/option><option  value=\"Italia\">Italia<\/option><option  value=\"Jamaica\" data-code=\"JM\">Jamaica<\/option><option  value=\"Jap\u00f3n\">Jap\u00f3n<\/option><option  value=\"Jersey\" data-code=\"JE\">Jersey<\/option><option  value=\"Jordania\">Jordania<\/option><option  value=\"Katar\">Katar<\/option><option  value=\"Kazajist\u00e1n\">Kazajist\u00e1n<\/option><option  value=\"Kenia\">Kenia<\/option><option  value=\"Kirguist\u00e1n\">Kirguist\u00e1n<\/option><option  value=\"Kiribati\" data-code=\"KI\">Kiribati<\/option><option  value=\"Kosovo\" data-code=\"XK\">Kosovo<\/option><option  value=\"Kuwait\" data-code=\"KW\">Kuwait<\/option><option  value=\"Laos\" data-code=\"LA\">Laos<\/option><option  value=\"Lesoto\">Lesoto<\/option><option  value=\"Letonia\">Letonia<\/option><option  value=\"Liberia\" data-code=\"LR\">Liberia<\/option><option  value=\"Libia\">Libia<\/option><option  value=\"Liechtenstein\" data-code=\"LI\">Liechtenstein<\/option><option  value=\"Lituania\">Lituania<\/option><option  value=\"Luxemburgo\">Luxemburgo<\/option><option  value=\"L\u00edbano\">L\u00edbano<\/option><option  value=\"Macao\" data-code=\"MO\">Macao<\/option><option  value=\"Madagascar\" data-code=\"MG\">Madagascar<\/option><option  value=\"Malasia\">Malasia<\/option><option  value=\"Malaui\">Malaui<\/option><option  value=\"Maldivas\">Maldivas<\/option><option  value=\"Mali\" data-code=\"ML\">Mali<\/option><option  value=\"Malta\" data-code=\"MT\">Malta<\/option><option  value=\"Marruecos\">Marruecos<\/option><option  value=\"Martinica\">Martinica<\/option><option  value=\"Mauricio\">Mauricio<\/option><option  value=\"Mauritania\" data-code=\"MR\">Mauritania<\/option><option  value=\"Mayotte\" data-code=\"YT\">Mayotte<\/option><option  value=\"Micronesia\" data-code=\"FM\">Micronesia<\/option><option  value=\"Moldava\">Moldava<\/option><option  value=\"Mongolia\" data-code=\"MN\">Mongolia<\/option><option  value=\"Montenegro\" data-code=\"ME\">Montenegro<\/option><option  value=\"Montserrat\" data-code=\"MS\">Montserrat<\/option><option  value=\"Mozambique\" data-code=\"MZ\">Mozambique<\/option><option  value=\"Myanmar\" data-code=\"MM\">Myanmar<\/option><option  value=\"M\u00e9xico\">M\u00e9xico<\/option><option  value=\"M\u00f3naco\">M\u00f3naco<\/option><option  value=\"Namibia\" data-code=\"NA\">Namibia<\/option><option  value=\"Nauru\" data-code=\"NR\">Nauru<\/option><option  value=\"Nepal\" data-code=\"NP\">Nepal<\/option><option  value=\"Nicaragua\" data-code=\"NI\">Nicaragua<\/option><option  value=\"Nigeria\" data-code=\"NG\">Nigeria<\/option><option  value=\"Niue\" data-code=\"NU\">Niue<\/option><option  value=\"Noruega\">Noruega<\/option><option  value=\"Nueva Caledonia\">Nueva Caledonia<\/option><option  value=\"Nueva Zelanda \">Nueva Zelanda <\/option><option  value=\"N\u00edger\">N\u00edger<\/option><option  value=\"Om\u00e1n\">Om\u00e1n<\/option><option  value=\"Pakist\u00e1n\">Pakist\u00e1n<\/option><option  value=\"Palau\" data-code=\"PW\">Palau<\/option><option  value=\"Palestina\">Palestina<\/option><option  value=\"Panam\u00e1\">Panam\u00e1<\/option><option  value=\"Pap\u00faa Nueva Guinea\">Pap\u00faa Nueva Guinea<\/option><option  value=\"Paraguay\" data-code=\"PY\">Paraguay<\/option><option  value=\"Pa\u00edses Bajos\">Pa\u00edses Bajos<\/option><option  value=\"Per\u00fa\">Per\u00fa<\/option><option  value=\"Pitcairn\" data-code=\"PN\">Pitcairn<\/option><option  value=\"Polinesia Francesa\">Polinesia Francesa<\/option><option  value=\"Polonia\">Polonia<\/option><option  value=\"Portugal\" data-code=\"PT\">Portugal<\/option><option  value=\"Puerto Rico\" data-code=\"PR\">Puerto Rico<\/option><option  value=\"Reino Unido\">Reino Unido<\/option><option  value=\"Rep\u00fablica Central de \u00c1frica \">Rep\u00fablica Central de \u00c1frica <\/option><option  value=\"Rep\u00fablica Checa\">Rep\u00fablica Checa<\/option><option  value=\"Rep\u00fablica Dominicana\">Rep\u00fablica Dominicana<\/option><option  value=\"Rep\u00fablica de Macedonia\">Rep\u00fablica de Macedonia<\/option><option  value=\"Reuni\u00f3n\">Reuni\u00f3n<\/option><option  value=\"Ruanda\">Ruanda<\/option><option  value=\"Ruman\u00eda\">Ruman\u00eda<\/option><option  value=\"Rusia\">Rusia<\/option><option  value=\"Sahara Occidental\">Sahara Occidental<\/option><option  value=\"Saint Kitts y Nevis\">Saint Kitts y Nevis<\/option><option  value=\"Samoa\" data-code=\"WS\">Samoa<\/option><option  value=\"Samoa Americana\">Samoa Americana<\/option><option  value=\"San Bartolom\u00e9\">San Bartolom\u00e9<\/option><option  value=\"San Marino\" data-code=\"SM\">San Marino<\/option><option  value=\"San Mart\u00edn (parte francesa)\">San Mart\u00edn (parte francesa)<\/option><option  value=\"San Mart\u00edn\u200b (parte holandesa)\">San Mart\u00edn\u200b (parte holandesa)<\/option><option  value=\"San Pedro y Miquel\u00f3n\">San Pedro y Miquel\u00f3n<\/option><option  value=\"San Vicente y las Granadinas \">San Vicente y las Granadinas <\/option><option  value=\"Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a\">Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a<\/option><option  value=\"Santa Luc\u00eda\">Santa Luc\u00eda<\/option><option  value=\"Santa Sede\">Santa Sede<\/option><option  value=\"Santo Tom\u00e9 y Pr\u00edncipe\">Santo Tom\u00e9 y Pr\u00edncipe<\/option><option  value=\"Saud\u00ed Arabia\">Saud\u00ed Arabia<\/option><option  value=\"Senegal\" data-code=\"SN\">Senegal<\/option><option  