{"id":754,"date":"2018-07-20T13:51:40","date_gmt":"2018-07-20T17:51:40","guid":{"rendered":"https:\/\/alpha.westernston.com\/?page_id=754"},"modified":"2020-04-20T04:07:18","modified_gmt":"2020-04-20T08:07:18","slug":"apply","status":"publish","type":"page","link":"https:\/\/alpha.westernston.com\/consulting\/apply\/","title":{"rendered":"Apply"},"content":{"rendered":"<div id=\"dslc-theme-content\"><div id=\"dslc-theme-content-inner\"><style type=\"text\/css\">#ipt_fsqm_form_wrap_19 .ipt_fsqm_form_logo img,\n\t#ipt_fsqm_form_wrap_19 .ipt-eform-width-restrain,\n\t#ipt_fsqm_form_wrap_19 .ipt_fsqm_form_message_restore,\n\t#ipt_fsqm_form_wrap_19 .ipt_fsqm_form_message_success,\n\t#ipt_fsqm_form_wrap_19 .ipt_fsqm_form_message_error,\n\t#ipt_fsqm_form_wrap_19 .ipt_fsqm_form_message_process,\n\t#ipt_fsqm_form_wrap_19 .ipt_fsqm_form_validation_error,\n\t#ipt_fsqm_form_wrap_19 .eform-ui-estimator {\n\t\tmax-width: 980px;\n\t\tmin-width: 240px;\n\t}\n\n\t\/**\/<\/style><div\nid=\"ipt_fsqm_form_wrap_19\" class=\"ipt_uif_front ipt_uif_common ipt_fsqm_form type_1 ui-front eform-ltr eform-override-element-boxy eform-override-alignment-inherit\" data-fsqmsayt=\"{&quot;auto_save&quot;:false,&quot;show_restore&quot;:true,&quot;restore&quot;:false,&quot;admin_override&quot;:false,&quot;user_update&quot;:false,&quot;interval_save&quot;:false,&quot;interval&quot;:&quot;30&quot;}\" data-ui-type=\"1\" data-ui-theme=\"[&quot;https:\\\/\\\/alpha.westernston.com\\\/wp-content\\\/plugins\\\/wp-fsqm-pro\\\/static\\\/front\\\/css\\\/material-themes\\\/light-themes\\\/grey.css?ver=4.11.0&quot;]\" data-ui-theme-id=\"material-grey\" data-eformanim=\"1\" data-fsqmga=\"{&quot;enabled&quot;:false,&quot;manual_load&quot;:false,&quot;tracking_id&quot;:&quot;&quot;,&quot;cookie&quot;:&quot;auto&quot;,&quot;user_update&quot;:false,&quot;name&quot;:&quot;New Client Application&quot;,&quot;form_id&quot;:&quot;19&quot;}\" data-fsqmreset=\"{&quot;reset&quot;:false,&quot;delay&quot;:10}\" data-eformreg=\"{&quot;enabled&quot;:false,&quot;username_id&quot;:&quot;ipt_fsqm_form_19_freetype_15&quot;,&quot;password_id&quot;:&quot;ipt_fsqm_form_19_pinfo_06&quot;,&quot;hide_pinfo&quot;:true,&quot;hide_meta&quot;:false,&quot;meta&quot;:[]}\" data-eformscroll=\"{&quot;progress&quot;:true,&quot;message&quot;:true,&quot;offset&quot;:&quot;0&quot;}\" data-eform-cookie=\"0\" data-subscription-form=\"false\">\n<noscript><div\nclass=\"ipt_fsqm_form_message_noscript ui-widget ui-widget-content ui-corner-all\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><h3>Javascript is disabled<\/h3><\/div><div\nclass=\"ui-widget-content ui-corner-bottom\"><p>Javascript is disabled on your browser. Please enable it in order to use this form.<\/p><\/div><\/div>\n<\/noscript><style type=\"text\/css\">.ipt_uif_ajax_loader,\n\t\t\t.ipt_uif_ajax_loader *,\n\t\t\tipt_uif_ajax_loader *::before,\n\t\t\tipt_uif_ajax_loader *::after {\n\t\t\t\tbox-sizing: border-box;\n\t\t\t}<\/style><div\nclass=\"ipt_uif_init_loader ipt-eform-preloader-inline ipt_uif_ajax_loader\"><div\nclass=\"ipt-eform-preloader-inner\"><div\nclass=\"ipt-eform-preloader-circle\"><div\nclass=\"preloader-wrapper active\"><div\nclass=\"spinner-layer spinner-blue\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-red\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-yellow\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-green\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><\/div><\/div><div\nclass=\"ipt-eform-preloader-text\"><div\nclass=\"ipt-eform-preloader-text-inner ipt_uif_ajax_loader_text\">Loading<\/div><\/div><div\nclass=\"clear\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude class=\"ipt_uif_conditional_logic\" id=\"ipt_uif_conditional_logic_19\" value=\"{&quot;logics&quot;:{&quot;ipt_fsqm_form_19_freetype_13&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;12&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;eq&quot;,&quot;value&quot;:&quot;I agree&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;signature&quot;,&quot;m_type&quot;:&quot;freetype&quot;},&quot;ipt_fsqm_form_19_freetype_27&quot;:{&quot;active&quot;:true,&quot;status&quot;:false,&quot;change&quot;:true,&quot;logic&quot;:{&quot;0&quot;:{&quot;m_type&quot;:&quot;mcq&quot;,&quot;key&quot;:&quot;12&quot;,&quot;check&quot;:&quot;val&quot;,&quot;operator&quot;:&quot;neq&quot;,&quot;value&quot;:&quot;I agree&quot;,&quot;rel&quot;:&quot;and&quot;}},&quot;type&quot;:&quot;signature&quot;,&quot;m_type&quot;:&quot;freetype&quot;}},&quot;indexes&quot;:{&quot;ipt_fsqm_form_19_mcq_12&quot;:[&quot;ipt_fsqm_form_19_freetype_13&quot;,&quot;ipt_fsqm_form_19_freetype_27&quot;]},&quot;base&quot;:&quot;19&quot;}\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude class=\"ipt_fsqm_timer_data\" id=\"ipt_fsqm_timer_data_19\" value=\"{&quot;type&quot;:&quot;none&quot;}\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude class=\"ipt_fsqm_epoc_data\" id=\"ipt_fsqm_epoc_data_19\" value=\"{&quot;CURRENTYEAR&quot;:2024,&quot;CURRENTDATE&quot;:1712178603000,&quot;CURRENTDAY&quot;:3,&quot;CURRENTMONTH&quot;:4,&quot;CURRENTHOUR&quot;:21,&quot;CURRENTMINUTE&quot;:10,&quot;CURRENTSECOND&quot;:3,&quot;CURRENTWEEK&quot;:14,&quot;CURRENTEPOC&quot;:19816}\" \/><div\nstyle=\"display: none;\" class=\"ipt_uif_hidden_init\"><form\nmethod=\"post\" action=\"\" class=\"ipt_uif_validate_form ipt_fsqm_main_form\" id=\"ipt_fsqm_form_19\" autocomplete=\"on\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"action\" id=\"action\" value=\"ipt_fsqm_save_form\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_epoc\" class=\"eform-epoc-value\" value=\"1712178603\" \/>\n<input\ntype=\"hidden\" class=\"ipt_fsqm_form_tab_pos\" name=\"fsqm_form19_tab_pos\" value=\"0\" id=\"fsqm_form19_tab_pos\" \/>\n<input\ntype=\"hidden\" id=\"ipt_fsqm_form_data_save\" name=\"ipt_fsqm_form_data_save\" value=\"1ff48e389d\" data-sayt-exclude \/>\t\t\t<input\ntype=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/754\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"form_id\" value=\"19\" \/><div\nclass=\"ipt-eform-width-restrain\"><div\nclass=\"ipt-eform-content \"><div\ndata-settings=\"{&quot;can_previous&quot;:true,&quot;show_progress_bar&quot;:true,&quot;progress_bar_bottom&quot;:false,&quot;block_previous&quot;:false,&quot;any_tab&quot;:false,&quot;type&quot;:&quot;1&quot;,&quot;scroll&quot;:true,&quot;decimal_point&quot;:2,&quot;auto_progress&quot;:false,&quot;auto_progress_delay&quot;:&quot;1500&quot;,&quot;auto_submit&quot;:false,&quot;hidden_buttons&quot;:false,&quot;scroll_on_error&quot;:true}\" class=\"ipt_fsqm_main_tab ipt_uif_tabs horizontal\"><div\nclass=\"ipt-eform-tab-nav-wrap\"><ul><li\nid=\"ipt_fsqm_form_19_tab_0_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_19_tab_0\"><span\nclass=\"eform-tab-labels\">Personal Information <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_19_tab_1_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_19_tab_1\"><span\nclass=\"eform-tab-labels\">Business <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_19_tab_2_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_19_tab_2\"><span\nclass=\"eform-tab-labels\">Business Financials <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_19_tab_3_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_19_tab_3\"><span\nclass=\"eform-tab-labels\">Marketing <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_19_tab_4_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_19_tab_4\"><span\nclass=\"eform-tab-labels\">Profile <\/span><\/a><\/li><li\nid=\"ipt_fsqm_form_19_tab_5_control_li\"><a\nclass=\"eform-ripple\" href=\"#ipt_fsqm_form_19_tab_5\"><span\nclass=\"eform-tab-labels\">Interest <\/span><\/a><\/li><\/ul>\n<i\nclass=\"eform-tab-nav eform-tab-nav-right ipt-icomoon-angle-right disabled eform-ripple\"><\/i>\n<i\nclass=\"eform-tab-nav eform-tab-nav-left ipt-icomoon-angle-left disabled eform-ripple\"><\/i>\n<span\nclass=\"eform-tab-passive-notifier\"><\/span>\n<span\nclass=\"eform-tab-active-notifier\"><\/span><\/div><div\nid=\"ipt_fsqm_form_19_tab_0\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_19_layout_0_inner\" class=\"ipt-eform-layout-wrapper\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[mcq][0][m_type]\" id=\"ipt_fsqm_form_19_mcq_0_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[mcq][0][type]\" id=\"ipt_fsqm_form_19_mcq_0_type\" value=\"select\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_select\" id=\"ipt_fsqm_form_19_mcq_0\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_mcq_0\">Title<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\">\n<select\nclass=\" check_me validate[required] ipt_uif_select\" name=\"ipt_fsqm_form_19[mcq][0][options][]\" id=\"ipt_fsqm_form_19_mcq_0_options_\"  data-theme=\"eform-material\"><option\nvalue=\"0\" data-num=\"\">Mr.