{"id":21240,"date":"2023-08-09T10:06:23","date_gmt":"2023-08-09T14:06:23","guid":{"rendered":"https:\/\/www.bumc.bu.edu\/medicine\/?page_id=21240"},"modified":"2025-04-08T14:47:39","modified_gmt":"2025-04-08T18:47:39","slug":"research-orders-form","status":"publish","type":"page","link":"https:\/\/www.bumc.bu.edu\/medicine\/research-orders-form\/","title":{"rendered":"Research Orders form"},"content":{"rendered":"<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 e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_99' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">EBRC Research Orders<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_99'  action='\/medicine\/wp-json\/wp\/v2\/pages\/21240' data-formid='99' >\n                        <div class='gform-body gform_body'><div id='gform_fields_99' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_99_8\"  class=\"gfield gfield--type-date gfield--input-type-datedropdown gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_99_8\"><legend class='gfield_label gform-field-label'  >Today&#039;s Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div id='input_99_8' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_99_8_1_container'><select name='input_8[]' id='input_99_8_1'   aria-required='true'  ><option value=''>Month<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_99_8_2_container'><select name='input_8[]' id='input_99_8_2'   aria-required='true'  ><option value=''>Day<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><option value='19' >19<\/option><option value='20' >20<\/option><option value='21' >21<\/option><option value='22' >22<\/option><option value='23' >23<\/option><option value='24' >24<\/option><option value='25' >25<\/option><option value='26' >26<\/option><option value='27' >27<\/option><option value='28' >28<\/option><option value='29' >29<\/option><option value='30' >30<\/option><option value='31' >31<\/option><\/select><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_99_8_3_container'><select name='input_8[]' id='input_99_8_3'   aria-required='true'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/option><option value='2025' >2025<\/option><option value='2024' >2024<\/option><option value='2023' >2023<\/option><option value='2022' >2022<\/option><option value='2021' >2021<\/option><option value='2020' >2020<\/option><option value='2019' >2019<\/option><option value='2018' >2018<\/option><option value='2017' >2017<\/option><option value='2016' >2016<\/option><option value='2015' >2015<\/option><option value='2014' >2014<\/option><option value='2013' >2013<\/option><option value='2012' >2012<\/option><option value='2011' >2011<\/option><option value='2010' >2010<\/option><option value='2009' >2009<\/option><option value='2008' >2008<\/option><option value='2007' >2007<\/option><option value='2006' >2006<\/option><option value='2005' >2005<\/option><option value='2004' >2004<\/option><option value='2003' >2003<\/option><option value='2002' >2002<\/option><option value='2001' >2001<\/option><option value='2000' >2000<\/option><option value='1999' >1999<\/option><option value='1998' >1998<\/option><option value='1997' >1997<\/option><option value='1996' >1996<\/option><option value='1995' >1995<\/option><option value='1994' >1994<\/option><option value='1993' >1993<\/option><option value='1992' >1992<\/option><option value='1991' >1991<\/option><option value='1990' >1990<\/option><option value='1989' >1989<\/option><option value='1988' >1988<\/option><option value='1987' >1987<\/option><option value='1986' >1986<\/option><option value='1985' >1985<\/option><option value='1984' >1984<\/option><option value='1983' >1983<\/option><option value='1982' >1982<\/option><option value='1981' >1981<\/option><option value='1980' >1980<\/option><option value='1979' >1979<\/option><option value='1978' >1978<\/option><option value='1977' >1977<\/option><option value='1976' >1976<\/option><option value='1975' >1975<\/option><option value='1974' >1974<\/option><option value='1973' >1973<\/option><option value='1972' >1972<\/option><option value='1971' >1971<\/option><option value='1970' >1970<\/option><option value='1969' >1969<\/option><option value='1968' >1968<\/option><option value='1967' >1967<\/option><option value='1966' >1966<\/option><option value='1965' >1965<\/option><option value='1964' >1964<\/option><option value='1963' >1963<\/option><option value='1962' >1962<\/option><option value='1961' >1961<\/option><option value='1960' >1960<\/option><option value='1959' >1959<\/option><option value='1958' >1958<\/option><option value='1957' >1957<\/option><option value='1956' >1956<\/option><option value='1955' >1955<\/option><option value='1954' >1954<\/option><option value='1953' >1953<\/option><option value='1952' >1952<\/option><option value='1951' >1951<\/option><option value='1950' >1950<\/option><option value='1949' >1949<\/option><option value='1948' >1948<\/option><option value='1947' >1947<\/option><option value='1946' >1946<\/option><option value='1945' >1945<\/option><option value='1944' >1944<\/option><option value='1943' >1943<\/option><option value='1942' >1942<\/option><option value='1941' >1941<\/option><option value='1940' >1940<\/option><option value='1939' >1939<\/option><option value='1938' >1938<\/option><option value='1937' >1937<\/option><option value='1936' >1936<\/option><option value='1935' >1935<\/option><option value='1934' >1934<\/option><option value='1933' >1933<\/option><option value='1932' >1932<\/option><option value='1931' >1931<\/option><option value='1930' >1930<\/option><option value='1929' >1929<\/option><option value='1928' >1928<\/option><option value='1927' >1927<\/option><option