{"id":2960,"date":"2021-05-17T14:47:15","date_gmt":"2021-05-17T18:47:15","guid":{"rendered":"http:\/\/riverbendmalt.com\/?page_id=2960"},"modified":"2023-07-25T16:08:24","modified_gmt":"2023-07-25T20:08:24","slug":"request-a-quote","status":"publish","type":"page","link":"https:\/\/riverbendmalt.com\/request-a-quote\/","title":{"rendered":"Request a Quote"},"content":{"rendered":"<div id='av_section_1'  class='avia-section av-jy4eab1e-a8812279f3aa68f3f0b05171f0e96b19 main_color avia-section-default avia-no-border-styling  avia-builder-el-0  avia-builder-el-no-sibling  avia-bg-style-scroll av-minimum-height av-minimum-height-100  container_wrap sidebar_right'   data-av_minimum_height_pc='100'><div class='container av-section-cont-open' ><main  role=\"main\" itemprop=\"mainContentOfPage\"  class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-2960'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-ehluu-9df2add77badc6a424e60613b3313cdc\">\n.flex_column.av-ehluu-9df2add77badc6a424e60613b3313cdc{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-ehluu-9df2add77badc6a424e60613b3313cdc av_two_third  avia-builder-el-1  el_before_av_one_third  avia-builder-el-first  first flex_column_div av-zero-column-padding '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kosyfmx4-693e7cebbcf73662a0b226183db898a4\">\n#top .av-special-heading.av-kosyfmx4-693e7cebbcf73662a0b226183db898a4{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-kosyfmx4-693e7cebbcf73662a0b226183db898a4 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-kosyfmx4-693e7cebbcf73662a0b226183db898a4 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-kosyfmx4-693e7cebbcf73662a0b226183db898a4 av-special-heading-h1 blockquote modern-quote  avia-builder-el-2  el_before_av_hr  avia-builder-el-first  av-linked-heading'><h1 class='av-special-heading-tag'  itemprop=\"headline\"  >Request a Quote<\/h1><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-jy4lr3zu-ed95bd54ff93a0395a527e3fda1721be\">\n#top .hr.hr-invisible.av-jy4lr3zu-ed95bd54ff93a0395a527e3fda1721be{\nheight:30px;\n}\n<\/style>\n<div  class='hr av-jy4lr3zu-ed95bd54ff93a0395a527e3fda1721be hr-invisible  avia-builder-el-3  el_after_av_heading  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-jvz9iwpx-e3e96034de85b2b3c2206850e5c676c2\">\n#top .av_textblock_section.av-jvz9iwpx-e3e96034de85b2b3c2206850e5c676c2 .avia_textblock{\nfont-size:20px;\n}\n<\/style>\n<section  class='av_textblock_section av-jvz9iwpx-e3e96034de85b2b3c2206850e5c676c2'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Please fill in the following information to request a quote from Riverbend malt. If you&#8217;re ready to order, you can fill out the <a href=\"https:\/\/riverbendmalt.com\/place-an-order\/\" target=\"_blank\" rel=\"noopener\">Place An Order<\/a> form instead.<\/p>\n<\/div><\/section><br \/>\n<section  class='av_textblock_section av-jvz9iwpx-3-9af2ab0d6c71ab53abcd4b9659d02463'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><b>Please Note: <\/b>We cannot process your order until you fill out the &#8220;<a href=\"http:\/\/riverbendmalt.com\/new-customer-application\/\">New Customer Application<\/a>&#8220;.<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-jy4e5hcs-fe06d95d8b1b67e6a9e09daf3b2e763f\">\n#top .hr.hr-invisible.av-jy4e5hcs-fe06d95d8b1b67e6a9e09daf3b2e763f{\nheight:30px;\n}\n<\/style>\n<div  class='hr av-jy4e5hcs-fe06d95d8b1b67e6a9e09daf3b2e763f hr-invisible  avia-builder-el-6  el_after_av_textblock  avia-builder-el-last '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><\/p><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-pg5b-a4c08f20d6fab601cc16451f438008eb\">\n.flex_column.av-pg5b-a4c08f20d6fab601cc16451f438008eb{\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\nborder-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-pg5b-a4c08f20d6fab601cc16451f438008eb av_one_third  avia-builder-el-7  el_after_av_two_third  el_before_av_hr  flex_column_div av-zero-column-padding '     ><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-jy4e5hcs-2-a17ccd6bbcc13e1b789bb8609d0b4edf\">\n#top .hr.hr-invisible.av-jy4e5hcs-2-a17ccd6bbcc13e1b789bb8609d0b4edf{\nheight:30px;\n}\n<\/style>\n<div  class='hr av-jy4e5hcs-2-a17ccd6bbcc13e1b789bb8609d0b4edf hr-invisible  avia-builder-el-8  el_after_av_one_third  el_before_av_two_third '><span 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class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_10'  action='\/wp-json\/wp\/v2\/pages\/2960#gf_10' data-formid='10' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_10' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_10_110\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_110'>Company<\/label><div class='ginput_container'><input name='input_110' id='input_10_110' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_10_110'>This field is for validation purposes and should be left unchanged.<\/div><\/div><div id=\"field_10_5\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_5'>Company<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_10_5' type='text' value='' class='medium'    placeholder='Brewery or Distillery Name' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_10_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/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_10_1'>\n                            \n                            <span id='input_10_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_10_1_3' value=''   aria-required='true'   placeholder='First Name'  \/>\n                                                    <label for='input_10_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_10_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_10_1_6' value=''   aria-required='true'   placeholder='Last Name'  \/>\n                                                    <label for='input_10_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_10_2\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_2'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_10_2' type='email' value='' class='medium'   placeholder='Email Address' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_10_3\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_3'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_10_3' type='tel' value='' class='medium'  placeholder='Phone Number' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_10_6\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Shipping Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_10_6' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_10_6_1_container' >\n                                        <input type='text' name='input_6.1' id='input_10_6_1' value=''   