value=\"Serbia\" data-code=\"RS\">Serbia<\/option><option  value=\"Seychelles\" data-code=\"SC\">Seychelles<\/option><option  value=\"Sierra Leona\">Sierra Leona<\/option><option  value=\"Singapur\">Singapur<\/option><option  value=\"Siria\">Siria<\/option><option  value=\"Somalia\" data-code=\"SO\">Somalia<\/option><option  value=\"Sri Lanka\" data-code=\"LK\">Sri Lanka<\/option><option  value=\"Suazilandia\">Suazilandia<\/option><option  value=\"Sud\u00e1frica\">Sud\u00e1frica<\/option><option  value=\"Sud\u00e1n\">Sud\u00e1n<\/option><option  value=\"Sud\u00e1n del sur\">Sud\u00e1n del sur<\/option><option  value=\"Suecia\">Suecia<\/option><option  value=\"Suiza\">Suiza<\/option><option  value=\"Surinam\">Surinam<\/option><option  value=\"Svalbard y Jan Mayen\">Svalbard y Jan Mayen<\/option><option  value=\"Tailandia\">Tailandia<\/option><option  value=\"Taiw\u00e1n\">Taiw\u00e1n<\/option><option  value=\"Tanzania\" data-code=\"TZ\">Tanzania<\/option><option  value=\"Tayikist\u00e1n\">Tayikist\u00e1n<\/option><option  value=\"Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico\">Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option  value=\"Territorios Australes Franceses\">Territorios Australes Franceses<\/option><option  value=\"Timor Oriental\">Timor Oriental<\/option><option  value=\"Timor Oriental\">Timor Oriental<\/option><option  value=\"Togo\" data-code=\"TG\">Togo<\/option><option  value=\"Tokelau\" data-code=\"TK\">Tokelau<\/option><option  value=\"Tonga\" data-code=\"TO\">Tonga<\/option><option  value=\"Trinidad y Tobago\">Trinidad y Tobago<\/option><option  value=\"Turkmenist\u00e1n\">Turkmenist\u00e1n<\/option><option  value=\"Turqu\u00eda\">Turqu\u00eda<\/option><option  value=\"Tuvalu\" data-code=\"TV\">Tuvalu<\/option><option  value=\"T\u00fanez\">T\u00fanez<\/option><option  value=\"Ucrania\">Ucrania<\/option><option  value=\"Uganda\" data-code=\"UG\">Uganda<\/option><option  value=\"Uruguay\" data-code=\"UY\">Uruguay<\/option><option  value=\"Uzbekist\u00e1n\">Uzbekist\u00e1n<\/option><option  value=\"Vanuatu\" data-code=\"VU\">Vanuatu<\/option><option  value=\"Venezuela\" data-code=\"VE\">Venezuela<\/option><option  value=\"Vietnam\" data-code=\"VN\">Vietnam<\/option><option  value=\"Wallis y Futuna\">Wallis y Futuna<\/option><option  value=\"Yemen\" data-code=\"YE\">Yemen<\/option><option  value=\"Yibuti\">Yibuti<\/option><option  value=\"Zambia\" data-code=\"ZM\">Zambia<\/option><option  value=\"Zimbabue\">Zimbabue<\/option>\t\t<\/select>\n\t<div class=\"frm_description\">Country<\/div><\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_44_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_third\">\r\n    <label for=\"field_okwf8\" id=\"field_okwf8_label\" class=\"frm_primary_label col-form-label form-label\">Telephone Number\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_okwf8\" name=\"item_meta[44]\" value=\"\"  data-invmsg=\"Phone is invalid\" class=\"form-control\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_45_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_third\">\r\n    <label for=\"field_7abcd\" id=\"field_7abcd_label\" class=\"frm_primary_label col-form-label form-label\">Fax Number\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_7abcd\" name=\"item_meta[45]\" value=\"\"  data-invmsg=\"Phone is invalid\" class=\"form-control\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_47_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container frm_third\">\r\n    <label for=\"field_teyxc\" id=\"field_teyxc_label\" class=\"frm_primary_label col-form-label form-label\">Incorporation Date\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_teyxc\" name=\"item_meta[47]\" value=\"\"  maxlength=\"10\" data-reqmsg=\"Incorporation Date cannot be blank.\" aria-required=\"true\" data-invmsg=\"Date is invalid\" class=\"frm_date form-control\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_46_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_third\">\r\n    <label for=\"field_iutmn\" id=\"field_iutmn_label\" class=\"frm_primary_label col-form-label form-label\">D & B Number\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_iutmn\" name=\"item_meta[46]\" value=\"\"  data-invmsg=\"Phone is invalid\" class=\"form-control\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_48_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container frm_third\">\r\n    <label for=\"field_sjesb\" id=\"field_sjesb_label\" class=\"frm_primary_label col-form-label form-label\">Incorporation Country\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_sjesb\" name=\"item_meta[48]\" value=\"\"  data-reqmsg=\"Incorporation Country cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_49_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container frm_third\">\r\n    <label for=\"field_n2oob\" id=\"field_n2oob_label\" class=\"frm_primary_label col-form-label form-label\">Incorporation Number\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_n2oob\" name=\"item_meta[49]\" value=\"\"  data-reqmsg=\"Incorporation Number cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_50_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container frm_third\">\r\n    <label for=\"field_u4cr\" id=\"field_u4cr_label\" class=\"frm_primary_label col-form-label form-label\">Federal I.D. Number\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_u4cr\" name=\"item_meta[50]\" value=\"\"  data-reqmsg=\"Federal I.D. Number cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_51_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_third\">\r\n    <label for=\"field_tw6y3\" id=\"field_tw6y3_label\" class=\"frm_primary_label col-form-label form-label\">RUC & DV Number\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_tw6y3\" name=\"item_meta[51]\" value=\"\"  data-invmsg=\"Text is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_52_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_third\">\r\n    <label for=\"field_znr8o\" id=\"field_znr8o_label\" class=\"frm_primary_label col-form-label form-label\">Contactor's License Number\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_znr8o\" name=\"item_meta[52]\" value=\"\"  data-invmsg=\"Text is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_53_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container frm12 vertical_radio\">\r\n    <div  id=\"field_r6uup_label\" class=\"frm_primary_label col-form-label form-label\">Sales Tax Exemption?\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_r6uup_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio radio\" id=\"frm_radio_53-0\">\t\t\t<label  for=\"field_r6uup-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[53]\" id=\"field_r6uup-0\" value=\"Yes\"\n\t\t   data-reqmsg=\"Sales Tax Exemption? cannot be blank.\" data-invmsg=\"Sales Tax Exemption? no es v\u00e1lido\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio radio\" id=\"frm_radio_53-1\">\t\t\t<label  for=\"field_r6uup-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[53]\" id=\"field_r6uup-1\" value=\"No\"\n\t\t   data-reqmsg=\"Sales Tax Exemption? cannot be blank.\" data-invmsg=\"Sales Tax Exemption? no es v\u00e1lido\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    <div class=\"frm_description form-text\" id=\"frm_desc_field_r6uup\">If \"YES\" please provide a Sales Tax Exemption Certificate and return with this application, or you will be charged tax.<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_54_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container frm12\">\r\n    <label for=\"field_1r2ih\" id=\"field_1r2ih_label\" class=\"frm_primary_label col-form-label form-label\">Sales Tax Exemption Certificate\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"hidden\"  data-reqmsg=\"Sales Tax Exemption Certificate cannot be blank.\" data-invmsg=\"File Upload is invalid\" aria-invalid=\"false\"   name=\"item_meta[54]\"  data-reqmsg=\"Sales Tax Exemption Certificate cannot be blank.\"  value=\"\" data-frmfile=\"54\" \/>\n\n<div class=\"frm_dropzone frm_single_upload frm_clearfix\" id=\"file54_dropzone\" role=\"group\" >\n\t<div class=\"fallback\">\n\t\t<input type=\"file\" name=\"file54\" id=\"field_1r2ih\"\n\t\t\t data-reqmsg=\"Sales Tax Exemption Certificate cannot be blank.\" data-invmsg=\"File Upload is invalid\" aria-invalid=\"false\"  \t\t\t\/>\n\t\t\t\t<div class=\"frm_clearfix \"><\/div>\n\t<\/div>\n\t<div class=\"dz-message needsclick\">\n\t\t\t\t<svg  viewBox=\"0 0 18 18\" class=\"frmsvg frm-svg-icon\">\n\t<path viewBox=\"0 0 18 18\" fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M8.2 4v8a.8.8 0 001.5 0V4l2.1 2.2A.7.7 0 1013 5L9.5 1.7a.7.7 0 00-1.1 0L5.1 5.2a.8.8 0 001 1l2.1-2zm7.6 4.3c.4 0 .7.3.7.7v6.8c0 .4-.3.7-.8.7H2.3a.8.8 0 01-.8-.8V9A.8.8 0 013 9v6h12V9c0-.4.3-.8.8-.8z\"><\/path>\n<\/svg>\t\t<span class=\"frm_upload_text\"><button type=\"button\" aria-label=\"Sales Tax Exemption Certificate. Drop a file here. Tama\u00f1o m\u00e1ximo del archivo: 16.78MB\">Drop a file here<\/button><\/span>\n\t\t<span class=\"frm_compact_text\"><button type=\"button\" aria-label=\"Sales Tax Exemption Certificate. Choose File. Tama\u00f1o m\u00e1ximo del archivo: 16.78MB\">Choose File<\/button><\/span>\n\t\t<div class=\"frm_small_text\">\n\t\t\t<p>Tama\u00f1o m\u00e1ximo del archivo: 16.78MB<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_55_container\" class=\"frm_form_field form-field  form-group frm_top_container frm12 vertical_radio\">\r\n    <div  id=\"field_46neh_label\" class=\"frm_primary_label col-form-label form-label\"> Have you or any business with which you were affiliated filed any bankruptcy or reorganization proceedings within the last (10) years?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_46neh_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio radio\" id=\"frm_radio_55-0\">\t\t\t<label  for=\"field_46neh-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[55]\" id=\"field_46neh-0\" value=\"Yes\"\n\t\t   data-invmsg=\" Have you or any business with which you were affiliated filed any bankruptcy or reorganization proceedings within the last (10) years? no es v\u00e1lido\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio radio\" id=\"frm_radio_55-1\">\t\t\t<label  for=\"field_46neh-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[55]\" id=\"field_46neh-1\" value=\"No\"\n\t\t   data-invmsg=\" Have you or any business with which you were affiliated filed any bankruptcy or reorganization proceedings within the last (10) years? no es v\u00e1lido\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_56_container\" class=\"frm_form_field frm_section_heading form-field  frm12\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">If Yes, state the name of the person or business who filed:<\/h3>\r\n\r\n\r\n<div id=\"frm_field_58_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_half\">\r\n    <label for=\"field_c8jio\" id=\"field_c8jio_label\" class=\"frm_primary_label col-form-label form-label\">Name or