{"id":180,"date":"2019-05-09T22:16:47","date_gmt":"2019-05-09T22:16:47","guid":{"rendered":"http:\/\/sw-themes.com\/porto_dummy\/?page_id=180"},"modified":"2025-06-05T18:46:09","modified_gmt":"2025-06-05T18:46:09","slug":"join","status":"publish","type":"page","link":"https:\/\/betcul.com\/www\/join\/","title":{"rendered":"Become A Member"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row wrap_container=&#8221;yes&#8221; css=&#8221;.vc_custom_1630731794822{margin-top: -100px !important;padding-bottom: 37px !important;}&#8221; el_class=&#8221;custom-container-background testimonial-section&#8221;][vc_column css=&#8221;.vc_custom_1630699782377{padding-top: 84px !important;}&#8221;]<div class=\"porto-u-heading position-relative z-index-1 mb-0  wpb_custom_6d61493ecdfe13c6abb29eebcd5be4db porto-u-ad87e2eaf3f9c495180fe0156ddf3eb0 \"><div class=\"porto-u-main-heading\"><h2   style=\"margin-bottom: 20px;\">A Secure Future <strong>Starts Here<\/strong><\/h2><\/div><style>.porto-u-ad87e2eaf3f9c495180fe0156ddf3eb0.porto-u-heading{text-align:left}<\/style><\/div><div class=\"porto-u-heading position-relative z-index-1  wpb_custom_c10582971af2aecb67a674259b1dcb79 porto-u-ad87e2eaf3f9c495180fe0156ddf3eb0 \"><div class=\"porto-u-sub-heading\" style=\"margin-bottom:44px;\">\n<p class=\"p1\">Becoming a member of the BET Co-operative Credit Union means more than just opening an account\u2014it\u2019s joining a community that puts you first. Enjoy access to competitive savings and loan products, personalized financial support, and the peace of mind that comes from being part of a cooperative built on trust, value, and shared success.<\/p>\n<p class=\"p1\">Ready to take the next step toward a brighter financial future? Simply complete the form below to get started.<\/p>\n<p><\/div><style>.porto-u-ad87e2eaf3f9c495180fe0156ddf3eb0.porto-u-heading{text-align:left}<\/style><\/div>[\/vc_column][\/vc_row][vc_row wrap_container=&#8221;yes&#8221; conditional_render=&#8221;%5B%7B%22value_role%22%3A%22administrator%22%7D%5D&#8221; css_params=&#8221;&#8221;][vc_column][vc_column_text css=&#8221;&#8221; css_params=&#8221;&#8221;]<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_2_container\" data-token=\"a1cf0d9a81c77125ae619b2cd110d4c9\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_6aeze\" data-token=\"a1cf0d9a81c77125ae619b2cd110d4c9\">\n<div class=\"frm_form_fields  frm_page_num_1\">\n<fieldset>\n<legend class=\"frm_screen_reader\">Membership Application<\/legend>\r\n<h3 class=\"frm_form_title\">Membership Application<\/h3>\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"2\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_2\" id=\"frm_hide_fields_2\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"6aeze\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_2\" name=\"frm_submit_entry_2\" value=\"44fe37f551\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/www\/wp-json\/wp\/v2\/pages\/180\" \/><div id=\"frm_field_7_container\" class=\"frm_form_field frm_section_heading form-field  frm12 frm_first\">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Personal Information<\/h3>\r\n\r\n\r\n<div id=\"frm_field_9_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm12 frm_first\">\r\n\t<div  id=\"field_ufuki_label\" class=\"frm_primary_label\">Name\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<fieldset aria-labelledby=\"field_ufuki_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\tName\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_9\" data-name-layout=\"first_middle_last\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_9-first_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-first  frm4\"\n\t\t\t\tdata-sub-field-name=\"first\"\n\t\t\t>\n\t\t\t\t<label for=\"field_ufuki_first\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tFirst Name\t\t\t\t<\/label>\n\n\t\t\t\t<input  type=\"text\" id=\"field_ufuki_first\" value=\"\" name=\"item_meta[9][first]\" autocomplete=\"given-name\" data-sectionid=\"7\"  data-reqmsg=\"Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"  \/><div class=\"frm_description\" id=\"frm_field_9_first_desc\">First Name<\/div>\t\t\t<\/div>\n\t\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_9-middle_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-middle  frm4\"\n\t\t\t\tdata-sub-field-name=\"middle\"\n\t\t\t>\n\t\t\t\t<label for=\"field_ufuki_middle\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tMiddle Name(s)\t\t\t\t<\/label>\n\n\t\t\t\t<input  type=\"text\" id=\"field_ufuki_middle\" value=\"\" name=\"item_meta[9][middle]\" data-sectionid=\"7\"  data-reqmsg=\"Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"  \/><div class=\"frm_description\" id=\"frm_field_9_middle_desc\">Middle