{"id":9906,"date":"2020-09-16T03:45:23","date_gmt":"2020-09-16T03:45:23","guid":{"rendered":"https:\/\/legallogik.com\/?page_id=9906"},"modified":"2020-09-29T12:53:55","modified_gmt":"2020-09-29T12:53:55","slug":"request-legal-assistance","status":"publish","type":"page","link":"https:\/\/legallogik.com\/request-legal-assistance\/","title":{"rendered":"REQUEST LEGAL ASSISTANCE"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row css=&#8221;.vc_custom_1574787578988{padding-top: 75px !important;padding-bottom: 75px !important;}&#8221;][vc_column]<style>@media (min-width: 992px) { .ld_fancy_heading_6635df1837487 h2 {margin-bottom:0.2em !important;  }  } .ld_fancy_heading_6635df1837487 .lqd-highlight-inner{height:0.275em;bottom:0px;}@media (min-width: 992px) { .ld_fancy_heading_6635df1837487 h2 {margin-bottom:0.2em !important;  }  } <\/style><div class=\"ld-fancy-heading ld_fancy_heading_6635df1837487\">\n\t<h2 class=\"lqd-highlight-underline lqd-highlight-grow-left\" ><span class=\"ld-fh-txt\"> Request Legal Assistance<\/span><\/h2><\/div>[vc_separator color=&#8221;custom&#8221; align=&#8221;align_left&#8221; border_width=&#8221;2&#8243; el_width=&#8221;10&#8243; accent_color=&#8221;#1e73be&#8221;]<style>.ld_fancy_heading_6635df1838d9a p{color:rgb(61, 61, 61);}.ld_fancy_heading_6635df1838d9a .lqd-highlight-inner{height:0.275em;bottom:0px;}<\/style><div class=\"ld-fancy-heading mask-text text-underline ld_fancy_heading_6635df1838d9a\">\n\t<p class=\"lqd-highlight-underline lqd-highlight-grow-left\" data-split-text=\"true\" data-custom-animations=\"true\" data-ca-options='{\"triggerHandler\":\"inview\",\"animationTarget\":\".lqd-lines .split-inner\",\"duration\":\"1200\",\"startDelay\":\"200\",\"delay\":\"180\",\"easing\":\"easeOutQuint\",\"direction\":\"forward\",\"initValues\":{\"translateY\":50},\"animations\":{\"translateY\":0}}' data-split-options='{\"type\":\"lines\"}'><span class=\"ld-fh-txt\"> Thank you for submitting your claim on Sutton Secur. Please complete the following form in order to create your claim. Once you complete the form, there will be a $100 administrative fee to open a mandate for your case.<\/span><\/p><\/div>[\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1601384028010{margin-bottom: 100px !important;}&#8221;][vc_column]<div class=\"woocommerce\">\t\t\t<div class=\"single-product\" data-product-page-preselected-id=\"0\">\n\t\t\t\t<div class=\"woocommerce-notices-wrapper\"><\/div><div class=\"ld-shop-topbar fullwidth\"><div class=\"container\"><div class=\"row\"><div class=\"col-md-6\"><nav class=\"woocommerce-breadcrumb mb-4 mb-md-0\"><ul class=\"breadcrumbs reset-ul inline-nav comma-sep-li\"><li><a href=\"https:\/\/legallogik.com\">Home<\/a><\/li><li><a href=\"https:\/\/legallogik.com\/product-category\/uncategorized\/\">Uncategorized<\/a><\/li><li>Request Legal Assistance<\/li><\/ul><\/nav><\/div><\/div><\/div><\/div><div id=\"product-9912\" class=\"product type-product post-9912 status-publish first instock product_cat-uncategorized virtual sold-individually taxable purchasable product-type-simple\">\n\n\t<div class=\"ld-product-images\">\n\t<div class=\"woocommerce-product-gallery woocommerce-product-gallery--without-images woocommerce-product-gallery--columns-4 images\" data-columns=\"4\" style=\"opacity: 0; transition: opacity .25s ease-in-out;\">\n\t\t<figure class=\"woocommerce-product-gallery__wrapper\">\n\t\t\t<div class=\"woocommerce-product-gallery__image--placeholder\"><img decoding=\"async\" src=\"https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-1024x1024.png\" alt=\"Awaiting product image\" class=\"wp-post-image\" \/><\/div>\t\t<\/figure>\n\t<\/div>\n<\/div>\n\t<div class=\"summary entry-summary ld-product-summary\">\n\t\t<h1 itemprop=\"name\" class=\"product_title entry-title\">Request Legal Assistance<\/h1><p class=\"price\"><span class=\"woocommerce-Price-amount amount\"><bdi><span class=\"woocommerce-Price-currencySymbol\">&#36;<\/span>100.00<\/bdi><\/span><\/p>\n\n\t\n\t<form class=\"cart\" action=\"\" method=\"post\" enctype='multipart\/form-data'>\n\n\t\t<div class=\"quantity\">\n\t\t<label class=\"screen-reader-text\" for=\"quantity_6635df18444b6\">Request Legal Assistance quantity<\/label>\n\t<input\n\t\ttype=\"hidden\"\n\t\t\t\tid=\"quantity_6635df18444b6\"\n\t\tclass=\"input-text qty text\"\n\t\tname=\"quantity\"\n\t\tvalue=\"1\"\n\t\ttitle=\"Qty\"\n\t\tsize=\"4\"\n\t\tmin=\"1\"\n\t\tmax=\"1\"\n\t\t\t\t\tstep=\"1\"\n\t\t\tplaceholder=\"\"\n\t\t\tinputmode=\"numeric\"\n\t\t\tautocomplete=\"off\"\n\t\t\t\/>\n\t<\/div>\n\t\t<div class=\"ld-product-summary-foot d-flex flex-row align-items-center\"><div class=\"gform_variation_wrapper gform_wrapper\"><input type=\"hidden\" name=\"product_id\" value=\"9912\" \/><input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"4a8d722772\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/9906\" \/><a id=\"_form_56\" href=\"#_form_56\" class=\"gform_anchor 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gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_1\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Your Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><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_56_1'>\n                            \n                            <span id='input_56_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_56_1_3' value='' tabindex='2'  aria-required='true'     \/>\n                                                    <label for='input_56_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_56_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_56_1_6' value='' tabindex='4'  aria-required='true'     \/>\n                                                    <label for='input_56_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_56_22\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_22\" ><label class='gfield_label gform-field-label' for='input_56_22'>Email<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_22' id='input_56_22' type='email' value='' class='medium' tabindex='6'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_56_23\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_23\" ><label class='gfield_label gform-field-label' for='input_56_23'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_23' id='input_56_23' type='tel' value='' class='medium' tabindex='7'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_56_80\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_80\" ><label class='gfield_label gform-field-label' for='input_56_80'>Is there a second person on your certificate?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_80' id='input_56_80' class='medium gfield_select' tabindex='8'   aria-required=\"true\" aria-invalid=\"false\" ><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_56_81\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_81\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name of additional person on certificate<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><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_56_81'>\n                            \n                            <span id='input_56_81_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_81.3' id='input_56_81_3' value='' tabindex='10'  aria-required='true'     \/>\n                                                    <label for='input_56_81_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_56_81_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_81.6' id='input_56_81_6' value='' tabindex='12'  aria-required='true'     \/>\n                                                    <label for='input_56_81_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_56_82\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_82\" ><label class='gfield_label gform-field-label' for='input_56_82'>Email of additional person on certificate<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_82' id='input_56_82' type='email' value='' class='medium' tabindex='14'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_56_83\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_83\" ><label class='gfield_label gform-field-label' for='input_56_83'>Phone number of additional person on