{"id":43028,"date":"2023-07-28T15:10:44","date_gmt":"2023-07-28T19:10:44","guid":{"rendered":"https:\/\/www.cortezmasto.senate.gov\/?page_id=43028"},"modified":"2023-10-18T14:37:35","modified_gmt":"2023-10-18T18:37:35","slug":"solicitudes-de-banderas","status":"publish","type":"page","link":"https:\/\/www.cortezmasto.senate.gov\/es\/ayudandote\/servicios-a-los-constituyentes\/solicitudes-de-banderas\/","title":{"rendered":"Solicitudes de Banderas"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"43028\" class=\"elementor elementor-43028 elementor-23876\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fae0b40 e-flex e-con-boxed e-con e-parent\" data-id=\"fae0b40\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7ed32c9 eael-gravity-form-button-custom elementor-widget elementor-widget-eael-gravity-form\" data-id=\"7ed32c9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"eael-gravity-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<div class=\"eael-contact-form eael-gravity-form title-description-hide eael-contact-form-align-default\">\n\t\t        \t\t\t\t\t<div class=\"eael-gravity-form-heading\">\n\t\t\t\t        \t\t\t\t        \t\t\t\t\t<\/div>\n\t\t        <script>\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 InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return 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<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework FlagForm_wrapper' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_21' style='display:none'><div id='gf_21' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\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' target='gform_ajax_frame_21' id='gform_21' class='FlagForm' action='\/es\/wp-json\/wp\/v2\/pages\/43028#gf_21' data-formid='21' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_21' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_21_83\" class=\"gfield gfield--type-html gfield--input-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\"  ><p>Senator Cortez Masto can arrange to have an American flag flown over the U.S. Capitol for anyone who would like to request one. If there is not a specific occasion or person you would like a flag flown on behalf of, you may purchase a pre-flown flag. Multiple flag sizes are available in nylon and cotton. Please place orders at least six weeks in advance to help secure a particular date.<\/p>\n<p>Orders are sent directly to Senator Cortez Masto\u2019s <a href=\"https:\/\/www.pay.gov\/public\/form\/start\/112918689\">pay.gov website<\/a>. This is a payment process that is run by the U.S. Treasury Department. On the website, you may select the type of flag you wish to purchase using a variety of electronic payment methods. Prices vary depending on flag type and size.<\/p>\n<p>Please reach out to Senator Cortez Masto\u2019s D.C. office at 202-224-3542 with any additional questions.<\/p>\n<p>Processing time to have a flag flown over the Capitol is about 4 to 6 weeks. All prices listed are at cost. No profit is incurred.<\/p><\/div><fieldset id=\"field_21_80\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full RadioButtons field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Flag Options<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_21_80'>\n\t\t\t<div class='gchoice gchoice_21_80_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='mail'  id='choice_21_80_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_80_0' id='label_21_80_0' class='gform-field-label gform-field-label--type-inline'>Submit Flag Order by Mail<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_80_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='online'  id='choice_21_80_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_80_1' id='label_21_80_1' class='gform-field-label gform-field-label--type-inline'>Submit Flag Order Online<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_81\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full js-flagLinkInput gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div><a href=\"https:\/\/www.pay.gov\/public\/form\/start\/112918689\" target=\"_blank\" rel=\"noopener\">Click this link<\/a>&nbsp;to begin the flag request process online. You will be redirected to Pay.gov, a website operated by the U.S. Treasury Department used to make secure electronic payments to Federal Government Agencies.<\/div><\/div><div id=\"field_21_1\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Select flag size and material<\/h3><\/div><div id=\"field_21_4\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-quarter FlagForm__heading gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span class=\"FlagForm__heading\">Size & Material \/ Price<\/span><\/div><div id=\"field_21_2\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-quarter FlagForm__heading gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span class=\"FlagForm__heading\">Quantity<\/span><\/div><div id=\"field_21_7\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-quarter FlagForm__heading gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span class=\"FlagForm__heading\">Flown Over Capitol<\/span><\/div><div id=\"field_21_6\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-quarter FlagForm__heading gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><span class=\"FlagForm__heading\">Sub-total<\/span><\/div><div id=\"field_21_15\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-quarter gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"FlagForm__product\">\n<span class=\"FlagForm__labelDescription\">Size & Material \/ Price<\/span>\n3' x 5'\nNylon \/ $16<\/div>\n<\/div><div id=\"field_21_14\" class=\"gfield gfield--type-quantity gfield--input-type-number gfield--width-quarter FlagForm__qty gfield_price gfield_price_21_13 gfield_quantity gfield_quantity_21_13 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_14'>QTY<\/label><div class='ginput_container ginput_container_number'><input name='input_14' id='input_21_14' type='number' step='any'   value='0' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_21_16\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-quarter FlagForm__flown gfield_price gfield_price_21_13 gfield_option_21_13 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' >Flown Over Capitol<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_21_16'><div class='gchoice gchoice_21_16_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.1' type='checkbox'  value='Yes ($9 per flag)|9'  id='choice_21_16_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_16_1' id='label_21_16_1' class='gform-field-label gform-field-label--type-inline'>Yes ($9 per flag)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_18\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-quarter FlagForm__subtotal gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_18'>Sub-total<\/label><div class='ginput_container ginput_container_number'><input name='input_18' id='input_21_18' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_21_70\" class=\"gfield gfield--type-html gfield--input-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\"  ><hr class=\"Divider\"\/><\/div><div id=\"field_21_12\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-quarter gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"FlagForm__product\">\n<span class=\"FlagForm__labelDescription\">Size & Material \/ Price<\/span>\n3' x 5'\nCotton \/ $22<\/div>\n<\/div><div id=\"field_21_11\" class=\"gfield gfield--type-quantity gfield--input-type-number gfield--width-quarter FlagForm__qty gfield_price gfield_price_21_8 gfield_quantity gfield_quantity_21_8 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_11'>QTY<\/label><div class='ginput_container ginput_container_number'><input name='input_11' id='input_21_11' type='number' step='any'   value='0' class='large'    placeholder='0'  aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_21_9\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-quarter FlagForm__flown gfield_price gfield_price_21_8 gfield_option_21_8 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' >Flown Over Capitol<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_21_9'><div class='gchoice gchoice_21_9_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.1' type='checkbox'  value='Yes ($9 per flag)|9'  id='choice_21_9_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_9_1' id='label_21_9_1' class='gform-field-label gform-field-label--type-inline'>Yes ($9 per flag)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_17\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-quarter FlagForm__subtotal gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_17'>Sub-total<\/label><div class='ginput_container ginput_container_number'><input name='input_17' id='input_21_17' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_21_71\" class=\"gfield gfield--type-html gfield--input-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\"  ><hr class=\"Divider\"\/><\/div><div id=\"field_21_27\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-quarter gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"FlagForm__product\">\n<span class=\"FlagForm__labelDescription\">Size & Material \/ Price<\/span>\n4' x 6'\nNylon \/ $24<\/div>\n<\/div><div id=\"field_21_26\" class=\"gfield gfield--type-quantity gfield--input-type-number gfield--width-quarter FlagForm__qty gfield_price gfield_price_21_21 gfield_quantity gfield_quantity_21_21 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_26'>QTY<\/label><div class='ginput_container ginput_container_number'><input name='input_26' id='input_21_26' type='number' step='any'   value='0' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_21_28\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-quarter FlagForm__flown gfield_price gfield_price_21_21 gfield_option_21_21 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' >Flown Over Capitol<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_21_28'><div class='gchoice gchoice_21_28_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_28.1' type='checkbox'  value='Yes ($9 per flag)|9'  id='choice_21_28_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_28_1' id='label_21_28_1' class='gform-field-label