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<noscript>Your browser does not support JavaScript!</noscript> <!DOCTYPE html> <!--[if lt IE 7 ]> <html class="ie ie6 no-js" lang="en"> <![endif]--> <!--[if IE 7 ]> <html class="ie ie7 no-js" lang="en"> <![endif]--> <!--[if IE 8 ]> <html class="ie ie8 no-js" lang="en"> <![endif]--> <!--[if IE 9 ]> <html class="ie ie9 no-js" lang="en"> <![endif]--> <!--[if gt IE 9]><!--><html class="no-js" lang="en"><!--<![endif]--> <!-- the "no-js" class is for Modernizr. --> <html> <head> <meta charset="utf-8"> <meta name="keywords" content="[-meta-]" /> <!-- Always force latest IE rendering engine (even in intranet) & Chrome Frame --> <meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1"> <title></title> <meta name="title" content=""> <link rel="stylesheet" type="text/css" href="https://hostedcontent.dragonforms.com/hosted/images/dragon/generic/10/st_johns_10b.css" /><script src='https://code.jquery.com/jquery-2.2.4.min.js' integrity='sha256-BbhdlvQf/xTY9gja0Dq3HiwQF8LaCRTXxZKRutelT44=' crossorigin='anonymous'></script><script type="text/javascript" src="https://static-cdn.dragonforms.com/js/conditional.js?build=V24.16-20241121"></script><script type="text/javascript" src="https://static-cdn.dragonforms.com/js/dragonCampaign.js?build=V24.16-20241121"></script><link rel="stylesheet" type="text/css" href="https://static-cdn.dragonforms.com/style/generic.css?build=V24.16-20241121" /><script type="text/javascript" src="https://hostedcontent.dragonforms.com/hosted/images/dragon/12454/475.js"></script><link rel="stylesheet" type="text/css" href="https://hostedcontent.dragonforms.com/hosted/images/dragon/12454/54.css" /><link rel="stylesheet" type="text/css" href="https://hostedcontent.dragonforms.com/hosted/images/dragon/12454/417.css" /><script type="text/javascript" src="https://hostedcontent.dragonforms.com/hosted/images/dragon/12454/421.js"></script><link rel="stylesheet" type="text/css" href="https://hostedcontent.dragonforms.com/hosted/images/dragon/12454/422.css" /><link rel="stylesheet" type="text/css" href="https://hostedcontent.dragonforms.com/hosted/images/dragon/12454/481.css" /> <!-- Google will often use this as its description of your page/site. Make it good. --> <meta name="description" content=""> <!-- Speaking of Google, don't forget to set your site up: http://google.com/webmasters --> <meta name="google-site-verification" content=""> <meta name="author" content=""> <meta name="Copyright" content="Copyright 2012. All Rights Reserved."> <!-- Mobile Viewport Fix j.mp/mobileviewport & davidbcalhoun.com/2010/viewport-metatag device-width : Occupy full width of the screen in its current orientation initial-scale = 1.0 retains dimensions instead of zooming out if page height > device height maximum-scale = 1.0 retains dimensions instead of zooming in if page width < device width --> <meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0"> <!-- This is the traditional favicon. - size: 16x16 or 32x32 - transparency is OK - see wikipedia for info on browser support: http://mky.be/favicon/ --> <link rel="shortcut icon"> <!-- The is the icon for iOS's Web Clip. - size: 57x57 for older iPhones, 72x72 for iPads, 114x114 for iPhone4's retina display (IMHO, just go ahead and use the biggest one) - To prevent iOS from applying its styles to the icon name it thusly: apple-touch-icon-precomposed.png - Transparency is not recommended (iOS will put a black BG behind the icon) --> <link rel="apple-touch-icon"> <!-- all our JS is at the bottom of the page, except for Modernizr. <script src="_/js/modernizr-1.7.min.js"></script> --> <!-- OMEDA BEGIN HOSTED PCI --><!-- OMEDA HOSTED PCI HEADER --><script><!-- hostedpci script --></script> <script src="https://cc.hostedpci.com/WBSStatic/site60/proxy/js/jquery-2.1.3.min.js" type="text/javascript" charset="utf-8"></script> <script src="https://cc.hostedpci.com/WBSStatic/site60/proxy/js/jquery.ba-postmessage.2.0.0.min.js" type="text/javascript" charset="utf-8"></script> <script> var hpciCCFrameHost = "https://ccifrm05.hostedpci.com"; var hpciCCFrameFullUrl = "https://ccifrm05.hostedpci.com/iSynSApp/showPxyPage!ccFrame.action?pgmode1=LIVE&locationName=checkout1french&sid=526201&fullParentHost=https://bridgetower.dragonforms.com&fullParentQStr=/saveNewSubscription.do"; var hpciCCFrameName = "ccframe"; // use the name of the frame containing the credit card var hpciSiteErrorHandler = function (errorCode, errorMsg){ // Please the following alert to properly display the error message web19 //alert("Error while processing credit card code:" + "Invalid Credit Card Number"); var errorCreditInput = document.getElementById("errorCredit"); errorCreditInput.value = "true"; var pendingForm = document.getElementById("standardForm"); pendingForm.submit(); } var hpciSiteSuccessHandler = function (mappedCCValue, mappedCVVValue){ // Please pass the values to the document input and then submit the form // name of the input (hidden) field required by ecommerce site // Typically this is a hidden input field. var ccNumInput = document.getElementById("ccNum"); ccNumInput.value = mappedCCValue; // name of the input (hidden) field required by ecommerce site // Typically this is a hidden input field. var ccCVVInput = document.getElementById("ccCVV"); ccCVVInput.value = mappedCVVValue; // name of the form submission for ecommerce site //var pendingForm = document.getElementById("CCAcceptForm"); var pendingForm = document.getElementById("standardForm"); //testing iFrame returns //alert("Return tokens: " + mappedCCValue + ", " + mappedCVVValue); pendingForm.submit(); } var hpci3DSitePINSuccessHandler = function (){ // name of the form submission for ecommerce site var pendingForm = document.getElementById("standardForm"); pendingForm.submit(); } var hpci3DSitePINErrorHandler = function (){ // Adapt the following message / action to match your required experience //alert("Could not verify PIN for the credit card"); } var hpciInitCompleteSuccessHandler = function () { } </script> <script src="https://cc.hostedpci.com/WBSStatic/site60/proxy/js/hpci-cciframe-1.0.js" type="text/javascript" charset="utf-8"></script><!-- OMEDA END HOSTED PCI --><!-- OMEDA HOSTED PCI HEADER --><script>var elements;</script></head> <body> <form method="post" accept-charset="utf-8" action="saveNewSubscription.do;jsessionid=DD3707DABCE7E5D3F272FB5BA1CA05E5;jsessionid=DD3707DABCE7E5D3F272FB5BA1CA05E5" id="standardForm"><input type="hidden" name="14" id="14" value="1"><input type="hidden" id="dragonjsessionid" name="dragonjsessionid" value="DD3707DABCE7E5D3F272FB5BA1CA05E5"><input type="hidden" id="omedasite" name="omedasite" value="gda_new"><input type="hidden" id="shippingaddresscountry" name="shippingaddresscountry" value="7"> <nav class="drgNav nav"></nav> <div class="container"> <span id="logo" class="eight columns"><div id="HTheader"><img src="https://hostedcontent.dragonforms.com/hosted/images/dragon/12454/213.png"><hr></div> </span><span id ="cover" class="eight columns"></span> <div> <span class="validation"> <ul> </ul> </span> </div> <div id="content1" class="sixteen columns"> <div id="pubsummary">Founded in 1917, Gifts and Decorative Accessories is the leading magazine in the gift and accessory industry, serving as an expert voice for retailers, manufacturers and vendors. Available in print and online, it reports on breaking news, product trends, research studies, business tips and other articles that give valuable insight into the market dynamics that affect readers' business. Subscribe today for access to the latest gift and toy industry news, trade show reports and trends.