{"id":35189,"date":"2024-01-08T10:11:51","date_gmt":"2024-01-08T15:11:51","guid":{"rendered":"https:\/\/rba.lineude1wp.hustly.live\/?page_id=35189"},"modified":"2024-08-28T09:19:52","modified_gmt":"2024-08-28T13:19:52","slug":"membership-renewal-payment","status":"publish","type":"page","link":"https:\/\/rba.lineude1wp.hustly.live\/es\/membership-renewal-payment\/","title":{"rendered":"Pago de renovaci\u00f3n de membres\u00eda"},"content":{"rendered":"\n\n\t<h1>Membership Renewal Payment<\/h1>\n<p>The RBA&#8217;s mission is to educate, inform, and provide beneficial services to members and actively represent, promote and support the business community of Rockland County.<\/p>\n<p>This form is for membership renewal only.\u00a0 For new memberships, please <a href=\"\/register\/\">use this page<\/a>.<\/p>\n\t<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_4' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_4'  action='\/es\/wp-json\/wp\/v2\/pages\/35189' data-formid='4' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6Le2xs4pAAAAAI67bFMqZi8rAUJAldvXWexfieQf' data-tabindex='0'><input id=\"input_1c9cb9763a57953039690a5d3630d98b\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_1c9cb9763a57953039690a5d3630d98b\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_4_47\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_47'><span class='gform-field-label__text'>LinkedIn<\/span><\/label><div class='ginput_container'><input name='input_47' id='input_4_47' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_4_47'>Este campo es un campo de validaci\u00f3n y debe quedar sin cambios.<\/div><\/div><div id=\"field_4_6\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">About Your Company<\/h3><\/div><div id=\"field_4_1\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_1'><span class='gform-field-label__text'>Company Name<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_4_1' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_4_3\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Firm Representative<\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_4_3'>\n                            \n                            <span id='input_4_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.3' id='input_4_3_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_4_3_3' class='gform-field-label gform-field-label--type-sub '>Nombre<\/label>\n                                                <\/span>\n                            \n                            <span id='input_4_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.6' id='input_4_3_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_4_3_6' class='gform-field-label gform-field-label--type-sub '>Apellidos<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_4_4\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_4'><span class='gform-field-label__text'>Title<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_4_4' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_7\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-standard gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_7'><span class='gform-field-label__text'>Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_7' id='input_4_7' type='tel' value='' class='large'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/div><div id=\"field_4_8\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_8'><span class='gform-field-label__text'>Email<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_8' id='input_4_8' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_4_5\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Company Main Address<\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_4_5' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_4_5_1_container' >\n                                        <input type='text' name='input_5.1' id='input_4_5_1' value=''    aria-required='false'    \/>\n                                        <label for='input_4_5_1' id='input_4_5_1_label' class='gform-field-label gform-field-label--type-sub '>Direcci\u00f3n<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_4_5_2_container' >\n                                        <input type='text' name='input_5.2' id='input_4_5_2' value=''     aria-required='false'   \/>\n                                        <label for='input_4_5_2' id='input_4_5_2_label' class='gform-field-label gform-field-label--type-sub '>Direcci\u00f3n 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_4_5_3_container' >\n                                    <input type='text' name='input_5.3' id='input_4_5_3' value=''    aria-required='false'    \/>\n                                    <label for='input_4_5_3' id='input_4_5_3_label' class='gform-field-label gform-field-label--type-sub '>Ciudad<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_4_5_4_container' >\n                                        <input type='text' name='input_5.4' id='input_4_5_4' value=''      aria-required='false'    \/>\n                                        <label for='input_4_5_4' id='input_4_5_4_label' class='gform-field-label gform-field-label--type-sub '>Estado \/ Provincia \/ Regi\u00f3n<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_4_5_5_container' >\n                                    <input