{"id":70,"date":"2024-05-15T21:49:10","date_gmt":"2024-05-15T21:49:10","guid":{"rendered":"https:\/\/rocketrobs.co.za\/CLRC\/?page_id=70"},"modified":"2024-05-27T14:07:10","modified_gmt":"2024-05-27T14:07:10","slug":"membership","status":"publish","type":"page","link":"https:\/\/rocketrobs.co.za\/CLRC\/membership\/","title":{"rendered":"Membership"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; module_id=&#8221;history&#8221; _builder_version=&#8221;4.25.1&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#016600&#8243; custom_padding=&#8221;31px||21px|||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.25.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.25.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.25.1&#8243; _module_preset=&#8221;default&#8221; header_font=&#8221;|||on|||||&#8221; header_text_align=&#8221;center&#8221; header_text_color=&#8221;#FFFFFF&#8221; header_font_size=&#8221;50px&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1 class=\"text-align-justify\"><span>JOIN the Cape Land Rover Club<\/span><\/h1>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.25.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.25.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.25.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.25.1&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|300|||||||&#8221; text_font_size=&#8221;16px&#8221; link_text_color=&#8221;#016600&#8243; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p class=\"text-align-justify\"><span class=\"\"><span>To join the Cape Land Rover Club, please complete the form below. You will receive a confirmation email that contains the Club&#8217;s bank details. Please make payment as per our <a href=\"https:\/\/rocketrobs.co.za\/CLRC\/fee-structure\/\">fee structure and email your proof of payment to <\/a><a href=\"mailto:membership@clrc.co.za\" type=\"email\" target=\"_blank\" rel=\"noopener\">membership@clrc.co.za.<\/a><\/span><\/span><\/p>\n<p class=\"text-align-justify\"><span style=\"font-size: 16px;\">Our Membership Secretary will contact you to confirm your membership.<\/span><\/p>\n<p class=\"text-align-justify\"><span class=\"\" style=\"font-size: 16px;\">If you prefer a hard copy to complete, download the <\/span><a href=\"https:\/\/rocketrobs.co.za\/CLRC\/wp-content\/uploads\/2024\/05\/2024-CLRC-Membership-Form.xlsx\" runtime_url=\"https:\/\/irp.cdn-website.com\/80a5083f\/files\/uploaded\/2022%20CLRC%20Membership%20Form.xls\" type=\"file\" file=\"true\" target=\"_blank\" rel=\"noopener\" style=\"font-size: 16px;\">Membership Form<\/a> <span class=\"\" style=\"font-size: 16px;\">and email it to\u00a0<\/span><a href=\"mailto:membership@clrc.co.za\" type=\"email\" target=\"_blank\" rel=\"noopener\" style=\"font-size: 16px;\">membership@clrc.co.za<\/a><span single-space=\"true\" class=\"\" style=\"font-size: 16px;\">\u00a0<\/span><span style=\"font-size: 16px;\">along with your proof of payment.<\/span><\/p>\n<p>[\/et_pb_text][et_pb_code _builder_version=&#8221;4.25.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<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 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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 gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_1' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/CLRC\/wp-json\/wp\/v2\/pages\/70' data-formid='1' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_1' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_1_1\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Application Details<\/h3><\/div><fieldset id=\"field_1_3\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Is this a New Application or a Renewal?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_3'>\n\t\t\t<div class='gchoice gchoice_1_3_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='New Application'  id='choice_1_3_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_3_0' id='label_1_3_0' class='gform-field-label gform-field-label--type-inline'>New Application<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_3_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='Renewal'  id='choice_1_3_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_3_1' id='label_1_3_1' class='gform-field-label gform-field-label--type-inline'>Renewal<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_4\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_4'>Membership Number<\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_1_4' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_5\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Personal Details<\/h3><\/div><div id=\"field_1_8\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >Self (Primary Member)<\/div><div id=\"field_1_7\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_7'>First Names<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_1_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_6\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_6'>Surname<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_1_6' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_10\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_10'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_1_10' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_13\" class=\"gfield gfield--type-phone gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_13'>Cellphone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_13' id='input_1_13' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_12\" class=\"gfield gfield--type-phone gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_12'>Home  Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_12' id='input_1_12' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_9\" class=\"gfield gfield--type-phone gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_9'>Work Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_9' id='input_1_9' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_11\" class=\"gfield gfield--type-phone gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_11'>Fax Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_11' id='input_1_11' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_14\" class=\"gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_14'>Email Address<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_14' id='input_1_14' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_1_16\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_16'>Occupation<\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_1_16' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_58\" class=\"gfield