</div><hr><h3>Step One: Choose Your Subscription Package</h3><p></p><center><font color='#cc0000'>Click On An Image Below to Choose your Offer</font></center><p></p><span class="campaignHtml" style="display: none;"> <p id="campaignHtmlLabel" class="campaignHtml"> <span class="questionlabel ">&nbsp; <font color="red">*</font>&nbsp;</span> </p> <ul> <li class="licr"> <input name="campaignHtmlRadio1" type="radio" value="1" id="campaignHtmlRadio1" class="campaignHtmlRadio" disabled="disabled"> <span class="radiolabel"> <label for="campaignHtmlRadio1"> <div class="offerlabel"> <span>All Access</span> </div> <div class="offerimage"><img src="https://hostedcontent.dragonforms.com/hosted/images/dragon/12454/230.png"></div> <!-- <div class="selectrate">1 Year (11 issues)<br> Print &amp; Digital - $68.97</div> --> </label> </span> </li> <li class="licr232_97 lier24993_97 "> <input name="campaignHtmlRadio2" type="radio" value="2" id="campaignHtmlRadio2" class="campaignHtmlRadio" disabled="disabled"> <span class="radiolabel"> <label for="campaignHtmlRadio2"> <div class="offerlabel"> <span>Digital Only</span> </div> <div class="offerimage"> <img src="https://hostedcontent.dragonforms.com/hosted/images/dragon/12454/231.png"> </div> <!-- <div class="selectrate">1 Year (11 issues)<br> Digital Only - $55.97</div> --> </label> </span> </li> </ul> </span> <div id='campaignPlaceholder_32113'></div><input name="demo32114" type="hidden" value="" id="demo32114"/><span class="spanc232 drg-element-type-cms-content drg-element-sub-type-category-8"><p id="p232" class="drg-element-type-cms-content drg-element-sub-type-category-8"><span class="questionlabel "> &nbsp;</span></p><ul><li class="licr232_96 lier32115_96 "><input name="demo32115" type="radio" value="96" id="id232_96" class=' paidElementProduct20 paidElement' /><span class="radiolabel"><label for="id232_96"><div class="offerlabel"><span>All Access</span></div><div class="offerimage"><img src="https://cdn.omeda.com/hosted/images/dragon/12454/230.png"></div><div class="selectrate">1 Year (11 issues)<br> Print & Digital - $68.97</div></label></span></li><li class="licr232_97 lier32115_97 "><input name="demo32115" type="radio" value="97" id="id232_97" class=' paidElementProduct20 paidElement' /><span class="radiolabel"><label for="id232_97"><div class="offerlabel"><span>Digital Only</span></div><div class="offerimage"><img src="https://cdn.omeda.com/hosted/images/dragon/12454/231.png"></div><div class="selectrate">1 Year (11 issues)<br> Digital Only - $55.97</div></label></span></li></ul></span><div id="disp32116" style="display:none;"><input name="demo32116" type="hidden" value="1000" id="demo32116"/></div><div id="disp32117" style="display:none;"><input name="demo32117" type="hidden" value="1000" id="demo32117"/></div><br><p><strong><font color="#1b9fa9">100% Money Back Guarantee</font></strong>: If you should ever decide that Gifts &amp; Decorative Accessories isn't right for you, you may cancel your subscription and receive a full refund on all unmailed issues. No questions.</p><br><h5><a href="https://bridgetower.dragonforms.com/loading.do?omedasite=gda_ctry">Click here for subscriptions outside the US.</a></h5><br><p>Already a subscriber? <a href="https://bridgetower.dragonforms.com/gda_renew">Click Here</a> to renew your subscription.</p><hr><h3>Step Two: Enter Your Subscriber Information</h3><p><font color='#cc0000'>Fields that are marked with an asterisk (*) are required</font></p><p id="p1" class="drg-element-type-standard-field drg-element-sub-type-fieldname-FIRSTNAME addresslabel"><span class="questionlabel "><label for="id1">First Name <font color='#ff0000'>*</font> <font color=red>*</font></label> </span><input class="drg-field-address-normal" name="demo32123" type="text" value="" id="id1" maxlength="40" size="40" /></p><p id="p2" class="drg-element-type-standard-field drg-element-sub-type-fieldname-LASTNAME addresslabel"><span class="questionlabel "><label for="id2">Last Name <font color='#ff0000'>*</font> <font color=red>*</font></label> </span><input class="drg-field-address-normal" name="demo32124" type="text" value="" id="id2" maxlength="40" size="40" /></p><p id="p10" class="drg-element-type-standard-field drg-element-sub-type-fieldname-TITLE addresslabel"><span class="questionlabel "><label for="id10">Title</label> </span><input class="drg-field-address-normal" name="demo32125" type="text" value="" id="id10" maxlength="40" size="40" /></p><p id="p3" class="drg-element-type-standard-field drg-element-sub-type-fieldname-COMPANY addresslabel"><span class="questionlabel "><label for="id3">Company Name</label> </span><input class="drg-field-address-normal" name="demo32126" type="text" value="" id="id3" maxlength="40" size="40" /></p><p id="p4" class="drg-element-type-standard-field drg-element-sub-type-fieldname-ADDRESS addresslabel"><span class="questionlabel "><label for="id4">Mailing Address 1 <font color='#ff0000'>*</font> <font color=red>*</font></label> </span><input class="drg-field-address-normal" name="demo32127" type="text" value="" id="id4" maxlength="255" size="255" /></p><p id="p5" class="drg-element-type-standard-field drg-element-sub-type-fieldname-DEPARTMENT addresslabel"><span class="questionlabel "><label for="id5">Mailing Address 2</label> </span><input class="drg-field-address-normal" name="demo32128" type="text" value="" id="id5" maxlength="255" size="255" /></p><p id="p6" class="drg-element-type-standard-field drg-element-sub-type-fieldname-CITY addresslabel"><span class="questionlabel "><label for="id6">City <font color='#ff0000'>*</font> <font color=red>*</font></label> </span><input class="drg-field-address-normal" name="demo32129" type="text" value="" id="id6" maxlength="100" size="100" /></p><span class="spanc8 drg-element-type-standard-field drg-element-sub-type-fieldname-STATE"><p id="p8" class="drg-element-type-standard-field drg-element-sub-type-fieldname-STATE addresslabel"><span class="questionlabel "><label for="id8">State/Province <font color='#ff0000'>*</font> <font color=red>*</font></label>&nbsp;</span><select name="demo32130" id="id8" ><option value="">Select One</option><option value="1" [-SELECTED32130_r1-]>ALABAMA</option><option value="2" [-SELECTED32130_r2-]>ALASKA</option><option value="3" [-SELECTED32130_r3-]>ARIZONA</option><option value="4" [-SELECTED32130_r4-]>ARKANSAS</option><option value="5" [-SELECTED32130_r5-]>CALIFORNIA</option><option value="6" [-SELECTED32130_r6-]>COLORADO</option><option value="7" [-SELECTED32130_r7-]>CONNECTICUT</option><option value="8" [-SELECTED32130_r8-]>DELAWARE</option><option value="9" [-SELECTED32130_r9-]>DISTRICT OF COLUMBIA</option><option value="10" [-SELECTED32130_r10-]>FLORIDA</option><option value="11" [-SELECTED32130_r11-]>GEORGIA</option><option value="12" [-SELECTED32130_r12-]>HAWAII</option><option value="13" [-SELECTED32130_r13-]>IDAHO</option><option value="14" [-SELECTED32130_r14-]>ILLINOIS</option><option value="15" [-SELECTED32130_r15-]>INDIANA</option><option value="16" [-SELECTED32130_r16-]>IOWA</option><option value="17" [-SELECTED32130_r17-]>KANSAS</option><option value="18" [-SELECTED32130_r18-]>KENTUCKY</option><option value="19" [-SELECTED32130_r19-]>LOUISIANA</option><option value="20" [-SELECTED32130_r20-]>MAINE</option><option value="21" [-SELECTED32130_r21-]>MARYLAND</option><option value="22" [-SELECTED32130_r22-]>MASSACHUSETTS</option><option value="23" [-SELECTED32130_r23-]>MICHIGAN</option><option value="24" [-SELECTED32130_r24-]>MINNESOTA</option><option value="25" [-SELECTED32130_r25-]>MISSISSIPPI</option><option value="26" [-SELECTED32130_r26-]>MISSOURI</option><option value="27" [-SELECTED32130_r27-]>MONTANA</option><option value="28" [-SELECTED32130_r28-]>NEBRASKA</option><option value="29" [-SELECTED32130_r29-]>NEVADA</option><option value="30" [-SELECTED32130_r30-]>NEW HAMPSHIRE</option><option value="31" [-SELECTED32130_r31-]>NEW JERSEY</option><option value="32" [-SELECTED32130_r32-]>NEW MEXICO</option><option value="33" [-SELECTED32130_r33-]>NEW YORK</option><option value="34" [-SELECTED32130_r34-]>NORTH CAROLINA</option><option value="35" [-SELECTED32130_r35-]>NORTH