type='text' name='input_5.5' id='input_4_5_5' value=''    aria-required='false'    \/>\n                                    <label for='input_4_5_5' id='input_4_5_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ C\u00f3digo Postal<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_5.6' id='input_4_5_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_4_29\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_29'><span class='gform-field-label__text'>Company Description<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_29' id='input_4_29' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_4_41\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><hr><\/div><fieldset id=\"field_4_42\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Would you like your logo to appear with your Directory listing at $150 per year?<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_4_42'><div class='gchoice gchoice_4_42_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_42.1' type='checkbox'  value='Yes, please add my logo to my listing'  id='choice_4_42_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_42_1' id='label_4_42_1' class='gform-field-label gform-field-label--type-inline'>Yes, please add my logo to my listing<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_43\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-half gfield_price gfield_price_4_43 gfield_product_4_43 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_4_43_1'><span class='gform-field-label__text'>Logo with Directory Listing<\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_43.1' value='Logo with Directory Listing' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_4_43' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_4_43' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Precio:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_43.2' id='ginput_base_price_4_43' value='$150.00' aria-label='Logo with Directory Listing Precio'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_43.3' value='1' class='ginput_quantity_4_43 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_4_45\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_45'><span class='gform-field-label__text'>Company Logo<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='4194304' \/><input name='input_45' id='input_4_45' type='file' class='large' aria-describedby=\"gfield_upload_rules_4_45\" onchange='javascript:gformValidateFileSize( this, 4194304 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_4_45'>Tipos de archivos aceptados: jpg, jpeg, png, webp, Tama\u00f1o m\u00e1ximo de archivo: 4 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_4_45'><\/div> <\/div><\/div><div id=\"field_4_44\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><hr><\/div><div id=\"field_4_11\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_11'><span class='gform-field-label__text'>Number of Employees<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_11' id='input_4_11' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_4_10\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_10'><span class='gform-field-label__text'>Type of Business<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_4_10' class='large gfield_select'     aria-invalid=\"false\" ><option value='- Please Select -' >- Please Select -<\/option><option value='Accountants' >Accountants<\/option><option value='Advertising: Multimedia' >Advertising: Multimedia<\/option><option value='Advocacy\/Government' >Advocacy\/Government<\/option><option value='Appraisers: Real Estate' >Appraisers: Real Estate<\/option><option value='Appraisers: Art and Jewelry' >Appraisers: Art and Jewelry<\/option><option value='Architect' >Architect<\/option><option value='Arts Center' >Arts Center<\/option><option value='Assisted Living' >Assisted Living<\/option><option value='Associations' >Associations<\/option><option value='Attorneys' >Attorneys<\/option><option value='Audio Visual Equip.' >Audio Visual Equip.<\/option><option value='Automobile: Dealer' >Automobile: Dealer<\/option><option value='Bakery' >Bakery<\/option><option value='Bank' >Bank<\/option><option value='Baseball Club' >Baseball Club<\/option><option value='Biotech' >Biotech<\/option><option value='Boat Charter' >Boat Charter<\/option><option value='Bottled Water' >Bottled Water<\/option><option value='Building Materials' >Building Materials<\/option><option value='Business Advisory' >Business Advisory<\/option><option value='Business Consulting' >Business Consulting<\/option><option value='Caterers' >Caterers<\/option><option value='Chamber of Commerce' >Chamber of Commerce<\/option><option value='Check Cashing' >Check Cashing<\/option><option value='Chiropractor' >Chiropractor<\/option><option value='Circulation Fulfillm' >Circulation Fulfillm<\/option><option value='Coffee Service' >Coffee Service<\/option><option value='College: 2 Year' >College: 2 Year<\/option><option value='College: 4 Year' >College: 4 Year<\/option><option value='Commercial Dev' >Commercial Dev<\/option><option value='Commercial Financing' >Commercial Financing<\/option><option value='Computer: Network De' >Computer: Network De<\/option><option value='Computer: Svc &amp; Supp' >Computer: Svc &amp; Supp<\/option><option value='Construction' >Construction<\/option><option