{"id":1102,"date":"2023-03-23T15:42:03","date_gmt":"2023-03-23T15:42:03","guid":{"rendered":"https:\/\/mycompanyrenewal.com\/?page_id=1102"},"modified":"2023-03-23T15:42:39","modified_gmt":"2023-03-23T15:42:39","slug":"wyoming-reinstatement-order-form","status":"publish","type":"page","link":"https:\/\/mycompanyrenewal.com\/index.php\/wyoming-reinstatement-order-form\/","title":{"rendered":"Wyoming Reinstatement Order Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1102\" class=\"elementor elementor-1102\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-03a738a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"03a738a\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2805cca\" data-id=\"2805cca\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fd504cb elementor-widget elementor-widget-wpforms\" data-id=\"fd504cb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wpforms-container wpforms-container-full wpforms-authorize_net wpforms-container-save-resume\" id=\"wpforms-1087\"><form id=\"wpforms-form-1087\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"1087\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/1102\" data-token=\"21ded6287870eb8dba80141db7da68f9\" data-token-time=\"1777740409\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-page-indicator connector\" data-indicator=\"connector\" data-indicator-color=\"#72b239\" data-scroll=\"1\"><div class=\"wpforms-page-indicator-page active wpforms-page-indicator-page-1\" style=\"min-width:50%;\" data-page=\"1\"><span class=\"wpforms-page-indicator-page-number\" style=\"background-color:#72b239\" data-page=\"1\">1<span class=\"wpforms-page-indicator-page-triangle\" style=\"border-top-color:#72b239\"><\/span><\/span><\/div><div class=\"wpforms-page-indicator-page  wpforms-page-indicator-page-2\" style=\"min-width:50%;\" data-page=\"2\"><span class=\"wpforms-page-indicator-page-number\"  data-page=\"2\">2<span class=\"wpforms-page-indicator-page-triangle\" ><\/span><\/span><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \" data-page=\"1\"><div id=\"wpforms-1087-field_27-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"27\"><\/div><div id=\"wpforms-1087-field_51-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"51\"><div id=\"wpforms-1087-field_51\" class=\"wpforms-field-large wpforms-field-row\"><h2 style=\"text-align:center\">REGISTERED AGENT WITH PRIMERA INC.<\/h2>\n<p style=\"text-align:center\">109 East 17th Street, #25, Cheyenne, Wyoming 82001<\/p>\n<p style=\"text-align:center\">______________________________________________________________________________________<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-1087-field_52-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"52\"><div id=\"wpforms-1087-field_52\" class=\"wpforms-field-large wpforms-field-row\"><h3 style=\"text-align:left\"><strong>REINSTATEMENT ORDER FORM<\/strong><\/h3>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-1087-field_35-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-1087-field_35\">Name of LLC or Incorporation <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-1087-field_35\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][35]\" required><\/div><div id=\"wpforms-1087-field_46-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"46\"><label class=\"wpforms-field-label\" for=\"wpforms-1087-field_46\">For corporation: <\/label><input type=\"text\" id=\"wpforms-1087-field_46\" class=\"wpforms-field-medium\" name=\"wpforms[fields][46]\" placeholder=\"Name of Director\" ><\/div><div id=\"wpforms-1087-field_47-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"47\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-1087-field_47\">President<\/label><input type=\"text\" id=\"wpforms-1087-field_47\" class=\"wpforms-field-medium\" name=\"wpforms[fields][47]\" placeholder=\"Name of President\" ><\/div><div id=\"wpforms-1087-field_48-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"48\"><label class=\"wpforms-field-label\" for=\"wpforms-1087-field_48\">For LLC:  <\/label><input type=\"text\" id=\"wpforms-1087-field_48\" class=\"wpforms-field-medium\" name=\"wpforms[fields][48]\" placeholder=\"Name of Manager\" ><\/div><div id=\"wpforms-1087-field_4-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"4\"><label class=\"wpforms-field-label\">If you&#039;re using our mail forwarding service, the address of your company is 109 East 17th Street, Suite 25, Cheyenne WY 82001. If you&#039;re NOT using the mail forwarding service, please tell us the address of the company to post on public record. <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-1087-field_4\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][4][address1]\" required><label for=\"wpforms-1087-field_4\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-1087-field_4-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][4][address2]\" ><label