{"id":361,"date":"2018-06-05T16:04:35","date_gmt":"2018-06-05T20:04:35","guid":{"rendered":"https:\/\/www.monmouth.edu\/department-of-communication\/?page_id=361"},"modified":"2019-09-13T15:10:17","modified_gmt":"2019-09-13T19:10:17","slug":"become-a-client","status":"publish","type":"page","link":"https:\/\/www.monmouth.edu\/department-of-communication\/student-organizations\/prssa\/become-a-client\/","title":{"rendered":"Become a Client"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\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_6' style='display:none'><div id='gf_6' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><p>We are a student-run firm. We assist on campus and off campus organizations with various PR initiatives. Our clients include school groups, sports teams, non-profits, small local businesses and individuals. As much as we would love to accept and accommodate all clients submissions, we can only take on a certain amount of clients per semester. All applications will stay active for 30 days. Please allow 5 business days for application review and response from a Shadow PR Firm Executive board member.\r\n<\/p><p>\r\nPLEASE NOTE: All inquiries for promotional services must be submitted at least 45 days prior to the event\/ promotion.<\/p><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data' target='gform_ajax_frame_6' id='gform_6'  action='\/department-of-communication\/wp-json\/wp\/v2\/pages\/361#gf_6' data-formid='6' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_6_18\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_18'>Facebook<\/label><div class='ginput_container'><input name='input_18' id='input_6_18' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_6_18'>This field is for validation purposes and should be left unchanged.<\/div><\/div><div id=\"field_6_1\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_1'>Company\/ Organization<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_6_1' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_2\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_2'>Location<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_6_2' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_3\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/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_6_3'>\n                            \n                            <span id='input_6_3_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.3' id='input_6_3_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_6_3_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_6_3_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_3.6' id='input_6_3_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_6_3_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_6_5\" class=\"gfield gfield--type-phone gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_5'>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_5' id='input_6_5' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_4\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_4'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_6_4' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_6_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >What can we do for you<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_6_6'>\n\t\t\t<div class='gchoice gchoice_6_6_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Product\/Service'  id='choice_6_6_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_6_0' id='label_6_6_0' class='gform-field-label gform-field-label--type-inline'>Product\/Service<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_6_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Event'  id='choice_6_6_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_6_1' id='label_6_6_1' class='gform-field-label gform-field-label--type-inline'>Event<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_6_6_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='Company Promotion'  id='choice_6_6_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_6_6_2' id='label_6_6_2' class='gform-field-label gform-field-label--type-inline'>Company Promotion<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_6_7\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Services<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_6_7'><div class='gchoice gchoice_6_7_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.1' type='checkbox'  value='Press releases'  id='choice_6_7_1'   aria-describedby=\"gfield_description_6_7\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_6_7_1' id='label_6_7_1' class='gform-field-label gform-field-label--type-inline'>Press releases<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_7_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.2' type='checkbox'  value='Flyers'  id='choice_6_7_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_7_2' id='label_6_7_2' class='gform-field-label gform-field-label--type-inline'>Flyers<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_7_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.3' type='checkbox'  value='Blog'  id='choice_6_7_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_7_3' id='label_6_7_3' class='gform-field-label gform-field-label--type-inline'>Blog<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_7_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.4' type='checkbox'  value='Twitter'  id='choice_6_7_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_7_4' id='label_6_7_4' class='gform-field-label gform-field-label--type-inline'>Twitter<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_7_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.5' type='checkbox'  value='Instagram'  id='choice_6_7_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_7_5' id='label_6_7_5' class='gform-field-label gform-field-label--type-inline'>Instagram<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_7_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.6' type='checkbox'  value='Facebook'  id='choice_6_7_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_7_6' id='label_6_7_6' class='gform-field-label gform-field-label--type-inline'>Facebook<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_7_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.7' type='checkbox'  value='LinkedIn'  id='choice_6_7_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_7_7' id='label_6_7_7' class='gform-field-label gform-field-label--type-inline'>LinkedIn<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_7_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.8' type='checkbox'  value='Social Media Advising'  id='choice_6_7_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_7_8' id='label_6_7_8' class='gform-field-label