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				<div class="et_pb_code_inner"><div id="quform-e62624" class="quform quform-22 quform-theme-simple quform-support-page-caching"><form id="quform-form-e62624" class="quform-form quform-form-22" action="/?s#quform-e62624" method="post" enctype="multipart/form-data" novalidate="novalidate" data-options="{&quot;id&quot;:22,&quot;uniqueId&quot;:&quot;e62624&quot;,&quot;theme&quot;:&quot;simple&quot;,&quot;ajax&quot;:true,&quot;logic&quot;:{&quot;logic&quot;:[],&quot;dependents&quot;:[],&quot;elementIds&quot;:[],&quot;dependentElementIds&quot;:[],&quot;animate&quot;:true},&quot;currentPageId&quot;:1,&quot;errorsIcon&quot;:&quot;&quot;,&quot;updateFancybox&quot;:true,&quot;hasPages&quot;:false,&quot;pages&quot;:[1],&quot;pageProgressType&quot;:&quot;numbers&quot;,&quot;tooltipsEnabled&quot;:true,&quot;tooltipClasses&quot;:&quot;qtip-quform-dark qtip-shadow&quot;,&quot;tooltipMy&quot;:&quot;left center&quot;,&quot;tooltipAt&quot;:&quot;right center&quot;,&quot;scrollOffset&quot;:-50,&quot;scrollSpeed&quot;:800}"><button class="quform-default-submit" name="quform_submit" type="submit" value="submit"></button><div class="quform-form-inner quform-form-inner-22"><input type="hidden" name="quform_form_id" value="22" /><input type="hidden" name="quform_form_uid" value="e62624" /><input type="hidden" name="quform_count" value="1" /><input type="hidden" name="form_url" value="https://dev.beyondchai.com/?s=" /><input type="hidden" name="referring_url" value="" /><input type="hidden" name="post_id" value="" /><input type="hidden" name="post_title" value="" /><input type="hidden" name="quform_current_page_id" value="1" /><input type="hidden" name="quform_csrf_token" value="xBJDaU26y8QDKhL53P97hKLt8rS5kmW5m777u2eb" /><div class="quform-elements quform-elements-22 quform-cf quform-responsive-elements-phone-landscape"><div class="quform-element quform-element-page quform-page-1 quform-page-22_1 quform-cf quform-group-style-plain quform-first-page quform-last-page quform-current-page"><div class="quform-child-elements"><div class="quform-element quform-element-name quform-element-22_4 quform-cf quform-element-required"><div class="quform-spacer"><div class="quform-label quform-label-22_4"><span class="quform-label-icon"><i class="fa fa-user"></i></span><label  class="quform-label-text" id="quform_22_4_e62624_label">Name<span class="quform-required">*</span> </label></div><div class="quform-inner quform-inner-name quform-inner-22_4"><div class="quform-input quform-input-name quform-input-22_4 quform-cf"><div class="quform-element-row quform-element-row-size-fixed quform-2-columns"><div class="quform-element-column"><div class="quform-element quform-element-text quform-element-22_4_2 quform-cf quform-element-required"><div class="quform-spacer"><div class="quform-inner quform-inner-text quform-inner-22_4_2"><div class="quform-input quform-input-text quform-input-22_4_2 quform-cf"><input type="text" id="quform_22_4_2_e62624" value="" name="quform_22_4[2]" class="quform-field quform-field-text quform-field-22_4_2" aria-labelledby="quform_22_4_e62624_label quform_22_4_2_e62624_sub_label" /></div><label id="quform_22_4_2_e62624_sub_label" class="quform-sub-label">First</label></div></div></div></div><div class="quform-element-column"><div class="quform-element quform-element-text quform-element-22_4_4 quform-cf quform-element-optional"><div class="quform-spacer"><div class="quform-inner quform-inner-text quform-inner-22_4_4"><div class="quform-input quform-input-text quform-input-22_4_4 quform-cf"><input type="text" id="quform_22_4_4_e62624" value="" name="quform_22_4[4]" class="quform-field quform-field-text quform-field-22_4_4" aria-labelledby="quform_22_4_e62624_label quform_22_4_4_e62624_sub_label" /></div><label id="quform_22_4_4_e62624_sub_label" class="quform-sub-label">Last</label></div></div></div></div></div></div></div></div></div><div class="quform-element quform-element-email quform-element-22_9 quform-cf quform-element-required"><div class="quform-spacer"><div class="quform-label quform-label-22_9"><span class="quform-label-icon"><i class="fa fa-envelope"></i></span><label  class="quform-label-text" for="quform_22_9_e62624">Email address<span class="quform-required">*</span> </label></div><div class="quform-inner quform-inner-email quform-inner-22_9 quform-field-width-medium"><div class="quform-input quform-input-email quform-input-22_9 quform-cf"><input type="email" id="quform_22_9_e62624" name="quform_22_9" value="" class="quform-field quform-field-email quform-field-22_9" /></div></div></div></div><div class="quform-element quform-element-select quform-element-22_11 quform-cf quform-element-required"><div class="quform-spacer"><div