<\/p>\n
<\/p>\n\t\t\t\t\t\t\t
"*<\/span>" indicates required fields<\/p>\n <\/div>\n \n \tStep 1<\/span> of 4<\/span><\/span>\n \t<\/p>\n \n 25%<\/span><\/div>\n <\/div><\/div>\n \n Fill out all the steps to register for the event and pay the registration fee.<\/h3>\n<\/div>Driver*<\/span><\/span><\/legend>\n \n \n Name<\/label>\n \n <\/span>\n \n \n Surname<\/label>\n \n <\/span>\n \n <\/div><\/fieldset>Date of Birth*<\/span><\/span><\/label>\n \n MM slash DD slash YYYY<\/span>\n <\/div>\n <\/div>Mobile*<\/span><\/span><\/label><\/div><\/div>Email*<\/span><\/span><\/label>\n \n <\/div><\/div>Address*<\/span><\/span><\/legend> \n \n \n Address<\/label>\n \n <\/span>\n City<\/label>\n \n <\/span>\n State<\/label>\n \n <\/span>\n ZIP<\/label>\n \n <\/span>\n Country<\/label>\n <\/option>Afghanistan<\/option>Albania<\/option>Algeria<\/option>American Samoa<\/option>Andorra<\/option>Angola<\/option>Anguilla<\/option>Antarctica<\/option>Antigua and Barbuda<\/option>Argentina<\/option>Armenia<\/option>Aruba<\/option>Australia<\/option>Austria<\/option>Azerbaijan<\/option>Bahamas<\/option>Bahrain<\/option>Bangladesh<\/option>Barbados<\/option>Belarus<\/option>Belgium<\/option>Belize<\/option>Benin<\/option>Bermuda<\/option>Bhutan<\/option>Bolivia<\/option>Bonaire, Sint Eustatius and Saba<\/option>Bosnia and Herzegovina<\/option>Botswana<\/option>Bouvet Island<\/option>Brazil<\/option>British Indian Ocean Territory<\/option>Brunei Darussalam<\/option>Bulgaria<\/option>Burkina Faso<\/option>Burundi<\/option>Cabo Verde<\/option>Cambodia<\/option>Cameroon<\/option>Canada<\/option>Cayman Islands<\/option>Central African Republic<\/option>Chad<\/option>Chile<\/option>China<\/option>Christmas Island<\/option>Cocos Islands<\/option>Colombia<\/option>Comoros<\/option>Congo<\/option>Congo, Democratic Republic of the<\/option>Cook Islands<\/option>Costa Rica<\/option>Croatia<\/option>Cuba<\/option>Cura\u00e7ao<\/option>Cyprus<\/option>Czechia<\/option>C\u00f4te d'Ivoire<\/option>Denmark<\/option>Djibouti<\/option>Dominica<\/option>Dominican Republic<\/option>Ecuador<\/option>Egypt<\/option>El Salvador<\/option>Equatorial Guinea<\/option>Eritrea<\/option>Estonia<\/option>Eswatini<\/option>Ethiopia<\/option>Falkland Islands<\/option>Faroe Islands<\/option>Fiji<\/option>Finland<\/option>France<\/option>French Guiana<\/option>French Polynesia<\/option>French Southern Territories<\/option>Gabon<\/option>Gambia<\/option>Georgia<\/option>Germany<\/option>Ghana<\/option>Gibraltar<\/option>Greece<\/option>Greenland<\/option>Grenada<\/option>Guadeloupe<\/option>Guam<\/option>Guatemala<\/option>Guernsey<\/option>Guinea<\/option>Guinea-Bissau<\/option>Guyana<\/option>Haiti<\/option>Heard Island and McDonald Islands<\/option>Holy See<\/option>Honduras<\/option>Hong Kong<\/option>Hungary<\/option>Iceland<\/option>India<\/option>Indonesia<\/option>Iran<\/option>Iraq<\/option>Ireland<\/option>Isle of Man<\/option>Israel<\/option>Italy<\/option>Jamaica<\/option>Japan<\/option>Jersey<\/option>Jordan<\/option>Kazakhstan<\/option>Kenya<\/option>Kiribati<\/option>Korea, Democratic People's Republic of<\/option>Korea, Republic of<\/option>Kuwait<\/option>Kyrgyzstan<\/option>Lao People's Democratic Republic<\/option>Latvia<\/option>Lebanon<\/option>Lesotho<\/option>Liberia<\/option>Libya<\/option>Liechtenstein<\/option>Lithuania<\/option>Luxembourg<\/option>Macao<\/option>Madagascar<\/option>Malawi<\/option>Malaysia<\/option>Maldives<\/option>Mali<\/option>Malta<\/option>Marshall Islands<\/option>Martinique<\/option>Mauritania<\/option>Mauritius<\/option>Mayotte<\/option>Mexico<\/option>Micronesia<\/option>Moldova<\/option>Monaco<\/option>Mongolia<\/option>Montenegro<\/option>Montserrat<\/option>Morocco<\/option>Mozambique<\/option>Myanmar<\/option>Namibia<\/option>Nauru<\/option>Nepal<\/option>Netherlands<\/option>New Caledonia<\/option>New Zealand<\/option>Nicaragua<\/option>Niger<\/option>Nigeria<\/option>Niue<\/option>Norfolk Island<\/option>North Macedonia<\/option>Northern Mariana Islands<\/option>Norway<\/option>Oman<\/option>Pakistan<\/option>Palau<\/option>Palestine, State of<\/option>Panama<\/option>Papua New Guinea<\/option>Paraguay<\/option>Peru<\/option>Philippines<\/option>Pitcairn<\/option>Poland<\/option>Portugal<\/option>Puerto Rico<\/option>Qatar<\/option>Romania<\/option>Russian Federation<\/option>Rwanda<\/option>R\u00e9union<\/option>Saint Barth\u00e9lemy<\/option>Saint Helena, Ascension and Tristan da Cunha<\/option>Saint Kitts and Nevis<\/option>Saint Lucia<\/option>Saint Martin<\/option>Saint Pierre and Miquelon<\/option>Saint Vincent and the Grenadines<\/option>Samoa<\/option>San Marino<\/option>Sao Tome and Principe<\/option>Saudi Arabia<\/option>Senegal<\/option>Serbia<\/option>Seychelles<\/option>Sierra Leone<\/option>Singapore<\/option>Sint Maarten<\/option>Slovakia<\/option>Slovenia<\/option>Solomon Islands<\/option>Somalia<\/option>South Africa<\/option>South Georgia and the South Sandwich Islands<\/option>South Sudan<\/option>Spain<\/option>Sri Lanka<\/option>Sudan<\/option>Suriname<\/option>Svalbard and Jan Mayen<\/option>Sweden<\/option>Switzerland<\/option>Syria Arab Republic<\/option>Taiwan<\/option>Tajikistan<\/option>Tanzania, the United Republic of<\/option>Thailand<\/option>Timor-Leste<\/option>Togo<\/option>Tokelau<\/option>Tonga<\/option>Trinidad and Tobago<\/option>Tunisia<\/option>Turkmenistan<\/option>Turks and Caicos Islands<\/option>Tuvalu<\/option>T\u00fcrkiye<\/option>US Minor Outlying Islands<\/option>Uganda<\/option>Ukraine<\/option>United Arab Emirates<\/option>United Kingdom<\/option>United States<\/option>Uruguay<\/option>Uzbekistan<\/option>Vanuatu<\/option>Venezuela<\/option>Viet Nam<\/option>Virgin Islands, British<\/option>Virgin Islands, U.S.