
							<div class=\"form_field hidden dropped ui-sortable-handle\" id=\"_76576\" style=\"\">
								<input class=\"ms_current_step\" value=\"1\" name=\"ms_current_step\" type=\"hidden\">
							</div>
							<div class=\"form_field custom-fields grid step ui-draggable ui-draggable-handle dropped material_field nf_multi_step_1 ui-sortable-handle\" id=\"_42243\" data-step-name=\"Loan\" data-step-num=\"1\" style=\"display: block;\">
														  
														  
														  
														  <div style=\"\" class=\"form_object\" id=\"form_object\">
															<div data-svg=\"demo-input-1\" class=\"input-inner\">
															  <div class=\"row\">
																<div class=\"col-sm-12\">
																  <div class=\"tab-pane grid-system grid-system panel panel-default\">
																	<div class=\"zero-clipboard\"><span class=\"btn-clipboard btn-clipboard-hover\"><span class=\"badge the_step_number\"><input name=\"multi_step_name\" type=\"text\" class=\"form_control\" placeholder=\"Step 1\" value=\"Loan\"></span><div class=\"show_step\">1</div>&nbsp;
																	  <div title=\"Delete field\" class=\"btn btn-default btn-sm delete \"><i class=\"glyphicon glyphicon-remove\"></i></div><div title=\"Duplicate Step\" class=\"btn btn-default btn-sm duplicate_field\"><i class=\"fa fa-files-o\"></i></div>
																	  </span></div>
																	<div class=\"panel-body ui-droppable ui-sortable\">
																	
																	
																	<div class=\"form_field all_fields paragraph html_fields dropped\" style=\"position: relative; top: 0px; left: 0px;\" id=\"_83963\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><div class=\"the_input_element align_center\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\" style=\"\"><p class=\"intro_text\">Welcome to NEX-forms Loan Calculator</p><br></div><div style=\"clear:both;\"></div></div></div></div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div><div class=\"form_field all_fields  special_fields  ui-draggable ui-draggable-handle dropped md-slider material_field\" style=\"position: relative; top: 0px; left: 0px; z-index: 100; margin-bottom: 30px;\" id=\"_20661\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-12 align_center\"><label class=\"nf_title\"><span class=\"is_required glyphicon glyphicon-star btn-xs hidden\"></span><span class=\"the_label\" style=\"font-size: 14px; color: rgb(153, 153, 153);\">Loan Amount</span><br><small class=\"sub-text style_italic\" style=\"color: rgb(153, 153, 153);\"></small></label></div><div class=\"input_container col-sm-12\"><div class=\"error_message slider noUi-target noUi-ltr noUi-horizontal ui-slider ui-slider-horizontal ui-widget ui-widget-content ui-corner-all\" id=\"slider\" data-fill-color=\"#f2f2f2\" data-min-value=\"1000\" data-max-value=\"10000\" data-step-value=\"1000\" data-starting-value=\"2000\" data-background-color=\"#ffffff\" data-slider-border-color=\"#CCCCCC\" data-handel-border-color=\"#CCCCCC\" data-handel-background-color=\"#FFFFFF\" data-text-color=\"#000000\" data-dragicon=\"\" data-dragicon-class=\"btn btn-default\" data-count-text=\"{x}\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"></div><input name=\"loan_amount\" class=\"hidden the_input_element the_slider form-control\" style=\"font-size: 15px;\" type=\"text\" data-math-equation=\"\" data-original-math-equation=\"\"></div><span class=\"help-block hidden\">Help text...</span></div></div><div class=\"field_settings\" style=\"display: none;\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div><div class=\"form_field all_fields  special_fields  ui-draggable ui-draggable-handle dropped md-slider material_field\" style=\"position: relative; top: 0px; left: 0px; z-index: 100; margin-bottom: 30px;\" id=\"_51565\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-12 align_center\"><label class=\"nf_title \"><span class=\"is_required glyphicon glyphicon-star btn-xs hidden\"></span><span class=\"the_label\" style=\"font-size: 14px;\">Term</span><br><small class=\"sub-text style_italic\">Days to payback</small></label></div><div class=\"input_container col-sm-12\"><div class=\"error_message slider noUi-target noUi-ltr noUi-horizontal ui-slider ui-slider-horizontal ui-widget ui-widget-content ui-corner-all\" id=\"slider\" data-fill-color=\"#f2f2f2\" data-min-value=\"1\" data-max-value=\"31\" data-step-value=\"1\" data-starting-value=\"7\" data-background-color=\"#ffffff\" data-slider-border-color=\"#CCCCCC\" data-handel-border-color=\"#CCCCCC\" data-handel-background-color=\"#FFFFFF\" data-text-color=\"#000000\" data-dragicon=\"\" data-dragicon-class=\"btn btn-default\" data-count-text=\"{x}\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"></div><input name=\"term\" class=\"hidden the_input_element the_slider form-control\" style=\"font-size: 15px;\" type=\"text\" data-math-equation=\"\" data-original-math-equation=\"\"></div><span class=\"help-block hidden\">Help text...</span></div></div><div class=\"field_settings\" style=\"display: none;\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div><div class=\"form_field all_fields heading html_fields dropped\" style=\"position: relative; top: 0px; left: 0px;\" id=\"_6673\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h3 style=\"\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element align_center\">Installment</h3></div></div></div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div><div class=\"form_field all_fields math_logic html_fields  ui-draggable ui-draggable-handle dropped\" style=\"position: relative; top: 0px; left: 0px; z-index: 100; margin-bottom: 30px;\" id=\"_33877\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input class=\"set_math_result\" value=\"0\" name=\"installment\" type=\"hidden\"><h1 style=\"\" data-original-math-equation=\"{loan_amount}+({term}*({loan_amount}*0.005))\" data-math-equation=\"{loan_amount}+({term}*({loan_amount}*0.005))\" class=\"the_input_element align_center\">${math_result}</h1></div></div></div><div class=\"field_settings\" style=\"display: none;\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div><div class=\"form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields dropped material_field\" id=\"_36695\" style=\"margin-bottom: 30px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><button class=\"svg_ready the_input_element btn btn-default col-sm-12 nex-step\" onclick=\"\" style=\"background-color: rgb(64, 196, 255); border-color: rgb(64, 196, 255); color: rgb(255, 255, 255);\">Proceed</button></div></div></div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div>
																	
