{"id":16186,"date":"2022-04-20T15:56:35","date_gmt":"2022-04-20T19:56:35","guid":{"rendered":"https:\/\/lozadausa.com\/paises\/bolivia\/mudanza-internacional-repatriacion\/servicio-de-envio-de-cajas-formulario-de-menaje-domestico\/"},"modified":"2022-04-20T15:56:36","modified_gmt":"2022-04-20T19:56:36","slug":"servicio-de-envio-de-cajas-formulario-de-menaje-domestico","status":"publish","type":"page","link":"https:\/\/lozadausa.com\/es\/paises\/bolivia\/mudanza-internacional-repatriacion\/servicio-de-envio-de-cajas-formulario-de-menaje-domestico\/","title":{"rendered":"Servicio de Env\u00edo de Cajas Formulario de Menaje Domestico"},"content":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row_content&#8221; gap=&#8221;0&#8243; css=&#8221;.vc_custom_1621456854613{background: #f5f5f5 url(https:\/\/lozadausa.com\/wp-content\/uploads\/2021\/05\/globus_image_extra_smal.jpg?id=14696) !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}&#8221;][vc_column animation_delay=&#8221;0&#8243; css=&#8221;.vc_custom_1643329478469{padding-top: 0px !important;}&#8221;]<div class=\"et-tagline-wrapper\"><style>#et-tagline-1 {background-color:rgba(255,255,255,0.01);}#et-tagline-1 .tagline-title{color:#212121;}#et-tagline-1 .tagline-button{color:#ffffff;background-color:#d70808;}#et-tagline-1 .tagline-button:hover{background-color:#003399;color:#ffffff;}#et-tagline-1 .tagline-icon{color:#003399;}<\/style><div id=\"et-tagline-1\" class=\"et-tagline\"><div class=\"tagline-container\"><span class=\"tagline-icon et-icon globax icon-gx-delivery-package-opened\"><\/span><h3 class=\"tagline-title\">Formulario de Env\u00edo de Cajas<\/h3><div class=\"tagline-button-wrapper\"><a href=\"\/countries\/bolivia\/international-move-repatriation\/\" class=\"tagline-button et-button large\">Salir de Formulario<\/a><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row][vc_column]<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var 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name=\"gw_page_progression\" value=\"1\" type=\"hidden\" \/><div id='gf_page_steps_24' class='gf_page_steps'><div id='gf_step_24_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span><span class='gf_step_label'>Shipper Info<\/span><\/div><div id='gf_step_24_2' class='gf_step gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span><span class='gf_step_label'>Consignee Info<\/span><\/div><div id='gf_step_24_3' class='gf_step gf_step_pending'><span class='gf_step_number'>3<\/span><span class='gf_step_label'>Service & Destination<\/span><\/div><div id='gf_step_24_4' class='gf_step gf_step_pending'><span class='gf_step_number'>4<\/span><span class='gf_step_label'>Cargo Details<\/span><\/div><div id='gf_step_24_5' class='gf_step gf_step_last gf_step_pending'><span class='gf_step_number'>5<\/span><span class='gf_step_label'>Payment<\/span><\/div><\/div>\n                        <div class='gform_body gform-body'><div id='gform_page_24_1' class='gform_page' >\n                                    <div class='gform_page_fields'><div id='gform_fields_24' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_24_102\" class=\"gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_hidden\" ><label class='gfield_label' for='input_24_102' >Unique ID<\/label><div class='ginput_container ginput_container_hidden'><input name='input_102' id='input_24_102' type='hidden' value=''  \/><\/div><\/div><div id=\"field_24_62\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><h4 style=\"text-align: center;\">Who is the shipper or exporter for this cargo?<\/h4><\/div><fieldset id=\"field_24_3\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label gfield_label_before_complex'  >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_24_3'>\n                            \n                            <span id='input_24_3_3_container' class='name_first' >\n                                                    <input type='text' name='input_3.3' id='input_24_3_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_24_3_3' >Nombre<\/label>\n                                                <\/span>\n                            \n                            <span id='input_24_3_6_container' class='name_last' >\n                                                    <input type='text' name='input_3.6' id='input_24_3_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_24_3_6' >Apellidos<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_24_69\" class=\"gfield gfield--width-third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_24_69' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_69' id='input_24_69' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_24_7\" class=\"gfield gfield--width-third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_24_7' >Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_7' id='input_24_7' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_6\" class=\"gfield gfield--width-third field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_24_6' >Company (If Applicable)<\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_24_6' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_24_1\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label gfield_label_before_complex'  >U.S. Billing Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address' id='input_24_1' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_24_1_1_container' >\n                                        <input type='text' name='input_1.1' id='input_24_1_1' value=''    aria-required='true'    \/>\n                                        <label for='input_24_1_1' id='input_24_1_1_label' >Direcci\u00f3n<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2' id='input_24_1_2_container' >\n                                        <input type='text' name='input_1.2' id='input_24_1_2' value=''     aria-required='false'   \/>\n                                        <label for='input_24_1_2' id='input_24_1_2_label' >Direcci\u00f3n 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city' id='input_24_1_3_container' >\n                                    <input type='text' name='input_1.3' id='input_24_1_3' value=''    aria-required='true'    \/>\n                                    <label for='input_24_1_3' id='input_24_1_3_label' >Ciudad<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state' id='input_24_1_4_container' >\n                                        <select name='input_1.4' id='input_24_1_4'     aria-required='true'    ><option value='' ><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' selected='selected'>Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_24_1_4' id='input_24_1_4_label' >Provincia<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip' id='input_24_1_5_container' >\n                                    <input type='text' name='input_1.5' id='input_24_1_5' value=''    aria-required='true'    \/>\n                                    <label for='input_24_1_5' id='input_24_1_5_label' >C\u00f3digo Postal<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_1.6' id='input_24_1_6' value='United States' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><input type=\"hidden\" name=\"gpaa_coords_1\" class=\"gform_hidden\" value=\"\"><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_24_44' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_24\").val(\"2\");  jQuery(\"#gform_24\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_24\").val(\"2\");  jQuery(\"#gform_24\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_24_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_24_2' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_24_63\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><h4 style=\"text-align: center;\">Who is the consignee or importer for this cargo?<\/h4><\/div><fieldset id=\"field_24_12\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label gfield_label_before_complex'  >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_24_12'>\n                            \n                            <span id='input_24_12_3_container' class='name_first' >\n                                                    <input type='text' name='input_12.3' id='input_24_12_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_24_12_3' >Nombre<\/label>\n                                                <\/span>\n                            \n                            <span id='input_24_12_6_container' class='name_last' >\n                                                    <input type='text' name='input_12.6' id='input_24_12_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_24_12_6' >Apellidos<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_24_70\" class=\"gfield gfield--width-third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_24_70' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_70' id='input_24_70' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_24_13\" class=\"gfield gfield--width-third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_24_13' >Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_13' id='input_24_13' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_14\" class=\"gfield gfield--width-third field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_24_14' >Company (If Applicable)<\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_24_14' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_24_61\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label gfield_label_before_complex'  >Bolivian Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_country ginput_container_address' id='input_24_61' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_24_61_1_container' >\n                                        <input type='text' name='input_61.1' id='input_24_61_1' value=''    aria-required='true'    \/>\n                                        <label for='input_24_61_1' id='input_24_61_1_label' >Direcci\u00f3n<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2' id='input_24_61_2_container' >\n                                        <input type='text' name='input_61.2' id='input_24_61_2' value=''     aria-required='false'   \/>\n                                        <label for='input_24_61_2' id='input_24_61_2_label' >Direcci\u00f3n 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city' id='input_24_61_3_container' >\n                                    <input type='text' name='input_61.3' id='input_24_61_3' value=''    aria-required='true'    \/>\n                                    <label for='input_24_61_3' id='input_24_61_3_label' >Ciudad<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state' id='input_24_61_4_container' >\n                                        <input type='text' name='input_61.4' id='input_24_61_4' value=''      aria-required='true'    \/>\n                                        <label for='input_24_61_4' id='input_24_61_4_label' >Estado \/ Provincia \/ Regi\u00f3n<\/label>\n                                      <\/span><span class='ginput_right address_country ginput_address_country' id='input_24_61_6_container' >\n                                        <select name='input_61.6' id='input_24_61_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanist\u00e1n' >Afghanist\u00e1n<\/option><option value='Albania' >Albania<\/option><option value='Alemania' >Alemania<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antigua y Barbuda' >Antigua y Barbuda<\/option><option value='Ant\u00e1rtida' >Ant\u00e1rtida<\/option><option value='Arabia Saudita' >Arabia Saudita<\/option><option value='Argelia' >Argelia<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaiy\u00e1n' >Azerbaiy\u00e1n<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Bar\u00e9in' >Bar\u00e9in<\/option><option value='Belice' >Belice<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhut\u00e1n' >Bhut\u00e1n<\/option><option value='Bielorusia' >Bielorusia<\/option><option value='Bolivia' selected='selected'>Bolivia<\/option><option value='Bonaire, San Eustaquio y Saba' >Bonaire, San Eustaquio y Saba<\/option><option value='Bosnia y Herzegovina' >Bosnia y Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Brasil' >Brasil<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='B\u00e9gica' >B\u00e9gica<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Camboya' >Camboya<\/option><option value='Camer\u00fan' >Camer\u00fan<\/option><option value='Canada' >Canada<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Chipre' >Chipre<\/option><option value='Colombia' >Colombia<\/option><option value='Comoras' >Comoras<\/option><option value='Congo, Rep\u00fablica Democr\u00e1tica del' >Congo, Rep\u00fablica Democr\u00e1tica del<\/option><option value='Congo, Rep\u00fablica de' >Congo, Rep\u00fablica de<\/option><option value='Corea del Norte' >Corea del Norte<\/option><option value='Corea del Sur' >Corea del Sur<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Costa de Marfil' >Costa de Marfil<\/option><option value='Croacia' >Croacia<\/option><option value='Cuba' >Cuba<\/option><option value='Curazao' >Curazao<\/option><option value='Dinamarca' >Dinamarca<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egipto' >Egipto<\/option><option value='El Salvador' >El Salvador<\/option><option value='Emiratos \u00c1rabes Unidos' >Emiratos \u00c1rabes Unidos<\/option><option value='Eritrea' >Eritrea<\/option><option value='Eslovaquia' >Eslovaquia<\/option><option value='Eslovenia' >Eslovenia<\/option><option value='Espa\u00f1a' >Espa\u00f1a<\/option><option value='Estados Unidos' >Estados Unidos<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini (Suazilandia)' >Eswatini (Suazilandia)<\/option><option value='Etiop\u00eda' >Etiop\u00eda<\/option><option value='Fiji' >Fiji<\/option><option value='Filipinas' >Filipinas<\/option><option value='Finlancia' >Finlancia<\/option><option value='Francia' >Francia<\/option><option value='Gab\u00f3n' >Gab\u00f3n<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Granada' >Granada<\/option><option value='Grecia' >Grecia<\/option><option value='Groenlandia' >Groenlandia<\/option><option value='Guadalupe' >Guadalupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guayana' >Guayana<\/option><option value='Guayana Francesa' >Guayana Francesa<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea Bissau' >Guinea Bissau<\/option><option value='Guinea Ecuatorial' >Guinea Ecuatorial<\/option><option value='Hait\u00ed' >Hait\u00ed<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungr\u00eda' >Hungr\u00eda<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iraq' >Iraq<\/option><option value='Irlanda' >Irlanda<\/option><option value='Ir\u00e1n' >Ir\u00e1n<\/option><option value='Isla Bouvet' >Isla Bouvet<\/option><option value='Isla Norfolk' >Isla Norfolk<\/option><option value='Isla de Man' >Isla de Man<\/option><option value='Isla de Navidad' >Isla de Navidad<\/option><option value='Islandia' >Islandia<\/option><option value='Islas Caim\u00e1n' >Islas Caim\u00e1n<\/option><option value='Islas Cocos' >Islas Cocos<\/option><option value='Islas Cook' >Islas Cook<\/option><option value='Islas Faroe' >Islas Faroe<\/option><option value='Islas Heard y McDonald' >Islas Heard y McDonald<\/option><option value='Islas Malvinas' >Islas Malvinas<\/option><option value='Islas Marianas del Norte' >Islas Marianas del Norte<\/option><option value='Islas Marshall' >Islas Marshall<\/option><option value='Islas Salom\u00f3n' >Islas Salom\u00f3n<\/option><option value='Islas Turcas y Caicos' >Islas Turcas y Caicos<\/option><option value='Islas Ultramarinas Menores de Estados Unidos' >Islas Ultramarinas Menores de Estados Unidos<\/option><option value='Islas V\u00edrgenes Brit\u00e1nicas' >Islas V\u00edrgenes Brit\u00e1nicas<\/option><option value='Islas V\u00edrgenes de los Estados Unidos' >Islas V\u00edrgenes de los Estados Unidos<\/option><option value='Islas \u00c5land' >Islas \u00c5land<\/option><option value='Israel' >Israel<\/option><option value='Italia' >Italia<\/option><option value='Jamaica' >Jamaica<\/option><option value='Jap\u00f3n' >Jap\u00f3n<\/option><option value='Jersey' >Jersey<\/option><option value='Jord\u00e1n' >Jord\u00e1n<\/option><option value='Kazajist\u00e1n' >Kazajist\u00e1n<\/option><option value='Kenia' >Kenia<\/option><option value='Kirguist\u00e1n' >Kirguist\u00e1n<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kuwait' >Kuwait<\/option><option value='LIbia' >LIbia<\/option><option value='Lesoto' >Lesoto<\/option><option value='Liberia' >Liberia<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituania' >Lituania<\/option><option value='Lituania' >Lituania<\/option><option value='Luxemburgo' >Luxemburgo<\/option><option value='L\u00edbano' >L\u00edbano<\/option><option value='Macau' >Macau<\/option><option value='Macedonia' >Macedonia<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malasia' >Malasia<\/option><option value='Malawi' >Malawi<\/option><option value='Maldivas' >Maldivas<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marruecos' >Marruecos<\/option><option value='Martinica' >Martinica<\/option><option value='Mauricio' >Mauricio<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mayotte' >Mayotte<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldavia' >Moldavia<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='M\u00e9xico' >M\u00e9xico<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Noruega' >Noruega<\/option><option value='Nueva Caledonia' >Nueva Caledonia<\/option><option value='Nueva Zelanda' >Nueva Zelanda<\/option><option value='N\u00edger' >N\u00edger<\/option><option value='Om\u00e1n' >Om\u00e1n<\/option><option value='Paises Bajos' >Paises Bajos<\/option><option value='Pakist\u00e1n' >Pakist\u00e1n<\/option><option value='Palau' >Palau<\/option><option value='Palestina, Estado de' >Palestina, Estado de<\/option><option value='Panam\u00e1' >Panam\u00e1<\/option><option value='Pap\u00faa Nueva Guinea' >Pap\u00faa Nueva Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Per\u00fa' >Per\u00fa<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Polinesia Francesa' >Polinesia Francesa<\/option><option value='Polonia' >Polonia<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Reino