Name(s)<\/div>\t\t\t<\/div>\n\t\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_9-last_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-last  frm4\"\n\t\t\t\tdata-sub-field-name=\"last\"\n\t\t\t>\n\t\t\t\t<label for=\"field_ufuki_last\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tLast Name\t\t\t\t<\/label>\n\n\t\t\t\t<input  type=\"text\" id=\"field_ufuki_last\" value=\"\" name=\"item_meta[9][last]\" autocomplete=\"family-name\" data-sectionid=\"7\"  data-reqmsg=\"Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"  \/><div class=\"frm_description\" id=\"frm_field_9_last_desc\">Last Name<\/div>\t\t\t<\/div>\n\t\t\t\t<\/div>\n<\/fieldset>\n\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_10_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4 frm_first\">\r\n\t<label for=\"field_vlci\" id=\"field_vlci_label\" class=\"frm_primary_label\">Place of Birth\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_vlci\" name=\"item_meta[10]\" value=\"\"  data-sectionid=\"7\"  data-reqmsg=\"Place of Birth cannot be blank.\" aria-required=\"true\" data-invmsg=\"Place of Birth is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_14_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\r\n\t<label for=\"field_rlotf\" id=\"field_rlotf_label\" class=\"frm_primary_label\">Date of Birth\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"text\" id=\"field_rlotf\" name=\"item_meta[14]\" value=\"\"  data-sectionid=\"7\"  maxlength=\"10\" data-reqmsg=\"Date of Birth cannot be blank.\" aria-required=\"true\" data-invmsg=\"Date of Birth is invalid\" class=\"frm_date\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_rlotf\"\/>\r\n\t<div class=\"frm_description\" id=\"frm_desc_field_rlotf\">DD\/MM\/YY format<\/div>\r\n\t\r\n<\/div>\n<div id=\"frm_field_11_container\" class=\"frm_form_field form-field  frm_top_container frm4\">\r\n\t<label for=\"field_zxc6q\" id=\"field_zxc6q_label\" class=\"frm_primary_label\">Nationality\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t\t\t<select name=\"item_meta[11]\" id=\"field_zxc6q\"  data-sectionid=\"7\"  data-placeholder=\"Please select\"  placeholder=\"Please select\" data-invmsg=\"Nationality is invalid\" class=\"auto_width\" aria-invalid=\"false\"  >\n\t\t<option  class=\"frm-select-placeholder\" value=\"\" data-placeholder=\"true\">Please select<\/option><option  value=\"Barbados\">Barbados<\/option><option  value=\"Afghanistan\">Afghanistan<\/option><option  value=\"Aland Islands\">Aland Islands<\/option><option  value=\"Albania\">Albania<\/option><option  value=\"Algeria\">Algeria<\/option><option  value=\"American Samoa\">American Samoa<\/option><option  value=\"Andorra\">Andorra<\/option><option  value=\"Angola\">Angola<\/option><option  value=\"Anguilla\">Anguilla<\/option><option  value=\"Antarctica\">Antarctica<\/option><option  value=\"Antigua and Barbuda\">Antigua and Barbuda<\/option><option  value=\"Argentina\">Argentina<\/option><option  value=\"Armenia\">Armenia<\/option><option  value=\"Aruba\">Aruba<\/option><option  value=\"Australia\">Australia<\/option><option  value=\"Austria\">Austria<\/option><option  value=\"Azerbaijan\">Azerbaijan<\/option><option  value=\"Bahamas\">Bahamas<\/option><option  value=\"Bahrain\">Bahrain<\/option><option  value=\"Bangladesh\">Bangladesh<\/option><option  value=\"Belarus\">Belarus<\/option><option  value=\"Belgium\">Belgium<\/option><option  value=\"Belize\">Belize<\/option><option  value=\"Benin\">Benin<\/option><option  value=\"Bermuda\">Bermuda<\/option><option  value=\"Bhutan\">Bhutan<\/option><option  value=\"Bolivia\">Bolivia<\/option><option  value=\"Bonaire, Sint Eustatius and Saba\">Bonaire, Sint Eustatius and Saba<\/option><option  value=\"Bosnia and Herzegovina\">Bosnia and Herzegovina<\/option><option  value=\"Botswana\">Botswana<\/option><option  value=\"Bouvet Island\">Bouvet Island<\/option><option  value=\"Brazil\">Brazil<\/option><option  value=\"British Indian Ocean Territory\">British Indian Ocean Territory<\/option><option  value=\"Brunei\">Brunei<\/option><option  value=\"Bulgaria\">Bulgaria<\/option><option  value=\"Burkina Faso\">Burkina Faso<\/option><option  value=\"Burundi\">Burundi<\/option><option  value=\"C\u00f4te d&#039;Ivoire\">C\u00f4te d&#039;Ivoire<\/option><option  value=\"Cambodia\">Cambodia<\/option><option  value=\"Cameroon\">Cameroon<\/option><option  value=\"Canada\">Canada<\/option><option  value=\"Cape Verde\">Cape Verde<\/option><option  value=\"Cayman Islands\">Cayman Islands<\/option><option  value=\"Central African Republic\">Central African Republic<\/option><option  value=\"Chad\">Chad<\/option><option  value=\"Chile\">Chile<\/option><option  value=\"China\">China<\/option><option  value=\"Christmas Island\">Christmas Island<\/option><option  value=\"Cocos (Keeling) Islands\">Cocos (Keeling) Islands<\/option><option  value=\"Colombia\">Colombia<\/option><option  value=\"Comoros\">Comoros<\/option><option  value=\"Congo\">Congo<\/option><option  value=\"Cook Islands\">Cook Islands<\/option><option  value=\"Costa Rica\">Costa Rica<\/option><option  value=\"Croatia\">Croatia<\/option><option  value=\"Cuba\">Cuba<\/option><option  value=\"Curacao\">Curacao<\/option><option  value=\"Cyprus\">Cyprus<\/option><option  value=\"Czech Republic\">Czech Republic<\/option><option  value=\"Denmark\">Denmark<\/option><option  value=\"Djibouti\">Djibouti<\/option><option  value=\"Dominica\">Dominica<\/option><option  value=\"Dominican Republic\">Dominican Republic<\/option><option  value=\"East Timor\">East Timor<\/option><option  value=\"Ecuador\">Ecuador<\/option><option  value=\"Egypt\">Egypt<\/option><option  value=\"El Salvador\">El Salvador<\/option><option  value=\"Equatorial Guinea\">Equatorial Guinea<\/option><option  value=\"Eritrea\">Eritrea<\/option><option  value=\"Estonia\">Estonia<\/option><option  value=\"Ethiopia\">Ethiopia<\/option><option  value=\"Falkland Islands (Malvinas)\">Falkland Islands (Malvinas)<\/option><option  value=\"Faroe Islands\">Faroe Islands<\/option><option  value=\"Fiji\">Fiji<\/option><option  value=\"Finland\">Finland<\/option><option  value=\"France\">France<\/option><option  value=\"French Guiana\">French Guiana<\/option><option  value=\"French Polynesia\">French Polynesia<\/option><option  value=\"French Southern Territories\">French Southern Territories<\/option><option  value=\"Gabon\">Gabon<\/option><option  value=\"Gambia\">Gambia<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Germany\">Germany<\/option><option  value=\"Ghana\">Ghana<\/option><option  value=\"Gibraltar\">Gibraltar<\/option><option  value=\"Greece\">Greece<\/option><option  value=\"Greenland\">Greenland<\/option><option  value=\"Grenada\">Grenada<\/option><option  value=\"Guadeloupe\">Guadeloupe<\/option><option  value=\"Guam\">Guam<\/option><option  value=\"Guatemala\">Guatemala<\/option><option  value=\"Guernsey\">Guernsey<\/option><option  value=\"Guinea\">Guinea<\/option><option  value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option  value=\"Guyana\">Guyana<\/option><option  value=\"Haiti\">Haiti<\/option><option  value=\"Heard Island and McDonald Islands\">Heard Island and McDonald Islands<\/option><option  value=\"Holy See\">Holy See<\/option><option  value=\"Honduras\">Honduras<\/option><option  value=\"Hong Kong\">Hong Kong<\/option><option  value=\"Hungary\">Hungary<\/option><option  value=\"Iceland\">Iceland<\/option><option  value=\"India\">India<\/option><option  value=\"Indonesia\">Indonesia<\/option><option  value=\"Iran\">Iran<\/option><option  value=\"Iraq\">Iraq<\/option><option  value=\"Ireland\">Ireland<\/option><option  value=\"Isle of Man\">Isle of Man<\/option><option  value=\"Israel\">Israel<\/option><option  value=\"Italy\">Italy<\/option><option  value=\"Jamaica\">Jamaica<\/option><option  value=\"Japan\">Japan<\/option><option  value=\"Jersey\">Jersey<\/option><option  value=\"Jordan\">Jordan<\/option><option  value=\"Kazakhstan\">Kazakhstan<\/option><option  value=\"Kenya\">Kenya<\/option><option  value=\"Kiribati\">Kiribati<\/option><option  value=\"Kosovo\">Kosovo<\/option><option  value=\"Kuwait\">Kuwait<\/option><option  value=\"Kyrgyzstan\">Kyrgyzstan<\/option><option  value=\"Laos\">Laos<\/option><option  value=\"Latvia\">Latvia<\/option><option  value=\"Lebanon\">Lebanon<\/option><option  value=\"Lesotho\">Lesotho<\/option><option  value=\"Liberia\">Liberia<\/option><option  value=\"Libya\">Libya<\/option><option  value=\"Liechtenstein\">Liechtenstein<\/option><option  value=\"Lithuania\">Lithuania<\/option><option  value=\"Luxembourg\">Luxembourg<\/option><option  value=\"Macao\">Macao<\/option><option  value=\"Macedonia\">Macedonia<\/option><option  value=\"Madagascar\">Madagascar<\/option><option  value=\"Malawi\">Malawi<\/option><option  value=\"Malaysia\">Malaysia<\/option><option  value=\"Maldives\">Maldives<\/option><option  value=\"Mali\">Mali<\/option><option  value=\"Malta\">Malta<\/option><option  value=\"Marshall Islands\">Marshall Islands<\/option><option  value=\"Martinique\">Martinique<\/option><option  value=\"Mauritania\">Mauritania<\/option><option  value=\"Mauritius\">Mauritius<\/option><option  value=\"Mayotte\">Mayotte<\/option><option  value=\"Mexico\">Mexico<\/option><option  value=\"Micronesia\">Micronesia<\/option><option  value=\"Moldova\">Moldova<\/option><option  value=\"Monaco\">Monaco<\/option><option  value=\"Mongolia\">Mongolia<\/option><option  value=\"Montenegro\">Montenegro<\/option><option  value=\"Montserrat\">Montserrat<\/option><option  value=\"Morocco\">Morocco<\/option><option  value=\"Mozambique\">Mozambique<\/option><option  