gform-field-label--type-inline'>Yes ($9 per flag)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_29\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-quarter FlagForm__subtotal gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_29'>Sub-total<\/label><div class='ginput_container ginput_container_number'><input name='input_29' id='input_21_29' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_21_72\" class=\"gfield gfield--type-html gfield--input-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\"  ><hr class=\"Divider\"\/><\/div><div id=\"field_21_32\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-quarter gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"FlagForm__product\">\n<span class=\"FlagForm__labelDescription\">Size & Material \/ Price<\/span>\n5' x 8'\nNylon \/ $31<\/div>\n<\/div><div id=\"field_21_33\" class=\"gfield gfield--type-quantity gfield--input-type-number gfield--width-quarter FlagForm__qty gfield_price gfield_price_21_19 gfield_quantity gfield_quantity_21_19 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_33'>QTY<\/label><div class='ginput_container ginput_container_number'><input name='input_33' id='input_21_33' type='number' step='any'   value='0' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_21_31\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-quarter FlagForm__flown gfield_price gfield_price_21_19 gfield_option_21_19 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' >Flown Over Capitol<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_21_31'><div class='gchoice gchoice_21_31_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_31.1' type='checkbox'  value='Yes ($9 per flag)|9'  id='choice_21_31_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_31_1' id='label_21_31_1' class='gform-field-label gform-field-label--type-inline'>Yes ($9 per flag)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_30\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-quarter FlagForm__subtotal gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_30'>Sub-total<\/label><div class='ginput_container ginput_container_number'><input name='input_30' id='input_21_30' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_21_73\" class=\"gfield gfield--type-html gfield--input-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\"  ><hr class=\"Divider\"\/><\/div><div id=\"field_21_35\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-quarter gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"FlagForm__product\">\n<span class=\"FlagForm__labelDescription\">Size & Material \/ Price<\/span>\n5' x 8'\nCotton \/ $39\n<\/div>\n<\/div><div id=\"field_21_34\" class=\"gfield gfield--type-quantity gfield--input-type-number gfield--width-quarter FlagForm__qty gfield_price gfield_price_21_20 gfield_quantity gfield_quantity_21_20 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_34'>QTY<\/label><div class='ginput_container ginput_container_number'><input name='input_34' id='input_21_34' type='number' step='any'   value='0' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_21_36\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-quarter FlagForm__flown gfield_price gfield_price_21_20 gfield_option_21_20 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' >Flown Over Capitol<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_21_36'><div class='gchoice gchoice_21_36_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_36.1' type='checkbox'  value='Yes ($9 per flag)|9'  id='choice_21_36_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_36_1' id='label_21_36_1' class='gform-field-label gform-field-label--type-inline'>Yes ($9 per flag)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_37\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-quarter FlagForm__subtotal gfield_calculation field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_21_37'>Sub-total<\/label><div class='ginput_container ginput_container_number'><input name='input_37' id='input_21_37' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_21_74\" class=\"gfield gfield--type-html gfield--input-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\"  ><hr class=\"Divider\"\/><\/div><div id=\"field_21_79\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full FlagForm__total gfield_calculation 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><label class='gfield_label gform-field-label' for='input_21_79'>Flag Price Total<\/label><div class='ginput_container ginput_container_number'><input name='input_79' id='input_21_79' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_21_42\" class=\"gfield gfield--type-quantity gfield--input-type-number gfield--width-full gfield_price gfield_price_21_41 gfield_quantity gfield_quantity_21_41 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><label class='gfield_label gform-field-label' for='input_21_42'>Initial Shipping QTY (Do Not Delete)<\/label><div class='ginput_container ginput_container_number'><input name='input_42' id='input_21_42' type='number' step='any'   value='0' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_21_76\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-three-quarter gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"FlagForm__heading--sm\">Shipping and Handling ($9.80 per Flag)<\/div><\/div><div id=\"field_21_40\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-quarter 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' for='input_21_40'>Shipping and Handling ($9.80 per Flag)<\/label><div class='ginput_container ginput_container_number'><input name='input_40' id='input_21_40' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_21_75\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-three-quarter gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class=\"FlagForm__heading--sm\">Total<\/div><\/div><div id=\"field_21_69\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-quarter FlagForm__total 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' for='input_21_69'>Total<\/label><div class='ginput_container ginput_container_number'><input name='input_69' id='input_21_69' type='text' step='any'   value='' class='large gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_21_43\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">In Honor of<\/h3><\/div><div id=\"field_21_44\" class=\"gfield gfield--type-select gfield--input-type-select 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_21_44'>Prefix<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_44' id='input_21_44' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>--<\/option><option value='Mr.' >Mr.<\/option><option value='Ms.' >Ms.<\/option><option value='Mrs.' >Mrs.<\/option><option value='Miss' >Miss<\/option><option value='Mr. and Mrs.' >Mr. and Mrs.<\/option><option value='Dr.' >Dr.<\/option><option value='Dr. and Mrs.' >Dr. and Mrs.<\/option><option value='Dr. and Mr.' >Dr. and Mr.<\/option><option value='Reverend' >Reverend<\/option><option value='Sister' >Sister<\/option><option value='Pastor' >Pastor<\/option><option value='Rabbi' >Rabbi<\/option><option value='The Honorable' >The Honorable<\/option><option value='Representative' >Representative<\/option><option value='Senator' >Senator<\/option><option value='Fleet Admiral' >Fleet Admiral<\/option><option value='Admiral' >Admiral<\/option><option value='Vice Admiral' >Vice Admiral<\/option><option value='Rear Admiral (upper half)' >Rear Admiral (upper half)<\/option><option value='Rear Admiral (lower half)' >Rear Admiral (lower half)<\/option><option value='Captain' >Captain<\/option><option value='Commander' >Commander<\/option><option value='Lieutenant Commander' >Lieutenant Commander<\/option><option value='Lieutenant' >Lieutenant<\/option><option value='Lieutenant, Junior Grade' >Lieutenant, Junior Grade<\/option><option value='Ensign' >Ensign<\/option><option value='Chief Warrant Officer' >Chief Warrant Officer<\/option><option value='Warrant Officer' >Warrant Officer<\/option><option value='Master Chief Petty Officer of the Navy' >Master Chief Petty Officer of the Navy<\/option><option value='Fleet Master Chief Petty Officer' >Fleet Master Chief Petty Officer<\/option><option value='Force Master Chief Petty Officer' >Force Master Chief Petty Officer<\/option><option value='Command Master Chief Petty Officer' >Command Master Chief Petty Officer<\/option><option value='Master Chief Petty Officer' >Master Chief Petty Officer<\/option><option value='Senior Chief Petty Officer' >Senior Chief Petty Officer<\/option><option value='Chief Petty Officer' >Chief Petty Officer<\/option><option value='Petty Officer First Class' >Petty Officer First Class<\/option><option value='Petty Officer Second Class' >Petty Officer Second Class<\/option><option value='Petty Officer Third Class' >Petty Officer Third Class<\/option><option value='Seaman' >Seaman<\/option><option value='Seaman Apprentice' >Seaman Apprentice<\/option><option value='Seaman Recruit' >Seaman Recruit<\/option><option value='Sergeant Major of the Marine Corps' >Sergeant Major of the Marine Corps<\/option><option value='Sergeant Major' >Sergeant Major<\/option><option value='Master Gunnery Sergeant' >Master Gunnery Sergeant<\/option><option value='First Sergeant' >First Sergeant<\/option><option value='Master Sergeant' >Master Sergeant<\/option><option value='Gunnery Sergeant' >Gunnery Sergeant<\/option><option value='Staff Sergeant' >Staff Sergeant<\/option><option value='Sergeant' >Sergeant<\/option><option value='Corporal' >Corporal<\/option><option value='Lance Corporal' >Lance Corporal<\/option><option value='Private First Class' >Private First Class<\/option><option value='Private' >Private<\/option><option value='General of the Air Force' >General of the Air Force<\/option><option value='General' >General<\/option><option value='Lieutenant General' >Lieutenant General<\/option><option value='Major General' >Major General<\/option><option value='Brigadier General' >Brigadier General<\/option><option value='Colonel' >Colonel<\/option><option value='Lieutenant Colonel' >Lieutenant Colonel<\/option><option value='Major' >Major<\/option><option value='First Lieutenant' >First