Business\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_c8jio\" name=\"item_meta[58]\" value=\"\"  data-sectionid=\"56\"  data-invmsg=\"Text is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_59_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_half\">\r\n    <label for=\"field_7nz8n\" id=\"field_7nz8n_label\" class=\"frm_primary_label col-form-label form-label\">When the filing occurred\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_7nz8n\" name=\"item_meta[59]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date form-control\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_60_container\" class=\"frm_form_field form-field  form-group frm_top_container vertical_radio\">\r\n    <div  id=\"field_nk1yl_label\" class=\"frm_primary_label col-form-label form-label\">Have you or any business with which you were affiliated ever had an account with Wholesale Electric Caribe Inc.?\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/div>\r\n    <div class=\"frm_opt_container\" aria-labelledby=\"field_nk1yl_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio radio\" id=\"frm_radio_60-0\">\t\t\t<label  for=\"field_nk1yl-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[60]\" id=\"field_nk1yl-0\" value=\"Yes\"\n\t\t   data-invmsg=\"Have you or any business with which you were affiliated ever had an account with Wholesale Electric Caribe Inc.? no es v\u00e1lido\" aria-invalid=\"false\"  \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio radio\" id=\"frm_radio_60-1\">\t\t\t<label  for=\"field_nk1yl-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[60]\" id=\"field_nk1yl-1\" value=\"No\"\n\t\t   data-invmsg=\"Have you or any business with which you were affiliated ever had an account with Wholesale Electric Caribe Inc.? no es v\u00e1lido\" aria-invalid=\"false\"  \/> No<\/label><\/div>\n<\/div>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_61_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">If Yes, state the name of the person or business who had the account:<\/h3>\r\n\r\n\r\n<div id=\"frm_field_62_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_half\">\r\n    <label for=\"field_b9s0k\" id=\"field_b9s0k_label\" class=\"frm_primary_label col-form-label form-label\">Name or Business\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_b9s0k\" name=\"item_meta[62]\" value=\"\"  data-sectionid=\"61\"  data-invmsg=\"Text is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_63_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_half\">\r\n    <label for=\"field_kz8t9\" id=\"field_kz8t9_label\" class=\"frm_primary_label col-form-label form-label\">When was the account opened\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_kz8t9\" name=\"item_meta[63]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Date is invalid\" class=\"frm_date form-control\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_97_container\" class=\"frm_form_field frm_section_heading form-field  frm_half\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Accounts Payable Contact<\/h3>\r\n\r\n\r\n<div id=\"frm_field_65_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container frm12\">\r\n    <label for=\"field_2zobo\" id=\"field_2zobo_label\" class=\"frm_primary_label col-form-label form-label\">Name of Accounts Payable Contact\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_2zobo\" name=\"item_meta[65]\" value=\"\"  data-sectionid=\"97\"  data-reqmsg=\"Name of Accounts Payable Contact cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_99_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_three_fourths\">\r\n    <label for=\"field_nkhs3\" id=\"field_nkhs3_label\" class=\"frm_primary_label col-form-label form-label\">Telephone Number\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_nkhs3\" name=\"item_meta[99]\" value=\"\"  data-sectionid=\"97\"  data-invmsg=\"Phone is invalid\" class=\"form-control\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_100_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_fourth\">\r\n    <label for=\"field_60aut\" id=\"field_60aut_label\" class=\"frm_primary_label col-form-label form-label\">Ext #\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_60aut\" name=\"item_meta[100]\" value=\"\"  data-sectionid=\"97\"  data-invmsg=\"Text is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_121_container\" class=\"frm_form_field form-field  form-group frm_top_container frm12\">\r\n    <label for=\"field_jpej0\" id=\"field_jpej0_label\" class=\"frm_primary_label col-form-label form-label\">Fax Number\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_jpej0\" name=\"item_meta[121]\" value=\"\"  data-sectionid=\"97\"  data-invmsg=\"Phone is invalid\" class=\"form-control\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_101_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container\">\r\n    <label for=\"field_2pn2l\" id=\"field_2pn2l_label\" class=\"frm_primary_label col-form-label form-label\">Email Address to send Invoices\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_2pn2l\" name=\"item_meta[101]\" value=\"\"  data-sectionid=\"97\"  data-reqmsg=\"Email Address to send Invoices cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" class=\"form-control\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<div id=\"frm_field_102_container\" class=\"frm_form_field frm_section_heading form-field  frm_half\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Purchasing Materials Contact<\/h3>\r\n\r\n\r\n<div id=\"frm_field_103_container\" class=\"frm_form_field form-field  frm_required_field form-group frm_top_container frm12\">\r\n    <label for=\"field_267rn\" id=\"field_267rn_label\" class=\"frm_primary_label col-form-label form-label\">Name of Person\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_267rn\" name=\"item_meta[103]\" value=\"\"  data-sectionid=\"102\"  data-reqmsg=\"Name of Person cannot be blank.