Unido' >Reino Unido<\/option><option value='Rep\u00fablica Centroafricana' >Rep\u00fablica Centroafricana<\/option><option value='Rep\u00fablica Checa' >Rep\u00fablica Checa<\/option><option value='Rep\u00fablica Democr\u00e1tica Popular de Laos' >Rep\u00fablica Democr\u00e1tica Popular de Laos<\/option><option value='Rep\u00fablica Dominicana' >Rep\u00fablica Dominicana<\/option><option value='Reuni\u00f3n' >Reuni\u00f3n<\/option><option value='Ruanda' >Ruanda<\/option><option value='Ruman\u00eda' >Ruman\u00eda<\/option><option value='Rusia' >Rusia<\/option><option value='Sahara Occidental' >Sahara Occidental<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa Americana' >Samoa Americana<\/option><option value='San Bartolom\u00e9' >San Bartolom\u00e9<\/option><option value='San Crist\u00f3bal y Nieves' >San Crist\u00f3bal y Nieves<\/option><option value='San Marino' >San Marino<\/option><option value='San Mart\u00edn' >San Mart\u00edn<\/option><option value='San Pedro y Miquel\u00f3n' >San Pedro y Miquel\u00f3n<\/option><option value='San Vicente y las Granadinas' >San Vicente y las Granadinas<\/option><option value='Santa Elena' >Santa Elena<\/option><option value='Santa Luc\u00eda' >Santa Luc\u00eda<\/option><option value='Santa Sede' >Santa Sede<\/option><option value='Santo Tom\u00e9 y Principe' >Santo Tom\u00e9 y Principe<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leona' >Sierra Leona<\/option><option value='Singapur' >Singapur<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Siria' >Siria<\/option><option value='Somalia' >Somalia<\/option><option value='South Georgia' >South Georgia<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sud\u00e1frica' >Sud\u00e1frica<\/option><option value='Sud\u00e1n' >Sud\u00e1n<\/option><option value='Sud\u00e1n del Sur' >Sud\u00e1n del Sur<\/option><option value='Suecia' >Suecia<\/option><option value='Suiza' >Suiza<\/option><option value='Surinam' >Surinam<\/option><option value='Svalbard y Jan Mayen' >Svalbard y Jan Mayen<\/option><option value='Tailandia' >Tailandia<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tanzania' >Tanzania<\/option><option value='Tayikist\u00e1n' >Tayikist\u00e1n<\/option><option value='Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico' >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value='Tierras Australes y Ant\u00e1rticas Francesas' >Tierras Australes y Ant\u00e1rticas Francesas<\/option><option value='Timor Oriental' >Timor Oriental<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad y Tobago' >Trinidad y Tobago<\/option><option value='Turkmenist\u00e1n' >Turkmenist\u00e1n<\/option><option value='Turqu\u00eda' >Turqu\u00eda<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fanez' >T\u00fanez<\/option><option value='Ucrania' >Ucrania<\/option><option value='Uganda' >Uganda<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekist\u00e1n' >Uzbekist\u00e1n<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Wallis y Futuna' >Wallis y Futuna<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbaue' >Zimbaue<\/option><\/select>\n                                        <label for='input_24_61_6' id='input_24_61_6_label' >Pa\u00eds<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_24_64\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label'  >Notify Party on Cargo Arrival<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_24_64'>\n\t\t\t<div class='gchoice gchoice_24_64_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='Only Notify Consignee.' checked='checked' id='choice_24_64_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_64_0' id='label_24_64_0'>Only Notify Consignee.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_24_64_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_64' type='radio' value='Notify Consignee and Additional party.'  id='choice_24_64_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_24_64_1' id='label_24_64_1'>Notify Consignee and Additional party.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_24_72\" class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\" ><h3 class=\"gsection_title\">Additional Party Information<\/h3><\/div><fieldset id=\"field_24_66\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label gfield_label_before_complex'  >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_24_66'>\n                            \n                            <span id='input_24_66_3_container' class='name_first' >\n                                                    <input type='text' name='input_66.3' id='input_24_66_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_24_66_3' >Nombre<\/label>\n                                                <\/span>\n                            \n                            <span id='input_24_66_6_container' class='name_last' >\n                                                    <input type='text' name='input_66.6' id='input_24_66_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_24_66_6' >Apellidos<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_24_71\" class=\"gfield gfield--width-third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_24_71' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_71' id='input_24_71' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_24_67\" class=\"gfield gfield--width-third gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_24_67' >Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_67' id='input_24_67' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_24_68\" class=\"gfield gfield--width-third field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_24_68' >Company (If Applicable)<\/label><div class='ginput_container ginput_container_text'><input name='input_68' id='input_24_68' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_24_65\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label gfield_label_before_complex'  >Bolivian Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_country