																	
																	
																	</div>
																  </div>
																</div>
															  </div>
															</div>
														  </div>
														</div><div class=\"form_field custom-fields grid step ui-draggable ui-draggable-handle dropped material_field nf_multi_step_2 ui-sortable-handle\" id=\"_60535\" data-step-name=\"Income\" data-step-num=\"2\" style=\"position: relative; left: 0px; top: 0px; display: none;\">
														  
														  
														  
														  <div style=\"\" class=\"form_object\" id=\"form_object\">
															<div data-svg=\"demo-input-1\" class=\"input-inner\">
															  <div class=\"row\">
																<div class=\"col-sm-12\">
																  <div class=\"tab-pane grid-system grid-system panel panel-default\">
																	<div class=\"zero-clipboard\"><span class=\"btn-clipboard btn-clipboard-hover\"><span class=\"badge the_step_number\"><input name=\"multi_step_name\" type=\"text\" class=\"form_control\" placeholder=\"Step 2\" value=\"Income\"></span><div class=\"show_step\">2</div>&nbsp;
																	  <div title=\"Delete field\" class=\"btn btn-default btn-sm delete \"><i class=\"glyphicon glyphicon-remove\"></i></div><div title=\"Duplicate Step\" class=\"btn btn-default btn-sm duplicate_field\"><i class=\"fa fa-files-o\"></i></div>
																	  </span></div>
																	<div class=\"panel-body ui-droppable ui-sortable\">
																	
