{"id":2424,"date":"2014-05-06T17:58:09","date_gmt":"2014-05-06T17:58:09","guid":{"rendered":"https:\/\/surehairtransplants.com\/shidev\/?page_id=2424"},"modified":"2019-04-09T17:27:54","modified_gmt":"2019-04-09T17:27:54","slug":"watch-artas-video","status":"publish","type":"page","link":"https:\/\/surehairtransplants.com\/watch-artas-video\/","title":{"rendered":""},"content":{"rendered":"<div style=\"clear:both;\">\t\t\t<style type=\"text\/css\">\n\t\t\t\t#content-block-background-1162 { background-image: url(https:\/\/surehairtransplants.com\/wp-content\/uploads\/2015\/03\/nevio-girl12.jpg); background-position: left top; background-repeat: repeat-x; background-color: #0a3054; background-attachment: fixed; background-size: auto; }\n\t\t\t\t#content-block-body-1162 { padding: 6px 0; color: #FFFFFF; }\n\t\t\t\t.content-block-body { margin-left: auto; margin-right: auto; position: relative; }\n\t\t\t<\/style>\n\t\t\t\t\t\t\t<style type=\"text\/css\">\n\t\t\t\t\t#wrapper-1 { overflow-x: hidden; }\n\t\t\t\t\t#content-block-background-1162 { margin: 0 -10000px; padding: 0 10000px; }\n\t\t\t\t<\/style>\n\t\t\t\n\t\t\t\t\t\t<script type=\"text\/javascript\">\n\t\t\t\t\/\/ <![CDATA[\n\t\t\t\tjQuery(document).ready(function($){\n\t\t\t\t\t\"use strict\";\n\t\t\t\t\tif( ! $(\"body\").hasClass( \"mobile-detected\" ) ){\n\t\t\t\t\t\t$(\"#content-block-background-\"+1162).each(function(){\n\t\t\t\t\t\t\tvar $bgobj = $(this); \/\/ Assigning the object.\n\t\t\t\t\t\t\tvar xPos = 'left'; \/\/ x bg position value from the user shortcode.\n\t\t\t\t\t\t\t$(window).scroll(function() {\n\t\t\t\t\t\t\t\tvar yPos = -($(window).scrollTop() \/ 3);\n\t\t\t\t\t\t\t\t\/\/ Put together our final background position.\n\t\t\t\t\t\t\t\tvar coords = xPos+' '+yPos+'px';\n\t\t\t\t\t\t\t\t\/\/ Move the background.\n\t\t\t\t\t\t\t\t$bgobj.css({ backgroundPosition: coords });\n\t\t\t\t\t\t\t});\n\t\t\t\t\t\t});\n\t\t\t\t\t}\n\t\t\t\t});\n\t\t\t\t\/\/ ]]>\n\t\t\t<\/script>\n\t\t\t\n\t\t\t<div class=\"clear\"><\/div>\n\t\t\t<div id=\"content-block-background-1162\" class=\"content-block-background class-name\">\n\t\t\t\t<div id=\"content-block-body-1162\" class=\"content-block-body\">\n\t\t\t\t\t<div class=\"clear\"><\/div>\n\t\t\t\t\t\n<div class=\"trans_blue_table clearfix\">\n<div class=\"two_third\">\n<div style=\"float:left;\">\n<div style=\"margin-bottom:37px;\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/surehairtransplants.com\/wp-content\/uploads\/2015\/03\/as_seen_in2.png\" width=\"640\" height=\"58\"><\/div>\n<p><iframe loading=\"lazy\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/M6GbuxmZ2_g?rel=0&#038;autoplay=1\" frameborder=\"0\" allowfullscreen><\/iframe>\n<\/div>\n<\/div><div class=\"one_third last_column\">\n<div style=\"Float:right;\">\n<a rel=\"wp-prettyPhoto&#091;portfolio&#093;\" href=\"https:\/\/www.youtube.com\/watch?v=SBOPB4wVSpA&#038;rel=0\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"hover-opacity\" src=\"https:\/\/surehairtransplants.com\/wp-content\/uploads\/2015\/03\/the_doctor_hair_transplant5.png\" width=\"181\" height=\"150\" alt=\"Robotic Hair Transplant On the Doctors | SHI Toronto (416)-747-7873\" style=\"opacity: 1;\"><\/a><\/p>\n<div style=\"margin-top:5px;\"><a rel=\"wp-prettyPhoto&#091;portfolio&#093;\" href=\"http:\/\/youtu.be\/3sMzO4yUaVk?t=30s\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"hover-opacity\" src=\"https:\/\/surehairtransplants.com\/wp-content\/uploads\/2015\/03\/hair_transplant_cbs_news2.png\" width=\"181\" height=\"150\" alt=\"Robotic Hair Transplant Featured on CBS News | SHI Toronto (416)-747-7873\" style=\"opacity: 1;\"><\/a><\/div>\n<div style=\"margin-top:5px;\"><a