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				<div class="et_pb_text_inner">Testimonial Form</div>
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				<div class="et_pb_code_inner"><div id="quform-cedf29" class="quform quform-21 quform-theme-react quform-support-page-caching"><form id="quform-form-cedf29" class="quform-form quform-form-21" action="/?s#quform-cedf29" method="post" enctype="multipart/form-data" novalidate="novalidate" data-options="{&quot;id&quot;:21,&quot;uniqueId&quot;:&quot;cedf29&quot;,&quot;theme&quot;:&quot;react&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-21"><input type="hidden" name="quform_form_id" value="21" /><input type="hidden" name="quform_form_uid" value="cedf29" /><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="mWgzjoaXe49idzpdi1Vvgfn6ubiUImclmb2bCwSf" /><div class="quform-elements quform-elements-21 quform-cf quform-responsive-elements-phone-landscape"><div class="quform-element quform-element-page quform-page-1 quform-page-21_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-21_6 quform-cf quform-element-required"><div class="quform-spacer"><div class="quform-label quform-label-21_6"><span class="quform-label-icon"><i class="fa fa-user"></i></span><label  class="quform-label-text" id="quform_21_6_cedf29_label">Name<span class="quform-required">*</span> </label></div><div class="quform-inner quform-inner-name quform-inner-21_6"><div class="quform-input quform-input-name quform-input-21_6 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-21_6_2 quform-cf quform-element-required"><div class="quform-spacer"><div class="quform-inner quform-inner-text quform-inner-21_6_2"><div class="quform-input quform-input-text quform-input-21_6_2 quform-cf"><input type="text" id="quform_21_6_2_cedf29" value="" name="quform_21_6[2]" class="quform-field quform-field-text quform-field-21_6_2" aria-labelledby="quform_21_6_cedf29_label quform_21_6_2_cedf29_sub_label" /></div><label id="quform_21_6_2_cedf29_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-21_6_4 quform-cf quform-element-optional"><div class="quform-spacer"><div class="quform-inner quform-inner-text quform-inner-21_6_4"><div class="quform-input quform-input-text quform-input-21_6_4 quform-cf"><input type="text" id="quform_21_6_4_cedf29" value="" name="quform_21_6[4]" class="quform-field quform-field-text quform-field-21_6_4" aria-labelledby="quform_21_6_cedf29_label quform_21_6_4_cedf29_sub_label" /></div><label id="quform_21_6_4_cedf29_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-21_7 quform-cf quform-labels-inside quform-element-required"><div class="quform-spacer"><div class="quform-label quform-label-21_7"><span class="quform-label-icon"><i class="fa fa-envelope"></i></span><label  class="quform-label-text" for="quform_21_7_cedf29">Email address<span class="quform-required">*</span> </label></div><div class="quform-inner quform-inner-email quform-inner-21_7 quform-field-width-medium"><div class="quform-input quform-input-email quform-input-21_7 quform-cf"><input type="email" id="quform_21_7_cedf29" name="quform_21_7" value="" class="quform-field quform-field-email quform-field-21_7" /></div></div></div></div><div class="quform-element quform-element-text quform-element-21_16 quform-cf quform-labels-inside quform-element-optional"><div class="quform-spacer"><div class="quform-label quform-label-21_16"><span class="quform-label-icon"><i class="fa fa-phone"></i></span><label  class="quform-label-text" for="quform_21_16_cedf29">Phone Number: </label></div><div class="quform-inner quform-inner-text quform-inner-21_16 quform-field-width-medium"><div class="quform-input quform-input-text quform-input-21_16 quform-cf"><input type="text" id="quform_21_16_cedf29" value="" name="quform_21_16" class="quform-field quform-field-text quform-field-21_16" /></div></div></div></div><div class="quform-element quform-element-text quform-element-21_9 quform-cf quform-labels-inside quform-element-required"><div class="quform-spacer"><div class="quform-label quform-label-21_9"><span class="quform-label-icon"><i class="fa fa-calendar"></i></span><label  class="quform-label-text" for="quform_21_9_cedf29">Year Matched:<span class="quform-required">*</span> </label></div><div class="quform-inner quform-inner-text quform-inner-21_9 quform-field-width-medium"><div class="quform-input quform-input-text quform-input-21_9 quform-cf"><input type="text" id="quform_21_9_cedf29" value="" name="quform_21_9" class="quform-field quform-field-text quform-field-21_9" /></div></div></div></div><div class="quform-element quform-element-textarea quform-element-21_10 quform-cf quform-labels-inside quform-element-required"><div class="quform-spacer"><div class="quform-label quform-label-21_10"><label  class="quform-label-text" for="quform_21_10_cedf29">Your Testimonial:<span class="quform-required">*</span> </label></div><div class="quform-inner quform-inner-textarea quform-inner-21_10 quform-field-size-huge"><div class="quform-input quform-input-textarea quform-input-21_10 quform-cf"><textarea id="quform_21_10_cedf29" name="quform_21_10" class="quform-field quform-field-textarea quform-field-21_10"></textarea></div></div></div></div><div class="quform-element quform-element-radio quform-element-21_11 quform-cf quform-element-required"><div class="quform-spacer"><div class="quform-label quform-label-21_11"><label  class="quform-label-text">How would you rate our services?<span class="quform-required">*</span> </label></div><div class="quform-inner quform-inner-radio quform-inner-21_11"><p class="quform-description quform-description-above">On a scale of 1-5, please rate your experiences with us with 1 being Poor and 5 being Excellent.