																	
																	<div class=\"form_field all_fields  name preset_fields required dropped numbers_only material_field\" id=\"_67922\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-12 align_center hidden\"><label class=\"nf_title \"><span class=\"the_label\" style=\"font-size: 14px;\">Monthly Salary</span><br><small class=\"sub-text style_italic\">NET income</small></label></div><div class=\"s12 input-field  material_design_field col\"><div class=\"input-group-md\"><span class=\"input-group-addon prefix2 hidden\"><span class=\"fa fa-dollar\"></span></span><i class=\"material-icons prefix fa fa-dollar\"></i><input name=\"monthly_salary\" class=\"error_message required  form-control the_input_element  aling_left numbers_only\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Only numbers are allowed\" value=\"1000\" data-value=\"1000\" data-math-equation=\"\" data-original-math-equation=\"\" style=\"font-size: 15px;\" type=\"text\"><label id=\"md_label\" style=\"font-size: 14px;\" for=\"monthly_salary\" class=\"active\">Monthly Salary</label></div></div><span class=\"help-block hidden\">Help text...</span></div></div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div><div class=\"form_field all_fields  name preset_fields required dropped numbers_only material_field\" id=\"_83547\" style=\"margin-bottom: 30px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-12 align_center hidden\"><label class=\"nf_title \"><span class=\"the_label\" style=\"font-size: 14px;\">Monthly Expenses</span><br><small class=\"sub-text style_italic\"></small></label></div><div class=\"s12 input-field  material_design_field col\"><div class=\"input-group-md\"><span class=\"input-group-addon prefix2 hidden\"><span class=\"fa fa-dollar\"></span></span><i class=\"material-icons prefix fa fa-dollar\"></i><input name=\"monthly_expenses\" class=\"error_message required  form-control the_input_element  aling_left numbers_only align_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Only numbers are allowed\" value=\"0\" data-value=\"0\" style=\"font-size: 15px;\" type=\"text\"><label id=\"md_label\" style=\"font-size: 14px;\" for=\"monthly_expenses\" class=\"active\">Monthly Expenses</label></div></div><span class=\"help-block hidden\">Help text...</span></div></div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i><div class=\"waves-ripple \" data-hold=\"1522768629416\" data-scale=\"scale(2.2)\" data-x=\"11.109375\" data-y=\"12\" style=\"top:12px;left:11.109375px;-webkit-transform:scale(2.2);-moz-transform:scale(2.2);-ms-transform:scale(2.2);-o-transform:scale(2.2);transform:scale(2.2);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"></div></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div>
																	
																	
																	
