{"id":384,"date":"2019-02-26T03:18:47","date_gmt":"2019-02-26T03:18:47","guid":{"rendered":"http:\/\/bit-beauty.com\/?page_id=384"},"modified":"2019-09-12T19:37:51","modified_gmt":"2019-09-12T19:37:51","slug":"validation-setup","status":"publish","type":"page","link":"https:\/\/bit-beauty.com\/indie-eu\/validation-setup\/","title":{"rendered":"EU Registration &#8211; Validation Setup"},"content":{"rendered":"\n\t<h1>INDIE BRANDS &#8211; EU SERVICES<\/h1>\n<p><strong>PHASE I: VALIDATION<\/strong><\/p>\n\u00a0If you have any questions or for more information, please reach out to us<br \/>\nat indie.eu@bit-beauty.com or 407-803-6353, or <a href=\"http:\/\/bit-beauty.com\/indie-eu-deck\" target=\"_blank\" rel=\"noopener noreferrer\">download our service deck<\/a>.\n\t\n                <div class='gf_browser_chrome gform_wrapper' id='gform_wrapper_2' style='display:none'><div id='gf_2' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_2' id='gform_2'  action='\/wp-json\/wp\/v2\/pages\/384#gf_2'><div id='gf_page_steps_2' class='gf_page_steps'><div id='gf_step_2_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span>&nbsp;<span class='gf_step_label'>Business<\/span><\/div><div id='gf_step_2_2' class='gf_step gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span>&nbsp;<span class='gf_step_label'>Sales<\/span><\/div><div id='gf_step_2_3' class='gf_step gf_step_pending'><span class='gf_step_number'>3<\/span>&nbsp;<span class='gf_step_label'>Product<\/span><\/div><div id='gf_step_2_4' class='gf_step gf_step_last gf_step_pending'><span class='gf_step_number'>4<\/span>&nbsp;<span class='gf_step_label'>Submission<\/span><\/div><div class='gf_step_clear'><\/div><\/div>\n                        <div class='gform_body'><div id='gform_page_2_1' class='gform_page' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_below'><li id='field_2_54'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible' ><p style=\"text-align: center; margin-top: 25px;\"><span style=\"font-size: 15px;\"><strong>CONGRATULATIONS!<\/strong>\u00a0 You're taking the first step towards delivering your brand and products to the EU market. \u00a0The first thing we need to do is make sure your product, labels and claims are EU ready. \u00a0Please use the form below to provide us with the needed information about your company, brand and products. \u00a0You may use the 'Save and Continue Later' link below to save your work and finish at a later time.<\/p>\n<p style=\"text-align: center; margin-top: 25px;\"><span style=\"font-size: 15px;\">Once you submit this information, we will begin the validation process, and we will provide you with a complete report of our findings and possible suggestions.<\/span><\/p><\/li><li id='field_2_1'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Business Information<\/h2><\/li><li id='field_2_32'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Is your business registered in the U.S.?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_32'><li class='gchoice_2_32_0'><input name='input_32' type='radio' value='Yes'  id='choice_2_32_0'    \/><label for='choice_2_32_0' id='label_2_32_0'>Yes<\/label><\/li><li class='gchoice_2_32_1'><input name='input_32' type='radio' value='No'  id='choice_2_32_1'    \/><label for='choice_2_32_1' id='label_2_32_1'>No<\/label><\/li><\/ul><\/div><\/li><li id='field_2_33'  class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible' ><p style=\"margin-top: 25px; font-size: 14px;\">If your company is not US-based, please reach out to us at <strong><a style=\"color:inherit;\" href=\"mailto:indie.eu@bit-beauty.com\">indie.eu@bit-beauty.com<\/a><\/strong> or <strong>407-803-6353<\/strong> to see how we can help.<\/p><\/li><li id='field_2_3'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_3' >Legal Business Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_2_3' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_4'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_4' >DBA (if you have one)<\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_2_4' type='text' value='' class='medium'      aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_5'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Legal Entity<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_5'><li class='gchoice_2_5_0'><input name='input_5' type='radio' value='LLC'  id='choice_2_5_0'    \/><label for='choice_2_5_0' id='label_2_5_0'>LLC<\/label><\/li><li class='gchoice_2_5_1'><input name='input_5' type='radio' value='Inc'  id='choice_2_5_1'    \/><label for='choice_2_5_1' id='label_2_5_1'>Inc<\/label><\/li><li class='gchoice_2_5_2'><input name='input_5' type='radio' value='Partnership'  