			
						
			
			
			
			
			
			
			
			
			
			
			
			
			
			
			
			
			
			
			
			
			
			
			
			
			
			
			
			
			
			
			
			
								
						&lt;div class=&quot;JKCF_field_container ui-sortable-handle&quot; data-sub_type=&quot;&quot; data-type=&quot;custom_html&quot; data-field_id=&quot;23&quot; style=&quot;position: relative; left: 0px; top: 0px;&quot;&gt;&lt;div style=&quot;width:100%&quot; class=&quot;JKCF_field&quot;&gt;&lt;div class=&quot;col-sm-12&quot;&gt;&lt;span style=&quot;color: #333333; font-size: 16px;&quot;&gt;Thank you for choosing us to be your Internet Marketing Partner. We look forward to working with you and grow your company with the power of the Internet.&lt;/span&gt;&lt;br&gt;&lt;br&gt;

&lt;span style=&quot;color: #333333; font-size: 16px;&quot;&gt;Below is our application form. Please note that we only team up ONE company in your area and we need to see if we make a good fit for your business. Please fill out this form to get started!&lt;/span&gt;&lt;br&gt;&lt;br&gt;

&lt;span style=&quot;color: #333333; font-size: 16px;&quot;&gt;Once you fill out this form we will call you to provide &lt;/span&gt;you&lt;span style=&quot;color: #333333; font-size: 16px;&quot;&gt; more information and an action plan.&lt;/span&gt;&lt;br&gt;&lt;br&gt;&lt;br&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;jkfc_field_control_panel&quot;&gt;&lt;span class=&quot;jkfc_values jk_hide&quot;&gt;[{&quot;field&quot;:[]},{&quot;field_id&quot;:&quot;23&quot;},{&quot;field_name&quot;:&quot;custom_html&quot;}]&lt;/span&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_edit&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-pencil-square-o&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_delete&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-trash&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;JKCF_field_container ui-sortable-handle&quot; data-sub_type=&quot;text_simple&quot; data-type=&quot;text&quot; data-field_id=&quot;2&quot;&gt;&lt;label class=&quot;JKCF_label&quot; style=&quot;width: 30%;&quot; for=&quot;2_simpletext&quot;&gt;Company Name*&lt;/label&gt;&lt;div class=&quot;JKCF_field&quot; style=&quot;width: 70%;&quot;&gt;&lt;div class=&quot;col-sm-12&quot;&gt;&lt;input data-field-type=&quot;text&quot; data-type=&quot;text&quot; class=&quot;form-control&quot; id=&quot;2_simpletext&quot; name=&quot;2_simpletext&quot; type=&quot;text&quot; data-req=&quot;true&quot;&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;jkfc_field_control_panel&quot;&gt;&lt;span class=&quot;jkfc_values jk_hide&quot;&gt;[{&quot;field&quot;:[{&quot;id&quot;:&quot;jkcf_edit_for_label&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;Company Name*&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;30&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_position&quot;,&quot;type&quot;:&quot;radio&quot;,&quot;value&quot;:&quot;left&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_input_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;70&quot;},{&quot;id&quot;:&quot;jkcf_el_first_value_input&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;   &quot;},{&quot;id&quot;:&quot;jkcf_el_required&quot;,&quot;type&quot;:&quot;checkbox&quot;,&quot;value&quot;:&quot;on&quot;},{&quot;id&quot;:&quot;common_RegExp1&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;&quot;}]},{&quot;field_id&quot;:&quot;2&quot;},{&quot;field_name&quot;:&quot;text_simple&quot;}]&lt;/span&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_edit&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-pencil-square-o&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_delete&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-trash&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;JKCF_field_container ui-sortable-handle&quot; data-sub_type=&quot;text_simple&quot; data-type=&quot;text&quot; data-field_id=&quot;3&quot; style=&quot;position: relative; left: 0px; top: 0px;&quot;&gt;&lt;label class=&quot;JKCF_label&quot; style=&quot;width: 30%;&quot; for=&quot;3_simpletext&quot;&gt;First Name *&lt;/label&gt;&lt;div class=&quot;JKCF_field&quot; style=&quot;width: 70%;&quot;&gt;&lt;div class=&quot;col-sm-12&quot;&gt;&lt;input data-field-type=&quot;text&quot; data-type=&quot;text&quot; class=&quot;form-control&quot; id=&quot;3_simpletext&quot; name=&quot;3_simpletext&quot; type=&quot;text&quot; data-req=&quot;true&quot;&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;jkfc_field_control_panel&quot;&gt;&lt;span class=&quot;jkfc_values jk_hide&quot;&gt;[{&quot;field&quot;:[{&quot;id&quot;:&quot;jkcf_edit_for_label&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;First Name *&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;30&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_position&quot;,&quot;type&quot;:&quot;radio&quot;,&quot;value&quot;:&quot;left&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_input_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;70&quot;},{&quot;id&quot;:&quot;jkcf_el_first_value_input&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;  &quot;},{&quot;id&quot;:&quot;jkcf_el_required&quot;,&quot;type&quot;:&quot;checkbox&quot;,&quot;value&quot;:&quot;on&quot;},{&quot;id&quot;:&quot;common_RegExp1&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;&quot;}]},{&quot;field_id&quot;:&quot;3&quot;},{&quot;field_name&quot;:&quot;text_simple&quot;}]&lt;/span&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_edit&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-pencil-square-o&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_delete&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-trash&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;/div&gt;&lt;/div&gt;				&lt;div class=&quot;JKCF_field_container ui-sortable-handle&quot; data-sub_type=&quot;text_simple&quot; data-type=&quot;text&quot; data-field_id=&quot;4&quot;&gt;&lt;label class=&quot;JKCF_label&quot; style=&quot;width: 30%;&quot; for=&quot;4_simpletext&quot;&gt;Last Name *&lt;/label&gt;&lt;div class=&quot;JKCF_field&quot; style=&quot;width: 70%;&quot;&gt;&lt;div class=&quot;col-sm-12&quot;&gt;&lt;input