DAKOTA</option><option value="36" [-SELECTED32130_r36-]>OHIO</option><option value="37" [-SELECTED32130_r37-]>OKLAHOMA</option><option value="38" [-SELECTED32130_r38-]>OREGON</option><option value="39" [-SELECTED32130_r39-]>PENNSYLVANIA</option><option value="40" [-SELECTED32130_r40-]>RHODE ISLAND</option><option value="41" [-SELECTED32130_r41-]>SOUTH CAROLINA</option><option value="42" [-SELECTED32130_r42-]>SOUTH DAKOTA</option><option value="43" [-SELECTED32130_r43-]>TENNESSEE</option><option value="44" [-SELECTED32130_r44-]>TEXAS</option><option value="45" [-SELECTED32130_r45-]>UTAH</option><option value="46" [-SELECTED32130_r46-]>VERMONT</option><option value="47" [-SELECTED32130_r47-]>VIRGIN ISLANDS</option><option value="48" [-SELECTED32130_r48-]>VIRGINIA</option><option value="49" [-SELECTED32130_r49-]>WASHINGTON</option><option value="50" [-SELECTED32130_r50-]>WEST VIRGINIA</option><option value="51" [-SELECTED32130_r51-]>WISCONSIN</option><option value="52" [-SELECTED32130_r52-]>WYOMING</option><option value="53" [-SELECTED32130_r53-]>American Samoa</option><option value="54" [-SELECTED32130_r54-]>Guam</option><option value="56" [-SELECTED32130_r56-]>Micronesia (Federated States of)</option><option value="58" [-SELECTED32130_r58-]>Puerto Rico</option><option value="59" [-SELECTED32130_r59-]>U.S. Minor Outlying Islands</option><option value="60" [-SELECTED32130_r60-]>NORTHERN MARIANA ISLANDS</option><option value="61" [-SELECTED32130_r61-]>Armed Forces Africa</option><option value="62" [-SELECTED32130_r62-]>Armed Forces Americas AA (except Canada)</option><option value="63" [-SELECTED32130_r63-]>Armed Forces Canada</option><option value="64" [-SELECTED32130_r64-]>Armed Forces Europe AE</option><option value="65" [-SELECTED32130_r65-]>Armed Forces Middle East AE</option><option value="66" [-SELECTED32130_r66-]>Armed Forces Pacific AP</option></select></p></span><p id="p9" class="drg-element-type-standard-field drg-element-sub-type-fieldname-ZIP addresslabel"><span class="questionlabel "><label for="id9">Zip/Postal Code <font color='#ff0000'>*</font> <font color=red>*</font></label> </span><input class="drg-field-address-normal" name="demo32131" type="text" value="" id="id9" maxlength="9" size="9" /></p><span class="spanc7 drg-element-type-standard-field drg-element-sub-type-fieldname-COUNTRY"><p id="p7" class="drg-element-type-standard-field drg-element-sub-type-fieldname-COUNTRY addresslabel"><span class="questionlabel "><label for="id7">Country <font color=red>*</font></label>&nbsp;</span><select name="demo32132" id="id7" ><option value="">Select One</option><option value="80" SELECTED>UNITED STATES</option></select></p></span><p id="p12" class="drg-element-type-standard-field drg-element-sub-type-fieldname-FAX addresslabel"><span class="questionlabel "><label for="id12">Fax Number</label> </span><input class="drg-field-address-normal" name="demo32134" type="text" onkeyup="this.value = this.value.replace(/\D/g,'');" value="" id="id12" maxlength="32" size="32" /></p><p id="p13" class="drg-element-type-standard-field drg-element-sub-type-fieldname-EMAILADDR addresslabel"><span class="questionlabel "><label for="id13">Email Address <font color='#ff0000'>*</font> <font color=red>*</font></label> </span><input class="drg-field-address-normal" name="demo32135" type="text" value="" id="id13" maxlength="50" size="50" /></p><span class="spanc342 drg-element-type-demographic drg-element-sub-type-type-1"><p id="p342" class="drg-element-type-demographic drg-element-sub-type-type-1"><span class="questionlabel "><label for="id342">Phone Type * <font color=red>*</font></label>&nbsp;</span><select name="demo37670" id="id342" ><option value="">Select...</option><option value="1510" >Home Phone</option><option value="1509" >Cell Phone</option><option value="1512" >Business</option></select></p></span><div id="disp32133" style="display:none;"><p id="p11" class="drg-element-type-standard-field drg-element-sub-type-fieldname-PHONE addresslabel"><span class="questionlabel "><label for="id11">Phone Number * <font color=red>*</font></label> </span><input class="drg-field-address-normal" name="demo32133" type="text" onkeyup="this.value = this.value.replace(/\D/g,'');" value="" id="id11" maxlength="32" size="32" /></p></div><div id="disp37671" style="display:none;"><p id="p124" class="drg-element-type-standard-field drg-element-sub-type-fieldname-PHONE_MOBILE addresslabel"><span class="questionlabel "><label for="id124">Cell Phone Number * <font color=red>*</font></label> </span><input class="drg-field-address-normal" name="demo37671" type="text" onkeyup="this.value = this.value.replace(/\D/g,'');" value="" id="id124" maxlength="20" size="20" /></p></div><span class="spanc349 drg-element-type-demographic drg-element-sub-type-type-1"><p id="p349" class="drg-element-type-demographic drg-element-sub-type-type-1"><span class="questionlabel ">GD: Opt-In Permission&nbsp;</span></p><ul><li class="licr349_1541 lier37672_1541 "><input name="demo37672" type="checkbox" value="1541" id="id349_1541" CHECKED/><span class="checkboxlabel"><label for="id349_1541">By providing your phone number, you are opting-in to receive phone calls and/or SMS text messages regarding your subscription.</label></span></li></ul></span><br><p>Gifts &amp; Decorative Accessories will occasionally send you subscription notices, editorial, marketing and research email messages.</p><div id="pd242" class="drg-element-type-deployment-type drg-element-sub-type-none"><input name="opt32139" type="checkbox" value="1" id="optd242" CHECKED/><span class="questionlabel "><label for="optd242">PLEASE UNCHECK HERE IF YOU PREFER NOT TO RECEIVE THIRD PARTY EMAIL OFFERS FROM OUR BUSINESS PARTNERS.</label>&nbsp;</span><div id="longd242" class="longdescopt" style="display:none"></div></div><hr><h3>Step Three: Enter Your Payment Information</h3><input name="demo32148" type="hidden" value="" id="demo32148"/> </div> <span id="content2" class="eight columns"><p id="p127" class="drg-element-type-standard-field drg-element-sub-type-fieldname-NAMEONCARD addresslabel"><span class="questionlabel "><label for="id127">Name On Card</label> </span><input class="drg-field-address-normal" name="demo32150" type="text" value="" id="id127" maxlength="50" size="50" /></p><span id='hostedpci_script'><!-- OMEDA BEGIN HOSTED PCI --><!-- OMEDA HOSTED PCI BODY--><iframe loading="lazy" id="ccframe" name="ccframe" onload="receiveHPCIMsg()" src="https://ccifrm05.hostedpci.com/iSynSApp/showPxyPage!ccFrame.action?pgmode1=LIVE&locationName=checkout1&sid=526201&reportCCType=N&reportCCDigits=N&formatCCDigits=N&reportCVVDigits=N&reportFormFields=nameoncard&reportInit=Y&fullParentHost=https://bridgetower.dragonforms.com&fullParentQStr=/saveNewSubscription.do" width=180 height=92 scrolling="NO" frameBorder="0"> If you can see this, your browser doesn't understand IFRAME. </iframe> <input type="hidden" id="ccNum" name="ccNum" value="" /> <input type="hidden" id="ccCVV" name="ccCVV" value="" /> <input type="hidden" id="errorCredit" name="errorCredit" value="" /><!-- OMEDA END HOSTED PCI --><!-- OMEDA HOSTED PCI BODY--></span><p id="p32" class="drg-element-type-standard-field drg-element-sub-type-fieldname-CCEXPIRE addresslabel"><span class="questionlabel "><label for="EXPMONTH">Expire Date</label>&nbsp;</span><select name="EXPMONTH" id="EXPMONTH" /><option value="">Select...</option><option value="01" >01</option><option value="02" >02</option><option value="03" >03</option><option value="04" >04</option><option value="05" >05</option><option value="06" >06</option><option value="07" >07</option><option value="08" >08</option><option value="09" >09</option><option value="10" >10</option><option value="11" >11</option><option value="12" >12</option></select><select name="EXPYEAR" id="EXPYEAR" /><option value="">Select...