<\/option><option\nvalue=\"1\" data-num=\"\">Mrs.<\/option><option\nvalue=\"2\" data-num=\"\">Miss<\/option>\n<\/select><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[pinfo][0][m_type]\" id=\"ipt_fsqm_form_19_pinfo_0_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[pinfo][0][type]\" id=\"ipt_fsqm_form_19_pinfo_0_type\" value=\"f_name\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_f_name\" id=\"ipt_fsqm_form_19_pinfo_0\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required,custom[personName]] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_19[pinfo][0][value]\"\nid=\"ipt_fsqm_form_19_pinfo_0_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xf007;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_pinfo_0_value\">First Name<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[pinfo][1][m_type]\" id=\"ipt_fsqm_form_19_pinfo_1_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[pinfo][1][type]\" id=\"ipt_fsqm_form_19_pinfo_1_type\" value=\"l_name\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_l_name\" id=\"ipt_fsqm_form_19_pinfo_1\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required,custom[personName]] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_19[pinfo][1][value]\"\nid=\"ipt_fsqm_form_19_pinfo_1_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xf007;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_pinfo_1_value\">Last Name<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[pinfo][2][m_type]\" id=\"ipt_fsqm_form_19_pinfo_2_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[pinfo][2][type]\" id=\"ipt_fsqm_form_19_pinfo_2_type\" value=\"email\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_email\" id=\"ipt_fsqm_form_19_pinfo_2\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required,custom[email]] ipt_uif_text\"\ntype=\"email\"\nname=\"ipt_fsqm_form_19[pinfo][2][value]\"\nid=\"ipt_fsqm_form_19_pinfo_2_value\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xf0e0;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_pinfo_2_value\">Email Address<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[pinfo][3][m_type]\" id=\"ipt_fsqm_form_19_pinfo_3_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[pinfo][3][type]\" id=\"ipt_fsqm_form_19_pinfo_3_type\" value=\"phone\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_phone\" id=\"ipt_fsqm_form_19_pinfo_3\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical ipt_uif_question_full\"><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required,custom[phone]] ipt_uif_text\"\ntype=\"tel\"\nname=\"ipt_fsqm_form_19[pinfo][3][value]\"\nid=\"ipt_fsqm_form_19_pinfo_3_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe08c;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_pinfo_3_value\">Phone<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[pinfo][4][m_type]\" id=\"ipt_fsqm_form_19_pinfo_4_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[pinfo][4][type]\" id=\"ipt_fsqm_form_19_pinfo_4_type\" value=\"address\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_address\" id=\"ipt_fsqm_form_19_pinfo_4\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_pinfo_4\">Your Address<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt-eform-address-line-one\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_19[pinfo][4][values][line_one]\"\nid=\"ipt_fsqm_form_19_pinfo_4_values_line_one\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipt-icomoon-address-book ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_pinfo_4_values_line_one\">Address line one<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt-eform-address-line-two\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_19[pinfo][4][values][line_two]\"\nid=\"ipt_fsqm_form_19_pinfo_4_values_line_two\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipt-icomoon-address-book ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_pinfo_4_values_line_two\">Address line two<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt-eform-address-line-three\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_19[pinfo][4][values][line_three]\"\nid=\"ipt_fsqm_form_19_pinfo_4_values_line_three\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipt-icomoon-address-book ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_pinfo_4_values_line_three\">City<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"ipt-eform-address-cpz cpz-column-third\"><div\nclass=\"ipt_uif_column ipt_uif_column_third ipt_uif_conditional ipt_uif_column_custom ipt-eform-address-country\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\"ipt_uif_autocomplete  check_me validate[required] ipt_uif_text\"\ndata-autocomplete=\"[]\"\t\t\t\t\t\t\t\ttype=\"text\"\nname=\"ipt_fsqm_form_19[pinfo][4][values][country]\"\nid=\"ipt_fsqm_form_19_pinfo_4_values_country\"\nvalue=\"United States\" \/>\n<i\ntitle=\"\" class=\" ipt-icomoon-flag ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_pinfo_4_values_country\">Country<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"ipt_uif_column ipt_uif_column_third ipt_uif_conditional ipt_uif_column_custom ipt-eform-address-province\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\"ipt_uif_autocomplete  check_me validate[required] ipt_uif_text\"\ndata-autocomplete=\"[]\" data-preset-country=\"united_states_of_america.json\"\t\t\t\t\t\t\t\ttype=\"text\"\nname=\"ipt_fsqm_form_19[pinfo][4][values][province]\"\nid=\"ipt_fsqm_form_19_pinfo_4_values_province\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipt-icomoon-map-signs ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_pinfo_4_values_province\">State<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"ipt_uif_column ipt_uif_column_third ipt_uif_conditional ipt_uif_column_custom ipt-eform-address-zip\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required,custom[zipCode]] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_19[pinfo][4][values][zip]\"\nid=\"ipt_fsqm_form_19_pinfo_4_values_zip\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipt-icomoon-location ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_pinfo_4_values_zip\">Zip Code<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[pinfo][5][m_type]\" id=\"ipt_fsqm_form_19_pinfo_5_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[pinfo][5][type]\" id=\"ipt_fsqm_form_19_pinfo_5_type\" value=\"datetime\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_datetime\" id=\"ipt_fsqm_form_19_pinfo_5\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_pinfo_5_value\">Date of Borth<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field eform-dp-input-field has-icon\">\n<input\nclass=\"datepicker ipt_uif_datepicker  check_me validate[required] is-empty ipt_uif_text\"\ndata-dateFormat=\"mm\/dd\/yy\" data-timeFormat=\"HH:mm:ss\" data-year_range=\"120\"\t\ttype=\"text\"\nreadonly=\"readonly\"\nname=\"ipt_fsqm_form_19[pinfo][5][value]\"\nid=\"ipt_fsqm_form_19_pinfo_5_value\"\nmaxlength=\"524288\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipt-icomoon-calendar ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_pinfo_5_value\">Select Date<\/label>\n<a\nhref=\"javascript:;\" class=\"eform-dp-clear\" title=\"Clear\">&times;<\/a><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][8][m_type]\" id=\"ipt_fsqm_form_19_freetype_8_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][8][type]\" id=\"ipt_fsqm_form_19_freetype_8_type\" value=\"upload\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_upload\" id=\"ipt_fsqm_form_19_freetype_8\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_container