{"id":14951,"date":"2019-03-08T13:21:44","date_gmt":"2019-03-08T21:21:44","guid":{"rendered":"https:\/\/www.vansaircraft.com\/?page_id=14951"},"modified":"2025-11-05T17:24:59","modified_gmt":"2025-11-06T01:24:59","slug":"lycoming-thunderbolt-engines-order-form","status":"publish","type":"page","link":"https:\/\/www.vansaircraft.com\/order-a-kit\/lycoming-thunderbolt-engines-order-form\/","title":{"rendered":"Lycoming Thunderbolt Engines Order Form"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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<div class='gform-body gform_body'><div id='gform_fields_122' class='gform_fields top_label form_sublabel_below description_above validation_below'><div id=\"field_122_163\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_163'>LinkedIn<\/label><div class='gfield_description' id='gfield_description_122_163'>This field is for validation purposes and should be left unchanged.<\/div><div class='ginput_container'><input name='input_163' id='input_122_163' type='text' value='' autocomplete='new-password'\/><\/div><\/div><div class=\"gfmc-container\"><div class=\"gfield gfmc-column gfmc-field\"><div id=\"field_122_101\" class=\"gfield gfield--type-html gfield--input-type-html no-top-margin bottom-margin gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>Van&rsquo;s Aircraft, Inc. has an OEM agreement with Lycoming Engines that allows us to offer factory-new engines at very favorable prices. This agreement has several requirements: Engines are available only to RV builders with a Van&rsquo;s valid aircraft serial number&nbsp;and the engine must be installed on that corresponding airplane.<\/p>\n\n<p>To purchase an engine from Van&#39;s builders must have purchased, or have already on order, at least the tail\/empennage kit plus one additional RV airframe kit at the time of the engine order. (The exception is for the new RV-15, where purchase of the wing kit alone qualifies.) Only one (1) engine per aircraft serial number&nbsp;may be purchased via this offer. This offer is available for the lifetime of the airplane&nbsp;as long as no engine has been previously purchased for that aircraft\/kit serial number, including if aircraft ownership changes. Engines will be sold only&nbsp;for the models specified&nbsp;in the tables, below. Van&#39;s limits the specific engines it sells for an aircraft to those specified by our engineering team for the&nbsp;specific aircraft model under construction.<\/p>\n\n<p>The timing of your order and receipt of your deposit payment establishes the engine price and your place in the manufacturing queue. Customer-initiated changes or delays to the schedule may result in price increases. Prices are subject to change at any time and without notice.<\/p>\n\n<p><em>Please note that all engine orders are processed directly through Lycoming and are drop-shipped to your designated location. Freight charges will apply to all shipments, including those delivered to Van\u2019s Aircraft. If you prefer, you may pick up your engine directly from Lycoming\u2019s headquarters to avoid shipping fees. However, if you choose to pick up your engine at Van\u2019s, freight charges will still be required, as the engine is shipped there on your behalf. Shipping costs will be determined by Lycoming when the engine build starts and we collect your final payment. These charges include the freight as well as packaging for long term storage and\/or international shipping. They will be added to the final payment paperwork at that time.<\/em><\/p>\n\n<p><strong>Thunderbolt engines are Lycoming&#39;s brand of high performance, built-to-order powerplants for experimental aircraft.<\/strong> These features&nbsp;come with every Lycoming Thunderbolt engine:<\/p>\n\n<ul>\n\t<li>Balanced rotating system within 0.5 gram&nbsp;(connecting rods, pistons, piston pins)<\/li>\n\t<li>Ported and polished cylinders<\/li>\n\t<li>Chrome rocker covers<\/li>\n\t<li>Customized paint options<\/li>\n<\/ul>\n\n<p>If an aircraft has already been flown, but the special pricing available through Van&#39;s has not been used for that aircraft serial number, the owner may purchase the engine through Van&#39;s with the special pricing. This option is available to owners of an aircraft built by another person, as long as the one-time special price option has not been used for that aircraft serial number prior.<\/p>\n\n<p><strong>Prices effective November 1, 2025<\/strong><p><\/div><div id=\"field_122_100\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_100'>On which RV model will you be installing this engine?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_122_100'><p><em>Van&#39;s specifies a specific list of engines for our aircraft models, and will sell engines to be installed on aircraft models for which we have determined the application is appropriate.<\/em><\/p>\n\n<p><em>Note that Rotax engines for the RV-12 and RV-12iS are ordered as a component of the Powerplant Kit for those models. This form does not apply.<\/em><\/p>\n<\/div><div class='ginput_container ginput_container_select'><select name='input_100' id='input_122_100' class='medium gfield_select'  aria-describedby=\"gfield_description_122_100\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' >Select one<\/option><option value='RV-3' >RV-3<\/option><option value='RV-4' >RV-4<\/option><option value='RV-6' >RV-6<\/option><option value='RV-6A' >RV-6A<\/option><option value='RV-7' >RV-7<\/option><option value='RV-7A' >RV-7A<\/option><option value='RV-8' >RV-8<\/option><option value='RV-8A' >RV-8A<\/option><option value='RV-9' >RV-9<\/option><option value='RV-9A' >RV-9A<\/option><option value='RV-10' >RV-10<\/option><option value='RV-14' >RV-14<\/option><option value='RV-14A' >RV-14A<\/option><option value='RV-15' >RV-15<\/option><\/select><\/div><\/div><fieldset id=\"field_122_130\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Choose your Ignition and Fuel System Configuration<\/legend><div class='gfield_description' id='gfield_description_122_130'>All Thunderbolt engines are available to order with or without an ignition or fuel system installed. You may also order with either two E-Mags or two Lycoming Electronic Ignition System (EIS) units. Not all options are available on all engines and any further customization will result in additional fees\/charges, which you may discuss with Lycoming after your place your order.\n\nAll Thunderbolt engine orders that include a fuel system will be delivered with the appropriate Airflow Performance brand fuel servo.\n\nIn the table below, we will display those engines that are available with the ignition\/fuel system combination you select.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_130'>\n\t\t\t<div class='gchoice gchoice_122_130_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_130' type='radio' value='No Ignition, No Fuel System'  id='choice_122_130_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_122_130\"   \/>\n\t\t\t\t\t<label for='choice_122_130_0' id='label_122_130_0' class='gform-field-label gform-field-label--type-inline'>No Ignition, No Fuel System<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_130_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_130' type='radio' value='Dual Lycoming EIS Ignition, Airflow Performance fuel system'  id='choice_122_130_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_130_1' id='label_122_130_1' class='gform-field-label gform-field-label--type-inline'>Dual Lycoming EIS Ignition, Airflow Performance fuel system<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_130_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_130' type='radio' value='Dual E-Mags Ignition, Airflow Performance fuel system'  id='choice_122_130_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_130_2' id='label_122_130_2' class='gform-field-label gform-field-label--type-inline'>Dual E-Mags Ignition, Airflow Performance fuel system<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_122_92\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gf-order-table gfield_price gfield_price_122_92 gfield_product_122_92 gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >LYCOMING THUNDERBOLT ENGINE with NO IGNITION OR FUEL SYSTEM<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_122_92'><div class=\"tr\">\n<div class=\"th\">Engine Model<\/div>\n<div class=\"th\">HP<\/div>\n<div class=\"th\">Ind<\/div>\n<div class=\"th\">Prop<\/div>\n<div class=\"th\">Cyl<\/div>\n<div class=\"th\">Notes<\/div>\n<div class=\"th\">ENPL<\/div>\n<\/div><\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_92'>\n\t\t\t<div class='gchoice gchoice_122_92_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_92' type='radio' value='YO320D1A ATC-RT0499|57400'  id='choice_122_92_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_122_92\"   \/>\n\t\t\t\t\t<label for='choice_122_92_0' id='label_122_92_0' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YO-320-D1A<\/div><div class=\"td\">160<\/div><div class=\"td\">v<\/div><div class=\"td\">fp\/cs<\/div><div class=\"td\">4<\/div><div class=\"td\">Available for RV-3, 4, 6\/6A, 7\/7A, 8\/8A, 9\/9A<\/div><div class=\"td\">ATC-RT0499<\/div><\/div> <span class=\"gf_inline_price\">+ $57,400.