placeholder='Address Line 1' aria-required='true'    \/>\n                                        <label for='input_10_6_1' id='input_10_6_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_10_6_2_container' >\n                                        <input type='text' name='input_6.2' id='input_10_6_2' value=''   placeholder='Address Line 2'  aria-required='false'   \/>\n                                        <label for='input_10_6_2' id='input_10_6_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_10_6_3_container' >\n                                    <input type='text' name='input_6.3' id='input_10_6_3' value=''   placeholder='City' aria-required='true'    \/>\n                                    <label for='input_10_6_3' id='input_10_6_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_10_6_4_container' >\n                                        <select name='input_6.4' id='input_10_6_4'     aria-required='true'    ><option value='' selected='selected'>State<\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_10_6_4' id='input_10_6_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_10_6_5_container' >\n                                    <input type='text' name='input_6.5' id='input_10_6_5' value=''   placeholder='ZIP' aria-required='true'    \/>\n                                    <label for='input_10_6_5' id='input_10_6_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_6.6' id='input_10_6_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_10_17\" class=\"gfield gfield--type-captcha field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_10_17'><\/label><div id='input_10_17' class='ginput_container ginput_recaptcha' data-sitekey='6LfYX9cZAAAAANdz1Dq726b1Ki2ZZ2wU5SmLh_Ur'  data-theme='light' data-tabindex='-1' data-size='invisible' data-badge='bottomright'><\/div><\/div><div id=\"field_10_104\" class=\"gfield gfield--type-html gfield--width-third gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Base Malts<\/h2><\/div><div id=\"field_10_105\" class=\"gfield gfield--type-html gfield--width-third gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Quantity<\/h2>\n(in 50 lb increments)<\/div><div id=\"field_10_106\" class=\"gfield gfield--type-html gfield--width-third gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Milling<\/h2><\/div><div id=\"field_10_34\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-third gfield_price gfield_price_10_34 gfield_product_10_34 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_10_34_1'>Southern Select<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_34.1' value='Southern Select' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_10_34' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_10_34' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_34.2' class='ginput_product_price gform-text-input-reset' id='ginput_base_price_10_34' value='$0.00'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t<\/div><\/div><div id=\"field_10_35\" class=\"gfield gfield--type-quantity gfield--input-type-number gfield--width-third gfield_price gfield_price_10_34 gfield_quantity gfield_quantity_10_34 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_35'>Quantity<\/label><div class='ginput_container ginput_container_number'><input name='input_35' id='input_10_35' type='number' step='any'   value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_10_50\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-third gfield_price gfield_price_10_34 gfield_option_10_34 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Milling<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_50'><div class='gchoice gchoice_10_50_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_50.1' type='checkbox'  value='Yes|0'  id='choice_10_50_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_50_1' id='label_10_50_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_44\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-third gfield_price gfield_price_10_44 gfield_product_10_44 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_10_44_1'>Base Camp Extra Pale<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_44.1' value='Base Camp Extra Pale' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_10_44' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_10_44' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_44.2' class='ginput_product_price gform-text-input-reset' id='ginput_base_price_10_44' value='$0.00'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t<\/div><\/div><div id=\"field_10_45\" class=\"gfield gfield--type-quantity gfield--input-type-number gfield--width-third gfield_price gfield_price_10_44 gfield_quantity gfield_quantity_10_44 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_45'>Quantity<\/label><div class='ginput_container ginput_container_number'><input name='input_45' id='input_10_45' type='number' step='any'   value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_10_55\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-third gfield_price gfield_price_10_44 gfield_option_10_44 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Milling<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_55'><div class='gchoice gchoice_10_55_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_55.1' type='checkbox'  value='Yes|0'  id='choice_10_55_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_55_1' id='label_10_55_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_51\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-third gfield_price gfield_price_10_51 gfield_product_10_51 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_10_51_1'>6-Row Pilsner<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_51.1' value='6-Row Pilsner' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_10_51' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_10_51' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_51.2' class='ginput_product_price gform-text-input-reset' id='ginput_base_price_10_51' value='$0.00'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t<\/div><\/div><div id=\"field_10_54\" class=\"gfield gfield--type-quantity gfield--input-type-number gfield--width-third gfield_price gfield_price_10_51 gfield_quantity gfield_quantity_10_51 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_54'>Quantity<\/label><div class='ginput_container ginput_container_number'><input name='input_54' id='input_10_54' type='number' step='any'   value='' class='medium'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_10_56\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-third gfield_price gfield_price_10_51 gfield_option_10_51 