{"id":69,"date":"2026-02-16T16:22:14","date_gmt":"2026-02-16T16:22:14","guid":{"rendered":"https:\/\/www.pvta.com\/wpTest\/registor-as-a-vendor\/"},"modified":"2026-09-11T13:11:10","modified_gmt":"2026-09-11T13:11:10","slug":"vendor-registration","status":"publish","type":"page","link":"https:\/\/pvta.us\/site\/business-opportunites\/vendor-registration\/","title":{"rendered":"Vendor Registration"},"content":{"rendered":"<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_4_container\" data-token=\"d91ab4332dd91990e0d88331e8a85d28\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form \" id=\"form_vendor-registration\" data-token=\"d91ab4332dd91990e0d88331e8a85d28\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Vendor Registration<\/legend>\r\n\r\n<div class=\"frm_description\"><p>Add your company information to become a registered vendor.<\/p>\n<\/div><div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"4\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_4\" id=\"frm_hide_fields_4\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"vendor-registration\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_4\" name=\"frm_submit_entry_4\" value=\"5850a71f5e\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/site\/wp-json\/wp\/v2\/pages\/69\" \/><div id=\"frm_field_25_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\">\r\n    <label for=\"field_qh4icy24132\" id=\"field_qh4icy24132_label\" class=\"frm_primary_label\">Company's Legal Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_qh4icy24132\" name=\"item_meta[25]\" value=\"\"  data-reqmsg=\"Blank Field\" aria-required=\"true\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_26_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n    <label for=\"field_ewkum\" id=\"field_ewkum_label\" class=\"frm_primary_label\">Business Type\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[26]\" id=\"field_ewkum\"  data-invmsg=\"Business Type is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Service Provider\">Service Provider<\/option><option  value=\"Manufacturer\">Manufacturer<\/option><option  value=\"Distributor\">Distributor<\/option><option  value=\"Other\">Other<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_27_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_ogdoh\" id=\"field_ogdoh_label\" class=\"frm_primary_label\">What kind of products\/services does your company offer?\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[27]\" id=\"field_ogdoh\" rows=\"5\"  data-reqmsg=\"What kind of products\/services does your company offer? is required.\" aria-required=\"true\" data-invmsg=\"What kind of products\/services does your company offer? is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_37_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n\t<label for=\"field_m3hxs\" id=\"field_m3hxs_label\" class=\"frm_primary_label\">NAICS Code\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/label>\r\n\t<input type=\"text\" id=\"field_m3hxs\" name=\"item_meta[37]\" value=\"\"  data-reqmsg=\"NAICS Code is required.\" aria-required=\"true\" data-invmsg=\"NAICS Code is invalid\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_38_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third vertical_radio\">\r\n\t<div  id=\"field_rt4j3_label\" class=\"frm_primary_label\">MBE (Minority Business Enterprise)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_rt4j3_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_38-0\">\t\t\t<label  for=\"field_rt4j3-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[38]\" id=\"field_rt4j3-0\" value=\"Yes\"\n\t\t data-reqmsg=\"MBE (Minority Business Enterprise) is required.\" data-invmsg=\"MBE (Minority Business Enterprise) is invalid\"   \/> Yes<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_38-1\">\t\t\t<label  for=\"field_rt4j3-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[38]\" id=\"field_rt4j3-1\" value=\"No\"\n\t\t data-reqmsg=\"MBE (Minority Business Enterprise) is required.