id='choice_2_5_2'    \/><label for='choice_2_5_2' id='label_2_5_2'>Partnership<\/label><\/li><li class='gchoice_2_5_3'><input name='input_5' type='radio' value='Sole Proprietor'  id='choice_2_5_3'    \/><label for='choice_2_5_3' id='label_2_5_3'>Sole Proprietor<\/label><\/li><li class='gchoice_2_5_4'><input name='input_5' type='radio' value='gf_other_choice'  id='choice_2_5_4'   onfocus=\"jQuery(this).next('input').focus();\" \/><input id='input_2_5_other' name='input_5_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/><\/li><\/ul><\/div><\/li><li id='field_2_34'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_34' >State of Incorporation<\/label><div class='ginput_container ginput_container_select'><select name='input_34' id='input_2_34' class='medium gfield_select'    aria-invalid=\"false\"><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select><\/div><\/li><li id='field_2_11'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Business Address<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_2_11' >\n                         <span class='ginput_full address_line_1' id='input_2_11_1_container' >\n                                        <input type='text' name='input_11.1' id='input_2_11_1' value=''    aria-required=\"true\"\/>\n                                        <label for='input_2_11_1' id='input_2_11_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2' id='input_2_11_2_container' >\n                                        <input type='text' name='input_11.2' id='input_2_11_2' value=''   \/>\n                                        <label for='input_2_11_2' id='input_2_11_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city' id='input_2_11_3_container' >\n                                    <input type='text' name='input_11.3' id='input_2_11_3' value=''    aria-required=\"true\"\/>\n                                    <label for='input_2_11_3' id='input_2_11_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state' id='input_2_11_4_container' >\n                                        <select name='input_11.4' id='input_2_11_4'     aria-required=\"true\"><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_2_11_4' id='input_2_11_4_label' >State<\/label>\n                                      <\/span><span class='ginput_left address_zip' id='input_2_11_5_container' >\n                                    <input type='text' name='input_11.5' id='input_2_11_5' value=''    aria-required=\"true\"\/>\n                                    <label for='input_2_11_5' id='input_2_11_5_label' >ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_11.6' id='input_2_11_6' value='United States'\/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_2_12'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_12' >Business Phone<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_12' id='input_2_12' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                         <input type='button' id='gform_next_button_2_8' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"2\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"2\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <a href='javascript:void(0);' id='gform_save_2_2_link' class='gform_save_link'  onclick='if(window[\"gf_submitting_2\"]){return false;}  window[\"gf_submitting_2\"]=true; jQuery(\"#gform_save_2\").val(1); jQuery(\"#gform_2\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_2\"]){return false;} window[\"gf_submitting_2\"]=true; jQuery(\"#gform_save_2\").val(1); jQuery(\"#gform_2\").trigger(\"submit\",[true]); }'>Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_2' class='gform_fields top_label form_sublabel_below description_below'><li id='field_2_10'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Brand Information<\/h2><\/li><li id='field_2_18'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_18' >Brand Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_2_18' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_20'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_20' >Website<\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_20' id='input_2_20' type='text' value='' class='medium'    placeholder='http:\/\/'  aria-invalid=\"false\"\/>\n                <\/div><\/li><li id='field_2_19'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_19' >Provide a short description of the types of products you would like to sell in the EU.<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_19' id='input_2_19' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id='field_2_48'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>EU Distribution<\/h2><\/li><li id='field_2_49'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_49' >In which EU countries do you intend to sell your product?