{"id":127,"date":"2026-01-12T15:07:06","date_gmt":"2026-01-12T15:07:06","guid":{"rendered":"https:\/\/aaccmi.com\/?page_id=127"},"modified":"2026-01-16T14:32:21","modified_gmt":"2026-01-16T13:32:21","slug":"sign-up","status":"publish","type":"page","link":"https:\/\/aaccmi.com\/al\/sign-up\/","title":{"rendered":"Sign Up"},"content":{"rendered":"<div class=\"et_pb_section_0 et_pb_section et_section_regular et_flex_section\">\n<div class=\"et_pb_row_0 et_pb_row et_flex_row\">\n<div class=\"et_pb_column_0 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone\">\n<div class=\"et_pb_code_0 et_pb_code et_pb_module\"><div class=\"et_pb_code_inner\">\n<div class=\"aacc-membership-form-container\">\n    <div class=\"aacc-form-header\">\n        <h2 class=\"aacc-form-title\">MEMBERSHIP<\/h2>\n        <h3 class=\"aacc-form-subtitle\">APPLICATION FORM<\/h3>\n    <\/div>\n\n\n    <form id=\"aacc-membership-form\" class=\"aacc-membership-form\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\">\n        <div class=\"aacc-form-messages\">\n                    <\/div>\n\n        <!-- STEP 1: MEMBERSHIP SELECTION -->\n        <div class=\"aacc-form-section aacc-form-step\" data-step=\"1\">\n            <h3 class=\"aacc-section-title\">MEMBERSHIP SELECTION<\/h3>\n\n            <div class=\"aacc-form-row\">\n                <div class=\"aacc-form-field aacc-full-width\">\n                    <label>Choose Membership Type <span class=\"required\">*<\/span><\/label>\n                    <div class=\"aacc-membership-types\">\n                                                <label class=\"aacc-membership-type-option\">\n                            <input type=\"radio\" name=\"membership_type\" value=\"individual\" data-type=\"individual\" data-lifetime=\"false\"  required \/>\n                            <span class=\"aacc-membership-type-label\">\n                                <strong>INDIVIDUAL\/PROFESSIONAL<\/strong> - $129\/vit                            <\/span>\n                        <\/label>\n                                                <label class=\"aacc-membership-type-option\">\n                            <input type=\"radio\" name=\"membership_type\" value=\"business\" data-type=\"business\" data-lifetime=\"false\"  required \/>\n                            <span class=\"aacc-membership-type-label\">\n                                <strong>BUSINESS<\/strong> - $250\/vit                            <\/span>\n                        <\/label>\n                                                <label class=\"aacc-membership-type-option\">\n                            <input type=\"radio\" name=\"membership_type\" value=\"corporate\" data-type=\"corporate\" data-lifetime=\"false\"  required \/>\n                            <span class=\"aacc-membership-type-label\">\n                                <strong>CORPORATE<\/strong> - $1500\/vit                            <\/span>\n                        <\/label>\n                                                <label class=\"aacc-membership-type-option\">\n                            <input type=\"radio\" name=\"membership_type\" value=\"founding_business_leaders\" data-type=\"founding_business_leaders\" data-lifetime=\"true\"  required \/>\n                            <span class=\"aacc-membership-type-label\">\n                                <strong>FOUNDING BUSINESS LEADERS<\/strong> - from $5,000 (one-time, lifetime)                            <\/span>\n                        <\/label>\n                                            <\/div>\n                <\/div>\n            <\/div>\n\n            <div id=\"aacc-subscription-duration-row\" class=\"aacc-form-row\">\n                <div class=\"aacc-form-field aacc-full-width\">\n                    <label>Subscription Duration <span class=\"required\">*<\/span><\/label>\n                    <div class=\"aacc-duration-options\">\n                        <label><input type=\"radio\" name=\"subscription_duration\" value=\"1\"  required \/> 1 Year<\/label>\n                        <label><input type=\"radio\" name=\"subscription_duration\" value=\"2\"  \/> 2 Years<\/label>\n                        <!--  <label><input type=\"radio\" name=\"subscription_duration\" value=\"3\" \/> 3 Years<\/label> -->\n                    <\/div>\n                <\/div>\n            <\/div>\n\n            <div id=\"aacc-founding-info\" class=\"aacc-form-row\" style=\"display:none;\">\n                <div class=\"aacc-form-field aacc-full-width\">\n                    <div style=\"background:#fff8e1;border-left:4px solid #c8102e;padding:16px 20px;border-radius:0 4px 4px 0;\">\n                                                                        <p style=\"margin:0 0 8px;font-weight:700;font-size:15px;\">Founding Business Leaders \u2014 Lifetime Membership<\/p>\n                                                                        <p style=\"margin:0 0 6px;\">This is a one-time payment that grants you permanent, lifetime membership in the Albanian American Chamber of Commerce. No renewals, no annual fees \u2014 your membership never expires.<\/p>\n                                                                        <p style=\"margin:0;color:#555;\">Your legacy begins here. As a Founding Business Leader, you will receive permanent recognition on the Chamber's Recognition Wall and enjoy all the privileges of this exclusive founding tier.<\/p>\n                                            <\/div>\n                <\/div>\n            <\/div>\n        <\/div>\n\n        <!-- STEP 2: APPLICANT DETAILS -->\n        <div class=\"aacc-form-section aacc-form-step aacc-step-locked\" data-step=\"2\">\n            <h3 class=\"aacc-section-title\">APPLICANT DETAILS<\/h3>\n\n            \n            <!-- SHARED FIELDS: always present regardless of membership type -->\n            <div class=\"aacc-form-row\">\n                <div class=\"aacc-form-field aacc-half-width\">\n                    <label for=\"contact_person\">Contact Person <span class=\"required\">*<\/span><\/label>\n                    <input type=\"text\" id=\"contact_person\" name=\"contact_person\" value=\"\" required \/>\n                <\/div>\n                <div class=\"aacc-form-field aacc-half-width\">\n                    <label>Gender<\/label>\n                    <div class=\"aacc-gender-options\">\n                        <label><input type=\"radio\" name=\"gender\" value=\"male\"  \/> Male<\/label>\n                        <label><input type=\"radio\" name=\"gender\" value=\"female\"  \/> Female<\/label>\n                    <\/div>\n                <\/div>\n            <\/div>\n\n            <div class=\"aacc-form-row\">\n                <div class=\"aacc-form-field aacc-full-width\">\n                    <label for=\"phone_number\">Phone Number <span class=\"required\">*<\/span><\/label>\n                    <input type=\"tel\" id=\"phone_number\" name=\"phone_number\" value=\"\" required \/>\n                <\/div>\n            <\/div>\n\n            <div class=\"aacc-form-row\">\n                <div class=\"aacc-form-field aacc-full-width\">\n                    <label for=\"email_address\">Email Address <span class=\"required\">*<\/span><\/label>\n                    <input type=\"email\" id=\"email_address\" name=\"email_address\" value=\"\" required \/>\n                <\/div>\n            <\/div>\n\n            <!