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FrameBuilder.get=qsProxy||[];var i62625621639156=new FrameBuilder("62625621639156",false,"","<!DOCTYPE HTML PUBLIC \"-\/\/W3C\/\/DTD HTML 4.01\/\/EN\" \"http:\/\/www.w3.org\/TR\/html4\/strict.dtd\">\n<html class=\"supernova\"><head>\n<meta http-equiv=\"Content-Type\" content=\"text\/html; charset=utf-8\" \/>\n<link rel=\"alternate\" type=\"application\/json+oembed\" href=\"https:\/\/www.jotform.com\/oembed\/?format=json&amp;url=https%3A%2F%2Fform.jotform.com%2F62625621639156\" title=\"oEmbed Form\">\n<link rel=\"alternate\" type=\"text\/xml+oembed\" href=\"https:\/\/www.jotform.com\/oembed\/?format=xml&amp;url=https%3A%2F%2Fform.jotform.com%2F62625621639156\" title=\"oEmbed Form\">\n<meta property=\"og:title\" content=\"Rich Roffman Contact Form\" >\n<meta property=\"og:url\" content=\"https:\/\/form.jotform.us\/62625621639156\" >\n<meta property=\"og:description\" content=\"Please click the link to complete this form.\">\n<meta name=\"slack-app-id\" content=\"AHNMASS8M\">\n<link rel=\"shortcut icon\" href=\"https:\/\/cdn.jotfor.ms\/favicon.ico\">\n<link rel=\"canonical\" href=\"https:\/\/form.jotform.us\/62625621639156\" \/>\n<meta name=\"viewport\" content=\"width=device-width, initial-scale=1.0, maximum-scale=2.0, user-scalable=1\" \/>\n<meta name=\"HandheldFriendly\" content=\"true\" \/>\n<title>Rich Roffman Contact Form<\/title>\n<link type=\"text\/css\" media=\"print\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/css\/printForm.css?3.3.20708\" \/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/themes\/CSS\/5e6b428acc8c4e222d1beb91.css?themeRevisionID=5f6c4d5f89fb4a374f76b581\"\/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/css\/styles\/payment\/payment_styles.css?3.3.20708\" \/>\n<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn.jotfor.ms\/css\/styles\/payment\/payment_feature.css?3.3.20708\" \/>\n<style type=\"text\/css\" id=\"form-designer-style\">\n    \/* Injected CSS Code *\/\n*,\n*:after,\n*:before {\n  box-sizing: border-box;\n}\n.form-all {\n  font-family: \"Inter\", sans-serif;\n}\n.main .jotform-form {\n  width: 100%;\n  padding: 0 3%;\n}\ndiv.form-all {\n  display: flex;\n  flex-direction: column;\n  width: 100%;\n  max-width: 752px;\n  margin: 72px auto;\n}\n.form-line.form-line-active {\n  -webkit-transition-property: all;\n  -moz-transition-property: all;\n  -ms-transition-property: all;\n  -o-transition-property: all;\n  transition-property: all;\n  -webkit-transition-duration: 0.3s;\n  -moz-transition-duration: 0.3s;\n  -ms-transition-duration: 0.3s;\n  -o-transition-duration: 0.3s;\n  transition-duration: 0.3s;\n  -webkit-transition-timing-function: ease;\n  -moz-transition-timing-function: ease;\n  -ms-transition-timing-function: ease;\n  -o-transition-timing-function: ease;\n  transition-timing-function: ease;\n  background-color: #ffffe0;\n}\n.form-label-left,\n.form-label-right {\n  width: 230px;\n}\n.form-label {\n  display: flex;\n  font-size: 16px;\n  font-weight: 500;\n  word-break: break-word;\n}\n.form-label.form-label-auto {\n  width: 100%;\n  margin-bottom: 14px;\n}\n.form-label-top {\n  width: 100%;\n  margin-bottom: 14px;\n}\n.form-label:not(.form-label-top) {\n  margin-right: 10px;\n  margin-top: .625em;\n  margin-bottom: .625em;\n}\n.form-label-right {\n  justify-content: flex-end;\n  text-align: right;\n}\n.form-all {\n  font-size: 16px;\n}\nli.form-line {\n  margin-top: 12px;\n  margin-bottom: 12px;\n}\n.form-line {\n  padding: 12px 10px;\n}\n.supernova .form-all,\n.form-all {\n  border-radius: 0px;\n}\n.form-section:first-child {\n  border-radius: 0px 0px 0 0;\n}\n.form-section:last-child {\n  border-radius: 0 0 0px 0px;\n}\n.form-section {\n  padding: 0px 38px;\n}\n.form-textbox,\n.form-textarea {\n  padding: 1px 10px -1px 10px;\n}\n.form-textbox,\n.form-textarea,\n.form-radio-other-input,\n.form-checkbox-other-input,\n.form-captcha input,\n.form-spinner input {\n  background-color: #ffffff;\n}\n.form-label {\n  font-family: \"Inter\", sans-serif;\n}\n.form-line-column {\n  width: calc(50% - 8px);\n}\n.form-line-column.form-line-column-clear {\n  width: calc(43%);\n}\n.form-iframe-container .formFooter {\n  font-size: 16px;\n}\n.form-iframe-container .formFooter-leftSide {\n  margin-left: 52px;\n  margin-right: 0;\n}\n.form-iframe-container .formFooter-rightSide {\n  position: absolute;\n  right: 34%;\n}\n.form-checkbox-item label,\n.form-checkbox-item span,\n.form-radio-item label,\n.form-radio-item span {\n  color: #404a64;\n}\n.form-radio-item,\n.form-checkbox-item {\n  padding-bottom: 0px !important;\n}\n.form-radio-item:last-child,\n.form-checkbox-item:last-child {\n  padding-bottom: 0;\n}\n.form-single-column .form-checkbox-item,\n.form-single-column .form-radio-item {\n  width: 100%;\n}\n.form-checkbox-item .editor-container div,\n.form-radio-item .editor-container div {\n  position: relative;\n}\n.form-checkbox-item .editor-container 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.form-submit-print {\n  font-size: 1em;\n  padding: 9px 15px;\n  font-family: \"Inter\", sans-serif;\n  font-size: 16px;\n  font-weight: normal;\n}\nli[data-type=\"control_image\"] div {\n  text-align: left;\n}\nli[data-type=\"control_image\"] img {\n  border: none;\n  border-width: 0px !important;\n  border-style: solid !important;\n  border-color: false !important;\n}\n.supernova {\n  height: 100%;\n  background-repeat: no-repeat;\n  background-attachment: scroll;\n  background-position: center top;\n  background-repeat: repeat;\n}\n.supernova {\n  background-image: none;\n}\n#stage {\n  background-image: none;\n}\n\/* | *\/\n.form-all {\n  background-repeat: no-repeat;\n  background-attachment: scroll;\n  background-position: center top;\n  background-repeat: repeat;\n}\n.form-header-group {\n  background-repeat: no-repeat;\n  background-attachment: scroll;\n  background-position: center top;\n}\n.header-large h1.form-header {\n  font-size: 2em;\n}\n.header-large h2.form-header {\n  font-size: 1.5em;\n}\n.header-large h3.form-header {\n  font-size: 1.17em;\n}\n.header-large h1 + .form-subHeader {\n  font-size: 1em;\n}\n.header-large h2 + .form-subHeader {\n  font-size: .875em;\n}\n.header-large h3 + .form-subHeader {\n  font-size: .75em;\n}\n.header-default h1.form-header {\n  font-size: 2em;\n}\n.header-default h2.form-header {\n  font-size: 1.5em;\n}\n.header-default h3.form-header {\n  font-size: 1.17em;\n}\n.header-default h1 + .form-subHeader {\n  font-size: 1em;\n}\n.header-default h2 + .form-subHeader {\n  font-size: .875em;\n}\n.header-default h3 + .form-subHeader {\n  font-size: .75em;\n}\n.header-small h1.form-header {\n  font-size: 2em;\n}\n.header-small h2.form-header {\n  font-size: 1.5em;\n}\n.header-small h3.form-header {\n  font-size: 1.17em;\n}\n.header-small h1 + .form-subHeader {\n  font-size: 1em;\n}\n.header-small h2 + .form-subHeader {\n  font-size: .875em;\n}\n.header-small h3 + .form-subHeader {\n  font-size: .75em;\n}\n.form-header-group {\n  text-align: left;\n}\n.form-header-group {\n  font-family: \"Inter\", sans-serif;\n}\ndiv.form-header-group.header-large {\n  margin: 0px -38px;\n}\ndiv.form-header-group.header-large {\n  padding: 40px 52px;\n}\n.form-line-error {\n  overflow: hidden;\n  -webkit-transition-property: none;\n  -moz-transition-property: none;\n  -ms-transition-property: none;\n  -o-transition-property: none;\n  transition-property: none;\n  -webkit-transition-duration: 0.3s;\n  -moz-transition-duration: 0.3s;\n  -ms-transition-duration: 