{"id":2031,"date":"2023-09-06T10:14:06","date_gmt":"2023-09-06T09:14:06","guid":{"rendered":"https:\/\/regenagri.org\/?page_id=2031"},"modified":"2026-05-21T12:51:09","modified_gmt":"2026-05-21T11:51:09","slug":"aplicar","status":"publish","type":"page","link":"https:\/\/regenagri.org\/es\/apply-for-regenagri\/apply\/","title":{"rendered":"Solicitar"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated 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d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_2' style='display:none'><div id='gf_2' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_2' id='gform_2'  action='\/es\/wp-json\/wp\/v2\/pages\/2031#gf_2' data-formid='2' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LfdrMoaAAAAAHbTVLlIHfl8tWKnOGhbhxQ6VbKU' data-tabindex='0'><input id=\"input_82373f5ac5e09977bfd4a6856a47209b\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_82373f5ac5e09977bfd4a6856a47209b\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_2' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_2_41\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_41'><span class='gform-field-label__text'>Company<\/span><\/label><div class='gfield_description' id='gfield_description_2_41'>Este campo es un campo de validaci\u00f3n y debe quedar sin cambios.<\/div><div class='ginput_container'><input name='input_41' id='input_2_41' type='text' value='' autocomplete='new-password'\/><\/div><\/div><fieldset id=\"field_2_8\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Type of application<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_8'>\n\t\t\t<div class='gchoice gchoice_2_8_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Farm'  id='choice_2_8_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_8_0' id='label_2_8_0' class='gform-field-label gform-field-label--type-inline'>Farm<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_8_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Chain of custody'  id='choice_2_8_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_8_1' id='label_2_8_1' class='gform-field-label gform-field-label--type-inline'>Chain of custody<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_8_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Licence'  id='choice_2_8_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_8_2' id='label_2_8_2' class='gform-field-label gform-field-label--type-inline'>Licence<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_8_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_8' type='radio' value='Brands and retailers'  id='choice_2_8_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_8_3' id='label_2_8_3' class='gform-field-label gform-field-label--type-inline'>Brands and retailers<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_39\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>Apply now for regenagri certification against our farm or chain of custody standard, or for a regenagri\u00a0licence.<\/p><\/div><div id=\"field_2_40\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>This form is intended for new brands wishing to register their interest in Brand Licensing, or for existing Regenagri brand partners to complete the questionnaire below. Please note that this is not a formal application for licensing.<\/p><\/div><div id=\"field_2_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_1'><span class='gform-field-label__text'>Organisation Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_2_1'>Please state full legal name<\/div><div class='ginput_container ginput_container_text'><input name='input_1' id='input_2_1' type='text' value='' class='large'  aria-describedby=\"gfield_description_2_1\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_27\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_27'><span class='gform-field-label__text'>Company registration number<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_2_27' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_3\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_2_3' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_2_3_1_container' >\n                                        <label for='input_2_3_1' id='input_2_3_1_label' class='gform-field-label gform-field-label--type-sub '>Address line 1<\/label>\n                                        <input type='text' name='input_3.1' id='input_2_3_1' value=''    aria-required='true'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_2_3_2_container' >\n                                        <label for='input_2_3_2' id='input_2_3_2_label' class='gform-field-label gform-field-label--type-sub '>Direcci\u00f3n 2<\/label>\n                                        <input type='text' name='input_3.2' id='input_2_3_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_2_3_3_container' >\n                                    <label for='input_2_3_3' id='input_2_3_3_label' class='gform-field-label gform-field-label--type-sub '>Ciudad<\/label>\n                                    <input type='text' name='input_3.3' id='input_2_3_3' value=''    aria-required='true'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_2_3_4_container' >\n                                        <label for='input_2_3_4' id='input_2_3_4_label' class='gform-field-label gform-field-label--type-sub '>Estado \/ Provincia \/ Regi\u00f3n<\/label>\n                                        <input type='text' name='input_3.4' id='input_2_3_4' value=''      aria-required='true'    \/>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_2_3_5_container' >\n                                    <label for='input_2_3_5' id='input_2_3_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ C\u00f3digo Postal<\/label>\n                                    <input type='text' name='input_3.5' id='input_2_3_5' value=''    aria-required='true'    \/>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_2_3_6_container' >\n                                        <label for='input_2_3_6' id='input_2_3_6_label' class='gform-field-label gform-field-label--type-sub '>Pa\u00eds<\/label>\n                                        <select name='input_3.6' id='input_2_3_6'   aria-required='true'    ><option value='' ><\/option><option value='AF' >Afghanist\u00e1n<\/option><option value='AL' >Albania<\/option><option value='DE' >Alemania<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Ant\u00e1rtida<\/option><option value='AG' >Antigua y Barbuda<\/option><option value='SA' >Arabia Saudita<\/option><option value='DZ' >Argelia<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaiy\u00e1n<\/option><option value='BS' >Bahamas<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BH' >Bar\u00e9in<\/option><option value='BE' >B\u00e9lgica<\/option><option value='BZ' >Belice<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhut\u00e1n<\/option><option value='BY' >Bielorusia<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, San Eustaquio y Saba<\/option><option value='BA' >Bosnia y Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BR' >Brasil<\/option><option value='BN' >Brunei Darussalam<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Camboya<\/option><option value='CM' >Camer\u00fan<\/option><option value='CA' >Canada<\/option><option value='TD' >Chad<\/option><option value='CZ' >Chequia<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CY' >Chipre<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoras<\/option><option value='CG' >Congo<\/option><option value='CD' >Congo, Rep\u00fablica Democr\u00e1tica del<\/option><option value='KR' >Corea, Rep\u00fablica de<\/option><option value='KP' >Corea, Rep\u00fablica Popular Democr\u00e1tica de<\/option><option value='CI' >Costa de Marfil<\/option><option value='CR' >Costa Rica<\/option><option value='HR' >Croacia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Curazao<\/option><option value='DK' >Dinamarca<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egipto<\/option><option value='SV' >El Salvador<\/option><option value='AE' >Emiratos \u00c1rabes Unidos<\/option><option value='ER' >Eritrea<\/option><option value='SK' >Eslovaquia<\/option><option value='SI' >Eslovenia<\/option><option value='ES' >Espa\u00f1a<\/option><option value='US' >Estados Unidos<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Esuatini<\/option><option value='ET' >Etiop\u00eda<\/option><option value='RU' >Federaci\u00f3n Rusa<\/option><option value='FJ' >Fiji<\/option><option value='PH' >Filipinas<\/option><option value='FI' >Finlandia<\/option><option value='FR' >Francia<\/option><option value='GA' >Gab\u00f3n<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GD' >Granada<\/option><option value='GR' >Grecia<\/option><option value='GL' >Groenlandia<\/option><option value='GP' >Guadalupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GY' >Guayana<\/option><option value='GF' >Guayana Francesa<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea Bissau<\/option><option value='GQ' >Guinea Ecuatorial<\/option><option value='HT' >Hait\u00ed<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungr\u00eda<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Ir\u00e1n<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Irlanda<\/option><option value='BV' >Isla Bouvet<\/option><option value='IM' >Isla de Man<\/option><option value='CX' >Isla de Navidad<\/option><option value='NF' >Isla Norfolk<\/option><option value='IS' >Islandia<\/option><option value='AX' >Islas \u00c5land<\/option><option value='KY' >Islas Caim\u00e1n<\/option><option value='CC' >Islas Cocos<\/option><option value='CK' >Islas Cook<\/option><option value='FO' >Islas Faroe<\/option><option value='HM' >Islas Heard y McDonald<\/option><option value='FK' >Islas Malvinas<\/option><option value='MP' >Islas Marianas del Norte<\/option><option value='MH' >Islas Marshall<\/option><option value='SB' >Islas Salom\u00f3n<\/option><option value='TC' >Islas Turcas y Caicos<\/option><option value='UM' >Islas Ultramarinas Menores de Estados Unidos<\/option><option value='VG' >Islas V\u00edrgenes Brit\u00e1nicas<\/option><option value='VI' >Islas V\u00edrgenes de los Estados Unidos<\/option><option value='IL' >Israel<\/option><option value='IT' >Italia<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Jap\u00f3n<\/option><option value='JE' >Jersey<\/option><option value='GS' >Ji\u017en\u00ed Georgie a Ji\u017en\u00ed Sandwichovy ostrovy<\/option><option value='JO' >Jord\u00e1n<\/option><option value='KZ' >Kazajist\u00e1n<\/option><option value='KE' >Kenia<\/option><option value='KG' >Kirguist\u00e1n<\/option><option value='KI' >Kiribati<\/option><option value='KW' >Kuwait<\/option><option value='LS' >Lesoto<\/option><option value='LB' >L\u00edbano<\/option><option value='LR' >Liberia<\/option><option value='LY' >LIbia<\/option><option value='LI' >Liechtenstein<\/option><option value='LV' >Lituania<\/option><option value='LT' >Lituania<\/option><option value='LU' >Luxemburgo<\/option><option value='MO' >Macau<\/option><option value='MK' >Macedonia del Norte<\/option><option value='MG' >Madagascar<\/option><option value='MY' >Malasia<\/option><option value='MW' >Malawi<\/option><option value='MV' >Maldivas<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MA' >Marruecos<\/option><option value='MQ' >Martinica<\/option><option value='MU' >Mauricio<\/option><option value='MR' >Mauritania<\/option><option value='YT' >Mayotte<\/option><option value='MX' >M\u00e9xico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldavia<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >N\u00edger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NO' >Noruega<\/option><option value='NC' >Nueva Caledonia<\/option><option value='NZ' >Nueva Zelanda<\/option><option value='OM' >Om\u00e1n<\/option><option value='NL' >Paises Bajos<\/option><option value='PK' >Pakist\u00e1n<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestina, Estado de<\/option><option value='PA' >Panam\u00e1<\/option><option value='PG' >Pap\u00faa Nueva Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Per\u00fa<\/option><option value='PN' >Pitcairn<\/option><option value='PF' >Polinesia Francesa<\/option><option value='PL' >Polonia<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='GB' >Reino Unido<\/option><option value='SY' >Rep\u00fablica \u00c1rabe de Siria<\/option><option value='CF' >Rep\u00fablica Centroafricana<\/option><option value='LA' >Rep\u00fablica Democr\u00e1tica Popular de Laos<\/option><option value='DO' >Rep\u00fablica Dominicana<\/option><option value='RE' >Reuni\u00f3n<\/option><option value='RW' >Ruanda<\/option><option value='RO' >Ruman\u00eda<\/option><option value='EH' >Sahara Occidental<\/option><option value='WS' >Samoa<\/option><option value='AS' >Samoa Americana<\/option><option value='BL' >San Bartolom\u00e9<\/option><option value='KN' >San Crist\u00f3bal y Nieves<\/option><option value='SM' >San Marino<\/option><option value='MF' >San Mart\u00edn<\/option><option value='PM' >San Pedro y Miquel\u00f3n<\/option><option value='VC' >San Vicente y las Granadinas<\/option><option value='SH' >Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a<\/option><option value='LC' >Santa Luc\u00eda<\/option><option value='VA' >Santa Sede<\/option><option value='ST' >Santo Tom\u00e9 y Principe<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leona<\/option><option value='SG' >Singapur<\/option><option value='SX' >Sint Maarten<\/option><option value='SO' >Somalia<\/option><option value='LK' >Sri Lanka<\/option><option value='ZA' >Sud\u00e1frica<\/option><option value='SD' >Sud\u00e1n<\/option><option value='SS' >Sud\u00e1n del Sur<\/option><option value='SE' >Suecia<\/option><option value='CH' >Suiza<\/option><option value='SR' >Surinam<\/option><option value='SJ' >Svalbard y Jan Mayen<\/option><option value='TH' >Tailandia<\/option><option value='TW' >Taiwan<\/option><option value='TZ' >Tanzania (Rep\u00fablica Unida de)<\/option><option