Lieutenant<\/option><option value='Second Lieutenant' >Second Lieutenant<\/option><option value='Chief Master Sergeant of the Air Force' >Chief Master Sergeant of the Air Force<\/option><option value='Command Chief Master Sergeant' >Command Chief Master Sergeant<\/option><option value='Chief Master Sergeant' >Chief Master Sergeant<\/option><option value='Senior Master Sergeant' >Senior Master Sergeant<\/option><option value='Technical Sergeant' >Technical Sergeant<\/option><option value='Senior Airman' >Senior Airman<\/option><option value='Airman First Class' >Airman First Class<\/option><option value='Airman' >Airman<\/option><option value='General of the Army' >General of the Army<\/option><option value='Sergeant Major of the Army' >Sergeant Major of the Army<\/option><option value='Command Sergeant Major' >Command Sergeant Major<\/option><option value='Sergeant First Class' >Sergeant First Class<\/option><\/select><\/div><\/div><div id=\"field_21_45\" class=\"gfield gfield--type-text gfield--input-type-text 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_21_45'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_21_45' type='text' value='' class='large'    placeholder='Required' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_47\" class=\"gfield gfield--type-text gfield--input-type-text 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_21_47'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_47' id='input_21_47' type='text' value='' class='large'    placeholder='Required' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_48\" class=\"gfield gfield--type-select gfield--input-type-select 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_21_48'>Suffix<\/label><div class='ginput_container ginput_container_select'><select name='input_48' id='input_21_48' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>--<\/option><option value='II' >II<\/option><option value='III' >III<\/option><option value='Jr.' >Jr.<\/option><option value='Sr.' >Sr.<\/option><option value='D.D.M.' >D.D.M.<\/option><option value='D.D.S.' >D.D.S.<\/option><option value='D.V.M.' >D.V.M.<\/option><option value='E.d.D.' >E.d.D.<\/option><option value='Esq.' >Esq.<\/option><option value='J.D.' >J.D.<\/option><option value='L.C.S.W.' >L.C.S.W.<\/option><option value='M.D.' >M.D.<\/option><option value='P.A.' >P.A.<\/option><option value='Ph.D.' >Ph.D.<\/option><option value='Psy.D.' >Psy.D.<\/option><option value='R.N.' >R.N.<\/option><\/select><\/div><\/div><div id=\"field_21_49\" class=\"gfield gfield--type-text gfield--input-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_21_49'>Occasion<\/label><div class='ginput_container ginput_container_text'><input name='input_49' id='input_21_49' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_50\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">To Be Flown On<\/h3><\/div><fieldset id=\"field_21_51\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >To Be Flown On<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_21_51'>\n\t\t\t<div class='gchoice gchoice_21_51_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_51' type='radio' value='Any Date' checked='checked' id='choice_21_51_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_51_0' id='label_21_51_0' class='gform-field-label gform-field-label--type-inline'>Any Date<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_51_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_51' type='radio' value='Specific Date'  id='choice_21_51_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_51_1' id='label_21_51_1' class='gform-field-label gform-field-label--type-inline'>Specific Date<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_52\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon 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_21_52'>Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_52' id='input_21_52' type='text' value='' class='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_21_52_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_21_52_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_21_52' class='gform_hidden' value='https:\/\/www.cortezmasto.senate.gov\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_21_58\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_21_58'>Special Instructions<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_58' id='input_21_58' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_21_53\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Your Information<\/h3><\/div><div id=\"field_21_54\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third 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_21_54'>Prefix<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_54' id='input_21_54' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>--<\/option><option value='Mr.' >Mr.<\/option><option value='Ms.' >Ms.<\/option><option value='Mrs.' >Mrs.<\/option><option value='Miss' >Miss<\/option><option value='Mr. and Mrs.' >Mr. and Mrs.<\/option><option value='Dr.' >Dr.<\/option><option value='Dr. and Mrs.' >Dr. and Mrs.<\/option><option value='Dr. and Mr.' >Dr. and Mr.<\/option><option value='Reverend' >Reverend<\/option><option value='Sister' >Sister<\/option><option value='Pastor' >Pastor<\/option><option value='Rabbi' >Rabbi<\/option><option value='The Honorable' >The Honorable<\/option><option value='Representative' >Representative<\/option><option value='Senator' >Senator<\/option><option value='Fleet Admiral' >Fleet Admiral<\/option><option value='Admiral' >Admiral<\/option><option value='Vice Admiral' >Vice Admiral<\/option><option value='Rear Admiral (upper half)' >Rear Admiral (upper half)<\/option><option value='Rear Admiral (lower half)' >Rear Admiral (lower half)<\/option><option value='Captain' >Captain<\/option><option value='Commander' >Commander<\/option><option value='Lieutenant Commander' >Lieutenant Commander<\/option><option value='Lieutenant' >Lieutenant<\/option><option value='Lieutenant, Junior Grade' >Lieutenant, Junior Grade<\/option><option value='Ensign' >Ensign<\/option><option value='Chief Warrant Officer' >Chief Warrant Officer<\/option><option value='Warrant Officer' >Warrant Officer<\/option><option value='Master Chief Petty Officer of the Navy' >Master Chief Petty Officer of the Navy<\/option><option value='Fleet Master Chief Petty Officer' >Fleet Master Chief Petty Officer<\/option><option value='Force Master Chief Petty Officer' >Force Master Chief Petty Officer<\/option><option value='Command Master Chief Petty Officer' >Command Master Chief Petty Officer<\/option><option value='Master Chief Petty Officer' >Master Chief Petty Officer<\/option><option value='Senior Chief Petty Officer' >Senior Chief Petty Officer<\/option><option value='Chief Petty Officer' >Chief Petty Officer<\/option><option value='Petty Officer First Class' >Petty Officer First Class<\/option><option value='Petty Officer Second Class' >Petty Officer Second Class<\/option><option value='Petty Officer Third Class' >Petty Officer Third Class<\/option><option value='Seaman' >Seaman<\/option><option value='Seaman Apprentice' >Seaman Apprentice<\/option><option value='Seaman Recruit' >Seaman Recruit<\/option><option value='Sergeant Major of the Marine Corps' >Sergeant Major of the Marine Corps<\/option><option value='Sergeant Major' >Sergeant Major<\/option><option value='Master Gunnery Sergeant' >Master Gunnery Sergeant<\/option><option value='First Sergeant' >First Sergeant<\/option><option value='Master Sergeant' >Master Sergeant<\/option><option value='Gunnery Sergeant' >Gunnery Sergeant<\/option><option value='Staff Sergeant' >Staff Sergeant<\/option><option value='Sergeant' >Sergeant<\/option><option value='Corporal' >Corporal<\/option><option value='Lance Corporal' >Lance Corporal<\/option><option value='Private First Class' >Private First Class<\/option><option value='Private' >Private<\/option><option value='General of the Air Force' >General of the Air Force<\/option><option value='General' >General<\/option><option value='Lieutenant General' >Lieutenant General<\/option><option value='Major General' >Major General<\/option><option value='Brigadier General' >Brigadier General<\/option><option value='Colonel' >Colonel<\/option><option value='Lieutenant Colonel' >Lieutenant Colonel<\/option><option value='Major' >Major<\/option><option value='First Lieutenant' >First Lieutenant<\/option><option value='Second Lieutenant' >Second Lieutenant<\/option><option value='Chief Master Sergeant of the Air Force' >Chief Master Sergeant of the Air Force<\/option><option value='Command Chief Master Sergeant' >Command Chief Master Sergeant<\/option><option value='Chief Master Sergeant' >Chief Master Sergeant<\/option><option value='Senior Master Sergeant' >Senior Master Sergeant<\/option><option value='Technical Sergeant' >Technical Sergeant<\/option><option value='Senior Airman' >Senior Airman<\/option><option value='Airman First Class' >Airman First Class<\/option><option value='Airman' >Airman<\/option><option value='General of the Army' >General of the Army<\/option><option value='Sergeant Major of the Army' >Sergeant Major of the Army<\/option><option value='Command Sergeant Major' >Command Sergeant Major<\/option><option value='Sergeant First Class' >Sergeant First Class<\/option><\/select><\/div><\/div><div id=\"field_21_55\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third 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_21_55'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_55' id='input_21_55' type='text' value='' class='large'    placeholder='Required' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_56\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third 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_21_56'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_56' id='input_21_56' type='text' value='' class='large'    placeholder='Required' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_21_57\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \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_21_57' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_21_57_1_container' >\n                                        <label for='input_21_57_1' id='input_21_57_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_57.1' id='input_21_57_1' value=''   placeholder='Required' aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_21_57_2_container' >\n                                        <label for='input_21_57_2' id='input_21_57_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                        <input type='text' name='input_57.2' id='input_21_57_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_21_57_3_container' >\n                                    <label for='input_21_57_3' id='input_21_57_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_57.3' id='input_21_57_3' value=''   placeholder='Required' aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_21_57_4_container' >\n                                        <label for='input_21_57_4' id='input_21_57_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                        <select name='input_57.4' id='input_21_57_4'     aria-required='true'    ><option value='' ><\/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' selected='selected'>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 Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_21_57_5_container' >\n                                    <label for='input_21_57_5' id='input_21_57_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                    <input type='text' name='input_57.5' id='input_21_57_5' value=''   placeholder='Required' aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_57.6' id='input_21_57_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_21_60\" class=\"gfield gfield--type-phone gfield--input-type-phone 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_21_60'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_60' id='input_21_60' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_21_59\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full EmailConfirmationRow gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_21_59_container'>\n                                <span id='input_21_59_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_21_59' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                    <input class='' type='email' name='input_59' id='input_21_59' value=''   placeholder='Required' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                <\/span>\n                                <span id='input_21_59_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <label for='input_21_59_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                    <input class='' type='email' name='input_59_2' id='input_21_59_2' value=''   placeholder='Required' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_21_61\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Shipping Address<\/h3><\/div><fieldset id=\"field_21_62\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox 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' >Shipping address is the same as requestor\u2019s address?<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_21_62'><div class='gchoice gchoice_21_62_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.1' type='checkbox'  value='Yes'  id='choice_21_62_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_21_62_1' id='label_21_62_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_63\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third 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_21_63'>Prefix<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_63' id='input_21_63' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>--<\/option><option value='Mr.' >Mr.<\/option><option value='Ms.' >Ms.<\/option><option value='Mrs.' >Mrs.<\/option><option value='Miss' >Miss<\/option><option value='Mr. and Mrs.' >Mr. and Mrs.<\/option><option value='Dr.' >Dr.<\/option><option value='Dr. and Mrs.' >Dr. and Mrs.<\/option><option value='Dr. and Mr.' >Dr. and Mr.<\/option><option value='Reverend' >Reverend<\/option><option value='Sister' >Sister<\/option><option value='Pastor' >Pastor<\/option><option value='Rabbi' >Rabbi<\/option><option value='The Honorable' >The Honorable<\/option><option value='Representative' >Representative<\/option><option value='Senator' >Senator<\/option><option value='Fleet Admiral' >Fleet Admiral<\/option><option value='Admiral' >Admiral<\/option><option value='Vice Admiral' >Vice Admiral<\/option><option value='Rear Admiral (upper half)' >Rear Admiral (upper half)<\/option><option value='Rear Admiral (lower half)' >Rear Admiral (lower half)<\/option><option value='Captain' >Captain<\/option><option value='Commander' >Commander<\/option><option value='Lieutenant Commander' >Lieutenant Commander<\/option><option value='Lieutenant' >Lieutenant<\/option><option value='Lieutenant, Junior Grade' >Lieutenant, Junior Grade<\/option><option value='Ensign' >Ensign<\/option><option value='Chief Warrant Officer' >Chief Warrant Officer<\/option><option value='Warrant Officer' >Warrant Officer<\/option><option value='Master Chief Petty Officer of the Navy' >Master Chief Petty Officer of the Navy<\/option><option value='Fleet Master Chief Petty Officer' >Fleet Master Chief Petty Officer<\/option><option value='Force Master Chief Petty Officer' >Force Master Chief Petty Officer<\/option><option value='Command Master Chief Petty Officer' >Command Master Chief Petty Officer<\/option><option value='Master Chief Petty Officer' >Master Chief Petty Officer<\/option><option value='Senior Chief Petty Officer' >Senior Chief Petty Officer<\/option><option value='Chief Petty Officer' >Chief Petty Officer<\/option><option value='Petty Officer First Class' >Petty Officer First Class<\/option><option value='Petty Officer Second Class' >Petty Officer Second Class<\/option><option value='Petty Officer Third Class' >Petty Officer Third Class<\/option><option value='Seaman' >Seaman<\/option><option value='Seaman Apprentice' >Seaman Apprentice<\/option><option value='Seaman Recruit' >Seaman Recruit<\/option><option value='Sergeant Major of the Marine Corps' >Sergeant Major of the Marine Corps<\/option><option value='Sergeant Major' >Sergeant Major<\/option><option value='Master Gunnery Sergeant' >Master Gunnery Sergeant<\/option><option value='First Sergeant' >First Sergeant<\/option><option value='Master Sergeant' >Master Sergeant<\/option><option value='Gunnery Sergeant' >Gunnery Sergeant<\/option><option value='Staff Sergeant' >Staff Sergeant<\/option><option value='Sergeant' >Sergeant<\/option><option value='Corporal' >Corporal<\/option><option value='Lance Corporal' >Lance Corporal<\/option><option value='Private First Class' >Private First Class<\/option><option value='Private' >Private<\/option><option value='General of the Air Force' >General of the Air Force<\/option><option value='General' >General<\/option><option value='Lieutenant General' >Lieutenant General<\/option><option value='Major General' >Major General<\/option><option value='Brigadier General' >Brigadier General<\/option><option value='Colonel' >Colonel<\/option><option value='Lieutenant Colonel' >Lieutenant Colonel<\/option><option value='Major' >Major<\/option><option value='First Lieutenant' >First Lieutenant<\/option><option value='Second Lieutenant' >Second Lieutenant<\/option><option value='Chief Master Sergeant of the Air Force' >Chief Master Sergeant of the Air Force<\/option><option value='Command Chief Master Sergeant' >Command Chief Master Sergeant<\/option><option value='Chief Master Sergeant' >Chief Master Sergeant<\/option><option value='Senior Master Sergeant' >Senior Master Sergeant<\/option><option value='Technical Sergeant' >Technical Sergeant<\/option><option value='Senior Airman' >Senior Airman<\/option><option value='Airman First Class' >Airman First Class<\/option><option value='Airman' >Airman<\/option><option value='General of the Army' >General of the Army<\/option><option value='Sergeant Major of the Army' >Sergeant Major of the Army<\/option><option value='Command Sergeant Major' >Command Sergeant Major<\/option><option value='Sergeant First Class' >Sergeant First Class<\/option><\/select><\/div><\/div><div id=\"field_21_64\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third 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_21_64'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_64' id='input_21_64' type='text' value='' class='large'    placeholder='Required' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_21_65\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third 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_21_65'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_65' id='input_21_65' type='text' value='' class='large'    placeholder='Required' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_21_66\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \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_21_66' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_21_66_1_container' >\n                                        <label for='input_21_66_1' id='input_21_66_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_66.1' id='input_21_66_1' value=''   placeholder='Required' aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_21_66_2_container' >\n                                        <label for='input_21_66_2' id='input_21_66_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                        <input type='text' name='input_66.2' id='input_21_66_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_21_66_3_container' >\n                                    <label for='input_21_66_3' id='input_21_66_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_66.3' id='input_21_66_3' value=''   placeholder='Required' aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_21_66_4_container' >\n                                        <label for='input_21_66_4' id='input_21_66_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                        <select name='input_66.4' id='input_21_66_4'     aria-required='true'    ><option value='' ><\/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' selected='selected'>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 Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_21_66_5_container' >\n                                    <label for='input_21_66_5' id='input_21_66_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                    <input type='text' name='input_66.5' id='input_21_66_5' value=''   placeholder='Required' aria-required='true'    \/>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_66.6' id='input_21_66_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_21_67\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Payment Information<\/h3><\/div><div id=\"field_21_68\" class=\"gfield gfield--type-html gfield--input-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\"  ><div class=\"RawHTML\">\n  <p>\n    <strong>Please Note:<\/strong> This form cannot process transactions. After clicking the submit button you will be able to print off your completed form. \n  <\/p>\n  <p>\n    Please print a copy of this form and include it with payment made out to: \u201cKeeper of the Stationery\u201d \n  <\/p>\n  <p>Please mail the copy of your request and payment to:<\/p>\n  <div class=\"vcard mb-3\">\n    <div>\n      <strong>Keeper of the Stationery<\/strong>\n    <\/div>\n    <div>c\/o U.S. Senator Catherine Cortez Masto<br>\nUnited States Senate<br>\nWashington, DC 20510<\/div>\n  <\/div>\n<\/div>\n<\/div><fieldset id=\"field_21_78\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio 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' >Payment Options<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_21_78'>\n\t\t\t<div class='gchoice gchoice_21_78_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='Check' checked='checked' id='choice_21_78_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_78_0' id='label_21_78_0' class='gform-field-label gform-field-label--type-inline'>Check<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_21_78_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_78' type='radio' value='Money Order'  id='choice_21_78_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_21_78_1' id='label_21_78_1' class='gform-field-label gform-field-label--type-inline'>Money Order<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_21_13\" class=\"gfield gfield--type-product gfield--input-type-hiddenproduct gfield--width-full gform_hidden gfield_price gfield_price_21_13 gfield_product_21_13 gfield_hidden_product 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_21_13_1'>3x5Nylon<\/label><div class='ginput_container ginput_container_product_price_hidden'><input type='hidden' name='input_13.1' value='3x5Nylon' class='gform_hidden' \/><input name='input_13.2' id='ginput_base_price_21_13' type='hidden' value='$16.00' class='gform_hidden ginput_amount' \/><\/div><\/div><div id=\"field_21_8\" class=\"gfield gfield--type-product gfield--input-type-hiddenproduct gfield--width-full gform_hidden gfield_price gfield_price_21_8 gfield_product_21_8 gfield_hidden_product field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_21_8_1'>3x5Cotton<\/label><div class='ginput_container ginput_container_product_price_hidden'><input type='hidden' name='input_8.1' value='3x5Cotton' class='gform_hidden' \/><input name='input_8.2' id='ginput_base_price_21_8' type='hidden' value='$22.00' class='gform_hidden ginput_amount' \/><\/div><\/div><div id=\"field_21_21\" class=\"gfield gfield--type-product gfield--input-type-hiddenproduct gfield--width-full gform_hidden gfield_price gfield_price_21_21 gfield_product_21_21 gfield_hidden_product field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_21_21_1'>4x6Nylon<\/label><div class='ginput_container ginput_container_product_price_hidden'><input type='hidden' name='input_21.1' value='4x6Nylon' class='gform_hidden' \/><input name='input_21.2' id='ginput_base_price_21_21' type='hidden' value='$24.00' class='gform_hidden ginput_amount' \/><\/div><\/div><div id=\"field_21_19\" class=\"gfield gfield--type-product gfield--input-type-hiddenproduct gfield--width-full gform_hidden gfield_price gfield_price_21_19 gfield_product_21_19 gfield_hidden_product field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_21_19_1'>5x8Nylon<\/label><div class='ginput_container ginput_container_product_price_hidden'><input type='hidden' name='input_19.1' value='5x8Nylon' class='gform_hidden' \/><input name='input_19.2' id='ginput_base_price_21_19' type='hidden' value='$31.00' class='gform_hidden ginput_amount' \/><\/div><\/div><div id=\"field_21_20\" class=\"gfield gfield--type-product gfield--input-type-hiddenproduct gfield--width-full gform_hidden gfield_price gfield_price_21_20 gfield_product_21_20 gfield_hidden_product field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_21_20_1'>5x8Cotton<\/label><div class='ginput_container ginput_container_product_price_hidden'><input type='hidden' name='input_20.1' value='5x8Cotton' class='gform_hidden' \/><input name='input_20.2' id='ginput_base_price_21_20' type='hidden' value='$39.00' class='gform_hidden ginput_amount' \/><\/div><\/div><div id=\"field_21_41\" class=\"gfield gfield--type-product gfield--input-type-hiddenproduct gfield--width-full gform_hidden gfield_price gfield_price_21_41 gfield_product_21_41 gfield_hidden_product field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_21_41_1'>Shipping<\/label><div class='ginput_container ginput_container_product_price_hidden'><input type='hidden' name='input_41.1' value='Shipping' class='gform_hidden' \/><input name='input_41.2' id='ginput_base_price_21_41' type='hidden' value='$9.80' class='gform_hidden ginput_amount' \/><\/div><\/div><div id=\"field_21_77\" class=\"gfield gfield--type-html gfield--input-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\"  ><script>\njQuery(window).ready(function(){\n     jQuery('.FlagForm input[type=number]').attr('min','0');\n});\n<\/script><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_21' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit \u2192'  \/> <input type='hidden' name='gform_ajax' value='form_id=21&amp;title=&amp;description=&amp;tabindex=0&amp;theme=gravity-theme&amp;hash=a7739a4dff3e1b607fe05bc7a4c3ebf3' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_21' value='iframe' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_21' id='gform_theme_21' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_21' id='gform_style_settings_21' value='' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_21' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='21' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='lAkiZb5iy7\/rTHYx7NVv5i+jMElYxv5\/rlVWovGuP9lTnoIxQpDBLI8rRwrKHeu9by\/KIhoEOmJccxubmnAg3DLJbwv9L6AgZGmQ9cUSSWw49KI=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_21' value='["{\"80\":[\"d1cc4896c319bbae5744c7b2c482b67f\",\"02a6b0a209ec74fb5801c5de639aa586\"],\"16.1\":\"ddfff1fbc5046bbf8b3b97fc21018951\",\"9.1\":\"ddfff1fbc5046bbf8b3b97fc21018951\",\"28.1\":\"ddfff1fbc5046bbf8b3b97fc21018951\",\"31.1\":\"ddfff1fbc5046bbf8b3b97fc21018951\",\"36.1\":\"ddfff1fbc5046bbf8b3b97fc21018951\",\"44\":[\"f58996c1d0034157ed8714af862b3449\",\"ca99ee0077037c96dd23585bca29f0f2\",\"3682b5fdf14cba9ae73c414dbcd63c31\",\"05cb4b7f1a0d4f83234daa1d562a9263\",\"dd8413a61d414e73b42ca2a111988ac6\",\"64007293708467df8256f0ff22105385\",\"bfc637cd6768679f02b0dd73d50d1fdf\",\"64fd3cdb4c2abe1e461708aa9f993760\",\"3729bc78f5ed5c3671124ec292e8bedf\",\"184bda29c672e09b1a235806db89ee40\",\"baaee97d77499280f933843250c2fa1c\",\"0f8cb003bd731d5861c2539802b373ac\",\"fa5ae330da269e61ff20e951a396034b\",\"ccbe6f9526254ed51e268a27c67a319b\",\"7dc3cee605a516d2ab252b25a6c50c28\",\"8a0b095447af8ba744210bb8f0f72c92\",\"b974045f52fd56c5664c09c67146aef9\",\"4b8501e75f5744a529c0e0d671997995\",\"da869652e3f9153f8d14d139b1b7830e\",\"828c00f5aa6012bc0360a5bf90c9277b\",\"39804c75f33bd5abe10e4d6c7713c94c\",\"29d2dfa3ffaef514394c7d15c4230b7e\",\"4b69b94e159d3f239a1bdfd5c6cccfbf\",\"1a61b864e1391508f7b598673a26b4c9\",\"f995e0ff4fa4ee5f6505e544f9ef14b1\",\"a21dc54678404aac9a4bf0da2665fd61\",\"a81a9ff35c90408973b69d4f347cd506\",\"94cae8c09e10504f39fa83e01055b7e9\",\"56359f50eef9bb8afb04df4ce2f43b05\",\"81da48f2a1076bb66bfb00a931995d40\",\"1bed3c34125433bc86c9648142bf3eb2\",\"d9bd9d4b647564f9f88b56089082c579\",\"4df9dc7e759c543ea6025b3975d1b97c\",\"630acbb60c9c336417848d3516f53cba\",\"72b9b564bcc4bc1c59e78c7944f6cb6e\",\"9f6f51b3d9b78d219d2760f20bbb1a2f\",\"203c92c596bf44f933e61c208ed2925f\",\"8f47055c3558a9ba02585ef2cbad0ffc\",\"f108f98cf94f11feb25742392963a8c1\",\"32af0e203421559d0bcf68d7749cded1\",\"5019d667afa70951a58ef9e15a1711e0\",\"0b98c7376cbaeab4ff5505b25aa7e589\",\"dc80d21df86e998d7ff32ba07d61b11f\",\"384bbc82e8a8f91288e9a8f724162af5\",\"b238852341547964cea76acfee10c9e1\",\"f8f80fab11325d58314d83815011e93e\",\"26a2e4500ad56e53c5925f14afc68593\",\"9b1304bce217598845bea51e1b2ad68f\",\"b933cb8fca7921ef0bac5f9b9cf392d2\",\"ec42a0a079e9d61b771c28e3f1486a84\",\"4ce3673652534074d9975949ba8831bd\",\"969060a2dbafb41fec6db6b5a8e03702\",\"24b009de17acc504d2a7d0649a3b5477\",\"eebb511bd0d4563b015eebe9ae9461e7\",\"86a604589c6d71e59571710325ebcff3\",\"07a1580687d991ad83aee3f3e063d894\",\"d257186e7d7283fa5fde90775ae7aab9\",\"5de41f1b482d138897c1abf34e2ab6af\",\"7d93ec311cfbe339083c20d45e3c214e\",\"0e6f401d3445a4eb3ba84796a8ac4993\",\"595c37830a12cd708cec287d002ac271\",\"d96a46181eebf1e11c9fc2bd8f0faa42\",\"3cf28c64e955966919a6059c6e82dbe0\",\"adb6a048f047c457c3d2cd211a91992a\",\"78556aaafabaa4d7f7a6612353551f4a\",\"b9baaedaa2666d43f65eaf1ebcde70a8\",\"27b0397a66df8069f7e95c58708e0197\",\"7eba141ae5591a2b2825cb0e2e070cd8\",\"8d6da59e1224c88fcb00205d3bcd4712\",\"c17a6903d8a873bee749b4bf4468e0fb\",\"b975b849b938b9150fc46ab4db40ef97\",\"1fc2b84b16e3bb929860ee299caf6096\",\"0453f0544050252a7992fef7b389cdeb\",\"b6245104e09df6cf02ccf8dd191c1618\",\"ae214d3f03691ae633547cc437abc449\"],\"48\":[\"fce27732d34a69b9b2fcd238fac2192a\",\"a31ce0ad1260bf3422b2870d37229134\",\"b8c88fd8fd9ca993e12b639535feb3f0\",\"80866b9cec7dffb0d455b11ff02d4818\",\"9a47bf694de32f9439e2ae05dbd78104\",\"e58c09b8482503488904de8381cceabc\",\"5c048839e38feef394edcfd0b46c45ad\",\"55a9c87b7334204aa054c1aa96434c65\",\"70e1f27eca4c8a100d8871941f1ec36d\",\"eee9bb69f4bfcf749670e384fdf11379\",\"81a64db3c461cd498591c317745d98a2\",\"82