value=\"Myanmar\">Myanmar<\/option><option  value=\"Namibia\">Namibia<\/option><option  value=\"Nauru\">Nauru<\/option><option  value=\"Nepal\">Nepal<\/option><option  value=\"Netherlands\">Netherlands<\/option><option  value=\"New Caledonia\">New Caledonia<\/option><option  value=\"New Zealand\">New Zealand<\/option><option  value=\"Nicaragua\">Nicaragua<\/option><option  value=\"Niger\">Niger<\/option><option  value=\"Nigeria\">Nigeria<\/option><option  value=\"Niue\">Niue<\/option><option  value=\"Norfolk Island\">Norfolk Island<\/option><option  value=\"North Korea\">North Korea<\/option><option  value=\"Northern Mariana Islands\">Northern Mariana Islands<\/option><option  value=\"Norway\">Norway<\/option><option  value=\"Oman\">Oman<\/option><option  value=\"Pakistan\">Pakistan<\/option><option  value=\"Palau\">Palau<\/option><option  value=\"Palestine\">Palestine<\/option><option  value=\"Panama\">Panama<\/option><option  value=\"Papua New Guinea\">Papua New Guinea<\/option><option  value=\"Paraguay\">Paraguay<\/option><option  value=\"Peru\">Peru<\/option><option  value=\"Philippines\">Philippines<\/option><option  value=\"Pitcairn\">Pitcairn<\/option><option  value=\"Poland\">Poland<\/option><option  value=\"Portugal\">Portugal<\/option><option  value=\"Puerto Rico\">Puerto Rico<\/option><option  value=\"Qatar\">Qatar<\/option><option  value=\"Reunion\">Reunion<\/option><option  value=\"Romania\">Romania<\/option><option  value=\"Russia\">Russia<\/option><option  value=\"Rwanda\">Rwanda<\/option><option  value=\"Saint Barthelemy\">Saint Barthelemy<\/option><option  value=\"Saint Helena, Ascension and Tristan da Cunha\">Saint Helena, Ascension and Tristan da Cunha<\/option><option  value=\"Saint Kitts and Nevis\">Saint Kitts and Nevis<\/option><option  value=\"Saint Lucia\">Saint Lucia<\/option><option  value=\"Saint Martin (French part)\">Saint Martin (French part)<\/option><option  value=\"Saint Pierre and Miquelon\">Saint Pierre and Miquelon<\/option><option  value=\"Saint Vincent and the Grenadines\">Saint Vincent and the Grenadines<\/option><option  value=\"Samoa\">Samoa<\/option><option  value=\"San Marino\">San Marino<\/option><option  value=\"Sao Tome and Principe\">Sao Tome and Principe<\/option><option  value=\"Saudi Arabia\">Saudi Arabia<\/option><option  value=\"Senegal\">Senegal<\/option><option  value=\"Serbia\">Serbia<\/option><option  value=\"Seychelles\">Seychelles<\/option><option  value=\"Sierra Leone\">Sierra Leone<\/option><option  value=\"Singapore\">Singapore<\/option><option  value=\"Sint Maarten (Dutch part)\">Sint Maarten (Dutch part)<\/option><option  value=\"Slovakia\">Slovakia<\/option><option  value=\"Slovenia\">Slovenia<\/option><option  value=\"Solomon Islands\">Solomon Islands<\/option><option  value=\"Somalia\">Somalia<\/option><option  value=\"South Africa\">South Africa<\/option><option  value=\"South Georgia and the South Sandwich Islands\">South Georgia and the South Sandwich Islands<\/option><option  value=\"South Korea\">South Korea<\/option><option  value=\"South Sudan\">South Sudan<\/option><option  value=\"Spain\">Spain<\/option><option  value=\"Sri Lanka\">Sri Lanka<\/option><option  value=\"Sudan\">Sudan<\/option><option  value=\"Suriname\">Suriname<\/option><option  value=\"Svalbard and Jan Mayen\">Svalbard and Jan Mayen<\/option><option  value=\"Swaziland\">Swaziland<\/option><option  value=\"Sweden\">Sweden<\/option><option  value=\"Switzerland\">Switzerland<\/option><option  value=\"Syria\">Syria<\/option><option  value=\"Taiwan\">Taiwan<\/option><option  value=\"Tajikistan\">Tajikistan<\/option><option  value=\"Tanzania\">Tanzania<\/option><option  value=\"Thailand\">Thailand<\/option><option  value=\"Timor-Leste\">Timor-Leste<\/option><option  value=\"Togo\">Togo<\/option><option  value=\"Tokelau\">Tokelau<\/option><option  value=\"Tonga\">Tonga<\/option><option  value=\"Trinidad and Tobago\">Trinidad and Tobago<\/option><option  value=\"Tunisia\">Tunisia<\/option><option  value=\"Turkey\">Turkey<\/option><option  value=\"Turkmenistan\">Turkmenistan<\/option><option  value=\"Turks and Caicos Islands\">Turks and Caicos Islands<\/option><option  value=\"Tuvalu\">Tuvalu<\/option><option  value=\"Uganda\">Uganda<\/option><option  value=\"Ukraine\">Ukraine<\/option><option  value=\"United Arab Emirates\">United Arab Emirates<\/option><option  value=\"United Kingdom\">United Kingdom<\/option><option  value=\"United States\">United States<\/option><option  value=\"United States Minor Outlying Islands\">United States Minor Outlying Islands<\/option><option  value=\"Uruguay\">Uruguay<\/option><option  value=\"Uzbekistan\">Uzbekistan<\/option><option  value=\"Vanuatu\">Vanuatu<\/option><option  value=\"Vatican City\">Vatican City<\/option><option  value=\"Venezuela\">Venezuela<\/option><option  value=\"Vietnam\">Vietnam<\/option><option  value=\"Virgin Islands, British\">Virgin Islands, British<\/option><option  value=\"Virgin Islands, U.S.