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_49[]' id='input_2_49' class='medium gfield_select'  ><option value='Austria' >Austria<\/option><option value='Belgium' >Belgium<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Croatia' >Croatia<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='Denmark' >Denmark<\/option><option value='Estonia' >Estonia<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='Germany' >Germany<\/option><option value='Greece' >Greece<\/option><option value='Hungary' >Hungary<\/option><option value='Ireland' >Ireland<\/option><option value='Italy' >Italy<\/option><option value='Latvia' >Latvia<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Malta' >Malta<\/option><option value='Netherlands' >Netherlands<\/option><option value='Poland' >Poland<\/option><option value='Romania' >Romania<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Spain' >Spain<\/option><option value='Sweden' >Sweden<\/option><option value='United Kingdom' >United Kingdom<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_2_49'>Different countries have different requirements; therefore, it is important to understand where you intend to sell your product.\n\nHold down the Ctrl key (Windows) or Command key (Mac) to select multiple locations.<\/div><\/li><li id='field_2_50'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Which are your intended channels for distribution in Europe?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_50'><li class='gchoice_2_50_1'>\n\t\t\t\t\t\t\t\t<input name='input_50.1' type='checkbox'  value='Pharmacy \/ Apothecary'  id='choice_2_50_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_50_1' id='label_2_50_1'>Pharmacy \/ Apothecary<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_50_2'>\n\t\t\t\t\t\t\t\t<input name='input_50.2' type='checkbox'  value='Retail Stores \/ Boutiques'  id='choice_2_50_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_50_2' id='label_2_50_2'>Retail Stores \/ Boutiques<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_50_3'>\n\t\t\t\t\t\t\t\t<input name='input_50.3' type='checkbox'  value='Spas \/ Salons'  id='choice_2_50_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_50_3' id='label_2_50_3'>Spas \/ Salons<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_2_50_4'>\n\t\t\t\t\t\t\t\t<input name='input_50.4' type='checkbox'  value='Other'  id='choice_2_50_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_50_4' id='label_2_50_4'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_2_9' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"1\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"1\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_2_9' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"3\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"3\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <a href='javascript:void(0);' id='gform_save_2_3_link' class='gform_save_link'  onclick='if(window[\"gf_submitting_2\"]){return false;}  window[\"gf_submitting_2\"]=true; jQuery(\"#gform_save_2\").val(1); jQuery(\"#gform_2\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_2\"]){return false;} window[\"gf_submitting_2\"]=true; jQuery(\"#gform_save_2\").val(1); jQuery(\"#gform_2\").trigger(\"submit\",[true]); }'>Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_3' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_3' class='gform_fields top_label form_sublabel_below description_below'><li id='field_2_53'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Product Information<\/h2><\/li><li id='field_2_51'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_51' >Products to be Validated<\/label><div class=\"gpnf-nested-entries-container ginput_container\">\n\n\t<table class=\"gpnf-nested-entries\">\n\n\t\t<thead>\n\t\t<tr>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-1\">\n\t\t\t\t\tName\t\t\t\t<\/th>\n\t\t\t\t\t\t\t<th class=\"gpnf-field-2\">\n\t\t\t\t\tDescriptor \/ Subtitle (if any)\t\t\t\t<\/th>\n\t\t\t\t\t\t<th class=\"gpnf-row-actions\"><span class=\"screen-reader-text\">Actions<\/span><\/th>\n\t\t<\/tr>\n\t\t<\/thead>\n\n\t\t<tbody data-bind=\"visible: entries().length, foreach: entries\">\n\t\t<tr data-bind=\"attr: { 'data-entryid': id }\">\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f1.label, attr: { 'data-value': f1.label }\"\n\t\t\t\t\tdata-heading=\"Name\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t\t<td class=\"gpnf-field\"\n\t\t\t\t\tdata-bind=\"html: f2.label, attr: { 'data-value': f2.label }\"\n\t\t\t\t\tdata-heading=\"Descriptor \/ Subtitle (if any)\"\n\t\t\t\t>&nbsp;<\/td>\n\t\t\t\t\t\t<td class=\"gpnf-row-actions\">\n\t\t\t\t<ul>\n\t\t\t\t\t<li class=\"edit\"><a href=\"#\" data-bind=\"click: $parent.editEntry\">Edit<\/a><\/li>\n\t\t\t\t\t<li class=\"delete\"><a href=\"#\" data-bind=\"click: $parent.deleteEntry\">Delete<\/a><\/li>\n\t\t\t\t<\/ul>\n\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t\t<tbody data-bind=\"visible: entries().length <= 0\">\n\t\t<tr class=\"gpnf-no-entries\" data-bind=\"visible: entries().length <= 0\">\n\t\t\t<td colspan=\"3\">\n\t\t\t\tThere are no <span>Products.