rel=\"wp-prettyPhoto&#091;portfolio&#093;\" href=\"https:\/\/www.youtube.com\/watch?v=MqXMq9KxZ5Q\" title=\"\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/surehairtransplants.com\/wp-content\/uploads\/2015\/03\/hair_transplant_bloomberg_3.png\" width=\"181\" height=\"150\" alt=\"Robotic Hair Transplant Featured On Bloomberg\"><\/a><\/div>\n<\/div>\n<\/div><\/div>\n\t\t\t\t\t<div class=\"clear\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"clear\"><\/div>\n\t\t\t<\/div>\n<div id=\"landingmainhead\">\n<p style=\"text-align: center;\">\n<span style=\"color: #ff6600;\">Special Offer:<\/span> Schedule A FREE Online Hair Restoration Consultation &#038; Cost Analysis Using The Form Below and Get a $250 Credit Toward any of our Services\n<\/p>\n<\/div>\n<div class=\"bodytext_pro1\">\n<span class=\"dropcapCustom\">W<\/span>elcome To North America&#8217;s FUE Hair Restoration Leader. When it comes to FUE hair restoration technology we have more experience than just about any other clinic in North America. To Schedule A FREE Online Hair Restoration <strong>Consultation &#038; Cost Analysis<\/strong> simply fill out the form below. There&#8217;s no obligation and you can schedule your consultation at a time which is convenient for you via <strong>Skype, phone or in person if you choose.<\/strong><\/div>\n<p>\t\t<!-- end pro landing text --><\/p>\n<div class=\"clearfix\"><\/div>\n<h2>Watch as a Few of Our Clients Reveal Their Full Final Results<\/h2>\n<div style=\"clear: both;\">\n<div class=\"one_third\">\n<div class=\"thumb-holder-3-col\">\n<div class=\"portfolio-img-thumb-3-col\">\n<span class=\"portfolio-zoom-image-3-col\"> <\/span><a rel=\"wp-prettyPhoto[portfolio] autoplay=1\" href=\"http:\/\/youtu.be\/FWG0SgsP6jg&amp;rel=0\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"hover-opacity\" src=\"https:\/\/surehairtransplants.com\/wp-content\/uploads\/2018\/01\/video-gallery11-496x296_c.jpg\" width=\"248\" height=\"148\" alt=\"3300 Graft Hair Transplant\" style=\"opacity: 1;\"\/><\/a>\t\t\t\t<\/div>\n<p><!-- end portfolio-img-thumb-3-col -->\n\t\t\t    <\/div>\n<p><!-- end thumb-holder-3-col -->\n\t\t\t<\/div>\n<div class=\"one_third last_column\">\n<div class=\"thumb-holder-3-col\">\n<div class=\"portfolio-img-thumb-3-col\">\n<span class=\"portfolio-zoom-image-3-col\"> <\/span><a rel=\"wp-prettyPhoto[portfolio] autoplay=1\" href=\"https:\/\/youtu.be\/VRhroWHbPxU&amp;rel=0\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"hover-opacity\" src=\"https:\/\/surehairtransplants.com\/wp-content\/uploads\/2018\/01\/video41-496x296_c.jpg\" width=\"248\" height=\"148\" alt=\"Indian Male FUT 3500 Graft Hair Transplant - Norwood 3\"\/><\/a>\t\t\t\t<\/div>\n<p><!-- end portfolio-img-thumb-3-col -->\n\t\t\t    <\/div>\n<p><!-- end thumb-holder-3-col -->\n\t\t\t<\/div>\n<div class=\"one_third\">\n<div class=\"thumb-holder-3-col\">\n<div class=\"portfolio-img-thumb-3-col\">\n<span class=\"portfolio-zoom-image-3-col\"> <\/span><a rel=\"wp-prettyPhoto[portfolio] autoplay=0\" href=\"https:\/\/youtu.be\/GOJXM7rOwiE&amp;rel=0\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"hover-opacity\" src=\"https:\/\/surehairtransplants.com\/wp-content\/uploads\/2018\/01\/video42-496x296_c.jpg\" width=\"248\" height=\"148\" alt=\"Caucasian Male 6 Months post-op 3500 Grafts\" style=\"opacity: 1;\"\/><\/a>\t\t\t\t<\/div>\n<p><!-- end portfolio-img-thumb-3-col -->\n\t\t\t    <\/div>\n<p><!-- end thumb-holder-3-col -->\n\t\t\t<\/div>\n<div class=\"one_third\">\n<div class=\"thumb-holder-3-col\">\n<div class=\"portfolio-img-thumb-3-col\">\n<span class=\"portfolio-zoom-image-3-col\"> <\/span><a rel=\"wp-prettyPhoto[portfolio] autoplay=0\" href=\"https:\/\/youtu.be\/606X3jvV3ig&amp;rel=0\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"hover-opacity\" src=\"https:\/\/surehairtransplants.com\/wp-content\/uploads\/2018\/01\/video49-2-496x296_c.jpg\" width=\"248\" height=\"148\" alt=\"3500 grafts FUE high density transplant Norwood 3\" style=\"opacity: 1;\"\/><\/a>\t\t\t\t<\/div>\n<p><!