{"id":25759,"date":"2023-06-23T19:06:50","date_gmt":"2023-06-23T11:06:50","guid":{"rendered":"https:\/\/flowtaipei.com\/?page_id=25759"},"modified":"2024-10-03T16:51:08","modified_gmt":"2024-10-03T08:51:08","slug":"artist-info-request","status":"publish","type":"page","link":"https:\/\/flowtaipei.com\/en\/artist-info-request\/","title":{"rendered":"Artist Info Request"},"content":{"rendered":"<h1><\/h1>\n<h1 style=\"text-align: center;\">Flow Taipei Events- Artist Info Request<\/h1>\n<div style=\"width: 90%; max-width: 1000px; margin: auto; justify-content: center; text-align: center;\">\ufeff\r\n\r\n<link rel=\"stylesheet\" href=\"https:\/\/cdnjs.cloudflare.com\/ajax\/libs\/jquery-confirm\/3.3.2\/jquery-confirm.min.css\">\r\n<link href=\"https:\/\/code.jquery.com\/ui\/1.11.4\/themes\/smoothness\/jquery-ui.css\" rel=\"stylesheet\" type=\"text\/css\">\r\n\r\n<script src=\"https:\/\/ajax.googleapis.com\/ajax\/libs\/jquery\/3.6.0\/jquery.min.js\"><\/script>\r\n<script src=\"https:\/\/cdnjs.cloudflare.com\/ajax\/libs\/jquery-confirm\/3.3.4\/jquery-confirm.min.js\"\r\n        integrity=\"sha512-zP5W8791v1A6FToy+viyoyUUyjCzx+4K8XZCKzW28AnCoepPNIXecxh9mvGuy3Rt78OzEsU+VCvcObwAMvBAww==\"\r\n        crossOrigin=\"anonymous\" referrerpolicy=\"no-referrer\"><\/script>\r\n\r\n<script src=\"https:\/\/code.jquery.com\/ui\/1.12.1\/jquery-ui.js\"><\/script>\r\n\r\n\r\n<link href=\"https:\/\/cdn.jsdelivr.net\/npm\/bootstrap@5.0.2\/dist\/css\/bootstrap.min.css\" rel=\"stylesheet\"\r\n      integrity=\"sha384-EVSTQN3\/azprG1Anm3QDgpJLIm9Nao0Yz1ztcQTwFspd3yD65VohhpuuCOmLASjC\" crossOrigin=\"anonymous\">\r\n<script src=\"https:\/\/cdn.jsdelivr.net\/npm\/bootstrap@5.0.2\/dist\/js\/bootstrap.bundle.min.js\"\r\n        integrity=\"sha384-MrcW6ZMFYlzcLA8Nl+NtUVF0sA7MsXsP1UyJoMp4YLEuNSfAP+JcXn\/tWtIaxVXM\"\r\n        crossOrigin=\"anonymous\"><\/script>    <link rel=\"stylesheet\" href=\"https:\/\/flowtaipei.com\/flow.css\">\r\n\r\n        <div class=\"flow_container_90_1000\">\r\n\r\n            <div class=\"flow_container_90_500_center\">\r\n                <div id=\"form_complete_holder\"><\/div>\r\n                <div id=\"form_holder\" style=\"display:block\">\r\n\r\n                    <h2 class=\"flow_c\">Artist Info Request<\/h2> <br>\r\n\r\n\r\n                    <p class=\"flow_c\">\r\n                        Hello!  We are thrilled to have you join us as an artist for our event at Flow Taipei.\r\n                        For everything to run smoothly, we need to gather some information from you.\r\n                        This information is needed to arrange work permits, accomodation, etc and is only viewable by our administrative staff.\r\n                        Please let us know if you have any questions \ud83d\ude42\r\n\r\n                        After filling this form out, please also complete the <a href=\"https:\/\/flowtaipei.com\/en\/artist-trip-info\/\" target=\"new\">Artist Trip Info Form<\/a> to arrange the travel.<br>\r\n                        A link will be shown after completing this form.\r\n\r\n                    <\/p> <br>\r\n\r\n                    <form id=\"artist_info_request_form\" name=\"artist_info_request_form\" action=\"registration_processing.php\" method=\"post\">\r\n                        <h4 class=\"flow_input_label\">Identity<\/h4>\r\n                        <label for=\"email\" class=\"flow_input_label required\">Email<\/label><br>\r\n                        <input type=\"email\" id=\"email\" class=\"flow_input_text\" placeholder=\"Email\" required=\"required\"><br>\r\n\r\n                        <label for=\"phone\" class=\"flow_input_label required\">Phone # with country code<\/label><br>\r\n                        <input type=\"text\" id=\"phone\" class=\"flow_input_text\" placeholder=\"Phone\" required=\"required\"><br>\r\n\r\n                        <fieldset id=\"radioset_contact\" class=\"flow_radio_group\">\r\n                            <span class=\"flow_input_label required\">How do you prefer we contact you?<\/span><br> <br>\r\n\r\n                            <div class=\"flow_l\">\r\n                                <input type=\"radio\" id=\"contact_method_email\" name=\"contact_method\" value=\"email\" required=\"required\">\r\n                                <label for=\"contact_method_email\">Email<\/label>\r\n                            <\/div>\r\n\r\n                            <div class=\"flow_l\">\r\n                                <input type=\"radio\" id=\"contact_method_instagram\" name=\"contact_method\" value=\"instagram\" required=\"required\">\r\n                                <label for=\"contact_method_instagram\">Instagram<\/label>\r\n                            <\/div>\r\n\r\n                            <div class=\"flow_l\">\r\n                                <input type=\"radio\" id=\"contact_method_facebook\" name=\"contact_method\" value=\"facebook\" required=\"required\">\r\n                                <label for=\"contact_method_facebook\">Facebook Messenger<\/label>\r\n                            <\/div>\r\n\r\n                            <div class=\"flow_l\">\r\n                                <input type=\"radio\" id=\"contact_method_whatsapp\" name=\"contact_method\" value=\"whatsapp\" required=\"required\">\r\n                                <label for=\"contact_method_whatsapp\">Whatsapp<\/label>\r\n                            <\/div>\r\n\r\n                            <div class=\"flow_l\">\r\n                                <input type=\"radio\" id=\"contact_method_telegram\" name=\"contact_method\" value=\"telegram\" required=\"required\">\r\n                                <label for=\"contact_method_telegram\">Telegram<\/label>\r\n                            <\/div>\r\n                        <\/fieldset>\r\n\r\n\r\n                        <label for=\"emergency_contact\" class=\"flow_input_label required\">Emergency Contact Name & Info<\/label><br>\r\n                        <input type=\"text\" id=\"emergency_contact\" class=\"flow_input_text\" placeholder=\"Emergency Contact\"  required=\"required\"><br>\r\n\r\n                        <label for=\"country\" class=\"flow_input_label required\">Nationality (on your passport)<\/label><br>\r\n                        <select  id='country' name='country' class='flow_input_combo_box' class='flow_input_combo_box_small ' placeholder='Country'><option value=0>Country<\/option><option value=218>Taiwan<\/option><option value=1>Afghanistan<\/option><option value=2>\u00c5land Islands<\/option><option value=3>Albania<\/option><option value=4>Algeria<\/option><option value=5>American Samoa<\/option><option value=6>Andorra<\/option><option value=7>Angola<\/option><option value=8>Anguilla<\/option><option value=9>Antarctica<\/option><option value=10>Antigua and Barbuda<\/option><option value=11>Argentina<\/option><option