markspain.com Open in urlscan Pro
108.138.128.75  Public Scan

Submitted URL: https://markspainusa.com/
Effective URL: https://markspain.com/careers/
Submission: On November 17 via api from US — Scanned from CA

Form analysis 2 forms found in the DOM

POST /careers/

<form method="post" enctype="multipart/form-data" id="gform_63" action="/careers/" data-formid="63" novalidate="">
  <div class="gform-body gform_body">
    <div id="gform_fields_63" class="gform_fields top_label form_sublabel_below description_below">
      <div id="field_63_1" class="gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_text"
        data-field-class="gfield_text" data-js-reload="field_63_1"><label class="gfield_label gform-field-label" for="input_63_1">First name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_1" id="input_63_1" type="text" value="" class="medium" placeholder="First name" aria-required="true" aria-invalid="true" required="required"> </div>
      </div>
      <div id="field_63_2" class="gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_text"
        data-field-class="gfield_text" data-js-reload="field_63_2"><label class="gfield_label gform-field-label" for="input_63_2">Last name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_2" id="input_63_2" type="text" value="" class="medium" placeholder="Last name" aria-required="true" aria-invalid="true" required="required"> </div>
      </div>
      <div id="field_63_3" class="gfield gfield--type-email gfield--input-type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_email"
        data-field-class="gfield_email" data-js-reload="field_63_3"><label class="gfield_label gform-field-label" for="input_63_3">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_3" id="input_63_3" type="email" value="" class="medium" placeholder="Email" aria-required="true" aria-invalid="true" required="required" pattern="^[a-zA-Z0-9._%\+\-]+@[a-zA-Z0-9.\-]+\.[a-zA-Z]{2,}$">
        </div>
      </div>
      <div id="field_63_9" class="gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_phone"
        data-field-class="gfield_phone" data-js-reload="field_63_9"><label class="gfield_label gform-field-label" for="input_63_9">Best Contact Number<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_phone"><input name="input_9" id="input_63_9" type="tel" value="" class="medium" placeholder="Phone" aria-required="true" aria-invalid="true" required="required"
            pattern="^(1|\+1)?( |-)?(\(?[2-9]\d{2}\)?( |-)?\d{3}( |-)?\d{4})\s*$"></div>
      </div>
      <div id="field_63_14" class="gfield gfield--type-select gfield--input-type-select office-trigger gfield_contains_required field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_63_14"><label class="gfield_label gform-field-label" for="input_63_14">Are you available to work full-time?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_14" id="input_63_14" class="medium gfield_select" aria-describedby="gfield_description_63_14" aria-required="true" aria-invalid="true" required="required">
            <option value="" selected="selected" class="gf_placeholder">Are you available to work full-time?</option>
            <option value="Yes">Yes</option>
            <option value="No">No</option>
          </select></div>
        <div class="gfield_description" id="gfield_description_63_14">* Working full-time as a real estate agent includes nights and weekends depending on clients’ scheduling needs</div>
      </div>
      <div id="field_63_62"
        class="gfield gfield--type-select gfield--input-type-select gfield--width-full office-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_63_62"><label class="gfield_label gform-field-label" for="input_63_62">Do you have an active real estate license?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_62" id="input_63_62" class="medium gfield_select" aria-required="true" aria-invalid="true" required="required">
            <option value="" selected="selected" class="gf_placeholder">Do you have an active real estate license?</option>
            <option value="I will be licensed within the next 30 days.">I will be licensed within the next 30 days.</option>
            <option value="No, I am not a licensed real estate agent.">No, I am not a licensed real estate agent.</option>
            <option value="Yes, I am a licensed real estate agent.">Yes, I am a licensed real estate agent.</option>
          </select></div>
      </div>
      <div id="field_63_61"
        class="gfield gfield--type-select gfield--input-type-select gfield--width-full office-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_63_61"><label class="gfield_label gform-field-label" for="input_63_61">Which office are you closest to?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_61" id="input_63_61" class="medium gfield_select" aria-required="true" aria-invalid="true" required="required">
            <option value="" selected="selected" class="gf_placeholder">Which office are you closest to?</option>
            <option value="4005239003">Alpharetta</option>
            <option value="4005243003">Buford</option>
            <option value="4005245003">Charlotte</option>
            <option value="4032922003">Dallas/Plano</option>
            <option value="4033942003">Fort Worth/Southlake</option>
            <option value="4028375003">Jacksonville</option>
            <option value="4028912003">Greensboro</option>
            <option value="4005240003">Marietta</option>
            <option value="4005246003">Nashville</option>
            <option value="4020365003">Orlando</option>
            <option value="4005244003">Raleigh</option>
            <option value="4005241003">Stockbridge</option>
            <option value="4020364003">Tampa</option>
          </select></div>
      </div>
      <div id="field_63_41" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden" data-field-class="gfield_hidden"
        data-js-reload="field_63_41" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_41" id="input_63_41" type="hidden" class="gform_hidden" aria-invalid="false" value="" autocomplete="password"></div>