data-field-type=&quot;text&quot; data-type=&quot;text&quot; class=&quot;form-control&quot; id=&quot;4_simpletext&quot; name=&quot;4_simpletext&quot; type=&quot;text&quot; data-req=&quot;true&quot;&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;jkfc_field_control_panel&quot;&gt;&lt;span class=&quot;jkfc_values jk_hide&quot;&gt;[{&quot;field&quot;:[{&quot;id&quot;:&quot;jkcf_edit_for_label&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;Last Name *&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;30&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_position&quot;,&quot;type&quot;:&quot;radio&quot;,&quot;value&quot;:&quot;left&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_input_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;70&quot;},{&quot;id&quot;:&quot;jkcf_el_first_value_input&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;  &quot;},{&quot;id&quot;:&quot;jkcf_el_required&quot;,&quot;type&quot;:&quot;checkbox&quot;,&quot;value&quot;:&quot;on&quot;},{&quot;id&quot;:&quot;common_RegExp1&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;&quot;}]},{&quot;field_id&quot;:&quot;4&quot;},{&quot;field_name&quot;:&quot;text_simple&quot;}]&lt;/span&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_edit&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-pencil-square-o&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_delete&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-trash&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;JKCF_field_container ui-sortable-handle&quot; data-sub_type=&quot;text_simple&quot; data-type=&quot;text&quot; data-field_id=&quot;5&quot; style=&quot;position: relative; left: 0px; top: 0px;&quot;&gt;&lt;label class=&quot;JKCF_label&quot; style=&quot;width: 30%;&quot; for=&quot;5_simpletext&quot;&gt;Main Office Phone *&lt;/label&gt;&lt;div class=&quot;JKCF_field&quot; style=&quot;width: 70%;&quot;&gt;&lt;div class=&quot;col-sm-12&quot;&gt;&lt;input data-field-type=&quot;text&quot; data-type=&quot;text&quot; class=&quot;form-control&quot; id=&quot;5_simpletext&quot; name=&quot;5_simpletext&quot; type=&quot;text&quot; data-req=&quot;true&quot;&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;jkfc_field_control_panel&quot;&gt;&lt;span class=&quot;jkfc_values jk_hide&quot;&gt;[{&quot;field&quot;:[{&quot;id&quot;:&quot;jkcf_edit_for_label&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;Main Office Phone *&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;30&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_position&quot;,&quot;type&quot;:&quot;radio&quot;,&quot;value&quot;:&quot;left&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_input_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;70&quot;},{&quot;id&quot;:&quot;jkcf_el_first_value_input&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;  &quot;},{&quot;id&quot;:&quot;jkcf_el_required&quot;,&quot;type&quot;:&quot;checkbox&quot;,&quot;value&quot;:&quot;on&quot;},{&quot;id&quot;:&quot;common_RegExp1&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;&quot;}]},{&quot;field_id&quot;:&quot;5&quot;},{&quot;field_name&quot;:&quot;text_simple&quot;}]&lt;/span&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_edit&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-pencil-square-o&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_delete&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-trash&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;JKCF_field_container ui-sortable-handle&quot; data-sub_type=&quot;text_simple&quot; data-type=&quot;text&quot; data-field_id=&quot;6&quot; style=&quot;position: relative; left: 0px; top: 0px;&quot;&gt;&lt;label class=&quot;JKCF_label&quot; style=&quot;width: 30%;&quot; for=&quot;6_simpletext&quot;&gt;Best Number To Reach You *&lt;/label&gt;&lt;div class=&quot;JKCF_field&quot; style=&quot;width: 70%;&quot;&gt;&lt;div class=&quot;col-sm-12&quot;&gt;&lt;input data-field-type=&quot;text&quot; data-type=&quot;text&quot; class=&quot;form-control&quot; id=&quot;6_simpletext&quot; name=&quot;6_simpletext&quot; type=&quot;text&quot; data-req=&quot;true&quot;&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;jkfc_field_control_panel&quot;&gt;&lt;span class=&quot;jkfc_values jk_hide&quot;&gt;[{&quot;field&quot;:[{&quot;id&quot;:&quot;jkcf_edit_for_label&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;Best Number To Reach You *&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;30&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_position&quot;,&quot;type&quot;:&quot;radio&quot;,&quot;value&quot;:&quot;left&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_input_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;70&quot;},{&quot;id&quot;:&quot;jkcf_el_first_value_input&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot; &quot;},{&quot;id&quot;:&quot;jkcf_el_required&quot;,&quot;type&quot;:&quot;checkbox&quot;,&quot;value&quot;:&quot;on&quot;},{&quot;id&quot;:&quot;common_RegExp1&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;&quot;}]},{&quot;field_id&quot;:&quot;6&quot;},{&quot;field_name&quot;:&quot;text_simple&quot;}]&lt;/span&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_edit&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-pencil-square-o&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_delete&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-trash&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;JKCF_field_container ui-sortable-handle&quot; data-field_id=&quot;1&quot; data-type=&quot;text&quot; data-sub_type=&quot;text_email&quot; style=&quot;position: relative; left: 0px; top: 0px;&quot;&gt;
						&lt;label class=&quot;JKCF_label&quot; style=&quot;width: 30%;&quot; for=&quot;1_email&quot;&gt;E-mail *&lt;/label&gt;
						&lt;div class=&quot;JKCF_field&quot; style=&quot;width: 70%;&quot;&gt;
							&lt;div class=&quot;col-sm-12&quot;&gt;&lt;input type=&quot;text&quot; data-field-type=&quot;email&quot; class=&quot;form-control&quot; id=&quot;1_email&quot; name=&quot;1_email&quot; data-req=&quot;true&quot; placeholder=&quot;e.g. username@example.com&quot;&gt;&lt;/div&gt;
							&lt;span class=&quot;jkcf_field_help&quot;&gt;Enter valid email address.&lt;/span&gt;
						&lt;/div&gt;		
						