ipt_uif_iconbox\" data-opened=\"1\"><div\nclass=\"ipt_uif_container_head\"><h3>\t\t\t\t\t\t<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe002;\"><\/i>\n<span\nclass=\"ipt_uif_container_label\">Please upload your photo<\/span><\/h3><\/div><div\nclass=\"ipt_uif_container_inner\"><div\nclass=\"ipt_uif_uploader\" id=\"ipt_fsqm_file_upload_19_8__uploader_wrap\" data-settings=\"{&quot;accept_file_types&quot;:&quot;gif,jpeg,png,jpg&quot;,&quot;max_number_of_files&quot;:&quot;1&quot;,&quot;min_number_of_files&quot;:&quot;1&quot;,&quot;max_file_size&quot;:5000000,&quot;min_file_size&quot;:&quot;1&quot;,&quot;show_drop_zone&quot;:true,&quot;wp_media_integration&quot;:false,&quot;auto_upload&quot;:true,&quot;single_upload&quot;:true,&quot;drag_n_drop&quot;:true,&quot;progress_bar&quot;:true,&quot;preview_media&quot;:true,&quot;can_delete&quot;:true,&quot;required&quot;:true,&quot;minimal_ui&quot;:false,&quot;accept&quot;:&quot;image&quot;,&quot;capture&quot;:&quot;user&quot;,&quot;icon&quot;:&quot;57346&quot;,&quot;centered&quot;:false,&quot;dragdrop&quot;:&quot;Drag &#039;n Drop files here&quot;,&quot;upload_label&quot;:&quot;Choose File&quot;}\" data-configuration=\"{&quot;id&quot;:&quot;ipt_fsqm_file_upload_19_8_&quot;,&quot;upload_url&quot;:&quot;?action=ipt_fsqm_fu_upload&quot;,&quot;download_url&quot;:&quot;?action=ipt_fsqm_fu_download&quot;,&quot;do_download&quot;:false}\" data-formData=\"{&quot;data_id&quot;:null,&quot;form_id&quot;:&quot;19&quot;,&quot;nonce&quot;:&quot;c9805ad11d&quot;,&quot;element_key&quot;:&quot;8&quot;,&quot;files_key&quot;:&quot;ipt_fsqm_file_upload_19_8&quot;}\"><div\nclass=\"fileinput-dragdrop ui-state-active\">\n<span>Drag 'n Drop files here<\/span><\/div><div\nclass=\"fileupload-meta\"><p>Max file size: 4.77 MB. | Allowed file types: gif,jpeg,png,jpg | Max number of file: 1 | Min number of file: 1<\/p><\/div><div\nclass=\"ipt_fsqm_fileuploader_list_wrap\"><table\nrole=\"presentation\" class=\"ipt_fsqm_fileuploader_list\"><thead><tr><td\ncolspan=\"4\"><div\nclass=\"fileupload-buttonbar\"><div\nclass=\"fileupload-buttons\">\n<span\nclass=\"fileinput-button secondary-button small\">\n<span\nclass=\"select secondary-button\">Choose File<\/span>\n<input\nclass=\"ipt_uif_uploader_handle\" type=\"file\" name=\"ipt_fsqm_file_upload_19_8[]\" id=\"ipt_fsqm_file_upload_19_8_\" accept=\"image\/*\" capture=\"user\" \/>\n<\/span>\n<button\ntype=\"reset\" class=\"cancel secondary-button small\">Cancel All Uploads<\/button>\n<span\nclass=\"fileupload-process\"><\/span><\/div><div\nclass=\"fileupload-progress fade\" style=\"display:none\"><div\nclass=\"progress\" role=\"progressbar\" aria-valuemin=\"0\" aria-valuemax=\"100\"><\/div><div\nclass=\"progress-extended\">&nbsp;<\/div><\/div><\/div><\/td><td\nclass=\"delete_button\"><div\nclass=\"fileupload-buttonbar\"><div\nclass=\"fileupload-buttons\">\n<button\ntype=\"button\" class=\"delete secondary-button small\">Delete Selected<\/button><\/div><\/div><\/td><td\nclass=\"delete_toggle\"><div\nclass=\"fileupload-buttonbar\"><div\nclass=\"fileupload-buttons\"><div\nclass=\"ipt_uif_label_column\">\n<input\ntype=\"checkbox\" class=\"toggle ipt_uif_checkbox\" id=\"ipt_fsqm_file_upload_19_8__toggler\" \/>\n<label\ndata-labelcon=\"&#xe18e;\" for=\"ipt_fsqm_file_upload_19_8__toggler\"><\/label><\/div><\/div><\/div><\/td><\/tr><\/thead><tbody\nclass=\"files\"><\/tbody><\/table><\/div> <script class=\"template-upload\" id=\"ipt_fsqm_file_upload_19_8__tmpl_upload\" type=\"text\/x-tmpl\">{% for (var i=0, file; file=o.files[i]; i++) { %}\n\t<tr class=\"template-upload fade\">\n\t\t<td>\n\t\t\t<span class=\"preview\"><\/span>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p class=\"name\">{%=file.name%}<\/p>\n\t\t\t<strong class=\"error\"><\/strong>\n\t\t<\/td>\n\t\t<td class=\"fileupload_list_pb\">\n\t\t\t<p class=\"size\">Processing&hellip;<\/p>\n\t\t\t<div class=\"progress\"><\/div>\n\t\t<\/td>\n\t\t<td colspan=\"3\">\n\t\t\t{% if (!i && !o.options.autoUpload) { %}\n\t\t\t\t<button class=\"start secondary-button small\" disabled>Start<\/button>\n\t\t\t{% } %}\n\t\t\t{% if (!i) { %}\n\t\t\t\t<button class=\"cancel secondary-button small\">Cancel<\/button>\n\t\t\t{% } %}\n\t\t<\/td>\n\t<\/tr>\n{% } %}<\/script>  <script class=\"template-download\" id=\"ipt_fsqm_file_upload_19_8__tmpl_download\" type=\"text\/x-tmpl\">{%\n\twindow.ipt_fsqm_upload_count_global;\n\tif ( window.ipt_fsqm_upload_count_global == undefined ) {\n\t\twindow.ipt_fsqm_upload_count_global = 0;\n\t}\n%}\n{% for (var i=0, file; file=o.files[i]; i++) { %}\n{% var toggler_check_id = window.ipt_fsqm_upload_count_global++; %}\n\t<tr class=\"template-download fade\">\n\t\t<td class=\"preview_td\" colspan=\"2\">\n\t\t\t<span class=\"preview\">\n\t\t\t\t{% if (file.thumbnailUrl) { %}\n\t\t\t\t\t<a href=\"{%=file.url%}\" title=\"{%=file.name%}\" download=\"{%=file.name%}\" data-gallery><img decoding=\"async\" src=\"{%=file.thumbnailUrl%}\" \/><\/a>\n\t\t\t\t{% } else if ( file.validAudio ) { %}\n\t\t\t\t\t\t\t\t\t\t<audio controls=\"controls\">\n\t\t\t\t\t\t<source src=\"{%=file.url%}\" type=\"{%=file.type%}\" \/>\n\t\t\t\t\t\tYour browser does not support audio element.\t\t\t\t\t<\/audio>\n\t\t\t\t\t\t\t\t\t{% } else if ( file.validVideo ) { %}\n\t\t\t\t\t\t\t\t\t\t<video controls=\"controls\" height=\"100\" width=\"200\">\n\t\t\t\t\t\t<source src=\"{%=file.url%}\" type=\"{%=file.type%}\" \/>\n\t\t\t\t\t\tYour browser does not support video element.\t\t\t\t\t<\/video>\n\t\t\t\t\t\t\t\t\t{% } %}\n\t\t\t<\/span>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<p class=\"name\">\n\t\t\t\t<a href=\"{%=file.url%}\" title=\"{%=file.name%}\" download=\"{%=file.name%}\" {%=file.thumbnailUrl?'data-gallery':''%}>{%=file.name%}<\/a>\n\t\t\t<\/p>\n\t\t\t{% if (file.error) { %}\n\t\t\t\t<div><span class=\"error\">Error<\/span> {%=file.error%}<\/div>\n\t\t\t{% } %}\n\t\t\t<input type=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][8][id][]\" value=\"{%=file.id%}\" \/>\n\t\t<\/td>\n\t\t<td>\n\t\t\t<span class=\"size\">{%=o.formatFileSize(file.size)%}<\/span>\n\t\t<\/td>\n\t\t\t\t<td class=\"delete_button\">\n\t\t\t<button class=\"delete secondary-button small\" data-type=\"{%=file.deleteType%}\" data-url=\"{%=file.deleteUrl%}\"{% if (file.deleteWithCredentials) { %} data-xhr-fields='{\"withCredentials\":true}'{% } %}>Delete<\/button>\n\t\t<\/td>\n\t\t\t\t\t<td class=\"delete_toggle\">\n\t\t\t\t<div class=\"ipt_uif_label_column\">\n\t\t\t\t\t<input type=\"checkbox\" name=\"delete\" value=\"1\" class=\"toggle ipt_uif_checkbox\" id=\"ipt_fsqm_file_upload_19_8__toggler_files_{%=toggler_check_id%}\" \/>\n\t\t\t\t\t<label data-labelcon=\"&#xe18e;\" for=\"ipt_fsqm_file_upload_19_8__toggler_files_{%=toggler_check_id%}\"><\/label>\n\t\t\t\t<\/div>\n\t\t\t<\/td>\n\t\t\t\t\t<\/tr>\n{% } %}<\/script> <\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_19_tab_1\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_19_layout_1_inner\" class=\"ipt-eform-layout-wrapper\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][16][m_type]\" id=\"ipt_fsqm_form_19_freetype_16_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][16][type]\" id=\"ipt_fsqm_form_19_freetype_16_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_19_freetype_16\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_freetype_16_value\">Name of your corporation<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_19[freetype][16][value]\"\nid=\"ipt_fsqm_form_19_freetype_16_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe056;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_freetype_16_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][17][m_type]\" id=\"ipt_fsqm_form_19_freetype_17_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][17][type]\" id=\"ipt_fsqm_form_19_freetype_17_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_19_freetype_17\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_freetype_17_value\">What industry do you primarily do business in?