      </div>
      <div id="field_63_42" class="gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden gfield_html"
        data-field-class="gfield_html" data-js-reload="field_63_42">
        <script>
          jQuery(document).ready(function($) {
            $('.office-trigger select').bind('change', function() {
              var label = $(this).find('option:selected').html();
              $('[id$=_41]').val(label);
            });
          });
        </script>
      </div>
      <div id="field_63_15" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden" data-field-class="gfield_hidden"
        data-js-reload="field_63_15" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_15" id="input_63_15" type="hidden" class="gform_hidden" aria-invalid="false" value="" autocomplete="password"></div>
      </div>
      <div id="field_63_39" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden" data-field-class="gfield_hidden"
        data-js-reload="field_63_39" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_39" id="input_63_39" type="hidden" class="gform_hidden" aria-invalid="false" value="" autocomplete="password"></div>
      </div>
      <div id="field_63_16" class="gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden gfield_html"
        data-field-class="gfield_html" data-js-reload="field_63_16">
        <script>
          jQuery(document).ready(function($) {
            $('.position-trigger select').bind('change', function() {
              var value = $(this).val();
              var text = $(this).find('option:selected').html();
              $('[id$=_15]').val(text);
              $('[id$=_39]').val(value);
            });
          });
        </script>
      </div>
      <div id="field_63_24" class="gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_hidden gfield_html"
        data-field-class="gfield_html" data-js-reload="field_63_24">
        <script>
          jQuery(document).ready(function($) {
            $('.lead-source-trigger select').bind('change', function() {
              var value = $(this).val();
              $('[id$=_45]').val(value);
            });
          });
        </script>
      </div>
      <div id="field_63_46" class="gfield gfield--type-select gfield--input-type-select lead-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_63_46"><label class="gfield_label gform-field-label" for="input_63_46">How'd you hear we were hiring?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_46" id="input_63_46" class="medium gfield_select" aria-required="true" aria-invalid="true" required="required">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear we were hiring?</option>
            <option value="Facebook">Facebook</option>
            <option value="Linkedin">Linkedin</option>
            <option value="Referral">Referral</option>
            <option value="TV">TV</option>
            <option value="Radio">Radio</option>
            <option value="Indeed">Indeed</option>
            <option value="Glassdoor">Glassdoor</option>
            <option value="Billboard">Billboard</option>
            <option value="College/University Website">College/University Website</option>
            <option value="Career Fair">Career Fair</option>
          </select></div>
      </div>
      <div id="field_63_11" class="gfield gfield--type-textarea gfield--input-type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_textarea"
        data-field-class="gfield_textarea" data-js-reload="field_63_11"><label class="gfield_label gform-field-label" for="input_63_11">Tell Us More<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_textarea"><textarea name="input_11" id="input_63_11" class="textarea medium" maxlength="240" placeholder="Message" aria-required="true" aria-invalid="true" rows="10" cols="50"
            required="required"></textarea>
          <div class="charleft ginput_counter gfield_description" aria-live="polite">0 of 240 max characters</div>
        </div>
      </div>
      <div id="field_63_12" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden" data-field-class="gfield_hidden"
        data-js-reload="field_63_12" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_12" id="input_63_12" type="hidden" class="gform_hidden" aria-invalid="false" value="NEW CANDIDATE" autocomplete="password"></div>
      </div>
      <div id="field_63_35" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden gfieldname_63_utm_medium"
        data-field-class="gfield_hidden gfieldname_63_utm_medium" data-js-reload="field_63_35" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_35" id="input_63_35" type="hidden" class="gform_hidden" aria-invalid="false" value="" autocomplete="password"></div>
      </div>
      <div id="field_63_36" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden gfieldname_63_utm_campaign"
        data-field-class="gfield_hidden gfieldname_63_utm_campaign" data-js-reload="field_63_36" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_36" id="input_63_36" type="hidden" class="gform_hidden" aria-invalid="false" value="" autocomplete="password"></div>
      </div>
      <div id="field_63_37" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden gfieldname_63_utm_term"
        data-field-class="gfield_hidden gfieldname_63_utm_term" data-js-reload="field_63_37" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_37" id="input_63_37" type="hidden" class="gform_hidden" aria-invalid="false" value="" autocomplete="password"></div>
      </div>
      <div id="field_63_38" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden gfieldname_63_utm_content"
        data-field-class="gfield_hidden gfieldname_63_utm_content" data-js-reload="field_63_38" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_38" id="input_63_38" type="hidden" class="gform_hidden" aria-invalid="false" value="" autocomplete="password"></div>
      </div>
      <div id="field_63_48"
        class="gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden gfieldname_63_utm_source"