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_92_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_92' type='radio' value='YIO320D1A|60300'  id='choice_122_92_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_92_1' id='label_122_92_1' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-320-D1A<\/div><div class=\"td\">160<\/div><div class=\"td\">v<\/div><div class=\"td\">fp\/cs<\/div><div class=\"td\">4<\/div><div class=\"td\">Available for RV-3, 4, 6\/6A, 7\/7A, 8\/8A, 9\/9A<\/div><div class=\"td\">ATC-RT0500<\/div><\/div> <span class=\"gf_inline_price\">+ $60,300.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_92_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_92' type='radio' value='YO320D2G|56100'  id='choice_122_92_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_92_2' id='label_122_92_2' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YO-320-D2G<\/div><div class=\"td\">160<\/div><div class=\"td\">v<\/div><div class=\"td\">fp<\/div><div class=\"td\">4<\/div><div class=\"td\">Available for RV-3, 4, 6\/6A, 7\/7A, 8\/8A, 9\/9A<\/div><div class=\"td\">ATC-RT0501<\/div><\/div> <span class=\"gf_inline_price\">+ $56,100.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_92_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_92' type='radio' value='YO360A1A|57400'  id='choice_122_92_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_92_3' id='label_122_92_3' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YO-360-A1A<\/div><div class=\"td\">180<\/div><div class=\"td\">v<\/div><div class=\"td\">fp\/cs<\/div><div class=\"td\">4<\/div><div class=\"td\">Available for RV-4, 6\/6A, 7\/7A, 8\/8A<\/div><div class=\"td\">ATC-RT0502<\/div><\/div> <span class=\"gf_inline_price\">+ $57,400.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_92_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_92' type='radio' value='YIO360M1B|60900'  id='choice_122_92_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_92_4' id='label_122_92_4' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-360-M1B<\/div><div class=\"td\">180<\/div><div class=\"td\">h<\/div><div class=\"td\">fp\/cs<\/div><div class=\"td\">4<\/div><div class=\"td\">Available for RV-6\/6A, 7\/7A, 8\/8A<\/div><div class=\"td\">ATC-RT0503<\/div><\/div> <span class=\"gf_inline_price\">+ $60,900.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_92_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_92' type='radio' value='YIO360A1B6|70300'  id='choice_122_92_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_92_5' id='label_122_92_5' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-360-A1B6<\/div><div class=\"td\">200<\/div><div class=\"td\">h<\/div><div class=\"td\">cs<\/div><div class=\"td\">4<\/div><div class=\"td\">Available for RV-7\/7A, 8\/8A<\/div><div class=\"td\">ATC-RT0504<\/div><\/div> <span class=\"gf_inline_price\">+ $70,300.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_92_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_92' type='radio' value='YIO390A3B6|71700'  id='choice_122_92_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_92_6' id='label_122_92_6' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-390-A3B6<\/div><div class=\"td\">210<\/div><div class=\"td\">h<\/div><div class=\"td\">cs<\/div><div class=\"td\">4<\/div><div class=\"td\">Available for RV-7\/7A, 8\/8A, RV-14\/14A, RV-15<\/div><div class=\"td\">ATC-RT0505<\/div><\/div> <span class=\"gf_inline_price\">+ $71,700.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_92_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_92' type='radio' value='YIO390EXP119|75600'  id='choice_122_92_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_92_7' id='label_122_92_7' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-390-EXP119<\/div><div class=\"td\">215<\/div><div class=\"td\">h<\/div><div class=\"td\">cs<\/div><div class=\"td\">4<\/div><div class=\"td\">Available for RV-7\/7A, 8\/8A, RV-14\/14A, RV-15<\/div><div class=\"td\">ATC-RT0506<\/div><\/div> <span class=\"gf_inline_price\">+ $75,600.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_92_8'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_92' type='radio' value='YIO390EXP119X|75600'  id='choice_122_92_8' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_92_8' id='label_122_92_8' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-390-EXP119 w\/acc<\/div><div class=\"td\">215<\/div><div class=\"td\">h<\/div><div class=\"td\">cs<\/div><div class=\"td\">4<\/div><div class=\"td\">Available for RV-7\/7A, 8\/8A, RV-14\/14A, RV-15<\/div><div class=\"td\">ATC-RT0507<\/div><\/div> <span class=\"gf_inline_price\">+ $75,600.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_92_9'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_92' type='radio' value='YIO540D4A5|91400'  id='choice_122_92_9' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_92_9' id='label_122_92_9' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-540-D4A5<\/div><div class=\"td\">260<\/div><div class=\"td\">v<\/div><div class=\"td\">cs<\/div><div class=\"td\">6<\/div><div class=\"td\">Available for RV-10 only. Single pulley flywheel. Requires Slick-Start booster system.<\/div><div class=\"td\">ATC-RT0508<\/div><\/div> <span class=\"gf_inline_price\">+ $91,400.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_92_10'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_92' type='radio' value='YIO540D4A5DUAL|91400'  id='choice_122_92_10' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_92_10' id='label_122_92_10' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-540-D4A5 w\/AC drive<\/div><div class=\"td\">260<\/div><div class=\"td\">v<\/div><div class=\"td\">cs<\/div><div class=\"td\">6<\/div><div class=\"td\">Available for RV-10 only. Dual pulley flywheel. Requires Slick-Start booster system.<\/div><div class=\"td\">ATC-RT0509<\/div><\/div> <span class=\"gf_inline_price\">+ $91,400.00<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_122_157\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><span style=\"font-weight: 700; color: red;\">Please note that you have chosen the IO-390-EXP119 version that does not have accessory case compatible with a vacuum-pump drive (sometimes used for an auxiliary pad-driven alternator). This engine is slightly lighter but cannot be easily retrofitted to use a vacuum pump or secondary alternator.<\/span><\/div><div id=\"field_122_160\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><span style=\"font-weight: 700; color: red;\">Please note that you have chosen the IO-390-EXP119 version with an accessory case compatible with a vacuum-pump drive (sometimes used for an auxiliary pad-driven alternator).<\/span><\/div><fieldset id=\"field_122_126\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gf-order-table gfield_price gfield_price_122_126 gfield_product_122_126 gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >LYCOMING THUNDERBOLT ENGINE with DUAL LYCOMING EIS and AIRFLOW PERFORMANCE FUEL SYSTEM<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_122_126'><div class=\"tr\">\n<div class=\"th\">Engine Model<\/div>\n<div class=\"th\">HP<\/div>\n<div class=\"th\">Ind<\/div>\n<div class=\"th\">Prop<\/div>\n<div class=\"th\">Cyl<\/div>\n<div class=\"th\">Notes<\/div>\n<div class=\"th\">ENPL<\/div>\n<\/div><\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_126'>\n\t\t\t<div class='gchoice gchoice_122_126_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_126' type='radio' value='YIO320D1A|66500'  id='choice_122_126_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_122_126\"   \/>\n\t\t\t\t\t<label for='choice_122_126_0' id='label_122_126_0' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-320-D1A<\/div><div class=\"td\">160<\/div><div class=\"td\">v<\/div><div class=\"td\">fp\/cs<\/div><div class=\"td\">4<\/div><div class=\"td\">Available for RV-3, 4, 6\/6A, 7\/7A, 8\/8A, 9\/9A<\/div><div class=\"td\">ATC-RT2F0526<\/div><\/div> <span class=\"gf_inline_price\">+ $66,500.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_126_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_126' type='radio' value='YIO360M1B|67100'  id='choice_122_126_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_126_1' id='label_122_126_1' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-360-M1B<\/div><div class=\"td\">180<\/div><div class=\"td\">h<\/div><div class=\"td\">fp\/cs<\/div><div class=\"td\">4<\/div><div class=\"td\">Available for RV-6\/6A, 7\/7A, 8\/8A<\/div><div class=\"td\">ATC-RT2F0519<\/div><\/div> <span class=\"gf_inline_price\">+ $67,100.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_126_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_126' type='radio' value='YIO360A1B6|76500'  id='choice_122_126_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_126_2' id='label_122_126_2' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-360-A1B6<\/div><div class=\"td\">200<\/div><div class=\"td\">h<\/div><div class=\"td\">cs<\/div><div class=\"td\">4<\/div><div class=\"td\">Available for RV-7\/7A, 8\/8A<\/div><div class=\"td\">ATC-RT2F0520<\/div><\/div> <span class=\"gf_inline_price\">+ $76,500.