<\/option>Wallis and Futuna<\/option>Western Sahara<\/option>Yemen<\/option>Zambia<\/option>Zimbabwe<\/option>\u00c5land Islands<\/option> <\/select>\n <\/span>\n <\/div>\n <\/div><\/fieldset>Dietary Requirements<\/label><\/textarea><\/div><\/div><fieldset id=\"field_11_41\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_41\" ><legend class='gfield_label gform-field-label' >Co-Driver Registration<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_41'>\n\t\t\t<div class='gchoice gchoice_11_41_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='No' id='choice_11_41_0' onchange='gformToggleRadioOther( this )' \/>\n\t\t\t\t\t<label for='choice_11_41_0' id='label_11_41_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_41_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Yes' id='choice_11_41_1' onchange='gformToggleRadioOther( this )' \/>\n\t\t\t\t\t<label for='choice_11_41_1' id='label_11_41_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_11_22\" class=\"gfield gfield--type-name gfield--width-full mt-5 field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_22\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Co-Driver<\/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_11_22'>\n \n <span id='input_11_22_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n <label for='input_11_22_3' class='gform-field-label gform-field-label--type-sub '>Name<\/label>\n <input type='text' name='input_22.3' id='input_11_22_3' value='' aria-required='false' autocomplete=\"given-name\" \/>\n <\/span>\n \n <span id='input_11_22_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n <label for='input_11_22_6' class='gform-field-label gform-field-label--type-sub '>Surname<\/label>\n <input type='text' name='input_22.6' id='input_11_22_6' value='' aria-required='false' autocomplete=\"family-name\" \/>\n <\/span>\n \n <\/div><\/fieldset><div id=\"field_11_23\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_23\" ><label class='gfield_label gform-field-label' for='input_11_23'>Date of Birth<\/label><div class='ginput_container ginput_container_date'>\n <input name='input_23' id='input_11_23' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon' placeholder='mm\/dd\/yyyy' aria-describedby=\"input_11_23_date_format\" aria-invalid=\"false\" \/>\n <span id='input_11_23_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n <\/div>\n <input type='hidden' id='gforms_calendar_icon_input_11_23' class='gform_hidden' value='https:\/\/registroitalianomiura.it\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_11_24\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_24\" ><label class='gfield_label gform-field-label' for='input_11_24'>Place of Birth<\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_11_24' type='text' value='' class='large' aria-invalid=\"false\" \/><\/div><\/div><div id=\"field_11_25\" class=\"gfield gfield--type-phone gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_25\" ><label class='gfield_label gform-field-label' for='input_11_25'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_25' id='input_11_25' type='tel' value='' class='large' aria-invalid=\"false\" \/><\/div><\/div><div id=\"field_11_26\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_26\" ><label class='gfield_label gform-field-label' for='input_11_26'>Dietary Requirements<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_26' id='input_11_26' class='textarea large' aria-invalid=\"false\" rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n <\/div>\n <div class='gform-page-footer gform_page_footer top_label'>\n <input type='button' id='gform_next_button_11_12' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next' \/> \n <\/div>\n <\/div>\n <div id='gform_page_11_2' class='gform_page' data-js='page-field-id-12' style='display:none;'>\n <div class='gform_page_fields'>\n <div id='gform_fields_11_2' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_11_38\" class=\"gfield gfield--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\" data-js-reload=\"field_11_38\" ><h5 class=\"mt-5\">LAMBORGHINI MIURA<\/h5><\/div><div id=\"field_11_28\" class=\"gfield gfield--type-select gfield--width-full mt-5 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_28\" ><label class='gfield_label gform-field-label' for='input_11_28'>Model<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_28' id='input_11_28' class='large gfield_select' aria-required=\"true\" aria-invalid=\"false\" ><option value='P400' >P400<\/option><option value='P400S' >P400S<\/option><option