a779f43f3d9e03effcecb0c14e1fbf\",\"0ec703e23323ab613862d14dda4ad32f\",\"b406db2baea7aaa25b7ada999b8a2f86\",\"0108dcf9b914dd0f8604213ce5fc6f22\",\"e4cfb1a8f32f65b03fe80690e0c1f6d6\"],\"51\":[\"94a8908c30ad7d3d1765b4175557a970\",\"f248b515876425b56195ad978b2029ac\"],\"54\":[\"f58996c1d0034157ed8714af862b3449\",\"ca99ee0077037c96dd23585bca29f0f2\",\"3682b5fdf14cba9ae73c414dbcd63c31\",\"05cb4b7f1a0d4f83234daa1d562a9263\",\"dd8413a61d414e73b42ca2a111988ac6\",\"64007293708467df8256f0ff22105385\",\"bfc637cd6768679f02b0dd73d50d1fdf\",\"64fd3cdb4c2abe1e461708aa9f993760\",\"3729bc78f5ed5c3671124ec292e8bedf\",\"184bda29c672e09b1a235806db89ee40\",\"baaee97d77499280f933843250c2fa1c\",\"0f8cb003bd731d5861c2539802b373ac\",\"fa5ae330da269e61ff20e951a396034b\",\"ccbe6f9526254ed51e268a27c67a319b\",\"7dc3cee605a516d2ab252b25a6c50c28\",\"8a0b095447af8ba744210bb8f0f72c92\",\"b974045f52fd56c5664c09c67146aef9\",\"4b8501e75f5744a529c0e0d671997995\",\"da869652e3f9153f8d14d139b1b7830e\",\"828c00f5aa6012bc0360a5bf90c9277b\",\"39804c75f33bd5abe10e4d6c7713c94c\",\"29d2dfa3ffaef514394c7d15c4230b7e\",\"4b69b94e159d3f239a1bdfd5c6cccfbf\",\"1a61b864e1391508f7b598673a26b4c9\",\"f995e0ff4fa4ee5f6505e544f9ef14b1\",\"a21dc54678404aac9a4bf0da2665fd61\",\"a81a9ff35c90408973b69d4f347cd506\",\"94cae8c09e10504f39fa83e01055b7e9\",\"56359f50eef9bb8afb04df4ce2f43b05\",\"81da48f2a1076bb66bfb00a931995d40\",\"1bed3c34125433bc86c9648142bf3eb2\",\"d9bd9d4b647564f9f88b56089082c579\",\"4df9dc7e759c543ea6025b3975d1b97c\",\"630acbb60c9c336417848d3516f53cba\",\"72b9b564bcc4bc1c59e78c7944f6cb6e\",\"9f6f51b3d9b78d219d2760f20bbb1a2f\",\"203c92c596bf44f933e61c208ed2925f\",\"8f47055c3558a9ba02585ef2cbad0ffc\",\"f108f98cf94f11feb25742392963a8c1\",\"32af0e203421559d0bcf68d7749cded1\",\"5019d667afa70951a58ef9e15a1711e0\",\"0b98c7376cbaeab4ff5505b25aa7e589\",\"dc80d21df86e998d7ff32ba07d61b11f\",\"384bbc82e8a8f91288e9a8f724162af5\",\"b238852341547964cea76acfee10c9e1\",\"f8f80fab11325d58314d83815011e93e\",\"26a2e4500ad56e53c5925f14afc68593\",\"9b1304bce217598845bea51e1b2ad68f\",\"b933cb8fca7921ef0bac5f9b9cf392d2\",\"ec42a0a079e9d61b771c28e3f1486a84\",\"4ce3673652534074d9975949ba8831bd\",\"969060a2dbafb41fec6db6b5a8e03702\",\"24b009de17acc504d2a7d0649a3b5477\",\"eebb511bd0d4563b015eebe9ae9461e7\",\"86a604589c6d71e59571710325ebcff3\",\"07a1580687d991ad83aee3f3e063d894\",\"d257186e7d7283fa5fde90775ae7aab9\",\"5de41f1b482d138897c1abf34e2ab6af\",\"7d93ec311cfbe339083c20d45e3c214e\",\"0e6f401d3445a4eb3ba84796a8ac4993\",\"595c37830a12cd708cec287d002ac271\",\"d96a46181eebf1e11c9fc2bd8f0faa42\",\"3cf28c64e955966919a6059c6e82dbe0\",\"adb6a048f047c457c3d2cd211a91992a\",\"78556aaafabaa4d7f7a6612353551f4a\",\"b9baaedaa2666d43f65eaf1ebcde70a8\",\"27b0397a66df8069f7e95c58708e0197\",\"7eba141ae5591a2b2825cb0e2e070cd8\",\"8d6da59e1224c88fcb00205d3bcd4712\",\"c17a6903d8a873bee749b4bf4468e0fb\",\"b975b849b938b9150fc46ab4db40ef97\",\"1fc2b84b16e3bb929860ee299caf6096\",\"0453f0544050252a7992fef7b389cdeb\",\"b6245104e09df6cf02ccf8dd191c1618\",\"ae214d3f03691ae633547cc437abc449\"],\"62.1\":\"fae4ecf13a42dcb14486013ce71bbe16\",\"63\":[\"f58996c1d0034157ed8714af862b3449\",\"ca99ee0077037c96dd23585bca29f0f2\",\"3682b5fdf14cba9ae73c414dbcd63c31\",\"05cb4b7f1a0d4f83234daa1d562a9263\",\"dd8413a61d414e73b42ca2a111988ac6\",\"64007293708467df8256f0ff22105385\",\"bfc637cd6768679f02b0dd73d50d1fdf\",\"64fd3cdb4c2abe1e461708aa9f993760\",\"3729bc78f5ed5c3671124ec292e8bedf\",\"184bda29c672e09b1a235806db89ee40\",\"baaee97d77499280f933843250c2fa1c\",\"0f8cb003bd731d5861c2539802b373ac\",\"fa5ae330da269e61ff20e951a396034b\",\"ccbe6f9526254ed51e268a27c67a319b\",\"7dc3cee605a516d2ab252b25a6c50c28\",\"8a0b095447af8ba744210bb8f0f72c92\",\"b974045f52fd56c5664c09c67146aef9\",\"4b8501e75f5744a529c0e0d671997995\",\"da869652e3f9153f8d14d139b1b7830e\",\"828c00f5aa6012bc0360a5bf90c9277b\",\"39804c75f33bd5abe10e4d6c7713c94c\",\"29d2dfa3ffaef514394c7d15c4230b7e\",\"4b69b94e159d3f239a1bdfd5c6cccfbf\",\"1a61b864e1391508f7b598673a26b4c9\",\"f995e0ff4fa4ee5f6505e544f9ef14b1\",\"a21dc54678404aac9a4bf0da2665fd61\",\"a81a9ff35c90408973b69d4f347cd506\",\"94cae8c09e10504f39fa83e01055b7e9\",\"56359f50eef9bb8afb04df4ce2f43b05\",\"81da48f2a1076bb66bfb00a931995d40\",\"1bed3c34125433bc86c9648142bf3eb2\",\"d9bd9d4b647564f9f88b56089082c579\",\"4df9dc7e759c543ea6025b3975d1b97c\",\"630acbb60c9c336417848d3516f53cba\",\"72b9b564bcc4bc1c59e78c7944f6cb6e\",\"9f6f51b3d9b78d219d2760f20bbb1a2f\",\"203c92c596bf44f933e61c208ed2925f\",\"8f47055c3558a9ba02585ef2cbad0ffc\",\"f108f98cf94f11feb25742392963a8c1\",\"32af0e203421559d0bcf68d7749cded1\",\"5019d667afa70951a58ef9e15a1711e0\",\"0b98c7376cbaeab4ff5505b25aa7e589\",\"dc80d21df86e998d7ff32ba07d61b11f\",\"384bbc82e8a8f91288e9a8f724162af5\",\"b238852341547964cea76acfee10c9e1\",\"f8f80fab11325d58314d83815011e93e\",\"26a2e4500ad56e53c5925f14afc68593\",\"9b1304bce217598845bea51e1b2ad68f\",\"b933cb8fca7921ef0bac5f9b9cf392d2\",\"ec42a0a079e9d61b771c28e3f1486a84\",\"4ce3673652534074d9975949ba8831bd\",\"969060a2dbafb41fec6db6b5a8e03702\",\"24b009de17acc504d2a7d0649a3b5477\",\"eebb511bd0d4563b015eebe9ae9461e7\",\"86a604589c6d71e59571710325ebcff3\",\"07a1580687d991ad83aee3f3e063d894\",\"d257186e7d7283fa5fde90775ae7aab9\",\"5de41f1b482d138897c1abf34e2ab6af\",\"7d93ec311cfbe339083c20d45e3c214e\",\"0e6f401d3445a4eb3ba84796a8ac4993\",\"595c37830a12cd708cec287d002ac271\",\"d96a46181eebf1e11c9fc2bd8f0faa42\",\"3cf28c64e955966919a6059c6e82dbe0\",\"adb6a048f047c457c3d2cd211a91992a\",\"78556aaafabaa4d7f7a6612353551f4a\",\"b9baaedaa2666d43f65eaf1ebcde70a8\",\"27b0397a66df8069f7e95c58708e0197\",\"7eba141ae5591a2b2825cb0e2e070cd8\",\"8d6da59e1224c88fcb00205d3bcd4712\",\"c17a6903d8a873bee749b4bf4468e0fb\",\"b975b849b938b9150fc46ab4db40ef97\",\"1fc2b84b16e3bb929860ee299caf6096\",\"0453f0544050252a7992fef7b389cdeb\",\"b6245104e09df6cf02ccf8dd191c1618\",\"ae214d3f03691ae633547cc437abc449\"],\"78\":[\"cb22268c096813cfe845ff604d5883d0\",\"09daf60fbfb19c928b8a9c3b2bbba4a6\"],\"13.1\":\"3ad9124f72acfe7d31edb82c27ec5358\",\"13.2\":\"ff26cf189ce977638f1a84306818dfb2\",\"8.1\":\"3763d828cfee9e1431a67328684556a9\",\"8.2\":\"121b81f3922e0a6bba9351de8e305f81\",\"21.1\":\"121b598bcd9e0b2bc0e97c3eb5bb4dd6\",\"21.2\":\"aec3b04abcafb2838b8c827079298238\",\"19.1\":\"ff60922e4400a2aca08dc9c44c261ae0\",\"19.2\":\"f91394a4d83cee111e11356226d0b71e\",\"20.1\":\"2f7696daef1bfbde710bf587097380e9\",\"20.2\":\"c1f20418fa3eca0fb322a29b5f11a331\",\"41.1\":\"4148ed1dda511a042721d06d87924ba3\",\"41.2\":\"d070c90bbb8380e58b923514e3d79dec\"}","ad195366c23388329b24c63ce3c464ec"]' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_21' id='gform_target_page_number_21' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_21' id='gform_source_page_number_21' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div>\n\t\t                <iframe style='display:none;width:0px;height:0px;' src='about:blank' name='gform_ajax_frame_21' id='gform_ajax_frame_21' title='This iframe contains the logic required to handle Ajax powered Gravity Forms.'><\/iframe>\n\t\t                <script>\ngform.initializeOnLoaded( function() {gformInitSpinner( 21, 'https:\/\/www.cortezmasto.senate.gov\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_21').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_21');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_21').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){form_content.find('form').css('opacity', 0);jQuery('#gform_wrapper_21').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_21').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_21').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/ jQuery(document).scrollTop(jQuery('#gform_wrapper_21').offset().top - mt); }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_21').val();gformInitSpinner( 21, 'https:\/\/www.cortezmasto.senate.gov\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [21, current_page]);window['gf_submitting_21'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}jQuery('#gform_wrapper_21').replaceWith(confirmation_content);jQuery(document).scrollTop(jQuery('#gf_21').offset().top - mt);jQuery(document).trigger('gform_confirmation_loaded', [21]);window['gf_submitting_21'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_21').text());}else{jQuery('#gform_21').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"21\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);        if (event && event.defaultPrevented) {                return;        }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_21\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_21\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_21\" );        let postRenderFired = false;        function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            gform.core.triggerPostRenderEvents( 21, current_page );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return function() {                var context = this, args = arguments;                var later = function() {                    timeout = null;                    if ( !immediate ) func.apply( context, args );                };                var callNow = immediate && !timeout;                clearTimeout( timeout );                timeout = setTimeout( later, wait );                if ( callNow ) func.apply( context, args );            };        }        const debouncedTriggerPostRender = debounce( function() {            triggerPostRender();        }, 200 );        if ( visibilityTestDiv && visibilityTestDiv.offsetParent === null ) {            const observer = new MutationObserver( ( mutations ) => {                mutations.forEach( ( mutation ) => {                    if ( mutation.type === 'attributes' && visibilityTestDiv.offsetParent !== null ) {                        debouncedTriggerPostRender();                        observer.disconnect();                    }                });            });            observer.observe( document.body, {                attributes: true,                childList: false,                subtree: true,                attributeFilter: [ 'style', 'class' ],            });        } else {            triggerPostRender();        }    } );} );\n<\/script>\n\t\t\t<\/div>\n\n            <script type=\"text\/javascript\">\n                var gf_global = {\"gf_currency_config\":{\"name\":\"U.S. Dollar\",\"symbol_left\":\"$\",\"symbol_right\":\"\",\"symbol_padding\":\"\",\"thousand_separator\":\",\",\"decimal_separator\":\".