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_126_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_126' type='radio' value='YIO390A3B6|77900'  id='choice_122_126_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_126_3' id='label_122_126_3' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-390-A3B6<\/div><div class=\"td\">210<\/div><div class=\"td\">h<\/div><div class=\"td\">cs<\/div><div class=\"td\">4<\/div><div class=\"td\">Available for RV-7\/7A, 8\/8A, RV-14\/14A, RV-15<\/div><div class=\"td\">ATC-RT2V0521<\/div><\/div> <span class=\"gf_inline_price\">+ $77,900.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_126_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_126' type='radio' value='YIO390EXP119|81700'  id='choice_122_126_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_126_4' id='label_122_126_4' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-390-EXP119<\/div><div class=\"td\">215<\/div><div class=\"td\">h<\/div><div class=\"td\">cs<\/div><div class=\"td\">4<\/div><div class=\"td\">Available for RV-7\/7A, 8\/8A, RV-14\/14A, RV-15<\/div><div class=\"td\">ATC-RT2V0522<\/div><\/div> <span class=\"gf_inline_price\">+ $81,700.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_126_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_126' type='radio' value='YIO390EXP119X|81700'  id='choice_122_126_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_126_5' id='label_122_126_5' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-390-EXP119 W\/Acc<\/div><div class=\"td\">215<\/div><div class=\"td\">h<\/div><div class=\"td\">cs<\/div><div class=\"td\">4<\/div><div class=\"td\">Available for RV-7\/7A, 8\/8A, RV-14\/14A, RV-15<\/div><div class=\"td\">ATC-RT2V0523<\/div><\/div> <span class=\"gf_inline_price\">+ $81,700.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_126_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_126' type='radio' value='YIO540D4A5|97600'  id='choice_122_126_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_126_6' id='label_122_126_6' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-540-D4A5<\/div><div class=\"td\">260<\/div><div class=\"td\">v<\/div><div class=\"td\">cs<\/div><div class=\"td\">6<\/div><div class=\"td\">Available for RV-10 only. Single pulley flywheel. Requires Slick-Start booster system.<\/div><div class=\"td\">ATC-RT2F0524<\/div><\/div> <span class=\"gf_inline_price\">+ $97,600.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_126_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_126' type='radio' value='YIO540D4A5DUAL|97600'  id='choice_122_126_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_126_7' id='label_122_126_7' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-540-D4A5 w\/AC drive<\/div><div class=\"td\">260<\/div><div class=\"td\">v<\/div><div class=\"td\">cs<\/div><div class=\"td\">6<\/div><div class=\"td\">Available for RV-10 only. Dual pulley flywheel. Requires Slick-Start booster system.<\/div><div class=\"td\">ATC-RT2F0525<\/div><\/div> <span class=\"gf_inline_price\">+ $97,600.00<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_122_161\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><span style=\"font-weight: 700; color: red;\">Please note that you have chosen the IO-390-EXP119 version with an accessory case compatible with a vacuum-pump drive (sometimes used for an auxiliary pad-driven alternator).<\/span><\/div><div id=\"field_122_158\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><span style=\"font-weight: 700; color: red;\">Please note that you have chosen the IO-390-EXP119 version that does not have accessory case compatible with a vacuum-pump drive (sometimes used for an auxiliary pad-driven alternator). This engine is slightly lighter but cannot be easily retrofitted to use a vacuum pump or secondary alternator.<\/span><\/div><fieldset id=\"field_122_127\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gf-order-table gfield_price gfield_price_122_127 gfield_product_122_127 gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >LYCOMING THUNDERBOLT ENGINE with DUAL E-MAGS and AIRFLOW PERFORMANCE FUEL SYSTEM<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_122_127'><div class=\"tr\">\n<div class=\"th\">Engine Model<\/div>\n<div class=\"th\">HP<\/div>\n<div class=\"th\">Ind<\/div>\n<div class=\"th\">Prop<\/div>\n<div class=\"th\">Cyl<\/div>\n<div class=\"th\">Notes<\/div>\n<div class=\"th\">ENPL<\/div>\n<\/div><\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_127'>\n\t\t\t<div class='gchoice gchoice_122_127_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_127' type='radio' value='YIO320D1A|66500'  id='choice_122_127_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_122_127\"   \/>\n\t\t\t\t\t<label for='choice_122_127_0' id='label_122_127_0' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-320-D1A<\/div><div class=\"td\">160<\/div><div class=\"td\">v<\/div><div class=\"td\">fp\/cs<\/div><div class=\"td\">4<\/div><div class=\"td\">Available for RV-3, 4, 6\/6A, 7\/7A, 8\/8A, 9\/9A<\/div><div class=\"td\">ATC-RT2E0526<\/div><\/div> <span class=\"gf_inline_price\">+ $66,500.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_127_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_127' type='radio' value='YIO360M1B|67100'  id='choice_122_127_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_127_1' id='label_122_127_1' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-360-M1B<\/div><div class=\"td\">180<\/div><div class=\"td\">h<\/div><div class=\"td\">fp\/cs<\/div><div class=\"td\">4<\/div><div class=\"td\">Available for RV-6\/6A, 7\/7A, 8\/8A<\/div><div class=\"td\">ATC-RT2E0519<\/div><\/div> <span class=\"gf_inline_price\">+ $67,100.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_127_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_127' type='radio' value='YIO360A1B6|76500'  id='choice_122_127_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_127_2' id='label_122_127_2' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-360-A1B6<\/div><div class=\"td\">200<\/div><div class=\"td\">h<\/div><div class=\"td\">cs<\/div><div class=\"td\">4<\/div><div class=\"td\">Available for RV-7\/7A, 8\/8A<\/div><div class=\"td\">ATC-RT2E0520<\/div><\/div> <span class=\"gf_inline_price\">+ $76,500.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_127_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_127' type='radio' value='YIO390A3B6|77900'  id='choice_122_127_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_127_3' id='label_122_127_3' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-390-A3B6<\/div><div class=\"td\">210<\/div><div class=\"td\">h<\/div><div class=\"td\">cs<\/div><div class=\"td\">4<\/div><div class=\"td\">Available for RV-7\/7A, 8\/8A, RV-14\/14A, RV-15<\/div><div class=\"td\">ATC-RT2E0521<\/div><\/div> <span class=\"gf_inline_price\">+ $77,900.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_127_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_127' type='radio' value='YIO390EXP119|81700'  id='choice_122_127_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_127_4' id='label_122_127_4' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-390-EXP119<\/div><div class=\"td\">215<\/div><div class=\"td\">h<\/div><div class=\"td\">cs<\/div><div class=\"td\">4<\/div><div class=\"td\">Available for RV-7\/7A, 8\/8A, RV-14\/14A, RV-15<\/div><div class=\"td\">ATC-RT2E0522<\/div><\/div> <span class=\"gf_inline_price\">+ $81,700.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_127_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_127' type='radio' value='YIO390EXP119X|81700'  id='choice_122_127_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_127_5' id='label_122_127_5' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-390-EXP119 w\/Acc<\/div><div class=\"td\">215<\/div><div class=\"td\">h<\/div><div class=\"td\">cs<\/div><div class=\"td\">4<\/div><div class=\"td\">Available for RV-7\/7A, 8\/8A, RV-14\/14A, RV-15<\/div><div class=\"td\">ATC-RT2E0523<\/div><\/div> <span class=\"gf_inline_price\">+ $81,700.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_127_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_127' type='radio' value='YIO540D4A5|98100'  id='choice_122_127_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_127_6' id='label_122_127_6' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-540-D4A5<\/div><div class=\"td\">260<\/div><div class=\"td\">v<\/div><div class=\"td\">cs<\/div><div class=\"td\">6<\/div><div class=\"td\">Available for RV-10 only. Single pulley flywheel. Requires Slick-Start booster system.<\/div><div class=\"td\">ATC-RT2E0524<\/div><\/div> <span class=\"gf_inline_price\">+ $98,100.