value='Consultant' >Consultant<\/option><option value='Consultant: Bus Oper' >Consultant: Bus Oper<\/option><option value='Consultant: HR' >Consultant: HR<\/option><option value='Contractors: Electrical' >Contractors: Electrical<\/option><option value='Contractors: General' >Contractors: General<\/option><option value='Counseling' >Counseling<\/option><option value='Country Clubs' >Country Clubs<\/option><option value='Credit Card Processg' >Credit Card Processg<\/option><option value='Credit Union' >Credit Union<\/option><option value='Document Shredding' >Document Shredding<\/option><option value='Dry Cleaner' >Dry Cleaner<\/option><option value='Economic Development' >Economic Development<\/option><option value='Education' >Education<\/option><option value='Education\/Training' >Education\/Training<\/option><option value='Employment\/Training' >Employment\/Training<\/option><option value='Energy Conservation' >Energy Conservation<\/option><option value='Energy Consultant' >Energy Consultant<\/option><option value='Energy Services' >Energy Services<\/option><option value='Energy Storage' >Energy Storage<\/option><option value='Engineers' >Engineers<\/option><option value='Entertainment' >Entertainment<\/option><option value='Environmental Consul' >Environmental Consul<\/option><option value='Equipment Rental\/Sale' >Equipment Rental\/Sale<\/option><option value='Financial Advisor' >Financial Advisor<\/option><option value='Financial Planners' >Financial Planners<\/option><option value='Financial Services' >Financial Services<\/option><option value='Fitness Center' >Fitness Center<\/option><option value='Fitness Wellness' >Fitness Wellness<\/option><option value='Floor Coverings' >Floor Coverings<\/option><option value='Florist' >Florist<\/option><option value='Freight Forwarder' >Freight Forwarder<\/option><option value='Golf Clubs' >Golf Clubs<\/option><option value='Golf Simulator\/Restaurant' >Golf Simulator\/Restaurant<\/option><option value='Government' >Government<\/option><option value='Government-Local' >Government-Local<\/option><option value='Graphic Design' >Graphic Design<\/option><option value='Handyman Services' >Handyman Services<\/option><option value='Health Club' >Health Club<\/option><option value='Healthcare' >Healthcare<\/option><option value='Home Healthcare' >Home Healthcare<\/option><option value='Hospital' >Hospital<\/option><option value='Hotels' >Hotels<\/option><option value='Human Resources' >Human Resources<\/option><option value='Independent Living' >Independent Living<\/option><option value='Information Technology' >Information Technology<\/option><option value='Insurance' >Insurance<\/option><option value='Insurance Consultant' >Insurance Consultant<\/option><option value='Internet Radio' >Internet Radio<\/option><option value='Landscaping' >Landscaping<\/option><option value='Library' >Library<\/option><option value='Limousine Service' >Limousine Service<\/option><option value='Loan Services' >Loan Services<\/option><option value='Loans:Small Business' >Loans:Small Business<\/option><option value='Manufacturers' >Manufacturers<\/option><option value='Marketing' >Marketing<\/option><option value='Media' >Media<\/option><option value='Media: Newspapers' >Media: Newspapers<\/option><option value='Media: Radio' >Media: Radio<\/option><option value='Medical Distributor' >Medical Distributor<\/option><option value='Medical Groups' >Medical Groups<\/option><option value='Mortgages' >Mortgages<\/option><option value='Motivational Speaker' >Motivational Speaker<\/option><option value='Motorcycles' >Motorcycles<\/option><option value='Moving &amp; Storage' >Moving &amp; Storage<\/option><option value='Museum' >Museum<\/option><option value='Music School' >Music School<\/option><option value='Mutual Funds' >Mutual Funds<\/option><option value='Non Profit: Health' >Non Profit: Health<\/option><option value='Non-Profit' >Non-Profit<\/option><option value='Office Equipment' >Office Equipment<\/option><option value='Office Furniture' >Office Furniture<\/option><option value='Painters' >Painters<\/option><option value='Payroll Services' >Payroll Services<\/option><option value='Pest Control' >Pest Control<\/option><option value='Pharmaceuticals' >Pharmaceuticals<\/option><option value='Pharmacy' >Pharmacy<\/option><option value='Photo Journalist' >Photo Journalist<\/option><option value='Pipeline' >Pipeline<\/option><option value='Plumbing Supply' >Plumbing Supply<\/option><option value='Pool Club' >Pool Club<\/option><option value='Printer' >Printer<\/option><option value='Private Investigator' >Private Investigator<\/option><option value='Promotional Products' >Promotional Products<\/option><option value='Property Management' >Property Management<\/option><option value='Property Restoration' >Property Restoration<\/option><option value='Public Relations' >Public Relations<\/option><option value='Real Estate' >Real Estate<\/option><option value='Real Estate Development' >Real Estate Development<\/option><option value='Real Estate: Commercial' >Real Estate: Commercial<\/option><option value='Refrigerant Services' >Refrigerant Services<\/option><option value='Restaurant' >Restaurant<\/option><option value='Retirement Planng' >Retirement Planng<\/option><option