        data-field-class="gfield_hidden gfieldname_63_utm_source" data-js-reload="field_63_48" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_48" id="input_63_48" type="hidden" class="gform_hidden" aria-invalid="false" value="" autocomplete="password"></div>
      </div>
      <div id="field_63_45" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden gfieldname_63_utm_source"
        data-field-class="gfield_hidden gfieldname_63_utm_source" data-js-reload="field_63_45" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_45" id="input_63_45" type="hidden" class="gform_hidden" aria-invalid="false" value="" autocomplete="password"></div>
      </div>
      <div id="field_63_53" class="gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden gfieldname_63_gclid"
        data-field-class="gfield_hidden gfieldname_63_gclid" data-js-reload="field_63_53" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_53" id="input_63_53" type="hidden" class="gform_hidden" aria-invalid="false" value="" autocomplete="password"></div>
      </div>
      <div id="field_63_60" class="gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden gfieldname_63_device_information"
        data-field-class="gfield_hidden gfieldname_63_device_information" data-js-reload="field_63_60" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_60" id="input_63_60" type="hidden" class="gform_hidden" aria-invalid="false"
            value="Mozilla/5.0 (X11; Linux x86_64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/130.0.0.0 Safari/537.36" autocomplete="password"></div>
      </div>
    </div>
  </div>
  <div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_63" class="gform_button button" value="Submit"
      data-click="if(window[&quot;gf_submitting_63&quot;]){return false;}  if( !jQuery(&quot;#gform_63&quot;)[0].checkValidity || jQuery(&quot;#gform_63&quot;)[0].checkValidity()){window[&quot;gf_submitting_63&quot;]=true;}  "
      data-key="if( event.keyCode == 13 ){ if(window[&quot;gf_submitting_63&quot;]){return false;} if( !jQuery(&quot;#gform_63&quot;)[0].checkValidity || jQuery(&quot;#gform_63&quot;)[0].checkValidity()){window[&quot;gf_submitting_63&quot;]=true;}  jQuery(&quot;#gform_63&quot;).trigger(&quot;submit&quot;,[true]); }">
    <div class="terms-text">By selecting 'submit', I agree to Mark Spain Real Estate's <a href="/terms-of-use/" target="_blank">Terms of Service</a> and <a href="/privacy-policy/" title="Privacy Policy">Privacy Policy</a> and I agree that Mark Spain
      Real Estate may contact me via phone, text, or email, including by automated means. Mark Spain Real Estate does not sell customer data.</div>
    <input type="hidden" class="gform_hidden" name="is_submit_63" value="1" autocomplete="password">
    <input type="hidden" class="gform_hidden" name="gform_submit" value="63" autocomplete="password">
    <input type="hidden" class="gform_hidden" name="gform_unique_id" value="" autocomplete="password">
    <input type="hidden" class="gform_hidden" name="state_63" value="WyJbXSIsImRhMmJiYjhmODE1YjQxYzIyOGYzYjUzMGJmNGQ1MWM3Il0=" autocomplete="password">
    <input type="hidden" class="gform_hidden" name="gform_target_page_number_63" id="gform_target_page_number_63" value="0" autocomplete="password">
    <input type="hidden" class="gform_hidden" name="gform_source_page_number_63" id="gform_source_page_number_63" value="1" autocomplete="password">
    <input type="hidden" name="gform_field_values" value="">
  </div>
</form>

POST /careers/

<form method="post" enctype="multipart/form-data" id="gform_61" class="market-leadsource-form stay-connected-form" action="/careers/" data-formid="61" novalidate="">
  <div class="gform-body gform_body">
    <div id="gform_fields_61" class="gform_fields top_label form_sublabel_below description_below">
      <div id="field_61_66" class="gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden" data-field-class="gfield_hidden"
        data-js-reload="field_61_66" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_66" id="input_61_66" type="hidden" class="gform_hidden" aria-invalid="false" value="StayConnected" autocomplete="password"></div>
      </div>
      <div id="field_61_92" class="gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden gfieldname_61_device_information"
        data-field-class="gfield_hidden gfieldname_61_device_information" data-js-reload="field_61_92" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_92" id="input_61_92" type="hidden" class="gform_hidden" aria-invalid="false"
            value="Mozilla/5.0 (X11; Linux x86_64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/130.0.0.0 Safari/537.36" autocomplete="password"></div>
      </div>
      <div id="field_61_67" class="gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden" data-field-class="gfield_hidden"
        data-js-reload="field_61_67" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_67" id="input_61_67" type="hidden" class="gform_hidden" aria-invalid="false" value="StayConnected" autocomplete="password"></div>
      </div>
      <div id="field_61_61" class="gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_text" data-field-class="gfield_text"
        data-js-reload="field_61_61"><label class="gfield_label gform-field-label" for="input_61_61">First Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_61" id="input_61_61" type="text" value="" class="medium" tabindex="1000" placeholder="First Name" aria-required="true" aria-invalid="true" required="required"> </div>
      </div>
      <div id="field_61_62" class="gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_text" data-field-class="gfield_text"
        data-js-reload="field_61_62"><label class="gfield_label gform-field-label" for="input_61_62">Last Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_text"><input name="input_62" id="input_61_62" type="text" value="" class="medium" tabindex="1001" placeholder="Last Name" aria-required="true" aria-invalid="true" required="required"> </div>
      </div>
      <div id="field_61_63" class="gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_email" data-field-class="gfield_email"
        data-js-reload="field_61_63"><label class="gfield_label gform-field-label" for="input_61_63">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_email">