\",\"decimals\":2,\"code\":\"USD\"},\"base_url\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/wp-content\\\/plugins\\\/gravityforms\",\"number_formats\":[],\"spinnerUrl\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/wp-content\\\/plugins\\\/gravityforms\\\/images\\\/spinner.svg\",\"version_hash\":\"f6f6e023ec52df043a23ce1d7ce86fda\",\"strings\":{\"newRowAdded\":\"New row added.\",\"rowRemoved\":\"Row removed\",\"formSaved\":\"The form has been saved.  The content contains the link to return and complete the form.\"}};\t\t\t\tvar gf_vars = {\"active\":\"Active\",\"inactive\":\"Inactive\",\"save\":\"Save\",\"update\":\"Update\",\"previousLabel\":\"Previous\",\"selectFormat\":\"Select a format\",\"column\":\"Column\",\"editToViewAll\":\"5 of %d items shown. Edit field to view all\",\"selectAll\":\"Select All\",\"enterValue\":\"Enter a value\",\"formTitle\":\"Untitled Form\",\"formDescription\":\"We would love to hear from you! Please fill out this form and we will get in touch with you shortly.\",\"formConfirmationMessage\":\"Thanks for contacting us! We will get in touch with you shortly.\",\"buttonText\":\"Submit\",\"buttonDescription\":\"The submit button for this form\",\"loading\":\"Loading...\",\"thisFieldIf\":\"this field if\",\"thisSectionIf\":\"this section if\",\"thisPage\":\"this page if\",\"thisFormButton\":\"this form button if\",\"show\":\"Show\",\"hide\":\"Hide\",\"enable\":\"Enable\",\"disable\":\"Disable\",\"enabled\":\"Enabled\",\"disabled\":\"Disabled\",\"configure\":\"Configure\",\"conditional_logic_text\":\"Conditional Logic\",\"conditional_logic_desc\":\"Conditional logic allows you to change what the user sees depending on the fields they select.\",\"conditional_logic_a11y\":\"Adding conditional logic to the form submit button could cause usability problems for some users and negatively impact the accessibility of your form. Learn more about button conditional logic in our <a href=\\\"https:\\\/\\\/docs.gravityforms.com\\\/field-accessibility-warning\\\/\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\">documentation<span class=\\\"screen-reader-text\\\">(opens in a new tab)<\\\/span>&nbsp;<span class=\\\"gform-icon gform-icon--external-link\\\" aria-hidden=\\\"true\\\"><\\\/span><\\\/a>.\",\"page\":\"Page\",\"next_button\":\"Next Button\",\"button\":\"Submit Button\",\"all\":\"All\",\"any\":\"Any\",\"ofTheFollowingMatch\":\"of the following match:\",\"is\":\"is\",\"isNot\":\"is not\",\"greaterThan\":\"greater than\",\"lessThan\":\"less than\",\"contains\":\"contains\",\"startsWith\":\"starts with\",\"endsWith\":\"ends with\",\"emptyChoice\":\"Empty (no choices selected)\",\"alertLegacyMode\":\"This form has legacy markup enabled and doesn\\u2019t support field resizing within the editor. Please disable legacy markup in the form settings to enable live resizing.\",\"thisConfirmation\":\"Use this confirmation if\",\"thisNotification\":\"Send this notification if\",\"confirmationSave\":\"Save\",\"confirmationSaving\":\"Saving...\",\"confirmationAreYouSure\":\"Are you sure you wish to cancel these changes?\",\"confirmationIssueSaving\":\"There was an issue saving this confirmation.\",\"confirmationConfirmDelete\":\"Are you sure you wish to delete this confirmation?\",\"confirmationIssueDeleting\":\"There was an issue deleting this confirmation.\",\"confirmationConfirmDiscard\":\"There are unsaved changes to the current confirmation. Would you like to discard these changes?\",\"confirmationDefaultName\":\"Untitled Confirmation\",\"confirmationDefaultMessage\":\"Thanks for contacting us! We will get in touch with you shortly.\",\"confirmationInvalidPageSelection\":\"Please select a page.\",\"confirmationInvalidRedirect\":\"Please enter a URL.\",\"confirmationInvalidName\":\"Please enter a confirmation name.\",\"confirmationDeleteField\":\"Deleting this field will also delete all entry data associated with it. 'Cancel' to abort. 'OK' to delete.\",\"confirmationDeleteDisplayField\":\"You're about to delete this field. 'Cancel' to stop. 'OK' to delete\",\"confirmationDeleteDisplayFieldTitle\":\"Warning\",\"conditionalLogicDependency\":\"This form contains {type} conditional logic dependent upon this field. Deleting this field will deactivate those conditional logic rules and also delete all entry data associated with the field. 'Cancel' to abort. 'OK' to delete.\",\"conditionalLogicDependencyChoice\":\"This form contains {type} conditional logic dependent upon this choice. Are you sure you want to delete this choice? 'Cancel' to abort. 'OK' to delete.\",\"conditionalLogicDependencyChoiceEdit\":\"This form contains {type} conditional logic dependent upon this choice. Are you sure you want to modify this choice? 'Cancel' to abort. 'OK' to continue.\",\"conditionalLogicDependencyAdminOnly\":\"This form contains {type} conditional logic dependent upon this field. Are you sure you want to mark this field as Administrative? 'Cancel' to abort. 'OK' to continue.\",\"conditionalLogicRichTextEditorWarning\":\"This form contains conditional logic dependent upon this field. This will no longer work if the Rich Text Editor is enabled.  Are you sure you want to enable the Rich Text Editor?  'Cancel' to abort. 'OK' to continue.\",\"conditionalLogicTypeButton\":\"button\",\"conditionalLogicTypeConfirmation\":\"confirmation\",\"conditionalLogicTypeNotification\":\"notification\",\"conditionalLogicTypeNoficationRouting\":\"notification routing\",\"conditionalLogicTypeField\":\"field\",\"conditionalLogicTypeFeed\":\"feed\",\"conditionalLogicWarningTitle\":\"Conditional Logic Warning\",\"mergeTagsText\":\"Insert Merge Tags\",\"baseUrl\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/wp-content\\\/plugins\\\/gravityforms\",\"gf_currency_config\":{\"name\":\"U.S. Dollar\",\"symbol_left\":\"$\",\"symbol_right\":\"\",\"symbol_padding\":\"\",\"thousand_separator\":\",\",\"decimal_separator\":\".\",\"decimals\":2,\"code\":\"USD\"},\"otherChoiceValue\":\"Other\",\"isFormTrash\":false,\"currentlyAddingField\":false,\"visibilityOptions\":[{\"label\":\"Visible\",\"value\":\"visible\",\"description\":\"Default option. The field is visible when viewing the form.\"},{\"label\":\"Hidden\",\"value\":\"hidden\",\"description\":\"The field is hidden when viewing the form. Useful when you require the functionality of this field but do not want the user to be able to see this field.\"},{\"label\":\"Administrative\",\"value\":\"administrative\",\"description\":\"The field is only visible when administering submitted entries. The field is not visible or functional when viewing the form.\"}],\"addFieldFilter\":\"Add a condition\",\"removeFieldFilter\":\"Remove a condition\",\"filterAndAny\":\"{0} of the following match:\",\"customChoices\":\"Custom Choices\",\"predefinedChoices\":\"Predefined Choices\",\"fieldLabelAriaLabel\":\"{field_label} - {field_type}, jump to this field&#039;s settings\",\"fieldCanBeAddedTitle\":\"Field Limit\",\"fieldCanBeAddedCaptcha\":\"A form can only contain one CAPTCHA field.\",\"fieldCanBeAddedShipping\":\"A form can only contain one Shipping field.\",\"fieldCanBeAddedPostContent\":\"A form can only contain one Post Body field.\",\"fieldCanBeAddedPostTitle\":\"A form can only contain one Post Title field.\",\"fieldCanBeAddedPostExcerpt\":\"A form can only contain one Post Excerpt field.\",\"fieldCanBeAddedCreditCard\":\"A form can only contain one Credit Card field.\",\"fieldCanBeAddedProductTitle\":\"Missing Product field\",\"fieldCanBeAddedProduct\":\"You must add a Product field to the form first.\",\"legacyMarkupTitle\":\"Unsupported Markup\",\"fieldCanBeAddedMultipleChoice\":\"You cannot add a Multiple Choice field to a form that uses legacy markup. Please edit the form settings and turn off Legacy Markup.\",\"fieldCanBeAddedImageChoice\":\"You cannot add an Image Choice field to a form that uses legacy markup. Please edit the form settings and turn off Legacy Markup.\",\"FieldAjaxonErrorTitle\":\"Error\",\"StartAddFieldAjaxonError\":\"Ajax error while adding field. Please refresh the page and try again.\",\"StartChangeInputTypeAjaxonError\":\"Ajax error while changing input type. Please refresh the page and try again.\",\"MissingNameCustomChoicesTitle\":\"Missing Name\",\"MissingNameCustomChoices\":\"Please give this custom choice a name.\",\"DuplicateNameCustomChoicesTitle\":\"Duplicate Name\",\"DuplicateNameCustomChoices\":\"This custom choice name is already in use. Please enter another name.\",\"DuplicateTitleMessageTitle\":\"Duplicate Title\",\"DuplicateTitleMessage\":\"The form title you have entered is already taken. Please enter a unique form title.\",\"ValidateFormMissingFormTitleTitle\":\"Missing Form Title\",\"ValidateFormMissingFormTitle\":\"Please enter a Title for this form. When adding the form to a page or post, you will have the option to hide the title.\",\"ValidateFormEmptyPageTitle\":\"Empty Page\",\"ValidateFormEmptyPage\":\"This form currently has one or more pages without any fields. Blank pages are a result of Page Breaks that are positioned as the first or last field in the form or right after each other. Please adjust the Page Breaks.\",\"ValidateFormMissingProductLabelTitle\":\"Missing Product Label\",\"ValidateFormMissingProductLabel\":\"This form has a Product field with a blank label. Please enter a label for every Product field.\",\"ValidateFormMissingProductFieldTitle\":\"Missing Product field\",\"ValidateFormMissingProductField\":\"This form has an Option field without a Product field. You must add a Product field to your form.\",\"FormulaIsValidTitle\":\"Success\",\"FormulaIsValid\":\"The formula appears to be valid.\",\"FormulaIsInvalid\":\"There appears to be a problem with the formula.\",\"DeleteFormTitle\":\"Confirm\",\"DeleteForm\":\"You are about to move this form to the trash. &#039;Cancel&#039; to abort. &#039;OK&#039; to delete.\",\"DeleteCustomChoice\":\"Delete this custom choice list? &#039;Cancel&#039; to abort. &#039;OK&#039; to delete.