value='P400SV' >P400SV<\/option><option value='SPECIAL MIURA' >SPECIAL MIURA<\/option><\/select><\/div><\/div><div id=\"field_11_29\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_29\" ><label class='gfield_label gform-field-label' for='input_11_29'>Year<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_11_29' type='text' value='' class='large' aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/div><div id=\"field_11_30\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_30\" ><label class='gfield_label gform-field-label' for='input_11_30'>Chassis Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_11_30' type='text' value='' class='large' aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/div><\/div>\n <\/div>\n <div class='gform-page-footer gform_page_footer top_label'>\n <input type='button' id='gform_previous_button_11_27' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous' \/> <input type='button' id='gform_next_button_11_27' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next' \/> \n <\/div>\n <\/div>\n <div id='gform_page_11_3' class='gform_page' data-js='page-field-id-27' style='display:none;'>\n <div class='gform_page_fields'>\n <div id='gform_fields_11_3' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_11_39\" class=\"gfield gfield--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\" data-js-reload=\"field_11_39\" ><h5 class=\"mt-5\">BILLING ADDRESS<\/h5><\/div><fieldset id=\"field_11_14\" class=\"gfield gfield--type-address mt-5 field_sublabel_above gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_14\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Indirizzo di fatturazione<\/legend> \n <div class='ginput_complex ginput_container has_street has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_11_14' >\n <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_11_14_1_container' >\n <label for='input_11_14_1' id='input_11_14_1_label' class='gform-field-label gform-field-label--type-sub '>Address<\/label>\n <input type='text' name='input_14.1' id='input_11_14_1' value='' aria-required='false' autocomplete=\"address-line1\" \/>\n <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_11_14_3_container' >\n <label for='input_11_14_3' id='input_11_14_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n <input type='text' name='input_14.3' id='input_11_14_3' value='' aria-required='false' autocomplete=\"address-level2\" \/>\n <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_11_14_4_container' >\n <label for='input_11_14_4' id='input_11_14_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n <input type='text' name='input_14.4' id='input_11_14_4' value='' aria-required='false' autocomplete=\"address-level1\" \/>\n <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_11_14_5_container' >\n <label for='input_11_14_5' id='input_11_14_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP<\/label>\n <input type='text' name='input_14.5' id='input_11_14_5' value='' aria-required='false' autocomplete=\"postal-code\" \/>\n <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_11_14_6_container' >\n <label for='input_11_14_6' id='input_11_14_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n <select name='input_14.6' id='input_11_14_6' aria-required='false' autocomplete=\"country-name\" ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d'Ivoire' >C\u00f4te d'Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People's Republic of' >Korea, Democratic People's Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People's Democratic Republic' >Lao People's Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option> <\/select>\n <\/span>\n <div class='gf_clear gf_clear_complex'><\/div>\n <\/div><\/fieldset><fieldset id=\"field_11_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_42\" ><legend class='gfield_label gform-field-label' >Would you like to receive the invoice<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_42'>\n\t\t\t<div class='gchoice gchoice_11_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='No' id='choice_11_42_0' onchange='gformToggleRadioOther( this )' \/>\n\t\t\t\t\t<label for='choice_11_42_0' id='label_11_42_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_42_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Yes' id='choice_11_42_1' onchange='gformToggleRadioOther( this )' \/>\n\t\t\t\t\t<label for='choice_11_42_1' id='label_11_42_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n <\/div>\n <div class='gform-page-footer gform_page_footer top_label'>\n <input type='button' id='gform_previous_button_11_36' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous' \/> <input type='button' id='gform_next_button_11_36' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next' \/> \n <\/div>\n <\/div>\n <div id='gform_page_11_4' class='gform_page' data-js='page-field-id-36' style='display:none;'>\n <div class='gform_page_fields'>\n <div id='gform_fields_11_4' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_11_40\" class=\"gfield gfield--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\" data-js-reload=\"field_11_40\" ><h5 class=\"mt-5\">PAYMENT OF REGISTRATION FEE<\/h5>\n\n<p>The registration fee includes hospitality in a double room for 2 people, breakfast and hotel shuttle.