value='TJ' >Tayikist\u00e1n<\/option><option value='IO' >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value='TF' >Tierras Australes y Ant\u00e1rticas Francesas<\/option><option value='TL' >Timor Oriental<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad y Tobago<\/option><option value='TN' >T\u00fanez<\/option><option value='TM' >Turkmenist\u00e1n<\/option><option value='TR' >Turqu\u00eda<\/option><option value='TV' >Tuvalu<\/option><option value='UA' >Ucrania<\/option><option value='UG' >Uganda<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekist\u00e1n<\/option><option value='VU' >Vanuatu<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis y Futuna<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbaue<\/option> <\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_2_38\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Organisation\u2019s Headquarters Country<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_country ginput_container_address gform-grid-row' id='input_2_38' >\n                        <input type='hidden' class='gform_hidden' name='input_38.4' id='input_2_38_4' value=''\/><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_2_38_6_container' >\n                                        <label for='input_2_38_6' id='input_2_38_6_label' class='gform-field-label gform-field-label--type-sub '>Organisation\u2019s Headquarters Country<\/label>\n                                        <select name='input_38.6' id='input_2_38_6'   aria-required='true'    ><option value='' ><\/option><option value='AF' >Afghanist\u00e1n<\/option><option value='AL' >Albania<\/option><option value='DE' >Alemania<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Ant\u00e1rtida<\/option><option value='AG' >Antigua y Barbuda<\/option><option value='SA' >Arabia Saudita<\/option><option value='DZ' >Argelia<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaiy\u00e1n<\/option><option value='BS' >Bahamas<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BH' >Bar\u00e9in<\/option><option value='BE' >B\u00e9lgica<\/option><option value='BZ' >Belice<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhut\u00e1n<\/option><option value='BY' >Bielorusia<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, San Eustaquio y Saba<\/option><option value='BA' >Bosnia y Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BR' >Brasil<\/option><option value='BN' >Brunei Darussalam<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Camboya<\/option><option value='CM' >Camer\u00fan<\/option><option value='CA' >Canada<\/option><option value='TD' >Chad<\/option><option value='CZ' >Chequia<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CY' >Chipre<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoras<\/option><option value='CG' >Congo<\/option><option value='CD' >Congo, Rep\u00fablica Democr\u00e1tica del<\/option><option value='KR' >Corea, Rep\u00fablica de<\/option><option value='KP' >Corea, Rep\u00fablica Popular Democr\u00e1tica de<\/option><option value='CI' >Costa de Marfil<\/option><option value='CR' >Costa Rica<\/option><option value='HR' >Croacia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Curazao<\/option><option value='DK' >Dinamarca<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egipto<\/option><option value='SV' >El Salvador<\/option><option value='AE' >Emiratos \u00c1rabes Unidos<\/option><option value='ER' >Eritrea<\/option><option value='SK' >Eslovaquia<\/option><option value='SI' >Eslovenia<\/option><option value='ES' >Espa\u00f1a<\/option><option value='US' >Estados Unidos<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Esuatini<\/option><option value='ET' >Etiop\u00eda<\/option><option value='RU' >Federaci\u00f3n Rusa<\/option><option value='FJ' >Fiji<\/option><option value='PH' >Filipinas<\/option><option value='FI' >Finlandia<\/option><option value='FR' >Francia<\/option><option value='GA' >Gab\u00f3n<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GD' >Granada<\/option><option value='GR' >Grecia<\/option><option value='GL' >Groenlandia<\/option><option value='GP' >Guadalupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GY' >Guayana<\/option><option value='GF' >Guayana Francesa<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea Bissau<\/option><option value='GQ' >Guinea Ecuatorial<\/option><option value='HT' >Hait\u00ed<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungr\u00eda<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Ir\u00e1n<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Irlanda<\/option><option value='BV' >Isla Bouvet<\/option><option value='IM' >Isla de Man<\/option><option value='CX' >Isla de Navidad<\/option><option value='NF' >Isla Norfolk<\/option><option value='IS' >Islandia<\/option><option value='AX' >Islas \u00c5land<\/option><option value='KY' >Islas Caim\u00e1n<\/option><option value='CC' >Islas Cocos<\/option><option value='CK' >Islas Cook<\/option><option value='FO' >Islas Faroe<\/option><option value='HM' >Islas Heard y McDonald<\/option><option value='FK' >Islas Malvinas<\/option><option value='MP' >Islas Marianas del Norte<\/option><option value='MH' >Islas Marshall<\/option><option value='SB' >Islas Salom\u00f3n<\/option><option value='TC' >Islas Turcas y Caicos<\/option><option value='UM' >Islas Ultramarinas Menores de Estados Unidos<\/option><option value='VG' >Islas V\u00edrgenes Brit\u00e1nicas<\/option><option value='VI' >Islas V\u00edrgenes de los Estados Unidos<\/option><option value='IL' >Israel<\/option><option value='IT' >Italia<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Jap\u00f3n<\/option><option value='JE' >Jersey<\/option><option value='GS' >Ji\u017en\u00ed Georgie a Ji\u017en\u00ed Sandwichovy ostrovy<\/option><option value='JO' >Jord\u00e1n<\/option><option value='KZ' >Kazajist\u00e1n<\/option><option value='KE' >Kenia<\/option><option value='KG' >Kirguist\u00e1n<\/option><option value='KI' >Kiribati<\/option><option value='KW' >Kuwait<\/option><option value='LS' >Lesoto<\/option><option value='LB' >L\u00edbano<\/option><option value='LR' >Liberia<\/option><option value='LY' >LIbia<\/option><option value='LI' >Liechtenstein<\/option><option value='LV' >Lituania<\/option><option value='LT' >Lituania<\/option><option value='LU' >Luxemburgo<\/option><option value='MO' >Macau<\/option><option value='MK' >Macedonia del Norte<\/option><option value='MG' >Madagascar<\/option><option value='MY' >Malasia<\/option><option value='MW' >Malawi<\/option><option value='MV' >Maldivas<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MA' >Marruecos<\/option><option value='MQ' >Martinica<\/option><option value='MU' >Mauricio<\/option><option value='MR' >Mauritania<\/option><option value='YT' >Mayotte<\/option><option value='MX' >M\u00e9xico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldavia<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >N\u00edger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NO' >Noruega<\/option><option value='NC' >Nueva