\" aria-required=\"true\" data-invmsg=\"Text is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_108_container\" class=\"frm_form_field form-field  form-group frm_top_container frm12\">\r\n    <label for=\"field_c4jgb\" id=\"field_c4jgb_label\" class=\"frm_primary_label col-form-label form-label\">Title\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_c4jgb\" name=\"item_meta[108]\" value=\"\"  data-sectionid=\"102\"  data-invmsg=\"Text is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_104_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_three_fourths\">\r\n    <label for=\"field_e8ey8\" id=\"field_e8ey8_label\" class=\"frm_primary_label col-form-label form-label\">Telephone Number\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_e8ey8\" name=\"item_meta[104]\" value=\"\"  data-sectionid=\"102\"  data-invmsg=\"Phone is invalid\" class=\"form-control\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_105_container\" class=\"frm_form_field form-field  form-group frm_top_container frm_fourth\">\r\n    <label for=\"field_rmgh3\" id=\"field_rmgh3_label\" class=\"frm_primary_label col-form-label form-label\">Ext #\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_rmgh3\" name=\"item_meta[105]\" value=\"\"  data-sectionid=\"102\"  data-invmsg=\"Text is invalid\" class=\"form-control\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_106_container\" class=\"frm_form_field form-field  form-group frm_top_container frm12\">\r\n    <label for=\"field_x1z5f\" id=\"field_x1z5f_label\" class=\"frm_primary_label col-form-label form-label\">Email Address\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_x1z5f\" name=\"item_meta[106]\" value=\"\"  data-sectionid=\"102\"  data-invmsg=\"Email is invalid\" class=\"form-control\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<\/div>\n<input type=\"hidden\" name=\"frm_page_order_5\" id=\"frm_page_order_5\" value=\"123\" \/><input type=\"hidden\" name=\"item_meta[88]\" id=\"field_nx7p3\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[90]\" id=\"field_lbj4z\" value=\"\"  data-sectionid=\"88\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[91]\" id=\"field_mvtt1\" value=\"\"  data-sectionid=\"88\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[92]\" id=\"field_x75jt\" value=\"\"  data-sectionid=\"88\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[770]\" id=\"field_l2ouk\" value=\"\"  data-sectionid=\"88\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[93]\" id=\"field_ju9tf\" value=\"\"  data-sectionid=\"88\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[94]\" id=\"field_mgz7w\" value=\"\"  data-sectionid=\"88\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[95]\" id=\"field_qudus\" value=\"\"  data-sectionid=\"88\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[89]\" id=\"field_93t3a\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[110]\" id=\"field_yude8\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[111]\" id=\"field_p3p20\" value=\"\"  data-sectionid=\"110\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[112]\" id=\"field_ay99r\" value=\"\"  data-sectionid=\"110\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[113]\" id=\"field_dzb71\" value=\"\"  data-sectionid=\"110\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[771]\" id=\"field_aejh1\" value=\"\"  data-sectionid=\"110\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[114]\" id=\"field_iwfap\" value=\"\"  data-sectionid=\"110\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[115]\" id=\"field_9874b\" value=\"\"  data-sectionid=\"110\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[116]\" id=\"field_wu5p1\" value=\"\"  data-sectionid=\"110\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[117]\" id=\"field_f7n9v\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[122]\" id=\"field_7jymu\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[447]\" id=\"field_tkuim\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[453]\" id=\"field_zkku9\" value=\"\"  data-sectionid=\"447\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[454]\" id=\"field_v9kio\" value=\"\"  data-sectionid=\"447\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[455]\" id=\"field_uwu3b\" value=\"\"  data-sectionid=\"447\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[456]\" id=\"field_n5brv\" value=\"\"  data-sectionid=\"447\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[458]\" id=\"field_54bf4\" value=\"\"  data-sectionid=\"447\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[448]\" id=\"field_khqj6\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[468]\" id=\"field_v0htw\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[469]\" id=\"field_4buft\" value=\"\"  data-sectionid=\"468\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[470]\" id=\"field_ojdxg\" value=\"\"  data-sectionid=\"468\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[471]\" id=\"field_nir7l\" value=\"\"  data-sectionid=\"468\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[472]\" id=\"field_vvd0p\" value=\"\"  