certificate<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_83' id='input_56_83' type='tel' value='' class='medium' tabindex='15'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_56_26\" class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_26\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Your Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_56_26' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_56_26_1_container' >\n                                        <input type='text' name='input_26.1' id='input_56_26_1' value='' tabindex='16'   aria-required='false'    \/>\n                                        <label for='input_56_26_1' id='input_56_26_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_56_26_2_container' >\n                                        <input type='text' name='input_26.2' id='input_56_26_2' value='' tabindex='17'    aria-required='false'   \/>\n                                        <label for='input_56_26_2' id='input_56_26_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_56_26_3_container' >\n                                    <input type='text' name='input_26.3' id='input_56_26_3' value='' tabindex='18'   aria-required='false'    \/>\n                                    <label for='input_56_26_3' id='input_56_26_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_56_26_4_container' >\n                                        <input type='text' name='input_26.4' id='input_56_26_4' value='' tabindex='20'     aria-required='false'    \/>\n                                        <label for='input_56_26_4' id='input_56_26_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_56_26_5_container' >\n                                    <input type='text' name='input_26.5' id='input_56_26_5' value='' tabindex='21'   aria-required='false'    \/>\n                                    <label for='input_56_26_5' id='input_56_26_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_56_26_6_container' >\n                                        <select name='input_26.6' id='input_56_26_6' tabindex='22'  aria-required='false'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_56_26_6' id='input_56_26_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_56_68\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_68\" ><label class='gfield_label gform-field-label' >In this case, are you making a claim or defending yourself against a claim?<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_56_68'>\n\t\t\t<li class='gchoice gchoice_56_68_0'>\n\t\t\t\t<input name='input_68' type='radio' value='Making a claim'  id='choice_56_68_0' tabindex='23'   \/>\n\t\t\t\t<label for='choice_56_68_0' id='label_56_68_0' class='gform-field-label gform-field-label--type-inline'>Making a claim<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_56_68_1'>\n\t\t\t\t<input name='input_68' type='radio' value='Defending against a claim'  id='choice_56_68_1' tabindex='24'   \/>\n\t\t\t\t<label for='choice_56_68_1' id='label_56_68_1' class='gform-field-label gform-field-label--type-inline'>Defending against a claim<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_56_2\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_2\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address of the dispute in question<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    <div id='input_56_2_copy_values_option_container' class='copy_values_option_container' >\n                                        <input type='checkbox' id='input_56_2_copy_values_activated' class='copy_values_activated' value='1' data-source_field_id='26' name='input_2_copy_values_activated'  \/>\n                                        <label for='input_56_2_copy_values_activated' id='input_56_2_copy_values_option_label' class='copy_values_option_label inline gform-field-label gform-field-label--type-inline'>Same as Previous<\/label>\n                                    <\/div>\n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_56_2' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_56_2_1_container' >\n                                        <input type='text' name='input_2.1' id='input_56_2_1' value='' tabindex='25'   aria-required='true'    \/>\n                                        <label for='input_56_2_1' id='input_56_2_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_56_2_2_container' >\n                                        <input type='text' name='input_2.2' id='input_56_2_2' value='' tabindex='26'    aria-required='false'   \/>\n                                        <label for='input_56_2_2' id='input_56_2_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_56_2_3_container' >\n                                    <input type='text' name='input_2.3' id='input_56_2_3' value='' tabindex='27'   aria-required='true'    \/>\n                                    <label for='input_56_2_3' id='input_56_2_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_56_2_4_container' >\n                                        <select name='input_2.4' id='input_56_2_4' tabindex='28'    aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alberta' >Alberta<\/option><option value='British Columbia' >British Columbia<\/option><option value='Manitoba' >Manitoba<\/option><option value='New Brunswick' >New Brunswick<\/option><option value='Newfoundland and Labrador' >Newfoundland and Labrador<\/option><option value='Northwest Territories' >Northwest Territories<\/option><option value='Nova Scotia' >Nova Scotia<\/option><option value='Nunavut' >Nunavut<\/option><option value='Ontario' >Ontario<\/option><option value='Prince Edward Island' >Prince Edward Island<\/option><option value='Quebec' >Quebec<\/option><option value='Saskatchewan' >Saskatchewan<\/option><option value='Yukon' >Yukon<\/option><\/select>\n                                        <label for='input_56_2_4' id='input_56_2_4_label' class='gform-field-label gform-field-label--type-sub '>Province<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_56_2_5_container' >\n                                    <input type='text' name='input_2.5' id='input_56_2_5' value='' tabindex='30'   aria-required='true'    \/>\n                                    <label for='input_56_2_5' id='input_56_2_5_label' class='gform-field-label gform-field-label--type-sub '>Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_2.6' id='input_56_2_6' value='Canada' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_56_72\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_72\" ><label class='gfield_label gform-field-label' >Do you possess a Sutton Secur certificate for this property?<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_56_72'>\n\t\t\t<li class='gchoice gchoice_56_72_0'>\n\t\t\t\t<input name='input_72' type='radio' value='Buyer Certificate'  id='choice_56_72_0' tabindex='31'   \/>\n\t\t\t\t<label for='choice_56_72_0' id='label_56_72_0' class='gform-field-label gform-field-label--type-inline'>Buyer Certificate<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_56_72_1'>\n\t\t\t\t<input name='input_72' type='radio' value='Vendor Certificate'  id='choice_56_72_1' tabindex='32'   \/>\n\t\t\t\t<label for='choice_56_72_1' id='label_56_72_1' class='gform-field-label gform-field-label--type-inline'>Vendor Certificate<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_56_72_2'>\n\t\t\t\t<input name='input_72' type='radio' value='None'  id='choice_56_72_2' tabindex='33'   \/>\n\t\t\t\t<label for='choice_56_72_2' id='label_56_72_2' class='gform-field-label gform-field-label--type-inline'>None<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_56_29\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_29\" ><label class='gfield_label gform-field-label' for='input_56_29'>Sutton Secur Certificate Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_56_29' type='text' value='' class='medium'   tabindex='34'  aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_56_35\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_35\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Which best describes the problem?