0.3s;\n  -o-transition-duration: 0.3s;\n  transition-duration: 0.3s;\n  -webkit-transition-timing-function: ease;\n  -moz-transition-timing-function: ease;\n  -ms-transition-timing-function: ease;\n  -o-transition-timing-function: ease;\n  transition-timing-function: ease;\n  background-color: #fff4f4;\n}\n.form-line-error .form-error-message {\n  background-color: #f23a3c;\n  clear: both;\n  float: none;\n}\n.form-line-error .form-error-message .form-error-arrow {\n  border-bottom-color: #f23a3c;\n}\n.form-line-error input:not(#coupon-input),\n.form-line-error textarea,\n.form-line-error .form-validation-error {\n  border: 1px solid #f23a3c;\n  box-shadow: 0 0 3px #f23a3c;\n}\n.form-matrix-values {\n  background-color: 0;\n}\n.rating-item input:focus + label,\n.rating-item input:hover + label {\n  color: #ffffff;\n}\n.form-radio-item .form-radio:checked + label:after,\n.form-radio-item .form-radio:checked + span:after {\n  color: #ffffff;\n}\ninput.form-radio:checked + label:after,\ninput.form-checkbox:checked + label:after,\n.form-line[data-payment=\"true\"] .form-product-item .p_checkbox .checked {\n  color: #ffffff;\n}\n.rating-item input:checked + label {\n  color: #ffffff;\n}\n.appointmentCalendarContainer,\n.appointmentSlot,\n.rating-item-title.for-to > label:first-child,\n.rating-item-title.for-from > label:first-child,\n.rating-item-title .editor-container * {\n  background: none;\n}\n.appointmentCalendar .calendarDay.isActive .calendarDayEach,\n.appointmentCalendar .calendarDay:after,\n.appointmentFieldRow.forSelectedDate {\n  color: #FFFFFF;\n}\n@keyframes indicate {\n  0% {\n    background-color: transparent;\n  }\n  100% {\n    color: #fff;\n  }\n}\n.appointmentSlot.active {\n  animation: indicate 0.2s linear forwards;\n}\n.clear-pad-btn {\n  color: 0;\n}\n.appointmentField .timezonePickerName:after {\n  width: 11px;\n}\n.supernova {\n  background-color: #ffffff;\n}\n.supernova body {\n  background-color: transparent;\n}\n\/* | *\/\n.color-select {\n  display: none;\n}\n.supernova .form-all,\n.form-all {\n  background-color: #ffffff;\n}\n.form-textbox,\n.form-textarea,\n.form-dropdown,\n.form-radio-other-input,\n.form-checkbox-other-input,\n.form-captcha input,\n.form-spinner input {\n  background-color: #ffffff;\n}\n.form-matrix-table tr {\n  border-color: #e6e6e6;\n}\n.form-matrix-table tr:nth-child(2n) {\n  background-color: #f2f2f2;\n}\n.form-all {\n  color: #2c3345;\n}\n.form-label-top,\n.form-label-left,\n.form-label-right,\n.form-html {\n  color: #2c3345;\n}\n.form-line-error {\n  overflow: hidden;\n  -webkit-transition-property: none;\n  -moz-transition-property: none;\n  -ms-transition-property: none;\n  -o-transition-property: none;\n  transition-property: none;\n  -webkit-transition-duration: 0.3s;\n  -moz-transition-duration: 0.3s;\n  -ms-transition-duration: 0.3s;\n  -o-transition-duration: 0.3s;\n  transition-duration: 0.3s;\n  -webkit-transition-timing-function: ease;\n  -moz-transition-timing-function: ease;\n  -ms-transition-timing-function: ease;\n  -o-transition-timing-function: ease;\n  transition-timing-function: ease;\n  background-color: #fff4f4;\n}\n.form-iframe-container {\n  font-size: 16px;\n}\n.radio-button-style-item {\n  background-position: center;\n  background-repeat: no-repeat;\n  background-size: 40px;\n  padding: 0;\n  margin: 0 12px 12px 0;\n  background-color: #4E4E4E;\n  border: 1px solid #696969;\n}\n.radio-button-style-item img {\n  opacity: 0;\n}\n.radio-button-style-item:nth-child(1) {\n  background-image: url(\"data:image\/svg+xml,%3Csvg xmlns='\/\/www.w3.org\/2000\/svg' fill='none' viewBox='0 0 60 62'%3E%3Cdefs\/%3E%3Crect width='24' height='24' x='.5' y='.5' fill='%23fff' stroke='%23C3CAD8' rx='12'\/%3E%3Crect