</option><option value="2024" >2024</option><option value="2025" >2025</option><option value="2026" >2026</option><option value="2027" >2027</option><option value="2028" >2028</option><option value="2029" >2029</option><option value="2030" >2030</option><option value="2031" >2031</option><option value="2032" >2032</option><option value="2033" >2033</option></select></p></span><span id="content3" class="eight columns"><p>Please be advised that when using a credit card the charge will show on your credit card as PBM subscriptions.</p></span> <div id="content4" class="sixteen columns"><span class="spanc130 drg-element-type-standard-field drg-element-sub-type-fieldname-BILLINGADDRIND"><p id="p130" class="drg-element-type-standard-field drg-element-sub-type-fieldname-BILLINGADDRIND"><span class="questionlabel ">&nbsp;</span></p><ul><li class="licr130_1013 lier32140_1013 "><input name="demo32140" type="checkbox" value="1013" id="id130_1013" [-CHECKED32140_r1013-]/><span class="checkboxlabel"><label for="id130_1013">Please check if Billing Address is different from delivery address</label></span><script>$(document).ready(function() { function toggleBillingAddress() { if ($("#id130_1013").is(":checked")) { $("#p131.addresslabel").show(); $("#p132.addresslabel").show(); $("#p133.addresslabel").show(); $("#p134.addresslabel").show(); $("#p135.addresslabel").show();$("#p140.addresslabel").show(); $("#p164.addresslabel").show(); } else { $("#p131.addresslabel").hide(); $("#p132.addresslabel").hide(); $("#p133.addresslabel").hide(); $("#p134.addresslabel").hide(); $("#p135.addresslabel").hide();$("#p140.addresslabel").hide(); $("#p164.addresslabel").hide(); } } $("#id130_1013").bind("click", function (e) { toggleBillingAddress(); }); toggleBillingAddress(); });</script></li></ul></span><p id="p131" class="drg-element-type-standard-field drg-element-sub-type-fieldname-BILLINGADDRADDRESS addresslabel"><span class="questionlabel "><label for="id131">Billing Address Street Address</label> </span><input class="drg-field-address-normal" name="demo32141" type="text" value="" id="id131" maxlength="255" size="255" /></p><p id="p132" class="drg-element-type-standard-field drg-element-sub-type-fieldname-BILLINGADDRCITY addresslabel"><span class="questionlabel "><label for="id132">Billing Address City</label> </span><input class="drg-field-address-normal" name="demo32142" type="text" value="" id="id132" maxlength="40" size="40" /></p><span class="spanc134 drg-element-type-standard-field drg-element-sub-type-fieldname-BILLINGADDRSTATE"><p id="p134" class="drg-element-type-standard-field drg-element-sub-type-fieldname-BILLINGADDRSTATE addresslabel"><span class="questionlabel "><label for="id134">Billing Address State</label>&nbsp;</span><select name="demo32143" id="id134" ><option value="">Select One</option><option value="1277" [-SELECTED32143_r1277-]>ALABAMA</option><option value="1278" [-SELECTED32143_r1278-]>ALASKA</option><option value="1279" [-SELECTED32143_r1279-]>ARIZONA</option><option value="1280" [-SELECTED32143_r1280-]>ARKANSAS</option><option value="1281" [-SELECTED32143_r1281-]>CALIFORNIA</option><option value="1282" [-SELECTED32143_r1282-]>COLORADO</option><option value="1283" [-SELECTED32143_r1283-]>CONNECTICUT</option><option value="1284" [-SELECTED32143_r1284-]>DELAWARE</option><option value="1285" [-SELECTED32143_r1285-]>DISTRICT OF COLUMBIA</option><option value="1286" [-SELECTED32143_r1286-]>FLORIDA</option><option value="1287" [-SELECTED32143_r1287-]>GEORGIA</option><option value="1288" [-SELECTED32143_r1288-]>HAWAII</option><option value="1289" [-SELECTED32143_r1289-]>IDAHO</option><option value="1290" [-SELECTED32143_r1290-]>ILLINOIS</option><option value="1291" [-SELECTED32143_r1291-]>INDIANA</option><option value="1292" [-SELECTED32143_r1292-]>IOWA</option><option value="1293" [-SELECTED32143_r1293-]>KANSAS</option><option value="1294" [-SELECTED32143_r1294-]>KENTUCKY</option><option value="1295" [-SELECTED32143_r1295-]>LOUISIANA</option><option value="1296" [-SELECTED32143_r1296-]>MAINE</option><option value="1297" [-SELECTED32143_r1297-]>MARYLAND</option><option value="1298" [-SELECTED32143_r1298-]>MASSACHUSETTS</option><option value="1299" [-SELECTED32143_r1299-]>MICHIGAN</option><option value="1300" [-SELECTED32143_r1300-]>MINNESOTA</option><option value="1301" [-SELECTED32143_r1301-]>MISSISSIPPI</option><option value="1302" [-SELECTED32143_r1302-]>MISSOURI</option><option value="1303" [-SELECTED32143_r1303-]>MONTANA</option><option value="1304" [-SELECTED32143_r1304-]>NEBRASKA</option><option value="1305" [-SELECTED32143_r1305-]>NEVADA</option><option value="1306" [-SELECTED32143_r1306-]>NEW HAMPSHIRE</option><option value="1307" [-SELECTED32143_r1307-]>NEW JERSEY</option><option value="1308" [-SELECTED32143_r1308-]>NEW MEXICO</option><option value="1309" [-SELECTED32143_r1309-]>NEW YORK</option><option value="1310" [-SELECTED32143_r1310-]>NORTH CAROLINA</option><option value="1311" [-SELECTED32143_r1311-]>NORTH DAKOTA</option><option value="1312" [-SELECTED32143_r1312-]>OHIO</option><option value="1313" [-SELECTED32143_r1313-]>OKLAHOMA</option><option value="1314" [-SELECTED32143_r1314-]>OREGON</option><option value="1315" [-SELECTED32143_r1315-]>PENNSYLVANIA</option><option value="1316" [-SELECTED32143_r1316-]>RHODE ISLAND</option><option value="1317" [-SELECTED32143_r1317-]>SOUTH CAROLINA</option><option value="1318" [-SELECTED32143_r1318-]>SOUTH DAKOTA</option><option value="1319" [-SELECTED32143_r1319-]>TENNESSEE</option><option value="1320" [-SELECTED32143_r1320-]>TEXAS</option><option value="1321" [-SELECTED32143_r1321-]>UTAH</option><option value="1322" [-SELECTED32143_r1322-]>VERMONT</option><option value="1323" [-SELECTED32143_r1323-]>VIRGIN ISLANDS</option><option value="1324" [-SELECTED32143_r1324-]>VIRGINIA</option><option value="1325" [-SELECTED32143_r1325-]>WASHINGTON</option><option value="1326" [-SELECTED32143_r1326-]>WEST VIRGINIA</option><option value="1327" [-SELECTED32143_r1327-]>WISCONSIN</option><option value="1328" [-SELECTED32143_r1328-]>WYOMING</option><option value="1329" [-SELECTED32143_r1329-]>American Samoa</option><option value="1330" [-SELECTED32143_r1330-]>Guam</option><option value="1331" [-SELECTED32143_r1331-]>Marshall Islands</option><option value="1332" [-SELECTED32143_r1332-]>Micronesia (Federated States of)</option><option value="1333" [-SELECTED32143_r1333-]>Palau</option><option value="1334" [-SELECTED32143_r1334-]>Puerto Rico</option><option value="1335" [-SELECTED32143_r1335-]>U.S. Minor Outlying Islands</option><option value="1336" [-SELECTED32143_r1336-]>NORTHERN MARIANA ISLANDS</option><option value="1337" [-SELECTED32143_r1337-]>Armed Forces Africa</option><option value="1338" [-SELECTED32143_r1338-]>Armed Forces Americas AA (except Canada)</option><option value="1339" [-SELECTED32143_r1339-]>Armed Forces Canada</option><option value="1340" [-SELECTED32143_r1340-]>Armed Forces Europe AE</option><option value="1341" [-SELECTED32143_r1341-]>Armed Forces Middle East AE</option><option value="1342" [-SELECTED32143_r1342-]>Armed Forces Pacific AP</option><option value="1343" [-SELECTED32143_r1343-]>ALBERTA</option><option value="1344" [-SELECTED32143_r1344-]>NOVA SCOTIA</option><option value="1345" [-SELECTED32143_r1345-]>BRITISH COLUMBIA</option><option value="1346" [-SELECTED32143_r1346-]>ONTARIO</option><option value="1347" [-SELECTED32143_r1347-]>MANITOBA</option><option value="1348" [-SELECTED32143_r1348-]>PRINCE EDWARD ISLAND</option><option value="1349" [-SELECTED32143_r1349-]>NEW BRUNSWICK</option><option value="1350" [-SELECTED32143_r1350-]>QUEBEC</option><option value="1351" [-SELECTED32143_r1351-]>NEWFOUNDLAND</option><option value="1352" [-SELECTED32143_r1352-]>SASKATCHEWAN</option><option value="1353" [-SELECTED32143_r1353-]>NORTHWEST TERRITORIES</option><option value="1354" [-SELECTED32143_r1354-]>YUKON TERRITORY</option><option