<\/p><\/div><div id=\"field_11_43\" class=\"gfield gfield--type-product gfield--input-type-select gfield--width-full gfield_price gfield_price_11_43 gfield_product_11_43 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_43\" ><label class='gfield_label gform-field-label' for='input_11_43'>Subscription fee (Driver + Co-Driver):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_43' id='input_11_43' class='large gfield_select' aria-required=\"true\" aria-invalid=\"false\" ><option value='Deposit payment (before the 30th of June 2023)|1000' >Deposit payment (before the 30th of June 2023)<\/option><option value='Balance payment (before the 31st of August 2023)|590' >Balance payment (before the 31st of August 2023)<\/option><\/select><\/div><\/div><div id=\"field_11_44\" class=\"gfield gfield--type-product gfield--input-type-select gfield--width-full gfield_price gfield_price_11_44 gfield_product_11_44 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_44\" ><label class='gfield_label gform-field-label' for='input_11_44'>Subscription fee (Driver):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_44' id='input_11_44' class='large gfield_select' aria-required=\"true\" aria-invalid=\"false\" ><option value='Deposit payment (before the 30th of June 2023)|500' >Deposit payment (before the 30th of June 2023)<\/option><option value='Balance payment (before the 31st of August 2023)|490' >Balance payment (before the 31st of August 2023)<\/option><\/select><\/div><\/div><div id=\"field_11_3\" class=\"gfield gfield--type-total mt-5 gfield_price gfield_price_11_ gfield_total gfield_total_11_ field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" aria-atomic=\"true\" aria-live=\"polite\" data-js-reload=\"field_11_3\" ><label class='gfield_label gform-field-label' for='input_11_3'>Totals<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_3' id='input_11_3' value='0,00 €' class='gform-text-input-reset ginput_total ginput_total_11' \/>\n\t\t\t\t\t\t<\/div><\/div><div id=\"field_11_32\" class=\"gfield gfield--type-select gfield--width-full mt-5 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_32\" ><label class='gfield_label gform-field-label' for='input_11_32'>Payment method<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_32' id='input_11_32' class='large gfield_select' aria-required=\"true\" aria-invalid=\"false\" ><option value='Credit Card' >Credit Card<\/option><option value='Bank Transfer' >Bank Transfer<\/option><\/select><\/div><\/div><div id=\"field_11_17\" class=\"gfield gfield--type-stripe_creditcard gfield--width-full mt-5 field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--type-stripe_creditcard-card\" data-js-reload=\"field_11_17\" ><label class='gfield_label gfield_label_before_complex gform-field-label' for='input_11_17_1'>Credit Card<\/label><div class='ginput_complex ginput_container ginput_container_creditcard ginput_stripe_creditcard gform-grid-row' id='input_11_17'><div class='ginput_full gform-grid-col' id='input_11_17_1_container' data-payment-element='false'><label for='input_11_17_1' id='input_11_17_1_label' class='gform-field-label gform-field-label--type-sub'>Card Details<\/label><div id='input_11_17_1' class='gform-theme-field-control StripeElement--card'><\/div><\/div><!-- .ginput_full --><div class='ginput_full gform-grid-col' id='input_11_17_5_container'>\r\n\t\t\t\t\t<label for='input_11_17_5' id='input_11_17_5_label' class='gform-field-label gform-field-label--type-sub'>Cardholder Name<\/label>\r\n\t\t\t\t\t<input type='text' name='input_17.5' id='input_11_17_5' value=''>\r\n\t\t\t\t<\/div><\/div><!-- .ginput_container -->\r\n\t\t\t<style type=\"text\/css\">\r\n\t\t\t\t:root {\r\n \t\t\t\t\t--link-login-string: \"Link login\"\r\n\t\t\t\t}\r\n\t\t\t<\/style><\/div><fieldset id=\"field_11_33\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full mt-5 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_33\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consenso<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_33.1' id='input_11_33_1' type='checkbox' value='1' aria-required=\"true\" aria-invalid=\"false\" \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_11_33_1' >I declare to have received, the Terms and Conditions \u201cMIURADAYS-LUCI DEL BOSCO 2023\u201d and that I have read and accept in full. <a href=\"https:\/\/registroitalianomiura.it\/en\/disclaimer-sulla-privacy\/\" style=\"text-decoration:none;\">Read the Privacy Disclaimer<\/a><\/label><input type='hidden' name='input_33.2' value='I declare to have received, the Terms and Conditions \u201cMIURADAYS-LUCI DEL BOSCO 2023\u201d and that I have read and accept in full. <a href="https:\/\/registroitalianomiura.it\/en\/disclaimer-sulla-privacy\/" style="text-decoration:none;">Read the Privacy Disclaimer<\/a>' class='gform_hidden' \/><input