          <input name="input_63" id="input_61_63" type="email" value="" class="medium" tabindex="1002" placeholder="Email" aria-required="true" aria-invalid="true" required="required" pattern="^[a-zA-Z0-9._%\+\-]+@[a-zA-Z0-9.\-]+\.[a-zA-Z]{2,}$">
        </div>
      </div>
      <div id="field_61_64" class="gfield gfield--type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_phone" data-field-class="gfield_phone"
        data-js-reload="field_61_64"><label class="gfield_label gform-field-label" for="input_61_64">Phone<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_phone"><input name="input_64" id="input_61_64" type="tel" value="" class="medium" tabindex="1003" placeholder="Phone" aria-required="true" aria-invalid="true" required="required"
            pattern="^(1|\+1)?( |-)?(\(?[2-9]\d{2}\)?( |-)?\d{3}( |-)?\d{4})\s*$"></div>
      </div>
      <div id="field_61_65" class="gfield gfield--type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select" data-field-class="gfield_select"
        data-js-reload="field_61_65"><label class="gfield_label gform-field-label" for="input_61_65">Interest<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_65" id="input_61_65" class="medium gfield_select" tabindex="1004" aria-required="true" aria-invalid="true" required="required">
            <option value="" selected="selected" class="gf_placeholder">Interest*</option>
            <option value="Seller">Seller</option>
            <option value="Buyer">Buyer</option>
          </select></div>
      </div>
      <div id="field_61_68" class="gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden" data-field-class="gfield_hidden"
        data-js-reload="field_61_68" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_68" id="input_61_68" type="hidden" class="gform_hidden" aria-invalid="false" value="Seller" autocomplete="password"></div>
      </div>
      <div id="field_61_69" class="gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden" data-field-class="gfield_hidden"
        data-js-reload="field_61_69" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_69" id="input_61_69" type="hidden" class="gform_hidden" aria-invalid="false" value="Stay Connect" autocomplete="password"></div>
      </div>
      <div id="field_61_70" class="gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden" data-field-class="gfield_hidden"
        data-js-reload="field_61_70" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_70" id="input_61_70" type="hidden" class="gform_hidden" aria-invalid="false" value="Stay Connected" autocomplete="password"></div>
      </div>
      <div id="field_61_71" class="gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden gfieldname_61_utm_medium"
        data-field-class="gfield_hidden gfieldname_61_utm_medium" data-js-reload="field_61_71" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_71" id="input_61_71" type="hidden" class="gform_hidden" aria-invalid="false" value="" autocomplete="password"></div>
      </div>
      <div id="field_61_72" class="gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden gfieldname_61_utm_campaign"
        data-field-class="gfield_hidden gfieldname_61_utm_campaign" data-js-reload="field_61_72" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_72" id="input_61_72" type="hidden" class="gform_hidden" aria-invalid="false" value="" autocomplete="password"></div>
      </div>
      <div id="field_61_97" class="gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden gfieldname_61_utm_source"
        data-field-class="gfield_hidden gfieldname_61_utm_source" data-js-reload="field_61_97" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_97" id="input_61_97" type="hidden" class="gform_hidden" aria-invalid="false" value="" autocomplete="password"></div>
      </div>
      <div id="field_61_73" class="gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden gfieldname_61_utm_term"
        data-field-class="gfield_hidden gfieldname_61_utm_term" data-js-reload="field_61_73" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_73" id="input_61_73" type="hidden" class="gform_hidden" aria-invalid="false" value="" autocomplete="password"></div>
      </div>
      <div id="field_61_74" class="gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden gfieldname_61_utm_content"
        data-field-class="gfield_hidden gfieldname_61_utm_content" data-js-reload="field_61_74" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_74" id="input_61_74" type="hidden" class="gform_hidden" aria-invalid="false" value="" autocomplete="password"></div>
      </div>
      <div id="field_61_75" class="gfield gfield--type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden gfieldname_61_gclid"
        data-field-class="gfield_hidden gfieldname_61_gclid" data-js-reload="field_61_75" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_75" id="input_61_75" type="hidden" class="gform_hidden" aria-invalid="false" value="" autocomplete="password"></div>
      </div>
      <div id="field_61_2" class="gfield gfield--type-hidden referral-source-1 gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden gfieldname_61_utm_source"
        data-field-class="gfield_hidden gfieldname_61_utm_source" data-js-reload="field_61_2" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_2" id="input_61_2" type="hidden" class="gform_hidden" aria-invalid="false" value="" autocomplete="password"></div>
      </div>
      <div id="field_61_3" class="gfield gfield--type-hidden referral-source-2 gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden" data-field-class="gfield_hidden"
        data-js-reload="field_61_3" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_3" id="input_61_3" type="hidden" class="gform_hidden" aria-invalid="false" value="" autocomplete="password"></div>
      </div>
      <div id="field_61_4" class="gfield gfield--type-hidden referral-source-group gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden" data-field-class="gfield_hidden"