\">Virgin Islands, U.S.<\/option><option  value=\"Wallis and Futuna\">Wallis and Futuna<\/option><option  value=\"Western Sahara\">Western Sahara<\/option><option  value=\"Yemen\">Yemen<\/option><option  value=\"Zambia\">Zambia<\/option><option  value=\"Zimbabwe\">Zimbabwe<\/option>\t<\/select>\n\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_12_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n\t<label for=\"field_zgsim\" id=\"field_zgsim_label\" class=\"frm_primary_label\">National Registration Number\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_zgsim\" name=\"item_meta[12]\" value=\"\"  data-sectionid=\"7\"  data-reqmsg=\"National Registration Number cannot be blank.\" aria-required=\"true\" data-invmsg=\"National Registration Number is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_13_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n\t<label for=\"field_z955c\" id=\"field_z955c_label\" class=\"frm_primary_label\">TAMIS Number\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_z955c\" name=\"item_meta[13]\" value=\"\"  data-sectionid=\"7\"  data-reqmsg=\"TAMIS Number cannot be blank.\" aria-required=\"true\" data-invmsg=\"TAMIS Number is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_15_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first\">\r\n\t<label for=\"field_65xkh\" id=\"field_65xkh_label\" class=\"frm_primary_label\">Address\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_65xkh\" name=\"item_meta[15]\" value=\"\"  data-sectionid=\"7\"  data-reqmsg=\"Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Address is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_16_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first vertical_radio\">\r\n\t<div  id=\"field_ve4qi_label\" class=\"frm_primary_label\">Have you been at this address more than two (2) years?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_ve4qi_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_16-7-0\">\t\t\t<label  for=\"field_ve4qi-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[16]\" id=\"field_ve4qi-0\" value=\"Yes\"\n\t\t data-sectionid=\"7\"  data-reqmsg=\"Have you been at this address more than two (2) years? cannot be blank.\" data-invmsg=\"Have you been at this address more than two (2) years? is invalid\"   \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_16-7-1\">\t\t\t<label  for=\"field_ve4qi-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[16]\" id=\"field_ve4qi-1\" value=\"No\"\n\t\t data-sectionid=\"7\"  data-reqmsg=\"Have you been at this address more than two (2) years? cannot be blank.\" data-invmsg=\"Have you been at this address more than two (2) years? is invalid\"   \/> No<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_17_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n\t<label for=\"field_rl9u8\" id=\"field_rl9u8_label\" class=\"frm_primary_label\">Previous Address\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_rl9u8\" name=\"item_meta[17]\" value=\"\"  data-sectionid=\"7\"  data-reqmsg=\"Previous Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Previous Address is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_rl9u8\" \/>\r\n\t<div class=\"frm_description\" id=\"frm_desc_field_rl9u8\">If less than two (2) years at your current address, enter your previous address here.<\/div>\r\n\t\r\n<\/div>\n<div id=\"frm_field_18_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first frm_three_col\">\r\n\t<div  id=\"field_90gux_label\" class=\"frm_primary_label\">Marital Status\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_90gux_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_18-7-0\">\t\t\t<label  for=\"field_90gux-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[18]\" id=\"field_90gux-0\" value=\"Single\"\n\t\t data-sectionid=\"7\"  data-reqmsg=\"Marital Status cannot be blank.\" data-invmsg=\"Marital Status is invalid\"   \/> Single<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_18-7-1\">\t\t\t<label  for=\"field_90gux-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[18]\" id=\"field_90gux-1\" value=\"Married\"\n\t\t data-sectionid=\"7\"  data-reqmsg=\"Marital Status cannot be blank.\" data-invmsg=\"Marital Status is invalid\"   \/> Married<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_18-7-2\">\t\t\t<label  for=\"field_90gux-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[18]\" id=\"field_90gux-2\" value=\"Common Law\"\n\t\t data-sectionid=\"7\"  data-reqmsg=\"Marital Status cannot be blank.