Caledonia<\/option><option value='NZ' >Nueva Zelanda<\/option><option value='OM' >Om\u00e1n<\/option><option value='NL' >Paises Bajos<\/option><option value='PK' >Pakist\u00e1n<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestina, Estado de<\/option><option value='PA' >Panam\u00e1<\/option><option value='PG' >Pap\u00faa Nueva Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Per\u00fa<\/option><option value='PN' >Pitcairn<\/option><option value='PF' >Polinesia Francesa<\/option><option value='PL' >Polonia<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='GB' >Reino Unido<\/option><option value='SY' >Rep\u00fablica \u00c1rabe de Siria<\/option><option value='CF' >Rep\u00fablica Centroafricana<\/option><option value='LA' >Rep\u00fablica Democr\u00e1tica Popular de Laos<\/option><option value='DO' >Rep\u00fablica Dominicana<\/option><option value='RE' >Reuni\u00f3n<\/option><option value='RW' >Ruanda<\/option><option value='RO' >Ruman\u00eda<\/option><option value='EH' >Sahara Occidental<\/option><option value='WS' >Samoa<\/option><option value='AS' >Samoa Americana<\/option><option value='BL' >San Bartolom\u00e9<\/option><option value='KN' >San Crist\u00f3bal y Nieves<\/option><option value='SM' >San Marino<\/option><option value='MF' >San Mart\u00edn<\/option><option value='PM' >San Pedro y Miquel\u00f3n<\/option><option value='VC' >San Vicente y las Granadinas<\/option><option value='SH' >Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a<\/option><option value='LC' >Santa Luc\u00eda<\/option><option value='VA' >Santa Sede<\/option><option value='ST' >Santo Tom\u00e9 y Principe<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leona<\/option><option value='SG' >Singapur<\/option><option value='SX' >Sint Maarten<\/option><option value='SO' >Somalia<\/option><option value='LK' >Sri Lanka<\/option><option value='ZA' >Sud\u00e1frica<\/option><option value='SD' >Sud\u00e1n<\/option><option value='SS' >Sud\u00e1n del Sur<\/option><option value='SE' >Suecia<\/option><option value='CH' >Suiza<\/option><option value='SR' >Surinam<\/option><option value='SJ' >Svalbard y Jan Mayen<\/option><option value='TH' >Tailandia<\/option><option value='TW' >Taiwan<\/option><option value='TZ' >Tanzania (Rep\u00fablica Unida de)<\/option><option value='TJ' >Tayikist\u00e1n<\/option><option value='IO' >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value='TF' >Tierras Australes y Ant\u00e1rticas Francesas<\/option><option value='TL' >Timor Oriental<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad y Tobago<\/option><option value='TN' >T\u00fanez<\/option><option value='TM' >Turkmenist\u00e1n<\/option><option value='TR' >Turqu\u00eda<\/option><option value='TV' >Tuvalu<\/option><option value='UA' >Ucrania<\/option><option value='UG' >Uganda<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekist\u00e1n<\/option><option value='VU' >Vanuatu<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis y Futuna<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbaue<\/option> <\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_2_4\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name of Company&#039;s Legal Representative<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_2_4'>\n                            \n                            <span id='input_2_4_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_2_4_3' class='gform-field-label gform-field-label--type-sub '>First name<\/label>\n                                                    <input type='text' name='input_4.3' id='input_2_4_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_2_4_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_2_4_6' class='gform-field-label gform-field-label--type-sub '>Last name<\/label>\n                                                            <input type='text' name='input_4.6' id='input_2_4_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_2_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_5'><span class='gform-field-label__text'>Position\/Job Title<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_2_5' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_6\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_6'><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_2_6'>Please note that this email ID will be used as username to login to the regenagri platform<\/div><div class='ginput_container ginput_container_email'>\n                            <input name='input_6' id='input_2_6' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_2_6\" \/>\n                        <\/div><\/div><div id=\"field_2_24\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_24'><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_24' id='input_2_24' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_2_7\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_7'><span class='gform-field-label__text'>Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_7' id='input_2_7' type='tel' value='' class='large'    aria-invalid=\"false\"    \/><\/div><\/div><fieldset id=\"field_2_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Type of organisation<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_9'>\n\t\t\t<div class='gchoice gchoice_2_9_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Co-operative'  id='choice_2_9_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_9_0' id='label_2_9_0' class='gform-field-label gform-field-label--type-inline'>Co-operative<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_9_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Single farm'  id='choice_2_9_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_9_1' id='label_2_9_1' class='gform-field-label gform-field-label--type-inline'>Single farm<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_9_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Multi-farm operator'  id='choice_2_9_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_9_2' id='label_2_9_2' class='gform-field-label gform-field-label--type-inline'>Multi-farm operator<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_9_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='Agri-business'  id='choice_2_9_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_9_3' id='label_2_9_3' class='gform-field-label gform-field-label--type-inline'>Agri-business<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_9_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_9' type='radio' value='gf_other_choice'  id='choice_2_9_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_9_4' id='label_2_9_4' class='gform-field-label gform-field-label--type-inline'>Otro<\/label><br \/><input id='input_2_9_other' class='gchoice_other_control' name='input_9_other' type='text' value='Otro' aria-label='Si es otro, especif\u00edcalo, por favor'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_10\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Type of operation<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_10'>\n\t\t\t<div