        data-js-reload="field_61_4" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_4" id="input_61_4" type="hidden" class="gform_hidden" aria-invalid="false" value="" autocomplete="password"></div>
      </div>
      <div id="field_61_5" class="gfield gfield--type-hidden manual-source gform_hidden field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_hidden" data-field-class="gfield_hidden"
        data-js-reload="field_61_5" autocomplete="password">
        <div class="ginput_container ginput_container_text"><input name="input_5" id="input_61_5" type="hidden" class="gform_hidden" aria-invalid="false" value="" autocomplete="password"></div>
      </div>
      <div id="field_61_6" class="gfield gfield--type-select market-dropdown gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select gfieldname_61_market"
        data-field-class="gfield_select gfieldname_61_market" data-js-reload="field_61_6"><label class="gfield_label gform-field-label" for="input_61_6">Market<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_6" id="input_61_6" class="gfield_select" tabindex="1005" aria-required="true" aria-invalid="true" required="required">
            <option value="" selected="selected" class="gf_placeholder">Market</option>
            <option value="Atlanta">Atlanta</option>
            <option value="Birmingham">Birmingham</option>
            <option value="Charlotte">Charlotte</option>
            <option value="Dallas-Fort Worth">Dallas-Fort Worth</option>
            <option value="Greensboro">Greensboro</option>
            <option value="Greenville">Greenville</option>
            <option value="Jacksonville">Jacksonville</option>
            <option value="Nashville">Nashville</option>
            <option value="Orlando">Orlando</option>
            <option value="Raleigh">Raleigh</option>
            <option value="Tampa">Tampa</option>
          </select></div>
      </div>
      <div id="field_61_7" class="gfield gfield--type-select referral-source-group-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_7" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_7">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_7" id="input_61_7" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="TV">TV</option>
            <option value="Online">Online</option>
            <option value="Radio">Radio</option>
            <option value="Billboards">Billboards</option>
          </select></div>
      </div>
      <div id="field_61_8" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_8" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_8">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_8" id="input_61_8" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="WSB - TV Channel 2">WSB - TV Channel 2</option>
            <option value="WAGA - TV FOX 5">WAGA - TV FOX 5</option>
            <option value="11 Alive NBC WXIA - TV">11 Alive NBC WXIA - TV</option>
            <option value="CBS Channel 46 - TV WANF">CBS Channel 46 - TV WANF</option>
          </select></div>
      </div>
      <div id="field_61_9" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_9" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_9">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_9" id="input_61_9" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="Facebook">Facebook</option>
            <option value="Instagram">Instagram</option>
            <option value="Nextdoor">Nextdoor</option>
          </select></div>
      </div>
      <div id="field_61_10" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_10" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_10">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_10" id="input_61_10" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="WSB - 95.5 FM / AM 750 - radio">WSB - 95.5 FM / AM 750 - radio</option>
            <option value="104.7 The Fish - radio">104.7 The Fish - radio</option>
            <option value="94.9 The Bull - radio">94.9 The Bull - radio</option>
            <option value="101.5 New Country / Kicks - radio">101.5 New Country / Kicks - radio</option>
            <option value="92.9 The Game WZGC - radio">92.9 The Game WZGC - radio</option>
            <option value="97.1 The River - radio">97.1 The River - radio</option>
            <option value="106.1 WNGC Your Georgia Country - radio">106.1 WNGC Your Georgia Country - radio</option>
          </select></div>
      </div>
      <div id="field_61_12" class="gfield gfield--type-select referral-source-group-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_12" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_12">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_12" id="input_61_12" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="TV">TV</option>
            <option value="Radio">Radio</option>
          </select></div>
      </div>
      <div id="field_61_13" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_13" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_13">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_13" id="input_61_13" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="FOX6 WBRC - TV">FOX6 WBRC - TV</option>
          </select></div>
      </div>
      <div id="field_61_15" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_15" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_15">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_15" id="input_61_15" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="106.9 The Eagle WBPT - radio">106.9 The Eagle WBPT - radio</option>
            <option value="WAGG 610 AM and 100.1 FM - radio">WAGG 610 AM and 100.1 FM - radio</option>
          </select></div>
      </div>
      <div id="field_61_16" class="gfield gfield--type-select referral-source-group-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_16" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_16">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_16" id="input_61_16" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="TV">TV</option>
            <option value="Online">Online</option>
            <option value="Radio">Radio</option>
            <option value="Billboards">Billboards</option>
          </select></div>