</p><div class="quform-input quform-input-radio quform-input-21_11 quform-cf"><div class="quform-options quform-cf quform-options-inline"><div class="quform-option"><input type="radio" name="quform_21_11" id="quform_21_11_cedf29_1" class="quform-field quform-field-radio quform-field-21_11 quform-field-21_11_1" value="1" /><label for="quform_21_11_cedf29_1" class="quform-option-label quform-option-label-21_11_1"><span class="quform-option-text">1</span></label></div><div class="quform-option"><input type="radio" name="quform_21_11" id="quform_21_11_cedf29_2" class="quform-field quform-field-radio quform-field-21_11 quform-field-21_11_2" value="2" /><label for="quform_21_11_cedf29_2" class="quform-option-label quform-option-label-21_11_2"><span class="quform-option-text">2</span></label></div><div class="quform-option"><input type="radio" name="quform_21_11" id="quform_21_11_cedf29_3" class="quform-field quform-field-radio quform-field-21_11 quform-field-21_11_3" value="3" /><label for="quform_21_11_cedf29_3" class="quform-option-label quform-option-label-21_11_3"><span class="quform-option-text">3</span></label></div><div class="quform-option"><input type="radio" name="quform_21_11" id="quform_21_11_cedf29_5" class="quform-field quform-field-radio quform-field-21_11 quform-field-21_11_5" value="4" /><label for="quform_21_11_cedf29_5" class="quform-option-label quform-option-label-21_11_5"><span class="quform-option-text">4</span></label></div><div class="quform-option"><input type="radio" name="quform_21_11" id="quform_21_11_cedf29_4" class="quform-field quform-field-radio quform-field-21_11 quform-field-21_11_4" value="5" /><label for="quform_21_11_cedf29_4" class="quform-option-label quform-option-label-21_11_4"><span class="quform-option-text">5</span></label></div></div></div></div></div></div><div class="quform-element quform-element-file quform-element-21_12 quform-cf quform-element-optional"><div class="quform-spacer"><div class="quform-label quform-label-21_12"><span class="quform-label-icon"><i class="fa fa-upload"></i></span><label  class="quform-label-text" for="quform_21_12_cedf29">Optional Image/Video:  </label></div><div class="quform-inner quform-inner-file quform-inner-21_12"><p class="quform-description quform-description-above">(accepts mpg, avi, jpg, jpeg, png, gif)</p><div class="quform-input quform-input-file quform-input-21_12 quform-cf quform-button-style-blue-3d quform-button-size-medium quform-button-width-small"><input type="file" id="quform_21_12_cedf29" name="quform_21_12[]" onchange="document.getElementById(&#039;quform_21_12_cedf29&#039;).src = window.URL.createObjectURL(this.files[0])" class="quform-field quform-field-file quform-field-21_12 quform-field-file-enhanced" data-config="{&quot;id&quot;:12,&quot;identifier&quot;:&quot;21_12&quot;,&quot;name&quot;:&quot;quform_21_12&quot;,&quot;max&quot;:1,&quot;size&quot;:10485760,&quot;allowedExtensions&quot;:[&quot;jpg&quot;,&quot;jpeg&quot;,&quot;png&quot;,&quot;gif&quot;],&quot;notAllowedTypeWithFilename&quot;:&quot;File type of &#039;%filename%&#039; is not allowed&quot;,&quot;tooBigWithFilename&quot;:&quot;File &#039;%filename%&#039; exceeds the maximum allowed file size&quot;,&quot;tooMany&quot;:&quot;You cannot upload more than %max% file(s)&quot;,&quot;buttonType&quot;:&quot;button&quot;,&quot;buttonText&quot;:&quot;Browse...&quot;,&quot;buttonIcon&quot;:&quot;qicon-file_upload&quot;,&quot;buttonIconPosition&quot;:&quot;right&quot;}" /></div></div></div></div><div class="quform-element quform-element-radio quform-element-21_15 quform-cf quform-element-required"><div class="quform-spacer"><div class="quform-label quform-label-21_15"><label  class="quform-label-text">Can we add your testimonial to our website?<span class="quform-required">*</span> </label></div><div class="quform-inner quform-inner-radio quform-inner-21_15"><div class="quform-input quform-input-radio quform-input-21_15 quform-cf"><div class="quform-options quform-cf quform-options-block"><div class="quform-option"><input type="radio" name="quform_21_15" id="quform_21_15_cedf29_1" class="quform-field quform-field-radio quform-field-21_15 quform-field-21_15_1" value="Yes" /><label for="quform_21_15_cedf29_1" class="quform-option-label quform-option-label-21_15_1"><span class="quform-option-text">Yes</span></label></div><div class="quform-option"><input type="radio" name="quform_21_15" id="quform_21_15_cedf29_2" class="quform-field quform-field-radio quform-field-21_15 quform-field-21_15_2" value="No" /><label for="quform_21_15_cedf29_2" class="quform-option-label quform-option-label-21_15_2"><span class="quform-option-text">No</span></label></div></div></div></div></div></div><div class="quform-element quform-element-submit quform-element-21_2 quform-cf quform-button-style-blue-3d quform-button-size-medium quform-button-width-small"><div class="quform-button-submit quform-button-submit-default quform-button-submit-21_2" data-animation="one"><button name="quform_submit" type="submit" class="quform-submit" value="submit"><span class="quform-button-text quform-button-submit-text">Submit</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_21_0_cedf29">This field should be left blank</label><input type="text" id="quform_21_0_cedf29" name="quform_21_0" class="quform-field quform-field-tree quform-field-21_0" tabindex="-1" autocomplete="off" /></div></div></div></div><div class="quform-upload-progress-wrap"><div class="quform-upload-progress-bar-wrap"><div class="quform-upload-progress-bar"></div></div><div class="quform-upload-info quform-cf"><div class="quform-upload-filename"></div></div></div></div></form></div></div>
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