{"id":848,"date":"2021-09-02T13:36:49","date_gmt":"2021-09-02T03:36:49","guid":{"rendered":"https:\/\/avidinsurancebrokers.com.au\/?page_id=848"},"modified":"2021-09-02T13:36:49","modified_gmt":"2021-09-02T03:36:49","slug":"commercial-motor-vehicle-quote-request","status":"publish","type":"page","link":"https:\/\/catchymarketing.com.au\/avid\/commercial-motor-vehicle-quote-request\/","title":{"rendered":"Fact Finder &#8211; Commercial Motor Vehicle"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_9' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_9'  action='\/avid\/wp-json\/wp\/v2\/pages\/848' data-formid='9' >\n                        <div class='gform-body gform_body'><div id='gform_fields_9' class='gform_fields top_label form_sublabel_below description_below'><div id=\"field_9_5\"  class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_9_5\"><label class='gfield_label gform-field-label' for='input_9_5' >Insured Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_9_5' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_9_6\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_9_6\"><label class='gfield_label gform-field-label' for='input_9_6' >ABN<\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_9_6' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_9_14\"  class=\"gfield gfield--type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_9_14\"><label class='gfield_label gform-field-label' for='input_9_14' >Website Address<\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_9_14' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_9_12\"  class=\"gfield gfield--type-email gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_9_12\"><label class='gfield_label gform-field-label' for='input_9_12' >Email<\/label><div class='ginput_container 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class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_9_10' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_9_10_1_container' >\n                                        <input type='text' name='input_10.1' id='input_9_10_1' value=''    aria-required='false'    \/>\n                                        <label for='input_9_10_1' id='input_9_10_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_9_10_2_container' >\n                                        <input type='text' name='input_10.2' id='input_9_10_2' value=''     aria-required='false'   \/>\n                                        <label for='input_9_10_2' id='input_9_10_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_9_10_3_container' >\n                                    <input type='text' name='input_10.3' id='input_9_10_3' value=''    aria-required='false'    \/>\n                                    <label for='input_9_10_3' id='input_9_10_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_9_10_4_container' >\n                                        <input type='text' name='input_10.4' id='input_9_10_4' value=''      aria-required='false'    \/>\n                                        <label for='input_9_10_4' id='input_9_10_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_9_10_5_container' >\n                                    <input type='text' name='input_10.5' id='input_9_10_5' value=''    aria-required='false'    \/>\n                                    <label for='input_9_10_5' id='input_9_10_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_9_10_6_container' >\n                                        <select name='input_10.6' id='input_9_10_6'   aria-required='false'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' selected='selected'>Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cape Verde' >Cape Verde<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macau' >Macau<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_9_10_6' id='input_9_10_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_9_8\"  class=\"gfield gfield--type-select gfield--width-third field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_9_8\"><label class='gfield_label gform-field-label' for='input_9_8' >Stamp Duty Exempt<\/label><div class='ginput_container ginput_container_select'><select name='input_8' id='input_9_8' class='large gfield_select'  aria-describedby=\"gfield_description_9_8\"   aria-invalid=\"false\" ><option value='NSW Small Business Exemption' >NSW Small Business Exemption<\/option><option value='Not For Profit or Charitable Exemption' >Not For Profit or Charitable Exemption<\/option><option value='N\/A' >N\/A<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_9_8'>Please provide a copy of your exemption declaration<\/div><\/div><div id=\"field_9_2\"  class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-third field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_9_2\"><label class='gfield_label gform-field-label' for='input_9_2' >Policy Commencement Date<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_2' id='input_9_2' type='text' value='' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_9_2_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_9_2_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_9_2' class='gform_hidden' value='https:\/\/catchymarketing.com.au\/avid\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_9_57\"  class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_9_57\"><label class='gfield_label gform-field-label' for='input_9_57' >Policy Expiry Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_57' id='input_9_57' type='text' value='' class='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_9_57_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_9_57_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_9_57' class='gform_hidden' value='https:\/\/catchymarketing.com.au\/avid\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_9_9\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_9_9\"><label class='gfield_label gform-field-label' for='input_9_9' >Business Occupation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_9_9' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_9_17\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_9_17\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Duty of Disclosure - Have you ever or any partner(s) or director(s) of the business:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_9_17'><div class='gchoice gchoice_9_17_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.1' type='checkbox'  value='Ever had an insurance policy cancelled, declined or terms imposed?'  