					&lt;div class=&quot;jkfc_field_control_panel&quot;&gt;&lt;span class=&quot;jkfc_values jk_hide&quot;&gt;[{&quot;field&quot;:[{&quot;id&quot;:&quot;jkcf_edit_for_label&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;E-mail *&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;30&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_position&quot;,&quot;type&quot;:&quot;radio&quot;,&quot;value&quot;:&quot;left&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_input_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;70&quot;},{&quot;id&quot;:&quot;jkcf_el_first_value_input&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;e.g. username@example.com&quot;},{&quot;id&quot;:&quot;jkcf_el_required&quot;,&quot;type&quot;:&quot;checkbox&quot;,&quot;value&quot;:&quot;on&quot;}]},{&quot;field_id&quot;:&quot;1&quot;},{&quot;field_name&quot;:&quot;text_email&quot;}]&lt;/span&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_edit&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-pencil-square-o&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;/div&gt;&lt;/div&gt;		&lt;div class=&quot;JKCF_field_container ui-sortable-handle&quot; data-sub_type=&quot;text_simple&quot; data-type=&quot;text&quot; data-field_id=&quot;7&quot;&gt;&lt;label class=&quot;JKCF_label&quot; style=&quot;width: 30%;&quot; for=&quot;7_simpletext&quot;&gt;Website&lt;/label&gt;&lt;div class=&quot;JKCF_field&quot; style=&quot;width: 70%;&quot;&gt;&lt;div class=&quot;col-sm-12&quot;&gt;&lt;input data-field-type=&quot;text&quot; data-type=&quot;text&quot; class=&quot;form-control&quot; id=&quot;7_simpletext&quot; name=&quot;7_simpletext&quot; type=&quot;text&quot;&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;jkfc_field_control_panel&quot;&gt;&lt;span class=&quot;jkfc_values jk_hide&quot;&gt;[{&quot;field&quot;:[{&quot;id&quot;:&quot;jkcf_edit_for_label&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;Website&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;30&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_position&quot;,&quot;type&quot;:&quot;radio&quot;,&quot;value&quot;:&quot;left&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_input_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;70&quot;},{&quot;id&quot;:&quot;jkcf_el_first_value_input&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot; &quot;},{&quot;id&quot;:&quot;common_RegExp1&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;&quot;}]},{&quot;field_id&quot;:&quot;7&quot;},{&quot;field_name&quot;:&quot;text_simple&quot;}]&lt;/span&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_edit&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-pencil-square-o&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_delete&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-trash&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;/div&gt;&lt;/div&gt;		&lt;div class=&quot;JKCF_field_container ui-sortable-handle&quot; data-sub_type=&quot;text_simple&quot; data-type=&quot;text&quot; data-field_id=&quot;8&quot;&gt;&lt;label class=&quot;JKCF_label&quot; style=&quot;width: 30%;&quot; for=&quot;8_simpletext&quot;&gt;Business Address *&lt;/label&gt;&lt;div class=&quot;JKCF_field&quot; style=&quot;width: 70%;&quot;&gt;&lt;div class=&quot;col-sm-12&quot;&gt;&lt;input data-field-type=&quot;text&quot; data-type=&quot;text&quot; class=&quot;form-control&quot; id=&quot;8_simpletext&quot; name=&quot;8_simpletext&quot; type=&quot;text&quot; data-req=&quot;true&quot;&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;jkfc_field_control_panel&quot;&gt;&lt;span class=&quot;jkfc_values jk_hide&quot;&gt;[{&quot;field&quot;:[{&quot;id&quot;:&quot;jkcf_edit_for_label&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;Business Address *&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;30&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_position&quot;,&quot;type&quot;:&quot;radio&quot;,&quot;value&quot;:&quot;left&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_input_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;70&quot;},{&quot;id&quot;:&quot;jkcf_el_first_value_input&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot; &quot;},{&quot;id&quot;:&quot;jkcf_el_required&quot;,&quot;type&quot;:&quot;checkbox&quot;,&quot;value&quot;:&quot;on&quot;},{&quot;id&quot;:&quot;common_RegExp1&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;&quot;}]},{&quot;field_id&quot;:&quot;8&quot;},{&quot;field_name&quot;:&quot;text_simple&quot;}]&lt;/span&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_edit&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-pencil-square-o&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_delete&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-trash&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;JKCF_field_container ui-sortable-handle&quot; data-sub_type=&quot;text_simple&quot; data-type=&quot;text&quot; data-field_id=&quot;9&quot;&gt;&lt;label