ginput_container_address' id='input_24_65' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_24_65_1_container' >\n                                        <input type='text' name='input_65.1' id='input_24_65_1' value=''    aria-required='true'    \/>\n                                        <label for='input_24_65_1' id='input_24_65_1_label' >Direcci\u00f3n<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2' id='input_24_65_2_container' >\n                                        <input type='text' name='input_65.2' id='input_24_65_2' value=''     aria-required='false'   \/>\n                                        <label for='input_24_65_2' id='input_24_65_2_label' >Direcci\u00f3n 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city' id='input_24_65_3_container' >\n                                    <input type='text' name='input_65.3' id='input_24_65_3' value=''    aria-required='true'    \/>\n                                    <label for='input_24_65_3' id='input_24_65_3_label' >Ciudad<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state' id='input_24_65_4_container' >\n                                        <input type='text' name='input_65.4' id='input_24_65_4' value=''      aria-required='true'    \/>\n                                        <label for='input_24_65_4' id='input_24_65_4_label' >Estado \/ Provincia \/ Regi\u00f3n<\/label>\n                                      <\/span><span class='ginput_right address_country ginput_address_country' id='input_24_65_6_container' >\n                                        <select name='input_65.6' id='input_24_65_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanist\u00e1n' >Afghanist\u00e1n<\/option><option value='Albania' >Albania<\/option><option value='Alemania' >Alemania<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antigua y Barbuda' >Antigua y Barbuda<\/option><option value='Ant\u00e1rtida' >Ant\u00e1rtida<\/option><option value='Arabia Saudita' >Arabia Saudita<\/option><option value='Argelia' >Argelia<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaiy\u00e1n' >Azerbaiy\u00e1n<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Bar\u00e9in' >Bar\u00e9in<\/option><option value='Belice' >Belice<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhut\u00e1n' >Bhut\u00e1n<\/option><option value='Bielorusia' >Bielorusia<\/option><option value='Bolivia' selected='selected'>Bolivia<\/option><option value='Bonaire, San Eustaquio y Saba' >Bonaire, San Eustaquio y Saba<\/option><option value='Bosnia y Herzegovina' >Bosnia y Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Brasil' >Brasil<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='B\u00e9gica' >B\u00e9gica<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Camboya' >Camboya<\/option><option value='Camer\u00fan' >Camer\u00fan<\/option><option value='Canada' >Canada<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Chipre' >Chipre<\/option><option value='Colombia' >Colombia<\/option><option value='Comoras' >Comoras<\/option><option value='Congo, Rep\u00fablica Democr\u00e1tica del' >Congo, Rep\u00fablica Democr\u00e1tica del<\/option><option value='Congo, Rep\u00fablica de' >Congo, Rep\u00fablica de<\/option><option value='Corea del Norte' >Corea del Norte<\/option><option value='Corea del Sur' >Corea del Sur<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Costa de Marfil' >Costa de Marfil<\/option><option value='Croacia' >Croacia<\/option><option value='Cuba' >Cuba<\/option><option value='Curazao' >Curazao<\/option><option value='Dinamarca' >Dinamarca<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egipto' >Egipto<\/option><option value='El Salvador' >El Salvador<\/option><option value='Emiratos \u00c1rabes Unidos' >Emiratos \u00c1rabes Unidos<\/option><option value='Eritrea' >Eritrea<\/option><option value='Eslovaquia' >Eslovaquia<\/option><option value='Eslovenia' >Eslovenia<\/option><option value='Espa\u00f1a' >Espa\u00f1a<\/option><option value='Estados Unidos' >Estados Unidos<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini (Suazilandia)' >Eswatini (Suazilandia)<\/option><option value='Etiop\u00eda' >Etiop\u00eda<\/option><option value='Fiji' >Fiji<\/option><option value='Filipinas' >Filipinas<\/option><option value='Finlancia' >Finlancia<\/option><option value='Francia' >Francia<\/option><option value='Gab\u00f3n' >Gab\u00f3n<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Granada' >Granada<\/option><option value='Grecia' >Grecia<\/option><option value='Groenlandia' >Groenlandia<\/option><option value='Guadalupe' >Guadalupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guayana' >Guayana<\/option><option value='Guayana Francesa' >Guayana Francesa<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea Bissau' >Guinea Bissau<\/option><option value='Guinea Ecuatorial' >Guinea Ecuatorial<\/option><option value='Hait\u00ed' >Hait\u00ed<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungr\u00eda' >Hungr\u00eda<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iraq' >Iraq<\/option><option value='Irlanda' >Irlanda<\/option><option value='Ir\u00e1n' >Ir\u00e1n<\/option><option value='Isla Bouvet' >Isla Bouvet<\/option><option value='Isla Norfolk' >Isla Norfolk<\/option><option value='Isla de Man' >Isla de Man<\/option><option value='Isla de Navidad' >Isla de Navidad<\/option><option value='Islandia' >Islandia<\/option><option value='Islas Caim\u00e1n' >Islas Caim\u00e1n<\/option><option value='Islas Cocos' >Islas Cocos<\/option><option value='Islas Cook' >Islas Cook<\/option><option value='Islas Faroe' >Islas Faroe<\/option><option value='Islas Heard y McDonald' >Islas Heard y McDonald<\/option><option value='Islas Malvinas' >Islas Malvinas<\/option><option value='Islas Marianas del Norte' >Islas Marianas del Norte<\/option><option value='Islas Marshall' >Islas Marshall<\/option><option value='Islas Salom\u00f3n' >Islas Salom\u00f3n<\/option><option value='Islas Turcas y Caicos' >Islas Turcas y Caicos<\/option><option value='Islas Ultramarinas Menores de Estados Unidos' >Islas Ultramarinas Menores de Estados Unidos<\/option><option value='Islas V\u00edrgenes