																	<div class=\"form_field grid other-elements is_panel dropped material_field\" id=\"_13864\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"input-inner\" data-svg=\"demo-input-1\"><div class=\"row\"><div class=\"input_holder col-sm-12\"><div class=\"panel panel-default \" style=\"border-color: rgb(221, 221, 221);\"><div class=\"panel-heading\" style=\"border-color: rgb(221, 221, 221); color: rgb(68, 68, 68); background-color: rgb(250, 250, 250);\">NET Calculation</div><div class=\"panel-body the-panel-body ui-droppable ui-sortable\"><div class=\"form_field grid grid-system grid-system-1 dropped material_field\" id=\"_16335\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"input-inner\" data-svg=\"demo-input-1\"><div class=\"row grid_row\"><div class=\"grid_input_holder col-sm-12\"><div class=\"panel grid-system grid-system panel-default\" style=\"border-color: rgb(221, 221, 221);\"><div class=\"panel-body ui-droppable ui-sortable\"><div class=\"form_field grid grid-system grid-system-2 dropped material_field\" id=\"_37480\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"input-inner\" data-svg=\"demo-input-1\"><div class=\"row grid_row\"><div class=\"grid_input_holder col-sm-6\"><div class=\"panel grid-system panel-default\" style=\"border-color: rgb(221, 221, 221);\"><div class=\"panel-body ui-droppable ui-sortable\"><div class=\"form_field all_fields heading html_fields dropped\" id=\"_20080\" style=\"position: relative; top: 0px; left: 0px; z-index: 100;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input class=\"set_math_result\" value=\"0\" name=\"math_result\" type=\"hidden\"><h4 style=\"\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element align_left\">Income</h4></div></div></div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div></div></div></div><div class=\"grid_input_holder col-sm-6\"><div class=\"panel grid-system panel-default\" style=\"border-color: rgb(221, 221, 221);\"><div class=\"panel-body ui-droppable ui-sortable\"><div class=\"form_field all_fields math_logic html_fields dropped\" id=\"_61147\" style=\"position: relative; top: 0px; left: 0px; z-index: 100;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input class=\"set_math_result\" value=\"0\" name=\"math_result\" type=\"hidden\"><h4 style=\"\" data-original-math-equation=\"{monthly_salary}\" data-math-equation=\"{monthly_salary}\" class=\"the_input_element align_right\">${math_result}</h4></div></div></div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div></div></div></div></div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div><div class=\"form_field all_fields divider html_fields dropped\" style=\"position: relative; top: 0px; left: 0px;\" id=\"_82998\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><hr class=\"the_input_element\" style=\"\"></div></div></div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div><div class=\"form_field grid grid-system grid-system-2 dropped material_field\" id=\"_45107\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"input-inner\" data-svg=\"demo-input-1\"><div class=\"row grid_row\"><div class=\"grid_input_holder col-sm-6\"><div class=\"panel grid-system panel-default\" style=\"border-color: rgb(221, 221, 221);\"><div class=\"panel-body ui-droppable ui-sortable\"><div class=\"form_field all_fields heading html_fields dropped\" id=\"_41782\" style=\"position: relative; top: 0px; left: 0px; z-index: 100;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input class=\"set_math_result\" value=\"0\" name=\"math_result\" type=\"hidden\"><h4 style=\"\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element align_left\">Expence</h4></div></div></div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div></div></div></div><div class=\"grid_input_holder col-sm-6\"><div class=\"panel grid-system panel-default\" style=\"border-color: rgb(221, 221, 221);\"><div class=\"panel-body ui-droppable ui-sortable\"><div class=\"form_field all_fields math_logic html_fields dropped\" id=\"_75206\" style=\"position: relative; top: 0px; left: 0px; z-index: 100;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input class=\"set_math_result\" value=\"0\" name=\"math_result\" type=\"hidden\"><h4 style=\"\" data-original-math-equation=\"{monthly_expenses}\" data-math-equation=\"{monthly_expenses}\" class=\"the_input_element align_right\">${math_result}</h4></div></div></div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div></div></div></div></div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div><div class=\"form_field all_fields divider html_fields dropped\" style=\"position: relative; top: 0px; left: 0px;\" id=\"_32199\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><hr class=\"the_input_element\" style=\"border-width: 1px 0px;\"></div></div></div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div><div class=\"form_field grid grid-system grid-system-2 dropped material_field\" id=\"_40166\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"input-inner\" data-svg=\"demo-input-1\"><div class=\"row grid_row\"><div class=\"grid_input_holder col-sm-6\"><div class=\"panel grid-system panel-default\" style=\"border-color: rgb(221, 221, 221);\"><div class=\"panel-body ui-droppable ui-sortable\"><div class=\"form_field all_fields heading html_fields dropped\" id=\"_58171\" style=\"position: relative; top: 0px; left: 0px; z-index: 100;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input class=\"set_math_result\" value=\"0\" name=\"math_result\" type=\"hidden\"><h4 style=\"\" data-original-math-equation=\"\" data-math-equation=\"\" class=\"the_input_element align_left\">After Expense</h4></div></div></div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div></div></div></div><div class=\"grid_input_holder col-sm-6\"><div class=\"panel grid-system panel-default\" style=\"border-color: rgb(221, 221, 221);\"><div class=\"panel-body ui-droppable ui-sortable\"><div class=\"form_field all_fields math_logic html_fields dropped\" id=\"_32376\" style=\"position: relative; top: 0px; left: 0px; z-index: 100;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input class=\"set_math_result\" value=\"0\" name=\"income_after_expense\" type=\"hidden\"><h1 style=\"\" data-original-math-equation=\"{monthly_salary}-{monthly_expenses}\" data-math-equation=\"{monthly_salary}-{monthly_expenses}\" class=\"the_input_element align_right\">${math_result}</h1></div></div></div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div></div></div></div></div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div></div></div></div></div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div></div></div></div></div></div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div><div class=\"form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields dropped material_field\" id=\"_28801\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><button class=\"svg_ready the_input_element btn btn-default col-sm-12 nex-step\" onclick=\"\" style=\"background-color: rgb(64, 196, 255); border-color: rgb(64, 196, 255); color: rgb(255, 255, 255);\">Proceed</button></div></div></div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div></div>
																  </div>
																</div>
															  </div>
															</div>
														  </div>
														</div><div class=\"form_field custom-fields grid step ui-draggable ui-draggable-handle dropped material_field nf_multi_step_3 ui-sortable-handle\" id=\"_69219\" data-step-name=\"Verification\" data-step-num=\"3\" style=\"position: relative; z-index: 100; left: 0px; top: 0px; display: none;\">
														  
														  
														  
														  <div style=\"\" class=\"form_object\" id=\"form_object\">
															<div data-svg=\"demo-input-1\" class=\"input-inner\">
															  <div class=\"row\">
																<div class=\"col-sm-12\">
																  <div class=\"tab-pane grid-system grid-system panel panel-default\">
																	<div class=\"zero-clipboard\"><span class=\"btn-clipboard btn-clipboard-hover\"><span class=\"badge the_step_number\"><input name=\"multi_step_name\" type=\"text\" class=\"form_control\" placeholder=\"Step 3\" value=\"Verification\"></span><div class=\"show_step\">3</div>&nbsp;
																	  <div title=\"Delete field\" class=\"btn btn-default btn-sm delete \"><i class=\"glyphicon glyphicon-remove\"></i></div><div title=\"Duplicate Step\" class=\"btn btn-default btn-sm duplicate_field\"><i class=\"fa fa-files-o\"></i></div>
																	  </span></div>
																	<div class=\"panel-body ui-droppable ui-sortable\">
																	