value='Roofing' >Roofing<\/option><option value='Schools' >Schools<\/option><option value='Security' >Security<\/option><option value='Security Guard' >Security Guard<\/option><option value='Security\/Fire\/Camera' >Security\/Fire\/Camera<\/option><option value='Self Storage Facilities' >Self Storage Facilities<\/option><option value='Shopping Center' >Shopping Center<\/option><option value='Signs' >Signs<\/option><option value='Social Media' >Social Media<\/option><option value='Solar Electrical Systems' >Solar Electrical Systems<\/option><option value='Staffing Services' >Staffing Services<\/option><option value='Tax Reduction Services' >Tax Reduction Services<\/option><option value='Telecommunications' >Telecommunications<\/option><option value='Theaters' >Theaters<\/option><option value='Tile Distributor' >Tile Distributor<\/option><option value='Tour Operator' >Tour Operator<\/option><option value='Tourism' >Tourism<\/option><option value='Trade Associations' >Trade Associations<\/option><option value='Training &amp; Developmt' >Training &amp; Developmt<\/option><option value='Transportation' >Transportation<\/option><option value='Travel Agent' >Travel Agent<\/option><option value='Utilities' >Utilities<\/option><option value='Video Productions' >Video Productions<\/option><option value='Waste Recycling' >Waste Recycling<\/option><option value='Website Design &amp; Dev' >Website Design &amp; Dev<\/option><option value='Wholesale Beverages' >Wholesale Beverages<\/option><option value='Writer' >Writer<\/option><\/select><\/div><\/div><div id=\"field_4_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_12'><span class='gform-field-label__text'>If you were sponsored by an RBA member, please tell us who<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_4_12' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_13\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Key Individuals<\/h3><\/div><div id=\"field_4_14\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_14'><span class='gform-field-label__text'>Office Manager<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_4_14' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_15\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_15'><span class='gform-field-label__text'>Office Manager Email<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_15' id='input_4_15' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_4_16\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_16'><span class='gform-field-label__text'>Purchasing Contact<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_4_16' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_17\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_17'><span class='gform-field-label__text'>Purchasing Contact Email<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_17' id='input_4_17' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_4_18\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_18'><span class='gform-field-label__text'>Technology Contact<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_4_18' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_19\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_19'><span class='gform-field-label__text'>Technology Contact Email<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_19' id='input_4_19' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_4_20\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_20'><span class='gform-field-label__text'>Human Resources Contact<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_4_20' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_21\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_21'><span class='gform-field-label__text'>Human Resources Email<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_21' id='input_4_21' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_4_22\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_22'><span class='gform-field-label__text'>Marketing Contact<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_4_22' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_23\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_23'><span class='gform-field-label__text'>Marketing Email<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_23' id='input_4_23' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_4_30\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_30'><span class='gform-field-label__text'>Other Contact<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_4_30' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_4_31\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_31'><span class='gform-field-label__text'>Other Email<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_31' id='input_4_31' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_4_25\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Membership Dues<\/h3><\/div><div id=\"field_4_32\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><p>The Rockland Business Association will be in contact with you to review this application. Pay securely online here, or mail your check to Rockland Business Association, 9 N. Mill Street, Suite 103, Nyack, NY 10960<\/p>\n\n<p>There is a one-time processing fee of $25 added on to the prices below. (non discounted price of $25.88)<\/p>\n\n<p><b>2024 Dues Schedule<\/b><\/p>\n0-5 Employees - $470.00 Cash\/Check - $486.45 w\/ Card<br>\n6-10 - $585.00 Cash\/Check - $605.48 w\/ Card<br>\n11-25 - $810.00 Cash\/Check - $838.35 w\/ Card<br>\n26-50 - $1,060.00 Cash\/Check - $1,097.10 w\/ Card<br>\n51-100 - $1,450.00 Cash\/Check - $1,500.75 w\/ Card<br>\n101-150 - $1,820.00 Cash\/Check - $1883.70 w\/ Card<br>\n151-200 - $2,450.00 Cash\/Check - $2,535.75 w\/ Card<br>\n201-300 - $2,795.00 Cash\/Check - $2,892.83 w\/ Card<br>\n301-999 - $3,100.00 Cash\/Check - $3,208.50 w\/ Card<br>\n1,000 Plus - $3,775.00 Cash\/Check - $3,90713 w\/ Card<br>\n\n<p><b>Charitable 501C-3<\/b><\/p>\n0-25 Employees - $400<br>\n26-100 - $670.00<br>\n101 Plus - $1,315.00<br>\n\n<p>Cash\/Check payments are discounted. Please see prices above.