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Milling<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_56'><div class='gchoice gchoice_10_56_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_56.1' type='checkbox'  value='Yes|0'  id='choice_10_56_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_56_1' id='label_10_56_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_107\" class=\"gfield gfield--type-html gfield--width-third gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Specialty Malts<\/h2><\/div><div id=\"field_10_108\" class=\"gfield gfield--type-html gfield--width-third gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Quantity<\/h2>\n(in 50 lb increments)<\/div><div id=\"field_10_109\" class=\"gfield gfield--type-html gfield--width-third gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2>Milling<\/h2><\/div><div id=\"field_10_58\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-third gfield_price gfield_price_10_58 gfield_product_10_58 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_10_58_1'>Chesapeake 2-Row Pilsner<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_58.1' value='Chesapeake 2-Row Pilsner' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_10_58' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_10_58' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_58.2' class='ginput_product_price gform-text-input-reset' id='ginput_base_price_10_58' value='$0.00'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t<\/div><\/div><div id=\"field_10_59\" class=\"gfield gfield--type-quantity gfield--input-type-number gfield--width-third gfield_price gfield_price_10_58 gfield_quantity gfield_quantity_10_58 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_59'>Quantity<\/label><div class='ginput_container ginput_container_number'><input name='input_59' id='input_10_59' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_10_60\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-third gfield_price gfield_price_10_58 gfield_option_10_58 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Milling<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_60'><div class='gchoice gchoice_10_60_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.1' type='checkbox'  value='Yes|0'  id='choice_10_60_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_60_1' id='label_10_60_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_62\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-third gfield_price gfield_price_10_62 gfield_product_10_62 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_10_62_1'>Great Chit &quot;Chit Malt&quot;<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_62.1' value='Great Chit &quot;Chit Malt&quot;' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_10_62' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_10_62' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_62.2' class='ginput_product_price gform-text-input-reset' id='ginput_base_price_10_62' value='$0.00'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t<\/div><\/div><div id=\"field_10_63\" class=\"gfield gfield--type-quantity gfield--input-type-number gfield--width-third gfield_price gfield_price_10_62 gfield_quantity gfield_quantity_10_62 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_63'>Quantity<\/label><div class='ginput_container ginput_container_number'><input name='input_63' id='input_10_63' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_10_64\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-third gfield_price gfield_price_10_62 gfield_option_10_62 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Milling<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_64'><div class='gchoice gchoice_10_64_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_64.1' type='checkbox'  value='Yes|0'  id='choice_10_64_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_64_1' id='label_10_64_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_65\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-third gfield_price gfield_price_10_65 gfield_product_10_65 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_10_65_1'>Vienna 2-Row<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_65.1' value='Vienna 2-Row' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_10_65' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_10_65' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_65.2' class='ginput_product_price gform-text-input-reset' id='ginput_base_price_10_65' value='$0.00'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t<\/div><\/div><div id=\"field_10_66\" class=\"gfield gfield--type-quantity gfield--input-type-number gfield--width-third gfield_price gfield_price_10_65 gfield_quantity gfield_quantity_10_65 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_66'>Quantity<\/label><div class='ginput_container ginput_container_number'><input name='input_66' id='input_10_66' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_10_67\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-third gfield_price gfield_price_10_65 gfield_option_10_65 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Milling<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_67'><div class='gchoice gchoice_10_67_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_67.1' type='checkbox'  value='Yes|0'  id='choice_10_67_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_67_1' id='label_10_67_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_68\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-third gfield_price gfield_price_10_68 gfield_product_10_68 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_10_68_1'>Heritage 6-Row<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_68.1' value='Heritage 6-Row' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_10_68' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_10_68' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_68.2' class='ginput_product_price gform-text-input-reset' id='ginput_base_price_10_68' value='$0.00'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t<\/div><\/div><div id=\"field_10_69\" class=\"gfield gfield--type-quantity gfield--input-type-number gfield--width-third gfield_price gfield_price_10_68 gfield_quantity gfield_quantity_10_68 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_69'>Quantity<\/label><div class='ginput_container ginput_container_number'><input name='input_69' id='input_10_69' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_10_70\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-third gfield_price gfield_price_10_68 gfield_option_10_68 