<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_56_35'><li class='gchoice gchoice_56_35_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.1' type='checkbox'  value='Hidden defect(s)'  id='choice_56_35_1' tabindex='35'  aria-describedby=\"gfield_description_56_35\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_1' id='label_56_35_1' class='gform-field-label gform-field-label--type-inline'>Hidden defect(s)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_56_35_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.2' type='checkbox'  value='Landlord and tenant issues'  id='choice_56_35_2' tabindex='36'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_2' id='label_56_35_2' class='gform-field-label gform-field-label--type-inline'>Landlord and tenant issues<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_56_35_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.3' type='checkbox'  value='Problems relating to access to or limits of property'  id='choice_56_35_3' tabindex='37'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_3' id='label_56_35_3' class='gform-field-label gform-field-label--type-inline'>Problems relating to access to or limits of property<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_56_35_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.4' type='checkbox'  value='Passation of title'  id='choice_56_35_4' tabindex='38'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_4' id='label_56_35_4' class='gform-field-label gform-field-label--type-inline'>Passation of title<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_56_35_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.5' type='checkbox'  value='Contractual issues'  id='choice_56_35_5' tabindex='39'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_5' id='label_56_35_5' class='gform-field-label gform-field-label--type-inline'>Contractual issues<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_56_35_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.6' type='checkbox'  value='Refusal by contracting party'  id='choice_56_35_6' tabindex='40'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_6' id='label_56_35_6' class='gform-field-label gform-field-label--type-inline'>Refusal by contracting party<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_56_35_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.7' type='checkbox'  value='Financing related to the property'  id='choice_56_35_7' tabindex='41'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_7' id='label_56_35_7' class='gform-field-label gform-field-label--type-inline'>Financing related to the property<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_56_35_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.8' type='checkbox'  value='Environmental issues'  id='choice_56_35_8' tabindex='42'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_8' id='label_56_35_8' class='gform-field-label gform-field-label--type-inline'>Environmental issues<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_56_35_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.9' type='checkbox'  value='Issues related to servitude'  id='choice_56_35_9' tabindex='43'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_9' id='label_56_35_9' class='gform-field-label gform-field-label--type-inline'>Issues related to servitude<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_56_35_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.11' type='checkbox'  value='Recourse in warranty'  id='choice_56_35_11' tabindex='44'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_11' id='label_56_35_11' class='gform-field-label gform-field-label--type-inline'>Recourse in warranty<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_56_35_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.12' type='checkbox'  value='Death of a contracting party'  id='choice_56_35_12' tabindex='45'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_12' id='label_56_35_12' class='gform-field-label gform-field-label--type-inline'>Death of a contracting party<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_56_35_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.13' type='checkbox'  value='Other'  id='choice_56_35_13' tabindex='46'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_13' id='label_56_35_13' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_56_35'>\n\nDeath of contracting party<\/div><\/li><li id=\"field_56_73\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_73\" ><label class='gfield_label gform-field-label' for='input_56_73'>When did you discover the problem?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_73' id='input_56_73' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon' tabindex='47'  placeholder='mm\/dd\/yyyy' aria-describedby=\"input_56_73_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_56_73_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_56_73' class='gform_hidden' value='https:\/\/legallogik.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_56_37\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_37\" ><label class='gfield_label gform-field-label' for='input_56_37'>Please describe the problem<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_37' id='input_56_37' class='textarea medium' tabindex='48'    aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_56_74\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_74\" ><label class='gfield_label gform-field-label' for='input_56_74'>Would you like to authorize Legal Logik to disclose information to a third party?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_74' id='input_56_74' class='medium gfield_select' tabindex='49'   aria-required=\"true\" aria-invalid=\"false\" ><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_56_75\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_75\" ><label class='gfield_label gform-field-label' for='input_56_75'>How many people would you like to authorize?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_75' id='input_56_75' class='medium gfield_select' tabindex='50'   aria-required=\"true\" aria-invalid=\"false\" ><option value='1' >1<\/option><option value='2' >2<\/option><\/select><\/div><\/li><li id=\"field_56_76\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_76\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Person 1 Given Authorization<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><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_56_76'>\n                            \n                            <span id='input_56_76_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_76.3' id='input_56_76_3' value='' tabindex='52'  aria-required='true'     \/>\n                                                    <label for='input_56_76_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_56_76_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_76.6' id='input_56_76_6' value='' tabindex='54'  aria-required='true'     \/>\n                                                    <label for='input_56_76_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_56_84\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_84\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Person 1 Given Authorization<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><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_56_84'>\n                            \n                            <span id='input_56_84_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_84.3' id='input_56_84_3' value='' tabindex='57'  aria-required='true'     \/>\n                                                    <label for='input_56_84_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_56_84_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_84.6' id='input_56_84_6' value='' tabindex='59'  aria-required='true'     \/>\n                                                    <label for='input_56_84_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_56_77\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_77\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Person 2 Given Authorization<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><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_56_77'>\n                            \n                            <span id='input_56_77_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_77.3' id='input_56_77_3' value='' tabindex='62'  aria-required='true'     \/>\n                                                    <label