Brit\u00e1nicas' >Islas V\u00edrgenes Brit\u00e1nicas<\/option><option value='Islas V\u00edrgenes de los Estados Unidos' >Islas V\u00edrgenes de los Estados Unidos<\/option><option value='Islas \u00c5land' >Islas \u00c5land<\/option><option value='Israel' >Israel<\/option><option value='Italia' >Italia<\/option><option value='Jamaica' >Jamaica<\/option><option value='Jap\u00f3n' >Jap\u00f3n<\/option><option value='Jersey' >Jersey<\/option><option value='Jord\u00e1n' >Jord\u00e1n<\/option><option value='Kazajist\u00e1n' >Kazajist\u00e1n<\/option><option value='Kenia' >Kenia<\/option><option value='Kirguist\u00e1n' >Kirguist\u00e1n<\/option><option value='Kiribati' >Kiribati<\/option><option value='Kuwait' >Kuwait<\/option><option value='LIbia' >LIbia<\/option><option value='Lesoto' >Lesoto<\/option><option value='Liberia' >Liberia<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituania' >Lituania<\/option><option value='Lituania' >Lituania<\/option><option value='Luxemburgo' >Luxemburgo<\/option><option value='L\u00edbano' >L\u00edbano<\/option><option value='Macau' >Macau<\/option><option value='Macedonia' >Macedonia<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malasia' >Malasia<\/option><option value='Malawi' >Malawi<\/option><option value='Maldivas' >Maldivas<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marruecos' >Marruecos<\/option><option value='Martinica' >Martinica<\/option><option value='Mauricio' >Mauricio<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mayotte' >Mayotte<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldavia' >Moldavia<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='M\u00e9xico' >M\u00e9xico<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Noruega' >Noruega<\/option><option value='Nueva Caledonia' >Nueva Caledonia<\/option><option value='Nueva Zelanda' >Nueva Zelanda<\/option><option value='N\u00edger' >N\u00edger<\/option><option value='Om\u00e1n' >Om\u00e1n<\/option><option value='Paises Bajos' >Paises Bajos<\/option><option value='Pakist\u00e1n' >Pakist\u00e1n<\/option><option value='Palau' >Palau<\/option><option value='Palestina, Estado de' >Palestina, Estado de<\/option><option value='Panam\u00e1' >Panam\u00e1<\/option><option value='Pap\u00faa Nueva Guinea' >Pap\u00faa Nueva Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Per\u00fa' >Per\u00fa<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Polinesia Francesa' >Polinesia Francesa<\/option><option value='Polonia' >Polonia<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Reino Unido' >Reino Unido<\/option><option value='Rep\u00fablica Centroafricana' >Rep\u00fablica Centroafricana<\/option><option value='Rep\u00fablica Checa' >Rep\u00fablica Checa<\/option><option value='Rep\u00fablica Democr\u00e1tica Popular de Laos' >Rep\u00fablica Democr\u00e1tica Popular de Laos<\/option><option value='Rep\u00fablica Dominicana' >Rep\u00fablica Dominicana<\/option><option value='Reuni\u00f3n' >Reuni\u00f3n<\/option><option value='Ruanda' >Ruanda<\/option><option value='Ruman\u00eda' >Ruman\u00eda<\/option><option value='Rusia' >Rusia<\/option><option value='Sahara Occidental' >Sahara Occidental<\/option><option value='Samoa' >Samoa<\/option><option value='Samoa Americana' >Samoa Americana<\/option><option value='San Bartolom\u00e9' >San Bartolom\u00e9<\/option><option value='San Crist\u00f3bal y Nieves' >San Crist\u00f3bal y Nieves<\/option><option value='San Marino' >San Marino<\/option><option value='San Mart\u00edn' >San Mart\u00edn<\/option><option value='San Pedro y Miquel\u00f3n' >San Pedro y Miquel\u00f3n<\/option><option value='San Vicente y las Granadinas' >San Vicente y las Granadinas<\/option><option value='Santa Elena' >Santa Elena<\/option><option value='Santa Luc\u00eda' >Santa Luc\u00eda<\/option><option value='Santa Sede' >Santa Sede<\/option><option value='Santo Tom\u00e9 y Principe' >Santo Tom\u00e9 y Principe<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leona' >Sierra Leona<\/option><option value='Singapur' >Singapur<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Siria' >Siria<\/option><option value='Somalia' >Somalia<\/option><option value='South Georgia' >South Georgia<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sud\u00e1frica' >Sud\u00e1frica<\/option><option value='Sud\u00e1n' >Sud\u00e1n<\/option><option value='Sud\u00e1n del Sur' >Sud\u00e1n del Sur<\/option><option value='Suecia' >Suecia<\/option><option value='Suiza' >Suiza<\/option><option value='Surinam' >Surinam<\/option><option value='Svalbard y Jan Mayen' >Svalbard y Jan Mayen<\/option><option value='Tailandia' >Tailandia<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tanzania' >Tanzania<\/option><option value='Tayikist\u00e1n' >Tayikist\u00e1n<\/option><option value='Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico' >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value='Tierras Australes y Ant\u00e1rticas Francesas' >Tierras Australes y Ant\u00e1rticas Francesas<\/option><option value='Timor Oriental' >Timor Oriental<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad y Tobago' >Trinidad y Tobago<\/option><option value='Turkmenist\u00e1n' >Turkmenist\u00e1n<\/option><option value='Turqu\u00eda' >Turqu\u00eda<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fanez' >T\u00fanez<\/option><option value='Ucrania' >Ucrania<\/option><option value='Uganda' >Uganda<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekist\u00e1n' >Uzbekist\u00e1n<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Wallis y Futuna' >Wallis y Futuna<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbaue' >Zimbaue<\/option><\/select>\n                                        <label for='input_24_65_6' id='input_24_65_6_label' >Pa\u00eds<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_24_45' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_24\").val(\"1\");  jQuery(\"#gform_24\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_24\").val(\"1\");  jQuery(\"#gform_24\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_24_45' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_24\").val(\"3\");  jQuery(\"#gform_24\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_24\").val(\"3\");  jQuery(\"#gform_24\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_24_3' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_24_3' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_24_80\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><h4 style=\"text-align: center;\">How many boxes are you shipping?