width='24' height='24' x='.5' y='37.5' fill='%23fff' stroke='%232E69FF' rx='12'\/%3E%3Ccircle cx='12.5' cy='49.5' r='8.5' fill='%232E69FF'\/%3E%3Crect width='24' height='24' x='35.5' y='37.5' fill='%23fff' stroke='%23C3CAD8' rx='1.5'\/%3E%3Crect width='24' height='24' x='35.5' y='37.5' fill='%232E69FF' stroke='%232E69FF' rx='1.5'\/%3E%3Cpath stroke='%23fff' stroke-linecap='round' stroke-linejoin='round' stroke-width='2' d='M43 49.5l3.3 3.5 6.7-7'\/%3E%3Crect width='24' height='24' x='35.5' y='.5' fill='%23fff' stroke='%23C3CAD8' rx='1.5'\/%3E%3C\/svg%3E\");\n}\n.radio-button-style-item:nth-child(2) {\n  background-image: url(\"data:image\/svg+xml,%3Csvg xmlns='\/\/www.w3.org\/2000\/svg' fill='none' viewBox='0 0 60 63'%3E%3Cdefs\/%3E%3Crect width='24' height='24' x='.5' y='.5' fill='%23fff' stroke='%23C3CAD8' rx='12'\/%3E%3Crect width='24' height='24' x='.5' y='37.5' fill='%23fff' stroke='%232E69FF' rx='12'\/%3E%3Crect width='24' height='24' x='35.5' y='37.5' fill='%23fff' stroke='%23C3CAD8' rx='1.5'\/%3E%3Crect width='24' height='24' x='35.5' y='37.5' fill='%232E69FF' stroke='%232E69FF' rx='1.5'\/%3E%3Crect width='24' height='24' x='35.5' y='.5' fill='%23fff' stroke='%23C3CAD8' rx='1.5'\/%3E%3Crect width='24.9' height='24.9' x='.2' y='37.1' fill='%232E69FF' rx='12.5'\/%3E%3Ccircle cx='12.7' cy='49.6' r='3.7' fill='%23fff'\/%3E%3Crect width='24' height='24' x='35.5' y='37.5' fill='%23fff' stroke='%23C3CAD8' rx='1.5'\/%3E%3Crect width='24' height='24' x='35.5' y='37.5' fill='%232E69FF' stroke='%232E69FF' rx='1.5'\/%3E%3Crect width='7' height='7' x='44' y='46' fill='%23fff' rx='1'\/%3E%3C\/svg%3E\");\n}\n.radio-button-style-item:nth-child(3) {\n  background-image: url(\"data:image\/svg+xml,%3Csvg xmlns='\/\/www.w3.org\/2000\/svg' fill='none' viewBox='0 0 62 63'%3E%3Cdefs\/%3E%3Crect width='24' height='24' x='.5' y='.5' fill='%23fff' stroke='%23C3CAD8' rx='12'\/%3E%3Crect width='22' height='22' x='1.5' y='1.5' stroke='%23C3CAD8' stroke-width='3' rx='11'\/%3E%3Cpath fill='%232E69FF' d='M9.3 47c-.7-.8-1.8-.8-2.5 0-.8.7-.8 1.8 0 2.5l3.6 3.7c.4.4.8.6 1.3.6.6 0 1-.2 1.3-.6l12.9-13c.7-.7.7-1.8 0-2.5-.7-.8-1.8-.8-2.6 0L11.7 49.3 9.3 47z'\/%3E%3Cpath fill='%232E69FF' d='M12.7 62.1c7 0 12.6-5.5 12.6-12.5 0-1-.8-1.8-1.8-1.8-1.1 0-1.8.7-1.8 1.8 0 5-4 9-9 9s-8.9-4-8.9-9a8.8 8.8 0 0112-8.4c.9.4 2-.2 2.3-1 .4-1-.2-2-1-2.4a12 12 0 00-4.4-.7C5.7 37.1.2 42.7.2 49.6c0 7 5.6 12.5 12.5 12.5z'\/%3E%3Cmask id='a' fill='%23fff'%3E%3Crect width='25' height='25' x='35' rx='2'\/%3E%3C\/mask%3E%3Crect width='25' height='25' x='35' fill='%23fff' stroke='%23C3CAD8' stroke-width='6' mask='url(%23a)' rx='2'\/%3E%3Cpath fill='%232E69FF' d='M51.5 39.8a1.5 1.5 0 000-3v3zm8.1 9.3a1.5 1.5 0 10-3 0h3zm-3.5 10h-17v3h17v-3zm-17.6-.6V40.3h-3v18.2h3zm.5-18.7h12.5v-3H39v3zm20.6 18.7v-9.4h-3v9.4h3zM39 59a.5.5 0 01-.5-.5h-3c0 2 1.6 3.5 3.5 3.5v-3zm17.1 3c2 0 3.5-1.5 3.5-3.5h-3c0 .3-.2.5-.5.5v3zM38.5 40.3c0-.3.3-.5.5-.5v-3c-1.9 0-3.5 1.6-3.5 3.5h3zM44.8 46.8c-.7-.8-1.8-.8-2.5 0-.8.7-.8 1.8 0 2.5l3.6 3.7c.3.3.7.5 1.3.5.5 0 .9-.2 1.2-.5l12.7-12.8c.7-.7.7-1.8 0-2.5-.7-.8-1.8-.8-2.6 0L47.2 49l-2.4-2.3z'\/%3E%3C\/svg%3E\");\n}\n.radio-button-style-item:nth-child(4) {\n  background-image: url(\"data:image\/svg+xml,%3Csvg xmlns='\/\/www.w3.org\/2000\/svg' fill='none' viewBox='0 0 53 57'%3E%3Cdefs\/%3E%3Ccircle cx='9' cy='9' r='9' fill='%23C3CAD8'\/%3E%3Cpath stroke='%23C3CAD8' stroke-linecap='round' stroke-linejoin='round' stroke-width='4' d='M37 9l4.3 5L50 4'\/%3E%3Ccircle cx='9' cy='47.8' r='9' fill='%232E69FF'\/%3E%3Cpath stroke='%232E69FF' stroke-linecap='round' stroke-linejoin='round' stroke-width='4' d='M37.4 48.5l4.1 4.6 8.2-9.3'\/%3E%3C\/svg%3E\");\n}\n.radio-button-style-item:nth-child(5) {\n  display: none;\n}\n.radio-button-style-item:nth-child(6) {\n  background-image: url(\"data:image\/svg+xml,%3Csvg xmlns='\/\/www.w3.org\/2000\/svg' fill='none' viewBox='0 0 45 63'%3E%3Cdefs\/%3E%3Crect width='45' height='26' y='37' fill='%232E69FF' rx='13'\/%3E%3Ccircle cx='31' cy='50' r='10' fill='%23fff'\/%3E%3Crect width='45' height='26' fill='%23C3CAD8' rx='13'\/%3E%3Ccircle cx='14' cy='13' r='10' fill='%23fff'\/%3E%3C\/svg%3E\");\n}\n.radio-button-style-item:nth-child(7) {\n  background-image: url(\"data:image\/svg+xml,%3Csvg xmlns='\/\/www.w3.org\/2000\/svg' fill='none' viewBox='0 0 45 63'%3E%3Cdefs\/%3E%3Crect width='45' height='26' y='37' fill='%232E69FF' rx='13'\/%3E%3Ccircle cx='31' cy='50' r='10' fill='%23fff'\/%3E%3Ccircle cx='27.4' cy='48.5' r='1.4' fill='%232E69FF'\/%3E%3Ccircle cx='34.5' cy='48.5' r='1.4' fill='%232E69FF'\/%3E%3Cpath fill='%232E69FF' d='M31 56c2 0 3.5-1.3 3.5-3h-7c0 1.7 1.6 3 3.5 3z'\/%3E%3Crect width='45' height='26' fill='%23C3CAD8' rx='13'\/%3E%3Ccircle cx='14' cy='13' r='10' fill='%23fff'\/%3E%3Ccircle cx='10.4' cy='11.5' r='1.4' fill='%23C3CAD8'\/%3E%3Ccircle cx='17.5' cy='11.5' r='1.4' fill='%23C3CAD8'\/%3E%3Cpath fill='%23C3CAD8' d='M14 16c-2 0-3.5 1.3-3.5 3h7c0-1.7-1.6-3-3.5-3z'\/%3E%3C\/svg%3E\");\n}\n.clr-darkV2,\n.clr-pinkV2,\n.clr-darkBlueV2,\n.clr-purpleV2 {\n  position: relative;\n}\n.clr-darkV2:before,\n.clr-pinkV2:before,\n.clr-darkBlueV2:before,\n.clr-purpleV2:before {\n  content: '';\n  background-image: url(\"data:image\/svg+xml,%3Csvg xmlns='\/\/www.w3.org\/2000\/svg' fill='none' viewBox='0 0 36 19'%3E%3Cdefs\/%3E%3Cg filter='url(%23filter0_d)'%3E%3Crect width='32' height='14' x='2' y='2' fill='%234990F7' rx='7'\/%3E%3Cpath fill='%23fff' d='M13.2 12.2V6h-.9v4.8L9.2 6H8v6.2h.9v-5l3.4 5h.9zM18.6 12.2v-.8h-3V9.5h2.8v-.8h-2.7V6.8h3V6h-3.9v6.2h3.8zM25.7 10.9L24.1 6h-1l-1.5 4.9L20.2 6h-.9l1.8 6.2h1l1.5-5 1.7 5h.9L28 6h-.9l-1.4 4.9z'\/%3E%3C\/g%3E%3Cdefs%3E%3Cfilter id='filter0_d' width='36' height='18' x='0' y='.5' color-interpolation-filters='sRGB' filterUnits='userSpaceOnUse'%3E%3CfeFlood flood-opacity='0' result='BackgroundImageFix'\/%3E%3CfeColorMatrix in='SourceAlpha' values='0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 127 0'\/%3E%3CfeOffset dy='.5'\/%3E%3CfeGaussianBlur stdDeviation='1'\/%3E%3CfeColorMatrix values='0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.25 0'\/%3E%3CfeBlend in2='BackgroundImageFix' result='effect1_dropShadow'\/%3E%3CfeBlend in='SourceGraphic' in2='effect1_dropShadow' result='shape'\/%3E%3C\/filter%3E%3C\/defs%3E%3C\/svg%3E\");\n  width: 54px;\n  height: 19px;\n  position: absolute;\n  display: inline-block;\n  top: -12px;\n  left: -1px;\n  background-repeat: no-repeat;\n}\n.clr-clearV2:before {\n  content: 'x';\n  text-transform: uppercase;\n  color: #ffffff;\n  width: 24px;\n  height: 24px;\n}\n.clr-clearV2 > span {\n  display: none;\n}\n#propsFormLayout #enableFormCols {\n  display: none;\n}\n#propsLabels .sb-input-color + .sb-seperator + .sb-col-half + .sb-col-half.even {\n  display: none;\n}\n#propsRadio .sb-option.sb-col-half.even.sb-input-color + .sb-seperator + .sb-option,\n#propsRadio .sb-option + .sb-seperator + .sb-option.sb-col-half {\n  display: none;\n}\n#propsRadio .sb-option.sb-col-half.even.sb-input-color {\n  padding-left: 18px;\n  padding-right: 12px;\n}\n#propsPageBreaks .sb-option:nth-child(20),\n#propsPageBreaks .sb-seperator:nth-child(21) {\n  display: none;\n}\n#propsButtons .sb-option:nth-child(20),\n#propsButtons .sb-seperator:nth-child(21) {\n  display: none;\n}\n#buttonSizeChangeContainer {\n  display: none;\n}\n#buttonSizeChangeContainer + .sb-option.sb-col-half.even {\n  padding-left: 18px;\n  padding-right: 12px;\n}\n\n\/*__INSPECT_SEPERATOR__*\/\n.formFooter {\n    display : none !important;\n}\n\n.form-all {\n    box-shadow : none !important;\n}\n\n\n    \/* Injected CSS Code *\/\n<\/style>\n\n<script src=\"https:\/\/cdnjs.cloudflare.com\/ajax\/libs\/punycode\/1.4.1\/punycode.min.js\"><\/script>\n<script src=\"https:\/\/cdn.jotfor.ms\/static\/prototype.forms.js\" type=\"text\/javascript\"><\/script>\n<script src=\"https:\/\/cdn.jotfor.ms\/static\/jotform.forms.js?3.3.20708\" type=\"text\/javascript\"><\/script>\n<script type=\"text\/javascript\">\n var jsTime = setInterval(function(){try{\n   JotForm.jsForm = true;\n\n\tJotForm.init(function(){\n      setTimeout(function() {\n          $('input_16').hint('ex: myname@example.com');\n       }, 20);\nif (window.JotForm && JotForm.accessible) $('input_8').setAttribute('tabindex',0);\n\tJotForm.newDefaultTheme = true;\n\tJotForm.newPaymentUIForNewCreatedForms = false;\n\tJotForm.newPaymentUI = true;\n\tJotForm.clearFieldOnHide=\"disable\";\n    \/*INIT-END*\/\n\t});\n\n   clearInterval(jsTime);\n }catch(e){}}, 1000);\n\n   JotForm.prepareCalculationsOnTheFly([null,null,null,null,null,null,null,{\"name\":\"submit\",\"qid\":\"7\",\"text\":\"Contact Us\",\"type\":\"control_button\"},{\"description\":\"\",\"name\":\"comments\",\"qid\":\"8\",\"subLabel\":\"\",\"text\":\"Comments:\",\"type\":\"control_textarea\"},{\"description\":\"\",\"name\":\"typeThe\",\"qid\":\"9\",\"text\":\"Type the characters you see here:\",\"type\":\"control_captcha\"},null,null,null,null,null,{\"description\":\"\",\"name\":\"name\",\"qid\":\"15\",\"text\":\"Name\",\"type\":\"control_fullname\"},{\"description\":\"\",\"name\":\"email16\",\"qid\":\"16\",\"subLabel\":\"example@example.com\",\"text\":\"E-mail\",\"type\":\"control_email\"}]);\n   setTimeout(function() {\nJotForm.paymentExtrasOnTheFly([null,null,null,null,null,null,null,{\"name\":\"submit\",\"qid\":\"7\",\"text\":\"Contact Us\",\"type\":\"control_button\"},{\"description\":\"\",\"name\":\"comments\",\"qid\":\"8\",\"subLabel\":\"\",\"text\":\"Comments:\",\"type\":\"control_textarea\"},{\"description\":\"\",\"name\":\"typeThe\",\"qid\":\"9\",\"text\":\"Type the characters you see here:\",\"type\":\"control_captcha\"},null,null,null,null,null,{\"description\":\"\",\"name\":\"name\",\"qid\":\"15\",\"text\":\"Name\",\"type\":\"control_fullname\"},{\"description\":\"\",\"name\":\"email16\",\"qid\":\"16\",\"subLabel\":\"example@example.com\",\"text\":\"E-mail\",\"type\":\"control_email\"}]);}, 20); \n<\/script>\n<\/head>\n<body>\n<form class=\"jotform-form\" action=\"https:\/\/submit.jotform.us\/submit\/62625621639156\/\" method=\"post\" name=\"form_62625621639156\" id=\"62625621639156\" accept-charset=\"utf-8\" autocomplete=\"on\">\n  <input type=\"hidden\" name=\"formID\" value=\"62625621639156\" \/>\n  <input type=\"hidden\" id=\"JWTContainer\" value=\"\" \/>\n  <input type=\"hidden\" id=\"cardinalOrderNumber\" value=\"\" \/>\n  <div role=\"main\" class=\"form-all\">\n    <ul class=\"form-section page-section\">\n      <li class=\"form-line\" data-type=\"control_fullname\" id=\"id_15\">\n        <label class=\"form-label form-label-top form-label-auto\" id=\"label_15\" for=\"first_15\"> Name <\/label>\n        <div id=\"cid_15\" class=\"form-input-wide\" data-layout=\"full\">\n          <div data-wrapper-react=\"true\">\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"first\">\n              <input type=\"text\" id=\"first_15\" name=\"q15_name[first]\" class=\"form-textbox\" size=\"10\" value=\"\" data-component=\"first\" aria-labelledby=\"label_15 sublabel_15_first\" \/>\n              <label class=\"form-sub-label\" for=\"first_15\" id=\"sublabel_15_first\" style=\"min-height:13px\" aria-hidden=\"false\"> First Name <\/label>\n            <\/span>\n            <span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"last\">\n              <input