for='input_56_77_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_56_77_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_77.6' id='input_56_77_6' value='' tabindex='64'  aria-required='true'     \/>\n                                                    <label for='input_56_77_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_56_78\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_78\" ><label class='gfield_label gform-field-label' for='input_56_78'>Name of your lawyer<\/label><div class='ginput_container ginput_container_select'><select name='input_78' id='input_56_78' class='medium gfield_select' tabindex='66'    aria-invalid=\"false\" ><option value='Zoe Fortin' >Zoe Fortin<\/option><option value='Emmanuelle Epstein' >Emmanuelle Epstein<\/option><option value='Jamie Benizri' >Jamie Benizri<\/option><\/select><\/div><\/li><li id=\"field_56_79\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_79\" ><label class='gfield_label gform-field-label' for='input_56_79'>Preferred Language of Documentation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_79' id='input_56_79' class='medium gfield_select' tabindex='67'   aria-required=\"true\" aria-invalid=\"false\" ><option value='English' >English<\/option><option value='French' >French<\/option><\/select><\/div><\/li><li id=\"field_56_85\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_85\" ><label class='gfield_label gform-field-label' for='input_56_85'>Comments<\/label><div class='ginput_container'><input name='input_85' id='input_56_85' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_56_85'>This field is for validation purposes and should be left unchanged.<\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'>  \n            <input type='hidden' class='gform_hidden' name='is_submit_56' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_old_submit' value='56' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_56' value='WyJbXSIsIjQ0NGFiNzM5YTc2YTAwZGMyMDFiYzJmNDA1MmU3ZjRhIl0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_56' id='gform_target_page_number_56' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_56' id='gform_source_page_number_56' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <p style=\"display: none !important;\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"104\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 56, 'https:\/\/legallogik.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_56').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_56');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_56').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 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id=\"_gform_submit_nonce_56\" name=\"_gform_submit_nonce_56\" value=\"08f2d5df8f\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/9906\" \/><input type=\"hidden\" name=\"wc_gforms_product_type\" id=\"wc_gforms_product_type\" value=\"simple\" \/><input type=\"hidden\" name=\"gform_form_id\" id=\"gform_form_id\" value=\"56\" \/><input type=\"hidden\" id=\"woocommerce_get_action\" value=\"\" \/><input type=\"hidden\" id=\"woocommerce_product_base_price\" value=\"100\" \/><input type=\"hidden\" name=\"wc_gforms_form_id\"  value=\"56\" \/><input type=\"hidden\" name=\"wc_gforms_next_page\"  value=\"0\" \/><input type=\"hidden\" name=\"wc_gforms_previous_page\"  value=\"0\" \/>\n\t\t\t        <script>\n\n\n            gform.addFilter('gform_product_total', function(total, formId) {\n                const product_id = jQuery(\"input[name=product_id]\").val();\n\n                if (wc_gravityforms_params.use_ajax[product_id]) {\n                    return update_dynamic_price_ajax(total, formId);\n                } else {\n                    return update_dynamic_price(total, formId);\n                }\n            });\n\n        <\/script>\n\t\t\n\t\t\t\n            <style>\n                .hidden-total {\n                    display: none !important;\n                }\n            <\/style>\n\n\t\t\t<\/div><input type=\"hidden\" name=\"add-to-cart\" value=\"9912\" \/><div class=\"clear\"><\/div>\n\t\t<button type=\"submit\" value=\"9912\" data-quantity=\"\" aria-label=\"Add &quot;Request Legal Assistance&quot; to your cart\" data-product_id=\"9912\" data-product_sku=\"\" class=\"single_add_to_cart_button add_to_cart_button button btn btn-sm font-weight-bold text-uppercase ltr-sp-15\"><span>Add to cart<\/span><\/button>\n\n\t\t<input type=\"hidden\" name=\"add-to-cart\" value=\"9912\" \/>\n\t\t<input type=\"hidden\" name=\"product_id\" value=\"9912\" \/>\n\n\t\t\t<\/form>\n\n\t\n<ul class=\"social-icon scheme-dark\">\n\t<li><a rel=\"nofollow\" href=\"https:\/\/www.facebook.com\/sharer\/sharer.php?u=https%3A%2F%2Flegallogik.com%2Fproduct%2Frequest-legal-assistace%2F&#038;t=Request%20Legal%20Assistance\"><i class=\"fa fa-facebook\"><\/i><\/a><\/li>\n\t<li><a rel=\"nofollow\" href=\"https:\/\/twitter.com\/intent\/tweet?text=Request%20Legal%20Assistance&#038;url=https%3A%2F%2Flegallogik.com%2Fproduct%2Frequest-legal-assistace%2F\"><i class=\"fa fa-twitter\"><\/i><\/a><\/li>\n\t<li><a rel=\"nofollow\" href=\"https:\/\/pinterest.com\/pin\/create\/button\/?url=https%3A%2F%2Flegallogik.com%2Fproduct%2Frequest-legal-assistace%2F&#038;media=&#038;description=Request%20Legal%20Assistance\"><i class=\"fa fa-pinterest-p\"><\/i><\/a><\/li>\n<\/ul><!-- \/.social-icon -->\n<\/div><div class=\"product_meta product-meta\">\r\n\r\n\t\r\n\t\r\n\t\r\n\t<\/div>\t<\/div>\n\n\t\t\r\n\t<section class=\"related products\">\r\n\t\t\r\n\t\t\t\t\t<h2 class=\"text-center\">Related Products<\/h2>\r\n\t\t\t\t\r\n\t\t<ul class=\"products columns-4\">\n\r\n\t\t\t\r\n\t\t\t\t<li class=\"product type-product post-8265 status-publish first instock product_cat-uncategorized virtual sold-individually taxable purchasable product-type-simple\">\n\t<div class=\"ld-sp \">\n\t\t<figure class=\"ld-sp-img\">\n\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"data:image\/svg+xml;charset=utf-8,&lt;svg xmlns%3D&#039;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#039; viewBox%3D&#039;0 0 300 300&#039;%2F&gt;\" class=\"woocommerce-placeholder wp-post-image ld-lazyload\" alt=\"Placeholder\" srcset=\"\" sizes=\"(max-width: 300px) 100vw, 300px\" data-src=\"https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-300x300.png\" data-srcset=\"https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-300x300.png 300w, https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-100x100.png 100w, https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-450x450.png 450w, https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-1024x1024.png 1024w, https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-150x150.png 150w, https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder.png 1200w\" data-aspect=\"1\" \/><a href=\"https:\/\/legallogik.com\/product\/small-claims-court-lawsuit-plaintiff\/\" class=\"liquid-overlay-link woocommerce-LoopProduct-link woocommerce-loop-product__link\"><\/a><a href=\"https:\/\/legallogik.com\/product\/small-claims-court-lawsuit-plaintiff\/\" data-quantity=\"1\" class=\"ld-sp-btn ld-sp-add-to-cart button product_type_simple add_to_cart_button\" data-product_id=\"8265\" data-product_sku=\"\" aria-label=\"Add to cart: &ldquo;Small Claims Court - Lawsuit- Plaintiff&rdquo;\" aria-describedby=\"\" rel=\"nofollow\">Select options<\/a>\t\t<\/figure>\n\t\t<div class=\"ld-sp-info\">\n\t\t<h3><a href=\"https:\/\/legallogik.com\/product\/small-claims-court-lawsuit-plaintiff\/\">Small Claims Court &#8211; Lawsuit- Plaintiff<\/a><\/h3>\n\t<span class=\"price\"><span class=\"woocommerce-Price-amount amount\"><span class=\"woocommerce-Price-currencySymbol\">&#036;<\/span>499.00<\/span><\/span>\n\t\t<\/div><!-- \/.ld-sp-info -->\n\t\t\t<\/div><!