value='1926' >1926<\/option><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><div id=\"field_99_7\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_99_7\"><label class='gfield_label gform-field-label' for='input_99_7' >Section<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_99_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_99_15\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_99_15\"><label class='gfield_label gform-field-label' for='input_99_15' >Room number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_99_15' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_99_3\"  class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_99_3\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Name of Principal Investigator<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_99_3'>\n                            \n                            <span id='input_99_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.3' id='input_99_3_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_99_3_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_99_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.6' id='input_99_3_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_99_3_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_99_5\"  class=\"gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_99_5\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Name of individual submitting the order<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_99_5'>\n                            \n                            <span id='input_99_5_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.3' id='input_99_5_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_99_5_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_99_5_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.6' id='input_99_5_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_99_5_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_99_6\"  class=\"gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_99_6\"><label class='gfield_label gform-field-label' for='input_99_6' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_6' id='input_99_6' type='text' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_99_18\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_99_18\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Kindly choose the institution from which you would like to place an order.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_99_18'><div class='gchoice gchoice_99_18_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.1' type='checkbox'  value='Boston Medical Center  (Infor)'  id='choice_99_18_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_99_18_1' id='label_99_18_1' class='gform-field-label gform-field-label--type-inline'>Boston Medical Center  (Infor)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_99_18_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_18.2' type='checkbox'  value='Boston University  (Ariba)'  id='choice_99_18_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_99_18_2' id='label_99_18_2' class='gform-field-label gform-field-label--type-inline'>Boston University  (Ariba)<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_99_10\"  class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_99_10\"><h3 class=\"gsection_title\">Order details<\/h3><\/div><fieldset id=\"field_99_11\"  class=\"gfield gfield--type-list gfield--width-full field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_99_11\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Order details<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Vendor name<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Product of catalog name<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Catalog number<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Quantity<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Unit of measure<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Per unit price<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Total cost<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_11_cell1 gform-grid-col' data-label='Vendor name'><input aria-invalid='false'  aria-describedby=\"gfield_description_99_11\" aria-label='Vendor name, Row 1' data-aria-label-template='Vendor name, Row {0}' type='text' name='input_11[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_11_cell2 gform-grid-col' data-label='Product of catalog name'><input aria-invalid='false'  aria-describedby=\"gfield_description_99_11\" aria-label='Product of catalog name, Row 1' data-aria-label-template='Product of catalog name, Row {0}' type='text' name='input_11[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_11_cell3 gform-grid-col' data-label='Catalog number'><input aria-invalid='false'  aria-describedby=\"gfield_description_99_11\" aria-label='Catalog number, Row 1' data-aria-label-template='Catalog number, Row {0}' type='text' name='input_11[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_11_cell4 gform-grid-col' data-label='Quantity'><input aria-invalid='false'  aria-describedby=\"gfield_description_99_11\" aria-label='Quantity, Row 1' data-aria-label-template='Quantity, Row {0}' type='text' name='input_11[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_11_cell5 gform-grid-col' data-label='Unit of measure'><input aria-invalid='false'  aria-describedby=\"gfield_description_99_11\" aria-label='Unit of measure, Row 1' data-aria-label-template='Unit of measure, Row {0}' type='text' name='input_11[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_11_cell6 gform-grid-col' data-label='Per unit price'><input aria-invalid='false'  aria-describedby=\"gfield_description_99_11\" aria-label='Per unit price, Row 1' data-aria-label-template='Per unit price, Row {0}' type='text' name='input_11[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_11_cell7 gform-grid-col' data-label='Total cost'><input aria-invalid='false'  aria-describedby=\"gfield_description_99_11\" aria-label='Total cost, Row 1' data-aria-label-template='Total cost, Row {0}' type='text' name='input_11[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><div class='gfield_description' id='gfield_description_99_11'>Please list vendors alphabetically.