{"id":1131,"date":"2022-09-30T06:26:12","date_gmt":"2022-09-30T05:26:12","guid":{"rendered":"https:\/\/cnc.alfain.eu\/inquiry-form\/"},"modified":"2022-09-30T06:26:12","modified_gmt":"2022-09-30T05:26:12","slug":"inquiry-form","status":"publish","type":"page","link":"https:\/\/cnc.alfain.eu\/en\/inquiry-form\/","title":{"rendered":"Inquiry form"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_3' style='display:none'>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Inquiry form<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/en\/wp-json\/wp\/v2\/pages\/1131' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><li id=\"field_3_1\" class=\"gfield gfield--type-text third-col gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"1a55c468\" data-field-span=\"12\"><label id='gfield_label_3_1' class='gfield_label gform-field-label' for='input_3_1'><span class='gform-field-label__text'>Name and surname<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_3_1' type='text' value='' class='large'  aria-describedby=\"gfield_description_3_1\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_1'>Name<\/div><\/li><li id=\"field_3_2\" class=\"gfield gfield--type-email third-col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"25ed6427\" data-field-span=\"12\"><label id='gfield_label_3_2' class='gfield_label gform-field-label' for='input_3_2'><span class='gform-field-label__text'>E-mail<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_3_2' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_3_3\" class=\"gfield gfield--type-text third-col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"44105519\" data-field-span=\"12\"><label id='gfield_label_3_3' class='gfield_label gform-field-label' for='input_3_3'><span class='gform-field-label__text'>Phone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_3_3' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_3_7\" class=\"gfield gfield--type-select full-col nolabel gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"0be42464\" data-field-span=\"12\"><label id='gfield_label_3_7' class='gfield_label gform-field-label' for='input_3_7'><span class='gform-field-label__text'>Type series<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_3_7' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select a product<\/option><option value='PROFI' selected='selected'>PROFI<\/option><option value='EKONOM' >EKONOM<\/option><\/select><\/div><\/li><li id=\"field_3_17\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"a84ee6ed\" data-field-span=\"12\"><label id='gfield_label_3_17' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Burning surface size (PROFI line)<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_17'>\n\t\t\t<li class='gchoice gchoice_3_17_0'>\n\t\t\t\t<input name='input_17' type='radio' value='1 x 2 m'  id='choice_3_17_0'    \/>\n\t\t\t\t<label for='choice_3_17_0' id='label_3_17_0' class='gform-field-label gform-field-label--type-inline'>1 x 2 m<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_17_1'>\n\t\t\t\t<input name='input_17' type='radio' value='1,5 x 3 m' checked='checked' id='choice_3_17_1'    \/>\n\t\t\t\t<label for='choice_3_17_1' id='label_3_17_1' class='gform-field-label gform-field-label--type-inline'>1,5 x 3 m<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_17_2'>\n\t\t\t\t<input name='input_17' type='radio' value='2 x 3 m'  id='choice_3_17_2'    \/>\n\t\t\t\t<label for='choice_3_17_2' id='label_3_17_2' class='gform-field-label gform-field-label--type-inline'>2 x 3 m<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_17_3'>\n\t\t\t\t<input name='input_17' type='radio' value='2 x 4 m'  id='choice_3_17_3'    \/>\n\t\t\t\t<label for='choice_3_17_3' id='label_3_17_3' class='gform-field-label gform-field-label--type-inline'>2 x 4 m<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_17_4'>\n\t\t\t\t<input name='input_17' type='radio' value='2 x 6 m'  id='choice_3_17_4'    \/>\n\t\t\t\t<label for='choice_3_17_4' id='label_3_17_4' class='gform-field-label gform-field-label--type-inline'>2 x 6 m<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_17_5'>\n\t\t\t\t<input name='input_17' type='radio' value='gf_other_choice'  id='choice_3_17_5'   onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_3_17_other' name='input_17_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_18\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"99717aef\" data-field-span=\"12\"><label id='gfield_label_3_18' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Size of the burning surface (EKONOM line)<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_18'>\n\t\t\t<li class='gchoice gchoice_3_18_0'>\n\t\t\t\t<input name='input_18' type='radio' value='1 x 1 m'  id='choice_3_18_0'    \/>\n\t\t\t\t<label for='choice_3_18_0' id='label_3_18_0' class='gform-field-label gform-field-label--type-inline'>1 x 1 m<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_18_1'>\n\t\t\t\t<input