gfield--type-address gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Home Address<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_zip ginput_container_address gform-grid-row' id='input_1_58' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_1_58_1_container' >\n                                        <input type='text' name='input_58.1' id='input_1_58_1' value=''    aria-required='false'    \/>\n                                        <label for='input_1_58_1' id='input_1_58_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_1_58_2_container' >\n                                        <input type='text' name='input_58.2' id='input_1_58_2' value=''     aria-required='false'   \/>\n                                        <label for='input_1_58_2' id='input_1_58_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_1_58_3_container' >\n                                    <input type='text' name='input_58.3' id='input_1_58_3' value=''    aria-required='false'    \/>\n                                    <label for='input_1_58_3' id='input_1_58_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_58.4' id='input_1_58_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_1_58_5_container' >\n                                    <input type='text' name='input_58.5' id='input_1_58_5' value=''    aria-required='false'    \/>\n                                    <label for='input_1_58_5' id='input_1_58_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_58.6' id='input_1_58_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_1_59\" class=\"gfield gfield--type-address gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Postal Address<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_zip ginput_container_address gform-grid-row' id='input_1_59' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_1_59_1_container' >\n                                        <input type='text' name='input_59.1' id='input_1_59_1' value=''    aria-required='false'    \/>\n                                        <label for='input_1_59_1' id='input_1_59_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_1_59_2_container' >\n                                        <input type='text' name='input_59.2' id='input_1_59_2' value=''     aria-required='false'   \/>\n                                        <label for='input_1_59_2' id='input_1_59_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_1_59_3_container' >\n                                    <input type='text' name='input_59.3' id='input_1_59_3' value=''    aria-required='false'    \/>\n                                    <label for='input_1_59_3' id='input_1_59_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_59.4' id='input_1_59_4' value=''\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_1_59_5_container' >\n                                    <input type='text' name='input_59.5' id='input_1_59_5' value=''    aria-required='false'    \/>\n                                    <label for='input_1_59_5' id='input_1_59_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_59.6' id='input_1_59_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_1_17\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_2col field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Comp Class<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_17'>\n\t\t\t<div class='gchoice gchoice_1_17_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Long Wheel Base Leaf'  id='choice_1_17_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_17_0' id='label_1_17_0' class='gform-field-label gform-field-label--type-inline'>Long Wheel Base Leaf<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_17_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Short Wheel Base Leaf'  id='choice_1_17_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_17_1' id='label_1_17_1' class='gform-field-label gform-field-label--type-inline'>Short Wheel Base Leaf<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_17_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Range Rover \/ Discovery'  id='choice_1_17_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_17_2' id='label_1_17_2' class='gform-field-label gform-field-label--type-inline'>Range Rover \/ Discovery<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_17_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Short Wheel Base Coil 90'  id='choice_1_17_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_17_3' id='label_1_17_3' class='gform-field-label gform-field-label--type-inline'>Short Wheel Base Coil 90<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_17_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Short Wheel Base Coil 110 \/ 130'  id='choice_1_17_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_17_4' id='label_1_17_4' class='gform-field-label gform-field-label--type-inline'>Short Wheel Base Coil 110 \/ 130<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_17_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Open Class (Modified)'  id='choice_1_17_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_17_5' id='label_1_17_5' class='gform-field-label gform-field-label--type-inline'>Open Class (Modified)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_17_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Freelander'  id='choice_1_17_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_17_6' id='label_1_17_6' class='gform-field-label gform-field-label--type-inline'>Freelander<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_17_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_17' type='radio' value='Discovery'  id='choice_1_17_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_17_7' id='label_1_17_7' class='gform-field-label gform-field-label--type-inline'>Discovery<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_19\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Add a Spouse \/ Partner?