<\/span>\t\t\t<\/td>\n\t\t<\/tr>\n\t\t<\/tbody>\n\n\t<\/table>\n\n\t\n\t\t\t<button type=\"button\" class=\"gpnf-add-entry\"\n\t\t        data-formid=\"2\"\n\t\t        data-nestedformid=\"3\"\n\t\t\t\tdata-bind=\"attr: { disabled: isMaxed }\"\n\t\t\t\t>\n\t\t\t\tAdd Product\n\t\t\t<\/button>\t\n\t\t\t<p class=\"gpnf-add-entry-max\" data-bind=\"if: isMaxed\">\n\t\t\t\tMaximum number of products reached.\n\t\t\t<\/p>\n<\/div><input type=\"hidden\"\n                name=\"input_51\"\n                id=\"input_2_51\"\n                data-bind=\"value: entryIds\"\n                value=\"\" \/><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_2_21' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"2\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"2\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_2_21' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"4\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"4\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <a href='javascript:void(0);' id='gform_save_2_4_link' class='gform_save_link'  onclick='if(window[\"gf_submitting_2\"]){return false;}  window[\"gf_submitting_2\"]=true; jQuery(\"#gform_save_2\").val(1); jQuery(\"#gform_2\").trigger(\"submit\",[true]);' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_2\"]){return false;} window[\"gf_submitting_2\"]=true; jQuery(\"#gform_save_2\").val(1); jQuery(\"#gform_2\").trigger(\"submit\",[true]); }'>Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_4' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_4' class='gform_fields top_label form_sublabel_below description_below'><li id='field_2_22'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Contact Information<\/h2><\/li><li id='field_2_15'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_15' >Title<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_2_15' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_13'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex'  >Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_2_13'>\n                            \n                            <span id='input_2_13_3_container' class='name_first' >\n                                                    <input type='text' name='input_13.3' id='input_2_13_3' value='' aria-label='First name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_2_13_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_13_6_container' class='name_last' >\n                                                    <input type='text' name='input_13.6' id='input_2_13_6' value='' aria-label='Last name'   aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                    <label for='input_2_13_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id='field_2_14'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_14' >Email<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_14' id='input_2_14' type='text' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\" \/>\n                        <\/div><\/li><li id='field_2_17'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_17' >Phone<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_17' id='input_2_17' type='text' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/li><li id='field_2_40'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Consent<\/h2><\/li><li id='field_2_41'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Service Agreement<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_41.1' id='input_2_41_1' type='checkbox' value='1'  aria-describedby='gfield_consent_description_2_41' aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gfield_consent_label\" for='input_2_41_1' >I am an authorized representative of this company and have read and agree to the Service Agreement as indicated below.  A copy of the Service Agreement will be emailed to you.<\/label><input type='hidden' name='input_41.2' value='I am an authorized representative of this company and have read and agree to the Service Agreement as indicated below.  