<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_19[freetype][17][value]\"\nid=\"ipt_fsqm_form_19_freetype_17_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe056;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_freetype_17_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[mcq][1][m_type]\" id=\"ipt_fsqm_form_19_mcq_1_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[mcq][1][type]\" id=\"ipt_fsqm_form_19_mcq_1_type\" value=\"radio\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_radio\" id=\"ipt_fsqm_form_19_mcq_1\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_mcq_1\">How much equity do you own in this corporation?<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][1][options][]\"\nid=\"ipt_fsqm_form_19_mcq_1_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_1_options__0\" data-labelcon=\"&#xe18e;\">\nLess than 10%\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][1][options][]\"\nid=\"ipt_fsqm_form_19_mcq_1_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_1_options__1\" data-labelcon=\"&#xe18e;\">\nBetween 10% and 25%\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][1][options][]\"\nid=\"ipt_fsqm_form_19_mcq_1_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_1_options__2\" data-labelcon=\"&#xe18e;\">\nBetween 25% and 50%\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][1][options][]\"\nid=\"ipt_fsqm_form_19_mcq_1_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_1_options__3\" data-labelcon=\"&#xe18e;\">\nMore than 25% but less than 100%\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][1][options][]\"\nid=\"ipt_fsqm_form_19_mcq_1_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_1_options__4\" data-labelcon=\"&#xe18e;\">\n100%\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][18][m_type]\" id=\"ipt_fsqm_form_19_freetype_18_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][18][type]\" id=\"ipt_fsqm_form_19_freetype_18_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_19_freetype_18\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_freetype_18_value\">What is the title of your post\/position in the business?<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_19[freetype][18][value]\"\nid=\"ipt_fsqm_form_19_freetype_18_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe056;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_freetype_18_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[pinfo][7][m_type]\" id=\"ipt_fsqm_form_19_pinfo_7_m_type\" value=\"pinfo\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[pinfo][7][type]\" id=\"ipt_fsqm_form_19_pinfo_7_type\" value=\"address\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_address\" id=\"ipt_fsqm_form_19_pinfo_7\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_pinfo_7\">Where is your business primarily located?<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt-eform-address-line-three\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me  ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_19[pinfo][7][values][line_three]\"\nid=\"ipt_fsqm_form_19_pinfo_7_values_line_three\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipt-icomoon-address-book ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_pinfo_7_values_line_three\">City<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"ipt-eform-address-cpz cpz-column-half\"><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt-eform-address-country\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\"ipt_uif_autocomplete  check_me validate[required] ipt_uif_text\"\ndata-autocomplete=\"[]\"\t\t\t\t\t\t\t\ttype=\"text\"\nname=\"ipt_fsqm_form_19[pinfo][7][values][country]\"\nid=\"ipt_fsqm_form_19_pinfo_7_values_country\"\nvalue=\"United States\" \/>\n<i\ntitle=\"\" class=\" ipt-icomoon-flag ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_pinfo_7_values_country\">Country<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"ipt_uif_column ipt_uif_column_half ipt_uif_conditional ipt_uif_column_custom ipt-eform-address-province\"><div\nclass=\"ipt_uif_column_inner\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\"ipt_uif_autocomplete  check_me validate[required] ipt_uif_text\"\ndata-autocomplete=\"[]\" data-preset-country=\"united_states_of_america.json\"\t\t\t\t\t\t\t\ttype=\"text\"\nname=\"ipt_fsqm_form_19[pinfo][7][values][province]\"\nid=\"ipt_fsqm_form_19_pinfo_7_values_province\"\nvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipt-icomoon-map-signs ipticm prefix\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_pinfo_7_values_province\">State<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][9][m_type]\" id=\"ipt_fsqm_form_19_freetype_9_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][9][type]\" id=\"ipt_fsqm_form_19_freetype_9_type\" value=\"feedback_large\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_large\" id=\"ipt_fsqm_form_19_freetype_9\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_freetype_9_value\">Please describe your job\/duties\/responsibilities in your business<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\"><textarea class=\"ipt_uif_textarea materialize-textarea  check_me validate[required]\"\n\t\trows=\"4\"\n\t\t\t\t\t\t\t\tname=\"ipt_fsqm_form_19[freetype][9][value]\"\n\t\tmaxlength=\"\"\t\tid=\"ipt_fsqm_form_19_freetype_9_value\"><\/textarea><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe056;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_freetype_9_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_19_tab_2\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_19_layout_2_inner\" class=\"ipt-eform-layout-wrapper\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[mcq][4][m_type]\" id=\"ipt_fsqm_form_19_mcq_4_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[mcq][4][type]\" id=\"ipt_fsqm_form_19_mcq_4_type\" value=\"radio\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_radio\" id=\"ipt_fsqm_form_19_mcq_4\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_mcq_4\">Number of employees<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][4][options][]\"\nid=\"ipt_fsqm_form_19_mcq_4_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_4_options__0\" data-labelcon=\"&#xe18e;\">\nLess than 10\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][4][options][]\"\nid=\"ipt_fsqm_form_19_mcq_4_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_4_options__1\" data-labelcon=\"&#xe18e;\">\nBetween 10 and 50\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][4][options][]\"\nid=\"ipt_fsqm_form_19_mcq_4_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_4_options__2\" data-labelcon=\"&#xe18e;\">\nBetween 50 and 200\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][4][options][]\"\nid=\"ipt_fsqm_form_19_mcq_4_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_4_options__3\" data-labelcon=\"&#xe18e;\">\nBetween 200 and 500\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][4][options][]\"\nid=\"ipt_fsqm_form_19_mcq_4_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_4_options__4\" data-labelcon=\"&#xe18e;\">\nMore than 500\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[mcq][5][m_type]\" id=\"ipt_fsqm_form_19_mcq_5_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[mcq][5][type]\" id=\"ipt_fsqm_form_19_mcq_5_type\" value=\"radio\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_radio\" id=\"ipt_fsqm_form_19_mcq_5\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_mcq_5\">Please select your annual revenues<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][5][options][]\"\nid=\"ipt_fsqm_form_19_mcq_5_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_5_options__0\" data-labelcon=\"&#xe18e;\">\nLess than $1 Million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][5][options][]\"\nid=\"ipt_fsqm_form_19_mcq_5_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_5_options__1\" data-labelcon=\"&#xe18e;\">\nBetween $1 Million and $5 