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_19'>\n\t\t\t<div class='gchoice gchoice_1_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Yes'  id='choice_1_19_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_19_0' id='label_1_19_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='No'  id='choice_1_19_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_19_1' id='label_1_19_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_20\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Spouse \/ Partner Details<\/h3><\/div><div id=\"field_1_21\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_21'>First Names<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_1_21' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_22\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_22'>Surname<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_1_22' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_36\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_36'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_1_36' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_24\" class=\"gfield gfield--type-phone gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_24'>Cellphone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_24' id='input_1_24' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_25\" class=\"gfield gfield--type-phone gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_25'>Home  Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_25' id='input_1_25' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_26\" class=\"gfield gfield--type-phone gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_26'>Work Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_26' id='input_1_26' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_27\" class=\"gfield gfield--type-phone gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_27'>Fax Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_27' id='input_1_27' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_28\" class=\"gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_28'>Email Address<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_28' id='input_1_28' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_1_29\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_29'>Occupation<\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_1_29' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_30\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_2col field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Comp Class<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_30'>\n\t\t\t<div class='gchoice gchoice_1_30_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Long Wheel Base Leaf'  id='choice_1_30_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_30_0' id='label_1_30_0' class='gform-field-label gform-field-label--type-inline'>Long Wheel Base Leaf<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_30_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Short Wheel Base Leaf'  id='choice_1_30_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_30_1' id='label_1_30_1' class='gform-field-label gform-field-label--type-inline'>Short Wheel Base Leaf<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_30_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Range Rover \/ Discovery'  id='choice_1_30_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_30_2' id='label_1_30_2' class='gform-field-label gform-field-label--type-inline'>Range Rover \/ Discovery<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_30_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Short Wheel Base Coil 90'  id='choice_1_30_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_30_3' id='label_1_30_3' class='gform-field-label gform-field-label--type-inline'>Short Wheel Base Coil 90<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_30_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Short Wheel Base Coil 110 \/ 130'  id='choice_1_30_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_30_4' id='label_1_30_4' class='gform-field-label gform-field-label--type-inline'>Short Wheel Base Coil 110 \/ 130<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_30_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Open Class (Modified)'  id='choice_1_30_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_30_5' id='label_1_30_5' class='gform-field-label gform-field-label--type-inline'>Open Class (Modified)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_30_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Freelander'  id='choice_1_30_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_30_6' id='label_1_30_6' class='gform-field-label gform-field-label--type-inline'>Freelander<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_30_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Discovery'  id='choice_1_30_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_30_7' id='label_1_30_7' class='gform-field-label gform-field-label--type-inline'>Discovery<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_33\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_1_32\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Add a Child?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_32'>\n\t\t\t<div class='gchoice gchoice_1_32_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='Yes'  id='choice_1_32_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_32_0' id='label_1_32_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_32_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='No'  id='choice_1_32_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_32_1' id='label_1_32_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_57\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_1_34\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_34'>First Names<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_1_34' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_35\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_35'>Surname<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_1_35' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_23\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_23'>Date of Birth<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_1_23' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_37\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Boy or Girl?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_37'>\n\t\t\t<div class='gchoice gchoice_1_37_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='Boy'  id='choice_1_37_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_37_0' id='label_1_37_0' class='gform-field-label gform-field-label--type-inline'>Boy<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_37_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_37' type='radio' value='Girl'  id='choice_1_37_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_37_1' id='label_1_37_1' class='gform-field-label gform-field-label--type-inline'>Girl<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_38\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Add a second Child?