																	
																	<div class=\"form_field all_fields html html_fields dropped wow bounceIn\" id=\"_1995\" style=\"position: relative; top: 0px; left: 0px;\" data-animation-name=\"bounceIn\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input class=\"set_math_result\" value=\"0\" name=\"math_result\" type=\"hidden\"><div class=\"the_input_element align_center\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\" style=\"\"><h3><span class=\"fa fa-check text-light-green\"></span> Congratulations!</h3><br> You qualify for a loan of  <strong>${{loan_amount}}</strong> to be paid back in <strong>{{term}}</strong> days</div><div style=\"clear:both;\"></div></div></div></div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div><div class=\"form_field all_fields html html_fields dropped\" id=\"_76325\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input class=\"set_math_result\" value=\"0\" name=\"math_result\" type=\"hidden\"><div class=\"the_input_element align_center\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\" style=\"\"><h3><span class=\"fa fa-close text-red\"></span>  Sorry,</h3><br> You do not qualify for a loan at this time as your income after expense of <strong>${{income_after_expense}}</strong> is less then the installment of <strong>${{installment}}</strong> to be payed back in <strong>{{term}}</strong> days.</div><div style=\"clear:both;\"></div></div></div></div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div><div class=\"form_field grid grid-system grid-system-2 dropped material_field\" id=\"_66478\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"input-inner\" data-svg=\"demo-input-1\"><div class=\"row grid_row\"><div class=\"grid_input_holder col-sm-6\"><div class=\"panel grid-system panel-default\" style=\"border-color: rgb(255, 255, 255);\"><div class=\"panel-body ui-droppable ui-sortable\"><div class=\"form_field all_fields  name preset_fields required dropped material_field\" id=\"_87398\" style=\"position: relative; top: 0px; left: 0px; z-index: 100;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-12 align_center hidden\" style=\"\"><label class=\"nf_title \"><span class=\"the_label\" style=\"font-size: 14px;\">*Name</span><br><small class=\"sub-text style_italic\"></small></label></div><div class=\"s12 input-field  material_design_field col\"><div class=\"input-group-md\"><span class=\"input-group-addon prefix2 hidden\"><span class=\"fa fa-user\"></span></span><i class=\"material-icons prefix fa fa-user\"></i><input name=\"_name\" class=\"error_message required  form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"\" value=\"\" data-value=\"\" placeholder=\"\" style=\"font-size: 15px;\" type=\"text\"><label id=\"md_label\" style=\"font-size: 14px;\" for=\"_name\" class=\"\">*Name</label></div></div><span class=\"help-block hidden\">Help text...</span></div></div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div></div></div></div><div class=\"grid_input_holder col-sm-6\"><div class=\"panel grid-system panel-default\" style=\"border-color: rgb(255, 255, 255);\"><div class=\"panel-body ui-droppable ui-sortable\"><div class=\"form_field all_fields  name preset_fields dropped material_field\" id=\"_50671\" style=\"position: relative; top: 0px; left: 0px; z-index: 100;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-12 align_center hidden\" style=\"\"><label class=\"nf_title \"><span class=\"the_label\" style=\"font-size: 14px;\"></span><br><small class=\"sub-text style_italic\"></small></label></div><div class=\"s12 input-field  material_design_field col\"><input name=\"surname\" class=\"error_message  form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"\" value=\"\" data-value=\"\" placeholder=\"\" style=\"font-size: 15px;\" type=\"text\"><label id=\"md_label\" style=\"font-size: 14px;\" for=\"surname\" class=\"\">Surname</label></div><span class=\"help-block hidden\">Help text...</span></div></div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i><div class=\"waves-ripple \" data-hold=\"1522768272695\" data-scale=\"scale(2.2)\" data-x=\"12.015625\" data-y=\"15\" style=\"top:15px;left:12.015625px;-webkit-transform:scale(2.2);-moz-transform:scale(2.2);-ms-transform:scale(2.2);-o-transform:scale(2.2);transform:scale(2.2);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"></div></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div></div></div></div></div><div class=\"field_settings grid\" style=\"display:none\"><div class=\"btn btn-default btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div title=\"Duplicate Field\" class=\"btn btn-default btn-xs duplicate_field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div><div class=\"form_field all_fields email email preset_fields required dropped material_field\" id=\"_84337\" style=\"position: relative; top: 