-- INDIVIDUAL-ONLY FIELDS -->\n            <div class=\"aacc-individual-fields\" style=\"display:none;\">\n\n                <div class=\"aacc-form-row\">\n                    <div class=\"aacc-form-field aacc-full-width\">\n                        <label for=\"profession_degree\">Profession\/Degree<\/label>\n                        <input type=\"text\" id=\"profession_degree\" name=\"profession_degree\" value=\"\" \/>\n                    <\/div>\n                <\/div>\n\n                <div class=\"aacc-form-row\">\n                    <div class=\"aacc-form-field aacc-full-width\">\n                        <label class=\"aacc-checkbox-label\">\n                            <input type=\"checkbox\" id=\"hide_directory_info\" name=\"hide_directory_info\" value=\"1\"  \/>\n                            Hide my information from the Members Directory page                        <\/label>\n                        <p class=\"aacc-field-note\">When checked, only your name will be visible in the directory. Your phone, email, and profession will be hidden.<\/p>\n                    <\/div>\n                <\/div>\n\n            <\/div><!-- \/.aacc-individual-fields -->\n\n            <!-- BUSINESS \/ CORPORATE \/ FOUNDING FIELDS -->\n            <div class=\"aacc-business-fields\" >\n\n                <div class=\"aacc-form-row\">\n                    <div class=\"aacc-form-field aacc-full-width\">\n                        <label for=\"company_name\">Company Name <span class=\"required\">*<\/span><\/label>\n                        <input type=\"text\" id=\"company_name\" name=\"company_name\" value=\"\" required \/>\n                    <\/div>\n                <\/div>\n\n                <div class=\"aacc-form-row\">\n                    <div class=\"aacc-form-field aacc-full-width\">\n                        <label for=\"company_logo\">Company Logo <span class=\"aacc-field-note\">(JPG, JPEG, PNG, WEBP - Max 2MB)<\/span><\/label>\n                        <input type=\"file\" id=\"company_logo\" name=\"company_logo\" accept=\".jpg,.jpeg,.png,.webp\" \/>\n                        <div class=\"aacc-logo-preview\" style=\"display: none;\">\n                            <img decoding=\"async\" src=\"\" alt=\"Logo Preview\" \/>\n                            <button type=\"button\" class=\"aacc-remove-logo\">Remove<\/button>\n                        <\/div>\n                    <\/div>\n                <\/div>\n\n                <div class=\"aacc-form-row\">\n                    <div class=\"aacc-form-field aacc-full-width\">\n                        <label for=\"category_search\">Business Category <span class=\"aacc-field-note\">(Select up to 3)<\/span><\/label>\n                        <input type=\"text\" id=\"category_search\" class=\"aacc-category-search\" placeholder=\"Search categories...\" \/>\n                        <div class=\"aacc-category-checkboxes\">\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"ATM service and credit card\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">ATM service and credit card<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Accounting\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Accounting<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Advertising\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Advertising<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Advertising Specialties\/Promotional Products\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Advertising Specialties\/Promotional Products<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"AlbaTech Services LLC\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">AlbaTech Services LLC<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Animal Services\/Boarding\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Animal Services\/Boarding<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Apartments\/Corporate Apts.\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Apartments\/Corporate Apts.<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Appraisals\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Appraisals<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Architects\/Architectural Planning\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Architects\/Architectural Planning<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Artificial Intelligence\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Artificial Intelligence<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Artist\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Artist<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Artists\/Art Galleries\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Artists\/Art Galleries<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Attorneys\/Legal Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Attorneys\/Legal Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Audio\/Visual\/Videoconferencing\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Audio\/Visual\/Videoconferencing<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Audiology\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Audiology<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Audits\/Auditors\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Audits\/Auditors<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Automotive Services\/Sales\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Automotive Services\/Sales<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Automotive Suppliers\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Automotive Suppliers<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Aviation\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Aviation<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Banquet Venues\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Banquet Venues<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Bar\/Tavern\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Bar\/Tavern<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Boutique Catering\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Boutique Catering<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Bridal