{"id":4086,"date":"2021-06-01T10:01:07","date_gmt":"2021-06-01T18:01:07","guid":{"rendered":"https:\/\/healthyfuturesak.org\/?page_id=4086"},"modified":"2022-06-03T11:25:32","modified_gmt":"2022-06-03T19:25:32","slug":"2022-100-miles-in-may-finisher-beanie-order-form-2","status":"publish","type":"page","link":"https:\/\/healthyfuturesak.org\/2022-100-miles-in-may-finisher-beanie-order-form-2\/","title":{"rendered":"2022 100 Miles in May &#8220;Finisher&#8221; Beanie Order Form"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.9.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.9.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.9.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.11.3&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2><a href=\"https:\/\/healthyfuturesak.org\/wp-content\/uploads\/2022\/06\/Beanie-pic.png\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-4764 alignleft size-medium\" src=\"https:\/\/healthyfuturesak.org\/wp-content\/uploads\/2022\/06\/Beanie-pic-300x188.png\" alt=\"\" width=\"300\" height=\"188\" \/><\/a><a href=\"https:\/\/healthyfuturesak.org\/wp-content\/uploads\/2021\/06\/100-MM-Finisher-Beanie.jpg\">\u200b<\/a>100 Miles in May Beanie Order Form:<\/h2>\n<p>(Orders must be in by Monday, June 13th)<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Beanie Order Form&#8221; _builder_version=&#8221;4.9.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<script type=\"text\/javascript\">var 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gform_body'><ul id='gform_fields_13' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_13_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_13_1\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_13_1'>\n                            \n                            <span id='input_13_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_13_1_3' value=''   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data-js-reload=\"field_13_15\" ><label class='gfield_label gform-field-label' for='input_13_15'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_15' id='input_13_15' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_13_16\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_13_16\" ><label class='gfield_label gform-field-label' for='input_13_16'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_16' id='input_13_16' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_2\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_13_2\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \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_13_2' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_13_2_1_container' >\n                                        <input type='text' name='input_2.1' id='input_13_2_1' value=''    aria-required='true'    \/>\n                                        <label for='input_13_2_1' id='input_13_2_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_13_2_2_container' >\n                                        <input type='text' name='input_2.2' id='input_13_2_2' value=''     aria-required='false'   \/>\n                                        <label for='input_13_2_2' id='input_13_2_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_13_2_3_container' >\n                                    <input type='text' name='input_2.3' id='input_13_2_3' value=''    aria-required='true'    \/>\n                                    <label for='input_13_2_3' id='input_13_2_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_13_2_4_container' >\n       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value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North 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                             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class='gform-body gform_body'><ul id='gform_fields_13' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_13_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_13_1\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_13_1'>\n                            \n                            <span id='input_13_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_13_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_13_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_13_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_13_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_13_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_13_15\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_13_15\" ><label class='gfield_label gform-field-label' for='input_13_15'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_15' id='input_13_15' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_13_16\" class=\"gfield gfield--type-phone field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_13_16\" ><label class='gfield_label gform-field-label' for='input_13_16'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_16' id='input_13_16' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_13_2\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_13_2\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \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_13_2' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_13_2_1_container' >\n                                        <input type='text' name='input_2.1' id='input_13_2_1' value=''    aria-required='true'    \/>\n                                        <label for='input_13_2_1' id='input_13_2_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_13_2_2_container' >\n                                        <input type='text' name='input_2.2' id='input_13_2_2' value=''     aria-required='false'   \/>\n                                        <label for='input_13_2_2' id='input_13_2_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_13_2_3_container' >\n                                    <input type='text' name='input_2.3' id='input_13_2_3' value=''    aria-required='true'    \/>\n                                    <label for='input_13_2_3' id='input_13_2_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_13_2_4_container' >\n                                        <select name='input_2.4' id='input_13_2_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North 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                             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gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_13_13\" ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_13_13_1'><span class=\"gform-field-label gfield_label_product\">Beanie- single purchase<\/span> <span class=\"screen-reader-text\">Quantity<\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_13.1' value='Beanie- single purchase' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_13_13'>$22.00<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_13.2' id='ginput_base_price_13_13' class='gform_hidden' value='$22.00'\/>\n\t\t\t\t\t <span class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantity<\/span> <input type='number' name='input_13.3' value='' id='input_13_13_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantity Beanie- single purchase\" aria-describedby=\"gfield_description_13_13\" \/>\n\t\t\t\t<\/div><div class='gfield_description' id='gfield_description_13_13'>Select this option if ordering only 1 beanie. If ordering 2 or more, go down to the next box and enter in quantity for a discounted price.<\/div><\/li><li id=\"field_13_14\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield_price gfield_price_13_14 gfield_product_13_14 field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_13_14\" ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_13_14_1'><span class=\"gform-field-label gfield_label_product\">Beanie- 2 or more<\/span> <span class=\"screen-reader-text\">Quantity<\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_14.1' value='Beanie- 2 or more' class='gform_hidden' \/>\n\t\t\t\t\t\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_13_14'>$20.00<\/span>\n\t\t\t\t\t\n\t\t\t\t\t<input type='hidden' name='input_14.2' id='ginput_base_price_13_14' class='gform_hidden' value='$20.00'\/>\n\t\t\t\t\t <span class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantity<\/span> <input type='number' name='input_14.3' value='' id='input_13_14_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantity Beanie- 2 or more\"  \/>\n\t\t\t\t<\/div><\/li><li id=\"field_13_17\" class=\"gfield gfield--type-captcha field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_13_17\" ><label class='gfield_label gform-field-label' for='input_13_17'>CAPTCHA<\/label><div id='input_13_17' class='ginput_container ginput_recaptcha' data-sitekey='6LfTZQ8TAAAAABqhZyW6f4m67AD-Ykf-T6Eoofav'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/li><li id=\"field_13_12\" class=\"gfield gfield--type-total gfield_price gfield_price_13_ gfield_total gfield_total_13_ field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" data-js-reload=\"field_13_12\" ><label class='gfield_label gform-field-label' for='input_13_12'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<span class='ginput_total ginput_total_13'>$0.00<\/span>\n\t\t\t\t\t\t\t<input type='hidden' name='input_12' id='input_13_12' class='gform_hidden'\/>\n\t\t\t\t\t\t<\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_13' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_13\"]){return false;}  if( !jQuery(\"#gform_13\")[0].checkValidity || jQuery(\"#gform_13\")[0].checkValidity()){window[\"gf_submitting_13\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_13\"]){return false;} if( !jQuery(\"#gform_13\")[0].checkValidity || jQuery(\"#gform_13\")[0].checkValidity()){window[\"gf_submitting_13\"]=true;}  jQuery(\"#gform_13\").trigger(\"submit\",[true]); 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