{"id":3889,"date":"2020-03-03T02:24:33","date_gmt":"2020-03-03T02:24:33","guid":{"rendered":"https:\/\/polyprintco.com\/?page_id=3889"},"modified":"2020-03-03T12:35:21","modified_gmt":"2020-03-03T12:35:21","slug":"sample-request","status":"publish","type":"page","link":"https:\/\/polyprintco.com\/sample-request\/","title":{"rendered":"Sample Request"},"content":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row_content&#8221; enable_first_overlay=&#8221;true&#8221; first_overlay_opacity=&#8221;90&#8243; first_background_color=&#8221;#eef8fa&#8221; enable_parallax=&#8221;true&#8221; parallax_background=&#8221;1197&#8243; parallax_style=&#8221;classic-fast&#8221;][vc_column][vc_custom_heading text=&#8221;Get your free stock samples and FEEL the difference for yourself. &#8221; font_container=&#8221;tag:h2|font_size:36|text_align:left|color:%23515151&#8243; google_fonts=&#8221;font_family:PT%20Sans%3Aregular%2Citalic%2C700%2C700italic|font_style:700%20bold%20regular%3A700%3Anormal&#8221;][vc_row_inner][vc_column_inner width=&#8221;1\/2&#8243;]<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_6' style='display:none'><div id='gf_6' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_6' id='gform_6'  action='\/wp-json\/wp\/v2\/pages\/3889#gf_6' data-formid='6' novalidate>\n        <div id='gf_progressbar_wrapper_6' class='gf_progressbar_wrapper'>\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>\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_6_1' class='gform_page ' data-js='page-field-id-1' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_6_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_6_10\" ><label class='gfield_label gform-field-label' >Artwork<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_6_10'>Do you have artwork to upload for your sample?<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_10'>\n\t\t\t<li class='gchoice gchoice_6_10_0'>\n\t\t\t\t<input name='input_10' type='radio' value='Yes'  id='choice_6_10_0'    \/>\n\t\t\t\t<label for='choice_6_10_0' id='label_6_10_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_10_1'>\n\t\t\t\t<input name='input_10' type='radio' value='No'  id='choice_6_10_1'    \/>\n\t\t\t\t<label for='choice_6_10_1' id='label_6_10_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_3\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_6_3\" ><label class='gfield_label gform-field-label' for='gform_browse_button_6_3'>Upload your menu file here<\/label><div class='gfield_description' id='gfield_description_6_3'>PDF files please<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_6_3' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_6_3&quot;,&quot;container&quot;:&quot;gform_multifile_upload_6_3&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_6_3&quot;,&quot;filelist&quot;:&quot;gform_preview_6_3&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/polyprintco.com\\\/?gf_page=506236f1d42ad3b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/polyprintco.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/polyprintco.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;pdf,jpg,ai,psd,png&quot;}],&quot;max_file_size&quot;:&quot;104857600b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:6,&quot;field_id&quot;:3},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_6_3&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_6_3' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_6_3' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_6_3 gfield_description_6_3\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_6_3'>Accepted file types: pdf, jpg, ai, psd, png, Max. file size: 100 MB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_6_3'><\/ul> <!-- Leave <ul> empty to support CSS :empty selector. --><\/div><div id='gform_preview_6_3' class='ginput_preview_list'><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_6_28' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_6\").val(\"2\");  jQuery(\"#gform_6\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_6\").val(\"2\");  jQuery(\"#gform_6\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_6_2' class='gform_page' data-js='page-field-id-28' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_6_2' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_6_31\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_6_31\" ><label class='gfield_label gform-field-label' >Stock Type<\/label><div class='gfield_description' id='gfield_description_6_31'>Choose which stock you would like to sample<\/div><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_6_31'>\n\t\t\t<li class='gchoice gchoice_6_31_0'>\n\t\t\t\t<input name='input_31' type='radio' value='Premium Polyester' checked='checked' id='choice_6_31_0'    \/>\n\t\t\t\t<label for='choice_6_31_0' id='label_6_31_0' class='gform-field-label gform-field-label--type-inline'>Premium Polyester<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_31_1'>\n\t\t\t\t<input name='input_31' type='radio' value='Economy Polyester'  id='choice_6_31_1'    \/>\n\t\t\t\t<label for='choice_6_31_1' id='label_6_31_1' class='gform-field-label gform-field-label--type-inline'>Economy Polyester<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_31_2'>\n\t\t\t\t<input name='input_31' type='radio' value='Premium Soft Polyester'  id='choice_6_31_2'    \/>\n\t\t\t\t<label for='choice_6_31_2' id='label_6_31_2' class='gform-field-label gform-field-label--type-inline'>Premium Soft Polyester<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_31_3'>\n\t\t\t\t<input name='input_31' type='radio' value='Economy Soft Polyester'  id='choice_6_31_3'    \/>\n\t\t\t\t<label for='choice_6_31_3' id='label_6_31_3' class='gform-field-label gform-field-label--type-inline'>Economy Soft Polyester<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_31_4'>\n\t\t\t\t<input name='input_31' type='radio' value='White Card Stock (Non-Polyester)'  id='choice_6_31_4'    \/>\n\t\t\t\t<label for='choice_6_31_4' id='label_6_31_4' class='gform-field-label gform-field-label--type-inline'>White Card Stock (Non-Polyester)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_31_5'>\n\t\t\t\t<input