Boutique\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Bridal Boutique<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Brokerage Firms\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Brokerage Firms<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Building\/Remodeling\/Contracting\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Building\/Remodeling\/Contracting<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Business Consulting\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Business Consulting<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Business Valuations\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Business Valuations<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Car Wash\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Car Wash<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Career Services Management\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Career Services Management<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Catering\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Catering<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Cemetery\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Cemetery<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Child Care Providers\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Child Care Providers<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Chiropractic\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Chiropractic<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Clothing - Retail\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Clothing - Retail<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Coaching\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Coaching<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Coffee Service\/Houses\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Coffee Service\/Houses<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Colleges\/Universities\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Colleges\/Universities<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Community Planners\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Community Planners<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Condominium association management\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Condominium association management<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Conference Facilities\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Conference Facilities<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Construction-Commercial\/Industrial\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Construction-Commercial\/Industrial<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Copying Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Copying Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Corporate Event Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Corporate Event Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Corporate Headquarters\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Corporate Headquarters<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Corporate\/Commercial Cleaning\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Corporate\/Commercial Cleaning<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Corporate\/Executive Gifts\/Awards\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Corporate\/Executive Gifts\/Awards<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Counseling\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Counseling<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Credit Cards\/Credit Card Processing\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Credit Cards\/Credit Card Processing<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Cyber Security\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Cyber Security<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Data Communications\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Data Communications<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Data Storage\/Management\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Data Storage\/Management<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Dental\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Dental<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Dependent Care Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Dependent Care Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Digital Marketing\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Digital Marketing<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Displays\/Exhibits\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Displays\/Exhibits<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Distributors\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Distributors<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Document Destruction\/Recycling\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Document Destruction\/Recycling<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"E-Commerce\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">E-Commerce<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Education\/Training\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Education\/Training<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Electric Contractor, Security System, Low Voltage\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Electric Contractor, Security System, Low Voltage<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Electrical (Residential\/Commercial)\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Electrical (Residential\/Commercial)<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Embroidery\/Monogramming\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Embroidery\/Monogramming<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Employee Benefit Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Employee Benefit Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Employment\/Staffing Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Employment\/Staffing Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Engineering\/Related Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Engineering\/Related Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Engraving\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Engraving<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Entertainment\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Entertainment<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Environmental Products\/Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Environmental Products\/Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Event