type='hidden' name='input_33.3' value='10' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_11_34\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_34\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consenso<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_34.1' id='input_11_34_1' type='checkbox' value='1' aria-required=\"true\" aria-invalid=\"false\" \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_11_34_1' >I declare to have received the information pursuant to article 13 of Legislative Decree no. 196\/2003 and the regulation (EU) 2016\/679 (GDPR) and the I have read, and I consent to the processing of the sensitive data for the purposes expressed there. <a href=\"https:\/\/registroitalianomiura.it\/termini-e-condizioni-miuradays-luci-del-bosco-2023\/\" style=\"text-decoration:none;\">Read the terms and conditions<\/a><\/label><input type='hidden' name='input_34.2' value='I declare to have received the information pursuant to article 13 of Legislative Decree no. 196\/2003 and the regulation (EU) 2016\/679 (GDPR) and the I have read, and I consent to the processing of the sensitive data for the purposes expressed there. <a href="https:\/\/registroitalianomiura.it\/termini-e-condizioni-miuradays-luci-del-bosco-2023\/" style="text-decoration:none;">Read the terms and conditions<\/a>' class='gform_hidden' \/><input type='hidden' name='input_34.3' value='10' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_11_45\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_above 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Step 1<\/span> of 4<\/span><\/span>\n \t<\/p>\n \n 25%<\/span><\/div>\n <\/div><\/div>\n \n Fill out all the steps to register for the event and pay the registration fee.<\/h3>\n<\/div>Driver*<\/span><\/span><\/legend>\n \n \n Name<\/label>\n \n <\/span>\n \n \n Surname<\/label>\n \n <\/span>\n \n <\/div><\/fieldset>Date of Birth*<\/span><\/span><\/label>\n \n MM slash DD slash YYYY<\/span>\n <\/div>\n <\/div>Mobile*<\/span><\/span><\/label><\/div><\/div>Email*<\/span><\/span><\/label>\n \n <\/div><\/div>Address*<\/span><\/span><\/legend> \n \n \n Address<\/label>\n \n <\/span>\n City<\/label>\n \n <\/span>\n State<\/label>\n \n <\/span>\n ZIP<\/label>\n \n <\/span>\n Country<\/label>\n <\/option>Afghanistan<\/option>Albania<\/option>Algeria<\/option>American Samoa<\/option>Andorra<\/option>Angola<\/option>Anguilla<\/option>Antarctica<\/option>Antigua and Barbuda<\/option>Argentina<\/option>Armenia<\/option>Aruba<\/option>Australia<\/option>Austria<\/option>Azerbaijan<\/option>Bahamas<\/option>Bahrain<\/option>Bangladesh<\/option>Barbados<\/option>Belarus<\/option>Belgium<\/option>Belize<\/option>Benin<\/option>Bermuda<\/option>Bhutan<\/option>Bolivia<\/option>Bonaire, Sint Eustatius and Saba<\/option>Bosnia and Herzegovina<\/option>Botswana<\/option>Bouvet Island<\/option>Brazil<\/option>British Indian Ocean Territory<\/option>Brunei Darussalam<\/option>Bulgaria<\/option>Burkina Faso<\/option>Burundi<\/option>Cabo Verde<\/option>Cambodia<\/option>Cameroon<\/option>Canada<\/option>Cayman Islands<\/option>Central African Republic<\/option>Chad<\/option>Chile<\/option>China<\/option>Christmas Island<\/option>Cocos Islands<\/option>Colombia<\/option>Comoros<\/option>Congo<\/option>Congo, Democratic Republic of the<\/option>Cook Islands<\/option>Costa Rica<\/option>Croatia<\/option>Cuba<\/option>Cura\u00e7ao<\/option>Cyprus<\/option>Czechia<\/option>C\u00f4te d'Ivoire<\/option>Denmark<\/option>Djibouti<\/option>Dominica<\/option>Dominican Republic<\/option>Ecuador<\/option>Egypt<\/option>El Salvador<\/option>Equatorial Guinea<\/option>Eritrea<\/option>Estonia<\/option>Eswatini<\/option>Ethiopia<\/option>Falkland Islands<\/option>Faroe Islands<\/option>Fiji<\/option>Finland<\/option>France<\/option>French Guiana<\/option>French Polynesia<\/option>French Southern Territories<\/option>Gabon<\/option>Gambia<\/option>Georgia<\/option>Germany<\/option>Ghana<\/option>Gibraltar<\/option>Greece<\/option>Greenland<\/option>Grenada<\/option>Guadeloupe<\/option>Guam<\/option>Guatemala<\/option>Guernsey<\/option>Guinea<\/option>Guinea-Bissau<\/option>Guyana<\/option>Haiti<\/option>Heard Island and McDonald Islands<\/option>Holy See<\/option>Honduras<\/option>Hong Kong<\/option>Hungary<\/option>Iceland<\/option>India<\/option>Indonesia<\/option>Iran<\/option>Iraq<\/option>Ireland<\/option>Isle of Man<\/option>Israel<\/option>Italy<\/option>Jamaica<\/option>Japan<\/option>Jersey<\/option>Jordan<\/option>Kazakhstan<\/option>Kenya<\/option>Kiribati<\/option>Korea, Democratic People's Republic of<\/option>Korea, Republic of<\/option>Kuwait<\/option>Kyrgyzstan<\/option>Lao People's Democratic Republic<\/option>Latvia<\/option>Lebanon<\/option>Lesotho<\/option>Liberia<\/option>Libya<\/option>Liechtenstein<\/option>Lithuania<\/option>Luxembourg<\/option>Macao<\/option>Madagascar<\/option>Malawi<\/option>Malaysia<\/option>Maldives<\/option>Mali<\/option>Malta<\/option>Marshall Islands<\/option>Martinique<\/option>Mauritania<\/option>Mauritius<\/option>Mayotte<\/option>Mexico<\/option>Micronesia<\/option>Moldova<\/option>Monaco<\/option>Mongolia<\/option>Montenegro<\/option>Montserrat<\/option>Morocco<\/option>Mozambique<\/option>Myanmar<\/option>Namibia<\/option>Nauru<\/option>Nepal<\/option>Netherlands<\/option>New