id='choice_9_17_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_17_1' id='label_9_17_1' class='gform-field-label gform-field-label--type-inline'>Ever had an insurance policy cancelled, declined or terms imposed?<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_17_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.2' type='checkbox'  value='Ever been declared bankrupt?'  id='choice_9_17_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_17_2' id='label_9_17_2' class='gform-field-label gform-field-label--type-inline'>Ever been declared bankrupt?<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_17_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.3' type='checkbox'  value='Ever been involved in a company or business which became insolvent or subject to any form of insolvency or voluntary administration?'  id='choice_9_17_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_17_3' id='label_9_17_3' class='gform-field-label gform-field-label--type-inline'>Ever been involved in a company or business which became insolvent or subject to any form of insolvency or voluntary administration?<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_17_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.4' type='checkbox'  value='Been convicted of any criminal offence within the past 5 years (other than minor traffic convictions)?'  id='choice_9_17_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_17_4' id='label_9_17_4' class='gform-field-label gform-field-label--type-inline'>Been convicted of any criminal offence within the past 5 years (other than minor traffic convictions)?<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_17_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.5' type='checkbox'  value='Been liable for any civil offence or pecuniary penalty (exceeding $5,000)?'  id='choice_9_17_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_17_5' id='label_9_17_5' class='gform-field-label gform-field-label--type-inline'>Been liable for any civil offence or pecuniary penalty (exceeding $5,000)?<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_17_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.6' type='checkbox'  value='Any other matters you should disclose?'  id='choice_9_17_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_17_6' id='label_9_17_6' class='gform-field-label gform-field-label--type-inline'>Any other matters you should disclose?<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_17_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.7' type='checkbox'  value='None of the above'  id='choice_9_17_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_17_7' id='label_9_17_7' class='gform-field-label gform-field-label--type-inline'>None of the above<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_18\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_9_18\"><label class='gfield_label gform-field-label' for='input_9_18' >If YES to one or more of the above, please provide details<\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_9_18' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_9_19\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_9_19\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Driver History - In the last 3 years, has any person who is likely to drive the insured vehicles(s):<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_9_19'><div class='gchoice gchoice_9_19_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.1' type='checkbox'  value='Had any convictions or had any penalties imposed for driving under the influence of alcohol or drugs?'  id='choice_9_19_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_19_1' id='label_9_19_1' class='gform-field-label gform-field-label--type-inline'>Had any convictions or had any penalties imposed for driving under the influence of alcohol or drugs?<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_19_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.2' type='checkbox'  value='Had a drivers licence cancelled or suspended or restricted?'  id='choice_9_19_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_19_2' id='label_9_19_2' class='gform-field-label gform-field-label--type-inline'>Had a drivers licence cancelled or suspended or restricted?<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_19_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.3' type='checkbox'  value='Been convicted or charged with any driving offences or issued any speeding or traffic infringements (other than parking offences)?'  id='choice_9_19_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_19_3' id='label_9_19_3' class='gform-field-label gform-field-label--type-inline'>Been convicted or charged with any driving offences or issued any speeding or traffic infringements (other than parking offences)?<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_19_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_19.4' type='checkbox'  value='Had any motor vehicle insurance refused?'  id='choice_9_19_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_19_4' id='label_9_19_4' class='gform-field-label gform-field-label--type-inline'>Had any motor vehicle insurance refused?