for=\"wpforms-1087-field_4-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-1087-field_4-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][4][city]\" required><label for=\"wpforms-1087-field_4-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-1087-field_4-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][4][state]\" required><option class=\"placeholder\" value=\"\" selected disabled>--- Select state ---<\/option><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >District of Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawaii<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Louisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\" >Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >Michigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Mississippi<\/option><option value=\"MO\" >Missouri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >New Hampshire<\/option><option value=\"NJ\" >New Jersey<\/option><option value=\"NM\" >New Mexico<\/option><option value=\"NY\" >New York<\/option><option value=\"NC\" >North Carolina<\/option><option value=\"ND\" >North Dakota<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oregon<\/option><option value=\"PA\" >Pennsylvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >South Carolina<\/option><option value=\"SD\" >South Dakota<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >West Virginia<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-1087-field_4-state\" class=\"wpforms-field-sublabel after\">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-1087-field_4-postal\" class=\"wpforms-field-address-postal wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][4][postal]\" required><label for=\"wpforms-1087-field_4-postal\" class=\"wpforms-field-sublabel after\">Zip Code<\/label><\/div><\/div><\/div><div id=\"wpforms-1087-field_50-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"50\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-1087-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-1087-field_2\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1087-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-1087-field_3-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-1087-field_3\">Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-1087-field_3\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][3]\" aria-label=\"Phone\" required><\/div><\/div><\/div><\/div><div id=\"wpforms-1087-field_26-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"26\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"1\" data-formid=\"1087\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2 last \" data-page=\"2\" style=\"display:none;\"><div id=\"wpforms-1087-field_42-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"42\"><div id=\"wpforms-1087-field_42\" class=\"wpforms-field-medium wpforms-field-row\"><h4>Fees:<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-1087-field_59-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"59\"><div id=\"wpforms-1087-field_59\" class=\"wpforms-field-large wpforms-field-row\"><pre>To determine when your company was dissolved, please visit \u00a0<span style=\"color:#800000\"><a style=\"color:#800000\" href=\"https:\/\/wyobiz.wyo.gov\/Business\/FilingSearch.aspx\" target=\"_blank\" rel=\"noopener\">Wyoming SOS here<\/a>.<\/span><\/pre>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-1087-field_57-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"57\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-33-33-33\"><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-1087-field_63-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"63\"><div id=\"wpforms-1087-field_63\" class=\"wpforms-field-medium wpforms-field-row\"><p><strong>DISSOLVED IN 2025.<\/strong><\/p>\n<p>\u2713 $150 -Same year-reinstatement\u00a0<br \/>\n\u2713 $100 - 2025 Annual Report,\u00a0<br \/>\n\u2713 $75\u00a0 \u00a0- Registered Agent Service<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-1087-field_39-container\" class=\"wpforms-field wpforms-field-payment-checkbox\" data-field-id=\"39\"><label class=\"wpforms-field-label wpforms-label-hide\">DISSOLVED IN 2025.  \u2713 $150 -Same year-reinstatement\u00a0 \u2713 $100 - 2024 Annual Report,\u00a0 \u2713 $75\u00a0 \u00a0- Registered Agent Service<\/label><ul id=\"wpforms-1087-field_39\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-1087-field_39_1\" class=\"wpforms-payment-price\" data-amount=\"325.00\" name=\"wpforms[fields][39][]\" value=\"1\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1087-field_39_1\">$325 <\/label><\/li><\/ul><\/div><div id=\"wpforms-1087-field_58-container\" class=\"wpforms-field wpforms-field-payment-checkbox\" data-field-id=\"58\"><label class=\"wpforms-field-label\">Mail forwarding Service (optional)<\/label><ul id=\"wpforms-1087-field_58\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-1087-field_58_1\" class=\"wpforms-payment-price\" data-amount=\"200.00\" name=\"wpforms[fields][58][]\" value=\"1\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1087-field_58_1\">$200 per year per company<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-1087-field_64-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"64\"><div id=\"wpforms-1087-field_64\" class=\"wpforms-field-medium wpforms-field-row\"><p><strong>DISSOLVED IN 2024.