value="1355" [-SELECTED32143_r1355-]>NUNAVUT</option><option value="1356" [-SELECTED32143_r1356-]>FOREIGN</option></select></p></span><p id="p135" class="drg-element-type-standard-field drg-element-sub-type-fieldname-BILLINGADDRZIP addresslabel"><span class="questionlabel "><label for="id135">Billing Address Zip Code</label> </span><input class="drg-field-address-normal" name="demo32144" type="text" value="" id="id135" maxlength="9" size="9" /></p><span class="spanc133 drg-element-type-standard-field drg-element-sub-type-fieldname-BILLINGADDRCOUNTRY"><p id="p133" class="drg-element-type-standard-field drg-element-sub-type-fieldname-BILLINGADDRCOUNTRY addresslabel"><span class="questionlabel "><label for="id133">Billing Address Country</label>&nbsp;</span><select name="demo32145" id="id133" ><option value="">Select One</option><option value="1014" [-SELECTED32145_r1014-]>UNITED STATES</option><option value="1015" [-SELECTED32145_r1015-]>CANADA</option><option value="1018" [-SELECTED32145_r1018-]>AFGHANISTAN</option><option value="1020" [-SELECTED32145_r1020-]>ALBANIA</option><option value="1021" [-SELECTED32145_r1021-]>ALGERIA</option><option value="1023" [-SELECTED32145_r1023-]>ANDORRA</option><option value="1024" [-SELECTED32145_r1024-]>ANGOLA</option><option value="1025" [-SELECTED32145_r1025-]>ANGUILLA</option><option value="1273" [-SELECTED32145_r1273-]>ANTARCTICA</option><option value="1026" [-SELECTED32145_r1026-]>ANTIGUA</option><option value="1027" [-SELECTED32145_r1027-]>ARGENTINA</option><option value="1028" [-SELECTED32145_r1028-]>ARMENIA</option><option value="1029" [-SELECTED32145_r1029-]>ARUBA</option><option value="1030" [-SELECTED32145_r1030-]>ASCENSION IS</option><option value="1031" [-SELECTED32145_r1031-]>AUSTRALIA</option><option value="1032" [-SELECTED32145_r1032-]>AUSTRIA</option><option value="1033" [-SELECTED32145_r1033-]>AZERBAIJAN</option><option value="1035" [-SELECTED32145_r1035-]>BAHAMAS</option><option value="1036" [-SELECTED32145_r1036-]>BAHRAIN</option><option value="1037" [-SELECTED32145_r1037-]>BANGLADESH</option><option value="1038" [-SELECTED32145_r1038-]>BARBADOS</option><option value="1040" [-SELECTED32145_r1040-]>BELARUS</option><option value="1042" [-SELECTED32145_r1042-]>BELGIUM</option><option value="1043" [-SELECTED32145_r1043-]>BELIZE</option><option value="1044" [-SELECTED32145_r1044-]>BENIN</option><option value="1045" [-SELECTED32145_r1045-]>BERMUDA</option><option value="1046" [-SELECTED32145_r1046-]>BHUTAN</option><option value="1047" [-SELECTED32145_r1047-]>BOLIVIA</option><option value="1049" [-SELECTED32145_r1049-]>BOSNIAHERZEGOVINA</option><option value="1050" [-SELECTED32145_r1050-]>BOTSWANA</option><option value="1051" [-SELECTED32145_r1051-]>BRAZIL</option><option value="1274" [-SELECTED32145_r1274-]>BRITISH INDIAN OCEAN TERRITORY</option><option value="1052" [-SELECTED32145_r1052-]>BRITISH VIRGIN IS</option><option value="1054" [-SELECTED32145_r1054-]>BRUNEI</option><option value="1055" [-SELECTED32145_r1055-]>BULGARIA</option><option value="1056" [-SELECTED32145_r1056-]>BURKINA FASO</option><option value="1057" [-SELECTED32145_r1057-]>BURUNDI</option><option value="1058" [-SELECTED32145_r1058-]>CAMBODIA</option><option value="1059" [-SELECTED32145_r1059-]>CAMEROON</option><option value="1061" [-SELECTED32145_r1061-]>CAPE VERDE ISLANDS</option><option value="1062" [-SELECTED32145_r1062-]>CAYMAN ISLANDS</option><option value="1063" [-SELECTED32145_r1063-]>CENTRAL AFRICAN REP</option><option value="1064" [-SELECTED32145_r1064-]>CHAD</option><option value="1068" [-SELECTED32145_r1068-]>CHILE</option><option value="1069" [-SELECTED32145_r1069-]>CHINA</option><option value="1070" [-SELECTED32145_r1070-]>COCO ISLAND</option><option value="1071" [-SELECTED32145_r1071-]>COLOMBIA</option><option value="1072" [-SELECTED32145_r1072-]>COMOROS</option><option value="1073" [-SELECTED32145_r1073-]>CONGO</option><option value="1075" [-SELECTED32145_r1075-]>COOK ISLANDS</option><option value="1076" [-SELECTED32145_r1076-]>COSTA RICA</option><option value="1077" [-SELECTED32145_r1077-]>CROATIA</option><option value="1078" [-SELECTED32145_r1078-]>CUBA</option><option value="1079" [-SELECTED32145_r1079-]>CYPRUS</option><option value="1080" [-SELECTED32145_r1080-]>CZECH REPUBLIC</option><option value="1081" [-SELECTED32145_r1081-]>DENMARK</option><option value="1082" [-SELECTED32145_r1082-]>DJIBOUTI</option><option value="1083" [-SELECTED32145_r1083-]>DOMINICA</option><option value="1084" [-SELECTED32145_r1084-]>DOMINICAN REPUBLIC</option><option value="1085" [-SELECTED32145_r1085-]>EAST TIMOR</option><option value="1086" [-SELECTED32145_r1086-]>ECUADOR</option><option value="1087" [-SELECTED32145_r1087-]>EGYPT</option><option value="1088" [-SELECTED32145_r1088-]>EL SALVADOR</option><option value="1090" [-SELECTED32145_r1090-]>ERITREA</option><option value="1091" [-SELECTED32145_r1091-]>ESTONIA</option><option value="1092" [-SELECTED32145_r1092-]>ETHIOPIA</option><option value="1093" [-SELECTED32145_r1093-]>FAEROE ISLANDS</option><option value="1094" [-SELECTED32145_r1094-]>FALKLAND ISLANDS</option><option value="1095" [-SELECTED32145_r1095-]>FIJI</option><option value="1096" [-SELECTED32145_r1096-]>FINLAND</option><option value="1097" [-SELECTED32145_r1097-]>FRANCE</option><option value="1098" [-SELECTED32145_r1098-]>FRENCH GUIANA</option><option value="1099" [-SELECTED32145_r1099-]>FRENCH POLYNESIA</option><option value="1102" [-SELECTED32145_r1102-]>GABON</option><option value="1103" [-SELECTED32145_r1103-]>GAMBIA</option><option value="1105" [-SELECTED32145_r1105-]>GEORGIA</option><option value="1106" [-SELECTED32145_r1106-]>GERMANY</option><option value="1107" [-SELECTED32145_r1107-]>GHANA</option><option value="1108" [-SELECTED32145_r1108-]>GIBRALTAR</option><option value="1110" [-SELECTED32145_r1110-]>GREECE</option><option value="1111" [-SELECTED32145_r1111-]>GREENLAND</option><option value="1112" [-SELECTED32145_r1112-]>GRENADA</option><option value="1113" [-SELECTED32145_r1113-]>GUADELOUPE</option><option value="1114" [-SELECTED32145_r1114-]>GUATEMALA</option><option value="1115" [-SELECTED32145_r1115-]>GUERNSEY</option><option value="1116" [-SELECTED32145_r1116-]>GUINEA</option><option value="1117" [-SELECTED32145_r1117-]>GUYANA</option><option value="1118" [-SELECTED32145_r1118-]>HAITI</option><option value="1119" [-SELECTED32145_r1119-]>HONDURAS</option><option value="1120" [-SELECTED32145_r1120-]>HONG KONG</option><option value="1121" [-SELECTED32145_r1121-]>HUNGARY</option><option value="1122" [-SELECTED32145_r1122-]>ICELAND</option><option value="1123" [-SELECTED32145_r1123-]>INDIA</option><option value="1124" [-SELECTED32145_r1124-]>INDONESIA</option><option value="1125" [-SELECTED32145_r1125-]>IRAN</option><option value="1126" [-SELECTED32145_r1126-]>IRAQ</option><option value="1127" [-SELECTED32145_r1127-]>IRELAND</option><option value="1128" [-SELECTED32145_r1128-]>ISLE OF MAN</option><option value="1129" [-SELECTED32145_r1129-]>ISRAEL</option><option value="1130" [-SELECTED32145_r1130-]>ITALY</option><option value="1131" [-SELECTED32145_r1131-]>IVORY COAST</option><option value="1132" [-SELECTED32145_r1132-]>JAMAICA</option><option value="1133" [-SELECTED32145_r1133-]>JAPAN</option><option value="1134" [-SELECTED32145_r1134-]>JORDAN</option><option value="1135" [-SELECTED32145_r1135-]>KAZAKHSTAN</option><option value="1136" [-SELECTED32145_r1136-]>KENYA</option><option value="1138" [-SELECTED32145_r1138-]>KIRIBATI</option><option value="1140" [-SELECTED32145_r1140-]>KUWAIT</option><option value="1141" [-SELECTED32145_r1141-]>KYRGYZSTAN</option><option value="1142" [-SELECTED32145_r1142-]>LAOS</option><option value="1143" [-SELECTED32145_r1143-]>LATVIA</option><option value="1144" [-SELECTED32145_r1144-]>LEBANON</option><option value="1145" [-SELECTED32145_r1145-]>LESOTHO</option><option