-- \/.ld-sp -->\n<\/li>\n\r\n\t\t\t\r\n\t\t\t\t<li class=\"product type-product post-8254 status-publish instock product_cat-uncategorized virtual sold-individually taxable purchasable product-type-simple\">\n\t<div class=\"ld-sp \">\n\t\t<figure class=\"ld-sp-img\">\n\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"data:image\/svg+xml;charset=utf-8,&lt;svg xmlns%3D&#039;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#039; viewBox%3D&#039;0 0 300 300&#039;%2F&gt;\" class=\"woocommerce-placeholder wp-post-image ld-lazyload\" alt=\"Placeholder\" srcset=\"\" sizes=\"(max-width: 300px) 100vw, 300px\" data-src=\"https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-300x300.png\" data-srcset=\"https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-300x300.png 300w, https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-100x100.png 100w, https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-450x450.png 450w, https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-1024x1024.png 1024w, https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-150x150.png 150w, https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder.png 1200w\" data-aspect=\"1\" \/><a href=\"https:\/\/legallogik.com\/product\/sales-of-shares-agreement\/\" class=\"liquid-overlay-link woocommerce-LoopProduct-link woocommerce-loop-product__link\"><\/a><a href=\"https:\/\/legallogik.com\/product\/sales-of-shares-agreement\/\" data-quantity=\"1\" class=\"ld-sp-btn ld-sp-add-to-cart button product_type_simple add_to_cart_button\" data-product_id=\"8254\" data-product_sku=\"\" aria-label=\"Add to cart: &ldquo;Sales of Shares Agreement&rdquo;\" aria-describedby=\"\" rel=\"nofollow\">Select options<\/a>\t\t<\/figure>\n\t\t<div class=\"ld-sp-info\">\n\t\t<h3><a href=\"https:\/\/legallogik.com\/product\/sales-of-shares-agreement\/\">Sales of Shares Agreement<\/a><\/h3>\n\t<span class=\"price\"><span class=\"woocommerce-Price-amount amount\"><span class=\"woocommerce-Price-currencySymbol\">&#036;<\/span>300.00<\/span><\/span>\n\t\t<\/div><!-- \/.ld-sp-info -->\n\t\t\t<\/div><!-- \/.ld-sp -->\n<\/li>\n\r\n\t\t\t\r\n\t\t\t\t<li class=\"product type-product post-8262 status-publish instock product_cat-uncategorized virtual sold-individually taxable purchasable product-type-simple\">\n\t<div class=\"ld-sp \">\n\t\t<figure class=\"ld-sp-img\">\n\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"data:image\/svg+xml;charset=utf-8,&lt;svg xmlns%3D&#039;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#039; viewBox%3D&#039;0 0 300 300&#039;%2F&gt;\" class=\"woocommerce-placeholder wp-post-image ld-lazyload\" alt=\"Placeholder\" srcset=\"\" sizes=\"(max-width: 300px) 100vw, 300px\" data-src=\"https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-300x300.png\" data-srcset=\"https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-300x300.png 300w, https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-100x100.png 100w, https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-450x450.png 450w, https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-1024x1024.png 1024w, https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-150x150.png 150w, https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder.png 1200w\" data-aspect=\"1\" \/><a href=\"https:\/\/legallogik.com\/product\/will-and-mandate-combo\/\" class=\"liquid-overlay-link woocommerce-LoopProduct-link woocommerce-loop-product__link\"><\/a><a href=\"https:\/\/legallogik.com\/product\/will-and-mandate-combo\/\" data-quantity=\"1\" class=\"ld-sp-btn ld-sp-add-to-cart button product_type_simple add_to_cart_button\" data-product_id=\"8262\" data-product_sku=\"\" aria-label=\"Add to cart: &ldquo;Will and Mandate Combo&rdquo;\" aria-describedby=\"\" rel=\"nofollow\">Select options<\/a>\t\t<\/figure>\n\t\t<div class=\"ld-sp-info\">\n\t\t<h3><a href=\"https:\/\/legallogik.com\/product\/will-and-mandate-combo\/\">Will and Mandate Combo<\/a><\/h3>\n\t<span class=\"price\"><span class=\"woocommerce-Price-amount amount\"><span class=\"woocommerce-Price-currencySymbol\">&#036;<\/span>599.00<\/span><\/span>\n\t\t<\/div><!-- \/.ld-sp-info -->\n\t\t\t<\/div><!-- \/.ld-sp -->\n<\/li>\n\r\n\t\t\t\r\n\t\t\t\t<li class=\"product type-product post-8264 status-publish last instock product_cat-uncategorized virtual sold-individually taxable purchasable product-type-simple\">\n\t<div class=\"ld-sp \">\n\t\t<figure class=\"ld-sp-img\">\n\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"data:image\/svg+xml;charset=utf-8,&lt;svg xmlns%3D&#039;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#039; viewBox%3D&#039;0 0 300 300&#039;%2F&gt;\" class=\"woocommerce-placeholder wp-post-image ld-lazyload\" alt=\"Placeholder\" srcset=\"\" sizes=\"(max-width: 300px) 100vw, 300px\" data-src=\"https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-300x300.png\" data-srcset=\"https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-300x300.png 300w, https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-100x100.png 100w, https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-450x450.png 450w, https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-1024x1024.png 1024w, https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder-150x150.png 150w, https:\/\/legallogik.com\/wp-content\/uploads\/woocommerce-placeholder.png 1200w\" data-aspect=\"1\" \/><a href=\"https:\/\/legallogik.com\/product\/small-claims-court-demand-letter-plaintiff\/\" class=\"liquid-overlay-link woocommerce-LoopProduct-link woocommerce-loop-product__link\"><\/a><a href=\"https:\/\/legallogik.com\/product\/small-claims-court-demand-letter-plaintiff\/\" data-quantity=\"1\" class=\"ld-sp-btn ld-sp-add-to-cart button product_type_simple add_to_cart_button\" data-product_id=\"8264\" data-product_sku=\"\" aria-label=\"Add to cart: &ldquo;Small Claims Court - Demand Letter- Plaintiff&rdquo;\" aria-describedby=\"\" rel=\"nofollow\">Select options<\/a>\t\t<\/figure>\n\t\t<div class=\"ld-sp-info\">\n\t\t<h3><a href=\"https:\/\/legallogik.com\/product\/small-claims-court-demand-letter-plaintiff\/\">Small Claims Court &#8211; Demand Letter- Plaintiff<\/a><\/h3>\n\t<span class=\"price\"><span class=\"woocommerce-Price-amount amount\"><span class=\"woocommerce-Price-currencySymbol\">&#036;<\/span>499.00<\/span><\/span>\n\t\t<\/div><!-- \/.ld-sp-info -->\n\t\t\t<\/div><!-- \/.ld-sp -->\n<\/li>\n\r\n\t\t\t\r\n\t\t<\/ul>\n\r\n\t<\/section>\r\n\t\t\r\n<\/div>\n\n\t\t\t<\/div>\n\t\t\t<\/div>[\/vc_column][\/vc_row][vc_row disable_element=&#8221;yes&#8221; css=&#8221;.vc_custom_1601384033004{margin-bottom: 100px !important;}&#8221;][vc_column]\n                <div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='1' id='gform_wrapper_56' style='display:none'>\n                        <div class='gform-body gform_body'><ul id='gform_fields_56' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_56_24\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_24\" ><h2 class=\"gsection_title\">Your Information<\/h2><\/li><li id=\"field_56_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_1\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Your Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><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_56_1'>\n                            \n                            <span id='input_56_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_56_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_56_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_56_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_56_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_56_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_56_22\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_22\" ><label class='gfield_label gform-field-label' for='input_56_22'>Email<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_22' id='input_56_22' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_56_23\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_23\" ><label class='gfield_label gform-field-label' for='input_56_23'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_23' id='input_56_23' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_56_80\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_80\" ><label class='gfield_label gform-field-label' for='input_56_80'>Is there a second person on your certificate?