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_127_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_127' type='radio' value='YIO540D4A5DUAL|98100'  id='choice_122_127_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_127_7' id='label_122_127_7' class='gform-field-label gform-field-label--type-inline'><div class=\"tr\"><div class=\"td\">YIO-540-D4A5 w\/AC drive<\/div><div class=\"td\">260<\/div><div class=\"td\">v<\/div><div class=\"td\">cs<\/div><div class=\"td\">6<\/div><div class=\"td\">Available for RV-10 only. Dual pulley flywheel. Requires Slick-Start booster system.<\/div><div class=\"td\">ATC-RT2E0525<\/div><\/div> <span class=\"gf_inline_price\">+ $98,100.00<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_122_162\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><span style=\"font-weight: 700; color: red;\">Please note that you have chosen the IO-390-EXP119 version with an accessory case compatible with a vacuum-pump drive (sometimes used for an auxiliary pad-driven alternator).<\/span><\/div><div id=\"field_122_159\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><span style=\"font-weight: 700; color: red;\">Please note that you have chosen the IO-390-EXP119 version that does not have accessory case compatible with a vacuum-pump drive (sometimes used for an auxiliary pad-driven alternator). This engine is slightly lighter but cannot be easily retrofitted to use a vacuum pump or secondary alternator.<\/span><\/div><div id=\"field_122_154\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><b>Note:<\/b> When ordering the IO-540 with an Airflow Performance throttle body, you will need to provide some components that are not included in our Firewall-Forward kit. Specifically, the push-pull cables, VA-182 throttle\/mixture bracket and fuel hoses will likely need to be replaced with parts that fit the AFP option, and the Van's filtered air box may require some modification .<br><\/div><div id=\"field_122_99\" class=\"gfield gfield--type-html gfield--input-type-html no-top-margin gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>v=vertical, h=horizontal, ca=cold air sump,&nbsp;fp=fixed pitch, cs=constant speed<\/p>\n\n<p>&nbsp;<\/p>\n\n<p>&nbsp;<\/p>\n<\/div><fieldset id=\"field_122_131\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_122_131 gfield_product_122_131 gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >COLOR CHOICES<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_122_131'>\n\t\t\t<div class='gchoice gchoice_122_131_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_131' type='radio' value='Single Standard Color: Gray|0'  id='choice_122_131_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_131_0' id='label_122_131_0' class='gform-field-label gform-field-label--type-inline'>Single Standard Color: Gray<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_131_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_131' type='radio' value='Single Standard Color: Red|0'  id='choice_122_131_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_131_1' id='label_122_131_1' class='gform-field-label gform-field-label--type-inline'>Single Standard Color: Red<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_131_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_131' type='radio' value='Single Standard Color: Black|0'  id='choice_122_131_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_131_2' id='label_122_131_2' class='gform-field-label gform-field-label--type-inline'>Single Standard Color: Black<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_131_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_131' type='radio' value='Single Standard Color: Blue|0'  id='choice_122_131_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_131_3' id='label_122_131_3' class='gform-field-label gform-field-label--type-inline'>Single Standard Color: Blue<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_131_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_131' type='radio' value='Two Standard Colors - choose from red, gray, black - specify below|225'  id='choice_122_131_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_131_4' id='label_122_131_4' class='gform-field-label gform-field-label--type-inline'>Two Standard Colors - choose from red, gray, black - specify below <span class=\"gf_inline_price\">+ $225.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_131_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_131' type='radio' value='One Custom Color - specify your PPG color code below|450'  id='choice_122_131_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_131_5' id='label_122_131_5' class='gform-field-label gform-field-label--type-inline'>One Custom Color - specify your PPG color code below <span class=\"gf_inline_price\">+ $450.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_131_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_131' type='radio' value='Two Custom Colors - specify your PPG color codes below|675'  id='choice_122_131_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_131_6' id='label_122_131_6' class='gform-field-label gform-field-label--type-inline'>Two Custom Colors - specify your PPG color codes below <span class=\"gf_inline_price\">+ $675.00<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_122_119\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_119'>Specify your paint colors and add any other paint details<\/label><div class='gfield_description' id='gfield_description_122_119'><p><em>Note that a Thunderbolt associate will contact you to confirm your color preferences.<\/em><\/p>\n<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_119' id='input_122_119' class='textarea medium'  aria-describedby=\"gfield_description_122_119\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_122_142\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_122_142 gfield_product_122_142 field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Polished Cylinder Fins<\/legend><div class='gfield_description' id='gfield_description_122_142'>Have your cylinder's metal fins polished to a near-mirror finish. Adds substantial \"bling\" to the engine.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_142'>\n\t\t\t<div class='gchoice gchoice_122_142_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_142' type='radio' value='Unpolished cylinder fins|0' checked='checked' id='choice_122_142_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_122_142\"   \/>\n\t\t\t\t\t<label for='choice_122_142_0' id='label_122_142_0' class='gform-field-label gform-field-label--type-inline'>Unpolished cylinder fins<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_142_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_142' type='radio' value='Add polished cylinder fins|2250'  id='choice_122_142_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_142_1' id='label_122_142_1' class='gform-field-label gform-field-label--type-inline'>Add polished cylinder fins <span class=\"gf_inline_price\">+ $2,250.00<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_122_135\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><hr>\n<br>\n<h2>Custom Thunderbolt Engine Options<\/h2>\n<br>\nThe following options are available from Lycoming for Thunderbolt engines. <strong>Selection of one or more of these options will result in the addition of a $1000 engine customization fee<\/strong> (charged once per engine), plus the individual cost of each custom item chosen.\n<br>\n<br><\/div><fieldset id=\"field_122_144\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_122_144 gfield_product_122_144 field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Custom Engine - Compression Ratio Options - 320\/360 Parallel Valve Engines<\/legend><div class='gfield_description' id='gfield_description_122_144'>Note: Choosing this option will result in an engine customization charge of $1000 (charged once per engine regardless of how many custom options are selected).<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_144'>\n\t\t\t<div class='gchoice gchoice_122_144_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_144' type='radio' value='Standard Compression Ratio|0' checked='checked' id='choice_122_144_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_122_144\"   \/>\n\t\t\t\t\t<label for='choice_122_144_0' id='label_122_144_0' class='gform-field-label gform-field-label--type-inline'>Standard Compression Ratio<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_144_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_144' type='radio' value='9:1 High Compression option|800'  id='choice_122_144_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_144_1' id='label_122_144_1' class='gform-field-label gform-field-label--type-inline'>9:1 High Compression option <span class=\"gf_inline_price\">+ $800.