{"id":2729,"date":"2024-09-27T16:01:56","date_gmt":"2024-09-27T20:01:56","guid":{"rendered":"https:\/\/chapters.theprimetimersww.com\/charlestonsc\/?page_id=2729"},"modified":"2026-09-16T14:58:02","modified_gmt":"2026-09-16T18:58:02","slug":"palmetto-prime-membership-application-and-affirmation","status":"publish","type":"page","link":"https:\/\/chapters.theprimetimersww.com\/charlestonsc\/palmetto-prime-membership-application-and-affirmation\/","title":{"rendered":"Join"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2729\" class=\"elementor elementor-2729\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-06d25ae elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"06d25ae\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d7c6ed9\" data-id=\"d7c6ed9\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8235881 elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"8235881\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" loading=\"lazy\" width=\"300\" height=\"300\" src=\"https:\/\/chapters.theprimetimersww.com\/charlestonsc\/wp-content\/uploads\/2026\/09\/Palmetto-Prime-Updated-co-branded-logo-300x300.jpg\" class=\"attachment-medium size-medium wp-image-4936\" alt=\"\" srcset=\"https:\/\/chapters.theprimetimersww.com\/charlestonsc\/wp-content\/uploads\/2026\/09\/Palmetto-Prime-Updated-co-branded-logo-300x300.jpg 300w, https:\/\/chapters.theprimetimersww.com\/charlestonsc\/wp-content\/uploads\/2026\/09\/Palmetto-Prime-Updated-co-branded-logo-1024x1024.jpg 1024w, https:\/\/chapters.theprimetimersww.com\/charlestonsc\/wp-content\/uploads\/2026\/09\/Palmetto-Prime-Updated-co-branded-logo-150x150.jpg 150w, https:\/\/chapters.theprimetimersww.com\/charlestonsc\/wp-content\/uploads\/2026\/09\/Palmetto-Prime-Updated-co-branded-logo-768x768.jpg 768w, https:\/\/chapters.theprimetimersww.com\/charlestonsc\/wp-content\/uploads\/2026\/09\/Palmetto-Prime-Updated-co-branded-logo.jpg 1254w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f97891d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f97891d\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4d51c67\" data-id=\"4d51c67\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e281644 elementor-widget elementor-widget-heading\" data-id=\"e281644\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">How To Join Palmetto Prime<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-08755e5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"08755e5\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b6e3237\" data-id=\"b6e3237\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-023e906 elementor-widget elementor-widget-shortcode\" data-id=\"023e906\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><style id=\"wpforms-css-vars-4283\">\n\t\t\t\t#wpforms-4283 {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-4283\"><form id=\"wpforms-form-4283\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"4283\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/charlestonsc\/wp-json\/wp\/v2\/pages\/2729\" data-token=\"d8459c52b05d0a53f1f0ae9cb36d635f\" data-token-time=\"1789989197\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-4283-field_63-container\" class=\"wpforms-field wpforms-field-content\" data-field-type=\"content\" data-field-id=\"63\"><div id=\"wpforms-4283-field_63\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-4283-field_63-error\"><h4><\/h4>\n<h2>Tell us about you<\/h2>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-4283-field_73-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"73\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4283-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-4283-field_11\">First Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4283-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" aria-errormessage=\"wpforms-4283-field_11-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4283-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-4283-field_12\">Last Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4283-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" aria-errormessage=\"wpforms-4283-field_12-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-4283-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-4283-field_6\">Street Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4283-field_6\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-4283-field_6-error\" required><\/div><div id=\"wpforms-4283-field_14-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"14\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4283-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-4283-field_9\">City <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4283-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-4283-field_9-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4283-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-4283-field_8\">State <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4283-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" aria-errormessage=\"wpforms-4283-field_8-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4283-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-4283-field_7\">Zip Code <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4283-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-4283-field_7-error\" required><\/div><\/div><\/div><\/div><\/div>\t\t<div id=\"wpforms-4283-field_1-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"1\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-4283-field_1\" >Email Zip Name<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-4283-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-4283-field_16-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"16\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-4283-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-4283-field_2\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-4283-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-4283-field_2-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-4283-field_15-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-4283-field_15\">Phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-4283-field_15\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][15]\" aria-label=\"Phone\" aria-errormessage=\"wpforms-4283-field_15-error\" required><\/div><div id=\"wpforms-4283-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-4283-field_4\">Birth Date (MM\/DD\/YR) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4283-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-4283-field_4-error\" required><\/div><div id=\"wpforms-4283-field_18-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-3-columns\" data-field-type=\"checkbox\" data-field-id=\"18\"><fieldset><legend class=\"wpforms-field-label\">VOLUNTEER OPPORTUNITIES. Click Preference<\/legend><ul id=\"wpforms-4283-field_18\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-4283-field_18_1\" name=\"wpforms[fields][18][]\" value=\"Leadership &amp; Governance\" aria-errormessage=\"wpforms-4283-field_18_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4283-field_18_1\">Leadership &amp; Governance<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-4283-field_18_3\" name=\"wpforms[fields][18][]\" value=\"Events &amp; Hospitality\" aria-errormessage=\"wpforms-4283-field_18_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4283-field_18_3\">Events &amp; Hospitality<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-4283-field_18_4\" name=\"wpforms[fields][18][]\" value=\"Member Experience &amp; Community\" aria-errormessage=\"wpforms-4283-field_18_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4283-field_18_4\">Member Experience &amp; Community<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-4283-field_18_8\" name=\"wpforms[fields][18][]\" value=\"Marketing &amp; Communications\" aria-errormessage=\"wpforms-4283-field_18_8-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4283-field_18_8\">Marketing &amp; Communications<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-4283-field_18_6\" name=\"wpforms[fields][18][]\" value=\"Community Service\" aria-errormessage=\"wpforms-4283-field_18_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4283-field_18_6\">Community Service<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-4283-field_79-container\" class=\"wpforms-field wpforms-field-content\" data-field-type=\"content\" data-field-id=\"79\"><div id=\"wpforms-4283-field_79\" class=\"wpforms-field-large wpforms-field-row\" aria-errormessage=\"wpforms-4283-field_79-error\"><h3><span style=\"color:#000000\"><strong>How to pay dues:<\/strong><\/span><\/h3>\n<h4>Annual dues are $60. Dues fund events, operations, and community outreach. For the remainder of 2026, the dues are reduced to $30. Once you submit your application, you will receive an invoice with multiple payment options.<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-4283-field_66-container\" class=\"wpforms-field wpforms-field-content\" data-field-type=\"content\" data-field-id=\"66\"><div id=\"wpforms-4283-field_66\" class=\"wpforms-field-large wpforms-field-row\" aria-errormessage=\"wpforms-4283-field_66-error\"><h4><strong>PRIVACY, CONFIDENTIALITY &amp; PHOTOGRAPHY<\/strong><\/h4>\n<p>Palmetto Prime respects your privacy. We do not sell, rent, or share member information with third parties for marketing or commercial purposes.<\/p>\n<p>As a social organization, members are responsible for maintaining their own personal privacy and exercising discretion regarding the information they choose to share with others.<\/p>\n<p>Photographs and videos are routinely taken at Palmetto Prime events and may be used in club communications, social media, promotional materials, and on the Palmetto Prime website without additional notice or individual approval.<\/p>\n<p>Members are responsible for monitoring their participation in photographs and making their preferences known if they wish to avoid being photographed.<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-4283-field_68-container\" class=\"wpforms-field wpforms-field-content\" data-field-type=\"content\" data-field-id=\"68\"><div id=\"wpforms-4283-field_68\" class=\"wpforms-field-large wpforms-field-row\" aria-errormessage=\"wpforms-4283-field_68-error\"><h4><strong>MEMBERSHIP AGREEMENT<\/strong><\/h4>\n<p>By submitting this application, I affirm that:<\/p>\n<ul>\n<li>I am at least 21 years of age.<\/li>\n<li>I understand that Palmetto Prime is a social organization for gay, bisexual, and queer men.<\/li>\n<li>I support the mission and values of Palmetto Prime.<\/li>\n<li>I agree to abide by the organization's policies, bylaws, and code of conduct.<\/li>\n<li>I understand that discrimination, harassment, or conduct inconsistent with our values may result in suspension or revocation of membership.<\/li>\n<\/ul>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-4283-field_30-container\" class=\"wpforms-field wpforms-field-content\" data-field-type=\"content\" data-field-id=\"30\"><div id=\"wpforms-4283-field_30\" class=\"wpforms-field-large wpforms-field-row\" aria-errormessage=\"wpforms-4283-field_30-error\"><h3><strong>Contact Information: <\/strong><\/h3>\n<h5><strong>Email:\u00a0 \u00a0 \u00a0 \u00a0 <\/strong><span style=\"text-decoration:underline\"><span style=\"color:#0000ff;text-decoration:underline\"><a style=\"color:#0000ff;text-decoration:underline\" href=\"mailto:primetimerscharleston@yahoo.com\"><strong><em>primetimerscharleston@yahoo.com<\/em><\/strong><\/a><strong>\u00a0<\/strong><\/span><\/span><\/h5>\n<h5><strong>USPS:\u00a0 \u00a0 \u00a0 \u00a0 Palmetto Prime, PO Box 80842, Charleston, SC 29416\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/strong><\/h5>\n<h5><strong>\u00a0<\/strong><strong>Website:\u00a0 \u00a0<\/strong><span style=\"text-decoration:underline\"><span style=\"color:#0000ff\"><a style=\"color:#0000ff\" href=\"https:\/\/chapters.theprimetimersww.com\/charlestonsc\/\"><strong><em>https:\/\/palmettoprime.org<\/em><\/strong><\/a><\/span><\/span><\/h5>\n<h5>\u00a0<\/h5>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-4283-field_26-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"26\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-4283-field_72-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"72\"><fieldset><legend class=\"wpforms-field-label\">Please check if you agree <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4283-field_72\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-4283-field_72_1\" name=\"wpforms[fields][72][]\" value=\"I have read and consent to the Membership Agreement\" aria-errormessage=\"wpforms-4283-field_72_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4283-field_72_1\">I have read and consent to the Membership Agreement<\/label><\/li><\/ul><\/fieldset><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-4283-field_69-container\" class=\"wpforms-field wpforms-field-content\" data-field-type=\"content\" data-field-id=\"69\"><div id=\"wpforms-4283-field_69\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-4283-field_69-error\"><h4>Palmetto Prime is a local club affiliated with Prime Timers Worldwide\u00ae.<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-4283-field_23-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-4283-field_23\">Signature and date <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4283-field_23\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][23]\" aria-errormessage=\"wpforms-4283-field_23-error\" required><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-4283-field_31-container\" class=\"wpforms-field wpforms-field-content\" data-field-type=\"content\" data-field-id=\"31\"><div id=\"wpforms-4283-field_31\" class=\"wpforms-field-large wpforms-field-row\" aria-errormessage=\"wpforms-4283-field_31-error\"><h3><span style=\"color:#000000\"><strong>Please Note:<\/strong><\/span><\/h3>\n<h4><strong><span style=\"color:#000000\">After successfully submitting your information, you'll receive a confirmation email with payment options.<\/span><\/strong><\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( 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