Million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][5][options][]\"\nid=\"ipt_fsqm_form_19_mcq_5_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_5_options__2\" data-labelcon=\"&#xe18e;\">\nBetween $5 Million and $25 Million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][5][options][]\"\nid=\"ipt_fsqm_form_19_mcq_5_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_5_options__3\" data-labelcon=\"&#xe18e;\">\nBetween $25 Million and $100 Million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][5][options][]\"\nid=\"ipt_fsqm_form_19_mcq_5_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_5_options__4\" data-labelcon=\"&#xe18e;\">\nMore than $100 Million\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[mcq][11][m_type]\" id=\"ipt_fsqm_form_19_mcq_11_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[mcq][11][type]\" id=\"ipt_fsqm_form_19_mcq_11_type\" value=\"radio\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_radio\" id=\"ipt_fsqm_form_19_mcq_11\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_mcq_11\">Please select your annual profit<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_19_mcq_11\">EBITDA (Earnings before interests, taxes, depreciation and amortizations) <\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][11][options][]\"\nid=\"ipt_fsqm_form_19_mcq_11_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_11_options__0\" data-labelcon=\"&#xe18e;\">\nLess than $500,000\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][11][options][]\"\nid=\"ipt_fsqm_form_19_mcq_11_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_11_options__1\" data-labelcon=\"&#xe18e;\">\nBetween $500,000 Million and $2.5 Million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][11][options][]\"\nid=\"ipt_fsqm_form_19_mcq_11_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_11_options__2\" data-labelcon=\"&#xe18e;\">\nBetween $2.5 Million and $10 Million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][11][options][]\"\nid=\"ipt_fsqm_form_19_mcq_11_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_11_options__3\" data-labelcon=\"&#xe18e;\">\nBetween $10 Million and $25 Million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][11][options][]\"\nid=\"ipt_fsqm_form_19_mcq_11_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_11_options__4\" data-labelcon=\"&#xe18e;\">\nMore than $25 Million\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[mcq][7][m_type]\" id=\"ipt_fsqm_form_19_mcq_7_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[mcq][7][type]\" id=\"ipt_fsqm_form_19_mcq_7_type\" value=\"radio\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_radio\" id=\"ipt_fsqm_form_19_mcq_7\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_mcq_7\">Assets under management<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][7][options][]\"\nid=\"ipt_fsqm_form_19_mcq_7_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_7_options__0\" data-labelcon=\"&#xe18e;\">\nLess than $1 Million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][7][options][]\"\nid=\"ipt_fsqm_form_19_mcq_7_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_7_options__1\" data-labelcon=\"&#xe18e;\">\nBetween $1 Million and $5 Million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][7][options][]\"\nid=\"ipt_fsqm_form_19_mcq_7_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_7_options__2\" data-labelcon=\"&#xe18e;\">\nBetween $5 Million and $25 Million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][7][options][]\"\nid=\"ipt_fsqm_form_19_mcq_7_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_7_options__3\" data-labelcon=\"&#xe18e;\">\nBetween $25 Million and $100 Million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][7][options][]\"\nid=\"ipt_fsqm_form_19_mcq_7_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_7_options__4\" data-labelcon=\"&#xe18e;\">\nMore than $100 Million\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[mcq][8][m_type]\" id=\"ipt_fsqm_form_19_mcq_8_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[mcq][8][type]\" id=\"ipt_fsqm_form_19_mcq_8_type\" value=\"radio\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_radio\" id=\"ipt_fsqm_form_19_mcq_8\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_mcq_8\">Total liabilities<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_19_mcq_8\">Sum of short term and long term liabilities<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][8][options][]\"\nid=\"ipt_fsqm_form_19_mcq_8_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_8_options__0\" data-labelcon=\"&#xe18e;\">\nLess than $1 Million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][8][options][]\"\nid=\"ipt_fsqm_form_19_mcq_8_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_8_options__1\" data-labelcon=\"&#xe18e;\">\nBetween $1 Million and $5 Million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][8][options][]\"\nid=\"ipt_fsqm_form_19_mcq_8_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_8_options__2\" data-labelcon=\"&#xe18e;\">\nBetween $5 Million and $25 Million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][8][options][]\"\nid=\"ipt_fsqm_form_19_mcq_8_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_8_options__3\" data-labelcon=\"&#xe18e;\">\nBetween $25 Million and $100 Million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][8][options][]\"\nid=\"ipt_fsqm_form_19_mcq_8_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_8_options__4\" data-labelcon=\"&#xe18e;\">\nMore than $100 Million\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[mcq][9][m_type]\" id=\"ipt_fsqm_form_19_mcq_9_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[mcq][9][type]\" id=\"ipt_fsqm_form_19_mcq_9_type\" value=\"radio\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_radio\" id=\"ipt_fsqm_form_19_mcq_9\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_mcq_9\">Book value of your business<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_19_mcq_9\">Stockholders' equity<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][9][options][]\"\nid=\"ipt_fsqm_form_19_mcq_9_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_9_options__0\" data-labelcon=\"&#xe18e;\">\nLess than $1 Million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][9][options][]\"\nid=\"ipt_fsqm_form_19_mcq_9_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_9_options__1\" data-labelcon=\"&#xe18e;\">\nBetween $1 Million and $5 Million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][9][options][]\"\nid=\"ipt_fsqm_form_19_mcq_9_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_9_options__2\" data-labelcon=\"&#xe18e;\">\nBetween $5 Million and $25 Million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][9][options][]\"\nid=\"ipt_fsqm_form_19_mcq_9_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_9_options__3\" data-labelcon=\"&#xe18e;\">\nBetween $25 Million and $100 Million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][9][options][]\"\nid=\"ipt_fsqm_form_19_mcq_9_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_9_options__4\" data-labelcon=\"&#xe18e;\">\nMore than $100 Million\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[mcq][10][m_type]\" id=\"ipt_fsqm_form_19_mcq_10_m_type\" value=\"mcq\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[mcq][10][type]\" id=\"ipt_fsqm_form_19_mcq_10_type\" value=\"radio\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_radio\" id=\"ipt_fsqm_form_19_mcq_10\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_mcq_10\">Market Capitalization<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_19_mcq_10\">Based on stock price<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][10][options][]\"\nid=\"ipt_fsqm_form_19_mcq_10_options__0\"\nvalue=\"0\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_10_options__0\" data-labelcon=\"&#xe18e;\">\nLess than $1 Million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][10][options][]\"\nid=\"ipt_fsqm_form_19_mcq_10_options__1\"\nvalue=\"1\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_10_options__1\" data-labelcon=\"&#xe18e;\">\nBetween $1 Million and $5 Million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][10][options][]\"\nid=\"ipt_fsqm_form_19_mcq_10_options__2\"\nvalue=\"2\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_10_options__2\" data-labelcon=\"&#xe18e;\">\nBetween $5 Million and $25 Million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][10][options][]\"\nid=\"ipt_fsqm_form_19_mcq_10_options__3\"\nvalue=\"3\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_10_options__3\" data-labelcon=\"&#xe18e;\">\nBetween $25 Million and $100 Million\t<\/label><\/div><div\nclass=\"ipt_uif_label_column column_random\">\n<input\ndata-num=\"\"\t\t\t\ttype=\"radio\"\nclass=\"check_me validate[required] ipt_uif_radio with-gap\"\nname=\"ipt_fsqm_form_19[mcq][10][options][]\"\nid=\"ipt_fsqm_form_19_mcq_10_options__4\"\nvalue=\"4\" \/>\n<label\nclass=\"eform-label-with-tabindex\" tabindex=\"0\" for=\"ipt_fsqm_form_19_mcq_10_options__4\" data-labelcon=\"&#xe18e;\">\nMore than $100 Million\t<\/label><\/div><div\nclass=\"clear-both\"><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][23][m_type]\" id=\"ipt_fsqm_form_19_freetype_23_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][23][type]\" id=\"ipt_fsqm_form_19_freetype_23_type\" value=\"feedback_large\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_large\" id=\"ipt_fsqm_form_19_freetype_23\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_freetype_23_value\">Do the book value and market capitalization differ significantly? If yes, please explain why.<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\"><textarea class=\"ipt_uif_textarea materialize-textarea  check_me validate[required]\"\n\t\trows=\"4\"\n\t\t\t\t\t\t\t\tname=\"ipt_fsqm_form_19[freetype][23][value]\"\n\t\tmaxlength=\"\"\t\tid=\"ipt_fsqm_form_19_freetype_23_value\"><\/textarea><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe056;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_freetype_23_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_19_tab_3\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_19_layout_3_inner\" class=\"ipt-eform-layout-wrapper\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][24][m_type]\" id=\"ipt_fsqm_form_19_freetype_24_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][24][type]\" id=\"ipt_fsqm_form_19_freetype_24_type\" value=\"feedback_large\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_large\" id=\"ipt_fsqm_form_19_freetype_24\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_freetype_24_value\">What are your major challenges right now?<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\"><textarea class=\"ipt_uif_textarea materialize-textarea  check_me validate[required]\"\n\t\trows=\"4\"\n\t\t\t\t\t\t\t\tname=\"ipt_fsqm_form_19[freetype][24][value]\"\n\t\tmaxlength=\"\"\t\tid=\"ipt_fsqm_form_19_freetype_24_value\"><\/textarea><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe056;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_freetype_24_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][25][m_type]\" id=\"ipt_fsqm_form_19_freetype_25_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][25][type]\" id=\"ipt_fsqm_form_19_freetype_25_type\" value=\"feedback_large\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_large\" id=\"ipt_fsqm_form_19_freetype_25\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_freetype_25_value\">What are your three-year objectives?<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_19_freetype_25_value\">What would have to have happened in three years for you to feel happy about your business' trajectory?<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\"><textarea class=\"ipt_uif_textarea materialize-textarea  check_me validate[required]\"\n\t\trows=\"4\"\n\t\t\t\t\t\t\t\tname=\"ipt_fsqm_form_19[freetype][25][value]\"\n\t\tmaxlength=\"\"\t\tid=\"ipt_fsqm_form_19_freetype_25_value\"><\/textarea><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe056;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_freetype_25_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][26][m_type]\" id=\"ipt_fsqm_form_19_freetype_26_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][26][type]\" id=\"ipt_fsqm_form_19_freetype_26_type\" value=\"feedback_large\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_large\" id=\"ipt_fsqm_form_19_freetype_26\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_freetype_26_value\">What are your long-term objectives?<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\"><textarea class=\"ipt_uif_textarea materialize-textarea  check_me validate[required]\"\n\t\trows=\"4\"\n\t\t\t\t\t\t\t\tname=\"ipt_fsqm_form_19[freetype][26][value]\"\n\t\tmaxlength=\"\"\t\tid=\"ipt_fsqm_form_19_freetype_26_value\"><\/textarea><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe056;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_freetype_26_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_19_tab_4\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_19_layout_4_inner\" class=\"ipt-eform-layout-wrapper\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][10][m_type]\" id=\"ipt_fsqm_form_19_freetype_10_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][10][type]\" id=\"ipt_fsqm_form_19_freetype_10_type\" value=\"feedback_large\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_large\" id=\"ipt_fsqm_form_19_freetype_10\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_freetype_10_value\">What are your favorite books?<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_19_freetype_10_value\">Fiction or non-fiction. Please write the names of at least 3 books.<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\"><textarea class=\"ipt_uif_textarea materialize-textarea  check_me validate[required]\"\n\t\trows=\"4\"\n\t\t\t\t\t\t\t\tname=\"ipt_fsqm_form_19[freetype][10][value]\"\n\t\tmaxlength=\"\"\t\tid=\"ipt_fsqm_form_19_freetype_10_value\"><\/textarea><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe056;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_freetype_10_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][11][m_type]\" id=\"ipt_fsqm_form_19_freetype_11_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][11][type]\" id=\"ipt_fsqm_form_19_freetype_11_type\" value=\"feedback_large\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_large\" id=\"ipt_fsqm_form_19_freetype_11\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_freetype_11_value\">What are your favorite business or investing related books?<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_19_freetype_11_value\">Please write the names of at least 3 books.<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\"><textarea class=\"ipt_uif_textarea materialize-textarea  check_me validate[required]\"\n\t\trows=\"4\"\n\t\t\t\t\t\t\t\tname=\"ipt_fsqm_form_19[freetype][11][value]\"\n\t\tmaxlength=\"\"\t\tid=\"ipt_fsqm_form_19_freetype_11_value\"><\/textarea><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe056;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_freetype_11_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][12][m_type]\" id=\"ipt_fsqm_form_19_freetype_12_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][12][type]\" id=\"ipt_fsqm_form_19_freetype_12_type\" value=\"feedback_large\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_large\" id=\"ipt_fsqm_form_19_freetype_12\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_freetype_12_value\">What are your favorite movies?<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_19_freetype_12_value\">Any languages. Please write the names of at least 3 movies, and please explain why.