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_144_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_144' type='radio' value='10:1 High Compression option|800'  id='choice_122_144_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_144_2' id='label_122_144_2' class='gform-field-label gform-field-label--type-inline'>10:1 High Compression option <span class=\"gf_inline_price\">+ $800.00<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_122_146\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_122_146 gfield_product_122_146 field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Custom Engine - Compression Ratio Options - 390 Engines<\/legend><div class='gfield_description' id='gfield_description_122_146'>Note: Choosing this option will result in an engine customization charge of $1000 (charged once per engine regardless of how many custom options are selected).<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_146'>\n\t\t\t<div class='gchoice gchoice_122_146_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_146' type='radio' value='Standard Compression Ratio|0' checked='checked' id='choice_122_146_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_122_146\"   \/>\n\t\t\t\t\t<label for='choice_122_146_0' id='label_122_146_0' class='gform-field-label gform-field-label--type-inline'>Standard Compression Ratio<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_146_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_146' type='radio' value='7.3:1 Low Compression option|3950'  id='choice_122_146_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_146_1' id='label_122_146_1' class='gform-field-label gform-field-label--type-inline'>7.3:1 Low Compression option <span class=\"gf_inline_price\">+ $3,950.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_146_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_146' type='radio' value='10:1 High Compression option|800'  id='choice_122_146_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_146_2' id='label_122_146_2' class='gform-field-label gform-field-label--type-inline'>10:1 High Compression option <span class=\"gf_inline_price\">+ $800.00<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_122_145\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_122_145 gfield_product_122_145 field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Custom Engine - Compression Ratio Options - 540 Engines<\/legend><div class='gfield_description' id='gfield_description_122_145'>Note: Choosing this option will result in an engine customization charge of $1000 (charged once per engine regardless of how many custom options are selected).<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_145'>\n\t\t\t<div class='gchoice gchoice_122_145_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_145' type='radio' value='Standard Compression Ratio|0' checked='checked' id='choice_122_145_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_122_145\"   \/>\n\t\t\t\t\t<label for='choice_122_145_0' id='label_122_145_0' class='gform-field-label gform-field-label--type-inline'>Standard Compression Ratio<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_145_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_145' type='radio' value='9:1 High Compression option|1150'  id='choice_122_145_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_145_1' id='label_122_145_1' class='gform-field-label gform-field-label--type-inline'>9:1 High Compression option <span class=\"gf_inline_price\">+ $1,150.00<\/span><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_145_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_145' type='radio' value='10:1 High Compression option|1150'  id='choice_122_145_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_145_2' id='label_122_145_2' class='gform-field-label gform-field-label--type-inline'>10:1 High Compression option <span class=\"gf_inline_price\">+ $1,150.00<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_122_147\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_122_147 gfield_product_122_147 field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Custom Engine - Chrome Pushrod Tubes - 4-Cylinder Engines<\/legend><div class='gfield_description' id='gfield_description_122_147'>Add some super-extra shine to the top end of your Thunderbolt.\n\nNote: Choosing this option will result in an engine customization charge of $1000 (charged once per engine regardless of how many custom options are selected).<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_147'>\n\t\t\t<div class='gchoice gchoice_122_147_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_147' type='radio' value='No chrome pushrod tubes|0' checked='checked' id='choice_122_147_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_122_147\"   \/>\n\t\t\t\t\t<label for='choice_122_147_0' id='label_122_147_0' class='gform-field-label gform-field-label--type-inline'>No chrome pushrod tubes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_147_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_147' type='radio' value='Add Chrome Pushrod Tubes - 4-cylinder engines|900'  id='choice_122_147_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_147_1' id='label_122_147_1' class='gform-field-label gform-field-label--type-inline'>Add Chrome Pushrod Tubes - 4-cylinder engines <span class=\"gf_inline_price\">+ $900.00<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_122_148\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_122_148 gfield_product_122_148 field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Custom Engine - Chrome Pushrod Tubes - 6-Clyinder Engines<\/legend><div class='gfield_description' id='gfield_description_122_148'>Add some super-extra shine to the top end of your Thunderbolt.\n\nNote: Choosing this option will result in an engine customization charge of $1000 (charged once per engine regardless of how many custom options are selected).<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_148'>\n\t\t\t<div class='gchoice gchoice_122_148_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_148' type='radio' value='No chrome pushrod tubes|0' checked='checked' id='choice_122_148_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_122_148\"   \/>\n\t\t\t\t\t<label for='choice_122_148_0' id='label_122_148_0' class='gform-field-label gform-field-label--type-inline'>No chrome pushrod tubes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_148_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_148' type='radio' value='Add Chrome Pushrod Tubes - 6-cylinder engines|1350'  id='choice_122_148_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_148_1' id='label_122_148_1' class='gform-field-label gform-field-label--type-inline'>Add Chrome Pushrod Tubes - 6-cylinder engines <span class=\"gf_inline_price\">+ $1,350.00<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_122_149\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_122_149 gfield_product_122_149 field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Custom Engine - Cold Air Induction Option - 540 Engines<\/legend><div class='gfield_description' id='gfield_description_122_149'>Notes: Choosing this option will result in an engine customization charge of $1000 (charged once per engine regardless of how many custom options are selected).\n\nInclusion of the cold-air induction sump system may require customization of our firewall-forward and\/or finishing kits, as the sump is physically different than the standard sump.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_149'>\n\t\t\t<div class='gchoice gchoice_122_149_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_149' type='radio' value='Standard Induction\/Sump|0' checked='checked' id='choice_122_149_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_122_149\"   \/>\n\t\t\t\t\t<label for='choice_122_149_0' id='label_122_149_0' class='gform-field-label gform-field-label--type-inline'>Standard Induction\/Sump<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_149_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_149' type='radio' value='Cold Air Induction\/Sump|6050'  id='choice_122_149_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_149_1' id='label_122_149_1' class='gform-field-label gform-field-label--type-inline'>Cold Air Induction\/Sump <span class=\"gf_inline_price\">+ $6,050.00<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_122_150\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_122_150 gfield_product_122_150 field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Custom Engine - Aerobatic Option (Inverted Oil System)<\/legend><div class='gfield_description' id='gfield_description_122_150'>Note: Choosing this option will result in an engine customization charge of $1000 (charged once per engine regardless of how many custom options are selected).