\",\"FieldAdded\":\"&nbsp;field added to form\",\"nameFieldDefaultPrefixes\":[{\"text\":\"Dr.\",\"value\":\"Dr.\"},{\"text\":\"Miss\",\"value\":\"Miss\"},{\"text\":\"Mr.\",\"value\":\"Mr.\"},{\"text\":\"Mrs.\",\"value\":\"Mrs.\"},{\"text\":\"Ms.\",\"value\":\"Ms.\"},{\"text\":\"Mx.\",\"value\":\"Mx.\"},{\"text\":\"Prof.\",\"value\":\"Prof.\"},{\"text\":\"Rev.\",\"value\":\"Rev.\"}]};\t\t\t<\/script>\n\n            <script type=\"text\/javascript\">\n                \/* EA Gravity Forms - ensure GF's per-form post-render event dispatches\n                 * even when the widget's render context prevents GF's standard\n                 * GFFormDisplay::footer_init_scripts() per-form trigger from executing.\n                 * Without this, third-party GF add-ons (e.g. Gravity Forms reCAPTCHA\n                 * Add-On v2.2.2+) that hook into `gform\/post_render` to register\n                 * submission filters will never fire, breaking v3 token population.\n                 *\/\n                ( function () {\n                    var formId = 21;\n                    if ( typeof window.gform === 'undefined'\n                         || typeof window.gform.initializeOnLoaded !== 'function' ) {\n                        return;\n                    }\n                    window.gform.initializeOnLoaded( function () {\n                        var flag = '__eaelGfPostRenderFired_' + formId;\n                        if ( window[ flag ] ) { return; }\n                        if ( window.gform && window.gform.core\n                             && typeof window.gform.core.triggerPostRenderEvents === 'function' ) {\n                            window[ flag ] = true;\n                            window.gform.core.triggerPostRenderEvents( formId, 1 );\n                        }\n                    } );\n                } )();\n            <\/script>\n            \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>&quot;*&quot; indicates required fields Senator Cortez Masto can arrange to have an American flag flown over the U.S. Capitol for anyone who would like to request one. If there is not a specific occasion or person you would like a flag flown on behalf of, you may purchase a pre-flown flag. Multiple flag sizes are [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":43000,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-43028","page","type-page","status-publish","hentry"],"acf":{"image":36020,"show_image":true,"blurb":"","blurb_overline":"","hide_default_heading":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Solicitudes de Banderas - Senator Catherine Cortez Masto<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.cortezmasto.senate.gov\/es\/ayudandote\/servicios-a-los-constituyentes\/solicitudes-de-banderas\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Solicitudes de Banderas - Senator Catherine Cortez Masto\" \/>\n<meta property=\"og:description\" content=\"&quot;*&quot; indicates required fields Senator Cortez Masto can arrange to have an American flag flown over the U.S. Capitol for anyone who would like to request one. If there is not a specific occasion or person you would like a flag flown on behalf of, you may purchase a pre-flown flag. Multiple flag sizes are [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.cortezmasto.senate.gov\/es\/ayudandote\/servicios-a-los-constituyentes\/solicitudes-de-banderas\/\" \/>\n<meta property=\"og:site_name\" content=\"Senator Catherine Cortez Masto\" \/>\n<meta property=\"article:modified_time\" content=\"2023-10-18T18:37:35+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/es\\\/ayudandote\\\/servicios-a-los-constituyentes\\\/solicitudes-de-banderas\\\/\",\"url\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/es\\\/ayudandote\\\/servicios-a-los-constituyentes\\\/solicitudes-de-banderas\\\/\",\"name\":\"Solicitudes de Banderas - Senator Catherine Cortez Masto\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/#website\"},\"datePublished\":\"2023-07-28T19:10:44+00:00\",\"dateModified\":\"2023-10-18T18:37:35+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/es\\\/ayudandote\\\/servicios-a-los-constituyentes\\\/solicitudes-de-banderas\\\/#breadcrumb\"},\"inLanguage\":\"es-ES\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/es\\\/ayudandote\\\/servicios-a-los-constituyentes\\\/solicitudes-de-banderas\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/es\\\/ayudandote\\\/servicios-a-los-constituyentes\\\/solicitudes-de-banderas\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Ayud\u00e1ndote\",\"item\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/help\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Servicios a los Constituyentes\",\"item\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/es\\\/ayudandote\\\/servicios-a-los-constituyentes\\\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Solicitudes de Banderas\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/#website\",\"url\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/\",\"name\":\"Senator Catherine Cortez Masto\",\"description\":\"U.S. Senator Catherine Cortez Masto of Nevada\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es-ES\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/#organization\",\"name\":\"Senator Catherine Cortez Masto\",\"url\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es-ES\",\"@id\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/wp-content\\\/uploads\\\/2023\\\/02\\\/CCM_Logo_Primary.svg\",\"contentUrl\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/wp-content\\\/uploads\\\/2023\\\/02\\\/CCM_Logo_Primary.svg\",\"width\":1200,\"height\":626,\"caption\":\"Senator Catherine Cortez Masto\"},\"image\":{\"@id\":\"https:\\\/\\\/www.cortezmasto.senate.gov\\\/#\\\/schema\\\/logo\\\/image\\\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Solicitudes de Banderas - Senator Catherine Cortez Masto","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.cortezmasto.senate.gov\/es\/ayudandote\/servicios-a-los-constituyentes\/solicitudes-de-banderas\/","og_locale":"es_ES","og_type":"article","og_title":"Solicitudes de Banderas - Senator Catherine Cortez Masto","og_description":"&quot;*&quot; indicates required fields Senator Cortez Masto can arrange to have an American flag flown over the U.S. Capitol for anyone who would like to request one. If there is not a specific occasion or person you would like a flag flown on behalf of, you may purchase a pre-flown flag. Multiple flag sizes are [&hellip;]","og_url":"https:\/\/www.cortezmasto.senate.gov\/es\/ayudandote\/servicios-a-los-constituyentes\/solicitudes-de-banderas\/","og_site_name":"Senator Catherine Cortez Masto","article_modified_time":"2023-10-18T18:37:35+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"7 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.cortezmasto.senate.gov\/es\/ayudandote\/servicios-a-los-constituyentes\/solicitudes-de-banderas\/","url":"https:\/\/www.cortezmasto.senate.gov\/es\/ayudandote\/servicios-a-los-constituyentes\/solicitudes-de-banderas\/","name":"Solicitudes de Banderas - Senator Catherine Cortez Masto","isPartOf":{"@id":"https:\/\/www.cortezmasto.senate.gov\/#website"},"datePublished":"2023-07-28T19:10:44+00:00","dateModified":"2023-10-18T18:37:35+00:00","breadcrumb":{"@id":"https:\/\/www.cortezmasto.senate.gov\/es\/ayudandote\/servicios-a-los-constituyentes\/solicitudes-de-banderas\/#breadcrumb"},"inLanguage":"es-ES","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.cortezmasto.senate.gov\/es\/ayudandote\/servicios-a-los-constituyentes\/solicitudes-de-banderas\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.cortezmasto.senate.gov\/es\/ayudandote\/servicios-a-los-constituyentes\/solicitudes-de-banderas\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.cortezmasto.senate.gov\/"},{"@type":"ListItem","position":2,"name":"Ayud\u00e1ndote","item":"https:\/\/www.cortezmasto.senate.gov\/help\/"},{"@type":"ListItem","position":3,"name":"Servicios a los Constituyentes","item":"https:\/\/www.cortezmasto.senate.gov\/es\/ayudandote\/servicios-a-los-constituyentes\/"},{"@type":"ListItem","position":4,"name":"Solicitudes de Banderas"}]},{"@type":"WebSite","@id":"https:\/\/www.cortezmasto.senate.gov\/#website","url":"https:\/\/www.cortezmasto.senate.gov\/","name":"Senator Catherine Cortez Masto","description":"U.S. Senator Catherine Cortez Masto of Nevada","publisher":{"@id":"https:\/\/www.cortezmasto.senate.gov\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.cortezmasto.senate.gov\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es-ES"},{"@type":"Organization","@id":"https:\/\/www.cortezmasto.senate.gov\/#organization","name":"Senator Catherine Cortez Masto","url":"https:\/\/www.cortezmasto.senate.gov\/","logo":{"@type":"ImageObject","inLanguage":"es-ES","@id":"https:\/\/www.cortezmasto.senate.gov\/#\/schema\/logo\/image\/","url":"https:\/\/www.cortezmasto.senate.gov\/wp-content\/uploads\/2023\/02\/CCM_Logo_Primary.svg","contentUrl":"https:\/\/www.cortezmasto.senate.gov\/wp-content\/uploads\/2023\/02\/CCM_Logo_Primary.svg","width":1200,"height":626,"caption":"Senator Catherine Cortez Masto"},"image":{"@id":"https:\/\/www.cortezmasto.senate.gov\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/www.cortezmasto.senate.gov\/es\/wp-json\/wp\/v2\/pages\/43028","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.cortezmasto.senate.gov\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.cortezmasto.senate.gov\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.cortezmasto.senate.gov\/es\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cortezmasto.senate.gov\/es\/wp-json\/wp\/v2\/comments?post=43028"}],"version-history":[{"count":15,"href":"https:\/\/www.cortezmasto.senate.gov\/es\/wp-json\/wp\/v2\/pages\/43028\/revisions"}],"predecessor-version":[{"id":44305,"href":"https:\/\/www.cortezmasto.senate.gov\/es\/wp-json\/wp\/v2\/pages\/43028\/revisions\/44305"}],"up":[{"embeddable":true,"href":"https:\/\/www.cortezmasto.senate.gov\/es\/wp-json\/wp\/v2\/pages\/43000"}],"wp:attachment":[{"href":"https:\/\/www.cortezmasto.senate.gov\/es\/wp-json\/wp\/v2\/media?parent=43028"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}