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		{"id":15595,"date":"2019-05-27T01:08:50","date_gmt":"2019-05-27T01:08:50","guid":{"rendered":"https:\/\/itcimmigration.com\/%d8%af%d8%b1%d8%ae%d9%88%d8%a7%d8%b3%d8%aa-gcms-%d9%86%d9%88%d8%aa-%d9%be%d9%84%d8%a7%d8%b3-%d9%88-%d9%be%d8%b1%d8%af%d8%a7%d8%ae%d8%aa-%d8%b1%db%8c%d8%a7%d9%84%db%8c\/"},"modified":"2019-05-27T01:53:35","modified_gmt":"2019-05-27T01:53:35","slug":"gcms-notes-plus-apply-pay-in-iran","status":"publish","type":"page","link":"https:\/\/itcimmigration.com\/en\/canada-visa\/gcms-notes\/select-gcms-services\/gcms-notes-plus-apply-pay-in-iran\/","title":{"rendered":"GCMS Notes Plus Apply Pay In IRAN"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-jvsvb0pt-cd241f84c81fc4826105c62fb2cb2722\">\n.avia-section.av-jvsvb0pt-cd241f84c81fc4826105c62fb2cb2722{\nbackground-color:#006799;\nbackground-image:unset;\n}\n<\/style>\n<div id='av_section_1'  class='avia-section av-jvsvb0pt-cd241f84c81fc4826105c62fb2cb2722 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data-form-theme='legacy' data-form-index='0' id='gform_wrapper_23' style='display:none'><div id='gf_23' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_23'  action='\/en\/wp-json\/wp\/v2\/pages\/15595#gf_23' data-formid='23' novalidate>\n        <div id='gf_progressbar_wrapper_23' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>2<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_50' style='width:50%;'><span>50%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_23_1' class='gform_page ' data-js='page-field-id-0' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_23' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_23_10\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_10\" ><h2 class=\"gsection_title\">Main Applicant Information<\/h2><\/li><li id=\"field_23_1\" class=\"gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_1\" ><label class='gfield_label gform-field-label' for='input_23_1'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_23_1' type='text' value='' class='medium'     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for='input_23_34'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_34' id='input_23_34' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_23_6\" class=\"gfield gfield--type-phone gf_middle_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_6\" ><label class='gfield_label gform-field-label' for='input_23_6'>Phone\/Cell<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_23_6' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_23_7\" class=\"gfield gfield--type-date gfield--input-type-datefield gf_left_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_7\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div id='input_23_7' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\">\n                                        <div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_23_7_2_container'>\n                                            <input type='number' maxlength='2' name='input_7[]' id='input_23_7_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_23_7_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_23_7_1_container'>\n                                        <input type='number' maxlength='2' name='input_7[]' id='input_23_7_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_23_7_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                   <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_23_7_3_container'>\n                                        <input type='number' maxlength='4' name='input_7[]' id='input_23_7_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_23_7_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                                <\/div><\/div><\/li><li id=\"field_23_11\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_11\" ><h2 class=\"gsection_title\">Application Information<\/h2><\/li><li id=\"field_23_12\" class=\"gfield gfield--type-text gf_right_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_12\" ><label class='gfield_label gform-field-label' for='input_23_12'>Client ID Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_23_12' type='text' value='' class='medium' maxlength='10'    aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_23_13\" class=\"gfield gfield--type-text gf_middle_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_13\" ><label class='gfield_label gform-field-label' for='input_23_13'>File Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_23_13' type='text' value='' class='medium' maxlength='10'    aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_23_14\" class=\"gfield gfield--type-select gf_left_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_14\" ><label class='gfield_label gform-field-label' for='input_23_14'>File Type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_14' id='input_23_14' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>select<\/option><option value='Permanent Residence' >Permanent Residence<\/option><option value='Visitor Visa' >Visitor Visa<\/option><option value='Study permit' >Study permit<\/option><option value='Work Permit' >Work Permit<\/option><option value='other' >other<\/option><\/select><\/div><\/li><li id=\"field_23_15\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_15\" ><h2 class=\"gsection_title\">Dependents<\/h2><div class='gsection_description' id='gfield_description_23_15'>Note: It is only for Permanent Resident visa application. Please do not complete dependent information for Temporary Visa application including Tourist Visa, Study Visa, Work Permit<\/div><\/li><li id=\"field_23_16\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_16\" ><label class='gfield_label gform-field-label' >Do you have dependents of the file?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_23_16'>\n\t\t\t<li class='gchoice gchoice_23_16_0'>\n\t\t\t\t<input name='input_16' type='radio' value='Yes'  id='choice_23_16_0'    \/>\n\t\t\t\t<label for='choice_23_16_0' id='label_23_16_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_23_16_1'>\n\t\t\t\t<input name='input_16' type='radio' value='No'  id='choice_23_16_1'    \/>\n\t\t\t\t<label for='choice_23_16_1' id='label_23_16_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_23_17\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_17\" ><h2 class=\"gsection_title\">Dependent 1<\/h2><\/li><li id=\"field_23_18\" class=\"gfield gfield--type-text gf_right_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_18\" ><label class='gfield_label gform-field-label' for='input_23_18'>First Name ( Dependent 1)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_23_18' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_23_23\" class=\"gfield gfield--type-text gf_middle_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_23\" ><label class='gfield_label gform-field-label' for='input_23_23'>Last Name (Dependent 1)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_23_23' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_23_24\" class=\"gfield gfield--type-date gfield--input-type-datefield gf_left_third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_24\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Date of Birth(Dependent 1)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div id='input_23_24' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\">\n                                        <div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_23_24_2_container'>\n                                            <input type='number' maxlength='2' name='input_24[]' id='input_23_24_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_23_24_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_23_24_1_container'>\n                                        <input type='number' maxlength='2' name='input_24[]' id='input_23_24_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_23_24_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                   <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_23_24_3_container'>\n                                        <input type='number' maxlength='4' name='input_24[]' id='input_23_24_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_23_24_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                                <\/div><\/div><\/li><li id=\"field_23_22\" class=\"gfield gfield--type-text gf_right_third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_22\" ><label class='gfield_label gform-field-label' for='input_23_22'>First Name ( Dependent 