name='input_31' type='radio' value='Cream Card Stock (Non-Polyester)'  id='choice_6_31_5'    \/>\n\t\t\t\t<label for='choice_6_31_5' id='label_6_31_5' class='gform-field-label gform-field-label--type-inline'>Cream Card Stock (Non-Polyester)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_6_31_6'>\n\t\t\t\t<input name='input_31' type='radio' value='gf_other_choice'  id='choice_6_31_6'   onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_6_31_other' name='input_31_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_23\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_23\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Stock Thickness in millimeters<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_23'><li class='gchoice gchoice_6_23_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.1' type='checkbox'  value='7.7'  id='choice_6_23_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_23_1' id='label_6_23_1' class='gform-field-label gform-field-label--type-inline'>7.7<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_23_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.2' type='checkbox'  value='10.7'  id='choice_6_23_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_23_2' id='label_6_23_2' class='gform-field-label gform-field-label--type-inline'>10.7<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_23_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.3' type='checkbox'  value='13.7'  id='choice_6_23_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_23_3' id='label_6_23_3' class='gform-field-label gform-field-label--type-inline'>13.7<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_24\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_24\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Stock Thickness in millimeters<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_24'><li class='gchoice gchoice_6_24_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.1' type='checkbox'  value='8'  id='choice_6_24_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_24_1' id='label_6_24_1' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_24_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.2' type='checkbox'  value='10'  id='choice_6_24_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_24_2' id='label_6_24_2' class='gform-field-label gform-field-label--type-inline'>10<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_24_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_24.3' type='checkbox'  value='14'  id='choice_6_24_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_24_3' id='label_6_24_3' class='gform-field-label gform-field-label--type-inline'>14<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_25\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_25\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Stock Thickness in millimeters<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_6_25'><li class='gchoice gchoice_6_25_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.1' type='checkbox'  value='7.5'  id='choice_6_25_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_25_1' id='label_6_25_1' class='gform-field-label gform-field-label--type-inline'>7.5<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_25_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.2' type='checkbox'  value='10'  id='choice_6_25_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_25_2' id='label_6_25_2' class='gform-field-label gform-field-label--type-inline'>10<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_6_25_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_25.3' type='checkbox'  value='12'  id='choice_6_25_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_25_3' id='label_6_25_3' class='gform-field-label gform-field-label--type-inline'>12<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_6_7\" class=\"gfield gfield--type-email field_sublabel_below gfield--no-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_6_7\" ><label class='gfield_label gform-field-label' for='input_6_7'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_7' id='input_6_7' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_6_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_6_1\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_6_1'>\n                            \n                            <span id='input_6_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_6_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_6_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_6_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_6_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_6_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_6_30\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_6_30\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Mailing Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_6_30'>Where should we send your sample?<\/div>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_6_30' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_6_30_1_container' >\n                                        <input type='text' name='input_30.1' id='input_6_30_1' value=''    aria-required='true'    \/>\n                                        <label for='input_6_30_1' id='input_6_30_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_6_30_2_container' >\n                                        <input type='text' name='input_30.2' id='input_6_30_2' value=''     aria-required='false'   \/>\n                                        <label for='input_6_30_2' id='input_6_30_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_6_30_3_container' >\n                                    <input type='text' name='input_30.3' id='input_6_30_3' value=''    aria-required='true'    \/>\n                                    <label for='input_6_30_3' id='input_6_30_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_6_30_4_container' >\n                                        <select name='input_30.4' id='input_6_30_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North 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