A copy of the Service Agreement will be emailed to you.' class='gform_hidden' \/><input type='hidden' name='input_41.3' value='8' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_2_41'>By submitting this online form you (\u201cClient\u201d) agree to the EU Service Agreement (\u201cAgreement\u201d) offered by bit Beauty Group, LLC with principal place of business at 8060 Westminster Abbey, Orlando, FL 32835 (\u201cbit Beauty USA\u201d) \u00a0to confirm your understanding with respect to adherence to specifications, compliance with regulations, and confidentiality in connection with the execution of EU Regulation Compliance Verification and\/or EU Responsible Person and EU Product Registration services.<br \/>\n<br \/>\nTo qualify for any of bit Beauty Group\u2019s EU Registrations Services the Client must be a non-EU, US-based registered company, and must have a cosmetic product it intends to export to countries within the European Union (\u201cEU\u201d). For the purposes of this Agreement, the term \u201cProduct\u201d will refer to each of the products submitted.<br \/>\n<br \/>\n- - - <br \/>\n<br \/>\nEU REGISTRATION SERVICES<br \/>\n<br \/>\nEU REGULATION COMPLIANCE VALIDATION<br \/>\nWhen contracting EU Regulation Compliance Validation services it is the responsibility of the Client to provide bit Beauty Group all and any documentation and items needed to accurately verify compliance with EU regulations. \u00a0<br \/>\n<br \/>\nCompliance Verification will be provided against EU Regulation as provided by the European Commission, this does not include verification against any specific country regulations, however when possible, guidance for country specific regulations may be provided.<br \/>\n<br \/>\nbit Beauty Group\u2019s EU Regulation Compliance Verification services simply assesses and notifies the Client of its Product\u2019s labeling and ingredient listing compliance based on the information provided by the Client; it does not include services to help the Client\u2019s Product comply with the effective regulations. <br \/>\n<br \/>\n<br \/>\nEU PRODUCT REGISTRATION AND EU RESPONSIBLE PERON SERVICES<br \/>\n<br \/>\nbit Beauty USA outsources EU Registration and EU Responsible Person services exclusively to bit Beauty SL (\u201cbit Beauty Spain\u201d), partner company in the EU (Spain) contracted to provide said services. \u00a0For the purposes of this Agreement, when discussed together, bit Beauty US and bit Beauty EU will be referred to as \u201cbit Beauty Partners\u201d.<br \/>\n<br \/>\nWhen contracting EU Registration and EU Responsible Person services, the Client understands and agrees that bit Beauty Spain shall assume the responsibilities of the \u201cresponsible person\u201d for the Client\u2019s Product placed in the EU market. \u00a0Bit Beauty shall only assume the EU Registration and EU Responsible Person responsibilities covered by the Agreement, once and while timely payment is received, and the Product has passed bit Beauty Partner\u2019s EU Regulation Compliance Verification. \u00a0Bit Beauty Partners will provide the Client with official written notification that allows it to use the bit Beauty Spain. name and address on its Product label.<br \/>\n<br \/>\nThe Client shall comply with the following obligations:<br \/>\n<br \/>\nA. The Product put on the European Union market by the Client shall comply with all applicable European Union legislation, in particular with regard \u2013 but not limited \u2013 to the quality, the composition and the labeling of the products concerned, the product information files (PIF), including the safety assessments of the products. <br \/>\n<br \/>\nB. The Client shall retain all responsibility for providing bit Beauty Partners with all up-to-date product information regarding the Product for which the Client wishes to have bit Beauty Spain serve as the responsible company in the EU (including -but not limited to- undesirable effects on human health resulting from the use of those products). <br \/>\n<br \/>\nC. The Client shall indemnify and repay bit Beauty Partners against any and all liabilities and expenses incurred by bit Beauty Partners in the performance of services to carry out the Agreement. bit Beauty Partners shall inform the Client when liabilities expenses are incurred in advance. <br \/>\n<br \/>\nD. The Client shall cooperate with bit Beauty Partners in carrying out the obligations imposed on bit Beauty Spain by the Agreement and applicable legislation. <br \/>\n<br \/>\nE. The Client shall promptly provide bit Beauty Spain with any information bit Beauty Spain reasonably requires for carrying out bit Beauty