      </div>
      <div id="field_61_17" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_17" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_17">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_17" id="input_61_17" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="WSOC - TV ABC Channel 9">WSOC - TV ABC Channel 9</option>
            <option value="NBC WCNC - TV">NBC WCNC - TV</option>
            <option value="FOX NEWS Channel - TV">FOX NEWS Channel - TV</option>
            <option value="Spectrum News 1 - TV">Spectrum News 1 - TV</option>
            <option value="CNBC - TV">CNBC - TV</option>
            <option value="HGTV">HGTV</option>
            <option value="The Weather Channel - TV">The Weather Channel - TV</option>
            <option value="MSNBC - TV">MSNBC - TV</option>
            <option value="Golf Channel - TV">Golf Channel - TV</option>
          </select></div>
      </div>
      <div id="field_61_18" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_18" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_18">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_18" id="input_61_18" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="Facebook">Facebook</option>
            <option value="Instagram">Instagram</option>
            <option value="Nextdoor">Nextdoor</option>
          </select></div>
      </div>
      <div id="field_61_19" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_19" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_19">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_19" id="input_61_19" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="WBT 99.3 News Talk - radio ">WBT 99.3 News Talk - radio </option>
            <option value="Country 103.7 WSOC FM - radio">Country 103.7 WSOC FM - radio</option>
            <option value="96.9 The Kat WKKT - radio">96.9 The Kat WKKT - radio</option>
            <option value="99.7 The Fox WRFX - radio">99.7 The Fox WRFX - radio</option>
            <option value="95.7FM The Ride WXRC - radio">95.7FM The Ride WXRC - radio</option>
            <option value="Sports Radio WFNZ 92.7 FM / 610 AM - radio">Sports Radio WFNZ 92.7 FM / 610 AM - radio</option>
            <option value="FOX Sports 94.7 FM - radio">FOX Sports 94.7 FM - radio</option>
            <option value="V101.9 WBAV FM - radio">V101.9 WBAV FM - radio</option>
          </select></div>
      </div>
      <div id="field_61_20" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_20" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_20">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_20" id="input_61_20" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="Billboard">Billboard</option>
          </select></div>
      </div>
      <div id="field_61_26" class="gfield gfield--type-select referral-source-group-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_26" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_26">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_26" id="input_61_26" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="TV">TV</option>
            <option value="Online">Online</option>
            <option value="Radio">Radio</option>
            <option value="Billboards">Billboards</option>
          </select></div>
      </div>
      <div id="field_61_27" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_27" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_27">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_27" id="input_61_27" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="Fox 8 WGHP - TV">Fox 8 WGHP - TV</option>
            <option value="News 2 CBS WFMY - TV">News 2 CBS WFMY - TV</option>
          </select></div>
      </div>
      <div id="field_61_31" class="gfield gfield--type-select referral-source-group-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_31" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_31">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_31" id="input_61_31" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="TV">TV</option>
            <option value="Online">Online</option>
            <option value="Radio">Radio</option>
            <option value="Billboards">Billboards</option>
          </select></div>
      </div>
      <div id="field_61_32" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_32" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_32">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_32" id="input_61_32" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="FOX Carolina WHNS - TV">FOX Carolina WHNS - TV</option>
          </select></div>
      </div>
      <div id="field_61_34" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_34" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_34">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_34" id="input_61_34" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="Whistle 100.5 New Country WSSL - radio">Whistle 100.5 New Country WSSL - radio</option>
            <option value="92.5 WESC Country - radio">92.5 WESC Country - radio</option>
            <option value="102.5 The Lake WMYI - radio">102.5 The Lake WMYI - radio</option>
            <option value="Fox Sports Upstate 104.9 FM WROO - radio">Fox Sports Upstate 104.9 FM WROO - radio</option>
          </select></div>
      </div>
      <div id="field_61_36" class="gfield gfield--type-select referral-source-group-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_36" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_36">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_36" id="input_61_36" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="TV">TV</option>
            <option value="Online">Online</option>
            <option value="Radio">Radio</option>
          </select></div>
      </div>
      <div id="field_61_37" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_37" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_37">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_37" id="input_61_37" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="News4JAX - WJXT Channel 4 TV">News4JAX - WJXT Channel 4 TV</option>