<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_150'>\n\t\t\t<div class='gchoice gchoice_122_150_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_150' type='radio' value='Do not include|0' checked='checked' id='choice_122_150_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_122_150\"   \/>\n\t\t\t\t\t<label for='choice_122_150_0' id='label_122_150_0' class='gform-field-label gform-field-label--type-inline'>Do not include<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_150_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_150' type='radio' value='Include Aerobatic\/Inverted Oil System|3500'  id='choice_122_150_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_150_1' id='label_122_150_1' class='gform-field-label gform-field-label--type-inline'>Include Aerobatic\/Inverted Oil System <span class=\"gf_inline_price\">+ $3,500.00<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_122_151\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_122_151 gfield_product_122_151 field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Custom Engine: Parts Removal<\/legend><div class='gfield_description' id='gfield_description_122_151'>Note: Choosing this option will result in an engine customization charge of $1000 (charged once per engine regardless of how many custom options are selected).<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_151'>\n\t\t\t<div class='gchoice gchoice_122_151_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_151' type='radio' value='No Parts Removal|0' checked='checked' id='choice_122_151_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_122_151\"   \/>\n\t\t\t\t\t<label for='choice_122_151_0' id='label_122_151_0' class='gform-field-label gform-field-label--type-inline'>No Parts Removal<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_151_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_151' type='radio' value='Remove Starter Ring Gear|-400'  id='choice_122_151_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_151_1' id='label_122_151_1' class='gform-field-label gform-field-label--type-inline'>Remove Starter Ring Gear <span class=\"gf_inline_price\">&ndash; $400.00<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_122_152\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gfield_price gfield_price_122_152 gfield_product_122_152 field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_122_152_1'>Thunderbolt Engine Customization Fee<\/label><div class='gfield_description' id='gfield_description_122_152'>This customization fee appears and is automatically added only if one or more of the following options have been selected:\n\nCompression Ratio Changes\nChrome Pushrod Tubes\nCold Air Induction (IO-540)\nAerobatic Kit\nParts Removal<\/div><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_152.1' value='Thunderbolt Engine Customization Fee' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_122_152' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_122_152' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_152.2' id='ginput_base_price_122_152' value='$1,000.00' aria-label='Thunderbolt Engine Customization Fee Price' aria-describedby=\"gfield_description_122_152\" \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_152.3' value='1' class='ginput_quantity_122_152 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><fieldset id=\"field_122_56\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield_price gfield_price_122_56 gfield_product_122_56 field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Prop Bundle Option<\/legend><div class='gfield_description' id='gfield_description_122_56'><p><em>When you buy a new Lycoming engine from Van&#39;s Aircraft and also purchase a propeller from Van&#39;s <u>at the same time<\/u>, we offer a $1,000 reduction in the price of the engine. Use this field to indicate your desire to place the package order. Your Van&#39;s Kit Team representative will process the combined order for you. Due to OEM agreements, the engine and propeller must be ordered at the same time and shipment accepted according to their normal lead times; we cannot delay shipment of the items with the shorter lead times. <\/em><\/p>\n<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_56'>\n\t\t\t<div class='gchoice gchoice_122_56_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='Not bundling with prop order|0' checked='checked' id='choice_122_56_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_122_56\"   \/>\n\t\t\t\t\t<label for='choice_122_56_0' id='label_122_56_0' class='gform-field-label gform-field-label--type-inline'>Not bundling with prop order<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_56_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_56' type='radio' value='Yes, I am ordering a propeller from Van&#039;s at the same time as my engine|-1000'  id='choice_122_56_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_56_1' id='label_122_56_1' class='gform-field-label gform-field-label--type-inline'>Yes, I am ordering a propeller from Van's at the same time as my engine <span class=\"gf_inline_price\">&ndash; $1,000.00<\/span><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_122_98\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield_price gfield_price_122_98 gfield_product_122_98 gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Liftgate needed at destination?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_122_98'><em>Shipping and liftgate charges are variable and will be determined by Lycoming at the time your engine build begins and Van's collects your final payment.<\/em>\n<p><em>Unless you specify a liftgate is needed, you will be responsible for ensuring a safe method of transferring the heavy engine crate from the truck to the ground or other unloading surface.<\/em><\/p>\n<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_122_98'>\n\t\t\t<div class='gchoice gchoice_122_98_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_98' type='radio' value='No liftgate needed|0' checked='checked' id='choice_122_98_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_122_98\"   \/>\n\t\t\t\t\t<label for='choice_122_98_0' id='label_122_98_0' class='gform-field-label gform-field-label--type-inline'>No liftgate needed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_122_98_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_98' type='radio' value='Yes, I need liftgate service|0'  id='choice_122_98_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_122_98_1' id='label_122_98_1' class='gform-field-label gform-field-label--type-inline'>Yes, I need liftgate service<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_122_121\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_121'>Other notes<\/label><div class='gfield_description' id='gfield_description_122_121'><p>Please include any details you wish to make us aware of concerning your order.<\/p>\n<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_121' id='input_122_121' class='textarea medium'  aria-describedby=\"gfield_description_122_121\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_122_36\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Customer Information<\/h3><\/div><div id=\"field_122_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_1'>RV Serial Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_122_1'><p><em>Sometimes called the \"customer number,\" which is assigned with the&nbsp;Empennage\/Tail kit<\/em><\/p>\n<\/div><div class='ginput_container ginput_container_text'><input name='input_1' id='input_122_1' type='text' value='' class='medium'  aria-describedby=\"gfield_description_122_1\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_122_2\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_above 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_122_2'>\n                            \n                            <span id='input_122_2_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.3' id='input_122_2_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_122_2_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_122_2_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.6' id='input_122_2_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_122_2_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_122_3\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Mailing 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 has_country ginput_container_address gform-grid-row' id='input_122_3' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_122_3_1_container' >\n                                        <input type='text' name='input_3.1' id='input_122_3_1' value=''    aria-required='true'    \/>\n                                        <label for='input_122_3_1' id='input_122_3_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_122_3_2_container' >\n                                        <input type='text' name='input_3.2' id='input_122_3_2' value=''     aria-required='false'   \/>\n                                        <label for='input_122_3_2' id='input_122_3_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_122_3_3_container' >\n                                    <input type='text' name='input_3.3' id='input_122_3_3' value=''    aria-required='true'    \/>\n                                    <label for='input_122_3_3' id='input_122_3_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_122_3_4_container' >\n                                        <input type='text' name='input_3.4' id='input_122_3_4' value=''      aria-required='true'    \/>\n                                        <label