{"id":1362,"date":"2019-11-25T23:12:40","date_gmt":"2019-11-25T23:12:40","guid":{"rendered":"https:\/\/graperesearch.org\/staging\/?page_id=1362"},"modified":"2019-12-02T16:20:49","modified_gmt":"2019-12-02T16:20:49","slug":"request-a-letter-of-support","status":"publish","type":"page","link":"https:\/\/graperesearch.org\/staging\/research\/request-a-letter-of-support\/","title":{"rendered":"Request a Letter of Support"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\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\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_5' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Request a Letter of Support<\/h3>\n                            <p class='gform_description'>Use this form to provide all information required to process your request for a letter of support for a grant application.\r\nPlease note: We require TWO WEEKS to process these inquiries. Requests received within two weeks of the grant deadline will not be considered.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/staging\/wp-json\/wp\/v2\/pages\/1362' data-formid='5' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_5' class='gform_fields top_label form_sublabel_above description_above validation_above'><li id=\"field_5_22\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_22'>Phone<\/label><div class='gfield_description' id='gfield_description_5_22'>This field is for validation purposes and should be left unchanged.<\/div><div class='ginput_container'><input name='input_22' id='input_5_22' type='text' value='' autocomplete='new-password'\/><\/div><\/li><li id=\"field_5_17\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_17'>Grant Program<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_17'>Please cite the funding agency and SPECIFIC PROGRAM you're applying to (e.g., USDA-NIFA SCRI Coordinated Agricultural Project).<\/div><div class='ginput_container ginput_container_text'><input name='input_17' id='input_5_17' type='text' value='' class='medium' maxlength='120' aria-describedby=\"gfield_description_5_17\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_19'>Grant Deadline<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_19'>What is the deadline for the grant program to which you're applying? Or, if you must first submit your application to an internal office, by what date do you need a letter of support? (Please enter the month, date and year.)<\/div><div class='ginput_container ginput_container_text'><input name='input_19' id='input_5_19' type='text' value='' class='medium' maxlength='50' aria-describedby=\"gfield_description_5_19\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_20\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Eligibility for This Request<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_20'>Is the deadline or required date above at least TWO WEEKS (10 business days) from today? If so, please proceed. If not, your application will not be accepted.<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_20'>\n\t\t\t<li class='gchoice gchoice_5_20_0'>\n\t\t\t\t<input name='input_20' type='radio' value='Yes'  id='choice_5_20_0'    \/>\n\t\t\t\t<label for='choice_5_20_0' id='label_5_20_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_20_1'>\n\t\t\t\t<input name='input_20' type='radio' value='No'  id='choice_5_20_1'    \/>\n\t\t\t\t<label for='choice_5_20_1' id='label_5_20_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Has this project been submitted for funding from this funding source before?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_10'>\n\t\t\t<li class='gchoice gchoice_5_10_0'>\n\t\t\t\t<input name='input_10' type='radio' value='Yes'  id='choice_5_10_0'    \/>\n\t\t\t\t<label for='choice_5_10_0' id='label_5_10_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_10_1'>\n\t\t\t\t<input name='input_10' type='radio' value='No'  id='choice_5_10_1'    \/>\n\t\t\t\t<label for='choice_5_10_1' id='label_5_10_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_14\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Advisory Panel Participation and Notification<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_14'>In order to receive a letter of support from NGRA, an NGRA representative must be named to the advisory panel for your project. Please check that you understand and agree to this requirement and will keep NGRA apprised of your grant funding status (even if the program doesn't require an advisory panel).<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_14'>\n\t\t\t<li class='gchoice gchoice_5_14_0'>\n\t\t\t\t<input name='input_14' type='radio' value='Yes'  id='choice_5_14_0'    \/>\n\t\t\t\t<label for='choice_5_14_0' id='label_5_14_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_14_1'>\n\t\t\t\t<input name='input_14' type='radio' value='No'  id='choice_5_14_1'    \/>\n\t\t\t\t<label for='choice_5_14_1' id='label_5_14_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Fit with NGRA Research Themes<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_13'>NGRA only endorses projects that fit our research themes. Please indicate the area(s) your project addresses. For more information on our research themes, see https:\/\/graperesearch.org\/staging\/research\/research-priorities\/. <\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_13'>\n\t\t\t<li class='gchoice gchoice_5_13_0'>\n\t\t\t\t<input name='input_13' type='radio' value='Genetics &amp; Grapevine Improvement'  id='choice_5_13_0'    \/>\n\t\t\t\t<label for='choice_5_13_0' id='label_5_13_0' class='gform-field-label gform-field-label--type-inline'>Genetics &amp; Grapevine Improvement<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_13_1'>\n\t\t\t\t<input name='input_13' type='radio' value='Integrated Production Systems'  id='choice_5_13_1'    \/>\n\t\t\t\t<label for='choice_5_13_1' id='label_5_13_1' class='gform-field-label gform-field-label--type-inline'>Integrated Production Systems<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_13_2'>\n\t\t\t\t<input name='input_13' type='radio' value='Natural Resources &amp; Environment'  id='choice_5_13_2'    \/>\n\t\t\t\t<label for='choice_5_13_2' id='label_5_13_2' class='gform-field-label gform-field-label--type-inline'>Natural Resources &amp; Environment<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_13_3'>\n\t\t\t\t<input name='input_13' type='radio' value='Extension &amp; Outreach'  id='choice_5_13_3'    \/>\n\t\t\t\t<label for='choice_5_13_3' id='label_5_13_3' class='gform-field-label gform-field-label--type-inline'>Extension &amp; Outreach<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_11\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_11'>Project Title<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_11'>Key in the title of your project as it appears on your grant application.