value=12>Armenia<\/option><option value=13>Aruba<\/option><option value=14>Australia<\/option><option value=15>Austria<\/option><option value=16>Azerbaijan<\/option><option value=17>Bahrain<\/option><option value=18>Bahamas<\/option><option value=19>Bangladesh<\/option><option value=20>Barbados<\/option><option value=21>Belarus<\/option><option value=22>Belgium<\/option><option value=23>Belize<\/option><option value=24>Benin<\/option><option value=25>Bermuda<\/option><option value=26>Bhutan<\/option><option value=27>Bolivia<\/option><option value=28>Bonaire<\/option><option value=29>Bosnia and Herzegovina<\/option><option value=30>Botswana<\/option><option value=31>Bouvet Island<\/option><option value=32>Brazil<\/option><option value=33>British Indian Ocean Territory<\/option><option value=34>Brunei Darussalam<\/option><option value=35>Bulgaria<\/option><option value=36>Burkina Faso<\/option><option value=37>Burundi<\/option><option value=38>Cambodia<\/option><option value=39>Cameroon<\/option><option value=40>Canada<\/option><option value=41>Cape Verde<\/option><option value=42>Cayman Islands<\/option><option value=43>Central African Republic<\/option><option value=44>Chad<\/option><option value=45>Chile<\/option><option value=46>China<\/option><option value=47>Christmas Island<\/option><option value=48>Cocos (Keeling) Islands<\/option><option value=49>Colombia<\/option><option value=50>Comoros<\/option><option value=51>Congo<\/option><option value=52>Congo Democratic Republic<\/option><option value=53>Cook Islands<\/option><option value=54>Costa Rica<\/option><option value=55>C\u00f4te d Ivoire<\/option><option value=56>Croatia<\/option><option value=57>Cuba<\/option><option value=58>Cura\u00e7ao<\/option><option value=59>Cyprus<\/option><option value=60>Czech Republic<\/option><option value=61>Denmark<\/option><option value=62>Djibouti<\/option><option value=63>Dominica<\/option><option value=64>Dominican Republic<\/option><option value=65>Ecuador<\/option><option value=66>Egypt<\/option><option value=67>El Salvador<\/option><option value=68>Equatorial Guinea<\/option><option value=69>Eritrea<\/option><option value=70>Estonia<\/option><option value=71>Ethiopia<\/option><option value=72>Falkland Islands (Malvinas)<\/option><option value=73>Faroe Islands<\/option><option value=74>Fiji<\/option><option value=75>Finland<\/option><option value=76>France<\/option><option value=77>French Guiana<\/option><option value=78>French Polynesia<\/option><option value=79>French Southern Territories<\/option><option value=80>Gabon<\/option><option value=81>Gambia<\/option><option value=82>Georgia<\/option><option value=83>Germany<\/option><option value=84>Ghana<\/option><option value=85>Gibraltar<\/option><option value=86>Greece<\/option><option value=87>Greenland<\/option><option value=88>Grenada<\/option><option value=89>Guadeloupe<\/option><option value=90>Guam<\/option><option value=91>Guatemala<\/option><option value=92>Guernsey<\/option><option value=93>Guinea<\/option><option value=94>Guinea-Bissau<\/option><option value=95>Guyana<\/option><option value=96>Haiti<\/option><option value=97>Heard Island and McDonald Islands<\/option><option value=98>Holy See (Vatican City State)<\/option><option value=99>Honduras<\/option><option value=100>Hong Kong<\/option><option value=101>Hungary<\/option><option value=102>Iceland<\/option><option value=103>India<\/option><option value=104>Indonesia<\/option><option value=105>Iran<\/option><option value=106>Iraq<\/option><option value=107>Ireland<\/option><option value=108>Isle of Man<\/option><option value=109>Israel<\/option><option value=110>Italy<\/option><option value=111>Jamaica<\/option><option value=112>Japan<\/option><option value=113>Jersey<\/option><option value=114>Jordan<\/option><option value=115>Kazakhstan<\/option><option value=116>Kenya<\/option><option value=117>Kiribati<\/option><option value=118>Kuwait<\/option><option value=119>Kyrgyzstan<\/option><option value=120>Laos<\/option><option value=121>Latvia<\/option><option value=122>Lebanon<\/option><option value=123>Lesotho<\/option><option value=124>Liberia<\/option><option value=125>Libya<\/option><option value=126>Liechtenstein<\/option><option value=127>Lithuania<\/option><option value=128>Luxembourg<\/option><option value=129>Macao<\/option><option value=130>Macedonia<\/option><option value=131>Madagascar<\/option><option value=132>Malawi<\/option><option value=133>Malaysia<\/option><option value=134>Maldives<\/option><option value=135>Mali<\/option><option value=136>Malta<\/option><option value=137>Marshall Islands<\/option><option value=138>Martinique<\/option><option value=139>Mauritania<\/option><option value=140>Mauritius<\/option><option value=141>Mayotte<\/option><option value=142>Mexico<\/option><option value=143>Micronesia<\/option><option value=144>Moldova<\/option><option value=145>Monaco<\/option><option value=146>Mongolia<\/option><option value=147>Montenegro<\/option><option value=148>Montserrat<\/option><option value=149>Morocco<\/option><option value=150>Mozambique<\/option><option value=151>Myanmar<\/option><option value=152>Namibia<\/option><option value=153>Nauru<\/option><option value=154>Nepal<\/option><option value=155>Netherlands<\/option><option value=156>New Caledonia<\/option><option value=157>New Zealand<\/option><option value=158>Nicaragua<\/option><option value=159>Niger<\/option><option value=160>Nigeria<\/option><option value=161>Niue<\/option><option value=162>Norfolk Island<\/option><option value=163>Northern Mariana Islands<\/option><option value=164>North Korea<\/option><option value=165>Norway<\/option><option value=166>Oman<\/option><option value=167>Pakistan<\/option><option value=168>Palau<\/option><option value=169>Palestine<\/option><option value=170>Panama<\/option><option value=171>Papua New Guinea<\/option><option value=172>Paraguay<\/option><option value=173>Peru<\/option><option value=174>Philippines<\/option><option value=175>Pitcairn<\/option><option value=176>Poland<\/option><option value=177>Portugal<\/option><option value=178>Puerto Rico<\/option><option value=179>Qatar<\/option><option value=180>R\u00e9union<\/option><option value=181>Romania<\/option><option value=182>Russian Federation<\/option><option value=183>Rwanda<\/option><option value=184>Saint Barth\u00e9lemy<\/option><option value=185>Saint Helena Ascension and Tristan da Cunha<\/option><option value=186>Saint Kitts and Nevis<\/option><option value=187>Saint Lucia<\/option><option value=188>Saint Martin<\/option><option value=189>Saint Pierre and Miquelon<\/option><option value=190>Saint Vincent and the Grenadines<\/option><option value=191>Samoa<\/option><option value=192>San Marino<\/option><option value=193>Sao Tome and Principe<\/option><option value=194>Saudi Arabia<\/option><option value=195>Senegal<\/option><option value=196>Serbia<\/option><option