          </select></div>
      </div>
      <div id="field_61_39" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_39" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_39">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_39" id="input_61_39" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="104.5 WOKV Jacksonville's News Talk - radio">104.5 WOKV Jacksonville's News Talk - radio</option>
            <option value="96.9 The Eagle Jacksonville's Classic Hits WJGL - radio">96.9 The Eagle Jacksonville's Classic Hits WJGL - radio</option>
            <option value="ESPN Jacksonville 690 AM - radio">ESPN Jacksonville 690 AM - radio</option>
            <option value="HOT 106.5 Duval's Only R&amp;B - radio">HOT 106.5 Duval's Only R&amp;B - radio</option>
          </select></div>
      </div>
      <div id="field_61_40" class="gfield gfield--type-select referral-source-group-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_40" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_40">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_40" id="input_61_40" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="TV">TV</option>
            <option value="Online">Online</option>
            <option value="Radio">Radio</option>
            <option value="Billboards">Billboards</option>
          </select></div>
      </div>
      <div id="field_61_41" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_41" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_41">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_41" id="input_61_41" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="WKRN - TV News 2 ABC">WKRN - TV News 2 ABC</option>
            <option value="WSMV - TV NBC News Channel 4">WSMV - TV NBC News Channel 4</option>
          </select></div>
      </div>
      <div id="field_61_42" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_42" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_42">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_42" id="input_61_42" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="Facebook">Facebook</option>
            <option value="Instagram">Instagram</option>
          </select></div>
      </div>
      <div id="field_61_43" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_43" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_43">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_43" id="input_61_43" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="WTN - Super Talk 99.7 - radio">WTN - Super Talk 99.7 - radio</option>
            <option value="The Big 98 WSIX - radio">The Big 98 WSIX - radio</option>
            <option value="WSM - 95.5 Nash Icon / 650 AM Country - radio">WSM - 95.5 Nash Icon / 650 AM Country - radio</option>
            <option value="WKDF - 103.3 Today’s Country - radio">WKDF - 103.3 Today’s Country - radio</option>
            <option value="WGFX - 104-5 The Zone - radio">WGFX - 104-5 The Zone - radio</option>
            <option value="107.5 The River WRVW - radio">107.5 The River WRVW - radio</option>
            <option value="105.9 The Rock WNRQ - radio">105.9 The Rock WNRQ - radio</option>
            <option value="101.1 The Beat WUBT - radio">101.1 The Beat WUBT - radio</option>
          </select></div>
      </div>
      <div id="field_61_45" class="gfield gfield--type-select referral-source-group-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_45" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_45">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_45" id="input_61_45" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="Online">Online</option>
            <option value="Radio">Radio</option>
          </select></div>
      </div>
      <div id="field_61_48" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_48" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_48">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_48" id="input_61_48" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="98.9 WMMO Classic Hits - Radio">98.9 WMMO Classic Hits - Radio</option>
            <option value="WDBO 107.3 FM 580 AM News Talk - Radio">WDBO 107.3 FM 580 AM News Talk - Radio</option>
            <option value="K92.3 Country WWKA - Radio">K92.3 Country WWKA - Radio</option>
          </select></div>
      </div>
      <div id="field_61_50" class="gfield gfield--type-select referral-source-group-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_50" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_50">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_50" id="input_61_50" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="TV">TV</option>
            <option value="Online">Online</option>
            <option value="Radio">Radio</option>
            <option value="Billboards">Billboards</option>
          </select></div>
      </div>
      <div id="field_61_51" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_51" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_51">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_51" id="input_61_51" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="WRAL - TV NBC Channel 5">WRAL - TV NBC Channel 5</option>
            <option value="ABC11 WTVD News, Good Morning America - TV">ABC11 WTVD News, Good Morning America - TV</option>
            <option value="FOX NEWS Channel - TV">FOX NEWS Channel - TV</option>
            <option value="Spectrum News 1 - TV">Spectrum News 1 - TV</option>
            <option value="CNBC - TV">CNBC - TV</option>
            <option value="HGTV ">HGTV </option>
            <option value="The Weather Channel - TV">The Weather Channel - TV</option>
            <option value="MSNBC - TV ">MSNBC - TV </option>
            <option value="Golf Channel - TV">Golf Channel - TV</option>
          </select></div>
      </div>
      <div id="field_61_52" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_52" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_52">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_52" id="input_61_52" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="Facebook">Facebook</option>