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Milling<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_70'><div class='gchoice gchoice_10_70_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_70.1' type='checkbox'  value='Yes|0'  id='choice_10_70_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_70_1' id='label_10_70_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_71\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-third gfield_price gfield_price_10_71 gfield_product_10_71 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_10_71_1'>Light Munich 2-Row<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_71.1' value='Light Munich 2-Row' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_10_71' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_10_71' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_71.2' class='ginput_product_price gform-text-input-reset' id='ginput_base_price_10_71' value='$0.00'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t<\/div><\/div><div id=\"field_10_72\" class=\"gfield gfield--type-quantity gfield--input-type-number gfield--width-third gfield_price gfield_price_10_71 gfield_quantity gfield_quantity_10_71 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_72'>Quantity<\/label><div class='ginput_container ginput_container_number'><input name='input_72' id='input_10_72' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_10_73\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-third gfield_price gfield_price_10_71 gfield_option_10_71 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Milling<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_73'><div class='gchoice gchoice_10_73_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_73.1' type='checkbox'  value='Yes|0'  id='choice_10_73_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_73_1' id='label_10_73_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_74\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-third gfield_price gfield_price_10_74 gfield_product_10_74 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_10_74_1'>Dark Munich 2-Row<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_74.1' value='Dark Munich 2-Row' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_10_74' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_10_74' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_74.2' class='ginput_product_price gform-text-input-reset' id='ginput_base_price_10_74' value='$0.00'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t<\/div><\/div><div id=\"field_10_75\" class=\"gfield gfield--type-quantity gfield--input-type-number gfield--width-third gfield_price gfield_price_10_74 gfield_quantity gfield_quantity_10_74 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_75'>Quantity<\/label><div class='ginput_container ginput_container_number'><input name='input_75' id='input_10_75' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_10_76\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-third gfield_price gfield_price_10_74 gfield_option_10_74 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Milling<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_76'><div class='gchoice gchoice_10_76_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.1' type='checkbox'  value='Yes|0'  id='choice_10_76_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_76_1' id='label_10_76_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_77\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-third gfield_price gfield_price_10_77 gfield_product_10_77 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_10_77_1'>Appalachian Wheat<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_77.1' value='Appalachian Wheat' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_10_77' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_10_77' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_77.2' class='ginput_product_price gform-text-input-reset' id='ginput_base_price_10_77' value='$0.00'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t<\/div><\/div><div id=\"field_10_85\" class=\"gfield gfield--type-quantity gfield--input-type-number gfield--width-third gfield_price gfield_price_10_77 gfield_quantity gfield_quantity_10_77 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_85'>Quantity<\/label><div class='ginput_container ginput_container_number'><input name='input_85' id='input_10_85' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_10_93\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-third gfield_price gfield_price_10_77 gfield_option_10_77 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Milling<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_93'><div class='gchoice gchoice_10_93_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_93.1' type='checkbox'  value='Yes|0'  id='choice_10_93_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_93_1' id='label_10_93_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_78\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-third gfield_price gfield_price_10_78 gfield_product_10_78 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_10_78_1'>&quot;Hull &amp; Oats&quot; Hulled Oats<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_78.1' value='&quot;Hull &amp; Oats&quot; Hulled Oats' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_10_78' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_10_78' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_78.2' class='ginput_product_price gform-text-input-reset' id='ginput_base_price_10_78' value='$0.00'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t<\/div><\/div><div id=\"field_10_86\" class=\"gfield gfield--type-quantity gfield--input-type-number gfield--width-third gfield_price gfield_price_10_78 gfield_quantity gfield_quantity_10_78 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_86'>Quantity<\/label><div class='ginput_container ginput_container_number'><input name='input_86' id='input_10_86' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_10_94\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-third gfield_price gfield_price_10_78 gfield_option_10_78 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Milling<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_94'><div class='gchoice gchoice_10_94_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_94.1' type='checkbox'  value='Yes|0'  id='choice_10_94_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_94_1' id='label_10_94_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_80\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-third gfield_price gfield_price_10_80 gfield_product_10_80 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_10_80_1'>Carolina