value="1146" [-SELECTED32145_r1146-]>LIBERIA</option><option value="1147" [-SELECTED32145_r1147-]>LIBYA</option><option value="1148" [-SELECTED32145_r1148-]>LIECHTENSTEIN</option><option value="1149" [-SELECTED32145_r1149-]>LITHUANIA</option><option value="1150" [-SELECTED32145_r1150-]>LUXEMBOURG</option><option value="1151" [-SELECTED32145_r1151-]>MACAO</option><option value="1152" [-SELECTED32145_r1152-]>MACEDONIA</option><option value="1153" [-SELECTED32145_r1153-]>MADAGASCAR</option><option value="1155" [-SELECTED32145_r1155-]>MALAWI</option><option value="1156" [-SELECTED32145_r1156-]>MALAYSIA</option><option value="1157" [-SELECTED32145_r1157-]>MALDIVES</option><option value="1158" [-SELECTED32145_r1158-]>MALI</option><option value="1159" [-SELECTED32145_r1159-]>MALTA</option><option value="1160" [-SELECTED32145_r1160-]>MARSHALL ISLANDS</option><option value="1161" [-SELECTED32145_r1161-]>MARTINIQUE</option><option value="1162" [-SELECTED32145_r1162-]>MAURITANIA</option><option value="1163" [-SELECTED32145_r1163-]>MAURITIUS</option><option value="1164" [-SELECTED32145_r1164-]>MAYOTTE</option><option value="1165" [-SELECTED32145_r1165-]>MEXICO</option><option value="1166" [-SELECTED32145_r1166-]>MICRONESIA</option><option value="1167" [-SELECTED32145_r1167-]>MOLDOVA</option><option value="1169" [-SELECTED32145_r1169-]>MONACO</option><option value="1170" [-SELECTED32145_r1170-]>MONGOLIA</option><option value="1171" [-SELECTED32145_r1171-]>MONTENEGRO</option><option value="1172" [-SELECTED32145_r1172-]>MONTSERRAT</option><option value="1173" [-SELECTED32145_r1173-]>MOROCCO</option><option value="1174" [-SELECTED32145_r1174-]>MOZAMBIQUE</option><option value="1175" [-SELECTED32145_r1175-]>MYANMAR</option><option value="1176" [-SELECTED32145_r1176-]>NAMIBIA</option><option value="1177" [-SELECTED32145_r1177-]>NAURU</option><option value="1178" [-SELECTED32145_r1178-]>NEPAL</option><option value="1179" [-SELECTED32145_r1179-]>NETHERLAND ANTILLES</option><option value="1180" [-SELECTED32145_r1180-]>NETHERLANDS</option><option value="1182" [-SELECTED32145_r1182-]>NEW CALEDONIA</option><option value="1183" [-SELECTED32145_r1183-]>NEW GUINEA</option><option value="1184" [-SELECTED32145_r1184-]>NEW ZEALAND</option><option value="1185" [-SELECTED32145_r1185-]>NICARAGUA</option><option value="1186" [-SELECTED32145_r1186-]>NIGER</option><option value="1187" [-SELECTED32145_r1187-]>NIGERIA</option><option value="1188" [-SELECTED32145_r1188-]>NORTH KOREA</option><option value="1190" [-SELECTED32145_r1190-]>NORWAY</option><option value="1191" [-SELECTED32145_r1191-]>OMAN</option><option value="1193" [-SELECTED32145_r1193-]>PAKISTAN</option><option value="1194" [-SELECTED32145_r1194-]>PALAU</option><option value="1195" [-SELECTED32145_r1195-]>PALESTINE</option><option value="1196" [-SELECTED32145_r1196-]>PANAMA</option><option value="1198" [-SELECTED32145_r1198-]>PARAGUAY</option><option value="1199" [-SELECTED32145_r1199-]>PERU</option><option value="1200" [-SELECTED32145_r1200-]>PHILIPPINES</option><option value="1202" [-SELECTED32145_r1202-]>PITCAIRN IS</option><option value="1203" [-SELECTED32145_r1203-]>POLAND</option><option value="1204" [-SELECTED32145_r1204-]>PORTUGAL</option><option value="1205" [-SELECTED32145_r1205-]>QATAR</option><option value="1206" [-SELECTED32145_r1206-]>REUNION</option><option value="1207" [-SELECTED32145_r1207-]>ROMANIA</option><option value="1208" [-SELECTED32145_r1208-]>RUSSIA</option><option value="1209" [-SELECTED32145_r1209-]>RWANDA</option><option value="1210" [-SELECTED32145_r1210-]>SAN MARINO</option><option value="1211" [-SELECTED32145_r1211-]>SAO TOME E PRINCIPE</option><option value="1213" [-SELECTED32145_r1213-]>SAUDI ARABIA</option><option value="1215" [-SELECTED32145_r1215-]>SENEGAL</option><option value="1216" [-SELECTED32145_r1216-]>SERBIA</option><option value="1217" [-SELECTED32145_r1217-]>SEYCHELLES</option><option value="1218" [-SELECTED32145_r1218-]>SIERRA LEONE</option><option value="1219" [-SELECTED32145_r1219-]>SINGAPORE</option><option value="1220" [-SELECTED32145_r1220-]>SLOVAK REPUBLIC</option><option value="1221" [-SELECTED32145_r1221-]>SLOVENIA</option><option value="1222" [-SELECTED32145_r1222-]>SOLOMON ISLANDS</option><option value="1223" [-SELECTED32145_r1223-]>SOMALIA</option><option value="1224" [-SELECTED32145_r1224-]>SOUTH AFRICA</option><option value="1225" [-SELECTED32145_r1225-]>SOUTH KOREA</option><option value="1226" [-SELECTED32145_r1226-]>SPAIN</option><option value="1227" [-SELECTED32145_r1227-]>SRI LANKA</option><option value="1228" [-SELECTED32145_r1228-]>ST CROIX</option><option value="1229" [-SELECTED32145_r1229-]>ST KITTS</option><option value="1230" [-SELECTED32145_r1230-]>ST LUCIA</option><option value="1232" [-SELECTED32145_r1232-]>ST MARTIN</option><option value="1233" [-SELECTED32145_r1233-]>ST PIERRE</option><option value="1234" [-SELECTED32145_r1234-]>ST VINCENT</option><option value="1235" [-SELECTED32145_r1235-]>SUDAN</option><option value="1236" [-SELECTED32145_r1236-]>SURINAME</option><option value="1237" [-SELECTED32145_r1237-]>SWAZILAND</option><option value="1238" [-SELECTED32145_r1238-]>SWEDEN</option><option value="1239" [-SELECTED32145_r1239-]>SWITZERLAND</option><option value="1240" [-SELECTED32145_r1240-]>SYRIA</option><option value="1242" [-SELECTED32145_r1242-]>TAIWAN</option><option value="1243" [-SELECTED32145_r1243-]>TAJIKISTAN</option><option value="1244" [-SELECTED32145_r1244-]>TANZANIA</option><option value="1246" [-SELECTED32145_r1246-]>THAILAND</option><option value="1248" [-SELECTED32145_r1248-]>TOGO</option><option value="1249" [-SELECTED32145_r1249-]>TONGA</option><option value="1250" [-SELECTED32145_r1250-]>TRINIDAD AND TOBAGO</option><option value="1251" [-SELECTED32145_r1251-]>TUNISIA</option><option value="1252" [-SELECTED32145_r1252-]>TURKEY</option><option value="1253" [-SELECTED32145_r1253-]>TURKMENISTAN</option><option value="1254" [-SELECTED32145_r1254-]>TURKS ISLAND</option><option value="1255" [-SELECTED32145_r1255-]>TUVALU</option><option value="1256" [-SELECTED32145_r1256-]>UGANDA</option><option value="1257" [-SELECTED32145_r1257-]>UKRAINE</option><option value="1258" [-SELECTED32145_r1258-]>UNITED ARAB EMIRATES</option><option value="1276" [-SELECTED32145_r1276-]>UNITED KINGDOM</option><option value="1259" [-SELECTED32145_r1259-]>URUGUAY</option><option value="1260" [-SELECTED32145_r1260-]>UZBEKISTAN</option><option value="1261" [-SELECTED32145_r1261-]>VANUATU</option><option value="1262" [-SELECTED32145_r1262-]>VATICAN CITY</option><option value="1263" [-SELECTED32145_r1263-]>VENEZUELA</option><option value="1264" [-SELECTED32145_r1264-]>VIETNAM</option><option value="1266" [-SELECTED32145_r1266-]>WALLIS ISLAND</option><option value="1267" [-SELECTED32145_r1267-]>WESTERN SAHARA</option><option value="1268" [-SELECTED32145_r1268-]>WESTERN SAMOA</option><option value="1269" [-SELECTED32145_r1269-]>YEMEN</option><option value="1270" [-SELECTED32145_r1270-]>ZAIRE</option><option value="1271" [-SELECTED32145_r1271-]>ZAMBIA</option><option value="1272" [-SELECTED32145_r1272-]>ZIMBABWE</option></select></p></span><hr><h4>Please Answer The Following Questions</h4><span class="spanc130 drg-element-type-demographic drg-element-sub-type-type-1"><p id="p130" class="drg-element-type-demographic drg-element-sub-type-type-1"><span class="questionlabel "><label for="id130">Company's Primary Business * <font color=red>*</font></label>&nbsp;</span><select name="demo32156" id="id130" ><option value="">Select...