Catering &amp; Specialty Food Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Event Catering &amp; Specialty Food Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Event Styling &amp; Design\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Event Styling &amp; Design<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Events\/Event Production\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Events\/Event Production<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Executive Search\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Executive Search<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Export Management\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Export Management<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Fabrication\/Cutting\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Fabrication\/Cutting<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Facilities Management\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Facilities Management<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Film Production\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Film Production<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Financial Institutions\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Financial Institutions<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Financial\/Investment Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Financial\/Investment Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Fitness Centers\/Gyms\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Fitness Centers\/Gyms<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Floor and Upholstery Cleaning\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Floor and Upholstery Cleaning<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Flooring\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Flooring<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Florists\/Greenhouses\/Garden Center\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Florists\/Greenhouses\/Garden Center<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Food - Specialty\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Food - Specialty<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Foreign Language Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Foreign Language Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Franchising\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Franchising<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Freight Carriers\/Forwarding\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Freight Carriers\/Forwarding<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Funeral Homes\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Funeral Homes<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Furniture-Office\/Home\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Furniture-Office\/Home<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Glass\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Glass<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Golf Courses\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Golf Courses<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Government\/Military\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Government\/Military<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Graphic Arts\/Design\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Graphic Arts\/Design<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Health Related Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Health Related Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Heating\/Cooling\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Heating\/Cooling<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Hospitality &amp; Entertainment\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Hospitality &amp; Entertainment<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Hotels\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Hotels<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Human Resource Consulting\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Human Resource Consulting<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Hypnotherapy\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Hypnotherapy<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"IT Services\/Consulting\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">IT Services\/Consulting<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Image Consulting\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Image Consulting<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Industrial Tools, Materials, Supplies\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Industrial Tools, Materials, Supplies<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Inspection\/Testing Laboratory\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Inspection\/Testing Laboratory<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Insurance\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Insurance<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Interior Designers\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Interior Designers<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Internet Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Internet Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Inventory Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Inventory Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Investigative Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Investigative Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Investment\/Retirement Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Investment\/Retirement Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Jewelers\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Jewelers<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Landscaping\/Lawn Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Landscaping\/Lawn Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Leadership Development\/Team Building\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Leadership Development\/Team Building<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Leasing Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Leasing Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Lending\/Business-Residential\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Lending\/Business-Residential<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Lighting\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Lighting<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Mail Managers\/Mail Equipment\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Mail Managers\/Mail