class='gchoice gchoice_2_10_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Conventional'  id='choice_2_10_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_10_0' id='label_2_10_0' class='gform-field-label gform-field-label--type-inline'>Conventional<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_10_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Intensive'  id='choice_2_10_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_10_1' id='label_2_10_1' class='gform-field-label gform-field-label--type-inline'>Intensive<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_10_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='Organic'  id='choice_2_10_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_10_2' id='label_2_10_2' class='gform-field-label gform-field-label--type-inline'>Organic<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_10_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_10' type='radio' value='gf_other_choice'  id='choice_2_10_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_10_3' id='label_2_10_3' class='gform-field-label gform-field-label--type-inline'>Otro<\/label><br \/><input id='input_2_10_other' class='gchoice_other_control' name='input_10_other' type='text' value='Otro' aria-label='Si es otro, especif\u00edcalo, por favor'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_25\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Country location of farm(s)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_country ginput_container_address gform-grid-row' id='input_2_25' >\n                        <input type='hidden' class='gform_hidden' name='input_25.4' id='input_2_25_4' value=''\/><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_2_25_6_container' >\n                                        <label for='input_2_25_6' id='input_2_25_6_label' class='gform-field-label gform-field-label--type-sub '>Country location of farm(s)<\/label>\n                                        <select name='input_25.6' id='input_2_25_6'   aria-required='true'    ><option value='' ><\/option><option value='AF' >Afghanist\u00e1n<\/option><option value='AL' >Albania<\/option><option value='DE' >Alemania<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Ant\u00e1rtida<\/option><option value='AG' >Antigua y Barbuda<\/option><option value='SA' >Arabia Saudita<\/option><option value='DZ' >Argelia<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaiy\u00e1n<\/option><option value='BS' >Bahamas<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BH' >Bar\u00e9in<\/option><option value='BE' >B\u00e9lgica<\/option><option value='BZ' >Belice<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhut\u00e1n<\/option><option value='BY' >Bielorusia<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, San Eustaquio y Saba<\/option><option value='BA' >Bosnia y Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BR' >Brasil<\/option><option value='BN' >Brunei Darussalam<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Camboya<\/option><option value='CM' >Camer\u00fan<\/option><option value='CA' >Canada<\/option><option value='TD' >Chad<\/option><option value='CZ' >Chequia<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CY' >Chipre<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoras<\/option><option value='CG' >Congo<\/option><option value='CD' >Congo, Rep\u00fablica Democr\u00e1tica del<\/option><option value='KR' >Corea, Rep\u00fablica de<\/option><option value='KP' >Corea, Rep\u00fablica Popular Democr\u00e1tica de<\/option><option value='CI' >Costa de Marfil<\/option><option value='CR' >Costa Rica<\/option><option value='HR' >Croacia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Curazao<\/option><option value='DK' >Dinamarca<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egipto<\/option><option value='SV' >El Salvador<\/option><option value='AE' >Emiratos \u00c1rabes Unidos<\/option><option value='ER' >Eritrea<\/option><option value='SK' >Eslovaquia<\/option><option value='SI' >Eslovenia<\/option><option value='ES' >Espa\u00f1a<\/option><option value='US' >Estados Unidos<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Esuatini<\/option><option value='ET' >Etiop\u00eda<\/option><option value='RU' >Federaci\u00f3n Rusa<\/option><option value='FJ' >Fiji<\/option><option value='PH' >Filipinas<\/option><option value='FI' >Finlandia<\/option><option value='FR' >Francia<\/option><option value='GA' >Gab\u00f3n<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GD' >Granada<\/option><option value='GR' >Grecia<\/option><option value='GL' >Groenlandia<\/option><option value='GP' >Guadalupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GY' >Guayana<\/option><option value='GF' >Guayana Francesa<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea Bissau<\/option><option value='GQ' >Guinea Ecuatorial<\/option><option value='HT' >Hait\u00ed<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungr\u00eda<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Ir\u00e1n<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Irlanda<\/option><option value='BV' >Isla Bouvet<\/option><option value='IM' >Isla de Man<\/option><option value='CX' >Isla de Navidad<\/option><option value='NF' >Isla Norfolk<\/option><option value='IS' >Islandia<\/option><option value='AX' >Islas \u00c5land<\/option><option value='KY' >Islas Caim\u00e1n<\/option><option value='CC' >Islas Cocos<\/option><option value='CK' >Islas Cook<\/option><option value='FO' >Islas Faroe<\/option><option value='HM' >Islas Heard y McDonald<\/option><option value='FK' >Islas Malvinas<\/option><option value='MP' >Islas Marianas del Norte<\/option><option value='MH' >Islas Marshall<\/option><option value='SB' >Islas Salom\u00f3n<\/option><option value='TC' >Islas Turcas y Caicos<\/option><option value='UM' >Islas Ultramarinas Menores de Estados Unidos<\/option><option value='VG' >Islas V\u00edrgenes Brit\u00e1nicas<\/option><option value='VI' >Islas V\u00edrgenes de los Estados Unidos<\/option><option value='IL' >Israel<\/option><option value='IT' >Italia<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Jap\u00f3n<\/option><option value='JE' >Jersey<\/option><option value='GS' >Ji\u017en\u00ed Georgie a Ji\u017en\u00ed Sandwichovy ostrovy<\/option><option value='JO' >Jord\u00e1n<\/option><option value='KZ' >Kazajist\u00e1n<\/option><option value='KE' >Kenia<\/option><option value='KG' >Kirguist\u00e1n<\/option><option value='KI' >Kiribati<\/option><option value='KW' >Kuwait<\/option><option value='LS' >Lesoto<\/option><option value='LB' >L\u00edbano<\/option><option value='LR' >Liberia<\/option><option value='LY' >LIbia<\/option><option value='LI' >Liechtenstein<\/option><option value='LV' >Lituania<\/option><option value='LT' >Lituania<\/option><option value='LU' >Luxemburgo<\/option><option value='MO' >Macau<\/option><option value='MK' >Macedonia del Norte<\/option><option value='MG' >Madagascar<\/option><option