<\/p><\/div><fieldset id=\"field_4_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Is your company a 501(c)(3) Charity?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_24'>\n\t\t\t<div class='gchoice gchoice_4_24_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='Yes'  id='choice_4_24_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_24_0' id='label_4_24_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_24_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_24' type='radio' value='No'  id='choice_4_24_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_24_1' id='label_4_24_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_4_33\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>How would you like to pay?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_33'>\n\t\t\t<div class='gchoice gchoice_4_33_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Pay with check by mail'  id='choice_4_33_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_33_0' id='label_4_33_0' class='gform-field-label gform-field-label--type-inline'>Pay with check by mail<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_33_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Pay with Card Securely Online'  id='choice_4_33_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_33_1' id='label_4_33_1' class='gform-field-label gform-field-label--type-inline'>Pay with Card Securely Online<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_4_28\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_4_28 gfield_product_4_28 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Number of Employees<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_28'>\n\t\t\t<div class='gchoice gchoice_4_28_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='1 - 5 Employees|470'  id='choice_4_28_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_28_0' id='label_4_28_0' class='gform-field-label gform-field-label--type-inline'>1 - 5 Employees<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_28_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='6 - 10 Employees|585'  id='choice_4_28_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_28_1' id='label_4_28_1' class='gform-field-label gform-field-label--type-inline'>6 - 10 Employees<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_28_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='11 - 25 Employees|810'  id='choice_4_28_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_28_2' id='label_4_28_2' class='gform-field-label gform-field-label--type-inline'>11 - 25 Employees<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_28_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='26-50 Employees|1060'  id='choice_4_28_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_28_3' id='label_4_28_3' class='gform-field-label gform-field-label--type-inline'>26-50 Employees<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_28_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='51-100 Employees|1450'  id='choice_4_28_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_28_4' id='label_4_28_4' class='gform-field-label gform-field-label--type-inline'>51-100 Employees<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_28_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='101-150 Employees|1820'  id='choice_4_28_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_28_5' id='label_4_28_5' class='gform-field-label gform-field-label--type-inline'>101-150 Employees<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_28_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='151-200 Employees|2450'  id='choice_4_28_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_28_6' id='label_4_28_6' class='gform-field-label gform-field-label--type-inline'>151-200 Employees<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_28_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='201-300 Employees|2795'  id='choice_4_28_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_28_7' id='label_4_28_7' class='gform-field-label gform-field-label--type-inline'>201-300 Employees<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_28_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='301-999 Employees|3100'  id='choice_4_28_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_28_8' id='label_4_28_8' class='gform-field-label gform-field-label--type-inline'>301-999 Employees<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_28_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='1,000 Plus