Spain\u2019s legal obligations as Responsible Person. <br \/>\n<br \/>\nF. The Client shall have no claim against bit Beauty Partners for any cosmetics for which bit Beauty Partners is not serving as the Responsible Person. <br \/>\n<br \/>\nG. Once the Client received official written notice from bit Beauty Partners, the Client shall indicate the responsible company in the EU on the label of the Product covered by the Agreement. <br \/>\n<br \/>\nH. If the Client arrives at an agreement with a third party to distribute Products covered by the Agreement in one or more EU countries, the Client shall notify bit Beauty Partners of its existence and term, and ensure that the third party concerned: <br \/>\n<br \/>\n- puts in place and maintains a system that directs consumers of cosmetic products distributed in the country concerned or healthcare professionals to report undesirable effects on human health resulting from the use of those products to the third party; and <br \/>\n<br \/>\n- informs the Client and bit Beauty Spain without delay about any undesirable effect on human health resulting from the use of those products reported to the third party by consumers of those products or healthcare professionals. <br \/>\n<br \/>\n<br \/>\nbit Beauty Spain will comply with the following obligations:<br \/>\n<br \/>\nbit Beauty Spain assumes the responsibility for complying with the obligations imposed on the \u201cResponsible Person\u201d as defined in the Regulation (EC) n\u00b01223\/2009 of the European Parliament and the Council of 30 November 2009 on cosmetic products and future updates; these obligations include, but are not limited to: \u00a0<br \/>\n- Article 3 (safety),<br \/>\n- Article 8 (good manufacturing practice)<br \/>\n- Article 10 (safety assessment), <br \/>\n- Article 11 (PIF), <br \/>\n- Article 12 (sampling and analysis), <br \/>\n- Article 13 (notification), <br \/>\n- Article 14 (restrictions for substances listed in the Annexes), <br \/>\n- Article 15 (substances classified as CMR substances), <br \/>\n- Article 16 (nanomaterials), <br \/>\n- Article 17 (traces of prohibited substances), <br \/>\n- Article 18 (animal testing), <br \/>\n- Article 19(1)(2) and (5) (labelling), <br \/>\n- Article 20 (product claims), <br \/>\n- Article 21 (access to information for the public), <br \/>\n- Article 23 (communication of serious undesirable effects) and <br \/>\n- Article 24 (information on substances).<br \/>\n<br \/>\n- - - <br \/>\n<br \/>\nCONFIDENTIALITY AND NONDISCLOSURE OBLIGATIONS<br \/>\nParties may disclose to each other and accept information under this Agreement which the disclosing party shall deem proprietary. The parties agree that, without the explicit consent in writing of the disclosing party, the receiving party shall at no time and under no circumstances disclose any information it receives from the disclosing party that is marked PROPRIETARY, CONFIDENTIAL or SECRET to any other person, firm or corporation or use it for its own benefit except as provided in the Agreement, and shall use the same degree of care to avoid disclosure or use of such information as the receiving party employs with respect to its own proprietary information of like importance. <br \/>\n<br \/>\nbit Beauty Partners shall hold confidential any proprietary information it receives from the Client, except to the extent that disclosure is required to comply with EU or UA law or the Client has granted prior, written authorization to disclose such information. <br \/>\n<br \/>\n<br \/>\nWARRANTY, GUARANTY, AND INDEMNITY<br \/>\nA. Client Representations. Client represents, warrants, and guarantees that, while bit Beauty Spain is contracted by Client as its Responsible Person, the Product shall: (i) not be adulterated or misbranded and remain complaint according to the Regulation (EC) n\u00b01223\/2009 of the European Parliament and the Council of 30 November 2009; (ii) not be or contain articles that are prohibited, under Regulation (EC) n\u00b01223\/2009 of the European Parliament and the Council of 30 November 2009 or any successor thereto, from being introduced into EU commerce; (ii) (iv) be in compliance with all other applicable EU or EU Country laws and regulations; and (v) be merchantable and fit for their intended purpose, and pass without objection in trade. <br \/>\n<br \/>\nB. Indemnification. Client shall indemnify, defend and hold bit Beauty Partners and its Affiliates and sublicensees, and their respective directors, officers, employees and agents (such party\u2019s \u201cIndemnitees\u201d) harmless from and against any and all liabilities, damages, costs, expenses, or losses (including reasonable legal expenses and attorneys\u2019 fees) (collectively, \u201cLosses\u201d) resulting from any claims, suits, actions, demands, or other proceedings brought by or on behalf of a Third Party (collectively, \u201cClaims\u201d) to the extent arising from (i) negligence or willful misconduct of the indemnifying party, its employees or agents; or (ii) breach of this Agreement by the indemnifying party. <br \/>\n<br \/>\nSuch indemnification shall not apply to the extent that the Claims are caused by the negligence or misconduct of, or breach of this Agreement by such party\u2019s Indemnitees.