value='MY' >Malasia<\/option><option value='MW' >Malawi<\/option><option value='MV' >Maldivas<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MA' >Marruecos<\/option><option value='MQ' >Martinica<\/option><option value='MU' >Mauricio<\/option><option value='MR' >Mauritania<\/option><option value='YT' >Mayotte<\/option><option value='MX' >M\u00e9xico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldavia<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >N\u00edger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NO' >Noruega<\/option><option value='NC' >Nueva Caledonia<\/option><option value='NZ' >Nueva Zelanda<\/option><option value='OM' >Om\u00e1n<\/option><option value='NL' >Paises Bajos<\/option><option value='PK' >Pakist\u00e1n<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestina, Estado de<\/option><option value='PA' >Panam\u00e1<\/option><option value='PG' >Pap\u00faa Nueva Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Per\u00fa<\/option><option value='PN' >Pitcairn<\/option><option value='PF' >Polinesia Francesa<\/option><option value='PL' >Polonia<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='GB' >Reino Unido<\/option><option value='SY' >Rep\u00fablica \u00c1rabe de Siria<\/option><option value='CF' >Rep\u00fablica Centroafricana<\/option><option value='LA' >Rep\u00fablica Democr\u00e1tica Popular de Laos<\/option><option value='DO' >Rep\u00fablica Dominicana<\/option><option value='RE' >Reuni\u00f3n<\/option><option value='RW' >Ruanda<\/option><option value='RO' >Ruman\u00eda<\/option><option value='EH' >Sahara Occidental<\/option><option value='WS' >Samoa<\/option><option value='AS' >Samoa Americana<\/option><option value='BL' >San Bartolom\u00e9<\/option><option value='KN' >San Crist\u00f3bal y Nieves<\/option><option value='SM' >San Marino<\/option><option value='MF' >San Mart\u00edn<\/option><option value='PM' >San Pedro y Miquel\u00f3n<\/option><option value='VC' >San Vicente y las Granadinas<\/option><option value='SH' >Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a<\/option><option value='LC' >Santa Luc\u00eda<\/option><option value='VA' >Santa Sede<\/option><option value='ST' >Santo Tom\u00e9 y Principe<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leona<\/option><option value='SG' >Singapur<\/option><option value='SX' >Sint Maarten<\/option><option value='SO' >Somalia<\/option><option value='LK' >Sri Lanka<\/option><option value='ZA' >Sud\u00e1frica<\/option><option value='SD' >Sud\u00e1n<\/option><option value='SS' >Sud\u00e1n del Sur<\/option><option value='SE' >Suecia<\/option><option value='CH' >Suiza<\/option><option value='SR' >Surinam<\/option><option value='SJ' >Svalbard y Jan Mayen<\/option><option value='TH' >Tailandia<\/option><option value='TW' >Taiwan<\/option><option value='TZ' >Tanzania (Rep\u00fablica Unida de)<\/option><option value='TJ' >Tayikist\u00e1n<\/option><option value='IO' >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value='TF' >Tierras Australes y Ant\u00e1rticas Francesas<\/option><option value='TL' >Timor Oriental<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad y Tobago<\/option><option value='TN' >T\u00fanez<\/option><option value='TM' >Turkmenist\u00e1n<\/option><option value='TR' >Turqu\u00eda<\/option><option value='TV' >Tuvalu<\/option><option value='UA' >Ucrania<\/option><option value='UG' >Uganda<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekist\u00e1n<\/option><option value='VU' >Vanuatu<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis y Futuna<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbaue<\/option> <\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_2_11\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_11'><span class='gform-field-label__text'>Number of farm(s) in the operation<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_11' id='input_2_11' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_2_12\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_12'><span class='gform-field-label__text'>Size of farm(s) in hectares<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_12' id='input_2_12' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_2_13\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_13'><span class='gform-field-label__text'>Number of livestock<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_13' id='input_2_13' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_2_14\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Type of produce<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_14'>\n\t\t\t<div class='gchoice gchoice_2_14_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Arable'  id='choice_2_14_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_14_0' id='label_2_14_0' class='gform-field-label gform-field-label--type-inline'>Arable<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_14_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Fruit trees'  id='choice_2_14_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_14_1' id='label_2_14_1' class='gform-field-label gform-field-label--type-inline'>Fruit trees<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_14_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Soft fruit'  id='choice_2_14_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_14_2' id='label_2_14_2' class='gform-field-label gform-field-label--type-inline'>Soft fruit<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_14_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Livestock'  id='choice_2_14_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_14_3' id='label_2_14_3' class='gform-field-label gform-field-label--type-inline'>Livestock<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_14_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Fibre'  id='choice_2_14_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_14_4' id='label_2_14_4' class='gform-field-label gform-field-label--type-inline'>Fibre<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_14_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Tree crop'  id='choice_2_14_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_14_5' id='label_2_14_5' class='gform-field-label gform-field-label--type-inline'>Tree crop<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_14_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='Mixed'  id='choice_2_14_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_14_6' id='label_2_14_6' class='gform-field-label gform-field-label--type-inline'>Mixed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_14_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_14' type='radio' value='gf_other_choice'  id='choice_2_14_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_14_7' id='label_2_14_7' class='gform-field-label gform-field-label--type-inline'>Otro<\/label><br \/><input id='input_2_14_other' class='gchoice_other_control' name='input_14_other' type='text' value='Otro' aria-label='Si es otro, especif\u00edcalo, por favor'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_26\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_26'><span class='gform-field-label__text'>Product(s) type<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_26' id='input_2_26' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_15\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Are you interested in any additional services from regenagri?