<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_20\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_9_20\"><label class='gfield_label gform-field-label' for='input_9_20' >If YES to one or more of the above, please provide details<\/label><div class='ginput_container ginput_container_text'><input name='input_20' id='input_9_20' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_9_51\"  class=\"gfield gfield--type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_9_51\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Claims - In the last 3 years, has any person who is likely to drive the insured vehicle had any Motor Vehicle claims?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Date<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Description<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Amount<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_51_cell1 gform-grid-col' data-label='Date'><input aria-invalid='false' aria-required=\"true\"  aria-label='Date, Row 1' data-aria-label-template='Date, Row {0}' type='text' name='input_51[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_51_cell2 gform-grid-col' data-label='Description'><input aria-invalid='false' aria-required=\"true\"  aria-label='Description, Row 1' data-aria-label-template='Description, Row {0}' type='text' name='input_51[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_51_cell3 gform-grid-col' data-label='Amount'><input aria-invalid='false' aria-required=\"true\"  aria-label='Amount, Row 1' data-aria-label-template='Amount, Row {0}' type='text' name='input_51[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_9_47\"  class=\"gfield gfield--type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_9_47\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Vehicle Details<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Year<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Make<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Model<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Rego No.<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_47_cell1 gform-grid-col' data-label='Year'><input aria-invalid='false' aria-required=\"true\"  aria-label='Year, Row 1' data-aria-label-template='Year, Row {0}' type='text' name='input_47[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_47_cell2 gform-grid-col' data-label='Make'><input aria-invalid='false' aria-required=\"true\"  aria-label='Make, Row 1' data-aria-label-template='Make, Row {0}' type='text' name='input_47[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_47_cell3 gform-grid-col' data-label='Model'><input aria-invalid='false' aria-required=\"true\"  aria-label='Model, Row 1' data-aria-label-template='Model, Row {0}' type='text' name='input_47[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_47_cell4 gform-grid-col' data-label='Rego No.'><input aria-invalid='false' aria-required=\"true\"  aria-label='Rego No., Row 1' data-aria-label-template='Rego No., Row {0}' type='text' name='input_47[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_9_50\"  class=\"gfield gfield--type-list gfield--width-full field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_9_50\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Basis of Valuation<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Vehicle Number<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Market Value<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Agreed Value<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_50_cell1 gform-grid-col' data-label='Vehicle Number'><input aria-invalid='false'  aria-describedby=\"gfield_description_9_50\" aria-label='Vehicle Number, Row 1' data-aria-label-template='Vehicle Number, Row {0}' type='text' name='input_50[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_50_cell2 gform-grid-col' data-label='Market Value'><input aria-invalid='false'  aria-describedby=\"gfield_description_9_50\" aria-label='Market Value, Row 1' data-aria-label-template='Market Value, Row {0}' type='text' name='input_50[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_50_cell3 gform-grid-col' data-label='Agreed Value'><input aria-invalid='false'  aria-describedby=\"gfield_description_9_50\" aria-label='Agreed Value, Row 1' data-aria-label-template='Agreed Value, Row {0}' type='text' name='input_50[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><div class='gfield_description' id='gfield_description_9_50'>Please choose between Market Value or Agreed Value. If Agreed Value please note value required<\/div><\/fieldset><fieldset id=\"field_9_46\"  class=\"gfield gfield--type-list gfield--width-full field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_9_46\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Does the vehicle have any non-standard accessories, modifications or attachments that will be included within the cover?<\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Vehicle Number<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Description<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Value<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_46_cell1 gform-grid-col' data-label='Vehicle Number'><input aria-invalid='false'  aria-describedby=\"gfield_description_9_46\" aria-label='Vehicle Number, Row 1' data-aria-label-template='Vehicle Number, Row {0}' type='text' name='input_46[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_46_cell2 gform-grid-col' data-label='Description'><input aria-invalid='false'  aria-describedby=\"gfield_description_9_46\" aria-label='Description, Row 1' data-aria-label-template='Description, Row {0}' type='text' name='input_46[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_46_cell3 gform-grid-col' data-label='Value'><input aria-invalid='false'  