-- end portfolio-img-thumb-3-col -->\n\t\t\t    <\/div>\n<p><!-- end thumb-holder-3-col -->\n\t\t\t<\/div>\n<div class=\"one_third last_column\">\n<div class=\"thumb-holder-3-col\">\n<div class=\"portfolio-img-thumb-3-col\">\n<span class=\"portfolio-zoom-image-3-col\"> <\/span><a rel=\"wp-prettyPhoto[portfolio] autoplay=1\" href=\"http:\/\/youtu.be\/yORkaZXZFgk&amp;rel=0\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"hover-opacity\" src=\"https:\/\/surehairtransplants.com\/wp-content\/uploads\/2018\/01\/video-gallery9-496x296_c.jpg\" width=\"248\" height=\"148\" alt=\"4200 Graft Hair Transplant Norwood 7\" style=\"opacity: 1;\"\/><\/a>\t\t\t\t<\/div>\n<p><!-- end portfolio-img-thumb-3-col -->\n\t\t\t    <\/div>\n<p><!-- end thumb-holder-3-col -->\n\t\t\t<\/div>\n<div class=\"one_third\">\n<div class=\"thumb-holder-3-col\">\n<div class=\"portfolio-img-thumb-3-col\">\n<span class=\"portfolio-zoom-image-3-col\"> <\/span><a rel=\"wp-prettyPhoto[portfolio] autoplay=1\" href=\"http:\/\/youtu.be\/odUJtvQsxBA&amp;rel=0\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"hover-opacity\" src=\"https:\/\/surehairtransplants.com\/wp-content\/uploads\/2018\/01\/video-gallery7-496x296_c.jpg\" width=\"248\" height=\"148\" alt=\"3700 Graft FUT Hair Transplant\" style=\"opacity: 1;\"\/><\/a>\t\t\t\t<\/div>\n<p><!-- end portfolio-img-thumb-3-col -->\n\t\t\t    <\/div>\n<p><!-- end thumb-holder-3-col -->\n\t\t\t<\/div>\n<div class=\"one_third\">\n<div class=\"thumb-holder-3-col\">\n<div class=\"portfolio-img-thumb-3-col\">\n<span class=\"portfolio-zoom-image-3-col\"> <\/span><a rel=\"wp-prettyPhoto[portfolio] autoplay=1\" href=\"https:\/\/youtu.be\/xAOZES5mLj8&amp;rel=0\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"hover-opacity\" src=\"https:\/\/surehairtransplants.com\/wp-content\/uploads\/2018\/01\/video47-496x296_c.jpg\" width=\"248\" height=\"148\" alt=\"2000 FUE Lowering of Hairline\" style=\"opacity: 1;\"\/><\/a>\t\t\t\t<\/div>\n<p><!-- end portfolio-img-thumb-3-col -->\n\t\t\t    <\/div>\n<p><!-- end thumb-holder-3-col -->\n\t\t\t<\/div>\n<div class=\"one_third last_column\">\n<div class=\"thumb-holder-3-col\">\n<div class=\"portfolio-img-thumb-3-col\">\n<span class=\"portfolio-zoom-image-3-col\"> <\/span><a rel=\"wp-prettyPhoto[portfolio] autoplay=1\" href=\"https:\/\/youtu.be\/_ZqyCfPsy58&amp;rel=0\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"hover-opacity\" src=\"https:\/\/surehairtransplants.com\/wp-content\/uploads\/2018\/01\/video45-496x296_c.jpg\" width=\"248\" height=\"148\" alt=\"2000 FUE Crown Hair Transplant \u2013 Crown Hair Loss\" style=\"opacity: 1;\"\/><\/a>\t\t\t\t<\/div>\n<p><!-- end portfolio-img-thumb-3-col -->\n\t\t\t    <\/div>\n<p><!-- end thumb-holder-3-col -->\n\t\t\t<\/div>\n<div class=\"one_third\">\n<div class=\"thumb-holder-3-col\">\n<div class=\"portfolio-img-thumb-3-col\">\n<span class=\"portfolio-zoom-image-3-col\"> <\/span><a rel=\"wp-prettyPhoto[portfolio] autoplay=1\" href=\"https:\/\/youtu.be\/EQfBWihaR3I&amp;rel=0\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"hover-opacity\" src=\"https:\/\/surehairtransplants.com\/wp-content\/uploads\/2018\/01\/video43-496x296_c.jpg\" width=\"248\" height=\"148\" alt=\"Norwood 3 - FUT 3300 Grafts\" style=\"opacity: 1;\"\/><\/a>\t\t\t\t<\/div>\n<p><!-- end portfolio-img-thumb-3-col -->\n\t\t\t    <\/div>\n<p><!