            <option value="Instagram">Instagram</option>
          </select></div>
      </div>
      <div id="field_61_53" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_53" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_53">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_53" id="input_61_53" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="WTKK - 106.1 News Talk - radio">WTKK - 106.1 News Talk - radio</option>
            <option value="94.7 Today's Best Country WQDR-FM - radio">94.7 Today's Best Country WQDR-FM - radio</option>
            <option value="B93.9 New Country - radio">B93.9 New Country - radio</option>
            <option value="100.7 Classic Rock - radio">100.7 Classic Rock - radio</option>
            <option value="G105 Top 40 - radio">G105 Top 40 - radio</option>
            <option value="KIX 102.9 FM Carolina's Greatest Hits - radio">KIX 102.9 FM Carolina's Greatest Hits - radio</option>
            <option value="News Radio 680 WPTF - radio">News Radio 680 WPTF - radio</option>
            <option value="95.3 The Beat - radio">95.3 The Beat - radio</option>
            <option value="The Triangle's Rock 92.9 WQDR-AM - radio">The Triangle's Rock 92.9 WQDR-AM - radio</option>
          </select></div>
      </div>
      <div id="field_61_54" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_54" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_54">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_54" id="input_61_54" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="Billboard">Billboard</option>
          </select></div>
      </div>
      <div id="field_61_55" class="gfield gfield--type-select referral-source-group-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_55" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_55">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_55" id="input_61_55" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="TV">TV</option>
            <option value="Online">Online</option>
            <option value="Radio">Radio</option>
          </select></div>
      </div>
      <div id="field_61_58" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_58" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_58">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_58" id="input_61_58" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="95.3 Tampa Bay's Sports WDAE - radio">95.3 Tampa Bay's Sports WDAE - radio</option>
            <option value="US 103.5 Tampa Bay's #1 For New Country WFUS - radio">US 103.5 Tampa Bay's #1 For New Country WFUS - radio</option>
            <option value="NewsRadio WFLA Tampa Bay's News, Traffic and Weather - radio">NewsRadio WFLA Tampa Bay's News, Traffic and Weather - radio</option>
            <option value="102.5 The Bone WHPT - radio">102.5 The Bone WHPT - radio</option>
            <option value="107.3 The EAGLE Classic Hits WXGL - radio">107.3 The EAGLE Classic Hits WXGL - radio</option>
            <option value="105.5 The Dove WDUV - radio">105.5 The Dove WDUV - radio</option>
            <option value="97X New Alternative WSUN - radio">97X New Alternative WSUN - radio</option>
            <option value="Magic 94.9 WWRM - radio">Magic 94.9 WWRM - radio</option>
          </select></div>
      </div>
      <div id="field_61_83" class="gfield gfield--type-select referral-source-group-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_83" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_83">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_83" id="input_61_83" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="TV">TV</option>
            <option value="Online">Online</option>
            <option value="Radio">Radio</option>
          </select></div>
      </div>
      <div id="field_61_86" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_86" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_86">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_86" id="input_61_86" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="Rock 92 WKRR - Radio">Rock 92 WKRR - Radio</option>
            <option value="94.5 FM WPTI The Piedmont's Talk Station - radio">94.5 FM WPTI The Piedmont's Talk Station - radio</option>
            <option value="Q104.1 FM WTQR - radio">Q104.1 FM WTQR - radio</option>
          </select></div>
      </div>
      <div id="field_61_87" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_87" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_87">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_87" id="input_61_87" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="Billboard">Billboard</option>
          </select></div>
      </div>
      <div id="field_61_88" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_88" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_88">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_88" id="input_61_88" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="Billboard">Billboard</option>
          </select></div>
      </div>
      <div id="field_61_91" class="gfield gfield--type-select referral-source-trigger gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible gfield_select"
        data-field-class="gfield_select" data-js-reload="field_61_91" data-conditional-logic="hidden" style="display: none;"><label class="gfield_label gform-field-label" for="input_61_91">How'd you hear about us?<span class="gfield_required"><span
              class="gfield_required gfield_required_asterisk">*</span></span></label>
        <div class="ginput_container ginput_container_select"><select name="input_91" id="input_61_91" class="gfield_select" aria-required="true" aria-invalid="true" required="required" disabled="disabled">
            <option value="" selected="selected" class="gf_placeholder">How'd you hear about us?</option>
            <option value="The Ticket 96.7 FM / 1310 AM KTCK - radio">The Ticket 96.7 FM / 1310 AM KTCK - radio</option>
            <option value="WBAP News Talk 820 AM / 99.5 FM - Radio">WBAP News Talk 820 AM / 99.5 FM - Radio</option>
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