aria-describedby=\"gfield_description_9_46\" aria-label='Value, Row 1' data-aria-label-template='Value, Row {0}' type='text' name='input_46[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><div class='gfield_description' id='gfield_description_9_46'>Please provide details and values for each item<\/div><\/fieldset><fieldset id=\"field_9_38\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_9_38\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Is the vehicle used for:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_9_38'><div class='gchoice gchoice_9_38_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.1' type='checkbox'  value='Hire including passenger transport, rideshare, courtesy car or taxi'  id='choice_9_38_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_38_1' id='label_9_38_1' class='gform-field-label gform-field-label--type-inline'>Hire including passenger transport, rideshare, courtesy car or taxi<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_38_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.2' type='checkbox'  value='Courier or delivery services'  id='choice_9_38_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_38_2' id='label_9_38_2' class='gform-field-label gform-field-label--type-inline'>Courier or delivery services<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_9_38_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_38.3' type='checkbox'  value='Racing or sporting events'  id='choice_9_38_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_38_3' id='label_9_38_3' class='gform-field-label gform-field-label--type-inline'>Racing or sporting events<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_9_41\"  class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_9_41\"><label class='gfield_label gform-field-label' for='input_9_41' >Do you wish to note any interested parties?<\/label><div class='ginput_container ginput_container_text'><input name='input_41' id='input_9_41' type='text' value='' class='large'  aria-describedby=\"gfield_description_9_41\"    aria-invalid=\"false\"   \/> <\/div><div class='gfield_description' id='gfield_description_9_41'>Name of financier and nature of interest<\/div><\/div><fieldset id=\"field_9_49\"  class=\"gfield gfield--type-list gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_9_49\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Drivers Details<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">First Name<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Surname<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">DOB<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_49_cell1 gform-grid-col' data-label='First Name'><input aria-invalid='false' aria-required=\"true\"  aria-label='First Name, Row 1' data-aria-label-template='First Name, Row {0}' type='text' name='input_49[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_49_cell2 gform-grid-col' data-label='Surname'><input aria-invalid='false' aria-required=\"true\"  aria-label='Surname, Row 1' data-aria-label-template='Surname, Row {0}' type='text' name='input_49[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_49_cell3 gform-grid-col' data-label='DOB'><input aria-invalid='false' aria-required=\"true\"  aria-label='DOB, Row 1' data-aria-label-template='DOB, Row {0}' type='text' name='input_49[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type=\"button\"  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type=\"button\"  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_9_52\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_9_52\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_9_52'><div class='gchoice gchoice_9_52_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.1' type='checkbox'  value='I\/We declare that the whole of the above information and answers are true in every detail and no information has been withheld.'  id='choice_9_52_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_9_52_1' id='label_9_52_1' class='gform-field-label gform-field-label--type-inline'>I\/We declare that the whole of the above information and answers are true in every detail and no information has been withheld.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_9_53\"  class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_9_53\"><legend class='gfield_label gform-field-label gfield_label_before_complex'  >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_9_53'>\n                            \n                            <span id='input_9_53_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_53.3' id='input_9_53_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_9_53_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_9_53_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_53.6' id='input_9_53_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_9_53_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_9_54\"  class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_9_54\"><label class='gfield_label gform-field-label' for='input_9_54' >Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_54' id='input_9_54' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   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data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_9_55&quot;,&quot;container&quot;:&quot;gform_multifile_upload_9_55&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_9_55&quot;,&quot;filelist&quot;:&quot;gform_preview_9_55&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/catchymarketing.com.au\\\/avid\\\/?gf_page=8f5a6ccd2e76356&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/catchymarketing.com.au\\\/avid\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/catchymarketing.com.au\\\/avid\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed 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