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_38'>\n\t\t\t<div class='gchoice gchoice_1_38_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Yes'  id='choice_1_38_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_38_0' id='label_1_38_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_38_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='No'  id='choice_1_38_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_38_1' id='label_1_38_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_39\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_1_40\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_40'>First Names<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_1_40' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_41\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_41'>Surname<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_1_41' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_42\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_42'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_42' id='input_1_42' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_43\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Boy or Girl?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_43'>\n\t\t\t<div class='gchoice gchoice_1_43_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='Boy'  id='choice_1_43_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_43_0' id='label_1_43_0' class='gform-field-label gform-field-label--type-inline'>Boy<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_43_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_43' type='radio' value='Girl'  id='choice_1_43_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_43_1' id='label_1_43_1' class='gform-field-label gform-field-label--type-inline'>Girl<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_45\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Add a third Child?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_45'>\n\t\t\t<div class='gchoice gchoice_1_45_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='Yes'  id='choice_1_45_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_45_0' id='label_1_45_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_45_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_45' type='radio' value='No'  id='choice_1_45_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_45_1' id='label_1_45_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_44\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_1_46\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_46'>First Names<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_46' id='input_1_46' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_47\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_47'>Surname<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_47' id='input_1_47' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_48\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_48'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_48' id='input_1_48' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_49\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Boy or Girl?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_49'>\n\t\t\t<div class='gchoice gchoice_1_49_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Boy'  id='choice_1_49_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_49_0' id='label_1_49_0' class='gform-field-label gform-field-label--type-inline'>Boy<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_49_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_49' type='radio' value='Girl'  id='choice_1_49_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_49_1' id='label_1_49_1' class='gform-field-label gform-field-label--type-inline'>Girl<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_50\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Add a fourth Child?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_50'>\n\t\t\t<div class='gchoice gchoice_1_50_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='Yes'  id='choice_1_50_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_50_0' id='label_1_50_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_50_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_50' type='radio' value='No'  id='choice_1_50_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_50_1' id='label_1_50_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_51\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_1_52\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_52'>First Names<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_52' id='input_1_52' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_53\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_53'>Surname<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_53' id='input_1_53' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_54\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_54'>Date of Birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_54' id='input_1_54' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_55\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Boy or Girl?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_55'>\n\t\t\t<div class='gchoice gchoice_1_55_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='Boy'  id='choice_1_55_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_55_0' id='label_1_55_0' class='gform-field-label gform-field-label--type-inline'>Boy<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_55_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_55' type='radio' value='Girl'  id='choice_1_55_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_55_1' id='label_1_55_1' class='gform-field-label gform-field-label--type-inline'>Girl<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_56\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_1_60\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Vehicle Details<\/h3><\/div><div id=\"field_1_61\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_61'>Registration Number<\/label><div class='ginput_container ginput_container_text'><input name='input_61' id='input_1_61' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_62\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_62'>Year Model<\/label><div class='ginput_container ginput_container_text'><input name='input_62' id='input_1_62' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_63\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_63'>Colour<\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_1_63' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_64\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_64'>Vehicle