Employees|3775'  id='choice_4_28_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_28_9' id='label_4_28_9' class='gform-field-label gform-field-label--type-inline'>1,000 Plus Employees<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_4_36\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_4_36 gfield_product_4_36 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Number of Employees - 501(c)(3) Charity<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_4_36'>\n\t\t\t<div class='gchoice gchoice_4_36_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='1 - 25 Employees|400'  id='choice_4_36_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_36_0' id='label_4_36_0' class='gform-field-label gform-field-label--type-inline'>1 - 25 Employees<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_36_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='26 - 100 Employees|670'  id='choice_4_36_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_36_1' id='label_4_36_1' class='gform-field-label gform-field-label--type-inline'>26 - 100 Employees<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_4_36_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='101+ Employees|1315'  id='choice_4_36_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_4_36_2' id='label_4_36_2' class='gform-field-label gform-field-label--type-inline'>101+ Employees<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_4_38\" class=\"gfield gfield--type-tax gfield--input-type-tax gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_4_38'><span class='gform-field-label__text'>Card Processing Fee<\/span><\/label><\/div><div id=\"field_4_35\" class=\"gfield gfield--type-total gfield--input-type-total gfield--width-full gfield_price gfield_price_4_ gfield_total gfield_total_4_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_4_35'><span class='gform-field-label__text'>Total<\/span><\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_35' id='input_4_35' value='$0.00' class='gform-text-input-reset ginput_total ginput_total_4' \/>\n\t\t\t\t\t\t<\/div><\/div><div id=\"field_4_46\" class=\"gfield gfield--type-stripe_creditcard gfield--input-type-stripe_creditcard gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--type-stripe_creditcard-payment-element\"  ><label class='gfield_label gfield_label_before_complex gform-field-label' for='input_4_46_1'><span class='gform-field-label__text'>Credit Card<\/span><\/label><div class='ginput_complex ginput_container ginput_container_creditcard ginput_stripe_creditcard gform-grid-row' id='input_4_46'><div class='ginput_full gform-grid-col' id='input_4_46_1_container' data-payment-element='true'><div id='input_4_46_1' class='StripeElement--payment-element'><\/div><\/div><!-- .ginput_full --><\/div><!-- .ginput_container -->\r\n\t\t\t<style type=\"text\/css\">\r\n\t\t\t\t:root {\r\n  \t\t\t\t\t--link-login-string: \"Enlace de acceso\"\r\n\t\t\t\t}\r\n\t\t\t<\/style><\/div><fieldset id=\"field_4_40\" class=\"gfield gfield--type-creditcard gfield--input-type-creditcard gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Secure Credit Card Payment<\/span><\/legend><div class='ginput_complex ginput_container ginput_container_creditcard gform-grid-row' id='input_4_40'><span class='ginput_full gform-grid-col' id='input_4_40_1_container' >\n                                    <div class='gform_card_icon_container'><div class='gform_card_icon gform_card_icon_amex' >American Express<\/div><div class='gform_card_icon gform_card_icon_discover' >Discover<\/div><div class='gform_card_icon gform_card_icon_mastercard' >MasterCard<\/div><div class='gform_card_icon gform_card_icon_visa' >Visa<\/div><span class='screen-reader-text' id='field_4_40_supported_creditcards'>Tarjetas de cr\u00e9dito admitidas: American Express, Discover, MasterCard, Visa<\/span><\/div>\n                                    <input type='text' name='input_40.1' id='input_4_40_1' value=''   onchange='gformMatchCard(\"input_4_40_1\");' onkeyup='gformMatchCard(\"input_4_40_1\");' autocomplete='off' pattern='[0-9]*' title='S\u00f3lo se permiten n\u00fameros' placeholder='CARD NUMBER' aria-required='false'  \/>\n                                    <label for='input_4_40_1' id='input_4_40_1_label' class='gform-field-label gform-field-label--type-sub '>N\u00famero tarjeta<\/label>\n                                 <\/span><span class='ginput_full ginput_cardextras gform-grid-col gform-grid-row' id='input_4_40_2_container'>\n                                            <fieldset class='ginput_cardinfo_left gform-grid-col' id='input_4_40_2_cardinfo_left'>\n                                            <legend class='gform-field-label gform-field-label--type-sub '>Fecha caducidad<\/legend>\n                                                <span class='ginput_card_expiration_container ginput_card_field gform-grid-row'>\n                                                   <span class='ginput_card_expiration_month_container gform-grid-col'>\n                                                       <label for='input_4_40_2_month' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Mes<\/label>\n                                                       <select name='input_40.2[]' id='input_4_40_2_month'   class='ginput_card_expiration