<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\"><textarea class=\"ipt_uif_textarea materialize-textarea  check_me validate[required]\"\n\t\trows=\"4\"\n\t\t\t\t\t\t\t\tname=\"ipt_fsqm_form_19[freetype][12][value]\"\n\t\tmaxlength=\"\"\t\tid=\"ipt_fsqm_form_19_freetype_12_value\"><\/textarea><i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe056;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_freetype_12_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><div\nid=\"ipt_fsqm_form_19_tab_5\" class=\"ipt_fsqm_form_tab_panel\"><div\nid=\"ipt_fsqm_form_19_layout_5_inner\" class=\"ipt-eform-layout-wrapper\">\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][14][m_type]\" id=\"ipt_fsqm_form_19_freetype_14_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][14][type]\" id=\"ipt_fsqm_form_19_freetype_14_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_19_freetype_14\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_freetype_14_value\">What was your annual marketing budget for the previous fiscal year?<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_19_freetype_14_value\">Westernston, Inc. works with clients that have a minimum current marketing budget of $350,000 a year.<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_19[freetype][14][value]\"\nid=\"ipt_fsqm_form_19_freetype_14_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe056;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_freetype_14_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][15][m_type]\" id=\"ipt_fsqm_form_19_freetype_15_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][15][type]\" id=\"ipt_fsqm_form_19_freetype_15_type\" value=\"feedback_small\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_feedback_small\" id=\"ipt_fsqm_form_19_freetype_15\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_question ipt_uif_question_vertical\"><div\nclass=\"ipt_uif_question_label\">\n<label\nclass=\"ipt_uif_question_title ipt_uif_label\" for=\"ipt_fsqm_form_19_freetype_15_value\">Please select a desired username<span\nclass=\"ipt_uif_question_required\">*<\/span><\/label><div\nclass=\"clear-both\"><\/div>\t\t\t\t\t\t<label\nclass=\"ipt_uif_question_subtitle ipt_uif_label\" for=\"ipt_fsqm_form_19_freetype_15_value\">Your account will remain in \"pending\" status until your application is approved.<\/label><\/div><div\nclass=\"ipt_uif_question_content\"><div\nclass=\"input-field has-icon\">\n<input\nclass=\" check_me validate[required] ipt_uif_text\"\ntype=\"text\"\nname=\"ipt_fsqm_form_19[freetype][15][value]\"\nid=\"ipt_fsqm_form_19_freetype_15_value\"\nmaxlength=\"\"\t\tvalue=\"\" \/>\n<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe056;\"><\/i>\n<label\nfor=\"ipt_fsqm_form_19_freetype_15_value\">Write Here<\/label><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][13][m_type]\" id=\"ipt_fsqm_form_19_freetype_13_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][13][type]\" id=\"ipt_fsqm_form_19_freetype_13_type\" value=\"signature\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_jsignature\" id=\"ipt_fsqm_form_19_freetype_13\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_container ipt_uif_iconbox\" data-opened=\"1\"><div\nclass=\"ipt_uif_container_head\"><h3>\t\t\t\t\t\t<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe055;\"><\/i>\n<span\nclass=\"ipt_uif_container_label\">Please sign this application to confirm you have submitted all information truthfully and to the best of your knowledge, and that you understand that in order to proceed, you will be charged a $3999 consulting fee right now.<\/span><\/h3><\/div><div\nclass=\"ipt_uif_container_inner\"><div\nclass=\"ipt_uif_jsignature\">\n<input\ntype=\"text\" style=\"height: 0; width: 0; padding: 0; margin: 0; opacity: 0;\" class=\"ipt_uif_jsignature_input check_me validate[required,funcCall[iptUIFSigVal]]\" name=\"ipt_fsqm_form_19[freetype][13][value]\" id=\"ipt_fsqm_form_19_freetype_13_value\" value=\"\"><div\nclass=\"ipt_uif_jsignature_pad ui-state-active\" style=\"color: #212121;\"><\/div><div\nclass=\" ipt-eform-material-button-container\"><div\nclass=\"eform-button-container-inner\">\n<button\ntype=\"button\" title=\"Undo Last Stroke\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_uif_jsignature_undo ipt_uif_tooltip small primary-button\"> <i\nclass=\"ipticm ipt-icomoon-undo2\"><\/i><\/button>\n<button\ntype=\"button\" title=\"Reset\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_uif_jsignature_reset ipt_uif_tooltip small ipt-ui-button\"> <i\nclass=\"ipticm ipt-icomoon-times\"><\/i><\/button><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][27][m_type]\" id=\"ipt_fsqm_form_19_freetype_27_m_type\" value=\"freetype\" class=\"ipt_fsqm_hf_m_type\" \/>\n<input\ntype=\"hidden\" data-sayt-exclude name=\"ipt_fsqm_form_19[freetype][27][type]\" id=\"ipt_fsqm_form_19_freetype_27_type\" value=\"signature\" class=\"ipt_fsqm_hf_type\" \/><div\nclass=\"ipt_uif_column ipt_uif_column_full ipt_uif_conditional ipt_fsqm_container_jsignature\" id=\"ipt_fsqm_form_19_freetype_27\"><div\nclass=\"ipt_uif_column_inner side_margin\"><div\nclass=\"ipt_uif_container ipt_uif_iconbox\" data-opened=\"1\"><div\nclass=\"ipt_uif_container_head\"><h3>\t\t\t\t\t\t<i\ntitle=\"\" class=\" ipticm prefix\" data-ipt-icomoon=\"&#xe055;\"><\/i>\n<span\nclass=\"ipt_uif_container_label\">Please sign this application to confirm you have submitted all information truthfully and to the best of your knowledge.<\/span><\/h3><\/div><div\nclass=\"ipt_uif_container_inner\"><div\nclass=\"ipt_uif_jsignature\">\n<input\ntype=\"text\" style=\"height: 0; width: 0; padding: 0; margin: 0; opacity: 0;\" class=\"ipt_uif_jsignature_input check_me validate[required,funcCall[iptUIFSigVal]]\" name=\"ipt_fsqm_form_19[freetype][27][value]\" id=\"ipt_fsqm_form_19_freetype_27_value\" value=\"\"><div\nclass=\"ipt_uif_jsignature_pad ui-state-active\" style=\"color: #212121;\"><\/div><div\nclass=\" ipt-eform-material-button-container\"><div\nclass=\"eform-button-container-inner\">\n<button\ntype=\"button\" title=\"Undo Last Stroke\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_uif_jsignature_undo ipt_uif_tooltip small primary-button\"> <i\nclass=\"ipticm ipt-icomoon-undo2\"><\/i><\/button>\n<button\ntype=\"button\" title=\"Reset\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_uif_jsignature_reset ipt_uif_tooltip small ipt-ui-button\"> <i\nclass=\"ipticm ipt-icomoon-times\"><\/i><\/button><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><div\nclass=\"clear\"><\/div><div\nid=\"ipt_fsqm_form_19_button_container\" class=\"ipt_fsqm_form_button_container ipt_fsqm_form_button_container--classic ipt-eform-material-button-container\"><div\nclass=\"eform-button-container-inner\">\n<button\ntype=\"button\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_fsqm_form_button_prev medium primary-button\" name=\"ipt_fsqm_form_19_button_prev\" id=\"ipt_fsqm_form_19_button_prev\"> Previous<\/button>\n<button\ntype=\"submit\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_fsqm_form_button_submit medium primary-button\" name=\"ipt_fsqm_form_19_button_submit\" id=\"ipt_fsqm_form_19_button_submit\"> Submit<\/button>\n<button\ntype=\"button\" class=\"ipt_uif_button eform-material-button eform-ripple ipt_fsqm_form_button_next medium primary-button\" name=\"ipt_fsqm_form_19_button_next\" id=\"ipt_fsqm_form_19_button_next\"> Next<\/button><\/div><\/div><div\nclass=\"clear-both\"><\/div><\/div><\/div><\/form><\/div><div\nstyle=\"display: none;\" class=\"ipt_fsqm_form_message_success ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><h3><i\ntitle=\"\" class=\" ipt-icomoon-checkmark-circle ipticm prefix\"><\/i>\nYour application has been submitted<\/h3><\/div><div\nclass=\"ui-widget-content ui-corner-all ipt_fsqm_success_wrap\"><p>Thank you for submitting your application.<\/p><p>We will respond with an acceptance or rejection within 7 business days.<\/p><\/div><\/div><div\nstyle=\"display: none;\" class=\"ipt_fsqm_form_message_error ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><h3><i\ntitle=\"\" class=\" ipt-icomoon-laptop ipticm prefix\"><\/i>\nServer Side Error<\/h3><\/div><div\nclass=\"ui-widget-content ui-corner-all\"><p>We faced problems while connecting to the server or receiving data from the server. Please wait for a few seconds and try again.<\/p><p>If the problem persists, then check your internet connectivity. If all other sites open fine, then please contact the administrator of this website with the following information.