class=&quot;JKCF_label&quot; style=&quot;width: 30%;&quot; for=&quot;9_simpletext&quot;&gt;City *&lt;/label&gt;&lt;div class=&quot;JKCF_field&quot; style=&quot;width: 70%;&quot;&gt;&lt;div class=&quot;col-sm-12&quot;&gt;&lt;input data-field-type=&quot;text&quot; data-type=&quot;text&quot; class=&quot;form-control&quot; id=&quot;9_simpletext&quot; name=&quot;9_simpletext&quot; type=&quot;text&quot; data-req=&quot;true&quot;&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;jkfc_field_control_panel&quot;&gt;&lt;span class=&quot;jkfc_values jk_hide&quot;&gt;[{&quot;field&quot;:[{&quot;id&quot;:&quot;jkcf_edit_for_label&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;City *&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;30&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_position&quot;,&quot;type&quot;:&quot;radio&quot;,&quot;value&quot;:&quot;left&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_input_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;70&quot;},{&quot;id&quot;:&quot;jkcf_el_first_value_input&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot; &quot;},{&quot;id&quot;:&quot;jkcf_el_required&quot;,&quot;type&quot;:&quot;checkbox&quot;,&quot;value&quot;:&quot;on&quot;},{&quot;id&quot;:&quot;common_RegExp1&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;&quot;}]},{&quot;field_id&quot;:&quot;9&quot;},{&quot;field_name&quot;:&quot;text_simple&quot;}]&lt;/span&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_edit&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-pencil-square-o&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_delete&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-trash&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;JKCF_field_container ui-sortable-handle&quot; data-sub_type=&quot;text_simple&quot; data-type=&quot;text&quot; data-field_id=&quot;10&quot;&gt;&lt;label class=&quot;JKCF_label&quot; style=&quot;width: 30%;&quot; for=&quot;10_simpletext&quot;&gt;State *&lt;/label&gt;&lt;div class=&quot;JKCF_field&quot; style=&quot;width: 70%;&quot;&gt;&lt;div class=&quot;col-sm-12&quot;&gt;&lt;input data-field-type=&quot;text&quot; data-type=&quot;text&quot; class=&quot;form-control&quot; id=&quot;10_simpletext&quot; name=&quot;10_simpletext&quot; type=&quot;text&quot; data-req=&quot;true&quot;&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;jkfc_field_control_panel&quot;&gt;&lt;span class=&quot;jkfc_values jk_hide&quot;&gt;[{&quot;field&quot;:[{&quot;id&quot;:&quot;jkcf_edit_for_label&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;State *&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;30&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_position&quot;,&quot;type&quot;:&quot;radio&quot;,&quot;value&quot;:&quot;left&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_input_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;70&quot;},{&quot;id&quot;:&quot;jkcf_el_first_value_input&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot; &quot;},{&quot;id&quot;:&quot;jkcf_el_required&quot;,&quot;type&quot;:&quot;checkbox&quot;,&quot;value&quot;:&quot;on&quot;},{&quot;id&quot;:&quot;common_RegExp1&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;&quot;}]},{&quot;field_id&quot;:&quot;10&quot;},{&quot;field_name&quot;:&quot;text_simple&quot;}]&lt;/span&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_edit&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-pencil-square-o&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_delete&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-trash&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;JKCF_field_container ui-sortable-handle&quot; data-sub_type=&quot;text_simple&quot; data-type=&quot;text&quot; data-field_id=&quot;11&quot;&gt;&lt;label class=&quot;JKCF_label&quot; style=&quot;width: 30%;&quot; for=&quot;11_simpletext&quot;&gt;Zip Code *&lt;/label&gt;&lt;div class=&quot;JKCF_field&quot; style=&quot;width: 70%;&quot;&gt;&lt;div class=&quot;col-sm-12&quot;&gt;&lt;input data-field-type=&quot;text&quot; data-type=&quot;text&quot; class=&quot;form-control&quot; id=&quot;11_simpletext&quot; name=&quot;11_simpletext&quot; type=&quot;text&quot; data-req=&quot;true&quot;&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;jkfc_field_control_panel&quot;&gt;&lt;span class=&quot;jkfc_values jk_hide&quot;&gt;[{&quot;field&quot;:[{&quot;id&quot;:&quot;jkcf_edit_for_label&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;Zip Code *&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;30&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_position&quot;,&quot;type&quot;:&quot;radio&quot;,&quot;value&quot;:&quot;left&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_input_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;70&quot;},{&quot;id&quot;:&quot;jkcf_el_first_value_input&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot; &quot;},{&quot;id&quot;:&quot;jkcf_el_required&quot;,&quot;type&quot;:&quot;checkbox&quot;,&quot;value&quot;:&quot;on&quot;},{&quot;id&quot;:&quot;common_RegExp1&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;&quot;}]},{&quot;field_id&quot;:&quot;11&quot;},{&quot;field_name&quot;:&quot;text_simple&quot;}]&lt;/span&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_edit&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-pencil-square-o&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_delete&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-trash&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;JKCF_field_container ui-sortable-handle&quot; data-sub_type=&quot;text_textarea&quot; data-type=&quot;text&quot; data-field_id=&quot;12&quot;&gt;&lt;label class=&quot;JKCF_label&quot; style=&quot;width: 30%;&quot; for=&quot;12_textarea&quot;&gt;How are you currently marketing your business? *&lt;/label&gt;  &lt;div class=&quot;JKCF_field&quot; style=&quot;width: 70%;&quot;&gt;&lt;div class=&quot;col-sm-12&quot;&gt;	&lt;textarea data-field-type=&quot;textarea&quot; id=&quot;12_textarea&quot; name=&quot;12_textarea&quot; class=&quot;form-control&quot; data-req=&quot;true&quot;&gt;&lt;/textarea&gt;&lt;/div&gt;&lt;/div&gt; &lt;div class=&quot;jkfc_field_control_panel&quot;&gt;&lt;span class=&quot;jkfc_values jk_hide&quot;&gt;[{&quot;field&quot;:[{&quot;id&quot;:&quot;jkcf_edit_for_label&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;How are you currently marketing your business? *&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;30&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_position&quot;,&quot;type&quot;:&quot;radio&quot;,&quot;value&quot;:&quot;left&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_input_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;70&quot;},{&quot;id&quot;:&quot;jkcf_el_first_value_input&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;&quot;},{&quot;id&quot;:&quot;jkcf_el_required&quot;,&quot;type&quot;:&quot;checkbox&quot;,&quot;value&quot;:&quot;on&quot;}]},{&quot;field_id&quot;:&quot;12&quot;},{&quot;field_name&quot;:&quot;text_textarea&quot;}]&lt;/span&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_edit&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-pencil-square-o&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_delete&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-trash&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;/div&gt;&lt;/div&gt;						&lt;div class=&quot;JKCF_field_container ui-sortable-handle&quot; data-sub_type=&quot;text_textarea&quot; data-type=&quot;text&quot; data-field_id=&quot;13&quot;&gt;&lt;label class=&quot;JKCF_label&quot; style=&quot;width: 30%;&quot; for=&quot;13_textarea&quot;&gt;Which cities and areas do you currently service? *&lt;/label&gt;  &lt;div class=&quot;JKCF_field&quot; style=&quot;width: 70%;&quot;&gt;&lt;div class=&quot;col-sm-12&quot;&gt;	&lt;textarea data-field-type=&quot;textarea&quot; id=&quot;13_textarea&quot; name=&quot;13_textarea&quot; class=&quot;form-control&quot; data-req=&quot;true&quot;&gt;&lt;/textarea&gt;&lt;/div&gt;&lt;/div&gt; &lt;div class=&quot;jkfc_field_control_panel&quot;&gt;&lt;span class=&quot;jkfc_values jk_hide&quot;&gt;[{&quot;field&quot;:[{&quot;id&quot;:&quot;jkcf_edit_for_label&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;Which cities and areas do you currently service? *&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;30&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_position&quot;,&quot;type&quot;:&quot;radio&quot;,&quot;value&quot;:&quot;left&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_input_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;70&quot;},{&quot;id&quot;:&quot;jkcf_el_first_value_input&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;&quot;},{&quot;id&quot;:&quot;jkcf_el_required&quot;,&quot;type&quot;:&quot;checkbox&quot;,&quot;value&quot;:&quot;on&quot;}]},{&quot;field_id&quot;:&quot;13&quot;},{&quot;field_name&quot;:&quot;text_textarea&quot;}]&lt;/span&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_edit&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-pencil-square-o&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_delete&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-trash&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;/div&gt;&lt;/div&gt;		&lt;div class=&quot;JKCF_field_container ui-sortable-handle&quot; data-sub_type=&quot;text_simple&quot; data-type=&quot;text&quot; data-field_id=&quot;14&quot;&gt;&lt;label class=&quot;JKCF_label&quot; style=&quot;width: 30%;&quot; for=&quot;14_simpletext&quot;&gt;How long have you been In business?