name='input_18' type='radio' value='1,25 x 1,25 m'  id='choice_3_18_1'    \/>\n\t\t\t\t<label for='choice_3_18_1' id='label_3_18_1' class='gform-field-label gform-field-label--type-inline'>1,25 x 1,25 m<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_18_2'>\n\t\t\t\t<input name='input_18' type='radio' value='1,5 x 1,5 m'  id='choice_3_18_2'    \/>\n\t\t\t\t<label for='choice_3_18_2' id='label_3_18_2' class='gform-field-label gform-field-label--type-inline'>1,5 x 1,5 m<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_18_3'>\n\t\t\t\t<input name='input_18' type='radio' value='1 x 2 m'  id='choice_3_18_3'    \/>\n\t\t\t\t<label for='choice_3_18_3' id='label_3_18_3' class='gform-field-label gform-field-label--type-inline'>1 x 2 m<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_18_4'>\n\t\t\t\t<input name='input_18' type='radio' value='1,5 x 3 m'  id='choice_3_18_4'    \/>\n\t\t\t\t<label for='choice_3_18_4' id='label_3_18_4' class='gform-field-label gform-field-label--type-inline'>1,5 x 3 m<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_18_5'>\n\t\t\t\t<input name='input_18' type='radio' value='gf_other_choice'  id='choice_3_18_5'   onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_3_18_other' name='input_18_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_10\" class=\"gfield gfield--type-radio gfield--type-choice fourth-col haslabel field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"311f3468\" data-field-span=\"12\"><label id='gfield_label_3_10' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Variant<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_10'>\n\t\t\t<li class='gchoice gchoice_3_10_0'>\n\t\t\t\t<input name='input_10' type='radio' value='Central Full-Suction method' checked='checked' id='choice_3_10_0'    \/>\n\t\t\t\t<label for='choice_3_10_0' id='label_3_10_0' class='gform-field-label gform-field-label--type-inline'>Central Full-Suction method<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_10_1'>\n\t\t\t\t<input name='input_10' type='radio' value='Water tub'  id='choice_3_10_1'    \/>\n\t\t\t\t<label for='choice_3_10_1' id='label_3_10_1' class='gform-field-label gform-field-label--type-inline'>Water tub<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_16\" class=\"gfield gfield--type-checkbox gfield--type-choice full-col haslabel two-columns gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"f156725c\" data-field-span=\"12\"><label id='gfield_label_3_16' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Method of use<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_16'><li class='gchoice gchoice_3_16_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.1' type='checkbox'  value='Plasma cutting'  id='choice_3_16_1'    aria-labelledby=\"label_3_16_1 gfield_label_3_16\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_3_16_1' id='label_3_16_1' class='gform-field-label gform-field-label--type-inline'>Plasma cutting<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_16_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.2' type='checkbox'  value='\u0158ez\u00e1n\u00ed plamenem'  id='choice_3_16_2'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_16_2' id='label_3_16_2' class='gform-field-label gform-field-label--type-inline'>Flame cutting<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_16_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.3' type='checkbox'  value='Milling'  id='choice_3_16_3'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_16_3' id='label_3_16_3' class='gform-field-label gform-field-label--type-inline'>Milling<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_16_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_16.4' type='checkbox'  value='Another'  id='choice_3_16_4'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_16_4' id='label_3_16_4' class='gform-field-label gform-field-label--type-inline'>Another<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_9\" class=\"gfield gfield--type-radio gfield--type-choice fourth-col haslabel gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"300626e1\" data-field-span=\"12\"><label id='gfield_label_3_9' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Selecting a plasma inverter<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_9'>\n\t\t\t<li class='gchoice gchoice_3_9_0'>\n\t\t\t\t<input name='input_9' type='radio' value='Proper source' checked='checked' id='choice_3_9_0'    \/>\n\t\t\t\t<label for='choice_3_9_0' id='label_3_9_0' class='gform-field-label gform-field-label--type-inline'>Proper source<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_9_1'>\n\t\t\t\t<input name='input_9' type='radio' value='SVAROG 105'  id='choice_3_9_1'    \/>\n\t\t\t\t<label for='choice_3_9_1' id='label_3_9_1' class='gform-field-label gform-field-label--type-inline'>SVAROG 105<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_9_2'>\n\t\t\t\t<input