Type<\/label><div class='ginput_container ginput_container_text'><input name='input_64' id='input_1_64' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_65\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_3col field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Features<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_1_65'><div class='gchoice gchoice_1_65_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.1' type='checkbox'  value='Roof Rack'  id='choice_1_65_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_65_1' id='label_1_65_1' class='gform-field-label gform-field-label--type-inline'>Roof Rack<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_65_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.2' type='checkbox'  value='Roof Tent'  id='choice_1_65_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_65_2' id='label_1_65_2' class='gform-field-label gform-field-label--type-inline'>Roof Tent<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_65_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.3' type='checkbox'  value='Snorkel'  id='choice_1_65_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_65_3' id='label_1_65_3' class='gform-field-label gform-field-label--type-inline'>Snorkel<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_65_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.4' type='checkbox'  value='Bull-Bar'  id='choice_1_65_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_65_4' id='label_1_65_4' class='gform-field-label gform-field-label--type-inline'>Bull-Bar<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_65_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.5' type='checkbox'  value='Winch'  id='choice_1_65_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_65_5' id='label_1_65_5' class='gform-field-label gform-field-label--type-inline'>Winch<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_65_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.6' type='checkbox'  value='Dual Battery'  id='choice_1_65_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_65_6' id='label_1_65_6' class='gform-field-label gform-field-label--type-inline'>Dual Battery<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_65_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.7' type='checkbox'  value='Radio 27 MHz (CB)'  id='choice_1_65_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_65_7' id='label_1_65_7' class='gform-field-label gform-field-label--type-inline'>Radio 27 MHz (CB)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_65_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.8' type='checkbox'  value='Radio 29 MHz'  id='choice_1_65_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_65_8' id='label_1_65_8' class='gform-field-label gform-field-label--type-inline'>Radio 29 MHz<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_65_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.9' type='checkbox'  value='Radio VHF'  id='choice_1_65_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_65_9' id='label_1_65_9' class='gform-field-label gform-field-label--type-inline'>Radio VHF<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_65_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.11' type='checkbox'  value='Tow-Bar'  id='choice_1_65_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_65_11' id='label_1_65_11' class='gform-field-label gform-field-label--type-inline'>Tow-Bar<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_65_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.12' type='checkbox'  value='Water Tanks'  id='choice_1_65_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_65_12' id='label_1_65_12' class='gform-field-label gform-field-label--type-inline'>Water Tanks<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_65_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.13' type='checkbox'  value='Long Range Fuel Tanks'  id='choice_1_65_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_65_13' id='label_1_65_13' class='gform-field-label gform-field-label--type-inline'>Long Range Fuel Tanks<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_65_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.14' type='checkbox'  value='Diff-Lock front'  id='choice_1_65_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_65_14' id='label_1_65_14' class='gform-field-label gform-field-label--type-inline'>Diff-Lock front<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_65_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_65.15' type='checkbox'  value='Tow-Bar Rear'  id='choice_1_65_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_65_15' id='label_1_65_15' class='gform-field-label gform-field-label--type-inline'>Tow-Bar Rear<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_66\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_66'>Other Features<\/label><div class='ginput_container ginput_container_text'><input name='input_66' id='input_1_66' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_67\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Add another Vehicle?<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_67'>\n\t\t\t<div class='gchoice gchoice_1_67_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='Yes'  id='choice_1_67_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_67_0' id='label_1_67_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_67_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_67' type='radio' value='No'  id='choice_1_67_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_67_1' id='label_1_67_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_68\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Vehicle Details<\/h3><\/div><div id=\"field_1_69\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_69'>Registration Number<\/label><div class='ginput_container ginput_container_text'><input name='input_69' id='input_1_69' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_70\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_70'>Year Model<\/label><div class='ginput_container ginput_container_text'><input name='input_70' id='input_1_70' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_71\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_71'>Colour<\/label><div class='ginput_container ginput_container_text'><input name='input_71' id='input_1_71' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_72\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_72'>Vehicle