</option><optgroup class='select_response_subheader' label='Retail'></optgroup><option value="453" >GIFT/HOME ACCESSORIES STORE</option><option value="463" >STATIONERY/GREETING CARD STORE</option><option value="457" >GARDEN/FLORAL STORE</option><option value="477" >BED/BATH/LINEN SPECIALTY STORE</option><option value="462" >JEWELRY STORE</option><option value="473" >MUSEUM GIFT SHOP</option><option value="474" >HOSPITAL GIFT SHOP</option><option value="476" >RESORT/HOTEL GIFT SHOP</option><option value="466" >TOY STORE</option><option value="446" >FURNITURE STORE</option><option value="470" >OUTDOOR LIVING STORE</option><option value="475" >CLOTHING STORE/BOUTIQUE</option><option value="464" >KITCHENWARE/GOURMET/FANCY FOOD STORE</option><option value="465" >SUPERMARKET/DRUG STORE</option><option value="456" >OTHER RETAILER</option><optgroup class='select_response_subheader' label='Non-Retail'></optgroup><option value="472" >MANUFACTURER/WHOLESALER/IMPORTER/REP FIRM</option><option value="452" >SUPPLIER OF PRODUCTS/SERVICES TO THE GIFT/ACCESSORIES INDUSTRY</option><option value="478" >PET STORE</option><option value="479" >OTHER</option></select></p></span><span class="spanc162 drg-element-type-demographic drg-element-sub-type-type-1"><p id="p162" class="drg-element-type-demographic drg-element-sub-type-type-1"><span class="questionlabel "><label for="id162">Job Title * <font color=red>*</font></label>&nbsp;</span><select name="demo32157" id="id162" ><option value="">Select...</option><option value="553" >CEO/OWNER/PARTNER/PRESIDENT</option><option value="554" >VICE PRESIDENT/DIRECTOR</option><option value="555" >GMM/DMM/MERCHANDISE MANAGER</option><option value="557" >BUYER/ASSISTANT</option><option value="562" >RETAIL STORE MANAGER</option><option value="556" >MANAGER</option><option value="558" >INTERIOR DESIGNER</option><option value="561" >MANUFACTURERS' REPRESENTATIVE</option><option value="560" >SALES REPRESENTATIVE</option><option value="563" >OTHER</option></select></p></span><span class="spanc168 drg-element-type-demographic drg-element-sub-type-type-1"><p id="p168" class="drg-element-type-demographic drg-element-sub-type-type-1"><span class="questionlabel "><label for="id168">Number of Retail Locations</label>&nbsp;</span><select name="demo32158" id="id168" ><option value="">Select...</option><option value="593" >50 or more</option><option value="594" >10 - 49</option><option value="595" >2 - 9</option><option value="596" >1</option><option value="597" >0</option></select></p></span><span class="spanc126 drg-element-type-demographic drg-element-sub-type-type-1"><p id="p126" class="drg-element-type-demographic drg-element-sub-type-type-1"><span class="questionlabel "><label for="id126">Total Annual Sales</label>&nbsp;</span><select name="demo32159" id="id126" ><option value="">Select...</option><option value="439" >$25,000,000 AND OVER</option><option value="440" >$10,000,000 - $24,999,999</option><option value="441" >$5,000,000 - $9,999,999</option><option value="442" >$1,000,000 - $4,999,999</option><option value="443" >$500,000 - $999,999</option><option value="444" >LESS THAN $500,000</option><option value="445" >UNSURE</option></select></p></span><span class="spanc299 drg-element-type-demographic drg-element-sub-type-type-2"><p id="p299" class="drg-element-type-demographic drg-element-sub-type-type-2"><span class="questionlabel ">What are your job responsibilities? (check all that apply)&nbsp;</span></p><ul><span class='response_subheader'>RETAILERS</span><li class="licr299_1248 lier32160_1248 "><input name="demo32160" type="checkbox" value="1248" id="id299_1248" /><span class="checkboxlabel"><label for="id299_1248">OWNER</label></span></li><li class="licr299_1254 lier32160_1254 "><input name="demo32160" type="checkbox" value="1254" id="id299_1254" /><span class="checkboxlabel"><label for="id299_1254">STORE MANAGEMENT</label></span></li><li class="licr299_1246 lier32160_1246 "><input name="demo32160" type="checkbox" value="1246" id="id299_1246" /><span class="checkboxlabel"><label for="id299_1246">MERCHANDISING/BUYING</label></span></li><li class="licr299_1245 lier32160_1245 "><input name="demo32160" type="checkbox" value="1245" id="id299_1245" /><span class="checkboxlabel"><label for="id299_1245">VISUAL MERCHANDISING</label></span></li><li class="licr299_1243 lier32160_1243 "><input name="demo32160" type="checkbox" value="1243" id="id299_1243" /><span class="checkboxlabel"><label for="id299_1243">MARKETING/ECOMMERCE</label></span></li><span class='response_subheader'>VENDORS</span><li class="licr299_1244 lier32160_1244 "><input name="demo32160" type="checkbox" value="1244" id="id299_1244" /><span class="checkboxlabel"><label for="id299_1244">PRODUCT DEVELOPMENT AND/OR DESIGN</label></span></li><li class="licr299_1252 lier32160_1252 "><input name="demo32160" type="checkbox" value="1252" id="id299_1252" /><span class="checkboxlabel"><label for="id299_1252">SALES</label></span></li><li class="licr299_1251 lier32160_1251 "><input name="demo32160" type="checkbox" value="1251" id="id299_1251" /><span class="checkboxlabel"><label for="id299_1251">LICENSING</label></span></li><li class="licr299_1250 lier32160_1250 "><input name="demo32160" type="checkbox" value="1250" id="id299_1250" /><span class="checkboxlabel"><label for="id299_1250">SOURCING/PURCHASING</label></span></li><li class="licr299_1249 lier32160_1249 "><input name="demo32160" type="checkbox" value="1249" id="id299_1249" /><span class="checkboxlabel"><label for="id299_1249">OPERATIONS</label></span></li><li class="licr299_1247 lier32160_1247 "><input name="demo32160" type="checkbox" value="1247" id="id299_1247" /><span class="checkboxlabel"><label for="id299_1247">MARKETING/ADVERTISING</label></span></li><li class="licr299_1242 lier32160_1242 "><input name="demo32160" type="checkbox" value="1242" id="id299_1242" /><span class="checkboxlabel"><label for="id299_1242">INTERIOR DESIGN</label></span></li><li class="licr299_1241 lier32160_1241 "><input name="demo32160" type="checkbox" value="1241" id="id299_1241" /><span class="checkboxlabel"><label for="id299_1241">OTHER</label></span></li></ul></span><span class="spanc33 drg-element-type-demographic drg-element-sub-type-type-2"><p id="p33" class="drg-element-type-demographic drg-element-sub-type-type-2"><span class="questionlabel ">Which product categories does your store or company sell, produce or market? (check all that apply)&nbsp;</span></p><ul><li class="licr33_573 lier32161_573 "><input name="demo32161" type="checkbox" value="573" id="id33_573" /><span class="checkboxlabel"><label for="id33_573">HOME FURNISHINGS</label></span></li><li class="licr33_574 lier32161_574 "><input name="demo32161" type="checkbox" value="574" id="id33_574" /><span class="checkboxlabel"><label for="id33_574">TABLETOP</label></span></li><li class="licr33_575 lier32161_575 "><input name="demo32161" type="checkbox" value="575" id="id33_575" /><span class="checkboxlabel"><label for="id33_575">HOUSEWARES</label></span></li><li class="licr33_576 lier32161_576 "><input name="demo32161" type="checkbox" value="576" id="id33_576" /><span class="checkboxlabel"><label for="id33_576">FASHION/CLOTHING/APPAREL</label></span></li><li class="licr33_577 lier32161_577 "><input name="demo32161" type="checkbox" value="577" id="id33_577" /><span class="checkboxlabel"><label for="id33_577">JEWELRY/ACCESSORIES</label></span></li><li class="licr33_578 lier32161_578 "><input name="demo32161" type="checkbox" value="578" id="id33_578" /><span class="checkboxlabel"><label for="id33_578">CANDLES</label></span></li><li class="licr33_579 lier32161_579 "><input name="demo32161" type="checkbox" value="579" id="id33_579" /><span class="checkboxlabel"><label for="id33_579">BATH AND BODY</label></span></li><li class="licr33_580 lier32161_580 "><input name="demo32161" type="checkbox" value="580" id="id33_580" /><span class="checkboxlabel"><label for="id33_580">STATIONERY</label></span></li><li class="licr33_581 lier32161_581 "><input name="demo32161" type="checkbox" value="581" id="id33_581" /><span class="checkboxlabel"><label for="id33_581">GREETING CARDS</label></span></li><li class="licr33_582 lier32161_582 "><input name="demo32161" type="checkbox" value="582" id="id33_582" /><span