\" data-invmsg=\"MBE (Minority Business Enterprise) is invalid\"   \/> No<\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_28_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_1uipz2\" id=\"field_1uipz2_label\" class=\"frm_primary_label\">Company Website (if applicable)\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"url\" id=\"field_1uipz2\" name=\"item_meta[28]\" value=\"\"  data-invmsg=\"Website\/URL is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_40_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n\t<label for=\"field_l9qvt\" id=\"field_l9qvt_label\" class=\"frm_primary_label\">Age of Firm (years)\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_l9qvt\" name=\"item_meta[40]\" value=\"\"  data-invmsg=\"Age of Firm (years) is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"200\" step=\"any\"\/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_30_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <div  id=\"field_14zl9_label\" class=\"frm_primary_label\">Company Address\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/div>\r\n    <fieldset aria-labelledby=\"field_14zl9_label\">\n\t<legend class=\"frm_screen_reader frm_hidden\">\n\t\tCompany Address\t<\/legend>\n\n\t<div  class=\"frm_combo_inputs_container\" id=\"frm_combo_inputs_container_30\">\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_30-line1_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-line1 \"\n\t\t\t\tdata-sub-field-name=\"line1\"\n\t\t\t>\n\t\t\t\t<label for=\"field_14zl9_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tAddress Line 1\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"text\" id=\"field_14zl9_line1\" value=\"\" name=\"item_meta[30][line1]\"  data-invmsg=\"Company Address is invalid\" aria-invalid-line1=\"false\" aria-invalid-line2=\"false\" aria-invalid-city=\"false\" aria-invalid-state=\"false\" aria-invalid-zip=\"false\" aria-invalid-country=\"false\"   \/>\n\t\t\t\t\n\t\t\t\t<div class=\"frm_description\">Address Line 1<\/div>\t\t\t<\/div>\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_30-line2_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-line2 \"\n\t\t\t\tdata-sub-field-name=\"line2\"\n\t\t\t>\n\t\t\t\t<label for=\"field_14zl9_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tAddress Line 2\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"text\" id=\"field_14zl9_line2\" value=\"\" name=\"item_meta[30][line2]\"  placeholder=\"\" data-placeholder=\"\" data-invmsg=\"Company Address is invalid\" class=\"frm_optional\" aria-invalid-line1=\"false\" aria-invalid-line2=\"false\" aria-invalid-city=\"false\" aria-invalid-state=\"false\" aria-invalid-zip=\"false\" aria-invalid-country=\"false\"   \/>\n\t\t\t\t\n\t\t\t\t<div class=\"frm_description\">Address Line 2<\/div>\t\t\t<\/div>\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_30-city_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-city frm_third frm_first\"\n\t\t\t\tdata-sub-field-name=\"city\"\n\t\t\t>\n\t\t\t\t<label for=\"field_14zl9_city\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tCity\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"text\" id=\"field_14zl9_city\" value=\"\" name=\"item_meta[30][city]\"  placeholder=\"\" data-placeholder=\"\" data-invmsg=\"Company Address is invalid\" aria-invalid-line1=\"false\" aria-invalid-line2=\"false\" aria-invalid-city=\"false\" aria-invalid-state=\"false\" aria-invalid-zip=\"false\" aria-invalid-country=\"false\"   \/>\n\t\t\t\t\n\t\t\t\t<div class=\"frm_description\">City<\/div>\t\t\t<\/div>\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_30-state_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-state frm_third\"\n\t\t\t\tdata-sub-field-name=\"state\"\n\t\t\t>\n\t\t\t\t<label for=\"field_14zl9_state\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tState\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<select name=\"item_meta[30][state]\" id=\"field_14zl9_state\"  placeholder=\"\" data-placeholder=\"\" data-frmval=\"Massachusetts\" data-invmsg=\"Company Address is invalid\" aria-invalid-line1=\"false\" aria-invalid-line2=\"false\" aria-invalid-city=\"false\" aria-invalid-state=\"false\" aria-invalid-zip=\"false\" aria-invalid-country=\"false\"  >\n\t\t\t\t\t\t<option value=\"\" class=\"\">\n\t\t\t\t\t\t\t \t\t\t\t\t\t<\/option>\n\t\t\t\t\t\t<option  