Caledonia<\/option>New Zealand<\/option>Nicaragua<\/option>Niger<\/option>Nigeria<\/option>Niue<\/option>Norfolk Island<\/option>North Macedonia<\/option>Northern Mariana Islands<\/option>Norway<\/option>Oman<\/option>Pakistan<\/option>Palau<\/option>Palestine, State of<\/option>Panama<\/option>Papua New Guinea<\/option>Paraguay<\/option>Peru<\/option>Philippines<\/option>Pitcairn<\/option>Poland<\/option>Portugal<\/option>Puerto Rico<\/option>Qatar<\/option>Romania<\/option>Russian Federation<\/option>Rwanda<\/option>R\u00e9union<\/option>Saint Barth\u00e9lemy<\/option>Saint Helena, Ascension and Tristan da Cunha<\/option>Saint Kitts and Nevis<\/option>Saint Lucia<\/option>Saint Martin<\/option>Saint Pierre and Miquelon<\/option>Saint Vincent and the Grenadines<\/option>Samoa<\/option>San Marino<\/option>Sao Tome and Principe<\/option>Saudi Arabia<\/option>Senegal<\/option>Serbia<\/option>Seychelles<\/option>Sierra Leone<\/option>Singapore<\/option>Sint Maarten<\/option>Slovakia<\/option>Slovenia<\/option>Solomon Islands<\/option>Somalia<\/option>South Africa<\/option>South Georgia and the South Sandwich Islands<\/option>South Sudan<\/option>Spain<\/option>Sri Lanka<\/option>Sudan<\/option>Suriname<\/option>Svalbard and Jan Mayen<\/option>Sweden<\/option>Switzerland<\/option>Syria Arab Republic<\/option>Taiwan<\/option>Tajikistan<\/option>Tanzania, the United Republic of<\/option>Thailand<\/option>Timor-Leste<\/option>Togo<\/option>Tokelau<\/option>Tonga<\/option>Trinidad and Tobago<\/option>Tunisia<\/option>Turkmenistan<\/option>Turks and Caicos Islands<\/option>Tuvalu<\/option>T\u00fcrkiye<\/option>US Minor Outlying Islands<\/option>Uganda<\/option>Ukraine<\/option>United Arab Emirates<\/option>United Kingdom<\/option>United States<\/option>Uruguay<\/option>Uzbekistan<\/option>Vanuatu<\/option>Venezuela<\/option>Viet Nam<\/option>Virgin Islands, British<\/option>Virgin Islands, U.S.<\/option>Wallis and Futuna<\/option>Western Sahara<\/option>Yemen<\/option>Zambia<\/option>Zimbabwe<\/option>\u00c5land Islands<\/option> <\/select>\n <\/span>\n <\/div>\n <\/div><\/fieldset>Dietary Requirements<\/label><\/textarea><\/div><\/div><fieldset id=\"field_11_41\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_41\" ><legend class='gfield_label gform-field-label' >Co-Driver Registration<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_41'>\n\t\t\t<div class='gchoice gchoice_11_41_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='No' id='choice_11_41_0' onchange='gformToggleRadioOther( this )' \/>\n\t\t\t\t\t<label for='choice_11_41_0' id='label_11_41_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_41_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_41' type='radio' value='Yes' id='choice_11_41_1' onchange='gformToggleRadioOther( this )' \/>\n\t\t\t\t\t<label for='choice_11_41_1' id='label_11_41_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_11_22\" class=\"gfield gfield--type-name gfield--width-full mt-5 field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_22\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Co-Driver<\/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_11_22'>\n \n <span id='input_11_22_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n <label for='input_11_22_3' class='gform-field-label gform-field-label--type-sub '>Name<\/label>\n <input type='text' name='input_22.3' id='input_11_22_3' value='' aria-required='false' autocomplete=\"given-name\" \/>\n <\/span>\n \n <span id='input_11_22_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n <label for='input_11_22_6' class='gform-field-label gform-field-label--type-sub '>Surname<\/label>\n <input type='text' name='input_22.6' id='input_11_22_6' value='' aria-required='false' autocomplete=\"family-name\" \/>\n <\/span>\n \n <\/div><\/fieldset><div id=\"field_11_23\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_23\" ><label class='gfield_label gform-field-label' for='input_11_23'>Date of Birth<\/label><div class='ginput_container ginput_container_date'>\n <input name='input_23' id='input_11_23' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon' placeholder='mm\/dd\/yyyy' aria-describedby=\"input_11_23_date_format\" aria-invalid=\"false\" \/>\n <span id='input_11_23_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n <\/div>\n <input type='hidden' id='gforms_calendar_icon_input_11_23' class='gform_hidden' value='https:\/\/registroitalianomiura.it\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_11_24\" class=\"gfield gfield--type-text gfield--width-half field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_24\" ><label class='gfield_label gform-field-label' for='input_11_24'>Place of Birth<\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_11_24' type='text' value='' class='large' aria-invalid=\"false\" \/><\/div><\/div><div id=\"field_11_25\" class=\"gfield gfield--type-phone gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_25\" ><label class='gfield_label gform-field-label' for='input_11_25'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_25' id='input_11_25' type='tel' value='' class='large' aria-invalid=\"false\" \/><\/div><\/div><div