class="checkboxlabel"><label for="id33_582">GOURMET/SPECIALTY FOODS</label></span></li><li class="licr33_583 lier32161_583 "><input name="demo32161" type="checkbox" value="583" id="id33_583" /><span class="checkboxlabel"><label for="id33_583">GENERAL GIFT ITEMS</label></span></li><li class="licr33_584 lier32161_584 "><input name="demo32161" type="checkbox" value="584" id="id33_584" /><span class="checkboxlabel"><label for="id33_584">HOLIDAY ITEMS</label></span></li><li class="licr33_585 lier32161_585 "><input name="demo32161" type="checkbox" value="585" id="id33_585" /><span class="checkboxlabel"><label for="id33_585">TOYS</label></span></li><li class="licr33_586 lier32161_586 "><input name="demo32161" type="checkbox" value="586" id="id33_586" /><span class="checkboxlabel"><label for="id33_586">NONE OF THE ABOVE</label></span></li><li class="licr33_587 lier32161_587 "><input name="demo32161" type="checkbox" value="587" id="id33_587" /><span class="checkboxlabel"><label for="id33_587">MADE IN AMERICA</label></span></li><li class="licr33_588 lier32161_588 "><input name="demo32161" type="checkbox" value="588" id="id33_588" /><span class="checkboxlabel"><label for="id33_588">INSPIRATIONAL</label></span></li></ul></span><span class="spanc306 drg-element-type-demographic drg-element-sub-type-type-2"><p id="p306" class="drg-element-type-demographic drg-element-sub-type-type-2"><span class="questionlabel ">At which price points does your company sell it products? (check all that apply)&nbsp;</span></p><ul><li class="licr306_1307 lier32162_1307 "><input name="demo32162" type="checkbox" value="1307" id="id306_1307" /><span class="checkboxlabel"><label for="id306_1307">Luxury</label></span></li><li class="licr306_1310 lier32162_1310 "><input name="demo32162" type="checkbox" value="1310" id="id306_1310" /><span class="checkboxlabel"><label for="id306_1310">Middle</label></span></li><li class="licr306_1309 lier32162_1309 "><input name="demo32162" type="checkbox" value="1309" id="id306_1309" /><span class="checkboxlabel"><label for="id306_1309">Value</label></span></li></ul></span><span class="spanc131 drg-element-type-demographic drg-element-sub-type-type-1"><p id="p131" class="drg-element-type-demographic drg-element-sub-type-type-1"><span class="questionlabel ">Are you interested in any of the events below?&nbsp;</span></p><ul><li class="licr131_488 lier32163_488 "><input name="demo32163" type="radio" value="488" id="id131_488" /><span class="radiolabel"><label for="id131_488">Retail Excellence Awards</label></span></li></ul></span><p>Which of the following free eNewsletters would you like to receive?</p><div id="pp134" class="drg-element-type-product drg-element-sub-type-type-2"><input name="opt32165" type="checkbox" value="1" id="optp134" [-CHECKEDOPT32165-]/><span class="questionlabel "><label for="optp134">Gifts and Dec Direct</label>&nbsp;</span><div id="longp134" class="longdescopt" style="display:none"></div></div><div id="pp137" class="drg-element-type-product drg-element-sub-type-type-2"><input name="opt32166" type="checkbox" value="1" id="optp137" [-CHECKEDOPT32166-]/><span class="questionlabel "><label for="optp137">Gifts and Dec Product Wire</label>&nbsp;</span><div id="longp137" class="longdescopt" style="display:none"></div></div><div id="pp135" class="drg-element-type-product drg-element-sub-type-type-2"><input name="opt32167" type="checkbox" value="1" id="optp135" [-CHECKEDOPT32167-]/><span class="questionlabel "><label for="optp135">Gifts and Dec Breaking News</label>&nbsp;</span><div id="longp135" class="longdescopt" style="display:none"></div></div><div id="pp136" class="drg-element-type-product drg-element-sub-type-type-2"><input name="opt32168" type="checkbox" value="1" id="optp136" [-CHECKEDOPT32168-]/><span class="questionlabel "><label for="optp136">Gifts and Dec Direct from Market</label>&nbsp;</span><div id="longp136" class="longdescopt" style="display:none"></div></div><div id="pp148" class="drg-element-type-product drg-element-sub-type-type-2"><input name="opt32169" type="checkbox" value="1" id="optp148" [-CHECKEDOPT32169-]/><span class="questionlabel "><label for="optp148">Playthings Extra</label>&nbsp;</span><div id="longp148" class="longdescopt" style="display:none"></div></div><hr><div id="cstmbutton"><input type="submit" value="START MY SUBSCRIPTION" onclick="return checkPayment();"></div> <hr> <div id="submitbtn" class="submit"><input type='submit' value="Submit" onClick='return checkPayment();' /></div> </div> <div id="content5" class="sixteen columns"><p><strong>Shipping Information:</strong> Shipping costs for Gifts &amp; Decorative Accents are included in subscription prices. Please allow 4-6 weeks for delivery of your first issue.</p><p>For telephone service call 800-309-3332 or 847-513-6246.<br> Email: <a href="mailto:gda@omeda.com">gda@omeda.com</a>.<br>Please include your account number in any correspondence.</p></div> <div class="sixteen columns footer"></div> </div><!-- container --> <input type="hidden" name="transactionKey" value="dragon-hpci-eb0258cc70814c789f2b9609b238d6e0"><input type="hidden" name="dragon_pagenumber" value="1"><input type="hidden" id="originalUrlParams" value="omedasite=gda_new"></form> <div id="olyticsContainer" style="display:none;visibility:hidden;"><script>window.olytics||(window.olytics=[]),window.olytics.methods=["fire","confirm"],window.olytics.factory=function(i){return function(){var t=Array.prototype.slice.call(arguments);return t.unshift(i),window.olytics.push(t),window.olytics}};for(var i=0;i<window.olytics.methods.length;i++){var method=window.olytics.methods[i];window.olytics[method]=window.olytics.factory(method)}olytics.load=function(i){if(!document.getElementById("olyticsImport")){window.a=window.olytics;var t=document.createElement("script");t.async=!0,t.id="olyticsImport",t.type="text/javascript";var o="";void 0!==i&&void 0!==i.oid&&(o=i.oid),t.setAttribute("data-oid",o),t.src="https://olytics.omeda.com/olytics/js/v3/p/olytics.min.js",t.addEventListener("load",function(t){for(olytics.initialize({Olytics:i});window.a.length>0;){var o=window.a.shift(),s=o.shift();olytics[s]&&olytics[s].apply(olytics,o)}},!1);var s=document.getElementsByTagName("script")[0];s.parentNode.insertBefore(t,s)}},olytics.load({oid:"29eaf158cdac44659f332a24d16dea8e"});</script><script type="text/javascript" src="js/olyticsLinkAssistance.js"></script><script></script></div> <script> $(document).ready(function() { $("nav.drgNav").hide(); $("nav.drgNav").has('ul').has('li').show(); }); $(function() { $("<select />").appendTo("nav.drgNav"); $("<option />", { "selected": "selected", "value" : "", "text" : "Go to..." }).appendTo("nav.drgNav select"); $("nav.drgNav a").each(function() { var el = $(this); $("<option />", { "value" : el.attr("href"), "text" : el.text() }).appendTo("nav.drgNav select"); }); $("nav.drgNav select").change(function() { window.location = $(this).find("option:selected").val(); }); }); </script> <!--<script> $(document).ready(function() { $('span') .filter(function() { return $.trim($(this).text()) === '' && $(this).children().length == 0 }) .remove(); $('p') .filter(function() { return $.trim($(this).text()) === '' && $(this).children().length == 0 }) .remove() }); </script> --> <div style="display:none;height:20px;"></div> <div id="basicConfirm_modal" class="simple_modal" style="display: none;"> <%-- the gray background --%> <div id="basicConfirmContent" class="simple_modal_content"> <div id="basicConfirmMessageContainer"> <span id="basicConfirmMessage"></span> </div> <div class="basicConfirmButtonContainer"> <button class="form-submit-button basicConfirmYes" type="button" id="basicConfirmYes">Yes</button> <button class="form-submit-button basicConfirmNo" type="button" id="basicConfirmNo">No</button> </div> </div> </div></body> </html>

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