<br \/>\n<br \/>\nC. Intellectual Property. Client agrees that, in the event that the Product violates or infringes upon the Intellectual Property rights of a third party, Client shall obtain for the Company all rights necessary for bit Beauty Partners to lawfully continue executing the obligations of this Service Agreement.<br \/>\n<br \/>\n<br \/>\nGENERAL LEGAL PROVISIONS<br \/>\nA. Governing Law and Attorney\u2019s Fees. This agreement will be governed, construed and enforced in accordance with the laws of the state of Florida. \u00a0The parties irrevocably agree to submit all their claims, actions and proceedings in the federal or state courts in Orange County, Florida.  In any action or suit to enforce any right or remedy under this agreement or to interpret any provision of this agreement, the prevailing party shall be entitled to recover its reasonable attorney\u2019s fees, costs and other expenses.<br \/>\n<br \/>\nB) Binding Effect. This Agreement shall be binding upon, and inure to the benefit of, the<br \/>\nsuccessors, executors, heirs, representatives, administrators and permitted assigns of the<br \/>\nparties hereto. Client shall have no right to assign this Agreement, by operation of law or<br \/>\notherwise. Any such purported assignment shall be void.<br \/>\n<br \/>\nC. Severability. If any provision of this Agreement shall be found invalid or unenforceable, the<br \/>\nremainder of this Agreement shall be interpreted so as best to reasonably effect the intent of<br \/>\nthe parties.<br \/>\n<br \/>\nD. Entire Agreement. This Agreement constitutes the entire understanding and agreement of the parties with respect to its subject matter and supersedes all prior and contemporaneous agreements or understandings, inducements or conditions, express or implied, written or oral, between the parties.<br \/>\n<br \/>\n<br \/>\nTERMS & TERMINATION<br \/>\nA. The terms of this agreement are 12 months, and automatically renews for the same period, until terminated by either party.<br \/>\n<br \/>\nB. Either bit Beauty US or the Client may unilaterally terminate the Agreement at each anniversary of entry into force of the Agreement, provided that it gives at least three months\u2019 prior written notice to the other. <br \/>\n<br \/>\nC. bit Beauty US may unilaterally terminate the Agreement at any time, if the Client fails to pay any amounts owed to bit Beauty US within one month after having received notice from bit Beauty US that such amounts have become due. <br \/>\n<br \/>\nD. Both the Client and bit Beauty US may unilaterally and without prior notice terminate the Agreement for breach of contract by the other party. <br \/>\n<br \/>\nE. In case of termination of the contract for any reason whatsoever, bit Beauty Partners shall forward the Product PIF and suporting information to whatever forwarding address that the Client has provided. <br \/>\n<br \/>\nF. In case of termination, breach of contract, or failure to comply with EU regulations and laws once the Product has been placed in the EU market, the Client exonerates bit Beauty Partners from any obligations listed in this Service Agreement, including but not limited to those as defined in the Regulation (EC) n\u00b01223\/2009 of the European Parliament and the Council of 30 November 2009. \u00a0In case of termination, breach of contract, or failure to comply with EU regulations and laws once the Product has been placed in the EU market, bit Beauty Spain will no longer be assigned as the Product\u2019s designated EU Responsible Person, and the Client agrees to discontinue use of bit Beauty\u2019s contact information on the Product\u2019s label.<\/div><\/li><li id='field_2_76'  class='gfield gfield_html gfield_html_formatted field_sublabel_below field_description_below gfield_visibility_visible' ><\/li><li id='field_2_46'  class='gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_46' >Your Complete Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_46' id='input_2_46' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_31'  class='gfield gsection field_sublabel_below field_description_below gfield_visibility_visible' ><h2 class='gsection_title'>Payment<\/h2><div class='gsection_description' id='gfield_description_2_31'><strong>PAY AS YOU GO MODEL:<\/strong> At this time, you will only be paying for the Validation Phase.  