<\/p><p\nclass=\"jqXHR\">\n<strong>TextStatus: <\/strong><span\nclass=\"textStatus\">undefined<\/span><br\n\/>\n<strong>HTTP Error: <\/strong><span\nclass=\"errorThrown\">undefined<\/span><\/p><\/div><\/div><div\nstyle=\"display: none\" class=\"ipt_uif_widget_box ipt_fsqm_form_message_process\"><div\nclass=\"ui-widget ui-widget-header ui-corner-all\"><style type=\"text\/css\">.ipt_uif_ajax_loader,\n\t\t\t.ipt_uif_ajax_loader *,\n\t\t\tipt_uif_ajax_loader *::before,\n\t\t\tipt_uif_ajax_loader *::after {\n\t\t\t\tbox-sizing: border-box;\n\t\t\t}<\/style><div\nclass=\"ipt-eform-preloader-inline ipt_uif_ajax_loader\"><div\nclass=\"ipt-eform-preloader-inner\"><div\nclass=\"ipt-eform-preloader-circle\"><div\nclass=\"preloader-wrapper active\"><div\nclass=\"spinner-layer spinner-blue\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-red\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-yellow\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><div\nclass=\"spinner-layer spinner-green\"><div\nclass=\"circle-clipper left\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"gap-patch\"><div\nclass=\"circle\"><\/div><\/div><div\nclass=\"circle-clipper right\"><div\nclass=\"circle\"><\/div><\/div><\/div><\/div><\/div><div\nclass=\"ipt-eform-preloader-text\"><div\nclass=\"ipt-eform-preloader-text-inner ipt_uif_ajax_loader_text\">Processing your request<\/div><\/div><div\nclass=\"clear\"><\/div><\/div><\/div><\/div><\/div><div\nstyle=\"display: none;\" class=\"ipt_fsqm_form_validation_error ui-widget ui-widget-content ui-corner-all ipt_uif_widget_box\"><div\nclass=\"ui-helper-reset ui-helper-clearfix ui-widget-header ui-corner-all\"><h3><i\ntitle=\"\" class=\" ipt-icomoon-warning2 ipticm prefix\"><\/i>\n<span\nclass=\"fsqm_ve_text\">Error<\/span><\/h3><\/div><div\nclass=\"ui-widget-content ui-corner-all\"><p\nclass=\"fsqm_ve_msg\">Some error has occured.<\/p><\/div><\/div><\/div>\n<input type=hidden name=ihc_payment_gateway value=stripe \/><form action=\"\" method=\"post1\" class=\"ihc-stripe-form-payment\"><input type=\"hidden\" name=\"uid\" value=\"\" \/><input type=\"hidden\" name=\"lid\" id=\"ihc_lid_stripe\" value=\"\" \/><\/form><script src=\"https:\/\/checkout.stripe.com\/checkout.js\"><\/script>\n\t\t\t<script>\n\t\t\t\tvar handler = StripeCheckout.configure({\n\t\t\t\t\tkey: \"\",\n\t\t\t\t\tlocale: \"auto\",\n\t\t\t\t\ttoken: function(response) {\n\t\t\t\t\t\tvar input = jQuery(\"<input type=hidden name=stripeToken id=stripeToken \/>\").val(response.id);\n\t\t\t\t\t\tvar email = jQuery(\"<input type=hidden name=stripeEmail id=stripeEmail \/>\").val(response.email);\n\t\t\t\t\t\tjQuery(\".ihc-stripe-form-payment\").append(input);\n\t\t\t\t\t\tjQuery(\".ihc-stripe-form-payment\").append(email);\n\t\t\t\t\t\tjQuery(\".ihc-stripe-form-payment\").submit();\n\t\t\t\t\t}\n\t\t\t\t});\n\t\t\t\t\n\t\t\t\tfunction ihc_stripe_payment(l_name, l_amount, lid){\n\t\t\t\t\tvar l_amount = l_amount * 100;\n\t\t\t\t\tif (l_amount<50){\n\t\t\t\t\t\tl_amount = 50;\n\t\t\t\t\t}\n\t\t\t\t\t\n\t\t\t\t\tjQuery(\"#ihc_lid_stripe\").val(lid);\n\t\t\t\t\tif (jQuery(\"#ihc_coupon\").val()){\n\t\t\t\t\t\t\/\/with coupon\n\t\t\t\t\t\tjQuery.ajax({\n\t\t\t\t\t\t\t\t\ttype : \"post\",\n\t\t\t\t\t\t\t\t\turl : \"https:\/\/alpha.westernston.com\/wp-content\/plugins\/indeed-membership-pro\/public\/custom-ajax.php\",\n\t\t\t\t\t\t\t\t\tdata : {\n\t\t\t\t\t\t\t\t\t\t    ihc_coupon: jQuery(\"#ihc_coupon\").val(),\n\t\t\t\t\t\t\t\t\t\t    l_id: lid,\n\t\t\t\t\t\t\t\t\t\t    initial_price: l_amount,\n\t\t\t\t\t\t\t\t\t},\n\t\t\t\t\t\t\t\t\tsuccess: function (data) {\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\tif (data!=0){\n\t\t\t\t\t\t\t\t\t\t\tvar obj = jQuery.parseJSON(data);\n\t\t\t\t\t\t\t\t\t\t\tif (typeof obj.price!=\"undefined\"){\n\t\t\t\t\t\t\t\t\t\t\t\tjQuery(\".ihc-stripe-form-payment\").append(\"<input type=hidden value=\" + jQuery(\"#ihc_coupon\").val() + \" name=ihc_coupon \/>\");\n\t\t\t\t\t\t\t\t\t\t\t\tif (obj.price==0){\n\t\t\t\t\t\t\t\t   \t \t\t\t\tjQuery(\".ihc-stripe-form-payment\").append(\"<input type=hidden name=stripeToken value=stripe \/>\");\n\t\t\t\t\t\t\t\t   \t \t\t\t\tjQuery(\".ihc-stripe-form-payment\").append(\"<input type=hidden name=stripeEmail value=stripe \/>\");\n\t\t\t\t\t\t\t\t   \t \t\t\t\tjQuery(\".ihc-stripe-form-payment\").submit();\n\t\t\t\t\t\t\t\t   \t \t\t\t\treturn;\n\t\t\t\t\t\t\t\t   \t \t\t\t} else if (obj.price<50){\n\t\t\t\t\t\t\t\t   \t \t\t\t\tobj.price = 50;\n\t\t\t\t\t\t\t\t   \t \t\t\t}\n\t\t\t\t\t\t\t\t\t\t\t\tvar l_amount = obj.price;\n\t\t\t\t\t\t\t\t\t\t\t\t\/\/\/\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\tjQuery.ajax({\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\ttype: \"post\",\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\turl: decodeURI(window.ihc_site_url)+\"\/wp-admin\/admin-ajax.php\",\n\t\t\t\t\t\t\t\t\t\t\t\t\t   \t \t\tdata: {\n\t\t\t\t\t\t\t\t\t\t\t\t\t   \t \t\t\t\taction: \"ihc_get_amount_plus_taxes_by_uid\",\n\t\t\t\t\t\t\t\t\t\t\t\t\t               \t\tuid: \"\",\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t               \t\tprice: l_amount,\t\t\t\t\t\t\t\t   \t \t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t   \t \t\t},\n\t\t\t\t\t\t\t\t\t\t\t\t\t   \t \t\tsuccess: function(data){\n\t\t\t\t\t\t\t\t\t\t\t\t\t   \t \t\t\t\tif (data){\n\t\t\t\t\t\t\t\t\t\t\t\t\t   \t \t\t\t\t\tvar l_amount = data;\n\t\t\t\t\t\t\t\t\t\t\t\t\t   \t \t\t\t\t} \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\thandler.open({\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tname: l_name,\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tdescription: l_name,\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tamount: l_amount,\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tcurrency: \"\"\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t});\t\t\t\t\t\t\t   \t \t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t   \t \t\t}\n\t\t\t\t\t\t\t\t\t\t\t\t\t});\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\/\/\/\n\t\t\t\t\t\t\t\t\t\t\t}\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t} \n\t\t\t\t\t\t\t\t\t}\n\t\t\t\t\t\t});\t\t\t\t\t\t\n\t\t\t\t\t} else {\n\t\t\t\t\t\t\/\/without coupon\n\t\t\t\t\t\tjQuery.ajax({\n\t\t\t\t\t\t\t\t\ttype: \"post\",\n\t\t\t\t\t\t\t\t\turl: decodeURI(window.ihc_site_url)+\"\/wp-admin\/admin-ajax.php\",\n\t\t\t\t\t\t   \t \t\tdata: {\n\t\t\t\t\t\t   \t \t\t\t\taction: \"ihc_get_amount_plus_taxes_by_uid\",\n\t\t\t\t\t\t               \t\tuid: \"\",\t\n\t\t\t\t\t\t               \t\tprice: l_amount,\t\t\t\t\t\t\t\t   \t \t\t\t\t\t\n\t\t\t\t\t\t   \t \t\t},\n\t\t\t\t\t\t  \t \t\tsuccess: function(data){\n\t\t\t\t\t\t  \t \t\t\t\tif (data){\n\t\t\t\t\t\t   \t \t\t\t\t\tvar l_amount = data;\n\t\t\t\t\t\t   \t \t\t\t\t} \n\t\t\t\t\t\t\t\t\t\t\tjQuery(\"#ihc_lid_stripe\").val(lid);\n\t\t\t\t\t\t\t\t\t\t\t\thandler.open({\n\t\t\t\t\t\t\t\t\t\t\t\tname: l_name,\n\t\t\t\t\t\t\t\t\t\t\t\tdescription: l_name,\n\t\t\t\t\t\t\t\t\t\t\t\tamount: l_amount,\n\t\t\t\t\t\t\t\t\t\t\t\tcurrency: \"\"\n\t\t\t\t\t\t\t\t\t\t\t});\t\t\t\t\t\t\t   \t \t\t\t\t\t\n\t\t\t\t\t\t\t\t\t}\n\t\t\t\t\t\t});\t\n\t\t\t\t\t}\n\t\t\t\t}\n\t\t\t<\/script><\/div><\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":54,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/alpha.westernston.com\/wp-json\/wp\/v2\/pages\/754"}],"collection":[{"href":"https:\/\/alpha.westernston.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/alpha.westernston.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/alpha.westernston.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/alpha.westernston.com\/wp-json\/wp\/v2\/comments?post=754"}],"version-history":[{"count":0,"href":"https:\/\/alpha.westernston.com\/wp-json\/wp\/v2\/pages\/754\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/alpha.westernston.com\/wp-json\/wp\/v2\/pages\/54"}],"wp:attachment":[{"href":"https:\/\/alpha.westernston.com\/wp-json\/wp\/v2\/media?parent=754"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}