id=\"field_11_26\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_26\" ><label class='gfield_label gform-field-label' for='input_11_26'>Dietary Requirements<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_26' id='input_11_26' class='textarea large' aria-invalid=\"false\" rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n <\/div>\n <div class='gform-page-footer gform_page_footer top_label'>\n <input type='button' id='gform_next_button_11_12' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next' \/> \n <\/div>\n <\/div>\n <div id='gform_page_11_2' class='gform_page' data-js='page-field-id-12' style='display:none;'>\n <div class='gform_page_fields'>\n <div id='gform_fields_11_2' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_11_38\" class=\"gfield gfield--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\" data-js-reload=\"field_11_38\" ><h5 class=\"mt-5\">LAMBORGHINI MIURA<\/h5><\/div><div id=\"field_11_28\" class=\"gfield gfield--type-select gfield--width-full mt-5 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_28\" ><label class='gfield_label gform-field-label' for='input_11_28'>Model<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_28' id='input_11_28' class='large gfield_select' aria-required=\"true\" aria-invalid=\"false\" ><option value='P400' >P400<\/option><option value='P400S' >P400S<\/option><option value='P400SV' >P400SV<\/option><option value='SPECIAL MIURA' >SPECIAL MIURA<\/option><\/select><\/div><\/div><div id=\"field_11_29\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_29\" ><label class='gfield_label gform-field-label' for='input_11_29'>Year<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_11_29' type='text' value='' class='large' aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/div><div id=\"field_11_30\" class=\"gfield gfield--type-text gfield--width-half gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_30\" ><label class='gfield_label gform-field-label' for='input_11_30'>Chassis Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_30' id='input_11_30' type='text' value='' class='large' aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/div><\/div>\n <\/div>\n <div class='gform-page-footer gform_page_footer top_label'>\n <input type='button' id='gform_previous_button_11_27' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous' \/> <input type='button' id='gform_next_button_11_27' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next' \/> \n <\/div>\n <\/div>\n <div id='gform_page_11_3' class='gform_page' data-js='page-field-id-27' style='display:none;'>\n <div class='gform_page_fields'>\n <div id='gform_fields_11_3' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_11_39\" class=\"gfield gfield--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\" data-js-reload=\"field_11_39\" ><h5 class=\"mt-5\">BILLING ADDRESS<\/h5><\/div><fieldset id=\"field_11_14\" class=\"gfield gfield--type-address mt-5 field_sublabel_above gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_14\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Indirizzo di fatturazione<\/legend> \n <div class='ginput_complex ginput_container has_street has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_11_14' >\n <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_11_14_1_container' >\n <label for='input_11_14_1' id='input_11_14_1_label' class='gform-field-label gform-field-label--type-sub '>Address<\/label>\n <input type='text' name='input_14.1' id='input_11_14_1' value='' aria-required='false' autocomplete=\"address-line1\" \/>\n <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_11_14_3_container' >\n <label for='input_11_14_3' id='input_11_14_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n <input type='text' name='input_14.3' id='input_11_14_3' value='' aria-required='false' autocomplete=\"address-level2\" \/>\n <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_11_14_4_container' >\n <label for='input_11_14_4' id='input_11_14_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n <input type='text' name='input_14.4' id='input_11_14_4' value='' aria-required='false' autocomplete=\"address-level1\" \/>\n <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_11_14_5_container' >\n <label for='input_11_14_5' id='input_11_14_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP<\/label>\n <input type='text' name='input_14.5' id='input_11_14_5' value='' aria-required='false' autocomplete=\"postal-code\" \/>\n <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_11_14_6_container' >\n <label for='input_11_14_6' id='input_11_14_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n <select name='input_14.6' id='input_11_14_6' aria-required='false' autocomplete=\"country-name\" ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d'Ivoire' >C\u00f4te d'Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People's Republic of' >Korea, Democratic People's Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People's Democratic Republic' >Lao People's Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option> <\/select>\n <\/span>\n <div class='gf_clear gf_clear_complex'><\/div>\n <\/div><\/fieldset><fieldset id=\"field_11_42\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_42\" ><legend class='gfield_label gform-field-label' >Would you like to receive the invoice<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_11_42'>\n\t\t\t<div class='gchoice gchoice_11_42_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='No' id='choice_11_42_0' onchange='gformToggleRadioOther( this )' \/>\n\t\t\t\t\t<label for='choice_11_42_0' id='label_11_42_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_11_42_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_42' type='radio' value='Yes' id='choice_11_42_1' onchange='gformToggleRadioOther( this )' \/>\n\t\t\t\t\t<label for='choice_11_42_1' id='label_11_42_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n <\/div>\n <div class='gform-page-footer gform_page_footer top_label'>\n <input type='button' id='gform_previous_button_11_36' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' value='Previous' \/> <input type='button' id='gform_next_button_11_36' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' value='Next' \/> \n <\/div>\n <\/div>\n <div id='gform_page_11_4' class='gform_page' data-js='page-field-id-36' style='display:none;'>\n <div class='gform_page_fields'>\n <div id='gform_fields_11_4' class='gform_fields top_label form_sublabel_above description_above validation_below'><div id=\"field_11_40\" class=\"gfield gfield--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\" data-js-reload=\"field_11_40\" ><h5 class=\"mt-5\">PAYMENT OF REGISTRATION FEE<\/h5>\n\n<p>The registration fee includes hospitality in a double room for 2 people, breakfast and hotel shuttle.<\/p><\/div><div id=\"field_11_43\" class=\"gfield gfield--type-product gfield--input-type-select gfield--width-full gfield_price gfield_price_11_43 gfield_product_11_43 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_43\" ><label class='gfield_label gform-field-label' for='input_11_43'>Subscription fee (Driver + Co-Driver):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_43' id='input_11_43' class='large gfield_select' aria-required=\"true\" aria-invalid=\"false\" ><option value='Deposit payment (before the 30th of June 2023)|1000' >Deposit payment (before the 30th of June 2023)<\/option><option value='Balance payment (before the 31st of August 2023)|590' >Balance payment (before the 31st of August 2023)<\/option><\/select><\/div><\/div><div id=\"field_11_44\" class=\"gfield gfield--type-product gfield--input-type-select gfield--width-full gfield_price gfield_price_11_44 gfield_product_11_44 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_44\" ><label class='gfield_label gform-field-label' for='input_11_44'>Subscription fee (Driver):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_44' id='input_11_44' class='large gfield_select' aria-required=\"true\" aria-invalid=\"false\" ><option value='Deposit payment (before the 30th of June 2023)|500' >Deposit payment (before the 30th of June 2023)<\/option><option value='Balance payment (before the 31st of August 2023)|490' >Balance payment (before the 31st of August 2023)<\/option><\/select><\/div><\/div><div id=\"field_11_3\" class=\"gfield gfield--type-total mt-5 gfield_price gfield_price_11_ gfield_total gfield_total_11_ field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" aria-atomic=\"true\" aria-live=\"polite\" data-js-reload=\"field_11_3\" ><label class='gfield_label gform-field-label' for='input_11_3'>Totals<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_3' id='input_11_3' value='0,00 €' class='gform-text-input-reset ginput_total ginput_total_11' \/>\n\t\t\t\t\t\t<\/div><\/div><div id=\"field_11_32\" class=\"gfield gfield--type-select gfield--width-full mt-5 gfield_contains_required field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-js-reload=\"field_11_32\" ><label class='gfield_label gform-field-label' for='input_11_32'>Payment method<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_32' id='input_11_32' class='large gfield_select' aria-required=\"true\" aria-invalid=\"false\" ><option value='Credit Card' >Credit Card<\/option><option value='Bank Transfer' >Bank Transfer<\/option><\/select><\/div><\/div><div id=\"field_11_17\" class=\"gfield gfield--type-stripe_creditcard gfield--width-full mt-5 field_sublabel_above gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--type-stripe_creditcard-card\" data-js-reload=\"field_11_17\" ><label class='gfield_label gfield_label_before_complex gform-field-label' for='input_11_17_1'>Credit Card<\/label><div class='ginput_complex ginput_container ginput_container_creditcard ginput_stripe_creditcard gform-grid-row' id='input_11_17'><div class='ginput_full gform-grid-col' id='input_11_17_1_container' data-payment-element='false'><label for='input_11_17_1' id='input_11_17_1_label' class='gform-field-label gform-field-label--type-sub'>Card Details<\/label><div id='input_11_17_1' class='gform-theme-field-control StripeElement--card'><\/div><\/div><!-- .ginput_full --><div 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