For a complete schedule of service fees, please contact us at indie.eu@bit-beauty.com. <\/div><\/li><li id='field_2_71'  class='gfield gfield_price gfield_price_2_71 gfield_product_2_71 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label'  >Select the range that defines the number of products you want to have validated:<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_71'><li class='gchoice_2_71_0'><input name='input_71' type='radio' value='1 - 10 Products ($850 per product)|850'  id='choice_2_71_0'    \/><label for='choice_2_71_0' id='label_2_71_0'>1 - 10 Products ($850 per product)<\/label><\/li><li class='gchoice_2_71_1'><input name='input_71' type='radio' value='11 - 20 Products ($800 per product)|800'  id='choice_2_71_1'    \/><label for='choice_2_71_1' id='label_2_71_1'>11 - 20 Products ($800 per product)<\/label><\/li><li class='gchoice_2_71_2'><input name='input_71' type='radio' value='21+ Products ($750 per product)|750'  id='choice_2_71_2'    \/><label for='choice_2_71_2' id='label_2_71_2'>21+ Products ($750 per product)<\/label><\/li><\/ul><\/div><\/li><li id='field_2_72'  class='gfield gfield_price gfield_price_2_71 gfield_quantity gfield_quantity_2_71 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_72' >How many products will you be submitting for validation?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_72' id='input_2_72' type='text'    value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_2_73'  class='gfield gfield_price gfield_price_2_ gfield_total gfield_total_2_ field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label' for='input_2_73' >Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t<span class='ginput_total ginput_total_2' aria-live='polite'>$0.00<\/span>\n\t\t\t\t\t\t<input type='hidden' name='input_73' id='input_2_73' class='gform_hidden'\/>\n\t\t\t\t\t<\/div><\/li><li id='field_2_75'  class='gfield field_sublabel_below field_description_below gfield_visibility_visible' ><label class='gfield_label gfield_label_before_complex' for='input_2_75_1' >Credit Card<\/label><div class='ginput_complex ginput_container ginput_container_creditcard' id='input_2_75'><span class='ginput_full' id='input_2_75_1_container' >\n                                    <div class='gform_card_icon_container gform_card_icon_style1'><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><\/div>\n                                    <input type='text'  id='input_2_75_1' value=''   onchange='gformMatchCard(\"input_2_75_1\");' onkeyup='gformMatchCard(\"input_2_75_1\");'   \/>\n                                    <label for='input_2_75_1' id='input_2_75_1_label' >Card Number<\/label>\n                                 <\/span><span class='ginput_full ginput_cardextras' id='input_2_75_2_container'>\n                                            <span class='ginput_cardinfo_left' id='input_2_75_2_cardinfo_left'>\n                                                <span class='ginput_card_expiration_container ginput_card_field'>\n                                                    <select  id='input_2_75_2_month'   class='ginput_card_expiration ginput_card_expiration_month'>\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                                                    <select  id='input_2_75_2_year'   class='ginput_card_expiration ginput_card_expiration_year'>\n                                                    <option value=''>Year<\/option><option value='2022' >2022<\/option><option value='2023' >2023<\/option><option value='2024' >2024<\/option><option value='2025' >2025<\/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>\n                                                    <\/select>\n                                                    <label for='input_2_75_2_month' >Expiration Date<\/label>\n                                                <\/span>\n                                            <\/span><span class='ginput_cardinfo_right' id='input_2_75_2_cardinfo_right'>\n                                                <input type='text'  id='input_2_75_3'   class='ginput_card_security_code' value=''   \/>\n                                                <span class='ginput_card_security_code_icon'>&nbsp;<\/span>\n                                            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