<\/div><\/fieldset><fieldset id=\"field_99_16\"  class=\"gfield gfield--type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_99_16\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Primer details<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Vendor name<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Oligo Name<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Oligo Sequence<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Synthesis Scale (25 or 50 nmole)<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Comments<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_16_cell1 gform-grid-col' data-label='Vendor name'><input aria-invalid='false'   aria-label='Vendor name, Row 1' data-aria-label-template='Vendor name, Row {0}' type='text' name='input_16[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_16_cell2 gform-grid-col' data-label='Oligo Name'><input aria-invalid='false'   aria-label='Oligo Name, Row 1' data-aria-label-template='Oligo Name, Row {0}' type='text' name='input_16[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_16_cell3 gform-grid-col' data-label='Oligo Sequence'><input aria-invalid='false'   aria-label='Oligo Sequence, Row 1' data-aria-label-template='Oligo Sequence, Row {0}' type='text' name='input_16[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_16_cell4 gform-grid-col' data-label='Synthesis Scale (25 or 50 nmole)'><input aria-invalid='false'   aria-label='Synthesis Scale (25 or 50 nmole), Row 1' data-aria-label-template='Synthesis Scale (25 or 50 nmole), Row {0}' type='text' name='input_16[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_16_cell5 gform-grid-col' data-label='Comments'><input aria-invalid='false'   aria-label='Comments, Row 1' data-aria-label-template='Comments, Row {0}' type='text' name='input_16[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_99_20\"  class=\"gfield gfield--type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_99_20\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Dry Ice<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Vendor name<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Units (lbs.)<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Quantity<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Delivery Date<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_20_cell1 gform-grid-col' data-label='Vendor name'><input aria-invalid='false'   aria-label='Vendor name, Row 1' data-aria-label-template='Vendor name, Row {0}' type='text' name='input_20[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_20_cell2 gform-grid-col' data-label='Units (lbs.)'><input aria-invalid='false'   aria-label='Units (lbs.), Row 1' data-aria-label-template='Units (lbs.), Row {0}' type='text' name='input_20[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_20_cell3 gform-grid-col' data-label='Quantity'><input aria-invalid='false'   aria-label='Quantity, Row 1' data-aria-label-template='Quantity, Row {0}' type='text' name='input_20[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_20_cell4 gform-grid-col' data-label='Delivery Date'><input aria-invalid='false'   aria-label='Delivery Date, Row 1' data-aria-label-template='Delivery Date, Row {0}' type='text' name='input_20[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_99_12\"  class=\"gfield gfield--type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_99_12\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Funding source<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Description<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Cost Center or Internal Number<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Provider (PI&#039;s Name)<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Funding Source| Project #<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Comments<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_12_cell1 gform-grid-col' data-label='Description'><input aria-invalid='false' aria-required=\"true\"  aria-label='Description, Row 1' data-aria-label-template='Description, Row {0}' type='text' name='input_12[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_12_cell2 gform-grid-col' data-label='Cost Center or Internal Number'><input aria-invalid='false' aria-required=\"true\"  aria-label='Cost Center or Internal Number, Row 1' data-aria-label-template='Cost Center or Internal Number, Row {0}' type='text' name='input_12[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_12_cell3 gform-grid-col' data-label='Provider (PI&#039;s Name)'><input aria-invalid='false' aria-required=\"true\"  aria-label='Provider (PI&#039;s 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data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_99_13&quot;,&quot;container&quot;:&quot;gform_multifile_upload_99_13&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_99_13&quot;,&quot;filelist&quot;:&quot;gform_preview_99_13&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.bumc.bu.edu\\\/medicine\\\/?gf_page=89899bc9dbeef8a&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.bumc.bu.edu\\\/medicine\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.bumc.bu.edu\\\/medicine\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed 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