ginput_card_expiration_month' aria-required='false'  >\n                                                           <option value=''>MONTH<\/option><option value='1' >01<\/option><option value='2' >02<\/option><option value='3' >03<\/option><option value='4' >04<\/option><option value='5' >05<\/option><option value='6' >06<\/option><option value='7' >07<\/option><option value='8' >08<\/option><option value='9' >09<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option>\n                                                       <\/select>\n                                                   <\/span>\n                                                   <span class='ginput_card_expiration_year_container gform-grid-col'>\n                                                       <label for='input_4_40_2_year' class='gform-field-label gform-field-label--type-sub screen-reader-text'>A\u00f1o<\/label>\n                                                       <select name='input_40.2[]' id='input_4_40_2_year'   class='ginput_card_expiration ginput_card_expiration_year' aria-required='false'  >\n                                                           <option value=''>YEAR<\/option><option value='2026' >2026<\/option><option value='2027' >2027<\/option><option value='2028' >2028<\/option><option value='2029' >2029<\/option><option value='2030' >2030<\/option><option value='2031' >2031<\/option><option value='2032' >2032<\/option><option value='2033' >2033<\/option><option value='2034' >2034<\/option><option value='2035' >2035<\/option><option value='2036' >2036<\/option><option value='2037' >2037<\/option><option value='2038' >2038<\/option><option value='2039' >2039<\/option><option value='2040' >2040<\/option><option value='2041' >2041<\/option><option value='2042' >2042<\/option><option value='2043' >2043<\/option><option value='2044' >2044<\/option><option value='2045' >2045<\/option>\n                                                       <\/select>\n                                                   <\/span>\n                                                <\/span>\n                                            <\/fieldset><span class='ginput_cardinfo_right gform-grid-col' id='input_4_40_2_cardinfo_right'>\n                                                <input type='text' name='input_40.3' id='input_4_40_3'   class='ginput_card_security_code' value='' autocomplete='off' pattern='[0-9]*' title='S\u00f3lo se permiten n\u00fameros' placeholder='CODE' aria-required='false'  \/>\n                                                <span class='ginput_card_security_code_icon'>&nbsp;<\/span>\n                                                <label for='input_4_40_3' class='gform-field-label gform-field-label--type-sub '>C\u00f3digo de seguridad<\/label>\n                                             <\/span>\n                                        <\/span><span class='ginput_full gform-grid-col' id='input_4_40_5_container'>\n                                            <input type='text' name='input_40.5' id='input_4_40_5' value=''   placeholder='NAME' aria-required='false'  \/>\n                                            <label for='input_4_40_5' id='input_4_40_5_label' class='gform-field-label gform-field-label--type-sub '>Nombre del titular<\/label>\n                                        <\/span> <\/div><\/fieldset><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_4' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit your Renewal<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_4' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_4' id='gform_theme_4' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_4' id='gform_style_settings_4' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_4' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='4' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' 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La misi\u00f3n de la RBA es educar, informar y brindar servicios beneficiosos a los miembros, as\u00ed como representar, promover y apoyar activamente a la comunidad empresarial del Condado de Rockland. Este formulario\u2026<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"pmpro_default_level":"","_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"footnotes":""},"class_list":["post-35189","page","type-page","status-publish","hentry","pmpro-has-access"],"acf":[],"_links":{"self":[{"href":"https:\/\/rba.lineude1wp.hustly.live\/es\/wp-json\/wp\/v2\/pages\/35189","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rba.lineude1wp.hustly.live\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/rba.lineude1wp.hustly.live\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/rba.lineude1wp.hustly.live\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rba.lineude1wp.hustly.live\/es\/wp-json\/wp\/v2\/comments?post=35189"}],"version-history":[{"count":5,"href":"https:\/\/rba.lineude1wp.hustly.live\/es\/wp-json\/wp\/v2\/pages\/35189\/revisions"}],"predecessor-version":[{"id":36706,"href":"https:\/\/rba.lineude1wp.hustly.live\/es\/wp-json\/wp\/v2\/pages\/35189\/revisions\/36706"}],"wp:attachment":[{"href":"https:\/\/rba.lineude1wp.hustly.live\/es\/wp-json\/wp\/v2\/media?parent=35189"}],"curies":[{"name":"gracias","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}