Equipment<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Management Consultants\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Management Consultants<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Manufacturers Representatives\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Manufacturers Representatives<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Manufacturers\/Manufacturing\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Manufacturers\/Manufacturing<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Marketing\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Marketing<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Marketing\/Market Research\/Consulting\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Marketing\/Market Research\/Consulting<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Markets\/Convenience Stores\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Markets\/Convenience Stores<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Massage Therapy\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Massage Therapy<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Media\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Media<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Medical Billing\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Medical Billing<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Medical Equipment\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Medical Equipment<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Medical Facilities\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Medical Facilities<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Meeting\/Event Planners\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Meeting\/Event Planners<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Merchant Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Merchant Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Mortgage or Title Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Mortgage or Title Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Moving\/Storage\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Moving\/Storage<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Museums\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Museums<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Musical Instruments - Sales\/Instruction\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Musical Instruments - Sales\/Instruction<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Nail Salons\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Nail Salons<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Network Design\/Installation\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Network Design\/Installation<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Networking Groups\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Networking Groups<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Non-Profit Organizations\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Non-Profit Organizations<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Notary Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Notary Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Office Centers\/Co-Working Space\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Office Centers\/Co-Working Space<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Office Equipment\/Supplies\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Office Equipment\/Supplies<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Optometry\/Ophthalmology\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Optometry\/Ophthalmology<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Organizing\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Organizing<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"PEO-Professional Employer Organization\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">PEO-Professional Employer Organization<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Packaging\/Shipping\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Packaging\/Shipping<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Painting-Commercial\/Residential\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Painting-Commercial\/Residential<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Patents\/Trademarks\/Copyrights\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Patents\/Trademarks\/Copyrights<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Paving\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Paving<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Payment Systems Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Payment Systems Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Payroll Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Payroll Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Personal Trainer\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Personal Trainer<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Pharmacy\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Pharmacy<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Photography\/Photo Supplies\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Photography\/Photo Supplies<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Physical\/Occupational Therapy\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Physical\/Occupational Therapy<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Physicians\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Physicians<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Plant Design Services(Live\/Silk)\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Plant Design Services(Live\/Silk)<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Plumbing\/Sewer Repairs\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Plumbing\/Sewer Repairs<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Prenatal Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Prenatal Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Printing Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Printing Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Property Management\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Property Management<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Property Restoration\/Commercial-Residential\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Property Restoration\/Commercial-Residential<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Public Relations\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Public Relations<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Publishing\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Publishing<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Real