<\/h4><\/div><div id=\"field_24_74\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_24_74' >Destination<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_74' id='input_24_74' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Cochabamba - Aduana Interna' selected='selected'>Cochabamba - Aduana Interna<\/option><option value='La Paz - Aduana Interna' >La Paz - Aduana Interna<\/option><option value='Santa Cruz - Aduana Interna' >Santa Cruz - Aduana Interna<\/option><\/select><\/div><\/div><div id=\"field_24_25\" class=\"gfield gfield--width-full gfield_price gfield_price_24_25 gfield_product_24_25 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex' for='input_24_25_1' >Lozada Box - 24&quot; x 24&quot; x 24&quot;<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_25.1' value='Lozada Box - 24&quot; x 24&quot; x 24&quot;' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_24_25' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='ginput_product_price_label'>Precio:<\/span>\n\t\t\t\t\t\t<span class='ginput_product_price' id='input_24_25'>$124.99<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_25.2' id='ginput_base_price_24_25' class='gform_hidden' value='$124.99'\/>\n\t\t\t\t\t <span class='ginput_quantity_label' aria-hidden='true'>Cantidad:<\/span> <input type='number' name='input_25.3' value='' id='input_24_25_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Cantidad Lozada Box - 24&quot; x 24&quot; x 24&quot;\" aria-describedby=\"ginput_product_price_24_25 gfield_description_24_25\" \/>\n\t\t\t\t<\/div><div class='gfield_description' id='gfield_description_24_25'>Baltimore, MD, USA \u2192 Aduana Interna, Cochabamba, Bolivia<\/div><\/div><div id=\"field_24_97\" class=\"gfield gfield--width-full gfield_price gfield_price_24_97 gfield_product_24_97 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex' for='input_24_97_1' >Lozada Box - 24&quot; x 24&quot; x 24&quot;<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_97.1' value='Lozada Box - 24&quot; x 24&quot; x 24&quot;' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_24_97' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='ginput_product_price_label'>Precio:<\/span>\n\t\t\t\t\t\t<span class='ginput_product_price' id='input_24_97'>$124.99<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_97.2' id='ginput_base_price_24_97' class='gform_hidden' value='$124.99'\/>\n\t\t\t\t\t <span class='ginput_quantity_label' aria-hidden='true'>Cantidad:<\/span> <input type='number' name='input_97.3' value='' id='input_24_97_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Cantidad Lozada Box - 24&quot; x 24&quot; x 24&quot;\" aria-describedby=\"ginput_product_price_24_97 gfield_description_24_97\" \/>\n\t\t\t\t<\/div><div class='gfield_description' id='gfield_description_24_97'>Baltimore, MD, USA \u2192 Aduana Interna, La Paz, Bolivia<\/div><\/div><div id=\"field_24_96\" class=\"gfield gfield--width-full gfield_price gfield_price_24_96 gfield_product_24_96 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex' for='input_24_96_1' >Lozada Box - 24&quot; x 24&quot; x 24&quot;<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_96.1' value='Lozada Box - 24&quot; x 24&quot; x 24&quot;' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_24_96' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='ginput_product_price_label'>Precio:<\/span>\n\t\t\t\t\t\t<span class='ginput_product_price' id='input_24_96'>$124.99<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_96.2' id='ginput_base_price_24_96' class='gform_hidden' value='$124.99'\/>\n\t\t\t\t\t <span class='ginput_quantity_label' aria-hidden='true'>Cantidad:<\/span> <input type='number' name='input_96.3' value='' id='input_24_96_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Cantidad Lozada Box - 24&quot; x 24&quot; x 24&quot;\" aria-describedby=\"ginput_product_price_24_96 gfield_description_24_96\" \/>\n\t\t\t\t<\/div><div class='gfield_description' id='gfield_description_24_96'>Baltimore, MD, USA \u2192 Aduana Interna, Santa Cruz, Bolivia<\/div><\/div><div id=\"field_24_24\" class=\"gfield gfield--width-full gfield_price gfield_price_24_ gfield_total gfield_total_24_ field_sublabel_below field_description_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\"><label class='gfield_label' for='input_24_24' >Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input readonly name='input_24' id='input_24_24' value='$0.00' class='gform-text-input-reset ginput_total ginput_total_24' \/>\n\t\t\t\t\t\t<\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_24_46' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_24\").val(\"2\");  jQuery(\"#gform_24\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_24\").val(\"2\");  jQuery(\"#gform_24\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_24_46' class='gform_next_button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_24\").val(\"4\");  jQuery(\"#gform_24\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_24\").val(\"4\");  jQuery(\"#gform_24\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_24_4' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_24_4' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_24_79\" class=\"gfield gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><h4 style=\"text-align: center;\">What are you shipping?<\/h4><\/div><fieldset id=\"field_24_89\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label gfield_label_before_complex'  >I am shipping household items belonging to me and my family unit.