type=\"text\" id=\"last_15\" name=\"q15_name[last]\" class=\"form-textbox\" size=\"15\" value=\"\" data-component=\"last\" aria-labelledby=\"label_15 sublabel_15_last\" \/>\n              <label class=\"form-sub-label\" for=\"last_15\" id=\"sublabel_15_last\" style=\"min-height:13px\" aria-hidden=\"false\"> Last Name <\/label>\n            <\/span>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_email\" id=\"id_16\">\n        <label class=\"form-label form-label-top form-label-auto\" id=\"label_16\" for=\"input_16\"> E-mail <\/label>\n        <div id=\"cid_16\" class=\"form-input-wide\" data-layout=\"half\">\n          <span class=\"form-sub-label-container\" style=\"vertical-align:top\">\n            <input type=\"email\" id=\"input_16\" name=\"q16_email16\" class=\"form-textbox validate[Email]\" style=\"width:310px\" size=\"310\" value=\"\" placeholder=\"ex: myname@example.com\" data-component=\"email\" aria-labelledby=\"label_16 sublabel_input_16\" \/>\n            <label class=\"form-sub-label\" for=\"input_16\" id=\"sublabel_input_16\" style=\"min-height:13px\" aria-hidden=\"false\"> example@example.com <\/label>\n          <\/span>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_textarea\" id=\"id_8\">\n        <label class=\"form-label form-label-top form-label-auto\" id=\"label_8\" for=\"input_8\"> Comments: <\/label>\n        <div id=\"cid_8\" class=\"form-input-wide\" data-layout=\"full\">\n          <textarea id=\"input_8\" class=\"form-textarea\" name=\"q8_comments\" style=\"width:648px;height:163px\" data-component=\"textarea\" aria-labelledby=\"label_8\"><\/textarea>\n        <\/div>\n      <\/li>\n      <li class=\"form-line jf-required\" data-type=\"control_captcha\" id=\"id_9\">\n        <label class=\"form-label form-label-top form-label-auto\" id=\"label_9\" for=\"input_9\">\n          Type the characters you see here:\n          <span class=\"form-required\">\n            *\n          <\/span>\n        <\/label>\n        <div id=\"cid_9\" class=\"form-input-wide jf-required\" data-layout=\"full\">\n          <section data-wrapper-react=\"true\">\n            <div id=\"recaptcha_input_9\" data-component=\"recaptcha\" data-callback=\"recaptchaCallbackinput_9\" data-expired-callback=\"recaptchaExpiredCallbackinput_9\">\n            <\/div>\n            <input type=\"hidden\" id=\"input_9\" class=\"hidden validate[required]\" name=\"recaptcha_visible\" required=\"\" \/>\n            <script type=\"text\/javascript\" src=\"https:\/\/www.google.com\/recaptcha\/api.js?render=explicit&amp;onload=recaptchaLoadedinput_9\"><\/script>\n            <script type=\"text\/javascript\">\n                    var recaptchaLoadedinput_9 = function()\n          {\n            window.grecaptcha.render($(\"recaptcha_input_9\"), {\n              sitekey: '6LdU3CgUAAAAAB0nnFM3M3T0sy707slYYU51RroJ',\n            });\n            var grecaptchaBadge = document.querySelector('.grecaptcha-badge');\n            if (grecaptchaBadge)\n            {\n              grecaptchaBadge.style.boxShadow = 'gray 0px 0px 2px';\n            }\n          };\n\n        \/**\n         * Called when the reCaptcha verifies the user is human\n         * For invisible reCaptcha;\n         *   Submit event is stopped after validations and recaptcha is executed.\n         *   If a challenge is not displayed, this will be called right after grecaptcha.execute()\n         *   If a challenge is displayed, this will be called when the challenge is solved successfully\n         *   Submit is triggered to actually submit the form since it is stopped before.