Estate - Commercial\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Real Estate - Commercial<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Real Estate Development\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Real Estate Development<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Realtors - Residential\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Realtors - Residential<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Recruit22 LLC\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Recruit22 LLC<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Recycling Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Recycling Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Religious Institutions\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Religious Institutions<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Relocation Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Relocation Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Renovation\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Renovation<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Rentals\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Rentals<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Research\/Development\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Research\/Development<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Restaurants\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Restaurants<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Retail Sales - Misc.\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Retail Sales - Misc.<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Salons\/Spas\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Salons\/Spas<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Security- Product Sales\/Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Security- Product Sales\/Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Senior Housing\/Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Senior Housing\/Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Signs\/Billboards\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Signs\/Billboards<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Skin Care\/Makeup\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Skin Care\/Makeup<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Snow Removal - Commercial\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Snow Removal - Commercial<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Sports\/Recreation\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Sports\/Recreation<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Storage\/Storage Systems\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Storage\/Storage Systems<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"TV\/Radio Broadcasting\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">TV\/Radio Broadcasting<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Tallulah llc.\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Tallulah llc.<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Tax \/Consulting Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Tax \/Consulting Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Technology Products\/Sales\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Technology Products\/Sales<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Telecommunications\/Data Communications\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Telecommunications\/Data Communications<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Trade Associations\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Trade Associations<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Transportation\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Transportation<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Travel\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Travel<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Tree Services\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Tree Services<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Utilities\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Utilities<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Vacuum Sales &amp; Service\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Vacuum Sales &amp; Service<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Vending\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Vending<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Video Production\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Video Production<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Warehousing\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Warehousing<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Water Suppliers\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Water Suppliers<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Web Development\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Web Development<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Wellness\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Wellness<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Wholesalers\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Wholesalers<\/span>\n                            <\/label>\n                                                        <label class=\"aacc-category-checkbox-label\">\n                                <input type=\"checkbox\" name=\"business_categories[]\" value=\"Writing\/Business, Editorial, Technical\" class=\"aacc-category-checkbox\"  \/>\n                                <span class=\"aacc-category-name\">Writing\/Business, Editorial, Technical<\/span>\n                            <\/label>\n                                                    <\/div>\n                        <div id=\"aacc-category-no-results\" style=\"display:none;\" class=\"aacc-category-no-results\">\n                            We could not find                            <span class=\"aacc-category-no-results-term\"><\/span>\n                            &mdash;\n                            <button type=\"button\" id=\"aacc-add-custom-category\" class=\"aacc-add-category-btn\">\n                                Add it                            <\/button>\n                        <\/div>\n                        <p class=\"aacc-selected-count\">Selected: <span id=\"category_count\">0<\/span>\/3<\/p>\n                    <\/div>\n                <\/div>\n\n                <div class=\"aacc-form-row\">\n                    <div class=\"aacc-form-field aacc-half-width\">\n                        <label for=\"title\">Title<\/label>\n                        <input