0px; left: 0px; z-index: 100;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-12 align_center hidden\" style=\"\"><label class=\"nf_title \"><span class=\"the_label\" style=\"font-size: 14px;\">*Email</span><br><small class=\"sub-text style_italic\"></small></label></div><div class=\"s12 input-field  material_design_field col\"><div class=\"input-group-md\"><span class=\"input-group-addon prefix2 hidden\"><span class=\"fa fa-envelope\"></span></span><i class=\"material-icons prefix fa fa-envelope\"></i><input name=\"email\" class=\"error_message required email form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid email address\" value=\"\" data-value=\"\" placeholder=\"\" style=\"font-size: 15px;\" type=\"text\"><label id=\"md_label\" style=\"font-size: 14px;\" for=\"email\" class=\"\">*Email</label></div></div><span class=\"help-block hidden\">Help text...</span></div></div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div><div class=\"form_field all_fields phone_number phone_number preset_fields required dropped material_field\" id=\"_73308\" style=\"position: relative; top: 0px; left: 0px; z-index: 100;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let col-sm-12 align_center hidden\" style=\"\"><label class=\"nf_title \"><span class=\"the_label\" style=\"font-size: 14px;\">*Contact Number</span><br><small class=\"sub-text style_italic\"></small></label></div><div class=\"s12 input-field  material_design_field col\"><div class=\"input-group-md\"><span class=\"input-group-addon prefix2 hidden\"><span class=\"fa fa-phone\"></span></span><i class=\"material-icons prefix fa fa-phone\"></i><input name=\"contact_number\" class=\"error_message required phone_number form-control the_input_element  aling_left\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" data-secondary-message=\"Invalid phone number\" placeholder=\"\" style=\"font-size: 15px;\" value=\"\" data-value=\"\" type=\"text\"><label id=\"md_label\" style=\"font-size: 14px;\" for=\"contact_number\" class=\"\">*Contact Number</label></div></div><span class=\"help-block hidden\">Help text...</span></div></div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div><div class=\"form_field all_fields paragraph html_fields dropped\" style=\"position: relative; top: 0px; left: 0px;\" id=\"_75298\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><div class=\"the_input_element\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\" style=\"\"></div><div style=\"clear:both;\"></div></div></div></div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div><div class=\"form_field all_fields submit-button button_fields common_fields preset_fields special_fields selection_fields dropped material_field\" id=\"_45027\" style=\"position: relative; top: 0px; left: 0px;\"><div id=\"form_object\" class=\"form_object\" style=\"\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><button class=\"svg_ready the_input_element btn btn-default col-sm-12 nex-submit\" onclick=\"\" style=\"background-color: rgb(64, 196, 255); border-color: rgb(64, 196, 255); color: rgb(255, 255, 255);\" data-math-equation=\"\" data-original-math-equation=\"\">Apply Now</button></div></div></div><div class=\"field_settings\" style=\"display:none\"><div class=\"btn btn-default waves-effect waves-light btn-xs move_field\"><i class=\"fa fa-arrows\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs edit\" title=\"Edit Field Attributes\"><i class=\"fa fa-edit\"></i></div><div class=\"btn btn-default waves-effect waves-light btn-xs duplicate_field\" title=\"Duplicate Field\"><i class=\"fa fa-files-o\"></i><div class=\"waves-ripple \" data-hold=\"1554361859822\" data-scale=\"scale(2.8000000000000003)\" data-x=\"16\" data-y=\"14.625\" style=\"top:14.625px;left:16px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"></div><div class=\"waves-ripple \" data-hold=\"1554361870813\" data-scale=\"scale(2.8000000000000003)\" data-x=\"8\" data-y=\"12.625\" style=\"top:12.625px;left:8px;-webkit-transform:scale(2.8000000000000003);-moz-transform:scale(2.8000000000000003);-ms-transform:scale(2.8000000000000003);-o-transform:scale(2.8000000000000003);transform:scale(2.8000000000000003);opacity:1;-webkit-transition-duration:750ms;-moz-transition-duration:750ms;-o-transition-duration:750ms;transition-duration:750ms;-webkit-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-moz-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);-o-transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);transition-timing-function:cubic-bezier(0.250, 0.460, 0.450, 0.940);\"></div></div><div class=\"btn btn-default waves-effect waves-light btn-xs delete\" title=\"Delete field\"><i class=\"fa fa-close\"></i></div></div></div></div></div>
																	
																	
																	
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