value=197>Seychelles<\/option><option value=198>Sierra Leone<\/option><option value=199>Singapore<\/option><option value=200>Sint Maarten<\/option><option value=201>Slovakia<\/option><option value=202>Slovenia<\/option><option value=203>Solomon Islands<\/option><option value=204>Somalia<\/option><option value=205>South Africa<\/option><option value=206>South Georgia and the South Sandwich Islands<\/option><option value=207>South Korea<\/option><option value=208>South Sudan<\/option><option value=209>Spain<\/option><option value=210>Sri Lanka<\/option><option value=211>Sudan<\/option><option value=212>Suriname<\/option><option value=213>Svalbard and Jan Mayen<\/option><option value=214>Swaziland<\/option><option value=215>Sweden<\/option><option value=216>Switzerland<\/option><option value=217>Syrian Arab Republic<\/option><option value=219>Tajikistan<\/option><option value=220>Tanzania<\/option><option value=221>Thailand<\/option><option value=222>Timor-Leste<\/option><option value=223>Togo<\/option><option value=224>Tokelau<\/option><option value=225>Tonga<\/option><option value=226>Trinidad and Tobago<\/option><option value=227>Tunisia<\/option><option value=228>Turkey<\/option><option value=229>Turkmenistan<\/option><option value=230>Turks and Caicos Islands<\/option><option value=231>Tuvalu<\/option><option value=232>Uganda<\/option><option value=233>Ukraine<\/option><option value=234>United Arab Emirates<\/option><option value=235>United Kingdom<\/option><option value=236>United States<\/option><option value=237>United States Minor Outlying Islands<\/option><option value=238>Uruguay<\/option><option value=239>Uzbekistan<\/option><option value=240>Vanuatu<\/option><option value=241>Venezuela<\/option><option value=242>Vietnam<\/option><option value=243>Virgin Islands British<\/option><option value=244>Virgin Islands U.S.<\/option><option value=245>Wallis and Futuna<\/option><option value=246>Western Sahara<\/option><option value=247>Yemen<\/option><option value=248>Zambia<\/option><option value=249>Zimbabwe<\/option><\/select>                        <br>\r\n\r\n                        <label for=\"first_name\" class=\"flow_input_label required\">First Name (on your passport)<\/label><br>\r\n                        <input type=\"text\" id=\"first_name\" class=\"flow_input_text\" placeholder=\"First Name\"  required=\"required\"><br>\r\n\r\n                        <label for=\"last_name\" class=\"flow_input_label required\">Last Name (on your passport)<\/label><br>\r\n                        <input type=\"text\" id=\"last_name\" class=\"flow_input_text\" placeholder=\"Last Name\"  required=\"required\"><br>\r\n\r\n                        <fieldset id=\"radioset_gender\" class=\"flow_radio_group\">\r\n                            <span class=\"flow_input_label required\">What gender do you identify as?<\/span><br> <br>\r\n\r\n                            <div class=\"flow_l\">\r\n                                <input type=\"radio\" id=\"gender_male\" name=\"gender\" value=\"M\" required=\"required\">\r\n                                <label for=\"gender_male\">Male<\/label>\r\n                            <\/div>\r\n\r\n                            <div class=\"flow_l\">\r\n                                <input type=\"radio\" id=\"gender_female\" name=\"gender\" value=\"F\" required=\"required\">\r\n                                <label for=\"gender_female\">Female<\/label>\r\n                            <\/div>\r\n\r\n                            <div class=\"flow_l\">\r\n                                <input type=\"radio\" id=\"gender_nb\" name=\"gender\" value=\"NB\" required=\"required\">\r\n                                <label for=\"gender_nb\">Non-binary\/Other<\/label>\r\n                            <\/div>\r\n\r\n                        <\/fieldset>\r\n\r\n                        <label for=\"date_of_birth\" class=\"flow_input_label required\">Date of Birth<\/label><br>\r\n                        <input type=\"text\" id=\"date_of_birth\" class=\"flow_input_text hasDatePicker\" placeholder=\"Date of birth\" readonly><br>\r\n\r\n\r\n                        <fieldset id=\"radioset_education\" class=\"flow_radio_group\">\r\n                            <span class=\"flow_input_label  required\">Highest level of Education (required for work permit) <\/span><br> <br>\r\n\r\n                            <div class=\"flow_l\">\r\n                                <input type=\"radio\" id=\"education_high_school\" name=\"education\" value=\"high school\" required=\"required\">\r\n                                <label for=\"education_high_school\">High school or less<\/label>\r\n                            <\/div>\r\n\r\n                            <div class=\"flow_l\">\r\n                                <input type=\"radio\" id=\"education_vocational\" name=\"education\" value=\"vocational school\" required=\"required\">\r\n                                <label for=\"education_vocational\">Vocational school<\/label>\r\n                            <\/div>\r\n\r\n                            <div class=\"flow_l\">\r\n                                <input type=\"radio\" id=\"education_bachelor\" name=\"education\" value=\"bachelor's degree\" required=\"required\">\r\n                                <label for=\"education_bachelor\">Bacherlor's degree (BA, BS)<\/label>\r\n                            <\/div>\r\n\r\n                            <div class=\"flow_l\">\r\n                                <input type=\"radio\" id=\"education_master\" name=\"education\" value=\"master's degree\" required=\"required\">\r\n                                <label for=\"education_master\">Master's Degree (MA, MS)<\/label>\r\n                            <\/div>\r\n\r\n                            <div class=\"flow_l\">\r\n                                <input type=\"radio\" id=\"education_phd\" name=\"education\" value=\"PhD\" required=\"required\">\r\n                                <label for=\"education_phd\">Ph.D<\/label>\r\n                            <\/div>\r\n                        <\/fieldset>\r\n\r\n\r\n\r\n\r\n                        <label for=\"passport_number\" class=\"flow_input_label  required\">Passport Number<\/label><br>\r\n                        <input type=\"text\" id=\"passport_number\" class=\"flow_input_text\" required placeholder=\"Passport number\"><br>\r\n\r\n                        <label for=\"passport_expiration\" class=\"flow_input_label  required\">Passport Expiration<br><span style=\"color:blue\">Make sure the expiration is more than 6 months after your arrival date!