\" data-invmsg=\"Marital Status is invalid\"   \/> Common Law<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_18-7-3\">\t\t\t<label  for=\"field_90gux-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[18]\" id=\"field_90gux-3\" value=\"Widowed\"\n\t\t data-sectionid=\"7\"  data-reqmsg=\"Marital Status cannot be blank.\" data-invmsg=\"Marital Status is invalid\"   \/> Widowed<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_18-7-4\">\t\t\t<label  for=\"field_90gux-4\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[18]\" id=\"field_90gux-4\" value=\"Divorced\"\n\t\t data-sectionid=\"7\"  data-reqmsg=\"Marital Status cannot be blank.\" data-invmsg=\"Marital Status is invalid\"   \/> Divorced<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_19_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_three_col\">\r\n\t<div  id=\"field_nt23w_label\" class=\"frm_primary_label\">Employment Status\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_nt23w_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_19-7-0\">\t\t\t<label  for=\"field_nt23w-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[19]\" id=\"field_nt23w-0\" value=\"Employed\"\n\t\t data-sectionid=\"7\"  data-reqmsg=\"Employment Status cannot be blank.\" data-invmsg=\"Employment Status is invalid\"   \/> Employed<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_19-7-1\">\t\t\t<label  for=\"field_nt23w-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[19]\" id=\"field_nt23w-1\" value=\"Self Employed\"\n\t\t data-sectionid=\"7\"  data-reqmsg=\"Employment Status cannot be blank.\" data-invmsg=\"Employment Status is invalid\"   \/> Self Employed<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_19-7-2\">\t\t\t<label  for=\"field_nt23w-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[19]\" id=\"field_nt23w-2\" value=\"Student\"\n\t\t data-sectionid=\"7\"  data-reqmsg=\"Employment Status cannot be blank.\" data-invmsg=\"Employment Status is invalid\"   \/> Student<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_19-7-3\">\t\t\t<label  for=\"field_nt23w-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[19]\" id=\"field_nt23w-3\" value=\"Retired\"\n\t\t data-sectionid=\"7\"  data-reqmsg=\"Employment Status cannot be blank.\" data-invmsg=\"Employment Status is invalid\"   \/> Retired<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_19-7-4\">\t\t\t<label  for=\"field_nt23w-4\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[19]\" id=\"field_nt23w-4\" value=\"Unemployed\"\n\t\t data-sectionid=\"7\"  data-reqmsg=\"Employment Status cannot be blank.\" data-invmsg=\"Employment Status is invalid\"   \/> Unemployed<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_21_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n\t<label for=\"field_oteto\" id=\"field_oteto_label\" class=\"frm_primary_label\">Occupation\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_oteto\" name=\"item_meta[21]\" value=\"\"  data-sectionid=\"7\"  data-reqmsg=\"Occupation cannot be blank.\" aria-required=\"true\" data-invmsg=\"Occupation is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_20_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6\">\r\n\t<label for=\"field_lftpi\" id=\"field_lftpi_label\" class=\"frm_primary_label\">Details of Employer\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<textarea name=\"item_meta[20]\" id=\"field_lftpi\" rows=\"5\"  data-sectionid=\"7\"  data-reqmsg=\"Details of Employer cannot be blank.\" aria-required=\"true\" data-invmsg=\"Details of Employer is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_lftpi\"><\/textarea>\r\n\t<div class=\"frm_description\" id=\"frm_desc_field_lftpi\">Enter the name and address of your employer <b>OR<\/b> if Self Employed, enter the name and nature of business.<\/div>\r\n\t\r\n<\/div>\n<div id=\"frm_field_96_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4 frm_first\">\r\n\t<label for=\"field_h59xf\" id=\"field_h59xf_label\" class=\"frm_primary_label\">Home Phone\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"tel\" id=\"field_h59xf\" name=\"item_meta[96]\" value=\"\"  data-sectionid=\"7\"  data-reqmsg=\"Home Phone cannot be blank.\" aria-required=\"true\" data-invmsg=\"Home Phone is invalid\" class=\"frm-intl-tel-input\" aria-invalid=\"false\" pattern=\"\\+?\\d{1,4}[\\s\\-]?(?:\\(\\d{1,3}\\)[\\s\\-]?)?\\d{1,4}[\\s\\-]?\\d{1,4}[\\s\\-]?\\d{1,4}$\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_97_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\r\n\t<label for=\"field_sqelj\" id=\"field_sqelj_label\" class=\"frm_primary_label\">Work Phone\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"tel\" id=\"field_sqelj\" name=\"item_meta[97]\" value=\"\"  data-sectionid=\"7\"  data-reqmsg=\"Work Phone cannot be blank.\" aria-required=\"true\" data-invmsg=\"Work Phone is invalid\" class=\"frm-intl-tel-input\" aria-invalid=\"false\" pattern=\"\\+?