<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_15'>\n\t\t\t<div class='gchoice gchoice_2_15_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Training'  id='choice_2_15_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_15_0' id='label_2_15_0' class='gform-field-label gform-field-label--type-inline'>Training<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_15_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Technical Advisory'  id='choice_2_15_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_15_1' id='label_2_15_1' class='gform-field-label gform-field-label--type-inline'>Technical Advisory<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_15_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Data Analysis'  id='choice_2_15_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_15_2' id='label_2_15_2' class='gform-field-label gform-field-label--type-inline'>Data Analysis<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_15_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='Carbon Verification'  id='choice_2_15_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_15_3' id='label_2_15_3' class='gform-field-label gform-field-label--type-inline'>Carbon Verification<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_15_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_15' type='radio' value='gf_other_choice'  id='choice_2_15_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_15_4' id='label_2_15_4' class='gform-field-label gform-field-label--type-inline'>Otro<\/label><br \/><input id='input_2_15_other' class='gchoice_other_control' name='input_15_other' type='text' value='Otro' aria-label='Si es otro, especif\u00edcalo, por favor'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_17\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_17'><span class='gform-field-label__text'>Products<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_2_17'>Please state:\nProduct category: e.g. Cotton, Coffee, Sugar Cane etc.\nSpecify Product: E.g. Socks, Roasted Coffee, Raw Sugar etc.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_17' id='input_2_17' class='textarea large'  aria-describedby=\"gfield_description_2_17\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_2_18\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_18'><span class='gform-field-label__text'>Processes and Units<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_2_18'>Name and Address of Units\/Facilities: Include certificate holder, trading entities and sub-contracted units\nMain Process(es): E.g. ginning, roasting, refining\nStatus: Add new or withdraw<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_18' id='input_2_18' class='textarea large'  aria-describedby=\"gfield_description_2_18\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_2_19\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Has your company or units of your company been denied, suspended or terminated from regenagri certification?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_19'>\n\t\t\t<div class='gchoice gchoice_2_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Yes'  id='choice_2_19_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_19_0' id='label_2_19_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='No'  id='choice_2_19_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_19_1' id='label_2_19_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_21\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_21'><span class='gform-field-label__text'>If you answered Yes to the above, please provide the relevant certificate number<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_21' id='input_2_21' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_20\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Have your company or units of your company been denied, suspended or terminated from any other certifications?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_20'>\n\t\t\t<div class='gchoice gchoice_2_20_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Yes'  id='choice_2_20_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_20_0' id='label_2_20_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_20_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='No'  id='choice_2_20_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_20_1' id='label_2_20_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_22\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_22'><span class='gform-field-label__text'>If you answered Yes to the above, please state which certification program, when, the certificate number (if applicable) and certification body used<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_2_22' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_28\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>What are your organisations main goals to join Regenagri?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_28'>\n\t\t\t<div class='gchoice gchoice_2_28_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='Access to farm and impact data'  id='choice_2_28_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_28_0' id='label_2_28_0' class='gform-field-label gform-field-label--type-inline'>Access to farm and impact data<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_28_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='Access to product, impact or marketing claims which is confirmed and verified by 3rd party assurance'  id='choice_2_28_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_28_1' id='label_2_28_1' class='gform-field-label gform-field-label--type-inline'>Access to product, impact or marketing claims which is confirmed and verified by 3rd party assurance<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_28_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='Access to the Regenagri Carbon Insetting Platform'  id='choice_2_28_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_28_2' id='label_2_28_2' class='gform-field-label gform-field-label--type-inline'>Access to the Regenagri Carbon Insetting Platform<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_28_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_28' type='radio' value='All of the above'  id='choice_2_28_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_28_3' id='label_2_28_3' class='gform-field-label gform-field-label--type-inline'>All of the above<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_29\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Is your organisation interested in connecting with impact driven projects or providing grants for such projects?