data-sectionid=\"468\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[473]\" id=\"field_xc601\" value=\"\"  data-sectionid=\"468\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[478]\" id=\"field_3y4ng\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[500]\" id=\"field_q8gk0\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[502]\" id=\"field_jf5dy\" value=\"\"  data-sectionid=\"500\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[503]\" id=\"field_e72gb\" value=\"\"  data-sectionid=\"500\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[504]\" id=\"field_g1863\" value=\"\"  data-sectionid=\"500\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[505]\" id=\"field_mamux\" value=\"\"  data-sectionid=\"500\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[506]\" id=\"field_hzvm3\" value=\"\"  data-sectionid=\"500\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[501]\" id=\"field_hgl4\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[482]\" id=\"field_zk13s\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[486]\" id=\"field_xu8yd\" value=\"\"  data-sectionid=\"482\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[487]\" id=\"field_pre5b\" value=\"\"  data-sectionid=\"482\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[483]\" id=\"field_ekrp4\" value=\"\"  data-sectionid=\"482\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[484]\" id=\"field_2d9ag\" value=\"\"  data-sectionid=\"482\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[485]\" id=\"field_lzun\" value=\"\"  data-sectionid=\"482\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[488]\" id=\"field_5dnfe\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[449]\" id=\"field_spher\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[507]\" id=\"field_zmxen\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[512]\" id=\"field_ylbmw\" value=\"&lt;h1&gt;Credit Application&lt;\/h1&gt;\r\n( * ) Required Field\r\n\r\nIn consideration of Wholesale Electric Caribe Inc (WECI) permitting the purchase of materials to the undersigned company or entity (&quot;Applicant&quot;) agrees to the following terms and conditions:\r\n\r\n1. Form should be completed in its entirely and accompanied by the required documents in order to process the credit request. Credit request can take 30 days to process. Owners\/officers social security number is required. The SSN: Legal developments affecting its collection, disclosure and confidentiality\u201d. Visit website &lt;a href=&quot;http:\/\/bit.ly\/1HaYtNl&quot; target=&quot;_blank&quot; rel=&quot;noopener&quot;&gt;http:\/\/bit.ly\/1HaYtNl&lt;\/a&gt; CRS-12 (Use in the private sector) to get detailed information.\r\n\r\n2. The person(s) signing this agreement warrants and represents that they have full authority to enter a credit agreement on behalf of the Applicant. Applicant states and represents that all materials purchased from WEC will be used for commercial purposes only. The Applicant understands that the submittal of this application does not constitute a credit account until approved by WEC.\r\n\r\n3. Applicant agrees to pay for all materials purchased from WEC by the due date according to the terms of sale stated on each invoice. All accounts are due and payable at the remittance address shown on WEC&#039;s invoice. WEC&#039;s Terms are net 30 days.\r\n\r\n4. No terms or conditions on purchase orders that are different from WEC&#039;s terms of sale will become part of any contract unless approved in writing by WEC.\r\n\r\n5. We accept that Wholesale Electric Caribe, Inc. at its own discretion can limit, raise, and\/or cancel the initially established credit limit, based on payment experience with the account.\r\n\r\n6. All related information shall be treated with discretion and subject to the guidelines established by the &quot;Fair Credit Reporting Act &quot;.\r\n\r\n7. Any claims or disputes regarding statement\/invoice charges should be made in writing within 30 days of the invoice date. Failure to object to any invoice with such thirty-day period shall be deemed an acceptance of such invoice by Applicant and the balance listed thereon.\r\n\r\n8. As allowed by applicable law, Applicant agrees to pay late charges\/service charges on all past due amounts. Such charges shall accrue at the rate of 1 \u00bd% per month on the past due balance, but not to exceed the highest amount lawfully allowed by law in the state in which the Applicant\u2019s WECI branch office is located or through which WEC branch Applicant applied Acceptance of any payment from Applicant without the accrued late fee included shall not be deemed to be a waiver of such accrued fee.\r\n\r\n9. All invoices over 90 days will be assigned a monthly charge of $25.00 until balance is paid. Such charges will be reflected in monthly statements.\r\n\r\n10. Applicant agrees to pay all costs of collection, including reasonable attorneys\u2019 fees that WEC may incur in connection with any collection effort that it may undertake to collect any amounts owing WEC by the undersigned.\r\n\r\n11. The law of the state in which the applicant&#039;s WEC branch office is located governs applies in any matter relating to the relationship between Applicant and WEC, without regard to such state\u2019s choice of laws rules.