&lt;/label&gt;&lt;div class=&quot;JKCF_field&quot; style=&quot;width: 70%;&quot;&gt;&lt;div class=&quot;col-sm-12&quot;&gt;&lt;input data-field-type=&quot;text&quot; data-type=&quot;text&quot; class=&quot;form-control&quot; id=&quot;14_simpletext&quot; name=&quot;14_simpletext&quot; type=&quot;text&quot;&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;jkfc_field_control_panel&quot;&gt;&lt;span class=&quot;jkfc_values jk_hide&quot;&gt;[{&quot;field&quot;:[{&quot;id&quot;:&quot;jkcf_edit_for_label&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;How long have you been In business?&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;30&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_position&quot;,&quot;type&quot;:&quot;radio&quot;,&quot;value&quot;:&quot;left&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_input_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;70&quot;},{&quot;id&quot;:&quot;jkcf_el_first_value_input&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot; &quot;},{&quot;id&quot;:&quot;common_RegExp1&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;&quot;}]},{&quot;field_id&quot;:&quot;14&quot;},{&quot;field_name&quot;:&quot;text_simple&quot;}]&lt;/span&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_edit&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-pencil-square-o&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_delete&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-trash&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;/div&gt;&lt;/div&gt;		&lt;div class=&quot;JKCF_field_container ui-sortable-handle&quot; data-sub_type=&quot;text_simple&quot; data-type=&quot;text&quot; data-field_id=&quot;15&quot;&gt;&lt;label class=&quot;JKCF_label&quot; style=&quot;width: 30%;&quot; for=&quot;15_simpletext&quot;&gt;How many employees do you have?&lt;/label&gt;&lt;div class=&quot;JKCF_field&quot; style=&quot;width: 70%;&quot;&gt;&lt;div class=&quot;col-sm-12&quot;&gt;&lt;input data-field-type=&quot;text&quot; data-type=&quot;text&quot; class=&quot;form-control&quot; id=&quot;15_simpletext&quot; name=&quot;15_simpletext&quot; type=&quot;text&quot;&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;jkfc_field_control_panel&quot;&gt;&lt;span class=&quot;jkfc_values jk_hide&quot;&gt;[{&quot;field&quot;:[{&quot;id&quot;:&quot;jkcf_edit_for_label&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;How many employees do you have?&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;30&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_position&quot;,&quot;type&quot;:&quot;radio&quot;,&quot;value&quot;:&quot;left&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_input_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;70&quot;},{&quot;id&quot;:&quot;jkcf_el_first_value_input&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot; &quot;},{&quot;id&quot;:&quot;common_RegExp1&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;&quot;}]},{&quot;field_id&quot;:&quot;15&quot;},{&quot;field_name&quot;:&quot;text_simple&quot;}]&lt;/span&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_edit&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-pencil-square-o&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_delete&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-trash&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;/div&gt;&lt;/div&gt;		&lt;div class=&quot;JKCF_field_container ui-sortable-handle&quot; data-sub_type=&quot;text_textarea&quot; data-type=&quot;text&quot; data-field_id=&quot;16&quot;&gt;&lt;label class=&quot;JKCF_label&quot; style=&quot;width: 30%;&quot; for=&quot;16_textarea&quot;&gt;Who are your main competitors?&lt;/label&gt;  &lt;div class=&quot;JKCF_field&quot; style=&quot;width: 70%;&quot;&gt;&lt;div class=&quot;col-sm-12&quot;&gt;	&lt;textarea data-field-type=&quot;textarea&quot; id=&quot;16_textarea&quot; name=&quot;16_textarea&quot; class=&quot;form-control&quot;&gt;&lt;/textarea&gt;&lt;/div&gt;&lt;/div&gt; &lt;div class=&quot;jkfc_field_control_panel&quot;&gt;&lt;span class=&quot;jkfc_values jk_hide&quot;&gt;[{&quot;field&quot;:[{&quot;id&quot;:&quot;jkcf_edit_for_label&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;Who are your main competitors?&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;30&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_position&quot;,&quot;type&quot;:&quot;radio&quot;,&quot;value&quot;:&quot;left&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_input_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;70&quot;},{&quot;id&quot;:&quot;jkcf_el_first_value_input&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;&quot;}]},{&quot;field_id&quot;:&quot;16&quot;},{&quot;field_name&quot;:&quot;text_textarea&quot;}]&lt;/span&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_edit&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-pencil-square-o&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_delete&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-trash&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;/div&gt;&lt;/div&gt;		&lt;div class=&quot;JKCF_field_container ui-sortable-handle&quot; data-sub_type=&quot;text_textarea&quot; data-type=&quot;text&quot; data-field_id=&quot;17&quot;&gt;&lt;label class=&quot;JKCF_label&quot; style=&quot;width: 30%;&quot; for=&quot;17_textarea&quot;&gt;What makes your business better than your competitors?