\\d{1,4}[\\s\\-]?(?:\\(\\d{1,3}\\)[\\s\\-]?)?\\d{1,4}[\\s\\-]?\\d{1,4}[\\s\\-]?\\d{1,4}$\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_98_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\r\n\t<label for=\"field_31oeu\" id=\"field_31oeu_label\" class=\"frm_primary_label\">Mobile\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"tel\" id=\"field_31oeu\" name=\"item_meta[98]\" value=\"\"  data-sectionid=\"7\"  data-reqmsg=\"Mobile cannot be blank.\" aria-required=\"true\" data-invmsg=\"Mobile is invalid\" class=\"frm-intl-tel-input\" aria-invalid=\"false\" pattern=\"\\+?\\d{1,4}[\\s\\-]?(?:\\(\\d{1,3}\\)[\\s\\-]?)?\\d{1,4}[\\s\\-]?\\d{1,4}[\\s\\-]?\\d{1,4}$\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_22_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_rz1z1\" id=\"field_rz1z1_label\" class=\"frm_primary_label\">Email\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"email\" id=\"field_rz1z1\" name=\"item_meta[22]\" value=\"\"  data-sectionid=\"7\"  autocomplete=\"email\"  data-reqmsg=\"Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Email is invalid\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_23_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n\t<label for=\"field_xwlaz\" id=\"field_xwlaz_label\" class=\"frm_primary_label\">Purpose of account\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_xwlaz\" name=\"item_meta[23]\" value=\"\"  data-sectionid=\"7\"  data-reqmsg=\"Purpose of account cannot be blank.\" aria-required=\"true\" data-invmsg=\"Purpose of account is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_24_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_three_col frm_other_container\">\r\n\t<div  id=\"field_h1qsf_label\" class=\"frm_primary_label\">How did you hear about BET Co-operative Credit Union Ltd?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_h1qsf_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_24-7-0\">\t\t\t<label  for=\"field_h1qsf-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[24]\" id=\"field_h1qsf-0\" value=\"Search Engine\"\n\t\t data-sectionid=\"7\"  data-reqmsg=\"How did you hear about BET Co-operative Credit Union Ltd? cannot be blank.\" data-invmsg=\"How did you hear about BET Co-operative Credit Union Ltd? is invalid\"   \/> Search Engine<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_24-7-1\">\t\t\t<label  for=\"field_h1qsf-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[24]\" id=\"field_h1qsf-1\" value=\"Social Media\"\n\t\t data-sectionid=\"7\"  data-reqmsg=\"How did you hear about BET Co-operative Credit Union Ltd? cannot be blank.\" data-invmsg=\"How did you hear about BET Co-operative Credit Union Ltd? is invalid\"   \/> Social Media<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_24-7-2\">\t\t\t<label  for=\"field_h1qsf-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[24]\" id=\"field_h1qsf-2\" value=\"Referral\"\n\t\t data-sectionid=\"7\"  data-reqmsg=\"How did you hear about BET Co-operative Credit Union Ltd? cannot be blank.\" data-invmsg=\"How did you hear about BET Co-operative Credit Union Ltd? is invalid\"   \/> Referral<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_24-7-3\">\t\t\t<label  for=\"field_h1qsf-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[24]\" id=\"field_h1qsf-3\" value=\"Newspaper \/ Radio\"\n\t\t data-sectionid=\"7\"  data-reqmsg=\"How did you hear about BET Co-operative Credit Union Ltd? cannot be blank.\" data-invmsg=\"How did you hear about BET Co-operative Credit Union Ltd? is invalid\"   \/> Newspaper \/ Radio<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_24-7-4\">\t\t\t<label  for=\"field_h1qsf-4\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[24]\" id=\"field_h1qsf-4\" value=\"TV\"\n\t\t data-sectionid=\"7\"  data-reqmsg=\"How did you hear about BET Co-operative Credit Union Ltd? cannot be blank.\" data-invmsg=\"How did you hear about BET Co-operative Credit Union Ltd? is invalid\"   \/> TV<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_24-7-other_5\">\t\t\t<label  for=\"field_h1qsf-other_5\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[24]\" id=\"field_h1qsf-other_5\" value=\"Other\"\n\t\t data-sectionid=\"7\"  data-reqmsg=\"How did you hear about BET Co-operative Credit Union Ltd? cannot be blank.