Type<\/label><div class='ginput_container ginput_container_text'><input name='input_72' id='input_1_72' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_1_73\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gf_list_3col field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Features<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_1_73'><div class='gchoice gchoice_1_73_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.1' type='checkbox'  value='Roof Rack'  id='choice_1_73_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_73_1' id='label_1_73_1' class='gform-field-label gform-field-label--type-inline'>Roof Rack<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_73_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.2' type='checkbox'  value='Roof Tent'  id='choice_1_73_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_73_2' id='label_1_73_2' class='gform-field-label gform-field-label--type-inline'>Roof Tent<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_73_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.3' type='checkbox'  value='Snorkel'  id='choice_1_73_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_73_3' id='label_1_73_3' class='gform-field-label gform-field-label--type-inline'>Snorkel<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_73_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.4' type='checkbox'  value='Bull-Bar'  id='choice_1_73_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_73_4' id='label_1_73_4' class='gform-field-label gform-field-label--type-inline'>Bull-Bar<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_73_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.5' type='checkbox'  value='Winch'  id='choice_1_73_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_73_5' id='label_1_73_5' class='gform-field-label gform-field-label--type-inline'>Winch<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_73_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.6' type='checkbox'  value='Dual Battery'  id='choice_1_73_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_73_6' id='label_1_73_6' class='gform-field-label gform-field-label--type-inline'>Dual Battery<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_73_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.7' type='checkbox'  value='Radio 27 MHz (CB)'  id='choice_1_73_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_73_7' id='label_1_73_7' class='gform-field-label gform-field-label--type-inline'>Radio 27 MHz (CB)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_73_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.8' type='checkbox'  value='Radio 29 MHz'  id='choice_1_73_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_73_8' id='label_1_73_8' class='gform-field-label gform-field-label--type-inline'>Radio 29 MHz<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_73_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.9' type='checkbox'  value='Radio VHF'  id='choice_1_73_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_73_9' id='label_1_73_9' class='gform-field-label gform-field-label--type-inline'>Radio VHF<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_73_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.11' type='checkbox'  value='Tow-Bar'  id='choice_1_73_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_73_11' id='label_1_73_11' class='gform-field-label gform-field-label--type-inline'>Tow-Bar<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_73_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.12' type='checkbox'  value='Water Tanks'  id='choice_1_73_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_73_12' id='label_1_73_12' class='gform-field-label gform-field-label--type-inline'>Water Tanks<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_73_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.13' type='checkbox'  value='Long Range Fuel Tanks'  id='choice_1_73_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_73_13' id='label_1_73_13' class='gform-field-label gform-field-label--type-inline'>Long Range Fuel Tanks<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_73_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.14' type='checkbox'  value='Diff-Lock front'  id='choice_1_73_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_73_14' id='label_1_73_14' class='gform-field-label gform-field-label--type-inline'>Diff-Lock front<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_1_73_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.15' type='checkbox'  value='Tow-Bar Rear'  id='choice_1_73_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_73_15' id='label_1_73_15' class='gform-field-label gform-field-label--type-inline'>Tow-Bar Rear<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_74\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_1_74'>Other Features<\/label><div class='ginput_container ginput_container_text'><input name='input_74' id='input_1_74' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_1_77\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Fees Due<\/h3><div class='gsection_description' id='gfield_description_1_77'>You can view our Fee Structure <a href=\"https:\/\/rocketrobs.co.za\/CLRC\/fee-structure\/\" target=\"_blank\">here.<\/a><\/div><\/div><fieldset id=\"field_1_78\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_1_78 gfield_product_1_78 gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >New Member<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_1_78'>You will be charged a once-off joining fee of R250. Please select the applicable annual subscription to calculate your total. A membership application received up until the 31st of August will be subject to the full subscription. A subscription payable after the 31st of August will be at the discretion of the Committee. Please select the full annual subscription amount below and the club secretary will contact you with the pro-rata amount. <\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_78'>\n\t\t\t<div class='gchoice gchoice_1_78_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='Annual Subscription - Ordinary Member - R400|400'  id='choice_1_78_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_1_78\"   \/>\n\t\t\t\t\t<label for='choice_1_78_0' id='label_1_78_0' class='gform-field-label gform-field-label--type-inline'>Annual Subscription - Ordinary Member - R400<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_78_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='Annual Subscription - Country Member (outside the 021 dialing code) - R245|245'  id='choice_1_78_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_78_1' id='label_1_78_1' class='gform-field-label gform-field-label--type-inline'>Annual Subscription - Country Member (outside the 021 dialing code) - R245<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_78_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='Annual Subscription - International Member - R100|100'  id='choice_1_78_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_78_2' id='label_1_78_2' class='gform-field-label gform-field-label--type-inline'>Annual Subscription - International Member - R100<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_83\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full gf_invisible gfield_price gfield_price_1_83 gfield_product_1_83 gfield_calculation field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_1_83_1'>Once-Off Joining Fee<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_83.1' value='Once-Off Joining Fee' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_1_83' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_1_83'>R250.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_83.2' id='ginput_base_price_1_83' class='gform_hidden ginput_calculated_price' value='R250.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_83.3' value='1' class='ginput_quantity_1_83 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_1_84\" class=\"gfield gfield--type-total gfield--width-full gfield_price gfield_price_1_ gfield_total gfield_total_1_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_1_84'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_84' id='input_1_84' value='R0.00' class='gform-text-input-reset ginput_total ginput_total_1' \/>\n\t\t\t\t\t\t<\/div><\/div><div id=\"field_1_82\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Fees Due<\/h3><div class='gsection_description' id='gfield_description_1_82'>You can view our Fee Structure <a href=\"https:\/\/rocketrobs.co.za\/CLRC\/fee-structure\/\" target=\"_blank\">here.<\/a><\/div><\/div><fieldset id=\"field_1_80\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_1_80 gfield_product_1_80 field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Past Members<\/legend><div class='gfield_description' id='gfield_description_1_80'>When a member resigned or lapsed their membership for a period longer than 12 months<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_80'>\n\t\t\t<div class='gchoice gchoice_1_80_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='Rejoining Fee (in addition to annual membership) - R125|125'  id='choice_1_80_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_1_80\"   \/>\n\t\t\t\t\t<label for='choice_1_80_0' id='label_1_80_0' class='gform-field-label gform-field-label--type-inline'>Rejoining Fee (in addition to annual membership) - R125<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_1_81\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_1_81 gfield_product_1_81 gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Existing Member<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_1_81'>\n\t\t\t<div class='gchoice gchoice_1_81_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='Annual Subscription - Ordinary Member - R300|300'  id='choice_1_81_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_81_0' id='label_1_81_0' class='gform-field-label gform-field-label--type-inline'>Annual Subscription - Ordinary Member - R300<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_81_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='Annual Subscription - Country Member (outside the 021 dialing code) - R245|245'  id='choice_1_81_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_81_1' id='label_1_81_1' class='gform-field-label gform-field-label--type-inline'>Annual Subscription - Country Member (outside the 021 dialing code) - R245<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_81_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='Annual Subscription - International Member - R100|100'  id='choice_1_81_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_81_2' id='label_1_81_2' class='gform-field-label gform-field-label--type-inline'>Annual Subscription - International Member - R100<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_1_81_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_81' type='radio' value='Annual Subscription - Associate Member - R220|220'  id='choice_1_81_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_1_81_3' id='label_1_81_3' class='gform-field-label gform-field-label--type-inline'>Annual Subscription - Associate Member - R220<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_1_79\" class=\"gfield gfield--type-total gfield--width-full gfield_price gfield_price_1_ gfield_total gfield_total_1_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_1_79'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_79' id='input_1_79' value='R0.00' class='gform-text-input-reset ginput_total ginput_total_1' \/>\n\t\t\t\t\t\t<\/div><\/div><div id=\"field_1_76\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><fieldset id=\"field_1_75\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Indemnity<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_1_75'>I, the undersigned, hereby apply for Membership\/Renewal of Membership of the Cape Land Rover Club (the CLRC). I acknowledge that participation by myself in or attendance at Club outings, competitions or events of whatsoever nature or form and wheresoever and howsoever held will solely be at my own risk. I hereby indemnify and hold free of blame the CLRC, it's officials or members, for all or any injuries or damages that I or any of my family or passengers may sustain while participating in or attending such outings, competitions or events whether such damage or injury arises by reason of the negligence, gross or otherwise, of the CLRC or it's officials or members howsoever and wheresoever arising. \n\n<\/br><\/br>I accept liability for all or any actions of myself and\/or of the passengers of my vehicle for any injury or damage sustained by others arising out of the negligence of myself and\/or any of my passengers whether they be in, on or out of the vehicle at the time such injury or damage is sustained.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_1_75'><div class='gchoice gchoice_1_75_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_75.1' type='checkbox'  value='I Agree'  id='choice_1_75_1'   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