gform-field-label--type-inline'>Social Media Advising<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_7_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.9' type='checkbox'  value='Promotions'  id='choice_6_7_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_7_9' id='label_6_7_9' class='gform-field-label gform-field-label--type-inline'>Promotions<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_7_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.11' type='checkbox'  value='Event Planning'  id='choice_6_7_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_7_11' id='label_6_7_11' class='gform-field-label gform-field-label--type-inline'>Event Planning<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_7_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.12' type='checkbox'  value='Volunteer Support'  id='choice_6_7_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_7_12' id='label_6_7_12' class='gform-field-label gform-field-label--type-inline'>Volunteer Support<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_7_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.13' type='checkbox'  value='Save the Dates'  id='choice_6_7_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_7_13' id='label_6_7_13' class='gform-field-label gform-field-label--type-inline'>Save the Dates<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_7_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.14' type='checkbox'  value='Newsletters'  id='choice_6_7_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_7_14' id='label_6_7_14' class='gform-field-label gform-field-label--type-inline'>Newsletters<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_7_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.15' type='checkbox'  value='Media Lists'  id='choice_6_7_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_7_15' id='label_6_7_15' class='gform-field-label gform-field-label--type-inline'>Media Lists<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_7_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.16' type='checkbox'  value='Press Kits'  id='choice_6_7_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_7_16' id='label_6_7_16' class='gform-field-label gform-field-label--type-inline'>Press Kits<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_7_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.17' type='checkbox'  value='Campus Exposure'  id='choice_6_7_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_7_17' id='label_6_7_17' class='gform-field-label gform-field-label--type-inline'>Campus Exposure<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_7_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.18' type='checkbox'  value='Pitch Letters'  id='choice_6_7_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_7_18' id='label_6_7_18' class='gform-field-label gform-field-label--type-inline'>Pitch Letters<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_6_7_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_7.19' type='checkbox'  value='Other'  id='choice_6_7_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_6_7_19' id='label_6_7_19' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_6_7'>check all that apply<\/div><\/fieldset><div id=\"field_6_8\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_8'>Other<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_6_8' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_6_9\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_9'>Please explain your expectations<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_9' id='input_6_9' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_6_12\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Please tell us your:<\/h3><\/div><div id=\"field_6_10\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_10'>Goals<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_10' id='input_6_10' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_6_13\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_13'>Objectives<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_13' id='input_6_13' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_6_11\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_11'>Additional Comments<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_6_11' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_6_14\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Event Information<\/h3><\/div><div id=\"field_6_15\" class=\"gfield gfield--type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_15'>Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_15' id='input_6_15' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_6_15_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_6_15_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_6_15' class='gform_hidden' value='https:\/\/www.monmouth.edu\/department-of-communication\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_6_16\" class=\"gfield gfield--type-time gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Time<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_6_16'>\n                            <input type='number' name='input_16[]' id='input_6_16_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='true'   \/> \n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_6_16_1'>Hours<\/label>\n                        <\/div>\n                        <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' name='input_16[]' id='input_6_16_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='true'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_6_16_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_16[]' id='input_6_16_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_6_16_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/fieldset><div id=\"field_6_17\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_17'>Where<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_6_17' type='text' value='' class='medium'     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name='is_submit_6' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='6' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='hGO02Yll+f712EcT4lZ8B8qAXlRsVZHhsmBB6XXIMduLm\/o2NyvdBB7jNtqBny40rwccS17lZKX5UHLH2qcGghhwjAAnYgCN9t36DVkdQFc7zdA=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_6' value='WyJbXSIsImYwZWNlMzFmYWU3MjUxMWRiYzQxNjI5YmZlNDMwNzM3Il0=' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_6' id='gform_target_page_number_6' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_6' id='gform_source_page_number_6' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        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