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_80' id='input_56_80' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_56_81\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_81\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name of additional person on certificate<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><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_56_81'>\n                            \n                            <span id='input_56_81_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_81.3' id='input_56_81_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_56_81_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_56_81_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_81.6' id='input_56_81_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_56_81_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_56_82\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_82\" ><label class='gfield_label gform-field-label' for='input_56_82'>Email of additional person on certificate<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_82' id='input_56_82' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_56_83\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_83\" ><label class='gfield_label gform-field-label' for='input_56_83'>Phone number of additional person on certificate<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_83' id='input_56_83' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_56_26\" class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_26\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Your Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_56_26' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_56_26_1_container' >\n                                        <input type='text' name='input_26.1' id='input_56_26_1' value=''    aria-required='false'    \/>\n                                        <label for='input_56_26_1' id='input_56_26_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_56_26_2_container' >\n                                        <input type='text' name='input_26.2' id='input_56_26_2' value=''     aria-required='false'   \/>\n                                        <label for='input_56_26_2' id='input_56_26_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_56_26_3_container' >\n                                    <input type='text' name='input_26.3' id='input_56_26_3' value=''    aria-required='false'    \/>\n                                    <label for='input_56_26_3' id='input_56_26_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_56_26_4_container' >\n                                        <input type='text' name='input_26.4' id='input_56_26_4' value=''      aria-required='false'    \/>\n                                        <label for='input_56_26_4' id='input_56_26_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_56_26_5_container' >\n                                    <input type='text' name='input_26.5' id='input_56_26_5' value=''    aria-required='false'    \/>\n                                    <label for='input_56_26_5' id='input_56_26_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_56_26_6_container' >\n                                        <select name='input_26.6' id='input_56_26_6'   aria-required='false'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_56_26_6' id='input_56_26_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_56_68\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_68\" ><label class='gfield_label gform-field-label' >In this case, are you making a claim or defending yourself against a claim?<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_56_68'>\n\t\t\t<li class='gchoice gchoice_56_68_0'>\n\t\t\t\t<input name='input_68' type='radio' value='Making a claim'  id='choice_56_68_0'    \/>\n\t\t\t\t<label for='choice_56_68_0' id='label_56_68_0' class='gform-field-label gform-field-label--type-inline'>Making a claim<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_56_68_1'>\n\t\t\t\t<input name='input_68' type='radio' value='Defending against a claim'  id='choice_56_68_1'    \/>\n\t\t\t\t<label for='choice_56_68_1' id='label_56_68_1' class='gform-field-label gform-field-label--type-inline'>Defending against a claim<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_56_2\" class=\"gfield gfield--type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_2\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address of the dispute in question<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    <div id='input_56_2_copy_values_option_container' class='copy_values_option_container' >\n                                        <input type='checkbox' id='input_56_2_copy_values_activated' class='copy_values_activated' value='1' data-source_field_id='26' name='input_2_copy_values_activated'  \/>\n                                        <label for='input_56_2_copy_values_activated' id='input_56_2_copy_values_option_label' class='copy_values_option_label inline gform-field-label gform-field-label--type-inline'>Same as Previous<\/label>\n                                    <\/div>\n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip ginput_container_address gform-grid-row' id='input_56_2' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_56_2_1_container' >\n                                        <input type='text' name='input_2.1' id='input_56_2_1' value=''    aria-required='true'    \/>\n                                        <label for='input_56_2_1' id='input_56_2_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_56_2_2_container' >\n                                        <input type='text' name='input_2.2' id='input_56_2_2' value=''     aria-required='false'   \/>\n                                        <label for='input_56_2_2' id='input_56_2_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_56_2_3_container' >\n                                    <input type='text' name='input_2.3' id='input_56_2_3' value=''    aria-required='true'    \/>\n                                    <label for='input_56_2_3' id='input_56_2_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_56_2_4_container' >\n                                        <select name='input_2.4' id='input_56_2_4'     aria-required='true'    ><option value='' selected='selected'><\/option><option value='Alberta' >Alberta<\/option><option value='British Columbia' >British Columbia<\/option><option value='Manitoba' >Manitoba<\/option><option value='New Brunswick' >New Brunswick<\/option><option value='Newfoundland and Labrador' >Newfoundland and Labrador<\/option><option value='Northwest Territories' >Northwest Territories<\/option><option value='Nova Scotia' >Nova Scotia<\/option><option value='Nunavut' >Nunavut<\/option><option value='Ontario' >Ontario<\/option><option value='Prince Edward Island' >Prince Edward Island<\/option><option value='Quebec' >Quebec<\/option><option value='Saskatchewan' >Saskatchewan<\/option><option value='Yukon' >Yukon<\/option><\/select>\n                                        <label for='input_56_2_4' id='input_56_2_4_label' class='gform-field-label gform-field-label--type-sub '>Province<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_56_2_5_container' >\n                                    <input type='text' name='input_2.5' id='input_56_2_5' value=''    aria-required='true'    \/>\n                                    <label for='input_56_2_5' id='input_56_2_5_label' class='gform-field-label gform-field-label--type-sub '>Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_2.6' id='input_56_2_6' value='Canada' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_56_72\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_72\" ><label class='gfield_label gform-field-label' >Do you possess a Sutton Secur certificate for this property?<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_56_72'>\n\t\t\t<li class='gchoice gchoice_56_72_0'>\n\t\t\t\t<input name='input_72' type='radio' value='Buyer Certificate'  id='choice_56_72_0'    \/>\n\t\t\t\t<label for='choice_56_72_0' id='label_56_72_0' class='gform-field-label gform-field-label--type-inline'>Buyer Certificate<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_56_72_1'>\n\t\t\t\t<input name='input_72' type='radio' value='Vendor Certificate'  id='choice_56_72_1'    \/>\n\t\t\t\t<label for='choice_56_72_1' id='label_56_72_1' class='gform-field-label gform-field-label--type-inline'>Vendor Certificate<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_56_72_2'>\n\t\t\t\t<input name='input_72' type='radio' value='None'  id='choice_56_72_2'    \/>\n\t\t\t\t<label for='choice_56_72_2' id='label_56_72_2' class='gform-field-label gform-field-label--type-inline'>None<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_56_29\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_29\" ><label class='gfield_label gform-field-label' for='input_56_29'>Sutton Secur Certificate Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_56_29' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_56_35\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_35\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Which best describes the problem?