class="quform-label quform-label-22_11"><label  class="quform-label-text" for="quform_22_11_e62624">Package:<span class="quform-required">*</span> </label></div><div class="quform-inner quform-inner-select quform-inner-22_11"><div class="quform-input quform-input-select quform-input-22_11 quform-cf"><select id="quform_22_11_e62624" name="quform_22_11" class="quform-field quform-field-select quform-field-22_11"><option value="" selected="selected" ">Please select</option><option value="Basic" ">Basic</option><option value="Professional" ">Professional</option><option value="Premier" ">Premier</option><option value="Gateway" ">Gateway</option><option value="Companionship" ">Companionship</option></select></div></div></div></div><div class="quform-element quform-element-select quform-element-22_7 quform-cf quform-element-required"><div class="quform-spacer"><div class="quform-label quform-label-22_7"><label  class="quform-label-text" for="quform_22_7_e62624">Matchmaker:<span class="quform-required">*</span> </label></div><div class="quform-inner quform-inner-select quform-inner-22_7"><div class="quform-input quform-input-select quform-input-22_7 quform-cf"><select id="quform_22_7_e62624" name="quform_22_7" class="quform-field quform-field-select quform-field-22_7"><option value="" selected="selected" ">Please select</option><option value="Aasia" ">Aasia</option><option value="Alisa" ">Alisa</option><option value="Jabin" ">Jabin</option><option value="Kamila" ">Kamila</option><option value="Rumana" ">Rumana</option><option value="Saman" ">Saman</option><option value="Samiya" ">Samiya</option><option value="Shanzay" ">Shanzay</option><option value="Sharifa" ">Sharifa</option></select></div></div></div></div><div class="quform-element quform-element-textarea quform-element-22_8 quform-cf quform-element-required"><div class="quform-spacer"><div class="quform-label quform-label-22_8"><label  class="quform-label-text" for="quform_22_8_e62624">Why do you find our service valuable?<span class="quform-required">*</span> </label></div><div class="quform-inner quform-inner-textarea quform-inner-22_8"><div class="quform-input quform-input-textarea quform-input-22_8 quform-cf"><textarea id="quform_22_8_e62624" name="quform_22_8" class="quform-field quform-field-textarea quform-field-22_8"></textarea></div></div></div></div><div class="quform-element quform-element-recaptcha quform-element-22_10 quform-cf quform-element-required"><div class="quform-spacer"><div class="quform-label quform-label-22_10"><label  class="quform-label-text">Are you human?<span class="quform-required">*</span> </label></div><div class="quform-inner quform-inner-recaptcha quform-inner-22_10"><div class="quform-input quform-input-recaptcha quform-input-22_10 quform-cf"><div class="quform-recaptcha" data-config="{&quot;sitekey&quot;:&quot;6LdEu_8SAAAAANTEFYRy0mk2MyLuSxKAhC8VsmCi&quot;,&quot;size&quot;:&quot;normal&quot;,&quot;type&quot;:&quot;image&quot;,&quot;theme&quot;:&quot;light&quot;,&quot;badge&quot;:&quot;bottomright&quot;}"></div><noscript><div><div style="width: 302px; height: 422px; position: relative;"><div style="width: 302px; height: 422px; position: absolute;"><iframe src="https://www.google.com/recaptcha/api/fallback?k=6LdEu_8SAAAAANTEFYRy0mk2MyLuSxKAhC8VsmCi" frameborder="0" scrolling="no" style="width: 302px; height:422px; border-style: none;"></iframe></div></div><div style="width: 300px; height: 60px; border-style: none; bottom: 12px; left: 25px; margin: 0px; padding: 0px; right: 25px; background: #f9f9f9; border: 1px solid #c1c1c1; border-radius: 3px;"><textarea name="g-recaptcha-response" class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid #c1c1c1; margin: 10px 25px; padding: 0px; resize: none;"></textarea></div></div></noscript></div></div></div></div><div class="quform-element quform-element-submit quform-element-22_2 quform-cf quform-button-style-blue-3d"><div class="quform-button-submit quform-button-submit-default quform-button-submit-22_2"><button name="quform_submit" type="submit" class="quform-submit" value="submit"><span class="quform-button-text quform-button-submit-text">Send</span></button></div><div class="quform-loading quform-loading-position-left quform-loading-type-spinner-1"><div class="quform-loading-inner"><div class="quform-loading-spinner"><div class="quform-loading-spinner-inner"></div></div></div></div></div><div class="quform-element-tree"><label for="quform_22_0_e62624">This field should be left blank</label><input type="text" id="quform_22_0_e62624" name="quform_22_0" class="quform-field quform-field-tree quform-field-22_0" tabindex="-1" autocomplete="off" /></div></div></div></div></div></form></div></div>
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