name='input_9' type='radio' value='PEGAS 60'  id='choice_3_9_2'    \/>\n\t\t\t\t<label for='choice_3_9_2' id='label_3_9_2' class='gform-field-label gform-field-label--type-inline'>PEGAS 60<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_9_3'>\n\t\t\t\t<input name='input_9' type='radio' value='PEGAS 101'  id='choice_3_9_3'    \/>\n\t\t\t\t<label for='choice_3_9_3' id='label_3_9_3' class='gform-field-label gform-field-label--type-inline'>PEGAS 101<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_9_4'>\n\t\t\t\t<input name='input_9' type='radio' value='PEGAS 121'  id='choice_3_9_4'    \/>\n\t\t\t\t<label for='choice_3_9_4' id='label_3_9_4' class='gform-field-label gform-field-label--type-inline'>PEGAS 121<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_9_5'>\n\t\t\t\t<input name='input_9' type='radio' value='Another'  id='choice_3_9_5'    \/>\n\t\t\t\t<label for='choice_3_9_5' id='label_3_9_5' class='gform-field-label gform-field-label--type-inline'>Another<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_19\" class=\"gfield gfield--type-radio gfield--type-choice fourth-col haslabel field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"61205ddc\" data-field-span=\"12\"><label id='gfield_label_3_19' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Selection of a machine torch<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_3_19'>\n\t\t\t<li class='gchoice gchoice_3_19_0'>\n\t\t\t\t<input name='input_19' type='radio' value='Proper torch'  id='choice_3_19_0'    \/>\n\t\t\t\t<label for='choice_3_19_0' id='label_3_19_0' class='gform-field-label gform-field-label--type-inline'>Proper torch<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_19_1'>\n\t\t\t\t<input name='input_19' type='radio' value='SVS-105' checked='checked' id='choice_3_19_1'    \/>\n\t\t\t\t<label for='choice_3_19_1' id='label_3_19_1' class='gform-field-label gform-field-label--type-inline'>SVS-105<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_19_2'>\n\t\t\t\t<input name='input_19' type='radio' value='SVS-125'  id='choice_3_19_2'    \/>\n\t\t\t\t<label for='choice_3_19_2' id='label_3_19_2' class='gform-field-label gform-field-label--type-inline'>SVS-125<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_3_19_3'>\n\t\t\t\t<input name='input_19' type='radio' value='Another'  id='choice_3_19_3'    \/>\n\t\t\t\t<label for='choice_3_19_3' id='label_3_19_3' class='gform-field-label gform-field-label--type-inline'>Another<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_20\" class=\"gfield gfield--type-checkbox gfield--type-choice full-col haslabel two-columns field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"eb2e837a\" data-field-span=\"12\"><label id='gfield_label_3_20' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Other accessories<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_3_20'><li class='gchoice gchoice_3_20_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.1' type='checkbox'  value='Rotation axis'  id='choice_3_20_1'    aria-labelledby=\"label_3_20_1 gfield_label_3_20\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_1' id='label_3_20_1' class='gform-field-label gform-field-label--type-inline'>Rotation axis<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_20_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.2' type='checkbox'  value='Flame cutting kit'  id='choice_3_20_2'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_2' id='label_3_20_2' class='gform-field-label gform-field-label--type-inline'>Flame cutting kit<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_20_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.3' type='checkbox'  value='Filtration and extraction unit'  id='choice_3_20_3'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_3' id='label_3_20_3' class='gform-field-label gform-field-label--type-inline'>Filtration and extraction unit<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_3_20_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.4' type='checkbox'  value='Remote control'  id='choice_3_20_4'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_3_20_4' id='label_3_20_4' class='gform-field-label gform-field-label--type-inline'>Remote control<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_3_13\" class=\"gfield gfield--type-textarea full-col field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"c3ac4f97\" data-field-span=\"12\"><label id='gfield_label_3_13' class='gfield_label gform-field-label' for='input_3_13'><span class='gform-field-label__text'>Note<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_13' id='input_3_13' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_3_14\" class=\"gfield gfield--type-checkbox gfield--type-choice full-col privacy gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"fd7ea196\" data-field-span=\"12\"><label id='gfield_label_3_14' 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