value=\"Alabama\">Alabama<\/option><option  value=\"Alaska\">Alaska<\/option><option  value=\"Arkansas\">Arkansas<\/option><option  value=\"Arizona\">Arizona<\/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=\"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\" selected='selected'>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=\"Ohio\">Ohio<\/option><option  value=\"Oklahoma\">Oklahoma<\/option><option  value=\"Oregon\">Oregon<\/option><option  value=\"Pennsylvania\">Pennsylvania<\/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=\"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>\t\t\t\t\t<\/select>\n\t\t\t\t\n\t\t\t\t<div class=\"frm_description\">State<\/div>\t\t\t<\/div>\n\t\t\t\t\t<div\n\t\t\t\tid=\"frm_field_30-zip_container\"\n\t\t\t\tclass=\"frm_form_field form-field frm_form_subfield-zip frm_third\"\n\t\t\t\tdata-sub-field-name=\"zip\"\n\t\t\t>\n\t\t\t\t<label for=\"field_14zl9_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\t\t\t\tZip Code\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"text\" id=\"field_14zl9_zip\" value=\"\" name=\"item_meta[30][zip]\"  placeholder=\"\" data-placeholder=\"\" data-invmsg=\"Company Address is invalid\" aria-invalid-line1=\"false\" aria-invalid-line2=\"false\" aria-invalid-city=\"false\" aria-invalid-state=\"false\" aria-invalid-zip=\"false\" aria-invalid-country=\"false\"   \/>\n\t\t\t\t\n\t\t\t\t<div class=\"frm_description\">Zip Code<\/div>\t\t\t<\/div>\n\t\t\t<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_31_container\" class=\"frm_form_field form-field  frm_top_container frm6 frm_first\">\r\n    <label for=\"field_rkarr2\" id=\"field_rkarr2_label\" class=\"frm_primary_label\">Name of Representative\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_rkarr2\" name=\"item_meta[31]\" value=\"\"  data-invmsg=\"Name is invalid\" aria-invalid=\"false\" aria-describedby=\"frm_desc_field_rkarr2\"  \/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_rkarr2\">First<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_32_container\" class=\"frm_form_field form-field  frm_required_field frm_hidden_container frm6\">\r\n    <label for=\"field_81vxe2\" id=\"field_81vxe2_label\" class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_81vxe2\" name=\"item_meta[32]\" value=\"\"  data-reqmsg=\"Blank Field\" aria-required=\"true\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\" aria-describedby=\"frm_desc_field_81vxe2\"  \/>\r\n    <div class=\"frm_description\" id=\"frm_desc_field_81vxe2\">Last<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_34_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm6 frm_first\">\r\n    <label for=\"field_29yf4d132\" id=\"field_29yf4d132_label\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_29yf4d132\" name=\"item_meta[34]\" value=\"\"  data-reqmsg=\"Blank Field\" aria-required=\"true\" data-invmsg=\"Please enter a valid email address\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_33_container\" class=\"frm_form_field form-field  frm_top_container frm6\">\r\n    <label for=\"field_mlxkn2\" id=\"field_mlxkn2_label\" class=\"frm_primary_label\">Phone\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_mlxkn2\" name=\"item_meta[33]\" value=\"\"  data-invmsg=\"Phone is invalid\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_36_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container vertical_radio\">\r\n\t<div  id=\"field_434eq_label\" class=\"frm_primary_label\">Registered as a DBE (Disadvantaged Business Enterprise) in Massachusetts?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_434eq_label\" role=\"radiogroup\" aria-required=\"true\">\t\t<div class=\"frm_radio\" id=\"frm_radio_36-0\">\t\t\t<label  for=\"field_434eq-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[36]\" id=\"field_434eq-0\" value=\"No\"\n\t\t data-reqmsg=\"Registered as a DBE (Disadvantaged Business Enterprise) in Massachusetts? is required.