\r\n\r\n12. Applicant agrees to the legal or equitable action brought by WEC on this account may be brought in an appropriate court in the county and state in which the WEC office, which sold the goods or materials to the applicant, is located and Applicant consents and agrees that said Court shall have personal jurisdiction over Applicant and that venue shall be proper in said Court and that Applicant waives its right to object to the venue in such court as an inconvenient forum. &lt;strong&gt;THE APPLICANT WAIVES ITS RIGHT TO A JURY TRIAL&lt;\/strong&gt;.\r\n\r\n13. WEC may refuse to extend credit to Applicant in its sole discretion so long as such decision is not unlawful.\r\n\r\n14. In the event of any change in character of ownership of the Applicant&#039;s business by incorporation, or otherwise, by addition of partners, or by change in ownership of the corporation, Applicant shall immediately notify WEC in writing at the address shown on the invoice via certified mail. WEC will rely on the information provided on the credit application until so notified of the change.\r\n\r\n15. Applicant agrees to pay a service charge of $25.00 on any check returned for insufficient funds or such higher amount as may be charged by WEC\u2019s bank.\r\n\r\n16. In addition to the terms and conditions set forth herein, Applicant agrees to be bound by the terms and conditions of any other WEC documents used in the sale of goods and materials to Applicant, so long as said document is signed by Applicant, its agents, or employees.\r\n\r\n17. Applicant authorizes WEC to obtain credit and financial information concerning the Applicant at any time and from any source. As often as WEC may request, the undersigned will provide financial statements and such other financial information of the undersigned.\r\n\r\n18. The terms of any purchase order for lighting and gear are hereby incorporated by reference.\r\n\r\n19. By signing this application for credit, no other terms and conditions shall be accepted unless WEC shall indicate its approval thereof in writing.\r\n\r\nBy signing below, the undersigned acknowledges its agreement to the terms and conditions outlined above.\"  data-sectionid=\"507\"  data-frmval=\"&lt;h1&gt;Credit Application&lt;\/h1&gt;\r\n( * ) Required Field\r\n\r\nIn consideration of Wholesale Electric Caribe Inc (WECI) permitting the purchase of materials to the undersigned company or entity (&quot;Applicant&quot;) agrees to the following terms and conditions:\r\n\r\n1. Form should be completed in its entirely and accompanied by the required documents in order to process the credit request. Credit request can take 30 days to process. Owners\/officers social security number is required. The SSN: Legal developments affecting its collection, disclosure and confidentiality\u201d. Visit website &lt;a href=&quot;http:\/\/bit.ly\/1HaYtNl&quot; target=&quot;_blank&quot; rel=&quot;noopener&quot;&gt;http:\/\/bit.ly\/1HaYtNl&lt;\/a&gt; CRS-12 (Use in the private sector) to get detailed information.\r\n\r\n2. The person(s) signing this agreement warrants and represents that they have full authority to enter a credit agreement on behalf of the Applicant. Applicant states and represents that all materials purchased from WEC will be used for commercial purposes only. The Applicant understands that the submittal of this application does not constitute a credit account until approved by WEC.\r\n\r\n3. Applicant agrees to pay for all materials purchased from WEC by the due date according to the terms of sale stated on each invoice. All accounts are due and payable at the remittance address shown on WEC&#039;s invoice. WEC&#039;s Terms are net 30 days.\r\n\r\n4. No terms or conditions on purchase orders that are different from WEC&#039;s terms of sale will become part of any contract unless approved in writing by WEC.\r\n\r\n5. We accept that Wholesale Electric Caribe, Inc. at its own discretion can limit, raise, and\/or cancel the initially established credit limit, based on payment experience with the account.\r\n\r\n6. All related information shall be treated with discretion and subject to the guidelines established by the &quot;Fair Credit Reporting Act &quot;.\r\n\r\n7. Any claims or disputes regarding statement\/invoice charges should be made in writing within 30 days of the invoice date. Failure to object to any invoice with such thirty-day period shall be deemed an acceptance of such invoice by Applicant and the balance listed thereon.\r\n\r\n8. As allowed by applicable law, Applicant agrees to pay late charges\/service charges on all past due amounts. Such charges shall accrue at the rate of 1 \u00bd% per month on the past due balance, but not to exceed the highest amount lawfully allowed by law in the state in which the Applicant\u2019s WECI branch office is located or through which WEC branch Applicant applied Acceptance of any payment from Applicant without the accrued late fee included shall not be deemed to be a waiver of such accrued fee.\r\n\r\n9. All invoices over 90 days will be assigned a monthly charge of $25.00 until balance is paid. Such charges will be reflected in monthly statements.\r\n\r\n10. Applicant agrees to pay all costs of collection, including reasonable attorneys\u2019 fees that WEC may incur in connection with any collection effort that it may undertake to collect any amounts owing WEC by the undersigned.\r\n\r\n11. The law of the state in which the applicant&#039;s WEC branch office is located governs applies in any matter relating to the relationship between Applicant and WEC, without regard to such state\u2019s choice of laws rules.