<\/div><div class='ginput_container ginput_container_text'><input name='input_11' id='input_5_11' type='text' value='' class='medium' maxlength='120' aria-describedby=\"gfield_description_5_11\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_18\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_18'>Primary Investigator or Project Director<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_18'>Who will be submitting this proposal? Please include institution affiliation.<\/div><div class='ginput_container ginput_container_text'><input name='input_18' id='input_5_18' type='text' value='' class='medium' maxlength='120' aria-describedby=\"gfield_description_5_18\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_1\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_1'>Project Team<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_1'>List PI(s) and any\/all scientific collaborators here; please include the institution for each. If a commercial entity is involved, please include the company in this listing. (Full bios are not necessary.)<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_1' id='input_5_1' class='textarea medium'  aria-describedby=\"gfield_description_5_1\" maxlength='1200'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_4\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_4'>Scientific Objectives<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_4'>List the high-level objectives of your project. <\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_4' id='input_5_4' class='textarea medium'  aria-describedby=\"gfield_description_5_4\" maxlength='1200'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_21\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_21'>Planned Extension Activities<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_21'>NGRA requires that the projects we support have a robust extension component. Please outline the ways in which you intend to extend your findings to industry.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_21' id='input_5_21' class='textarea medium'  aria-describedby=\"gfield_description_5_21\" maxlength='1200'  aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_5'>Funding Amount<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_5'>Note the total amount of funding your team is seeking from this funding source.<\/div><div class='ginput_container ginput_container_text'><input name='input_5' id='input_5_5' type='text' value='' class='medium' maxlength='25' aria-describedby=\"gfield_description_5_5\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_8'>Project Duration<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_8'>Note the length of time your prospective funding will cover.<\/div><div class='ginput_container ginput_container_text'><input name='input_8' id='input_5_8' type='text' value='' class='medium'  aria-describedby=\"gfield_description_5_8\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_9\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_9'>Your Name and Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_9'>Let us know your name and your email address so we may follow up.<\/div><div class='ginput_container ginput_container_text'><input name='input_9' id='input_5_9' type='text' value='' class='medium' maxlength='100' aria-describedby=\"gfield_description_5_9\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_15\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_5_15'>Project Proposal<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_5_15'>Please upload a confidential copy of your project proposal. (A draft is fine.) Although not required, providing your proposal greatly improves our understanding of and ability to endorse your project. <\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_5_15' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_5_15&quot;,&quot;container&quot;:&quot;gform_multifile_upload_5_15&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_5_15&quot;,&quot;filelist&quot;:&quot;gform_preview_5_15&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/graperesearch.org\\\/staging\\\/?gf_page=9d6a3751f0e9f11&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/graperesearch.org\\\/staging\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/graperesearch.org\\\/staging\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;pdf,doc,docx&quot;}],&quot;max_file_size&quot;:&quot;104857600b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:5,&quot;field_id&quot;:15,&quot;_gform_file_upload_nonce_5_15&quot;:&quot;21f4abe7e6&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_5_15&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_5_15' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_5_15' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_5_15 gfield_description_5_15\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_15'>Accepted file types: pdf, doc, docx, Max. file size: 100 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_5_15'><\/ul> <div id='gform_preview_5_15' class='ginput_preview_list'><\/div><\/div><\/li><li id=\"field_5_16\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_above gfield--has-description field_description_above field_validation_above gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_16'>Other Input?<\/label><div class='gfield_description' id='gfield_description_5_16'>Feel free to provide any other notes you feel may be helpful to our Research Committee in evaluating your project.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_16' id='input_5_16' class='textarea medium'  aria-describedby=\"gfield_description_5_16\" maxlength='1200'   aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_5' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_5' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' 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