2)<\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_23_22' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_23_27\" class=\"gfield gfield--type-text gf_middle_third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_27\" ><label class='gfield_label gform-field-label' for='input_23_27'>Last Name (Dependent 2)<\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_23_27' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_23_28\" class=\"gfield gfield--type-date gfield--input-type-datefield gf_left_third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_28\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Date of Birth(Dependent 2)<\/label><div id='input_23_28' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\">\n                                        <div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_23_28_2_container'>\n                                            <input type='number' maxlength='2' name='input_28[]' id='input_23_28_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_23_28_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_23_28_1_container'>\n                                        <input type='number' maxlength='2' name='input_28[]' id='input_23_28_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_23_28_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                   <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_23_28_3_container'>\n                                        <input type='number' maxlength='4' name='input_28[]' id='input_23_28_3' value=''   aria-required='false'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_23_28_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                                <\/div><\/div><\/li><li id=\"field_23_26\" class=\"gfield gfield--type-text gf_right_third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_26\" ><label class='gfield_label gform-field-label' for='input_23_26'>First Name ( Dependent 3)<\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_23_26' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_23_19\" class=\"gfield gfield--type-text gf_middle_third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_19\" ><label class='gfield_label gform-field-label' for='input_23_19'>Last Name (Dependent 3)<\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_23_19' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_23_21\" class=\"gfield gfield--type-date gfield--input-type-datefield gf_left_third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_21\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Date of Birth(Dependent 3)<\/label><div id='input_23_21' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\">\n                                        <div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_23_21_2_container'>\n                                            <input type='number' maxlength='2' name='input_21[]' id='input_23_21_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_23_21_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_23_21_1_container'>\n                                        <input type='number' maxlength='2' name='input_21[]' id='input_23_21_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_23_21_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                   <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_23_21_3_container'>\n                                        <input type='number' maxlength='4' name='input_21[]' id='input_23_21_3' value=''   aria-required='false'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_23_21_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                                <\/div><\/div><\/li><li id=\"field_23_29\" class=\"gfield gfield--type-text gf_right_third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_29\" ><label class='gfield_label gform-field-label' for='input_23_29'>First Name ( Dependent 4)<\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_23_29' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_23_30\" class=\"gfield gfield--type-text gf_middle_third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_30\" ><label class='gfield_label gform-field-label' for='input_23_30'>Last Name (Dependent 4)<\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_23_30' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_23_33\" class=\"gfield gfield--type-date gfield--input-type-datefield gf_left_third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_33\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Date of Birth(Dependent 4)<\/label><div id='input_23_33' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\">\n                                        <div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_23_33_2_container'>\n                                            <input type='number' maxlength='2' name='input_33[]' id='input_23_33_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_23_33_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_23_33_1_container'>\n                                        <input type='number' maxlength='2' name='input_33[]' id='input_23_33_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_23_33_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                   <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_23_33_3_container'>\n                                        <input type='number' maxlength='4' name='input_33[]' id='input_23_33_3' value=''   aria-required='false'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_23_33_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                                <\/div><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_23_38' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_23_2' class='gform_page' data-js='page-field-id-38' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_23_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_23_39\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_39\" ><h2 class=\"gsection_title\">Information Payment & Submit Your Request<\/h2><\/li><li id=\"field_23_40\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_40\" ><br\/>\n<h4>\nTotal Order Amount:\n<\/h4>\n<h3>\nIRR 60000000\n<\/h3>\n<br\/>\n<h5>\nPlease pay the order amount to submit your information, we will contact you via your email.\n<\/h5>\n<\/li><li id=\"field_23_45\" class=\"gfield gfield--type-product gfield--input-type-hiddenproduct gform_hidden gfield_price gfield_price_23_45 gfield_product_23_45 gfield_hidden_product field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_45\" ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_23_45_1'>GCMS Notes Plus<\/label><div class='ginput_container ginput_container_product_price_hidden'><input type='hidden' name='input_45.3' value='1' id='ginput_quantity_23_45' class='gform_hidden' \/><input type='hidden' name='input_45.1' value='GCMS Notes Plus' class='gform_hidden' \/><input name='input_45.2' id='ginput_base_price_23_45' type='hidden' value='$ 60,000,000.00 CAD' class='gform_hidden ginput_amount' \/><\/div><\/li><li id=\"field_23_46\" class=\"gfield gfield--type-captcha field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_46\" ><label class='gfield_label gform-field-label screen-reader-text' for='input_23_46'><\/label><div id='input_23_46' class='ginput_container ginput_recaptcha' data-sitekey='6LfkhMAUAAAAADJAQxYr8u9JGqoMERVsOzP3sIYf'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/li><li id=\"field_23_47\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_23_47\" ><label class='gfield_label gform-field-label' for='input_23_47'>Phone<\/label><div class='ginput_container'><input name='input_47' id='input_23_47' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_23_47'>This field is for validation purposes and should be left unchanged.<\/div><\/li><\/ul><\/div>\n        <div class='gform-page-footer gform_page_footer top_label'><input type='submit' id='gform_previous_button_23' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Back'  \/> <input type='submit' id='gform_submit_button_23' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' value='Pay & Submit'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_23' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_23' id='gform_theme_23' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_23' id='gform_style_settings_23' value='' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_23' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='23' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n           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