for='input_122_3_4' id='input_122_3_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_122_3_5_container' >\n                                    <input type='text' name='input_3.5' id='input_122_3_5' value=''    aria-required='true'    \/>\n                                    <label for='input_122_3_5' id='input_122_3_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_122_3_6_container' >\n                                        <select name='input_3.6' id='input_122_3_6'   aria-required='true'    ><option value='' ><\/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&#039;Ivoire' >C\u00f4te d&#039;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&#039;s Republic of' >Korea, Democratic People&#039;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&#039;s Democratic Republic' >Lao People&#039;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' selected='selected'>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                                        <label for='input_122_3_6' id='input_122_3_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_122_9\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_122_9'><div class='gchoice gchoice_122_9_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_9.1' type='checkbox'  value='true'  id='choice_122_9_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_122_9_1' id='label_122_9_1' class='gform-field-label gform-field-label--type-inline'>Use my mailing address as the shipping address<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_122_4\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_above 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 has_country ginput_container_address gform-grid-row' id='input_122_4' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_122_4_1_container' >\n                                        <input type='text' name='input_4.1' id='input_122_4_1' value=''    aria-required='true'    \/>\n                                        <label for='input_122_4_1' id='input_122_4_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_122_4_2_container' >\n                                        <input type='text' name='input_4.2' id='input_122_4_2' value=''     aria-required='false'   \/>\n                                        <label for='input_122_4_2' id='input_122_4_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_122_4_3_container' >\n                                    <input type='text' name='input_4.3' id='input_122_4_3' value=''    aria-required='true'    \/>\n                                    <label for='input_122_4_3' id='input_122_4_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_122_4_4_container' >\n                                        <input type='text' name='input_4.4' id='input_122_4_4' value=''      aria-required='true'    \/>\n                                        <label for='input_122_4_4' id='input_122_4_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_122_4_5_container' >\n                                    <input type='text' name='input_4.5' id='input_122_4_5' value=''    aria-required='true'    \/>\n                                    <label for='input_122_4_5' id='input_122_4_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_122_4_6_container' >\n                                        <select name='input_4.6' id='input_122_4_6'   aria-required='true'    ><option value='' ><\/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&#039;Ivoire' >C\u00f4te d&#039;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&#039;s Republic of' >Korea, Democratic People&#039;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&#039;s Democratic Republic' >Lao People&#039;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' selected='selected'>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                                        <label for='input_122_4_6' id='input_122_4_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_122_5\" class=\"gfield gfield--type-phone gfield--input-type-phone field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_5'>Day Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_5' id='input_122_5' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_122_6\" class=\"gfield gfield--type-phone gfield--input-type-phone field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_6'>Evening Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_122_6' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_122_7\" class=\"gfield gfield--type-phone gfield--input-type-phone field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_7'>Fax<\/label><div class='ginput_container ginput_container_phone'><input name='input_7' id='input_122_7' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_122_8\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_8'>Email Address<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_8' id='input_122_8' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_122_102\" class=\"gfield gfield--type-html gfield--input-type-html no-top-margin bottom-margin gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><p>Certified engines have all the certifications necessary to install them in a production airplane and are available upon request. Non-certified engines are functionally and mechanically identical, but do not have the certifications, which are not required for airplanes licensed in the Experimental category.<\/p>\n\n<p>All engines are equipped with roller tappets,  appropriate ignition harness, fuel pump, starter, vacuum pump drive, prop governor drive, and carburetor or fuel servo\/injectors. 149-tooth ring gear. Alternators, exhaust systems, vacuum pumps, governors, etc. vary according to aircraft type and are not supplied.<\/p>\n\n<p>Van&rsquo;s does not maintain a stock of Lycoming engines at its warehouse. Within the USA\/Canada engines ship directly to the customer from Lycoming. Additional shipping charges apply to engines shipped to Alaska, Hawaii and Canada. Exact shipping cost will&nbsp;depend on destination and will be billed separately. Orders to international addresses will ship from Lycoming to Van&rsquo;s. Shipping charges from Van&rsquo;s to the final destination is additional cost. To ensure proper shipment, this form must be completed and submitted.<\/p>\n\n<p><strong>Deposit and Payment<\/strong><\/p>\n\n<p>A 25% non-refundable deposit is required to initiate your order. Deposits must be made in U.S. funds by check, money order, wire transfer, or electronic check. Credit cards are not accepted.<\/p>\n\n<p>Payment of the balance must be received in full before shipment of the engine from Textron Lycoming to your location&nbsp;(or before shipment to Van&#39;s in the case of international orders). Payment of the balance must be made&nbsp;in U.S. funds via&nbsp;check, money order, or wire transfer. We are unable to accept credit card payments for the balance.<\/p>\n<\/div><div id=\"field_122_137\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_137'>Payment Method<\/label><div class='ginput_container ginput_container_select'><select name='input_137' id='input_122_137' class='large gfield_select'     aria-invalid=\"false\" ><option value='ach' selected='selected'>Electronic Check<\/option><option value='wire' >Wire Transfer<\/option><option value='check' >Physical Check<\/option><\/select><\/div><\/div><fieldset id=\"field_122_138\" class=\"gfield gfield--type-creditcard gfield--input-type-creditcard gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Credit Card<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_creditcard gform-grid-row' id='input_122_138'><span class='ginput_full gform-grid-col' id='input_122_138_1_container' >\n                                    <div class='gform_card_icon_container'><div class='gform_card_icon gform_card_icon_discover' >Discover<\/div><div class='gform_card_icon gform_card_icon_mastercard' >MasterCard<\/div><div class='gform_card_icon gform_card_icon_visa' >Visa<\/div><span class='screen-reader-text' id='field_122_138_supported_creditcards'>Supported Credit Cards: Discover, MasterCard, Visa<\/span><\/div>\n                                    <input type='text' name='input_138.1' id='input_122_138_1' value=''   onchange='gformMatchCard(\"input_122_138_1\");' onkeyup='gformMatchCard(\"input_122_138_1\");' autocomplete='off' pattern='[0-9]*' title='Only digits are allowed'  aria-required='true'  \/>\n                                    <label for='input_122_138_1' id='input_122_138_1_label' class='gform-field-label gform-field-label--type-sub '>Card Number<\/label>\n                                 <\/span><span class='ginput_full ginput_cardextras gform-grid-col gform-grid-row' id='input_122_138_2_container'>\n                                            <fieldset class='ginput_cardinfo_left gform-grid-col' id='input_122_138_2_cardinfo_left'>\n                                            <legend class='gform-field-label gform-field-label--type-sub '>Expiration Date<\/legend>\n                                                <span class='ginput_card_expiration_container ginput_card_field gform-grid-row'>\n                                                   <span class='ginput_card_expiration_month_container gform-grid-col'>\n                                                       <label for='input_122_138_2_month' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                                       <select name='input_138.2[]' id='input_122_138_2_month'   class='ginput_card_expiration ginput_card_expiration_month' aria-required='true'  >\n                                                           <option value=''>Month<\/option><option value='1' >01<\/option><option value='2' >02<\/option><option value='3' >03<\/option><option value='4' >04<\/option><option value='5' >05<\/option><option value='6' >06<\/option><option value='7' >07<\/option><option value='8' >08<\/option><option value='9' >09<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option>\n                                                       <\/select>\n                                                   <\/span>\n                                                   <span class='ginput_card_expiration_year_container gform-grid-col'>\n                                                       <label for='input_122_138_2_year' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                                       <select name='input_138.2[]' id='input_122_138_2_year'   class='ginput_card_expiration ginput_card_expiration_year' aria-required='true'  >\n                                                           <option value=''>Year<\/option><option value='2026' >2026<\/option><option value='2027' >2027<\/option><option value='2028' >2028<\/option><option value='2029' >2029<\/option><option value='2030' >2030<\/option><option value='2031' >2031<\/option><option value='2032' >2032<\/option><option value='2033' >2033<\/option><option value='2034' >2034<\/option><option value='2035' >2035<\/option><option value='2036' >2036<\/option><option value='2037' >2037<\/option><option value='2038' >2038<\/option><option value='2039' >2039<\/option><option value='2040' >2040<\/option><option value='2041' >2041<\/option><option value='2042' >2042<\/option><option value='2043' >2043<\/option><option value='2044' >2044<\/option><option value='2045' >2045<\/option>\n                                                       <\/select>\n                                                   <\/span>\n                                                <\/span>\n                                            <\/fieldset><span class='ginput_cardinfo_right gform-grid-col' id='input_122_138_2_cardinfo_right'>\n                                                <input type='text' name='input_138.3' id='input_122_138_3'   class='ginput_card_security_code' value='' autocomplete='off' pattern='[0-9]*' title='Only digits are allowed'  aria-required='true'  \/>\n                                                <span class='ginput_card_security_code_icon'>&nbsp;<\/span>\n                                                <label for='input_122_138_3' class='gform-field-label gform-field-label--type-sub '>Security Code<\/label>\n                                             <\/span>\n                                        <\/span><span class='ginput_full gform-grid-col' id='input_122_138_5_container'>\n                                            <input type='text' name='input_138.5' id='input_122_138_5' value=''    aria-required='false'  \/>\n                                            <label for='input_122_138_5' id='input_122_138_5_label' class='gform-field-label gform-field-label--type-sub '>Cardholder Name<\/label>\n                                        <\/span> <\/div><\/fieldset><fieldset id=\"field_122_156\" class=\"gfield gfield--type-ach gfield--input-type-ach gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Electronic Check<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_ach gform-grid-row' id='input_122_156'><span class='ginput_left ginput_address_city  gform-grid-col' id='input_122_156_1_container' >\r\n\t\t\t\t\t\t\t\t\t<input type='text' name='input_156.1' id='input_122_156_1' value=''     autocomplete='off' pattern='[0-9]*' title='Only digits are allowed'  aria-required='true'  \/>\r\n\t\t\t\t\t\t\t\t\t<label for='input_122_156_1' id='input_122_156_1_label' class='gform-field-label gform-field-label--type-sub '>Account Number<\/label>\r\n\t\t\t\t\t\t\t\t <\/span><span class='ginput_right ginput_address_country gform-grid-col' id='input_122_156_3_container'>\r\n                                    <select name='input_156.3' id='input_122_156_3'   class='ginput_card_expiration' aria-required='true'  >\r\n\t\t\t\t\t\t\t\t\t\t<option value=''>Select<\/option><option value='S' >Savings<\/option><option value='C' >Checking<\/option>\r\n\t\t\t\t\t\t\t\t\t<\/select>\r\n                                    <label for='input_122_156_3' id='input_122_156_3_label' class='gform-field-label gform-field-label--type-sub '>Account Type<\/label>\r\n                                 <\/span><span class='ginput_full gform-grid-col' id='input_122_156_2_container' >\r\n                                    <input type='text' name='input_156.2' id='input_122_156_2' value=''     autocomplete='off' pattern='[0-9]*' title='Only digits are allowed'  aria-required='true'  \/>\r\n                                    <label for='input_122_156_2' id='input_122_156_2_label' class='gform-field-label gform-field-label--type-sub '>Routing Number<\/label>\r\n                                 <\/span><span class='ginput_full gform-grid-col' id='input_122_156_4_container'>\r\n                                            <input type='text' name='input_156.4' id='input_122_156_4' value=''    aria-required='false'  \/>\r\n                                            <label for='input_122_156_4' id='input_122_156_4_label' class='gform-field-label gform-field-label--type-sub '>Account Holder Name<\/label>\r\n                                        <\/span> <\/div><\/fieldset><fieldset id=\"field_122_112\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_112.1' id='input_122_112_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_122_112_1' >I agree to the above terms.<\/label><input type='hidden' name='input_112.2' value='I agree to the above terms.' class='gform_hidden' \/><input type='hidden' name='input_112.3' value='21' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_122_111\" class=\"gfield gfield--type-captcha gfield--input-type-captcha field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_111'>CAPTCHA<\/label><div id='input_122_111' class='ginput_container ginput_recaptcha' data-sitekey='6LckZIMUAAAAAMttrsyaMC7zr2wogwF-HR-5el1l'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/div><\/div><div class=\"gfield gfmc-column gfmc-field\"><div id=\"field_122_68\" class=\"gfield gfield--type-html gfield--input-type-html no-top-margin gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><h2>Order Summary<\/h2><\/div><div id=\"field_122_84\" class=\"gfield gfield--type-number gfield--input-type-number gf-subtotal gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_122_84'>Engine Total<\/label><div class='ginput_container ginput_container_number'><input name='input_84' id='input_122_84' type='text' step='any'   value='' class='small gform-text-input-reset'  readonly=\"readonly\"    aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_122_108\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h3 class=\"gsection_title\">Shipping for 2 Mag engines (hidden)<\/h3><\/div><div id=\"field_122_110\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h3 class=\"gsection_title\">Shipping section end (hidden)<\/h3><\/div><div id=\"field_122_136\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full gf_invisible gfield_price gfield_price_122_136 gfield_product_122_136 gfield_calculation field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_122_136_1'>Deposit calculation<\/label><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_136.1' value='Deposit calculation' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_122_136' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_122_136'>$0.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_136.2' id='ginput_base_price_122_136' class='gform_hidden ginput_calculated_price' value='$0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_136.3' value='1' class='ginput_quantity_122_136 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_122_139\" class=\"gfield gfield--type-total gfield--input-type-total gfield--width-full gfield_price gfield_price_122_ gfield_total gfield_total_122_ field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_122_139'>25% Deposit<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_139' id='input_122_139' value='$0.00' class='gform-text-input-reset ginput_total ginput_total_122' \/>\n\t\t\t\t\t\t<\/div><\/div><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <input type='submit' id='gform_submit_button_122' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' value='Submit Order'  \/> <input type='hidden' 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