<\/strong><\/p>\n<p>\u2713 $150 - Reinstatement\u00a0<br \/>\n\u2713 $100 - 2025 Annual Report<br \/>\n\u2713 $100 - 2024 Annual Report,\u00a0<br \/>\n\u2713 $75\u00a0 \u00a0- Registered Agent Service<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-1087-field_65-container\" class=\"wpforms-field wpforms-field-payment-checkbox\" data-field-id=\"65\"><label class=\"wpforms-field-label wpforms-label-hide\">DISSOLVED IN 2024.   \u2713 $150 - Reinstatement\u00a0 \u2713 $100 - 2024 Annual Report \u2713 $100 - 2023 Annual Report,\u00a0 \u2713 $75\u00a0 \u00a0- Registered Agent Service<\/label><ul id=\"wpforms-1087-field_65\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-1087-field_65_1\" class=\"wpforms-payment-price\" data-amount=\"425.00\" name=\"wpforms[fields][65][]\" value=\"1\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1087-field_65_1\">$425 <\/label><\/li><\/ul><\/div><div id=\"wpforms-1087-field_69-container\" class=\"wpforms-field wpforms-field-payment-checkbox\" data-field-id=\"69\"><label class=\"wpforms-field-label\">Mail forwarding Service (optional)<\/label><ul id=\"wpforms-1087-field_69\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-1087-field_69_1\" class=\"wpforms-payment-price\" data-amount=\"200.00\" name=\"wpforms[fields][69][]\" value=\"1\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1087-field_69_1\">$200 per year per company<\/label><\/li><\/ul><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\" ><div id=\"wpforms-1087-field_66-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"66\"><div id=\"wpforms-1087-field_66\" class=\"wpforms-field-medium wpforms-field-row\"><p><strong>DISSOLVED IN 2023.<\/strong><\/p>\n<p>\u2713 $150 - Reinstatement\u00a0<br \/>\n\u2713 $100 - 2025 Annual Report<br \/>\n\u2713 $100 - 2024 Annual Report<br \/>\n\u2713 $100 - 2023 Annual Report<br \/>\n\u2713 $75\u00a0 \u00a0- Registered Agent Service<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-1087-field_67-container\" class=\"wpforms-field wpforms-field-payment-checkbox\" data-field-id=\"67\"><label class=\"wpforms-field-label wpforms-label-hide\">DISSOLVED IN 2023.  \u2713 $150 - Reinstatement\u00a0 \u2713 $100 - 2024 Annual Report \u2713 $100 - 2023 Annual Report \u2713 $100 - 2022 Annual Report \u2713 $75\u00a0 \u00a0- Registered Agent Service<\/label><ul id=\"wpforms-1087-field_67\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-1087-field_67_1\" class=\"wpforms-payment-price\" data-amount=\"525.00\" name=\"wpforms[fields][67][]\" value=\"1\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1087-field_67_1\">$525 <\/label><\/li><\/ul><\/div><div id=\"wpforms-1087-field_68-container\" class=\"wpforms-field wpforms-field-payment-checkbox\" data-field-id=\"68\"><label class=\"wpforms-field-label\">Mail forwarding Service (optional) <\/label><ul id=\"wpforms-1087-field_68\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-1087-field_68_1\" class=\"wpforms-payment-price\" data-amount=\"200.00\" name=\"wpforms[fields][68][]\" value=\"1\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-1087-field_68_1\">$200 per year per company<\/label><\/li><\/ul><\/div><\/div><\/div><\/div><div id=\"wpforms-1087-field_6-container\" class=\"wpforms-field wpforms-field-payment-total wpforms-field-medium\" data-field-id=\"6\"><label class=\"wpforms-field-label\">Total Amount <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-payment-total\" style=\"\">&#036;0.00<\/div><input type=\"text\" id=\"wpforms-1087-field_6\" class=\"wpforms-field-medium wpforms-field-required wpforms-payment-total\" data-rule-required-payment=\"1\" name=\"wpforms[fields][6]\" value=\"0\" style=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\" readonly=\"readonly\"><\/div><div id=\"wpforms-1087-field_8-container\" class=\"wpforms-field wpforms-field-authorize_net\" data-field-id=\"8\"><label class=\"wpforms-field-label\">Visa\/Mastercard <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-authorize_net-number\"><input type=\"text\" id=\"wpforms-1087-field_8\" class=\"wpforms-field-authorize_net-cardnumber wpforms-field-required wpforms-input-temp-name\" data-rule-creditcard=\"yes\" autocomplete=\"off\" required><label for=\"wpforms-1087-field_8\" class=\"wpforms-field-sublabel after\">Card Number<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-authorize_net-container\"><div