<\/span><\/label><br>\r\n                        <input type=\"text\" id=\"passport_expiration\" class=\"flow_input_text hasDatePicker\" placeholder=\"Passport Expiration\" readonly required><br> <br>\r\n\r\n                        <label for=\"image_file\" class=\"flow_input_label  required\">Upload a picture of your passport ID page<\/label><br>\r\n                        <input type='file' class='form-control' id='image_file' name='image_file' style='width:100%;' required=\"required\"><br>\r\n                        <br> <br>\r\n\r\n\r\n                        <h4 class=\"flow_input_label  required\">Dietary Requirements<\/h4>\r\n                        <fieldset class=\"flow_radio_group\">\r\n                            <span class=\"flow_input_label\">Please check everything you *do NOT* eat<\/span><br>\r\n\r\n                            <table class=\"flow_table_1000\">\r\n                                <tr>\r\n                                <td><input type=\"checkbox\" id=\"diet_no_restrictions\" name=\"diet_restrictions\" value=\"no restrictions\"><\/td>\r\n                                <td class=\"flow_l\"><label for=\"diet_no_restrictions\">No restrictions (you eat most any type of food)<\/label><\/td>\r\n                                <\/tr>\r\n                            <tr>\r\n                                <td><input type=\"checkbox\" id=\"diet_vegan\" name=\"diet_restrictions\" value=\"vegan\"><\/td>\r\n                                <td class=\"flow_l\"><label for=\"diet_vegan\">all animal products (check if you are a vegan)<\/label><\/td>\r\n                            <\/tr>\r\n                            <tr>\r\n                                <td><input type=\"checkbox\" id=\"diet_poultry\" name=\"diet_restrictions\" value=\"poultry\"><\/td>\r\n                                <td class=\"flow_l\"><label for=\"diet_poultry\">meat (poultry)<\/label><\/td>\r\n                            <\/tr>\r\n                            <tr>\r\n                                <td><input type=\"checkbox\" id=\"diet_red_meat\" name=\"diet_restrictions\" value=\"red meat\"><\/td>\r\n                                <td class=\"flow_l\"><label for=\"diet_red_meat\">meat (red)<\/label><\/td>\r\n                            <\/tr>\r\n                            <tr>\r\n                                <td><input type=\"checkbox\" id=\"diet_fish\" name=\"diet_restrictions\" value=\"fish\"><\/td>\r\n                                <td class=\"flow_l\"><label for=\"diet_fish\">fish<\/label><\/td>\r\n                            <\/tr>\r\n                            <tr>\r\n                                <td><input type=\"checkbox\" id=\"diet_shellfish\" name=\"diet_restrictions\" value=\"shellfish\"><\/td>\r\n                                <td class=\"flow_l\"><label for=\"diet_shellfish\">shellfish<\/label><\/td>\r\n                            <\/tr>\r\n                            <tr>\r\n                                <td><input type=\"checkbox\" id=\"diet_dairy\" name=\"diet_restrictions\" value=\"dairy\"><\/td>\r\n                                <td class=\"flow_l\"><label for=\"diet_dairy\">dairy<\/label><\/td>\r\n                            <\/tr>\r\n                            <tr>\r\n                                <td><input type=\"checkbox\" id=\"diet_eggs\" name=\"diet_restrictions\" value=\"eggs\"><\/td>\r\n                                <td class=\"flow_l\"><label for=\"diet_eggs\">eggs<\/label><\/td>\r\n                            <\/tr>\r\n                            <tr>\r\n                                <td><input type=\"checkbox\" id=\"diet_gluten\" name=\"diet_restrictions\" value=\"gluten\"><\/td>\r\n                                <td class=\"flow_l\"><label for=\"diet_gluten\">gluten<\/label><\/td>\r\n                            <\/tr>\r\n                            <tr>\r\n                                <td><input type=\"checkbox\" id=\"diet_garlic_onions\" name=\"diet_restrictions\" value=\"garlic, onions\"><\/td>\r\n                                <td class=\"flow_l\"><label for=\"diet_garlic_onions\">garlic, onions<\/label><\/td>\r\n                            <\/tr>\r\n                            <\/table>\r\n                        <\/fieldset>\r\n\r\n\r\n\r\n                        <label for=\"diet_notes\" class=\"flow_input_label\">Any other diet-related notes?<\/label><br>\r\n                        <input type=\"text\" id=\"diet_notes\" class=\"flow_input_text\" placeholder=\"\"><br> <br>\r\n\r\n                        <h4 class=\"flow_input_label\">Stay<\/h4>\r\n\r\n\r\n\r\n\r\n                        <fieldset id=\"radioset_sleeping_arrangements\" class=\"flow_radio_group\">\r\n                            <p class=\"flow_input_label  required\">\r\n                                Depending on the event situation, we may ask you to share a room with another artist of the same gender. * We will never ask you to share a bed unless you and your partner request that. *<br>\r\n                                If you were booked with a partner, what kind of sleeping arrangements should we make?<\/p><br>\r\n\r\n                            <table class=\"flow_table_1000\">\r\n                                <tr>\r\n                                    <td><input type=\"radio\" id=\"sleeping_arrangements_na\" name=\"sleeping_arrangements\" value=\"Not applicable (no partner)\" required=\"required\"><\/td>\r\n                                    <td class=\"flow_l\"><label for=\"sleeping_arrangements_na\">Not applicable (no partner)<\/label><\/td>\r\n                                <\/tr>\r\n\r\n                                <tr>\r\n                                    <td><input type=\"radio\" id=\"sleeping_arrangements_separate_only\" name=\"sleeping_arrangements\" value=\"separate rooms only\" required=\"required\"><\/td>\r\n                                    <td class=\"flow_l\"><label for=\"sleeping_arrangements_separate_only\">Separate rooms ONLY<\/label><\/td>\r\n                                <\/tr>\r\n                                <br>\r\n                                <tr>\r\n                                    <td><input type=\"radio\" id=\"sleeping_arrangements_separate_preferred\" name=\"sleeping_arrangements\" value=\"Separate room preferred, same room ok with separate beds\" required=\"required\"><\/td>\r\n                                    <td class=\"flow_l\"><label for=\"sleeping_arrangements_separate_preferred\">Separate room preferred,<br> same room ok with separate beds<\/label><\/td>\r\n                                <\/tr>\r\n                                <br>\r\n                                <tr>\r\n                                    <td><input type=\"radio\" id=\"sleeping_arrangements_same_preferred\" name=\"sleeping_arrangements\" value=\"Same room preferred, separate beds\" required=\"required\"><\/td>\r\n                                    <td class=\"flow_l\"><label for=\"sleeping_arrangements_same_preferred\">Same room preferred, separate beds<\/label><\/td>\r\n                                <\/tr>\r\n\r\n                                <tr>\r\n                                    <td><input type=\"radio\" id=\"sleeping_arrangements_shared\" name=\"sleeping_arrangements\" value=\"Same room preferred, shared bed\" required=\"required\"><\/td>\r\n                                    <td class=\"flow_l\"><label for=\"sleeping_arrangements_shared\">Same room preferred, shared bed<\/label><\/td>\r\n                                <\/tr>\r\n\r\n                            <\/table>\r\n                        <\/fieldset>\r\n\r\n\r\n\r\n\r\n\r\n\r\n                        <h4 class=\"flow_input_label\">Payment<\/h4>\r\n\r\n\r\n                        <fieldset id=\"radioset_currency\" class=\"flow_radio_group\">\r\n                            <span class=\"flow_input_label required\">What currency do you want to be paid in? <\/span><br> <br>\r\n\r\n                            <div class=\"flow_l\">\r\n                                <input type=\"radio\" id=\"currency_usd\" name=\"currency\" value=\"USD\" required=\"required\" onchange=\"payment_method_changed()\">\r\n                                <label for=\"currency_usd\">USD<\/label>\r\n                            <\/div>\r\n\r\n                            <div class=\"flow_l\">\r\n                                <input type=\"radio\" id=\"currency_euros\" name=\"currency\" value=\"EUR\" required=\"required\" onchange=\"payment_method_changed()\">\r\n                                <label for=\"currency_euros\">Euros<\/label>\r\n                            <\/div>\r\n\r\n                            <div class=\"flow_l\">\r\n                                <input type=\"radio\" id=\"currency_twd\" name=\"currency\" value=\"TWD\" required=\"required\" onchange=\"payment_method_changed()\">\r\n                                <label for=\"currency_twd\">TWD (New Taiwan Dollars)<\/label>\r\n                            <\/div>\r\n\r\n\r\n                        <\/fieldset>\r\n\r\n\r\n                        <fieldset id=\"radioset_payment_split\" class=\"flow_radio_group\">\r\n                            <span class=\"flow_input_label  required\">If your fee is calculated as a couple, who should receive it? Please agree on this with your partner first \ud83d\ude42 <\/span><br> <br>\r\n                            <table class=\"flow_table_1000\">\r\n                            <tr>\r\n                                <td><input type=\"radio\" id=\"payment_split_all_to_artist\" name=\"payment_split\" value=\"100% to artist\" required=\"required\"><\/td>\r\n                                <td class=\"flow_l\"><label for=\"payment_split_all_to_artist\">100% to you<\/label><\/td>\r\n                            <\/tr>\r\n\r\n                            <tr>\r\n                                <td><input type=\"radio\" id=\"payment_split_all_to_partner\" name=\"payment_split\" value=\"100% to partner\" required=\"required\"><\/td>\r\n                                <td class=\"flow_l\"><label for=\"payment_split_all_to_partner\">100% to your partner<\/label><\/td>\r\n                            <\/tr>\r\n\r\n                            <tr>\r\n                                <td><input type=\"radio\" id=\"payment_split_pay_each_separately\" name=\"payment_split\" value=\"pay each partner separately\" required=\"required\"><\/td>\r\n                                <td class=\"flow_l\"><label for=\"payment_split_pay_each_separately\">Your share paid to you,<br> your partner's share paid to them<\/label><\/td>\r\n                            <\/tr>\r\n\r\n                            <tr>\r\n                                <td><input type=\"radio\" id=\"payment_split_na\" name=\"payment_split\" value=\"not applicable (no partner)\" required=\"required\"><\/td>\r\n                                <td class=\"flow_l\"><label for=\"payment_split_na\">Not applicable <br>(your fee was not calculated with a partner)<\/label><\/td>\r\n                            <\/tr>\r\n                            <\/table>\r\n                        <\/fieldset>\r\n\r\n                        <fieldset id=\"radioset_payment_method\" class=\"flow_radio_group\">\r\n                            <span class=\"flow_input_label required\">How do you prefer to receive your fee and\/or any reimbursements? <br>\r\n                                (We prefer Wise if it's the same to you. We can track everything and the payment arrives almost instantly)<\/span><br> <br>\r\n\r\n                            <div class=\"flow_l\">\r\n                                <input type=\"radio\" id=\"payment_method_wise\" name=\"payment_method\" value=\"wise\" required=\"required\" disabled=true onchange=\"payment_method_changed()\">\r\n                                <label for=\"payment_method_wise\">Wise (USD & EUR only)<\/label>\r\n                            <\/div>\r\n\r\n                            <div class=\"flow_l\">\r\n                                <input type=\"radio\" id=\"payment_method_cash\" name=\"payment_method\" value=\"cash\" required=\"required\" disabled=true onchange=\"payment_method_changed()\">\r\n                                <label for=\"payment_method_cash\">Cash<\/label>\r\n                            <\/div>\r\n\r\n                            <div class=\"flow_l\">\r\n                                <input type=\"radio\" id=\"payment_method_venmo\" name=\"payment_method\" value=\"venmo\" required=\"required\" disabled=true onchange=\"payment_method_changed()\">\r\n                                <label for=\"payment_method_venmo\">Venmo<\/label>\r\n                            <\/div>\r\n\r\n                            <div class=\"flow_l\">\r\n                                <input type=\"radio\" id=\"payment_method_bank_transfer\" name=\"payment_method\" value=\"bank transfer\" disabled=true required=\"required\" onchange=\"payment_method_changed()\">\r\n                                <label for=\"payment_method_bank_transfer\">Bank Transfer (Taiwan only)<\/label>\r\n                            <\/div>\r\n\r\n\r\n\r\n                        <\/fieldset>\r\n\r\n\r\n                        <div id=\"container_venmo\" style=\"display:none;\">\r\n                        <label for=\"venmo_username\" class=\"flow_input_label required\">Venmo Username<\/label><br>\r\n                        <input type=\"text\" id=\"venmo_username\" class=\"flow_input_text\" placeholder=\"Venmo username\"><br> <br>\r\n                        <\/div>\r\n\r\n\r\n\r\n                        <div id=\"container_taiwan_bank\" style=\"display:none;\">\r\n                            <h4 class=\"flow_input_label\">Taiwan Bank Details<\/h4>\r\n                            <label for=\"taiwan_bank_name\" class=\"flow_input_label required\">Taiwan Bank Name<\/label><br>\r\n                            <input type=\"text\" id=\"taiwan_bank_name\" class=\"flow_input_text\" placeholder=\"\"><br> <br>\r\n\r\n                            <label for=\"taiwan_bank_code\" class=\"flow_input_label required\">Taiwan Bank Code<\/label><br>\r\n                            <input type=\"text\" id=\"taiwan_bank_code\" class=\"flow_input_text\" placeholder=\"\"><br> <br>\r\n\r\n                            <label for=\"taiwan_bank_account\" class=\"flow_input_label required\">Taiwan Bank Account<\/label><br>\r\n                            <input type=\"text\" id=\"taiwan_bank_account\" class=\"flow_input_text\" placeholder=\"\"><br> <br>\r\n                        <\/div>\r\n\r\n\r\n                        <div id=\"container_wise_details\" style=\"display:none;\">\r\n                            <h4 class=\"flow_input_label\">Wise Details<\/h4>\r\n                            <label for=\"wise_account_holder\" class=\"flow_input_label required\">Account Holder (full name on account)<\/label><br>\r\n                            <input type=\"text\" id=\"wise_account_holder\" class=\"flow_input_text\" placeholder=\"\"><br> <br>\r\n\r\n                            <label for=\"wise_tag\" class=\"flow_input_label required\">Wisetag (e.g. @cooldancer)<\/label><br>\r\n                            <input type=\"text\" id=\"wise_tag\" class=\"flow_input_text\" placeholder=\"\"><br> <br>\r\n\r\n\r\n                        <\/div>\r\n\r\n<!--\r\n                        <div id=\"container_wise_details_usd\" style=\"display:none;\">\r\n                            <h5 class=\"flow_input_label\">For payments in USD<\/h5>\r\n                            <label for=\"wise_usd_ach_routing\" class=\"flow_input_label required\">ACH Routing Number<\/label><br>\r\n                            <input type=\"text\" id=\"wise_usd_ach_routing\" class=\"flow_input_text\" placeholder=\"\"><br> <br>\r\n\r\n                            <label for=\"wise_usd_account_number\" class=\"flow_input_label required\">Account Number<\/label><br>\r\n                            <input type=\"text\" id=\"wise_usd_account_number\" class=\"flow_input_text\" placeholder=\"\"><br> <br>\r\n                            <br>\r\n\r\n\r\n                            <fieldset id=\"radioset_wise_usd_account_type\" class=\"flow_radio_group\">\r\n                                <span class=\"flow_input_label  required\">Account Type<\/span><br> <br>\r\n\r\n                                <div class=\"flow_l\">\r\n                                    <input type=\"radio\" id=\"wise_usd_account_type_checking\" name=\"wise_usd_account_type\" value=\"checking\">\r\n                                    <label for=\"wise_usd_account_type_checking\">Checking<\/label>\r\n                                <\/div>\r\n\r\n                                <div class=\"flow_l\">\r\n                                    <input type=\"radio\" id=\"wise_usd_account_type_savings\" name=\"wise_usd_account_type\" value=\"savings\"\">\r\n                                    <label for=\"wise_usd_account_type_savings\">Savings<\/label>\r\n                                <\/div>\r\n\r\n                            <\/fieldset>\r\n\r\n                            <label for=\"wise_usd_swift\" class=\"flow_input_label\">SWIFT \/ BIC code (only if OUTSIDE US)<\/label><br>\r\n                            <input type=\"text\" id=\"wise_usd_swift\" class=\"flow_input_text\" placeholder=\"\"><br> <br>\r\n\r\n\r\n                        <\/div>\r\n\r\n\r\n                        <div id=\"container_wise_details_euros\" style=\"display:none;\">\r\n                            <h5 class=\"flow_input_label\">For payments in Euros<\/h5>\r\n                            <label for=\"wise_euros_iban\" class=\"flow_input_label required\">IBAN<\/label><br>\r\n                            <input type=\"text\" id=\"wise_euros_iban\" class=\"flow_input_text\" placeholder=\"\"><br> <br>\r\n\r\n                            <label for=\"wise_euros_swift\" class=\"flow_input_label required\">SWIFT \/ BIC code<\/label><br>\r\n                            <input type=\"text\" id=\"wise_euros_swift\" class=\"flow_input_text\" placeholder=\"\"><br> <br>\r\n                            <br>\r\n\r\n                        <\/div>\r\n-->\r\n                        <label for=\"final_notes\" class=\"flow_input_label\">Anything other questions\/notes\/requests\/reminders for us?<\/label><br>\r\n                        <textarea id=\"final_notes\" class=\"flow_textarea\" placeholder=\"\"><\/textarea><br> <br>\r\n\r\n                        <input type=\"text\" id=\"image_url\" name=\"image_url\" value=\"\" hidden><br>\r\n\r\n                        <button type=\"submit\" id=\"submit\" class=\"flow_button\">Submit<\/button><br>\r\n                    <\/form>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n\r\n        <script>\r\n\r\n            $(document).ready(function() {\r\n\r\n\r\n                    $( \"#date_of_birth\" ).datepicker({\r\n                        minDate: \"-100y\",\r\n                        maxDate: \"-13y\",\r\n                        yearRange: '-100y:-13y',\r\n                        changeMonth: true,\r\n                        changeYear: true,\r\n                        dateFormat : 'yy-mm-dd'\r\n                    });\r\n\r\n                $( \"#passport_expiration\" ).datepicker({\r\n                    minDate: \"-1y\",\r\n                    maxDate: \"+20y\",\r\n                    yearRange: '-1y:+20y',\r\n                    changeMonth: true,\r\n                    changeYear: true,\r\n                    dateFormat : 'yy-mm-dd'\r\n                });\r\n\r\n\r\n            })\r\n\r\n\r\n\r\n            function payment_method_changed(){\r\n\r\n                let currency=\"none\";\r\n                let payment_method=\"none\";\r\n\r\n\r\n\r\n                \/\/let currency_selected=document.querySelector('input[name=\"currency\"]:checked');\r\n                \/\/let payment_method=document.querySelector('input[name=\"paymentmethod\"]:checked');\r\n\r\n                if(document.querySelector('input[name=\"currency\"]:checked')){\r\n                    currency=document.querySelector('input[name=\"currency\"]:checked').value;\r\n                }\r\n\r\n                if(document.querySelector('input[name=\"payment_method\"]:checked')){\r\n                    payment_method= document.querySelector('input[name=\"payment_method\"]:checked').value\r\n                }\r\n\r\n\r\n                switch (currency) {\r\n                    case \"USD\":\r\n\r\n                        document.getElementById('payment_method_cash').disabled=false;\r\n                        document.getElementById('payment_method_wise').disabled=false;\r\n                        document.getElementById('payment_method_venmo').disabled=false;\r\n                        document.getElementById('payment_method_bank_transfer').disabled=true;\r\n\r\n                        $(\"#payment_method_bank_transfer\").prop('checked', false);\r\n\r\n                        document.getElementById('container_taiwan_bank').style.display = 'none';\r\n                        \/\/document.getElementById('container_wise_details_euros').style.display = 'none';\r\n\r\n\r\n\r\n                        break;\r\n\r\n                    case \"EUR\":\r\n\r\n                        document.getElementById('payment_method_cash').disabled=false;\r\n                        document.getElementById('payment_method_wise').disabled=false;\r\n                        document.getElementById('payment_method_venmo').disabled=true;\r\n                        document.getElementById('payment_method_bank_transfer').disabled=true;\r\n\r\n\r\n                        $(\"#payment_method_venmo\").prop('checked', false);\r\n                        $(\"#payment_method_bank_transfer\").prop('checked', false);\r\n\r\n                        document.getElementById('container_venmo').style.display = 'none';\r\n                        document.getElementById('container_taiwan_bank').style.display = 'none';\r\n                        \/\/document.getElementById('container_wise_details_usd').style.display = 'none';\r\n\r\n\r\n\r\n                        break;\r\n\r\n                    case \"TWD\":\r\n\r\n                        document.getElementById('payment_method_cash').disabled=false;\r\n                        document.getElementById('payment_method_wise').disabled=true;\r\n                        document.getElementById('payment_method_venmo').disabled=true;\r\n                        document.getElementById('payment_method_bank_transfer').disabled=false;\r\n\r\n\r\n                            $(\"#payment_method_venmo\").prop('checked', false);\r\n                            $(\"#payment_method_wise\").prop('checked', false);\r\n\r\n\r\n                        document.getElementById('container_wise_details').style.display = 'none';\r\n                        document.getElementById('container_venmo').style.display = 'none';\r\n                        \/\/document.getElementById('container_wise_details_usd').style.display = 'none';\r\n\r\n\r\n                        break;\r\n\r\n\r\n                    default:\r\n\r\n                        break;\r\n                }\r\n\r\n                document.getElementById('venmo_username').removeAttribute('required');\r\n\r\n                document.getElementById('taiwan_bank_name').removeAttribute('required');\r\n                document.getElementById('taiwan_bank_code').removeAttribute('required');\r\n                document.getElementById('taiwan_bank_account').removeAttribute('required');\r\n\r\n                document.getElementById('wise_account_holder').removeAttribute('required');\r\n                document.getElementById('wise_tag').removeAttribute('required');\r\n                \/\/document.getElementById('wise_country').removeAttribute('required');\r\n                \/\/document.getElementById('wise_city').removeAttribute('required');\r\n                \/\/document.getElementById('wise_address').removeAttribute('required');\r\n\r\n                \/\/document.getElementById('wise_euros_iban').removeAttribute('required');\r\n                \/\/document.getElementById('wise_euros_swift').removeAttribute('required');\r\n\r\n                \/\/document.getElementById('wise_usd_account_number').removeAttribute('required');\r\n                \/\/document.getElementById('wise_usd_ach_routing').removeAttribute('required');\r\n\r\n                \/\/const wise_usd_account_type_options=document.querySelectorAll('[name=\"wise_usd_account_type\"]');\r\n                \/\/for (const wise_usd_account_type_option of wise_usd_account_type_options) {\r\n                \/\/    wise_usd_account_type_option.removeAttribute('required');\r\n                \/\/}\r\n\r\n                switch(payment_method){\r\n\r\n                    case \"wise\":\r\n\r\n                        document.getElementById('container_venmo').style.display = 'none';\r\n                        document.getElementById('container_taiwan_bank').style.display = 'none';\r\n\r\n                        document.getElementById('container_wise_details').style.display = 'block';\r\n\r\n                        document.getElementById('wise_account_holder').setAttribute('required','required');\r\n                        document.getElementById('wise_tag').setAttribute('required','required');\r\n                        \/\/document.getElementById('wise_country').setAttribute('required','required');\r\n                        \/\/document.getElementById('wise_city').setAttribute('required','required');\r\n                        \/\/document.getElementById('wise_address').setAttribute('required','required');\r\n\r\n\r\n\r\n                        switch (currency){\r\n                            case \"usd\":\r\n                                \/\/document.getElementById('container_wise_details_usd').style.display = 'block';\r\n\r\n                                \/\/document.getElementById('container_wise_details_euros').style.display = 'none';\r\n\r\n                                \/\/document.getElementById('wise_usd_ach_routing').setAttribute('required','required');\r\n                                \/\/document.getElementById('wise_usd_account_number').setAttribute('required','required');\r\n\r\n\r\n\r\n                                \/\/for (const wise_usd_account_type_option of wise_usd_account_type_options) {\r\n                                \/\/    wise_usd_account_type_option.setAttribute('required', 'required');\r\n                                \/\/}\r\n\r\n\r\n                                break;\r\n\r\n                            case \"euros\":\r\n                                \/\/document.getElementById('container_wise_details_usd').style.display = 'none';\r\n                                \/\/document.getElementById('container_wise_details_euros').style.display = 'block';\r\n\r\n                                \/\/document.getElementById('wise_euros_iban').setAttribute('required','required');\r\n                                \/\/document.getElementById('wise_euros_swift').setAttribute('required','required');\r\n\r\n                                document.getElementById('container_venmo').style.display = 'none';\r\n\r\n                                break;\r\n\r\n                            default:\r\n                                \/\/document.getElementById('container_wise_details_usd').style.display = 'none';\r\n                                \/\/document.getElementById('container_wise_details_euros').style.display = 'none';\r\n                                document.getElementById('container_venmo').style.display = 'none';\r\n                                break;\r\n\r\n                        }\r\n\r\n                        break;\r\n\r\n                    case \"venmo\":\r\n\r\n                        document.getElementById('container_venmo').style.display = 'block';\r\n\r\n                        document.getElementById('container_taiwan_bank').style.display = 'none';\r\n                        document.getElementById('container_wise_details').style.display = 'none';\r\n                        \/\/document.getElementById('container_wise_details_usd').style.display = 'none';\r\n                        \/\/document.getElementById('container_wise_details_euros').style.display = 'none';\r\n\r\n                        document.getElementById('venmo_username').setAttribute('required','required');\r\n\r\n                        break;\r\n\r\n                    case \"cash\":\r\n\r\n                        document.getElementById('container_venmo').style.display = 'none';\r\n                        document.getElementById('container_taiwan_bank').style.display = 'none';\r\n                        document.getElementById('container_wise_details').style.display = 'none';\r\n                        \/\/document.getElementById('container_wise_details_usd').style.display = 'none';\r\n                        \/\/document.getElementById('container_wise_details_euros').style.display = 'none';\r\n\r\n                        break;\r\n\r\n                    case \"bank transfer\":\r\n\r\n                        document.getElementById('container_venmo').style.display = 'none';\r\n                        document.getElementById('container_taiwan_bank').style.display = 'block';\r\n                        document.getElementById('container_wise_details').style.display = 'none';\r\n                        \/\/document.getElementById('container_wise_details_usd').style.display = 'none';\r\n                        \/\/document.getElementById('container_wise_details_euros').style.display = 'none';\r\n\r\n                        document.getElementById('taiwan_bank_name').setAttribute('required','required');\r\n                        document.getElementById('taiwan_bank_code').setAttribute('required','required');\r\n                        document.getElementById('taiwan_bank_account').setAttribute('required','required');\r\n\r\n\r\n                        break;\r\n\r\n                    default:\r\n\r\n                        break;\r\n                }\r\n\r\n            }\r\n\r\n\r\n\r\n\r\n            let form = document.getElementById(\"artist_info_request_form\");\r\n            let confirm_dialog;\r\n\r\n            form.addEventListener(\"submit\", (e) => {\r\n                e.preventDefault();\r\n\r\n\r\n                let form_type=\"artist_info_request\";\r\n                let email=document.getElementById(\"email\").value;\r\n                let phone=document.getElementById(\"phone\").value;\r\n                let contact_method= document.querySelector('input[name=\"contact_method\"]:checked').value\r\n\r\n                let emergency_contact=document.getElementById(\"emergency_contact\").value;\r\n                let first_name=document.getElementById(\"first_name\").value;\r\n                let last_name=document.getElementById(\"last_name\").value;\r\n                let gender= document.querySelector('input[name=\"gender\"]:checked').value\r\n\r\n                let date_of_birth=$('#date_of_birth').datepicker({ dateFormat: 'yyyy-mm-dd' }).val();\r\n\r\n\r\n                let education= document.querySelector('input[name=\"education\"]:checked').value\r\n\r\n                let passport_number=document.getElementById(\"passport_number\").value;\r\n                let passport_expiration=document.getElementById(\"passport_expiration\").value;\r\n\r\n                let country_obj = document.querySelector('#country');\r\n                \/\/let country = country_obj.options[country_obj.selectedIndex].value;\r\n                let country = country_obj.options[country_obj.selectedIndex].text;\r\n\r\n\r\n                \/\/collect all diet checkboxes\r\n                let diet_restrictions=\"\";\r\n                let diet_restrictions_collection = $('[name=\"diet_restrictions\"]');\r\n                $.each(diet_restrictions_collection, function() {\r\n                    let $this = $(this);\r\n\r\n                    \/\/ check if the checkbox is checked\r\n                    if($this.is(\":checked\")) {\r\n                        \/\/ put the checked animal value to the html list\r\n                        diet_restrictions += $this.val() + \", \";\r\n                    }\r\n                });\r\n\r\n                if((diet_restrictions===\"\")){\r\n                    $.alert({\r\n                        title: 'Please make a selection for Dietary Requirements',\r\n                        content: \"Please check at least one box for Dietary Requirements.  If you have no special requirements, please select 'No restrictions'.\",\r\n                        boxWidth: '70%',\r\n                        useBootstrap: false,\r\n                    });\r\n                    return false;\r\n                }\r\n\r\n                let diet_notes=document.getElementById(\"diet_notes\").value;\r\n\r\n\r\n\r\n                let sleeping_arrangements= document.querySelector('input[name=\"sleeping_arrangements\"]:checked').value\r\n\r\n\r\n                let currency= document.querySelector('input[name=\"currency\"]:checked').value\r\n                let payment_split= document.querySelector('input[name=\"payment_split\"]:checked').value\r\n                let payment_method= document.querySelector('input[name=\"payment_method\"]:checked').value\r\n\r\n                let venmo_username=document.getElementById(\"venmo_username\").value;\r\n\r\n                let wise_account_holder=document.getElementById(\"wise_account_holder\").value;\r\n                let wise_tag=document.getElementById(\"wise_tag\").value;\r\n\r\n                \/\/let wise_country_obj = document.querySelector('#wise_country');\r\n                \/\/let wise_country = wise_country_obj.options[wise_country_obj.selectedIndex].value;\r\n                \/\/let wise_country = wise_country_obj.options[wise_country_obj.selectedIndex].text;\r\n\r\n                \/\/let wise_city=document.getElementById(\"wise_city\").value;\r\n                \/\/let wise_address=document.getElementById(\"wise_address\").value;\r\n                \/\/let wise_usd_ach_routing=document.getElementById(\"wise_usd_ach_routing\").value;\r\n                \/\/let wise_usd_account_number=document.getElementById(\"wise_usd_account_number\").value;\r\n                \/\/let wise_usd_swift=document.getElementById(\"wise_usd_swift\").value;\r\n\r\n                \/\/let wise_usd_account_type=\"\";\r\n                \/\/let 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