<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_56_35'><li class='gchoice gchoice_56_35_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.1' type='checkbox'  value='Hidden defect(s)'  id='choice_56_35_1'   aria-describedby=\"gfield_description_56_35\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_1' id='label_56_35_1' class='gform-field-label gform-field-label--type-inline'>Hidden defect(s)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_56_35_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.2' type='checkbox'  value='Landlord and tenant issues'  id='choice_56_35_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_2' id='label_56_35_2' class='gform-field-label gform-field-label--type-inline'>Landlord and tenant issues<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_56_35_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.3' type='checkbox'  value='Problems relating to access to or limits of property'  id='choice_56_35_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_3' id='label_56_35_3' class='gform-field-label gform-field-label--type-inline'>Problems relating to access to or limits of property<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_56_35_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.4' type='checkbox'  value='Passation of title'  id='choice_56_35_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_4' id='label_56_35_4' class='gform-field-label gform-field-label--type-inline'>Passation of title<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_56_35_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.5' type='checkbox'  value='Contractual issues'  id='choice_56_35_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_5' id='label_56_35_5' class='gform-field-label gform-field-label--type-inline'>Contractual issues<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_56_35_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.6' type='checkbox'  value='Refusal by contracting party'  id='choice_56_35_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_6' id='label_56_35_6' class='gform-field-label gform-field-label--type-inline'>Refusal by contracting party<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_56_35_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.7' type='checkbox'  value='Financing related to the property'  id='choice_56_35_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_7' id='label_56_35_7' class='gform-field-label gform-field-label--type-inline'>Financing related to the property<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_56_35_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.8' type='checkbox'  value='Environmental issues'  id='choice_56_35_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_8' id='label_56_35_8' class='gform-field-label gform-field-label--type-inline'>Environmental issues<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_56_35_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.9' type='checkbox'  value='Issues related to servitude'  id='choice_56_35_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_9' id='label_56_35_9' class='gform-field-label gform-field-label--type-inline'>Issues related to servitude<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_56_35_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.11' type='checkbox'  value='Recourse in warranty'  id='choice_56_35_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_11' id='label_56_35_11' class='gform-field-label gform-field-label--type-inline'>Recourse in warranty<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_56_35_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.12' type='checkbox'  value='Death of a contracting party'  id='choice_56_35_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_12' id='label_56_35_12' class='gform-field-label gform-field-label--type-inline'>Death of a contracting party<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_56_35_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_35.13' type='checkbox'  value='Other'  id='choice_56_35_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_56_35_13' id='label_56_35_13' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_56_35'>\n\nDeath of contracting party<\/div><\/li><li id=\"field_56_73\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_73\" ><label class='gfield_label gform-field-label' for='input_56_73'>When did you discover the problem?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_73' id='input_56_73' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_56_73_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_56_73_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_56_73' class='gform_hidden' value='https:\/\/legallogik.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_56_37\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_37\" ><label class='gfield_label gform-field-label' for='input_56_37'>Please describe the problem<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_37' id='input_56_37' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_56_74\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_74\" ><label class='gfield_label gform-field-label' for='input_56_74'>Would you like to authorize Legal Logik to disclose information to a third party?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_74' id='input_56_74' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/li><li id=\"field_56_75\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_75\" ><label class='gfield_label gform-field-label' for='input_56_75'>How many people would you like to authorize?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_75' id='input_56_75' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='1' >1<\/option><option value='2' >2<\/option><\/select><\/div><\/li><li id=\"field_56_76\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_76\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Person 1 Given Authorization<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><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_56_76'>\n                            \n                            <span id='input_56_76_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_76.3' id='input_56_76_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_56_76_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_56_76_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_76.6' id='input_56_76_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_56_76_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_56_84\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_84\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Person 1 Given Authorization<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><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_56_84'>\n                            \n                            <span id='input_56_84_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_84.3' id='input_56_84_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_56_84_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_56_84_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_84.6' id='input_56_84_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_56_84_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_56_77\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_77\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Person 2 Given Authorization<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><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_56_77'>\n                            \n                            <span id='input_56_77_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_77.3' id='input_56_77_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_56_77_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_56_77_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_77.6' id='input_56_77_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_56_77_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_56_78\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_78\" ><label