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_29'>\n\t\t\t<div class='gchoice gchoice_2_29_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Yes'  id='choice_2_29_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_29_0' id='label_2_29_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_29_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='No'  id='choice_2_29_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_29_1' id='label_2_29_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_29_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_29' type='radio' value='Maybe'  id='choice_2_29_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_29_2' id='label_2_29_2' class='gform-field-label gform-field-label--type-inline'>Maybe<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_36\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_36'><span class='gform-field-label__text'>Is your organisation already adopting Regenerative Agriculture Certifications, if so, which ones?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_2_36' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_30\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Is your organisation already sourcing Regenagri products in its supply chain?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_2_30'>\n\t\t\t<div class='gchoice gchoice_2_30_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Yes'  id='choice_2_30_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_30_0' id='label_2_30_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_30_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='No'  id='choice_2_30_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_30_1' id='label_2_30_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_2_30_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Maybe'  id='choice_2_30_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_2_30_2' id='label_2_30_2' class='gform-field-label gform-field-label--type-inline'>Maybe<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_2_32\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>If so, what product?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_2_32'><div class='gchoice gchoice_2_32_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.1' type='checkbox'  value='Cotton'  id='choice_2_32_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_32_1' id='label_2_32_1' class='gform-field-label gform-field-label--type-inline'>Cotton<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_32_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.2' type='checkbox'  value='Coffee'  id='choice_2_32_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_32_2' id='label_2_32_2' class='gform-field-label gform-field-label--type-inline'>Coffee<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_32_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.3' type='checkbox'  value='Grains'  id='choice_2_32_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_32_3' id='label_2_32_3' class='gform-field-label gform-field-label--type-inline'>Grains<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_32_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.4' type='checkbox'  value='Nuts'  id='choice_2_32_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_32_4' id='label_2_32_4' class='gform-field-label gform-field-label--type-inline'>Nuts<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_32_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.5' type='checkbox'  value='Fruit'  id='choice_2_32_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_32_5' id='label_2_32_5' class='gform-field-label gform-field-label--type-inline'>Fruit<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_32_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.6' type='checkbox'  value='Sugar'  id='choice_2_32_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_32_6' id='label_2_32_6' class='gform-field-label gform-field-label--type-inline'>Sugar<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_32_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.7' type='checkbox'  value='Vegetables'  id='choice_2_32_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_32_7' id='label_2_32_7' class='gform-field-label gform-field-label--type-inline'>Vegetables<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_32_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.8' type='checkbox'  value='Viticulture'  id='choice_2_32_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_32_8' id='label_2_32_8' class='gform-field-label gform-field-label--type-inline'>Viticulture<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_2_32_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_32.9' type='checkbox'  value='Other'  id='choice_2_32_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_32_9' id='label_2_32_9' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_2_33\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_33'><span class='gform-field-label__text'>What is the current volume of Regenagri product your organisation is sourcing?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_2_33' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_34\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_34'><span class='gform-field-label__text'>What is your organisations forecasted volume for the next 3-5 years? (if known)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_34' id='input_2_34' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_2_35\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_2_35'><span class='gform-field-label__text'>What month does your organisation&#039;s financial year start?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_35' id='input_2_35' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_2_23\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Confirmation<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_2_23'><div class='gfield_consent_description_text' tabindex='0'>Based on the above information you will receive a non-obligatory offer for:<br \/>\n&#8211; regenagri License Fees (provided by regenagri)<br \/>\n&#8211; Certification (provided by the certification body)<br \/>\nPlease note: all applicable regenagri License Fees must be paid prior to signing the offer for certification.<br \/>\nIf you have any questions, please contact info@regenagri.org<\/div><\/div><div class='ginput_container ginput_container_consent'><input name='input_23.1' id='input_2_23_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_2_23\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_2_23_1' ><span class='gform-field-label__text'>I agree<\/span><\/label><input type='hidden' name='input_23.2' value='I agree' class='gform_hidden' \/><input type='hidden' name='input_23.3' value='3' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_2_16\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above 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