\" data-invmsg=\"How did you hear about BET Co-operative Credit Union Ltd? is invalid\"   \/> Other<\/label><label for=\"field_h1qsf-other_5-otext\" class=\"frm_screen_reader frm_hidden\">Other<\/label><input type=\"text\" id=\"field_h1qsf-other_5-otext\" class=\"frm_other_input frm_pos_none\"  name=\"item_meta[other][24]\" value=\"\" \/><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<\/div>\n<div id=\"frm_field_25_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Anti-Money Laundering Disclosure<\/h3>\r\n\r\n\r\n<div id=\"frm_field_27_container\" class=\"frm_form_field  frm12 frm_html_container form-field\">\n<p>Anti-Money Laundering legislation requires that we, (BET Co-operative Credit Union Ltd) verify<br \/>the source of funds before accepting deposits in excess of US equivalent $5,000.00 regardless<br \/>of the currency. We, (BET Co-operative Credit Union Ltd) are also required to obtain from each<br \/>new applicant a disclosure of the amount and frequency of funds to be deposited.<\/p>\n<\/div>\n<div id=\"frm_field_28_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4 frm_first\">\r\n\t<label for=\"field_bsf4j\" id=\"field_bsf4j_label\" class=\"frm_primary_label\">Source of Funds\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_bsf4j\" name=\"item_meta[28]\" value=\"\"  data-sectionid=\"25\"  data-reqmsg=\"Source of Funds cannot be blank.\" aria-required=\"true\" data-invmsg=\"Source of Funds is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_bsf4j\" \/>\r\n\t<div class=\"frm_description\" id=\"frm_desc_field_bsf4j\">E.g. Salary, business, etc.<\/div>\r\n\t\r\n<\/div>\n<div id=\"frm_field_29_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4\">\r\n\t<label for=\"field_wkuh7\" id=\"field_wkuh7_label\" class=\"frm_primary_label\">Average Deposit\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<div class=\"frm_with_box\"><input  type=\"text\" id=\"field_wkuh7\" name=\"item_meta[29]\" value=\"\"  data-sectionid=\"25\"  data-reqmsg=\"Average Deposit cannot be blank.\" aria-required=\"true\" data-invmsg=\"Average Deposit is invalid\" class=\"frm-has-number-format\" aria-invalid=\"false\"   \/><\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_30_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm4 vertical_radio\">\r\n\t<div  id=\"field_ny18s_label\" class=\"frm_primary_label\">Frequency\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_ny18s_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_30-25-0\">\t\t\t<label  for=\"field_ny18s-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[30]\" id=\"field_ny18s-0\" value=\"Weekly\"\n\t\t data-sectionid=\"25\"  data-reqmsg=\"Frequency cannot be blank.\" data-invmsg=\"Frequency is invalid\"   \/> Weekly<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_30-25-1\">\t\t\t<label  for=\"field_ny18s-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[30]\" id=\"field_ny18s-1\" value=\"Monthly\"\n\t\t data-sectionid=\"25\"  data-reqmsg=\"Frequency cannot be blank.\" data-invmsg=\"Frequency is invalid\"   \/> Monthly<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_30-25-2\">\t\t\t<label  for=\"field_ny18s-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[30]\" id=\"field_ny18s-2\" value=\"Bi-Weekly\"\n\t\t data-sectionid=\"25\"  data-reqmsg=\"Frequency cannot be blank.\" data-invmsg=\"Frequency is invalid\"   \/> Bi-Weekly<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<\/div>\n<input type=\"hidden\" name=\"frm_page_order_2\" id=\"frm_page_order_2\" value=\"44\" \/>\t\t<input  type=\"hidden\" name=\"item_meta[32]\" id=\"field_xmiix\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[35]\" id=\"field_zdkhz-0\" value=\"\"  data-sectionid=\"32\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[36]\" id=\"field_15tyo\" value=\"\"  data-sectionid=\"32\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[33]\" id=\"field_5evgs\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[37]\" id=\"field_p26c\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[41]\" id=\"field_advwf-0\" value=\"\"  data-sectionid=\"37\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[49]\" id=\"field_q0lyj\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[44]\" 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value=\"\"  data-sectionid=\"69\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[85]\" id=\"field_7jv5j\" value=\"\"  data-sectionid=\"69\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[84]\" id=\"field_22309a-0\" value=\"\"  data-sectionid=\"69\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[70]\" id=\"field_yd0b7\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[63]\" id=\"field_61xqr\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[62]\" id=\"field_l8jcx-0\" value=\"\"  data-sectionid=\"63\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[67]\" id=\"field_a7x40\" value=\"\"  data-sectionid=\"63\"     \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[68]\" id=\"field_m9nrv\" value=\"16\/04\/2026\"  data-sectionid=\"63\"  data-frmval=\"16\/04\/2026\"   \/>\n\t\t\t\t<input  type=\"hidden\" name=\"item_meta[64]\" id=\"field_xmj9a\" value=\"\"     \/>\n\t\t\t\t<input  type=\"hidden\" 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