type=\"text\" id=\"title\" name=\"title\" value=\"\" \/>\n                    <\/div>\n                <\/div>\n\n                <div class=\"aacc-form-row\">\n                    <div class=\"aacc-form-field aacc-full-width\">\n                        <label for=\"address\">Address<\/label>\n                        <input type=\"text\" id=\"address\" name=\"address\" value=\"\" \/>\n                    <\/div>\n                <\/div>\n\n                <div class=\"aacc-form-row\">\n                    <div class=\"aacc-form-field aacc-full-width\">\n                        <label for=\"city_state_zip\">City, State, ZIP<\/label>\n                        <input type=\"text\" id=\"city_state_zip\" name=\"city_state_zip\" value=\"\" \/>\n                    <\/div>\n                <\/div>\n\n                <div class=\"aacc-form-row\">\n                    <div class=\"aacc-form-field aacc-full-width\">\n                        <label for=\"company_website\">Company Website<\/label>\n                        <input type=\"text\" id=\"company_website\" name=\"company_website\" value=\"\" placeholder=\"example.com\" \/>\n                    <\/div>\n                <\/div>\n\n                <div class=\"aacc-form-row\">\n                    <div class=\"aacc-form-field aacc-full-width\">\n                        <label for=\"business_description\">Describe your business<\/label>\n                        <textarea id=\"business_description\" name=\"business_description\" rows=\"4\" maxlength=\"600\"><\/textarea>\n                        <p class=\"aacc-field-note\"><span id=\"business_description_count\">0<\/span>\/600 characters<\/p>\n                    <\/div>\n                <\/div>\n\n                <div class=\"aacc-form-row\">\n                    <div class=\"aacc-form-field aacc-half-width\">\n                        <label for=\"num_businesses\">No. of businesses owned<\/label>\n                        <input type=\"number\" id=\"num_businesses\" name=\"num_businesses\" value=\"\" min=\"0\" \/>\n                    <\/div>\n                    <div class=\"aacc-form-field aacc-half-width\">\n                        <label for=\"num_employees\">Number of employees<\/label>\n                        <select id=\"num_employees\" name=\"num_employees\">\n                            <option value=\"\">Select...<\/option>\n                            <option value=\"0-10\" >0-10<\/option>\n                            <option value=\"11-50\" >11-50<\/option>\n                            <option value=\"51-100\" >51-100<\/option>\n                            <option value=\"101-200\" >101-200<\/option>\n                            <option value=\"200+\" >200+<\/option>\n                        <\/select>\n                    <\/div>\n                <\/div>\n\n            <\/div><!-- \/.aacc-business-fields -->\n\n        <\/div>\n\n        <!-- STEP 3: PAYMENT OPTIONS + SIGNATURE + SUBMIT -->\n        <div class=\"aacc-form-section aacc-form-step aacc-step-locked\" data-step=\"3\">\n            <h3 class=\"aacc-section-title\">PAYMENT OPTIONS<\/h3>\n\n            <div class=\"aacc-form-row\">\n                <div class=\"aacc-form-field aacc-full-width\">\n                    <label class=\"aacc-payment-option\">\n                                                <input type=\"radio\" name=\"payment_method\" value=\"bank_wire\"  \/>\n                        Bank Wire Transfer                    <\/label>\n                    <p class=\"aacc-field-note aacc-bank-wire-note\" style=\"\">\n                        You will receive wire transfer instructions by email after submitting your application.                    <\/p>\n                <\/div>\n            <\/div>\n\n                        <div class=\"aacc-form-row\">\n                <div class=\"aacc-form-field aacc-full-width\">\n                    <label class=\"aacc-payment-option\">\n                                                <input type=\"radio\" name=\"payment_method\" value=\"stripe\" checked \/>\n                        Credit \/ Debit Card (Stripe)                    <\/label>\n                    <p class=\"aacc-field-note\">You will be securely redirected to Stripe to complete your payment.<\/p>\n                <\/div>\n            <\/div>\n\n            <div class=\"aacc-form-row aacc-stripe-options\" id=\"aacc-stripe-options\">\n                <div class=\"aacc-form-field aacc-full-width\">\n                    <label class=\"aacc-auto-renewal-label\">\n                        <input type=\"checkbox\" name=\"auto_renewal\" id=\"auto_renewal\" value=\"1\" \/>\n                        <strong>Enable Auto-Renewal<\/strong>\n                    <\/label>\n                    <p class=\"aacc-field-note\">\n                        When enabled, your card will be automatically charged at the end of each subscription period and your membership will renew without interruption. You can cancel at any time from your member dashboard.                    <\/p>\n                    <p class=\"aacc-field-note\">\n                        When <strong>not<\/strong> enabled, you will be charged once for the selected duration \u2014 no card is stored and no automatic renewal takes place.                    <\/p>\n                <\/div>\n            <\/div>\n            \n            <div class=\"aacc-form-row\">\n                <div class=\"aacc-form-field aacc-half-width\">\n                    <label for=\"signature_name\">Signature <span class=\"required\">*<\/span><\/label>\n                    <input type=\"text\" id=\"signature_name\" name=\"signature_name\" value=\"\" placeholder=\"Type your full name\" required \/>\n                    <p class=\"aacc-field-note\">Must match the Contact Person name above<\/p>\n                <\/div>\n                <div class=\"aacc-form-field aacc-half-width\">\n                    <label>Date<\/label>\n                    <input type=\"text\" value=\"Prill 28, 2026\" readonly \/>\n                <\/div>\n            <\/div>\n\n            <div class=\"aacc-form-submit\">\n                <button type=\"submit\" class=\"aacc-submit-button\"\n                    data-label-default=\"Submit Application\"\n                    data-label-stripe=\"Proceed to Payment\">\n                    Kryeni Pages\u00ebn                <\/button>\n            <\/div>\n        <\/div>\n\n    <input type=\"hidden\" name=\"trp-form-language\" value=\"al\"\/><\/form>\n<\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":7,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_breakdance_hide_in_design_set":false,"_breakdance_tags":"","footnotes":""},"class_list":["post-127","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - 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