class='gfield_label gform-field-label' for='input_56_78'>Name of your lawyer<\/label><div class='ginput_container ginput_container_select'><select name='input_78' id='input_56_78' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Zoe Fortin' >Zoe Fortin<\/option><option value='Emmanuelle Epstein' >Emmanuelle Epstein<\/option><option value='Jamie Benizri' >Jamie Benizri<\/option><\/select><\/div><\/li><li id=\"field_56_79\" class=\"gfield gfield--type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_79\" ><label class='gfield_label gform-field-label' for='input_56_79'>Preferred Language of Documentation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_79' id='input_56_79' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='English' >English<\/option><option value='French' >French<\/option><\/select><\/div><\/li><li id=\"field_56_85\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_56_85\" ><label class='gfield_label gform-field-label' for='input_56_85'>Name<\/label><div class='ginput_container'><input name='input_85' id='input_56_85' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_56_85'>This field is for validation purposes and should be left unchanged.<\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'>  \n            <input type='hidden' class='gform_hidden' name='is_submit_56' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='56' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_56' value='WyJbXSIsIjQ0NGFiNzM5YTc2YTAwZGMyMDFiYzJmNDA1MmU3ZjRhIl0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_56' id='gform_target_page_number_56' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_56' id='gform_source_page_number_56' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <p style=\"display: none !important;\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_2\" name=\"ak_js\" value=\"59\"\/><script>document.getElementById( \"ak_js_2\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><\/form>\n                        <\/div><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\n gform.initializeOnLoaded( function() {gformInitSpinner( 56, 'https:\/\/legallogik.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_56').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_56');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_56').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! is_redirect && ! is_confirmation;var mt = parseInt(jQuery('html').css('margin-top'), 10) + parseInt(jQuery('body').css('margin-top'), 10) + 100;if(is_form){jQuery('#gform_wrapper_56').html(form_content.html());if(form_content.hasClass('gform_validation_error')){jQuery('#gform_wrapper_56').addClass('gform_validation_error');} else {jQuery('#gform_wrapper_56').removeClass('gform_validation_error');}setTimeout( function() { \/* delay the scroll by 50 milliseconds to fix a bug in chrome *\/  }, 50 );if(window['gformInitDatepicker']) {gformInitDatepicker();}if(window['gformInitPriceFields']) {gformInitPriceFields();}var current_page = jQuery('#gform_source_page_number_56').val();gformInitSpinner( 56, 'https:\/\/legallogik.com\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery(document).trigger('gform_page_loaded', [56, current_page]);window['gf_submitting_56'] = false;}else if(!is_redirect){var confirmation_content = jQuery(this).contents().find('.GF_AJAX_POSTBACK').html();if(!confirmation_content){confirmation_content = contents;}setTimeout(function(){jQuery('#gform_wrapper_56').replaceWith(confirmation_content);jQuery(document).trigger('gform_confirmation_loaded', [56]);window['gf_submitting_56'] = false;wp.a11y.speak(jQuery('#gform_confirmation_message_56').text());}, 50);}else{jQuery('#gform_56').append(contents);if(window['gformRedirect']) {gformRedirect();}}jQuery(document).trigger(\"gform_pre_post_render\", [{ formId: \"56\", currentPage: \"current_page\", abort: function() { this.preventDefault(); } }]);                if (event.defaultPrevented) {                return;         }        const gformWrapperDiv = document.getElementById( \"gform_wrapper_56\" );        if ( gformWrapperDiv ) {            const visibilitySpan = document.createElement( \"span\" );            visibilitySpan.id = \"gform_visibility_test_56\";            gformWrapperDiv.insertAdjacentElement( \"afterend\", visibilitySpan );        }        const visibilityTestDiv = document.getElementById( \"gform_visibility_test_56\" );        let postRenderFired = false;                function triggerPostRender() {            if ( postRenderFired ) {                return;            }            postRenderFired = true;            jQuery( document ).trigger( 'gform_post_render', [56, current_page] );            gform.utils.trigger( { event: 'gform\/postRender', native: false, data: { formId: 56, currentPage: current_page } } );            if ( visibilityTestDiv ) {                visibilityTestDiv.parentNode.removeChild( visibilityTestDiv );            }        }        function debounce( func, wait, immediate ) {            var timeout;            return 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Purchase Agreement<\/h2>\t<p class=\"\">We\u2019re here to answer any questions<\/p>\t<\/header>\n                <div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_29' ><form method='post' enctype='multipart\/form-data'  id='gform_29'  action='\/wp-json\/wp\/v2\/pages\/9906' data-formid='29' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_29' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_29_2\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_29_2\" ><h2 class=\"gsection_title\">Your Contact Information<\/h2><\/li><li id=\"field_29_43\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_29_43\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Your Full Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><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_29_43'>\n                            \n                            <span id='input_29_43_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_43.3' id='input_29_43_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_29_43_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_29_43_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_43.6' id='input_29_43_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_29_43_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_29_9\" class=\"gfield gfield--type-phone field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_29_9\" ><label class='gfield_label gform-field-label' for='input_29_9'>Your Phone Number<\/label><div class='ginput_container ginput_container_phone'><input name='input_9' id='input_29_9' type='tel' value='' class='medium'    aria-invalid=\"false\" aria-describedby=\"gfield_description_29_9\"  \/><\/div><div class='gfield_description' id='gfield_description_29_9'>What's the best # to reach you on. <\/div><\/li><li id=\"field_29_8\" class=\"gfield gfield--type-email field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_29_8\" ><label class='gfield_label gform-field-label' for='input_29_8'>Your Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_8' id='input_29_8' type='email' value='' class='medium'     aria-invalid=\"false\" aria-describedby=\"gfield_description_29_8\" \/>\n                        <\/div><div class='gfield_description' id='gfield_description_29_8'>Either Business or Personal<\/div><\/li><li id=\"field_29_154\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_29_154\" ><label class='gfield_label gform-field-label' for='input_29_154'>Please Describe Your Inquiry Request<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_154' id='input_29_154' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_29_155\" class=\"gfield gfield--type-captcha field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_29_155\" ><label class='gfield_label gform-field-label' for='input_29_155'>CAPTCHA<\/label><div id='input_29_155' class='ginput_container ginput_recaptcha' data-sitekey=''  data-theme='light' data-tabindex='0'  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