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_24_89'><div class='gchoice gchoice_24_89_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.1' type='checkbox'  value='I certify that this statement is true.'  id='choice_24_89_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_24_89_1' id='label_24_89_1'>I certify that this statement is true.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_24_77\" class=\"gfield gfield--width-five-twelfths gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_24_77' >Total value of your cargo (U.S. Dollar):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_77' id='input_24_77' type='text' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><div class=\"spacer gfield\" style=\"grid-column: span 7;\"><\/div><div id=\"field_24_95\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_24_95' >Electronic Export Information (EEI) Filing required to obtain ITN export authorization. (For cargo valued over $2500)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_95' id='input_24_95' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select Filing Option<\/option><option value='Please obtain ITN on my behalf. I will provide EIN# and authorization. ($35)' >Please obtain ITN on my behalf. I will provide EIN# and authorization. ($35)<\/option><option value='I will file EEI myself and provide ITN confirmation(s).' >I will file EEI myself and provide ITN confirmation(s).<\/option><\/select><\/div><\/div><div id=\"field_24_100\" class=\"gfield gfield--width-full gfield_price gfield_shipping gfield_shipping_24 field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_24_100' >EEI Filing Fee<\/label><div class='ginput_container ginput_container_singleshipping'>\n\t\t\t\t\t<input readonly class='ginput_shipping_price gform-text-input-reset' id='input_24_100' name='input_100' value='$35.00' \/>\n\t\t\t\t<\/div><\/div><fieldset id=\"field_24_99\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label gfield_label_before_complex'  >Prohibited Items<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_24_99'><div class='gchoice gchoice_24_99_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_99.1' type='checkbox'  value='I have read the &lt;a href=&quot;\u201d\/\u201d&quot; target=&quot;\u201d_blank\u201d&quot;&gt;Prohibited Items&lt;\/a&gt; page.'  id='choice_24_99_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_24_99_1' id='label_24_99_1'>I have read the <a href=\u201d\/\u201d target=\u201d_blank\u201d>Prohibited Items<\/a> page.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_24_90\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label gfield_label_before_complex'  >U.S. Export Requirements<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_24_90'><div class='gchoice gchoice_24_90_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_90.1' type='checkbox'  value='I have read the &lt;a href=&quot;\u201d\/\u201d&quot; target=&quot;\u201d_blank\u201d&quot;&gt;U.S. Export Requirements&lt;\/a&gt; page.'  id='choice_24_90_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_24_90_1' id='label_24_90_1'>I have read the <a href=\u201d\/\u201d target=\u201d_blank\u201d>U.S. Export Requirements<\/a> page.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_24_91\" class=\"gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><legend class='gfield_label gfield_label_before_complex'  >Importer Requirements (Bolivia)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_24_91'><div class='gchoice gchoice_24_91_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_91.1' type='checkbox'  value='I have read the &lt;a href=&quot;\u201d\/\u201d&quot; target=&quot;\u201d_blank\u201d&quot;&gt;Bolivia - Importer Requirements&lt;\/a&gt; page.'  id='choice_24_91_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_24_91_1' id='label_24_91_1'>I have read the <a href=\u201d\/\u201d target=\u201d_blank\u201d>Bolivia - Importer Requirements<\/a> page.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_24_101\" class=\"gfield gfield--width-full gfield_price gfield_price_24_ gfield_total gfield_total_24_ field_sublabel_below field_description_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\"><label class='gfield_label' for='input_24_101' >Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input readonly name='input_101' id='input_24_101' value='$0.00' class='gform-text-input-reset ginput_total ginput_total_24' \/>\n\t\t\t\t\t\t<\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_24_43' class='gform_previous_button button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_24\").val(\"3\"); 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target=&quot;\u201d_blank\u201d&quot;&gt;Terms &amp; Conditions&lt;\/a&gt;'  id='choice_24_92_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_24_92_1' id='label_24_92_1'>I agree to the <a href=\u201d\/terms-and-conditions\/\u201d target=\u201d_blank\u201d>Terms & Conditions<\/a><\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_24_38\" class=\"gfield gfield--width-five-twelfths gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_24_38' >Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div ><div id='input_24_38_Container' class='gfield_signature_container ginput_container' style='height:180px; width:300px; ' ><input type='hidden' class='gform_hidden' name='input_24_38_valid' id='input_24_38_valid' \/><canvas id='input_24_38' width='300' height='180'><\/canvas><\/div><\/div><\/div><div class=\"spacer gfield\" style=\"grid-column: span 7;\"><\/div><\/div><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_24' class='gform_previous_button button' value='Previous'  onclick='if(window[\"gf_submitting_24\"]){return false;}  if( !jQuery(\"#gform_24\")[0].checkValidity || jQuery(\"#gform_24\")[0].checkValidity()){window[\"gf_submitting_24\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_24\"]){return false;} if( !jQuery(\"#gform_24\")[0].checkValidity || jQuery(\"#gform_24\")[0].checkValidity()){window[\"gf_submitting_24\"]=true;}  jQuery(\"#gform_24\").trigger(\"submit\",[true]); 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