&lt;/label&gt;  &lt;div class=&quot;JKCF_field&quot; style=&quot;width: 70%;&quot;&gt;&lt;div class=&quot;col-sm-12&quot;&gt;	&lt;textarea data-field-type=&quot;textarea&quot; id=&quot;17_textarea&quot; name=&quot;17_textarea&quot; class=&quot;form-control&quot;&gt;&lt;/textarea&gt;&lt;/div&gt;&lt;/div&gt; &lt;div class=&quot;jkfc_field_control_panel&quot;&gt;&lt;span class=&quot;jkfc_values jk_hide&quot;&gt;[{&quot;field&quot;:[{&quot;id&quot;:&quot;jkcf_edit_for_label&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;What makes your business better than your competitors?&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;30&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_position&quot;,&quot;type&quot;:&quot;radio&quot;,&quot;value&quot;:&quot;left&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_input_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;70&quot;},{&quot;id&quot;:&quot;jkcf_el_first_value_input&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;&quot;}]},{&quot;field_id&quot;:&quot;17&quot;},{&quot;field_name&quot;:&quot;text_textarea&quot;}]&lt;/span&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_edit&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-pencil-square-o&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_delete&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-trash&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;/div&gt;&lt;/div&gt;		&lt;div class=&quot;JKCF_field_container ui-sortable-handle&quot; data-sub_type=&quot;text_textarea&quot; data-type=&quot;text&quot; data-field_id=&quot;18&quot;&gt;&lt;label class=&quot;JKCF_label&quot; style=&quot;width: 30%;&quot; for=&quot;18_textarea&quot;&gt;What is the average revenue of your tree service job?&lt;/label&gt;  &lt;div class=&quot;JKCF_field&quot; style=&quot;width: 70%;&quot;&gt;&lt;div class=&quot;col-sm-12&quot;&gt;	&lt;textarea data-field-type=&quot;textarea&quot; id=&quot;18_textarea&quot; name=&quot;18_textarea&quot; class=&quot;form-control&quot;&gt;&lt;/textarea&gt;&lt;/div&gt;&lt;/div&gt; &lt;div class=&quot;jkfc_field_control_panel&quot;&gt;&lt;span class=&quot;jkfc_values jk_hide&quot;&gt;[{&quot;field&quot;:[{&quot;id&quot;:&quot;jkcf_edit_for_label&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;What is the average revenue of your tree service job?&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;30&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_position&quot;,&quot;type&quot;:&quot;radio&quot;,&quot;value&quot;:&quot;left&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_input_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;70&quot;},{&quot;id&quot;:&quot;jkcf_el_first_value_input&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;&quot;}]},{&quot;field_id&quot;:&quot;18&quot;},{&quot;field_name&quot;:&quot;text_textarea&quot;}]&lt;/span&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_edit&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-pencil-square-o&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_delete&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-trash&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;/div&gt;&lt;/div&gt;		&lt;div class=&quot;JKCF_field_container ui-sortable-handle&quot; data-sub_type=&quot;text_textarea&quot; data-type=&quot;text&quot; data-field_id=&quot;19&quot;&gt;&lt;label class=&quot;JKCF_label&quot; style=&quot;width: 30%;&quot; for=&quot;19_textarea&quot;&gt;How will you define the success of our program?&lt;/label&gt;  &lt;div class=&quot;JKCF_field&quot; style=&quot;width: 70%;&quot;&gt;&lt;div class=&quot;col-sm-12&quot;&gt;	&lt;textarea data-field-type=&quot;textarea&quot; id=&quot;19_textarea&quot; name=&quot;19_textarea&quot; class=&quot;form-control&quot;&gt;&lt;/textarea&gt;&lt;/div&gt;&lt;/div&gt; &lt;div class=&quot;jkfc_field_control_panel&quot;&gt;&lt;span class=&quot;jkfc_values jk_hide&quot;&gt;[{&quot;field&quot;:[{&quot;id&quot;:&quot;jkcf_edit_for_label&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;How will you define the success of our program?