\" data-invmsg=\"Registered as a DBE (Disadvantaged Business Enterprise) in Massachusetts? is invalid\"   \/> No<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_36-1\">\t\t\t<label  for=\"field_434eq-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[36]\" id=\"field_434eq-1\" value=\"Black Americans - Persons having origins in any of the Black racial groups of Africa\"\n\t\t data-reqmsg=\"Registered as a DBE (Disadvantaged Business Enterprise) in Massachusetts? is required.\" data-invmsg=\"Registered as a DBE (Disadvantaged Business Enterprise) in Massachusetts? is invalid\"   \/> Black Americans - Persons having origins in any of the Black racial groups of Africa<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_36-2\">\t\t\t<label  for=\"field_434eq-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[36]\" id=\"field_434eq-2\" value=\"Hispanic American - Persons of Mexican, Portuguese, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race\"\n\t\t data-reqmsg=\"Registered as a DBE (Disadvantaged Business Enterprise) in Massachusetts? is required.\" data-invmsg=\"Registered as a DBE (Disadvantaged Business Enterprise) in Massachusetts? is invalid\"   \/> Hispanic American - Persons of Mexican, Portuguese, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_36-3\">\t\t\t<label  for=\"field_434eq-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[36]\" id=\"field_434eq-3\" value=\"Native Americans - Persons who are American Indians, Eskimos, Aleuts, or Native Hawaiians\"\n\t\t data-reqmsg=\"Registered as a DBE (Disadvantaged Business Enterprise) in Massachusetts? is required.\" data-invmsg=\"Registered as a DBE (Disadvantaged Business Enterprise) in Massachusetts? is invalid\"   \/> Native Americans - Persons who are American Indians, Eskimos, Aleuts, or Native Hawaiians<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_36-4\">\t\t\t<label  for=\"field_434eq-4\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[36]\" id=\"field_434eq-4\" value=\"Asian-Pacific Americans - Persons whose origins are from Japan, China, Taiwan, Korea, Vietnam, Laos, Cambodia, the Philippines, Samoa, Guam, the U.S. Trust Territories of the Pacific, and the Northern Marianas\"\n\t\t data-reqmsg=\"Registered as a DBE (Disadvantaged Business Enterprise) in Massachusetts? is required.\" data-invmsg=\"Registered as a DBE (Disadvantaged Business Enterprise) in Massachusetts? is invalid\"   \/> Asian-Pacific Americans - Persons whose origins are from Japan, China, Taiwan, Korea, Vietnam, Laos, Cambodia, the Philippines, Samoa, Guam, the U.S. Trust Territories of the Pacific, and the Northern Marianas<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_36-5\">\t\t\t<label  for=\"field_434eq-5\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[36]\" id=\"field_434eq-5\" value=\"Asian-Indian Americans - Persons whose origins are from India, Pakistan, and Bangladesh\"\n\t\t data-reqmsg=\"Registered as a DBE (Disadvantaged Business Enterprise) in Massachusetts? is required.\" data-invmsg=\"Registered as a DBE (Disadvantaged Business Enterprise) in Massachusetts? is invalid\"   \/> Asian-Indian Americans - Persons whose origins are from India, Pakistan, and Bangladesh<\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_36-6\">\t\t\t<label  for=\"field_434eq-6\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[36]\" id=\"field_434eq-6\" value=\"Women - Regardless of race, ethnicity, or origin\"\n\t\t data-reqmsg=\"Registered as a DBE (Disadvantaged Business Enterprise) in Massachusetts? is required.\" data-invmsg=\"Registered as a DBE (Disadvantaged Business Enterprise) in Massachusetts? is invalid\"   \/> Women - Regardless of race, ethnicity, or 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data-theme=\"light\"><\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_35_container\" class=\"frm_form_field form-field \">\r\n\t<div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit\" type=\"submit\"  >Submit<\/button>\r\n\r\n<\/div>\r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_63_container\">\n\t\t\t<label for=\"field_ovnq2\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_ovnq2\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[63]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"dQM3cXxY8tbL3Vpz6GN3d6dP5ePfve5k7VjC2+0KMB4=\" 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