\n         *\/\n        var recaptchaCallbackinput_9 = function()\n          {\n            var isInvisibleReCaptcha = false;\n            var hiddenInput = $(\"input_9\");\n            hiddenInput.setValue(1);\n            if (!isInvisibleReCaptcha)\n            {\n              if (hiddenInput.validateInput)\n              {\n                hiddenInput.validateInput();\n              }\n            }\n            else\n            {\n              triggerSubmit(hiddenInput.form)\n            }\n\n            function triggerSubmit(formElement)\n            {\n              var button = formElement.ownerDocument.createElement('input');\n              button.style.display = 'none';\n              button.type = 'submit';\n              formElement.appendChild(button).click();\n              formElement.removeChild(button);\n            }\n          }\n\n          \/\/ not really required for invisible recaptcha\n        var recaptchaExpiredCallbackinput_9 = function()\n          {\n            var hiddenInput = $(\"input_9\");\n            hiddenInput.writeAttribute(\"value\", false);\n            if (hiddenInput.validateInput)\n            {\n              hiddenInput.validateInput();\n            }\n          }\n            <\/script>\n          <\/section>\n        <\/div>\n      <\/li>\n      <li class=\"form-line\" data-type=\"control_button\" id=\"id_7\">\n        <div id=\"cid_7\" class=\"form-input-wide\" data-layout=\"full\">\n          <div data-align=\"auto\" class=\"form-buttons-wrapper form-buttons-auto   jsTest-button-wrapperField\">\n            <button id=\"input_7\" type=\"submit\" class=\"form-submit-button form-submit-button-simple_grey submit-button jf-form-buttons jsTest-submitField\" data-component=\"button\" data-content=\"\">\n              Contact Us\n            <\/button>\n          <\/div>\n        <\/div>\n      <\/li>\n      <li style=\"display:none\">\n        Should be Empty:\n        <input type=\"text\" name=\"website\" value=\"\" \/>\n      <\/li>\n    <\/ul>\n  <\/div>\n  <script>\n  JotForm.showJotFormPowered = \"new_footer\";\n  <\/script>\n  <script>\n  JotForm.poweredByText = \"Powered by JotForm\";\n  <\/script>\n  <input type=\"hidden\" class=\"simple_spc\" id=\"simple_spc\" name=\"simple_spc\" value=\"62625621639156\" \/>\n  <script type=\"text\/javascript\">\n  var all_spc = document.querySelectorAll(\"form[id='62625621639156'] .si\" + \"mple\" + \"_spc\");\nfor (var i = 0; i < all_spc.length; i++)\n{\n  all_spc[i].value = \"62625621639156-62625621639156\";\n}\n  <\/script>\n  <div class=\"formFooter-heightMask\">\n  <\/div>\n  <div class=\"formFooter f6\">\n    <div class=\"formFooter-wrapper formFooter-leftSide\">\n      <a href=\"https:\/\/www.jotform.com\/?utm_source=formfooter&utm_medium=banner&utm_term=62625621639156&utm_content=jotform_logo&utm_campaign=powered_by_jotform_le\" target=\"_blank\" class=\"formFooter-logoLink\"><img class=\"formFooter-logo\" src=\"https:\/\/cdn.jotfor.ms\/assets\/img\/logo\/logo-new@1x.png\" alt=\"Jotform Logo\"><\/a>\n    <\/div>\n    <div class=\"formFooter-wrapper formFooter-rightSide\">\n      <span class=\"formFooter-text\">\n        Now create your own JotForm - It's free!\n      <\/span>\n      <a class=\"formFooter-button\" href=\"https:\/\/www.jotform.com\/?utm_source=formfooter&utm_medium=banner&utm_term=62625621639156&utm_content=jotform_button&utm_campaign=powered_by_jotform_le\" target=\"_blank\">Create your own JotForm<\/a>\n    <\/div>\n  <\/div>\n<\/form><\/body>\n<\/html>\n<script src=\"https:\/\/cdn.jotfor.ms\/\/js\/vendor\/smoothscroll.min.js?v=3.3.20708\"><\/script>\n<script src=\"https:\/\/cdn.jotfor.ms\/\/js\/errorNavigation.js?v=3.3.20708\"><\/script>\n","Rich Roffman Contact Form",Array);(function(){window.handleIFrameMessage=function(e){if(!e.data||!e.data.split)return;var args=e.data.split(":");if(args[2]!="62625621639156"){return;}
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