-- end thumb-holder-3-col -->\n\t\t\t<\/div>\n<div class=\"one_third\">\n<div class=\"thumb-holder-3-col\">\n<div class=\"portfolio-img-thumb-3-col\">\n<span class=\"portfolio-zoom-image-3-col\"> <\/span><a rel=\"wp-prettyPhoto[portfolio] autoplay=1\" href=\"http:\/\/youtu.be\/a8qeBmJAJ8I&amp;rel=0\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"hover-opacity\" src=\"https:\/\/surehairtransplants.com\/wp-content\/uploads\/2018\/01\/video-gallery13-496x296_c.jpg\" width=\"248\" height=\"148\" alt=\"FUE Hair Transplant\" style=\"opacity: 1;\"\/><\/a>\t\t\t\t<\/div>\n<p><!-- end portfolio-img-thumb-3-col -->\n\t\t\t    <\/div>\n<p><!-- end thumb-holder-3-col -->\n\t\t\t<\/div>\n<div class=\"one_third last_column\">\n<div class=\"thumb-holder-3-col\">\n<div class=\"portfolio-img-thumb-3-col\">\n<span class=\"portfolio-zoom-image-3-col\"> <\/span><a rel=\"wp-prettyPhoto[portfolio] autoplay=1\" href=\"http:\/\/youtu.be\/hGFwBaDutVo&amp;rel=0\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"hover-opacity\" src=\"https:\/\/surehairtransplants.com\/wp-content\/uploads\/2018\/01\/video-gallery14-496x296_c.jpg\" width=\"248\" height=\"148\" alt=\"High Density Hair Transplant\" style=\"opacity: 1;\"\/><\/a>\t\t\t\t<\/div>\n<p><!-- end portfolio-img-thumb-3-col -->\n\t\t\t    <\/div>\n<p><!-- end thumb-holder-3-col -->\n\t\t\t<\/div>\n<div class=\"one_third\">\n<div class=\"thumb-holder-3-col\">\n<div class=\"portfolio-img-thumb-3-col\">\n<span class=\"portfolio-zoom-image-3-col\"> <\/span><a rel=\"wp-prettyPhoto[portfolio] autoplay=1\" href=\"http:\/\/youtu.be\/fimMfrqCX1M&amp;rel=0\" title=\"\"><img loading=\"lazy\" decoding=\"async\" class=\"hover-opacity\" src=\"https:\/\/surehairtransplants.com\/wp-content\/uploads\/2018\/01\/video-gallery5-496x296_c.jpg\" width=\"248\" height=\"148\" alt=\"Asian Male Hair Transplant Video\" style=\"opacity: 1;\"\/><\/a>\t\t\t\t<\/div>\n<p><!-- end portfolio-img-thumb-3-col -->\n\t\t\t    <\/div>\n<p><!-- end thumb-holder-3-col -->\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"landing_header2\">Schedule A FREE 10-Minute Online Consultation<br \/> To Find Out If Are A Good Candidate.<\/div>\n<div style=\"float:right;\">\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/surehairtransplants.com\/shidev\/wp-content\/uploads\/2014\/09\/10-minute-consult.png\" width=\"156\" height=\"168\" alt=\"10 minute consultation\">\n<\/div>\n<div class=\"bodytext_pro1\">\nSimply fill out the form below to schedule a FREE 10-Minute Online consultation with one of our hair transplant specialists. <strong>The consultation is absolutely FREE and there is no obligation on your part<\/strong>, for your convenience you can schedule your consultation <strong>via phone, Skype or in person<\/strong>, if you wish.<\/div>\n<div class=\"offerwrap\">\n<div style=\"float: left; width: 500px;\">\n<h1><strong><span style=\"color: #ff6600;\">Web Only Special:<\/span> $250 Credit<\/strong><\/h1>\n<p>We invite you to discover for yourself how incredible our medical hair loss solutions really are. Sign up for a free online consultation &#038; cost analysis today by filling out our free online consultation form and get a $250 credit towards any of our hair restoration services.<\/p>\n<p>The consultation is absolutely FREE and for your convenience you can schedule a photo consultation via phone if you can\u2019t make it in person. Simply fill out the form to the right.<\/p>\n<h4>Your Free Consultation Will Provide You With:<\/h4>\n<div style=\"float: left; width: 250px;\">\n<ul class=\"list-1\">\n<li>An price \/ cost estimate for treatment of your specific condition.<\/li>\n<li>An opportunity to learn about the very latest treatments available to you.<\/li>\n<li>A Personalized Future Hair loss assessment and diagnosis.<\/li>\n<\/ul>\n\n<\/div>\n<div style=\"float: right; width: 250px;\">\n<ul class=\"list-1\">\n<li>Proven treatment options geared for your specific case &amp; budget.