Rye<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_80.1' value='Carolina Rye' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_10_80' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_10_80' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_80.2' class='ginput_product_price gform-text-input-reset' id='ginput_base_price_10_80' value='$0.00'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t<\/div><\/div><div id=\"field_10_88\" class=\"gfield gfield--type-quantity gfield--input-type-number gfield--width-third gfield_price gfield_price_10_80 gfield_quantity gfield_quantity_10_80 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_88'>Quantity<\/label><div class='ginput_container ginput_container_number'><input name='input_88' id='input_10_88' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_10_96\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-third gfield_price gfield_price_10_80 gfield_option_10_80 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Milling<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_96'><div class='gchoice gchoice_10_96_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.1' type='checkbox'  value='Yes|0'  id='choice_10_96_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_96_1' id='label_10_96_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_81\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-third gfield_price gfield_price_10_81 gfield_product_10_81 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_10_81_1'>Cumberland Corn Malt<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_81.1' value='Cumberland Corn Malt' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_10_81' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_10_81' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_81.2' class='ginput_product_price gform-text-input-reset' id='ginput_base_price_10_81' value='$0.00'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t<\/div><\/div><div id=\"field_10_89\" class=\"gfield gfield--type-quantity gfield--input-type-number gfield--width-third gfield_price gfield_price_10_81 gfield_quantity gfield_quantity_10_81 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_89'>Quantity<\/label><div class='ginput_container ginput_container_number'><input name='input_89' id='input_10_89' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_10_97\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-third gfield_price gfield_price_10_81 gfield_option_10_81 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Milling<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_97'><div class='gchoice gchoice_10_97_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_97.1' type='checkbox'  value='Yes|0'  id='choice_10_97_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_97_1' id='label_10_97_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_83\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-third gfield_price gfield_price_10_83 gfield_product_10_83 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_10_83_1'>Pecan Smoked Wheat<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_83.1' value='Pecan Smoked Wheat' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_10_83' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_10_83' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_83.2' class='ginput_product_price gform-text-input-reset' id='ginput_base_price_10_83' value='$0.00'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t<\/div><\/div><div id=\"field_10_91\" class=\"gfield gfield--type-quantity gfield--input-type-number gfield--width-third gfield_price gfield_price_10_83 gfield_quantity gfield_quantity_10_83 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_91'>Quantity<\/label><div class='ginput_container ginput_container_number'><input name='input_91' id='input_10_91' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_10_99\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-third gfield_price gfield_price_10_83 gfield_option_10_83 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Milling<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_99'><div class='gchoice gchoice_10_99_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_99.1' type='checkbox'  value='Yes|0'  id='choice_10_99_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_99_1' id='label_10_99_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_10_84\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-third gfield_price gfield_price_10_84 gfield_product_10_84 field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_10_84_1'>Munich Rye<\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_84.1' value='Munich Rye' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_10_84' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_10_84' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_84.2' class='ginput_product_price gform-text-input-reset' id='ginput_base_price_10_84' value='$0.00'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t<\/div><\/div><div id=\"field_10_92\" class=\"gfield gfield--type-quantity gfield--input-type-number gfield--width-third gfield_price gfield_price_10_84 gfield_quantity gfield_quantity_10_84 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_10_92'>Quantity<\/label><div class='ginput_container ginput_container_number'><input name='input_92' id='input_10_92' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_10_100\" class=\"gfield gfield--type-option gfield--type-choice gfield--input-type-checkbox gfield--width-third gfield_price gfield_price_10_84 gfield_option_10_84 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Milling<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_10_100'><div class='gchoice gchoice_10_100_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_100.1' type='checkbox'  value='Yes|0'  id='choice_10_100_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_10_100_1' id='label_10_100_1' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_10' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit Order Request'  \/> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_10' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_10' id='gform_theme_10' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_10' id='gform_style_settings_10' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_10' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='10' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='v+uD1xuvLwnMegB1zotq379fMXPsxTvhkm8PUCAZ8c8laexZKbIdSLjhVBFg8fxc6v57brjXibCtekQDVK7XY17jfosYt1HTu9v\/KOUhHIWwrD8=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_10' 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