&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;30&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_position&quot;,&quot;type&quot;:&quot;radio&quot;,&quot;value&quot;:&quot;left&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_input_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;70&quot;},{&quot;id&quot;:&quot;jkcf_el_first_value_input&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;&quot;}]},{&quot;field_id&quot;:&quot;19&quot;},{&quot;field_name&quot;:&quot;text_textarea&quot;}]&lt;/span&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_edit&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-pencil-square-o&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_delete&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-trash&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;/div&gt;&lt;/div&gt;		&lt;div class=&quot;JKCF_field_container ui-sortable-handle&quot; data-sub_type=&quot;text_textarea&quot; data-type=&quot;text&quot; data-field_id=&quot;20&quot;&gt;&lt;label class=&quot;JKCF_label&quot; style=&quot;width: 30%;&quot; for=&quot;20_textarea&quot;&gt;When is the best time to contact you about this application? *&lt;/label&gt;  &lt;div class=&quot;JKCF_field&quot; style=&quot;width: 70%;&quot;&gt;&lt;div class=&quot;col-sm-12&quot;&gt;	&lt;textarea data-field-type=&quot;textarea&quot; id=&quot;20_textarea&quot; name=&quot;20_textarea&quot; class=&quot;form-control&quot; data-req=&quot;true&quot;&gt;&lt;/textarea&gt;&lt;/div&gt;&lt;/div&gt; &lt;div class=&quot;jkfc_field_control_panel&quot;&gt;&lt;span class=&quot;jkfc_values jk_hide&quot;&gt;[{&quot;field&quot;:[{&quot;id&quot;:&quot;jkcf_edit_for_label&quot;,&quot;type&quot;:&quot;&quot;,&quot;value&quot;:&quot;When is the best time to contact you about this application? *&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;30&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_label_position&quot;,&quot;type&quot;:&quot;radio&quot;,&quot;value&quot;:&quot;left&quot;},{&quot;id&quot;:&quot;jkcf_edit_for_input_size&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;70&quot;},{&quot;id&quot;:&quot;jkcf_el_first_value_input&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;&quot;},{&quot;id&quot;:&quot;jkcf_el_required&quot;,&quot;type&quot;:&quot;checkbox&quot;,&quot;value&quot;:&quot;on&quot;}]},{&quot;field_id&quot;:&quot;20&quot;},{&quot;field_name&quot;:&quot;text_textarea&quot;}]&lt;/span&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_edit&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-pencil-square-o&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_delete&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-trash&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;/div&gt;&lt;/div&gt;		&lt;div class=&quot;JKCF_field_container ui-sortable-handle&quot; data-sub_type=&quot;&quot; data-type=&quot;custom_html&quot; data-field_id=&quot;25&quot; style=&quot;position: relative; left: 0px; top: 0px;&quot;&gt;&lt;div style=&quot;width:100%&quot; class=&quot;JKCF_field&quot;&gt;&lt;div class=&quot;col-sm-12&quot;&gt;&lt;span style=&quot;color: #333333; font-size: 16px;&quot;&gt;Thank you for taking the time to provide us with this information! Please click the submit button below to complete this application.&lt;/span&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;jkfc_field_control_panel&quot;&gt;&lt;span class=&quot;jkfc_values jk_hide&quot;&gt;[{&quot;field&quot;:[]},{&quot;field_id&quot;:&quot;25&quot;},{&quot;field_name&quot;:&quot;custom_html&quot;}]&lt;/span&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_edit&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-pencil-square-o&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_delete&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-trash&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;JKCF_field_container ui-sortable-handle&quot; data-sub_type=&quot;&quot; data-type=&quot;button&quot; data-field_id=&quot;21&quot;&gt;&lt;div class=&quot;col-sm-12&quot;&gt;&lt;div class=&quot;jkfc_button_container&quot; style=&quot;text-align: center;&quot;&gt;&lt;a href=&quot;javascript:void(0)&quot; id=&quot;jkfc_submit_form&quot;&gt;Submit&lt;/a&gt;&lt;a href=&quot;javascript:void(0)&quot; id=&quot;jkfc_reset_form&quot; class=&quot;jk_hide&quot;&gt;Reset&lt;/a&gt;&lt;/div&gt;&lt;/div&gt;&lt;div class=&quot;jkfc_field_control_panel&quot;&gt;&lt;span class=&quot;jkfc_values jk_hide&quot;&gt;[{&quot;field&quot;:[{&quot;id&quot;:&quot;jkcf_submit_button_text&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;Submit&quot;},{&quot;id&quot;:&quot;jkcf_reset_button_text&quot;,&quot;type&quot;:&quot;text&quot;,&quot;value&quot;:&quot;RESET:&quot;},{&quot;id&quot;:&quot;jkcf_button_position&quot;,&quot;type&quot;:&quot;radio&quot;,&quot;value&quot;:&quot;center&quot;},{&quot;id&quot;:&quot;jkcf_hide_reset&quot;,&quot;type&quot;:&quot;checkbox&quot;,&quot;value&quot;:&quot;on&quot;}]},{&quot;field_id&quot;:&quot;21&quot;},{&quot;field_name&quot;:&quot;button&quot;}]&lt;/span&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_edit&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-pencil-square-o&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;a href=&quot;javascript:void(0)&quot; class=&quot;jkfc_field_delete&quot;&gt;&lt;span&gt;&lt;i class=&quot;fa fa-trash&quot;&gt;&lt;/i&gt;&lt;/span&gt;&lt;/a&gt;&lt;/div&gt;&lt;/div&gt; 				 
					