<\/li>\n<li>An opportunity to discuss your hair loss with a genuine 30yr hair loss expert.<\/li>\n<li>$250 Certificate toward any of our procedures <strong>while supplies last<\/strong>*<\/li>\n<\/ul>\n\n<\/div>\n<\/div>\n<div style=\"float: right; width: 350px;\"><script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_unknown gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework LaserForm_wrapper' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_8' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Hair Transplant Cost Analysis<\/h3>\n                            <p class='gform_description'>Fill out and submit this form to get a free online consultation along with a $1,000 credit toward our hair transplant procedures.<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_8' class='LaserForm' action='\/wp-json\/wp\/v2\/pages\/2424' data-formid='8' >\n                        <div class='gform-body gform_body'><ul id='gform_fields_8' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_8_2\"  class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_2\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_2'>\n                            <span id='input_8_2_3_container' class='name_first gform-grid-col' >\n                                                    <input type='text' name='input_2.3' id='input_8_2_3' value=''   aria-required='true'    \/>\n                                                    <label for='input_8_2_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                               <\/span>\n                            <span id='input_8_2_6_container' class='name_last gform-grid-col' >\n                                                    <input type='text' name='input_2.6' id='input_8_2_6' value=''   aria-required='true'    \/>\n                                                    <label for='input_8_2_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <div class='gf_clear gf_clear_complex'><\/div>\n                        <\/div><\/li><li id=\"field_8_3\"  class=\"gfield gfield--type-email gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_3\"><label class='gfield_label gform-field-label' for='input_8_3' >Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_3' id='input_8_3' type='text' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_8_4\"  class=\"gfield gfield--type-text gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_4\"><label class='gfield_label gform-field-label' for='input_8_4' >Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_8_4' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_8_5\"  class=\"gfield gfield--type-select gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_5\"><label class='gfield_label gform-field-label' for='input_8_5' >Current Age<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_5' id='input_8_5' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please Select<\/option><option value='18-24' >18-24<\/option><option value='25-34' >25-34<\/option><option value='35-44' >35-44<\/option><option value='45-54' >45-54<\/option><option value='55-64' >55-64<\/option><option value='60 or Over' >60 or Over<\/option><\/select><\/div><\/li><li id=\"field_8_10\"  class=\"gfield gfield--type-select gf_right_half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_8_10\"><label class='gfield_label gform-field-label' for='input_8_10' >Gender<\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_8_10' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please Select<\/option><option value='Male' >Male<\/option><option value='Female' >Female<\/option><\/select><\/div><\/li><li id=\"field_8_13\"  class=\"gfield gfield--type-select gfield_contains_required 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