class=\"wpforms-field-authorize_net-expiration\"><div class=\"wpforms-field-authorize_net-month\"><select id=\"wpforms-1087-field_8-cardmonth\" class=\"wpforms-field-authorize_net-cardmonth wpforms-field-required wpforms-input-temp-name\" aria-label=\"Expiration month\" required><option class=\"placeholder\" selected disabled value=\"\">MM<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><\/select><label for=\"wpforms-1087-field_8-cardmonth\" class=\"wpforms-field-sublabel after\">Expiration<\/label><\/div><span>\/<\/span><div class=\"wpforms-field-authorize_net-year\"><select id=\"wpforms-1087-field_8-cardyear\" class=\"wpforms-field-authorize_net-cardyear wpforms-field-required wpforms-input-temp-name\" aria-label=\"Expiration year\" required><option class=\"placeholder\" selected disabled value=\"\">YY<\/option><option value=\"26\">26<\/option><option value=\"27\">27<\/option><option value=\"28\">28<\/option><option value=\"29\">29<\/option><option value=\"30\">30<\/option><option value=\"31\">31<\/option><option value=\"32\">32<\/option><option value=\"33\">33<\/option><option value=\"34\">34<\/option><option value=\"35\">35<\/option><option value=\"36\">36<\/option><\/select><\/div><\/div><div class=\"wpforms-field-authorize_net-code\"><input type=\"text\" id=\"wpforms-1087-field_8-cardcvc\" class=\"wpforms-field-authorize_net-cardcvc wpforms-field-required wpforms-input-temp-name\" maxlength=\"4\" autocomplete=\"off\" required><label for=\"wpforms-1087-field_8-cardcvc\" class=\"wpforms-field-sublabel after\">Security Code<\/label><\/div><\/div><\/div><\/div><div id=\"wpforms-1087-field_60-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"60\"><label class=\"wpforms-field-label\">Billing Address <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-1087-field_60\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][60][address1]\" required><label for=\"wpforms-1087-field_60\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-1087-field_60-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][60][address2]\" ><label for=\"wpforms-1087-field_60-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-1087-field_60-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][60][city]\" required><label for=\"wpforms-1087-field_60-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-1087-field_60-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][60][state]\" required><option class=\"placeholder\" value=\"\" selected disabled>--- Select state ---<\/option><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >District of Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawaii<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Louisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\" >Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >Michigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Mississippi<\/option><option value=\"MO\" >Missouri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >New Hampshire<\/option><option value=\"NJ\" >New Jersey<\/option><option value=\"NM\" >New Mexico<\/option><option value=\"NY\" >New York<\/option><option value=\"NC\" >North Carolina<\/option><option value=\"ND\" >North Dakota<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oregon<\/option><option value=\"PA\" >Pennsylvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >South Carolina<\/option><option value=\"SD\" >South Dakota<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >West Virginia<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-1087-field_60-state\" class=\"wpforms-field-sublabel after\">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" 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value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/mycompanyrenewal.com\/index.php\/wp-json\/wp\/v2\/pages\/1102\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1087\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" src=\"https:\/\/mycompanyrenewal.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1102","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mycompanyrenewal.com\/index.php\/wp-json\/wp\/v2\/pages\/1102","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mycompanyrenewal.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mycompanyrenewal.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mycompanyrenewal.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mycompanyrenewal.com\/index.php\/wp-json\/wp\/v2\/comments?post=1102"}],"version-history":[{"count":4,"href":"https:\/\/mycompanyrenewal.com\/index.php\/wp-json\/wp\/v2\/pages\/1102\/revisions"}],"predecessor-version":[{"id":1106,"href":"https:\/\/mycompanyrenewal.com\/index.php\/wp-json\/wp\/v2\/pages\/1102\/revisions\/1106"}],"wp:attachment":[{"href":"https:\/\/mycompanyrenewal.com\/index.php\/wp-json\/wp\/v2\/media?parent=1102"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}