\r\n\r\n12. Applicant agrees to the legal or equitable action brought by WEC on this account may be brought in an appropriate court in the county and state in which the WEC office, which sold the goods or materials to the applicant, is located and Applicant consents and agrees that said Court shall have personal jurisdiction over Applicant and that venue shall be proper in said Court and that Applicant waives its right to object to the venue in such court as an inconvenient forum. &lt;strong&gt;THE APPLICANT WAIVES ITS RIGHT TO A JURY TRIAL&lt;\/strong&gt;.\r\n\r\n13. WEC may refuse to extend credit to Applicant in its sole discretion so long as such decision is not unlawful.\r\n\r\n14. In the event of any change in character of ownership of the Applicant&#039;s business by incorporation, or otherwise, by addition of partners, or by change in ownership of the corporation, Applicant shall immediately notify WEC in writing at the address shown on the invoice via certified mail. WEC will rely on the information provided on the credit application until so notified of the change.\r\n\r\n15. Applicant agrees to pay a service charge of $25.00 on any check returned for insufficient funds or such higher amount as may be charged by WEC\u2019s bank.\r\n\r\n16. In addition to the terms and conditions set forth herein, Applicant agrees to be bound by the terms and conditions of any other WEC documents used in the sale of goods and materials to Applicant, so long as said document is signed by Applicant, its agents, or employees.\r\n\r\n17. Applicant authorizes WEC to obtain credit and financial information concerning the Applicant at any time and from any source. As often as WEC may request, the undersigned will provide financial statements and such other financial information of the undersigned.\r\n\r\n18. The terms of any purchase order for lighting and gear are hereby incorporated by reference.\r\n\r\n19. By signing this application for credit, no other terms and conditions shall be accepted unless WEC shall indicate its approval thereof in writing.\r\n\r\nBy signing below, the undersigned acknowledges its agreement to the terms and conditions outlined above.\" class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[508]\" id=\"field_gz6i5\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[119]\" id=\"field_mh8yw\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[513]\" id=\"field_vwh0\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[514]\" id=\"field_s571i\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[519]\" id=\"field_lxsj6\" value=\"Due to the frequency of banks refusing to provide data without authorization from their client, we request that you complete the following:\r\n\r\nI authorize to provide information to Wholesale Electric Caribe, Inc. on my account(s).\"  data-sectionid=\"514\"  data-frmval=\"Due to the frequency of banks refusing to provide data without authorization from their client, we request that you complete the following:\r\n\r\nI authorize to provide information to Wholesale Electric Caribe, Inc. on my account(s).\" class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[520]\" id=\"field_96b4a\" value=\"\"  data-sectionid=\"514\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[521]\" id=\"field_tgnrw\" value=\"\"  data-sectionid=\"514\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[523]\" id=\"field_51704a\" value=\"\"  data-sectionid=\"514\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[515]\" id=\"field_y4ffo\" value=\"\"  class=\"form-control\"   \/>\n<input type=\"hidden\" name=\"item_meta[769]\" id=\"field_qzi91\" value=\"\"  class=\"form-control\"   \/>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t\t<div class=\"frm__65d748cfa9dea\">\n\t\t\t\t<label for=\"frm_email_5\" >\n\t\t\t\t\tSi eres humano, deja este campo en blanco.\t\t\t\t<\/label>\n\t\t\t\t<input  id=\"frm_email_5\" type=\"text\" class=\"frm_verify\" name=\"frm__65d748cfa9dea\" value=\"\" autocomplete=\"off\"  \/>\n\t\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"47Bt6\/ijvEfGo\/5u+UY0BldhkR1Fjz3z9pzsXP+MGjY=\" \/><div class=\"form-group frm_submit\">\r\n\r\n<button class=\"frm_button_submit btn btn-secondary\" type=\"submit\"   formnovalidate=\"formnovalidate\">Bank Reference &gt;<\/button>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>(*) Campo obligatorio El solicitante declara y garantiza que toda la informaci\u00f3n revelada en este documento y, en cualquier documento, proporcionada a Wholesale Electric Caribe Inc. en relaci\u00f3n con esta solicitud de cr\u00e9dito es verdadera y correcta.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-280","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/resources.wecipr.com\/es\/wp-json\/wp\/v2\/pages\/280","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/resources.wecipr.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/resources.wecipr.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/resources.wecipr.com\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/resources.wecipr.com\/es\/wp-json\/wp\/v2\/comments?post=280"}],"version-history":[{"count":7,"href":"https:\/\/resources.wecipr.com\/es\/wp-json\/wp\/v2\/pages\/280\/revisions"}],"predecessor-version":[{"id":508,"href":"https:\/\/resources.wecipr.com\/es\/wp-json\/wp\/v2\/pages\/280\/revisions\/508"}],"wp:attachment":[{"href":"https:\/\/resources.wecipr.com\/es\/wp-json\/wp\/v2\/media?parent=280"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}